TY - JOUR
T1 - Missed opportunities in hypertension risk factors screening in Indonesia
T2 - A mixed-methods evaluation of integrated health post (POSBINDU) implementation
AU - Scaling Up Non-Communicable Disease Intervention in South East Asia (SUNISEA) Project
AU - Widyaningsih, Vitri
AU - Febrinasari, Ratih Puspita
AU - Pamungkasari, Eti Poncorini
AU - Mashuri, Yusuf Ari
AU - Sumardiyono, Sumardiyono
AU - Balgis, Balgis
AU - Koot, Jaap
AU - Landsman-Dijkstra, Jeanet
AU - Probandari, Ari
AU - Postma, Maarten
AU - Lensink, Robert
AU - Rusnák, Martin
AU - Littleton, Caitlin
AU - Krisna, Anil
AU - Grimm, Michael
AU - Nguyen, Thi Phuong Lan
AU - Oanh, Tran Thi Mai
N1 - Publisher Copyright:
©
PY - 2022/2/21
Y1 - 2022/2/21
N2 - Objectives: To assess the implementation and contextual barriers of POSBINDU, a community-based activity focusing on screening of non-communicable diseases (NCDs), mainly hypertension and diabetes, in Indonesia.Design: This was a concurrent mixed-methods study, with a cross-sectional analysis of secondary data and focus group discussions (FGDs) on stakeholder of POSBINDU.Setting: The study was conducted in seven districts in three provinces in Indonesia, with approximately 50% of the primary healthcare (PHC) were selected as areas for data collection (n PHC=100).Participants: From 475 POSBINDU sites, we collected secondary data from 54 224 participants. For the qualitative approach, 21 FGDs and 2 in-depth interviews were held among a total of 223 informants.Primary outcomes and measures: Proportion of POSBINDU visitors getting the hypertension screening and risk factors' assessment, and barriers of POSBINDU implementation.Results: Out of the 114 581 POSBINDU visits by 54 224 participants, most (80%) were women and adults over 50 years old (50%) showing a suboptimal coverage of men and younger adults. Approximately 95.1% of visitors got their blood pressure measured during their first visit; 35.3% of whom had elevated blood pressure. Less than 25% of the visitors reported to be interviewed for NCDs risk factors during their first visit, less than 80% had anthropometric measurements and less than 15% had blood cholesterol examinations. We revealed lack of resources and limited time to perform the complexities of activities and reporting as main barrier for effective hypertension screening in Indonesia.Conclusions: This study showed missed opportunities in hypertension risk factors screening in Indonesia. The barriers include a lack of access and implementation barriers (capability, resources and protocols).
AB - Objectives: To assess the implementation and contextual barriers of POSBINDU, a community-based activity focusing on screening of non-communicable diseases (NCDs), mainly hypertension and diabetes, in Indonesia.Design: This was a concurrent mixed-methods study, with a cross-sectional analysis of secondary data and focus group discussions (FGDs) on stakeholder of POSBINDU.Setting: The study was conducted in seven districts in three provinces in Indonesia, with approximately 50% of the primary healthcare (PHC) were selected as areas for data collection (n PHC=100).Participants: From 475 POSBINDU sites, we collected secondary data from 54 224 participants. For the qualitative approach, 21 FGDs and 2 in-depth interviews were held among a total of 223 informants.Primary outcomes and measures: Proportion of POSBINDU visitors getting the hypertension screening and risk factors' assessment, and barriers of POSBINDU implementation.Results: Out of the 114 581 POSBINDU visits by 54 224 participants, most (80%) were women and adults over 50 years old (50%) showing a suboptimal coverage of men and younger adults. Approximately 95.1% of visitors got their blood pressure measured during their first visit; 35.3% of whom had elevated blood pressure. Less than 25% of the visitors reported to be interviewed for NCDs risk factors during their first visit, less than 80% had anthropometric measurements and less than 15% had blood cholesterol examinations. We revealed lack of resources and limited time to perform the complexities of activities and reporting as main barrier for effective hypertension screening in Indonesia.Conclusions: This study showed missed opportunities in hypertension risk factors screening in Indonesia. The barriers include a lack of access and implementation barriers (capability, resources and protocols).
KW - hypertension
KW - international health services
KW - public health
KW - quality in health care
U2 - 10.1136/bmjopen-2021-051315
DO - 10.1136/bmjopen-2021-051315
M3 - Article
C2 - 35190419
AN - SCOPUS:85125155772
VL - 12
JO - BMJ Open
JF - BMJ Open
SN - 2044-6055
M1 - e051315
ER -