Theme 1: The difficulty of reaching and engaging patients
hypertension, diabetes
HYPERTENSION, DIABETES
The health officers responsible for Posbindu and Prolanis often mentioned that it was challenging to motivate patients to participate in the programs beyond basic laboratory tests (e.g. blood sugar, uric acid, and cholesterol blood tests).“Another challenge was to reach the working-age population, as activities took place during general working hours.“The Prolanis program required a minimum of 30 attendees per session. It was often difficult to reach this number, because people were unwilling to come to Puskesmas each time or they had other commitments. Puskesmas would then bring in other patients to meet BPJS Kesehatan’s minimum number of 30 diabetes and hypertension patients. This meant that, although the number of attendees was stable, the composition of the group was different for each session.“