Implementation of Chronic Disease Management Program in Tajuncu Puskesmas Soppeng Regency

Abstract

In improving public health status and increasing the coverage of social security programs in the health sector contained in Presidential Regulation No. 19 of 2016 concerning Health Insurance Article 21 Paragraph 1 that one of the benefits obtained by BPJS (Social Security Organizing Agency) Health participants is promotive and preventive health services through chronic disease management programs (prolanis). This study aims to determine and analyze the implementation of chronic disease management programs in hypertension and type 2 diabetes mellitus in the Tajuncu Health Center, Soppeng Regency. This type of research is a qualitative research with a descriptive approach. Data obtained by in-depth interviews, observations, and document review on 9 informants consisting of BPJS Health staff, head of health centers, doctors, nurses, the person in charge of prolanis, participants with hypertension and type 2 diabetes mellitus. Data analysis includes data reduction, data presentation and drawing conclusions. The results showed that the implementation of a chronic disease management program (prolanis) at the Tajuncu Health Center in hypertension and type 2 diabetes mellitus was not going well. This is due to inadequate human resources and infrastructure, budget claims from BPJS that are not smooth and SOPs are not yet available. The process of prolanist activities is carried out well except home visit activities that are not carried out. Coverage of visits by prolanis participants has not yet reached the indicators of success and health status of participants with controlled hypertension and people with controlled type 2 diabetes mellitus still below the target. So the benefits of prolanist activities cannot be felt by prolanis participants. Therefore, it is suggested to BPJS (Social Security Organizing Agency) Health and Puskesmas to always evaluate the implementation of prolanis in the context of achieving the objectives of prolanis activities.