•  
  •  
 

Abstract

Hypertension is a major cardiovascular risk factor that causes disability throughout the world and among those who are not aware of their health condition, it is often referred to as the silent killer . The prevalence rate of hypertension in Indonesia is quite high. Based on Riskesdas (2018), South Kalimantan Province shows the highest prevalence of hypertension, but the percentage of hypertension sufferers who receive health services is still low. Banjarbaru City has the lowest percentage, namely 11.3% of the target of 100%. Health services for hypertension sufferers are included in the Minimum Service Standards (SPM) for the Health Sector which are regulated in statutory regulations and government policies. The aim of this research is to analyze the implementation of the SPM policy in the health sector for hypertension sufferers in Banjarbaru City. Qualitative research with a Rapid Assessment Procedure (RAP) research design was conducted from May to June 2023 in Banjarbaru City, South Kalimantan Province. Data collection was carried out through in-depth interviews, observation and document review. The results of the research show that the implementation of the hypertension SPM policy has not been optimal, as can be seen from the SPM achievement report in the health sector in Banjarbaru City which is in the lowest position among 12 types of basic health services. In conclusion, several obstacles in the implementation of SPM for hypertension are recording and reporting hypertension sufferers, low public awareness of carrying out examinations and treatment at community health centers so that the data is not recorded, there is no special budget allocation for SPM for hypertension at community health centers, and the dual duties of health workers so that they are not optimal in achieve a program. Cross-sector collaborative efforts are needed for integrated recording and reporting of hypertensive patient data, submission of hypertension SPM budgets, efforts to invite the community, and fair distribution of tasks for community health center officers.

Bahasa Abstract

Hipertensi merupakan faktor risiko kardiovaskular utama yang menyebabkan kecacatan di seluruh dunia dan di kalangan mereka yang tidak menyadari kondisi kesehatannya, sering disebut sebagai silent killer. Angka prevalensi hipertensi di Indonesia cukup tinggi. Berdasarkan Riskesdas (2018), Provinsi Kalimantan Selatan mempunyai prevalensi hipertensi tertinggi, namun persentase penderita hipertensi yang mendapat pelayanan kesehatan masih rendah. Kota Banjarbaru memiliki persentase terendah yaitu 11,3% dari target 100%. Pelayanan kesehatan bagi penderita hipertensi termasuk dalam Standar Pelayanan Minimal (SPM) Bidang Kesehatan yang diatur dalam peraturan perundang-undangan dan kebijakan pemerintah. Tujuan penelitian ini adalah menganalisis implementasi kebijakan SPM bidang kesehatan pada penderita hipertensi di Kota Banjarbaru. Penelitian kualitatif dengan desain penelitian Rapid Assessment Procedure (RAP) dilaksanakan pada bulan Mei sampai dengan Juni 2023 di Kota Banjarbaru, Provinsi Kalimantan Selatan. Pengumpulan data dilakukan melalui wawancara mendalam, observasi dan telaah dokumen. Hasil penelitian menunjukkan bahwa implementasi kebijakan SPM hipertensi belum optimal, terlihat dari laporan capaian SPM bidang kesehatan di Kota Banjarbaru yang berada pada posisi terbawah diantara 12 jenis pelayanan kesehatan dasar. Kesimpulannya, beberapa kendala dalam pelaksanaan SPM hipertensi adalah pencatatan dan pelaporan penderita hipertensi, rendahnya kesadaran masyarakat dalam melakukan pemeriksaan dan pengobatan di puskesmas sehingga tidak tercatat datanya, tidak adanya alokasi anggaran khusus untuk SPM hipertensi. di puskesmas, dan tugas ganda tenaga kesehatan sehingga belum maksimal dalam mencapai suatu program. Diperlukan upaya kolaborasi lintas sektor untuk pencatatan dan pelaporan data pasien hipertensi secara terpadu, penyampaian anggaran SPM hipertensi, upaya mengajak masyarakat, dan pembagian tugas petugas puskesmas secara adil.

Download

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.