Missed opportunities in hypertension risk factors screening in Indonesia: A mixed-methods evaluation of integrated health post (POSBINDU) implementation

Scaling Up Non-Communicable Disease Intervention in South East Asia (SUNISEA) Project, Vitri Widyaningsih, Ratih Puspita Febrinasari, Eti Poncorini Pamungkasari, Yusuf Ari Mashuri, Sumardiyono Sumardiyono, Balgis Balgis, Jaap Koot, Jeanet Landsman-Dijkstra, Ari Probandari*

*Bijbehorende auteur voor dit werk

OnderzoeksoutputAcademicpeer review

5 Downloads (Pure)


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).

Originele taal-2English
Aantal pagina's11
TijdschriftBMJ Open
StatusPublished - 21-feb-2022

Citeer dit