Ni Putu Diah Pradnyawati
RSUD Bali Mandara Provinsi Bali

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Evaluation of the implementation of primary health care integration: A case study of public health center in Denpasar City, Bali Province, Indonesia Ni Putu Diah Pradnyawati; Ni Made Sri Nopiyani; Luh Seri Ani
Public Health and Preventive Medicine Archive Vol. 13 No. 1 (2025)
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53638/phpma.2025.v13.i1.p05

Abstract

Background and purpose: Primary health care integration, as one of the pillars of health system transformation, has been piloted in one of the Public Health Center in Denpasar since 2023. This study aims to evaluate the implementation of primary health care integration in Denpasar. Methods: This was a qualitative study with a case study design. The study consisted of in-depth interviews with 18 informants whom were recruited purposively. The informants consisted of policymakers from the Denpasar City Health Office, Head of Public Health Center, and Head of one Sub-district, person in charge, nurse, cadres, service recipients from each life cycle. A focus group discussion was also conducted with eight integrated health post cadres. We also conducted document reviews to obtain service coverage data and observation of the supporting infrastructure Data were analyzed using thematic analysis. Results: Primary health care integration has yet to fully meet the established implementation standards, particularly in home visits coverage. The health service package for cluster three, and service coverage for all life cycles and screening has not reached the target. Inhibiting factors of the implementation were lack of regulations, fundings, increased workload, insufficient cadre inadequate training. While, political support, firm policies, quality infrastructure, and digital technology were significant supporting factors. Conclusion: Primary health care integration yet to meet completely the established implementation standards. Efforts are required to address inhibiting factors and utilizing the supporting factors.