Deteksi Dini Penyakit Gagal Ginjal sebagai Komplikasi Hipertensi melalui Edukasi Masyarakat di Desa Sokaraja Kulon, Sokaraja, Banyumas, Jawa Tengah

Aris Fitriyani; Maisje Marlyn Kuhu; Munjiati Munjiati

doi:10.61132/pandawa.v4i4.3141

Authors

Aris Fitriyani Poltekkes Kemenkes Semarang
Maisje Marlyn Kuhu Poltekkes Kemenkes Semarang
Munjiati Munjiati Poltekkes Kemenkes Semarang

DOI:

https://doi.org/10.61132/pandawa.v4i4.3141

Keywords:

Chronic Kidney Disease, Community Health Workers, Early Detection, Health Education, Hypertension

Abstract

Uncontrolled hypertension contributes to kidney damage and may accelerate chronic kidney disease progression, while early kidney impairment often develops without specific symptoms. This community service program aimed to improve public awareness of the relationship between hypertension and kidney health, conduct preliminary risk-factor screening, and strengthen the capacity of community health cadres in Sokaraja Kulon Village. The program was implemented in July 2025 through blood pressure measurement, random blood glucose testing, urine dipstick screening, health education using booklets and leaflets, and health cadre training. Results were analyzed descriptively using frequencies and proportions. Sixty-one participants underwent blood pressure measurement; 31 (50.8%) were categorized as stage I hypertension and 11 (18.0%) as stage II hypertension according to the classification used during the program. Among 58 participants who underwent random blood glucose testing, 5 (8.6%) were categorized as prediabetic and 2 (3.4%) as diabetic, requiring further clinical evaluation. Urine dipstick screening among 55 participants identified elevated urine pH in 5 individuals (9.1%). Ten health cadres completed training and were considered capable of supporting blood pressure monitoring and simple urine screening. Integrating risk-factor screening, health education, and cadre empowerment can support early identification of kidney health risks at the community level. Screening findings should not be interpreted as a diagnosis of kidney disease and require appropriate clinical follow-up.

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References

Ameer, O. Z. (2022). Hypertension in chronic kidney disease: What lies behind the scene. Frontiers in Pharmacology, 13, 949260. https://doi.org/10.3389/fphar.2022.949260

Billany, R. E., Thopte, A., Adenwalla, S. F., March, D. S., Burton, J. O., & Graham-Brown, M. P. M. (2023). Associations of health literacy with self-management behaviours and health outcomes in chronic kidney disease: A systematic review. Journal of Nephrology, 36(5), 1267–1281. https://doi.org/10.1007/s40620-022-01537-0

Campbell, Z. C., Dawson, J. K., Kirkendall, S. M., McCaffery, K. J., Jansen, J., Campbell, K. L., Lee, V. W. S., & Webster, A. C. (2022). Interventions for improving health literacy in people with chronic kidney disease. Cochrane Database of Systematic Reviews, (12), CD012026. https://doi.org/10.1002/14651858.CD012026.pub2

Dally, M., Amador, J. J., Butler-Dawson, J., Lopez-Pilarte, D., Gero, A., Krisher, L., Cruz, A., Pilloni, D., Kupferman, J., Friedman, D. J., Griffin, B. R., Newman, L. S., & Brooks, D. R. (2023). Point-of-care testing in chronic kidney disease of non-traditional origin: Considerations for clinical, epidemiological, and health surveillance research and practice. Annals of Global Health, 89(1), 7. https://doi.org/10.5334/aogh.3884

Dinh, H. T. T., Nguyen, N. T., & Bonner, A. (2022). Healthcare systems and professionals are key to improving health literacy in chronic kidney disease. Journal of Renal Care, 48(1), 4–13. https://doi.org/10.1111/jorc.12395

Gama, R. M., Nebres, D., & Bramham, K. (2024). Community point of care testing in diagnosing and managing chronic kidney disease. Diagnostics, 14(14), 1542. https://doi.org/10.3390/diagnostics14141542

GBD Chronic Kidney Disease Collaboration. (2020). Global, regional, and national burden of chronic kidney disease, 1990–2017: A systematic analysis for the Global Burden of Disease Study 2017. The Lancet, 395(10225), 709–733. https://doi.org/10.1016/S0140-6736(20)30045-3

Georgianos, P. I., & Agarwal, R. (2023). Hypertension in chronic kidney disease-treatment standard 2023. Nephrology Dialysis Transplantation, 38(12), 2694–2703. https://doi.org/10.1093/ndt/gfad118

Gurgel do Amaral, M. S., Reijneveld, S. A., Meems, L. M. G., Almansa, J., Navis, G. J., & de Winter, A. F. (2022). Multimorbidity prevalence and patterns and their associations with health literacy among chronic kidney disease patients. Journal of Nephrology, 35(6), 1709–1719. https://doi.org/10.1007/s40620-021-01229-1

Hebert, S. A., & Ibrahim, H. N. (2022). Hypertension management in patients with chronic kidney disease. Methodist DeBakey Cardiovascular Journal, 18(4), 41–49. https://doi.org/10.14797/mdcvj.1119

Hustrini, N. M., Susalit, E., & Rotmans, J. I. (2022). Prevalence and risk factors for chronic kidney disease in Indonesia: An analysis of the National Basic Health Survey 2018. Journal of Global Health, 12, 04074. https://doi.org/10.7189/jogh.12.04074

Isa, D. M., Shahar, S., He, F. J., & Majid, H. A. (2021). Associations of health literacy with blood pressure and dietary salt intake among adults: A systematic review. Nutrients, 13(12), 4534. https://doi.org/10.3390/nu13124534

Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group. (2024). KDIGO 2024 clinical practice guideline for the evaluation and management of chronic kidney disease. Kidney International, 105(4S), S117–S314. https://doi.org/10.1016/j.kint.2023.10.018

Korsa, A., Tesfaye, W., Sud, K., Krass, I., & Castelino, R. L. (2025). Risk factor-based screening for early detection of chronic kidney disease in primary care settings: A systematic review. Kidney Medicine, 7(4), 100979. https://doi.org/10.1016/j.xkme.2025.100979

Langham, R. G., Kalantar-Zadeh, K., Bonner, A., Balducci, A., Hsiao, L.-L., Kumaraswami, L. A., Laffin, P., Liakopoulos, V., Saadi, G., Tantisattamo, E., Ulasi, I., & Lui, S.-F. (2022). Kidney health for all: Bridging the gap in kidney health education and literacy. Kidney International, 101(3), 432–440. https://doi.org/10.1016/j.kint.2021.12.017

Mbuthia, G. W., Magutah, K., & Pellowski, J. (2022). Approaches and outcomes of community health worker’s interventions for hypertension management and control in low-income and middle-income countries: Systematic review. BMJ Open, 12(4), e053455. https://doi.org/10.1136/bmjopen-2021-053455

Mutatiri, C., Ratsch, A., McGrail, M., Venuthurupalli, S. K., & Chennakesavan, S. K. (2024). Primary and specialist care interaction and referral patterns for individuals with chronic kidney disease: A narrative review. BMC Nephrology, 25, 149. https://doi.org/10.1186/s12882-024-03585-z

Oliva-Damaso, N., Tangri, N., Delanaye, P., & Glassock, R. J. (2023). Bridging the gap of referral to nephrology care. Nature Reviews Nephrology, 19, 275–276. https://doi.org/10.1038/s41581-023-00693-1

Sarker, M. H. R., Moriyama, M., Rashid, H. U., Chisti, M. J., Rahman, M. M., Das, S. K., Uddin, A., Saha, S. K., Arifeen, S. E., Ahmed, T., & Faruque, A. S. G. (2021). Community-based screening to determine the prevalence, health and nutritional status of patients with CKD in rural and peri-urban Bangladesh. Therapeutic Advances in Chronic Disease, 12, 20406223211035281. https://doi.org/10.1177/20406223211035281

Sarker, M. H. R., Moriyama, M., Rashid, H. U., Rahman, M. M., Chisti, M. J., Das, S. K., Saha, S. K., Arifeen, S. E., Ahmed, T., & Faruque, A. S. G. (2022). Chronic kidney disease awareness campaign and mobile health education to improve knowledge, quality of life, and motivation for a healthy lifestyle among patients with chronic kidney disease in Bangladesh: Randomized controlled trial. Journal of Medical Internet Research, 24(8), e37314. https://doi.org/10.2196/37314

Shlipak, M. G., Tummalapalli, S. L., Boulware, L. E., Grams, M. E., Ix, J. H., Jha, V., & Zoungas, S. (2021). The case for early identification and intervention of chronic kidney disease: Conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney International, 99(1), 34–47. https://doi.org/10.1016/j.kint.2020.10.012