Promotion and Prevention Control of Type 2 Diabetes Mellitus at Risk Groups through Empowerment of Dalihan Na Tolu in Mandailing Tribe in Padangsidimpuan City

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Albiner Siagian
Fazidah A. Siregar
Erna Mutiara


Dalihan Na Tolu, Health Promotion, Type 2 Diabetes Mellitus


The Batak community has a "Dalihan Na Tolu" kinship system that regulates all Batak activities, including in Padangsidimpuan. The kinship system is applied in all social movements of the Batak community as a firm social capital because it is carried out regularly and continuously. This study aimed to reduce the risk factors for type 2 diabetes mellitus by empowering the role of Dalihan Na Tolu. This was a qualitative study with a Participatory Action Research (PAR). Informants in this study consisted of high risk people as many as 16 people based on Findrisc Score. Data was collected using indepth interview and then analyzed by content analysis. The results of this study found three themes, namely (1) the public's view of Dalihan Na Tolu, (2) the role and function of Dalihan Na Tolu, and (3) the prevention efforts made by Dalihan Na Tolu in the prevention of type 2 diabetes mellitus. It was concluded that the application of Dalihan Na Tolu traditional values could motivate groups at high risk of type 2 DM to lead a healthy lifestyle. The spirit of togetherness and caring for each other in a kinship system is a great strength and has a positive impact. It is suggested that the Dalihan Na Tolu tradition can be integrated into the type 2 Diabetes Mellitus prevention program.

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