Analysis of Implementation of the Prolanis-Diabetes Mellitus Chronic Disease Management Program in Majene Regency

Abstract

In the context of health maintenance for BPJS health participants who suffer from chronic diseases, PROLANIS is a proactive strategy and health care system that is implemented in an integrated way involving participants, health facilities, and BPJS health. In this work, a case study methodology is combined with a qualitative method. Content analysis was employed to analyze the data. Thirteen informants—four key informants and nine routine informants—were interviewed. The research on the communication between program implementers yielded positive results, the BPJS budget was allocated effectively, and the human resource numbers of the various health centers varied, but the facilities and infrastructure were more than sufficient, and the implementation skills were strong. Proceeding by current SOPs, the bureaucracy still needs improvement and regulation, and the BPJS incentives both reward and efficiently distribute money. Conclusion: Both Community Health Centers acknowledge that funding from BPJS is fairly good. Notifications and reminders of activities have been successfully implemented in the Diabetes Mellitus Chronic Disease Management Program (PROLANIS) policy, even though only those who are active and present are the same. Infrastructure and facilities are sufficient; however, there is room for improvement in the amount, quality, and integrity of human resources. Additionally, the appointment of bureaucracy requires attention, and it may be more effectively divided.

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