677. COMMUNITY HEALTH EMPOWERMENT FOR EARLY-DETECTING AND REINTEGRATING OF SCHIZOPHRENIA IN INDONESIA

Abstract Background Schizophrenia is a severe mental disorder that causes deterioration in a person's functioning. According to WHO, more than 21 million people in the the world are affected by schizophrenia. Study from Padjadjaran University was stated that a total of 470,000 people in Indonesia have schizophrenia, or 1,8 per millions. Aims & Objectives The impact of people with Schizophrenia not only for the family, but also economic burden. Stigma, discrimination and various kind of harm. It should be a reminder for government, community and religious leaders, as well as the general public in order to understand the problem of this mental disorder and b to provide support for PWS. Cheers was designed to help PWS can be accepted in the community as well as share knowledge about mental health especially Schizophrenia. Method Lentera Kesehatan Nusantara Foundation (LKNF) involved in Preventing, promoting and rehabilitation of PWS through CHEERS. This project implemented in five (5) sub-districts in each of two (2) districts, Ponorogo and Sidoarjo in East Java. Some activities were conducted, such as strengthen the community health workers, early detecting and screening, delivering education to the religious leaders and traditional healers. starting the caregiver forum, ensuring treatment compliance, supporting income generating support, advocating the stakeholders and making network with the alliance of other CSO and Regional Apparatus Organization. There were also joint monitoring involving Ministry of Health, Province and District Health office, other stakeholders, University, and some NGOs. Results Ended in 2024, LKNF documented the lessons learnt from local initiative from both of two district intervention, the total 335 CHW was strengthened in 112 villages. The treatment adherence of the patient is 87.63% or 93.14% in Ponorogo and 82.13% in Sidoarjo district, exceeded the target 75.87%. From screening activities, 154 out of 2.022 showed risk factors. The income generating activity was initiated to support 26 PWS stabile. The caregiver forum has been established in 6 sub-districts in Ponorogo and Sidoarjo covering 117 care givers. Campaign to reduce stigma and discrimination was delivered to over 1.800 audiences. Discussion & Conclusions Involving cross-sectoral involvement, which is not only the government both central and regional, but also the private sector, community organizations and faith-based organizations can be done to achieve the reintegration of people with schizophrenia back into the family and community. training economic independence can also be done to empower, increase self-confidence and earn income for PWS to.