Journal of Health and Nutrition Research
Vol. 5 No. 2 (2026)

Evaluation of Integrated Primary Care (ILP) Implementation: A Qualitative Assessment of Input and Process Dimensions in Banjarbaru City Health Centers

Anggun Wulandari (Public Health Study Program, Lambung Mangkurat University, Indonesia)
Neka Erlyani (Psychology Study Program, Lambung Mangkurat University, Indonesia)
Fauzie Rahman (Public Health Study Program, Lambung Mangkurat University, Indonesia)
Nur Laily (Public Health Study Program, Lambung Mangkurat University, Indonesia)
Andini Octaviana Putri (Public Health Study Program, Lambung Mangkurat University, Indonesia)
Lia Anggraini (Public Health Study Program, Lambung Mangkurat University, Indonesia)
Siti Maimunah (Public Health Study Program, Lambung Mangkurat University, Indonesia)
Sri Wulandari (Public Health Study Program, Lambung Mangkurat University, Indonesia)
Nuralpisah Nuralpisah (Public Health Study Program, Lambung Mangkurat University, Indonesia)
Fitrya Hayati Alkamaliah (Public Health Study Program, Lambung Mangkurat University, Indonesia)



Article Info

Publish Date
01 Aug 2026

Abstract

Primary health care is the foundation of the health system with a focus on promotion and prevention. To strengthen this, the Indonesian Ministry of Health launched Integration Primary Care (ILP) policy in 2023, although its initial implementation faced various obstacles. This study aims to assess the input (human resources, infrastructure, and funding) and process (planning, organizing, implementing, and evaluating policies) dimensions of ILP implementation in Banjarbaru City Health Centers. The study used a descriptive qualitative approach with 20 informants consisting of health center heads and program managers in 10 health centers through purposive sampling. Data were collected through focus group discussions. Validity was tested using source and technique triangulation. This study uses an evaluative approach based on Azwar's (1996) health systems theory, which allows for a comprehensive analysis of the input and process components in ILP implementation. The results showed that ILP was still constrained by limited human resources, especially the limited core implementing staff and ILP supporting infrastructure does not fully meet standards. However, adaptive strategies such as cluster role sharing, cross-sector collaboration, and community involvement supported the policy's sustainability. In terms of process, planning, organization, implementation, and evaluation were carried out, but were still influenced by old mechanisms and minimal budgetary and organizational support. This study provides an understanding of ILP implementation in Primary Health Centers by highlighting systemic barriers and local strategies. This study concludes that there is a need for preparedness for the procurement and distribution of strategic medical devices, particularly screening tools and basic services, as well as strengthening the guidance, monitoring, and evaluation of ILP implementation periodically through technical assistance

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Journal Info

Abbrev

jhnr

Publisher

Subject

Medicine & Pharmacology Nursing Public Health

Description

The Journal of Health and Nutrition Research (ISSN: 2829-9760) is an international peer-reviewed, scientific, and open-access journal managed by Media Publikasi Cendekia Indonesia. Journal of Health and Nutrition Research aims to provide forum exchanges and interfaces between researchers and related ...