Policy Implementation of Hypertension Prevention and Control Program in Banjarmasin

Abstract

The Ministry of Health launched the Policy Implementation for the Prevention and Control of Hypertension Program with the goal of addressing the needs of national and regional public health development through minimal service standards. The goal of this study was to look at how hypertension prevention and control programs were implemented in the city of Banjarmasin. This study uses a qualitative descriptive-explorative analysis method with multiple case study approaches. Data collection was carried out by in-depth interviews, observation, documentation and literature study to all research informants. Informant selection technique used purposeful sampling. Research variables included communication, resources, bureaucratic structure and dispositions/attitudes. The research findings indicated that communication between policymakers, implementers, and program targets was effective. Despite the fact that human resources have reached the criterion for personnel, certain officers continue to have an excessive burden, and the number of health cadres was insufficient. Although facilities and infrastructure were available, several Public Health Centers were still having difficulty channeling demands and budgets. The bureaucratic structure had been implemented through SOPs and the delegation of authority, however numerous agencies still lacked complete documentation and archives. Even though the overall objectives were not attained, all parties exhibited a strong commitment and determination to continue the program. It can be concluded that the implementation of hypertension prevention and control policies in Banjarmasin had been quite successful, though there were still some challenges, such as differences in program target participation methods, the need for systematic equalization of authority tasks, and more equitable budget management in terms of resources. Furthermore, in terms of bureaucratic structure, it is vital to develop organized documentation standards in each agency. Key words: Implementation, Policy, Program, Prevention, Control, Hypertension.