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All Journal Saintika Medika: Jurnal Ilmu Kesehatan dan Kedokteran Keluarga. Media Teknologi Hasil Perikanan Prosiding Seminar Nasional Sains Dan Teknologi Fakultas Teknik Journal of Degraded and Mining Lands Management Publiciana Public Health of Indonesia Sinkron : Jurnal dan Penelitian Teknik Informatika JURNAL ONLINE KEPERAWATAN INDONESIA Jurnal Biogenerasi Jurnal Ilmiah Satyagraha ARBITRASE: JOURNAL OF ECONOMICS AND ACCOUNTING Ekasakti Jurnal Penelitian dan Pengabdian (EJPP) Jurnal Ilmiah Metansi (Manajemen dan Akuntansi) Jurnal DIALEKTIKA : Jurnal Ilmu Sosial Utsaha: Journal of Entrepreneurship Journal Ta'lim of Journal STKIP Aisyiyah Riau Jurnal Ilmiah Mahasiswa Fakultas Pertanian (JIMFP) Journal of Social And Economics Research International Journal Administration, Business & Organization Jurnal Kajian Islam Modern Public Health and Safety International Journal (PHASIJ) International Journal of Healthcare Research Jurnal Sosial dan Sains DUNIA KEPERAWATAN: JURNAL KEPERAWATAN DAN KESEHATAN Jurnal Sahid Mengabdi MEDALION JOURNAL: Medical Research, Nursing, Health and Midwife Participation Prosiding Seminar Nasional dan Call For Paper Kebidanan Universitas Ngudi Waluyo GEMBIRA (Pengabdian Kepada Masyarakat) Jurnal Pengabdian Masyarakat dan Riset Pendidikan Krigan: Journal of Management and Sharia Business Recent in Engineering Science and Technology journal of social and economic research Jurnal Ilmiah Nusantara Aksi Kita: Jurnal Pengabdian Kepada Masyarakat Sinergi : Jurnal Ilmiah Multidisiplin
Rinawati
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Journal : Journal of Social And Economics Research

 1 
DIAGNOSING THE COVERAGE GAP OF THE CHRONIC DISEASE MANAGEMENT PROGRAM AT X PRIMARY HEALTH CENTER Henri Perwira Negara; Rinawati
Journal of Social and Economics Research Vol 7 No 2 (2025): JSER, December 2025
Publisher : Ikatan Dosen Menulis

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/jser.v7i2.1110

Abstract

Non communicable diseases such as diabetes mellitus and hypertension constitute a major health burden in Indonesia and place growing pressure on the national health insurance system. BPJS Kesehatan launched the Chronic Disease Management Program Prolanis to strengthen monitoring, medication adherence, and patient education through primary care services, yet national reports indicate that only a small fraction of eligible patients are registered and even fewer achieve clinical control. This study diagnoses the gap between the target and actual coverage of Prolanis at X Primary Health Center. A qualitative descriptive case study was conducted from January to September 2025 with purposively selected participants, including one program coordinator, six healthcare workers, four community health volunteers, and four program participants. Data were collected through in depth interviews, observations of program activities, and analysis of monthly reports and participant registers, then thematically analyzed at organizational, team, and individual levels. With 298 diabetes and 1,250 hypertension patients, the target of five percent controlled participants was exceeded for diabetes only in February and March and was never met for hypertension. Enabling factors included leadership commitment, supportive policies, team cohesiveness, and staff motivation, while barriers involved the absence of integrated standard operating procedures, limited information tools, inefficient workflows, staff and training shortages, and low health literacy. Prolanis coverage at X Primary Health Center remains far below the target, indicating that organizational redesign and stronger community engagement are required to improve coverage and clinical control.
Co-Authors A. Rohendi A. Rohendi, A. Abrori, Faizul Adryan Rachman Afriyani, Luvi Dian Agus Suharyono Agus Suwanto Akmaludin Akmaludin, Akmaludin Ana, Lili Andreas Andoyo Anggara, Andhika Dwi Angkasawati Anis Rosyidah Anjelinannur Apsari, Ayu Saraswati Aqila Naufal Arnita Arnita Basri Beni Nugroho, Dionysius Dafenta, Hadi Dermiyati, Dermiyati Dewi, Linda Sari Djamaluddin, Ismail Efawati, Yen Eka Putri, Suci Eko Suhartono Erene Gernaria Sihombing, Erene Gernaria Ester Arisawati Fanisha, Yunda Fasya, Muhammad Rizki Firdaus Friyuanita Lubis Gusti Fernandi Hafifah, Nur Hana hana lestari Hapsari Windayanti Henny Henny, Henny Henri Perwira Negara Herwina I Ketut Sucita Ihsan, Muzhir Ika Verina Ima Rahmawati Imanullah Akbar Izza Patria Intan, Yulice Soraya Nur Isfani, Rizka Iskandar, Wardah Istighfarah, Vedelya Iwang Yusuf Jayawarsa, A.A. Ketut Kasmuri, Mudiono Khairunnas Kurniati , Yeni Laila Apriani Hasanah Harahap Laily, Eka Isranil Latha M. S Lestari Nadiah Lubis, Ria M. Nasir MARNIATI Marsela, Lara Maulidia Ningsih Mayangsari, Citra Primavita Miftha Churochman Mukri, Rusdiono Muliadi, Teuku Mulyani, Itza Munir, M.Misbahul Mursyidah, Azizah Mustaqim Makki Nadia Oktaviana Nainggolan, Elfrida Nana Supriatna Ninda Azifati Nurfitri Novi Ridianti Novita Andriayani Novita Andriyani Nur Lela Nurkhalifa Nurlela Nurlela Petra Saragih Nurrida Ritonga Rahma, Cukri Raji Baitia Rara Maselina Jupon Rian Andriani, Rian Rismia Agustina Rita Kartika Sari Safrida samsul rijal Setyo Trisnadi Silfitri, Yunia Siswadi Siti Maisyaroh Fitri Siregar Slamet Budijanto Sri Wahyuni Muhsin Stasha Diva Sudijanto Suci Eka Putri Sudewi Sugiaman, Helga Audelia Susi Herlinda Susilawati, Ucu Tarigan, Almina Rospitaria Teuku Mulyadi Thontowi Djauhari Nur Subchi Tiatulrami Tri Susilowati Tri Susilowati Ulil Albab Vera Yunita Veranita, Mira Wahyu Muhsin, Sri Wijayanti, Desi Wulandari, Desti Yatim, Hertasning Yatim, Herwin Yelli Muliasari Yuli Dwi Bina Margarini