The readiness of public primary health care (PUSKESMAS) for cardiovascular services in Makasar city, Indonesia
Abstract Backgrounds The increasing burden of cardiovascular disease (CVD) has become a major challenge globally, including in Indonesia. Understanding the readiness of primary health care facilities is necessary to confront the challenge of providing access to quality CVD health care services. Our...
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | BMC Health Services Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12913-022-08499-w |
| _version_ | 1817994135253024768 |
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| author | Dian Sidik Arsyad Esliana Fitrida Hamsyah Nurul Qalby Andriany Qanitha Jan Westerink Maarten J. Cramer Frank L. J. Visseren Pieter A. Doevendans Ansariadi Ansariadi |
| author_facet | Dian Sidik Arsyad Esliana Fitrida Hamsyah Nurul Qalby Andriany Qanitha Jan Westerink Maarten J. Cramer Frank L. J. Visseren Pieter A. Doevendans Ansariadi Ansariadi |
| author_sort | Dian Sidik Arsyad |
| collection | DOAJ |
| description | Abstract Backgrounds The increasing burden of cardiovascular disease (CVD) has become a major challenge globally, including in Indonesia. Understanding the readiness of primary health care facilities is necessary to confront the challenge of providing access to quality CVD health care services. Our study aimed to provide information regarding readiness to deliver CVD health services in public primary health care namely Puskesmas. Methods The study questionnaire was adapted from the World Health Organization (WHO) Service Availability and Readiness Assessment (SARA), modified based on the package of essentials for non-communicable disease (PEN) and the Indonesian Ministry of health regulation. Data were collected from all Puskesmas facilities (N = 47) located in Makassar city. We analysed relevant data following the WHO-SARA manual to assess the readiness of Puskesmas to deliver CVD services. Human resources, diagnostic capacity, supporting equipment, essential medication, infrastructure and guidelines, and ambulatory services domain were assessed based on the availability of each tracer item in a particular domain. The mean domain score was calculated based on the availability of tracer items within each domain. Furthermore, the means of all domains’ scores are expressed as an overall readiness index. Higher scores indicate greater readiness of Puskesmas to deliver CVD-related health care. Results Puskesmas delivers health promotion, disease prevention, and prompt diagnosis for cardiovascular-related diseases, including hypertension, diabetes, coronary heart disease (CHD), and stroke. Meanwhile, basic treatments were observed in the majority of the Puskesmas. Long-term care for hypertension and diabetes patients and rehabilitation for CHD and stroke were only observed in a few Puskesmas. The readiness score of Puskesmas to deliver CVD health care ranged from 60 to 86 for. Furthermore, there were 11 Puskesmas (23.4%) with a score below 75, indicating a sub-optimal readiness for delivering CVD health services. A shortage of essential medicines and a low capacity for diagnostic testing were the most noticeable shortcomings leading to suboptimal readiness for high-quality CVD health services. Conclusion Close cooperation with the government and other related stakeholders is required to tackle the identified shortcomings, especially the continuous monitoring of adequate supplies of medicines and diagnostic tools to achieve better CVD care for patients in Indonesia. |
| first_indexed | 2024-04-14T01:47:51Z |
| format | Article |
| id | doaj.art-9a1cb4887c174758aa56f8541e074693 |
| institution | Directory Open Access Journal |
| issn | 1472-6963 |
| language | English |
| last_indexed | 2024-04-14T01:47:51Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Health Services Research |
| spelling | doaj.art-9a1cb4887c174758aa56f8541e0746932022-12-22T02:19:27ZengBMCBMC Health Services Research1472-69632022-09-0122111210.1186/s12913-022-08499-wThe readiness of public primary health care (PUSKESMAS) for cardiovascular services in Makasar city, IndonesiaDian Sidik Arsyad0Esliana Fitrida Hamsyah1Nurul Qalby2Andriany Qanitha3Jan Westerink4Maarten J. Cramer5Frank L. J. Visseren6Pieter A. Doevendans7Ansariadi Ansariadi8Department of Cardiology, Division of Heart and Lungs, University Medical Center Utrecht, University of UtrechtDepartment of Epidemiology, Faculty of Public Health, Hasanuddin UniversityDepartment of Cardiology, Division of Heart and Lungs, University Medical Center Utrecht, University of UtrechtFaculty of Medicine, Hasanuddin UniversityDepartment of Vascular Medicine, University Medical Center UtrechtDepartment of Cardiology, Division of Heart and Lungs, University Medical Center Utrecht, University of UtrechtDepartment of Vascular Medicine, University Medical Center UtrechtNetherlands Heart Institute UtrechtDepartment of Epidemiology, Faculty of Public Health, Hasanuddin UniversityAbstract Backgrounds The increasing burden of cardiovascular disease (CVD) has become a major challenge globally, including in Indonesia. Understanding the readiness of primary health care facilities is necessary to confront the challenge of providing access to quality CVD health care services. Our study aimed to provide information regarding readiness to deliver CVD health services in public primary health care namely Puskesmas. Methods The study questionnaire was adapted from the World Health Organization (WHO) Service Availability and Readiness Assessment (SARA), modified based on the package of essentials for non-communicable disease (PEN) and the Indonesian Ministry of health regulation. Data were collected from all Puskesmas facilities (N = 47) located in Makassar city. We analysed relevant data following the WHO-SARA manual to assess the readiness of Puskesmas to deliver CVD services. Human resources, diagnostic capacity, supporting equipment, essential medication, infrastructure and guidelines, and ambulatory services domain were assessed based on the availability of each tracer item in a particular domain. The mean domain score was calculated based on the availability of tracer items within each domain. Furthermore, the means of all domains’ scores are expressed as an overall readiness index. Higher scores indicate greater readiness of Puskesmas to deliver CVD-related health care. Results Puskesmas delivers health promotion, disease prevention, and prompt diagnosis for cardiovascular-related diseases, including hypertension, diabetes, coronary heart disease (CHD), and stroke. Meanwhile, basic treatments were observed in the majority of the Puskesmas. Long-term care for hypertension and diabetes patients and rehabilitation for CHD and stroke were only observed in a few Puskesmas. The readiness score of Puskesmas to deliver CVD health care ranged from 60 to 86 for. Furthermore, there were 11 Puskesmas (23.4%) with a score below 75, indicating a sub-optimal readiness for delivering CVD health services. A shortage of essential medicines and a low capacity for diagnostic testing were the most noticeable shortcomings leading to suboptimal readiness for high-quality CVD health services. Conclusion Close cooperation with the government and other related stakeholders is required to tackle the identified shortcomings, especially the continuous monitoring of adequate supplies of medicines and diagnostic tools to achieve better CVD care for patients in Indonesia.https://doi.org/10.1186/s12913-022-08499-wPrimary health careService readinessWHO-SARACardiovascular diseasePuskesmasIndonesia |
| spellingShingle | Dian Sidik Arsyad Esliana Fitrida Hamsyah Nurul Qalby Andriany Qanitha Jan Westerink Maarten J. Cramer Frank L. J. Visseren Pieter A. Doevendans Ansariadi Ansariadi The readiness of public primary health care (PUSKESMAS) for cardiovascular services in Makasar city, Indonesia BMC Health Services Research Primary health care Service readiness WHO-SARA Cardiovascular disease Puskesmas Indonesia |
| title | The readiness of public primary health care (PUSKESMAS) for cardiovascular services in Makasar city, Indonesia |
| title_full | The readiness of public primary health care (PUSKESMAS) for cardiovascular services in Makasar city, Indonesia |
| title_fullStr | The readiness of public primary health care (PUSKESMAS) for cardiovascular services in Makasar city, Indonesia |
| title_full_unstemmed | The readiness of public primary health care (PUSKESMAS) for cardiovascular services in Makasar city, Indonesia |
| title_short | The readiness of public primary health care (PUSKESMAS) for cardiovascular services in Makasar city, Indonesia |
| title_sort | readiness of public primary health care puskesmas for cardiovascular services in makasar city indonesia |
| topic | Primary health care Service readiness WHO-SARA Cardiovascular disease Puskesmas Indonesia |
| url | https://doi.org/10.1186/s12913-022-08499-w |
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