Lack of training for Prolanis officers

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Effectiveness of Chronic Disease Management Program (Prolanis) in Patients with Hypertension at UPT Puskesmas Tangkahan Durian Langkat Regency in 2019

Introduction

Hypertension, a degenerative disease that is increasingly rampant, is one of the main health problems in Indonesia, especially among the elderly. To overcome this, the government through BPJS Health and health facilities work together in carrying out integrated chronic disease management programs (Prolanis). This study aims to examine the effectiveness of Prolanis in people with hypertension at the UPT Puskesmas Tangkahan Durian, Langkat Regency, in 2019.

Background

Hypertension is a major health problem in Indonesia, affecting millions of people, especially the elderly. The government has implemented various programs to control hypertension, including the Prolanis program. Prolanis is a comprehensive program that aims to manage chronic diseases, including hypertension, through a multidisciplinary approach. The program involves healthcare providers, patients, and the community in managing chronic diseases.

Methodology

This study used a qualitative research approach with a descriptive design. In-depth interviews were conducted with seven informants, including healthcare providers and patients, to gather data on the effectiveness of Prolanis in managing hypertension.

Results

The results of the study showed that the implementation of Prolanis at the Tangkahan Durian Health Center was not yet effective. Several factors contributed to this, including:

Human Resources (HR) that are less than optimal

Lack of training for Prolanis officers: The main obstacle in running the program was the lack of training for Prolanis officers. This lack of training hindered the officers' ability to effectively manage chronic diseases.
Inadequate facilities and infrastructure: Limited facilities and infrastructure became an obstacle in providing optimal services. This lack of resources hindered the healthcare providers' ability to effectively manage chronic diseases.
Inadequate funding: Lack of allocation of funds for Prolanis activities was an obstacle in running the program effectively. This lack of funding hindered the healthcare providers' ability to provide comprehensive care to patients.
Minimal socialization: Lack of information about Prolanis in the community made the community less understanding and enthusiastic about participating in the program. This lack of socialization hindered the healthcare providers' ability to engage the community in managing chronic diseases.
Low participant compliance: The low compliance of participants in participating in Prolanis activities was also an important factor that hindered the effectiveness of the program. This lack of compliance hindered the healthcare providers' ability to effectively manage chronic diseases.
Limited implementation of activities: Only three of the five Prolanis activities were carried out by the Puskesmas in accordance with the guidebook. This limited implementation of activities hindered the healthcare providers' ability to effectively manage chronic diseases.

Solution to Increase the Effectiveness of Prolanis

To overcome the problems encountered, several steps need to be taken:

BPJS Health

Improve supervision and evaluation of the implementation of Prolanis in all health facilities: BPJS Health needs to improve its supervision and evaluation of the implementation of Prolanis in all health facilities. This will ensure that the program is implemented effectively and efficiently.
Carry out comprehensive training for Prolanis officers: BPJS Health needs to carry out comprehensive training for Prolanis officers to increase their knowledge and skills. This will ensure that the officers are equipped to effectively manage chronic diseases.
Conduct effective socialization about the Prolanis program to the community: BPJS Health needs to conduct effective socialization about the Prolanis program to the community. This will ensure that the community is aware of the benefits and importance of the program.

Puskesmas Tangkahan Durian

Conduct massive socialization to the public about Prolanis: Puskesmas Tangkahan Durian needs to conduct massive socialization to the public about Prolanis. This will ensure that the community is aware of the benefits and importance of the program.
Building and strengthening cooperation with various related parties: Puskesmas Tangkahan Durian needs to build and strengthen cooperation with various related parties, such as community leaders, health cadres, and community organizations. This will ensure that the program is implemented effectively and efficiently.
Increasing participant compliance: Puskesmas Tangkahan Durian needs to increase participant compliance by providing comprehensive education about hypertension and the importance of regular control. This will ensure that patients are engaged in managing their chronic diseases.
Live all stages of Prolanis activities in accordance with the guidebook: Puskesmas Tangkahan Durian needs to live all stages of Prolanis activities in accordance with the guidebook. This will ensure that the program is implemented effectively and efficiently.

Effectiveness of Prolanis: A Hope to Improve the Quality of Public Health

The Prolanis program has great potential in improving the quality of public health, especially people with hypertension. By increasing the effectiveness of the program, Tangkahan Durian Health Center can play an important role in controlling hypertension and improving the quality of life of the community. Through close collaboration between BPJS Health, Puskesmas, and the community, the hope to realize better health for all can be realized.

Conclusion

In conclusion, the effectiveness of Prolanis in managing hypertension at the UPT Puskesmas Tangkahan Durian, Langkat Regency, in 2019 was not yet effective. Several factors contributed to this, including human resources, facilities and infrastructure, funding, socialization, participant compliance, and limited implementation of activities. To overcome these problems, several steps need to be taken, including improving supervision and evaluation, carrying out comprehensive training, conducting effective socialization, building and strengthening cooperation, increasing participant compliance, and living all stages of Prolanis activities in accordance with the guidebook. By increasing the effectiveness of the program, Tangkahan Durian Health Center can play an important role in controlling hypertension and improving the quality of life of the community.
Frequently Asked Questions (FAQs) about the Effectiveness of Chronic Disease Management Program (Prolanis) in Patients with Hypertension at UPT Puskesmas Tangkahan Durian Langkat Regency in 2019

Q: What is the Prolanis program?

A: The Prolanis program is a comprehensive program that aims to manage chronic diseases, including hypertension, through a multidisciplinary approach. The program involves healthcare providers, patients, and the community in managing chronic diseases.

Q: What are the main objectives of the Prolanis program?

A: The main objectives of the Prolanis program are to:

Improve the quality of life of patients with chronic diseases
Reduce the risk of complications and mortality associated with chronic diseases
Enhance the ability of healthcare providers to manage chronic diseases effectively
Increase the awareness and understanding of chronic diseases among the community

Q: What are the key components of the Prolanis program?

A: The key components of the Prolanis program include:

Comprehensive training for healthcare providers
Effective socialization about the program to the community
Building and strengthening cooperation with various related parties
Increasing participant compliance
Living all stages of Prolanis activities in accordance with the guidebook

Q: What are the challenges faced by the Prolanis program in managing hypertension?

A: The challenges faced by the Prolanis program in managing hypertension include:

Human resources that are less than optimal
Inadequate facilities and infrastructure
Inadequate funding
Minimal socialization
Low participant compliance
Limited implementation of activities

Q: What are the solutions to overcome the challenges faced by the Prolanis program?

A: The solutions to overcome the challenges faced by the Prolanis program include:

Improving supervision and evaluation of the implementation of Prolanis in all health facilities
Carrying out comprehensive training for Prolanis officers
Conducting effective socialization about the Prolanis program to the community
Building and strengthening cooperation with various related parties
Increasing participant compliance
Living all stages of Prolanis activities in accordance with the guidebook

Q: What is the potential impact of the Prolanis program on public health?

A: The Prolanis program has great potential in improving the quality of public health, especially people with hypertension. By increasing the effectiveness of the program, Tangkahan Durian Health Center can play an important role in controlling hypertension and improving the quality of life of the community.

Q: What is the role of BPJS Health in the implementation of the Prolanis program?

A: BPJS Health plays a crucial role in the implementation of the Prolanis program. It is responsible for:

Improving supervision and evaluation of the implementation of Prolanis in all health facilities
Carrying out comprehensive training for Prolanis officers
Conducting effective socialization about the Prolanis program to the community

Q: What is the role of Puskesmas Tangkahan Durian in the implementation of the Prolanis program?

A: Puskesmas Tangkahan Durian plays a crucial role in the implementation of the Prolanis program. It is responsible for:

Conducting massive socialization to the public about Prolanis
Building and strengthening cooperation with various related parties
Increasing participant compliance
Living all stages of Prolanis activities in accordance with the guidebook

Q: What is the future direction of the Prolanis program?

A: The future direction of the Prolanis program is to:

Improve the effectiveness of the program in managing hypertension
Increase the awareness and understanding of chronic diseases among the community
Enhance the ability of healthcare providers to manage chronic diseases effectively
Reduce the risk of complications and mortality associated with chronic diseases