| Penulis/Author |
KADEK IDA KRISNADEWI (1); Prof. Dr. Susi Ari Kristina, S.Farm., M.Kes., Apt. (2) ; Prof. Dr. Tri Murti Andayani, Sp.FRS., Apt. (3); Dr. apt. Dwi Endarti, S.F., M.Sc. (4) |
| Abstrak/Abstract |
Chronic diseases pose a significant challenge for elderly communities, with diabetes mellitus demanding 4
particular attention. To address this, Indonesia's Universal Health Coverage program, commonly known as BPJS 5
(Badan Penyelenggara Jaminan Sosial), established PROLANIS (Program untuk Lansia dan Penyakit Kronis). 6
This program caters specifically to the elderly, offering comprehensive support through medical consultations, 7
group education sessions, physical activities, SMS reminders, home visits, and regular health monitoring. 8
However, PROLANIS implementation varies across regions. Geographical factors, access to facilities, 9
stakeholder perspectives, and healthcare worker input all influence how the program is delivered. This research 10
aims to identify the implementation of PROLANIS activities at five diverse region in Indonesia. Utilizing a 11
qualitative approach, the research employs in-depth interviews as its primary data collection method. The 12
Consolidated Framework for Implementation Research (CFIR) guides the study, focusing on both intervention 13
characteristics and the implementation process itself. PROLANIS services are integrated within existing 14
healthcare structures at the village/sub-district level, seamlessly blending with other services available to the 15
elderly population. Planning and execution of general activities adhere to national operational standards, ensuring 16
consistency across regions. Physical exercise sessions, for instance, occur routinely, at least every two weeks or 17
once a month. Recognizing regional differences, the program allows for special adaptations to overcome 18
challenges. These adaptations, often influenced by human resource limitations, local infrastructure, and logistical 19
hurdles such as transportation or scheduling constraints, ensure program effectiveness despite varying contexts. |
