Health Services Research Commons^™

The Effect Of Covid-19-Related Occupational Stress And Burnout In Referral Hospital Nurses, Yulastri Arif, Masyithah Fadhani

Kesmas

Nurses' continuous contribution to patient health makes them prone to occupational stress, which has been exacerbated during the COVID-19 pandemic. Occupational stress that lasts for a long time and is not resolved may cause burnout. Burnout experienced by nurses can impact patients, hospital services, and themselves. This study aimed to determine the effect of occupational stress on the incidence of nurse burnout during the COVID-19 pandemic. It used a quantitative approach with a cross-sectional design. The study sample was 235 nurses in six COVID-19 referral hospitals in West Sumatra from a proportional random sampling technique. Data were collected using a …

Developing A New Tool For Early Detection Of The Nutritional And Health Risk Factors Of Urban Workers’ Productivity, Hildagardis Meliyani Erista Nai, Arimbi Karunia Estri, Christina Ririn Widianti

Kesmas

Nutrition and health play vital roles in work productivity. This study aimed to develop a risk self-assessment tool called Early Detection of the Nutritional and Health Risk Factors on the productivity of urban workers. This study was conducted in two stages: 1) the development of the tool to determine the nutritional and health risk factors that affect productivity based on literature reviews and scoring systems and 2) the testing of validity and reliability. Finally, the tool contained 63 items, including 28 items on nutritional risk factors and 35 on health risk factors. The validity of the tool was assessed using …

Presidential Vote Share And Covid-19 Vaccination Rate In Indonesia: A District-Level Cross-Sectional Ecological Study, Gede Benny Setia Wirawan, Ni Luh Zallila Gustina, Ivy Cerelia Valerie, I Gusti Ayu Indah Pradnyani Rs, Muchamad Zaenal Arifin, Pande Putu Januraga

Kesmas

Political affiliation has been reported as a determinant of COVID-19 vaccine acceptance in some countries, although few studies have examined the Asian context. This study aims to fill this gap by employing an ecological study design using Indonesian regions as data points. Political affiliation was represented by incumbent President Jokowi’s vote share in the 2019 presidential election. Potential confounders included population density, human development index, availability of hospitals and primary health care, 2019–2020 economic growth, COVID-19 mortality rate, and proportion of Muslims in the population. The final analysis included 201 out of 501 districts and cities in Indonesia. Controlling for …

Oxidative Stress Levels Of Fine Particulate Matter (Pm2.5) And Urinary Glutathione Of Microbus Drivers, Purnama Sidebang, Agustin Kusumayati, Budi Haryanto

Kesmas

Urinary glutathione levels are known to be an early indicator of oxidative stress in travelers. This study analyzed the association between particulate matter (PM2.5) exposure on the road and urine glutathione levels in Jakarta’s microbus drivers. This cross-sectional study involved 96 microbuses (one of Jakarta’s public transportations) drivers of nine routes in Kampung Melayu Bus Station, Jakarta, Indonesia. An anthropometric assessment and a structured questionnaire were employed. Along with the participants driving on the road, real-time personal equipment measuring PM2.5 exposure concentrations was used. Total glutathione levels were measured using a colorimetric method. A correlation test and linear regression analysis …

Information-Motivation-Behavioral Skill In Diabetes Self-Management Using Structural Equation Modeling Analysis, Dien Kurtanty, Adang Bachtiar, Cicilya Candi, Alya Pramesti, Almira Fanny Rahmasari

Kesmas

Diabetes is the “mother” of various diseases increasing the risk of morbidity and mortality. Diabetes self-management, an effort made by patients to control blood sugar levels, is an important part of the management strategy. Therefore, this study analyzed information, motivation, and behavioral skills associated with diabetes self-management. Data were collected in the Special Capital Region of Jakarta, with 277 diabetic patients selected using a questionnaire by a systematic random sampling method. The analyzed variables were information (with indicator variables of information on physical activity, nutritional intake, drug consumption, and blood sugar monitoring); sociodemographic (age, sex, occupation, education level, and duration …

Job Satisfaction Model Of Primary Health Care Midwives Based On Indonesian Workforce Research In The Health Sector, Mieska Despitasari, Adang Bachtiar, Harimat Hendarwan, Besral Besral, Yuyun Yuniar

Kesmas

Promotive, preventive, curative, and rehabilitative efforts that are comprehensive, integrated, and sustainable are employed to enhance the health state of the global population. Within this context, however, the quality of primary health care depends on job satisfaction, which leads to the happiness of human resources in the health sector. Therefore, this study aimed to analyze and formulate a job satisfaction model among primary health care midwives in Indonesia. This study was an advanced secondary data analysis of a cross-sectional study conducted in 2017 by the National Institute of Health Research and Development, Ministry of Health of the Republic of Indonesia. …

The Determinants Of Stunting In The Under-Five In Three Municipalities In The Special Capital Region Of Jakarta, Tria Astika Endah Permatasari, Chairunnisa Chairunnisa, Hernani Djarir, Lily Herlina, Munaya Fauziah, Andriyani Andriyani, Yudi Chadirin

Kesmas

The COVID-19 pandemic has impacted the global decline in public health status. This study aimed to analyze the determinants of stunting in the under-five in three municipalities in the Special Capital Region of Jakarta, Indonesia. A cross-sectional study was conducted in August-December 2020 with 460 pairs of mothers and children selected by simple random sampling. Stunting was measured using a conventional anthropometric index (length/height-for-age), and anthropometric failure was measured using the Composite Index of Anthropometric Failure. The prevalence of stunting, underweight, and wasting was 41.5%,35%, and 19.8%, respectively, and 62% of the under-five experienced anthropometric failure. The dominant factor associated …

Obesity And Asthma Risk In Indonesian Adults: Findings From The 2018 Indonesia Basic Health Research, Hoirun Nisa

Kesmas

Obesity and asthma are both global public health challenges. Mounting evidence suggests that obesity may increase asthma risk in adults; however, the association by sex remains uncertain. This study examined the association of obesity with asthma risk in Indonesian adult men and women. Data were obtained from the 2018 Indonesia Basic Health Research. The analysis included 299,837 men and 333,218 women aged ≥18 years. Asthma was identified by the self-report of a doctor’s diagnosis. Obesity was defined as a body mass index ≥30 kg/m2. A logistic regression was used for data analysis. Asthma prevalence was 2.7% (2.5% in men and …

Maternal And Child Health Handbook Utilization, Quantity And Quality Of Antenatal Services, And Maternal Emergency Rates In Padang City In 2022, Rena Afri Ningsih, Yusrawati Yusrawati, Joserizal Serudji

Kesmas

This study analyzed the relationship between the utilization of the Indonesian Ministry of Health’s Maternal and Child Health Handbook and the quantity and quality of antenatal care to maternal emergency levels. This study applied mixed methods with a consecutive sampling technique and included 108 mothers undergoing maternal emergencies at a central general hospital (quantitative) and eight mothers, seven midwives, and five cadres at primary health cares (qualitative) as informants. The result showed a relationship between the utilization of the Maternal and Child Health Care Handbook (p-value = 0.043), the quantity of antenatal care (p-value

Anteseden Dari Care Coordinated Pathways Dan Dampaknya Pada Patient Centricity, Ni Komang Yeni Dhana Sari

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Patient centricity is one of the qualities in health services. In order to improve patient centricity, service coordination through care coordinated pathways is crucial to provide the best clinical experience for patients. However, there has been no research in Indonesia regarding care coordinated pathways and their impact on patient centricity. This study was conducted to determine antecedents of care coordinated pathways with elements of cross-functional teamwork, mutual communication, goal alignment, and shared accountability, and also their effect on patient centricity. This research model was tested on a population of health workers at Hermina Daan Mogot Hospital, Jakarta. The data collection …

The Assessment Tools For Measuring Healthcare Workers’ Preparedness For Covid-19, Erie Failenggo

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Most countries in the world have not been prepared for COVID - 19 pandemic, so there is a need to analyze the strategies to measure our healthcare workers’ preparedness for preventing healthcare workers (HCWs) from becoming victims of COVID-19. This systematic literature review is for reviewing the various assessment tools used to measure the preparedness of healthcare workers for COVID - 19 in the time of pandemic of COVID-19 (2019 November - June 2021). During this time, we analyzed how the researchers defined and constructed the assessment tool for measuring the preparedness of healthcare workers for COVID-19. We used Scopus, …

Keterpaparan Informasi Narkoba Dan Perilaku Pencarian Rehabilitasi: Studi Kasus Pada Penyalahguna Narkoba Di Rumah Kos, Yulia Pratiwi, Besral Besral

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Keterpaparan informasi narkoba merupakan faktor penting dalam pengetahuan dan perubahan perilaku, terutama untuk melakukan rehabilitasi. Rumah kos merupakan populasi yang dianggap rawan terhadap penyalahgunaan narkoba. Tujuan dari penelitian ini adalah untuk mengetahui hubungan keterpaparan informasi narkoba dengan perilaku pencarian rehabilitasi pada pengguna narkoba di rumah kos. Analisis regresi logistik ganda digunakan untuk menilai hubungan yang signifikan pada α=0,05. Hasil penelitian ini menunjukkan bahwa penyalahguna narkoba di rumah kos yang memiliki keterpaparan informasi yang baik memiliki kecenderungan untuk 3,8 kali lebih besar untuk berperilaku mencari rehabilitasi dibandingkan dengan mereka yang keterpaparan informasinya kurang (ORa=3,8; 95% CI=0,7 – 21,5), setelah dikontrol oleh …

Determinan Perilaku Pemeriksaan Payudara Sendiri (Sadari) Pada Mahasiswi Fakultas Kesehatan Masyarakat Universitas Indonesia Tahun 2022, Anna Triana, Ira Aulia, Yolanda Handayani

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Kanker payudara merupakan kanker dengan angka kejadian paling tinggi di dunia maupun di Indonesia. Keterlambatan diagnosa merupakan salah satu masalah dalam penanganan kanker payudara. Padahal keterlambatan diagnosa dapat dicegah dengan rutin melakukan pemeriksaan deteksi dini kanker payudara, salah satunya yaitu pemeriksaan payudara sendiri (SADARI). Penelitian ini merupakan penelitian analitik dengan metode kuantitatif dan menggunakan desain cross-sectional. Populasi dalam penelitian ini adalah seluruh mahasiswi kelas ekstensi angkatan tahun 2020, 2021, dan 2022 di Fakultas Kesehatan Masyarakat Universitas Indonesia. Pengambilan sampel dilakukan menggunakan teknik stratified sampling dengan hasil perhitungan akhir sampel sebanyak 108 responden. Pengambilan data dilakukan dengan instrumen kuesioner yang …

Hubungan Status Ekonomi Dengan Jumlah Anak Lahir Hidup Pada Wanita Kelompok Usia Kurang Dari 45 Tahun Dan Kelompok Usia 45-49 Tahun Kawin (Analisis Data Sdki 2017), Meilina Suwandi, Indang Trihandini

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Permasalahan kependudukan masih sangat kompleks. Salah satu hal nyata yang dihadapi adalah pertumbuhan penduduk yang relatif masih tinggi. Salah satu bagian dari pertumbuhan penduduk tidak terlepas dari jumlah anak lahir hidup. Salah satu faktor yang diduga berhubungan dengan jumlah anak lahir hidup adalah status ekonomi. Penelitian ini dilakukan untuk melihat besar hubungan antara status ekonomi dengan jumlah anak lahir hidup pada wanita usia kurang dari 45 tahun berstatus kawin yang masa reproduksinya masih berjalan dan usia 45-49 tahun berstatus kawin yang sudah masuk ke akhir masa reproduksi. Penelitian ini dilakukan menggunakan desain studi potong lintang menggunakan data Survei Demografi Kesehatan …

Autokorelasi Spasial Prevalensi Stunting Di Jawa Barat Tahun 2021, Aldila Riznawati, Deny Yudhistira, Martya Rahmaniati, Tiopan Sipahutar, Tris Eryando

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Angka prevalensi stunting Provinsi Jawa Barat tahun 2021 sebesar 24,5% dan menjadi salah satu provinsi dengan kategori stunting kronis-akut di Indonesia. Analisis spasial digunakan untuk mengetahui apakah terdapat korelasi secara spasial antar wilayah kabupaten/kota di Jawa Barat berdasarkan prevalensi stunting. Hasil penelitian menunjukkan adanya autokorelasi spasial positif dan terdapat korelasi secara spasial yang artinya prevalensi stunting di satu wilayah kabupaten/kota berkaitan dengan wilayah disekitarnya. Wilayah yang menjadi hotspot stunting di Jawa Barat tahun 2021 berdasarkan pola kluster yang terbentuk adalah Kabupaten Bandung, Kabupaten Bandung Barat, dan Kota Bandung. Ketiga wilayah ini menjadi prioritas utama dalam melakukan intervensi penurunan prevalensi stunting …

Hubungan Pemberdayaan Wanita Dengan Penggunaan Metode Kontrasepsi Jangka Panjang (Mkjp) Pada Wanita Usia Subur (15-49 Tahun) Yang Telah Menikah Di Indonesia: Analisis Data Sdki 2017, Triska Alya Muthi’Ah, Indang Trihandini

Jurnal Biostatistik, Kependudukan, dan Informatika Kesehatan

Penggunaan kontrasepsi, khususnya MKJP, merupakan salah satu indikator terlaksananya program Keluarga Berencana. Namun berdasarkan hasil SDKI 2017, hanya terdapat 13,4% wanita yang menggunakan metode kontrasepsi jangka panjang. Berdasarkan beberapa penelitian sebelumnya, diketahui bahwa peran wanita penting terhadap penggunaan MKJP, dilihat melalui pemberdayaan wanita. Sehingga penelitian ini bertujuan untuk mengetahui hubungan pemberdayaan wanita dengan penggunaan metode kontrasepsi jangka panjang (MKJP) pada wanita usia subur (15-49 tahun) yang telah menikah di Indonesia. Penelitian ini merupakan penelitian kuantitatif dengan desain cross-sectional dan menggunakan data SDKI tahun 2017. Variabel dependen penelitian ini adalah penggunaan MKJP dengan variabel independen utama adalah pemberdayaan wanita. Analisis bivariat …

Potrait Of Public Private Partnership Policy Substances In Regional Hospitals In Indonesia, Masyitoh Basabih

Journal of Indonesian Health Policy and Administration

Public Private Partnership (PPP) is a strategy of the Indonesian Government to deal with budget constraints and overcome gaps in infrastructure, access, and quality of health services. PPP on the operational cooperation (KSO) model is the oldest and most widely applied practice by regional hospitals in Indonesia. The implementation of KSO must refer to government policies in the form of laws and regulations. Since its initial implementation until today, the Ministry of Home Affairs, as the body that oversees the local government, has not carried out a comprehensive evaluation of the KSO policy. This study was carried out by conducting …

User Perceptions Of The Quality Of The Pedulilindungi Application Based On The Dimensions Of Electronic Service Quality (E-Service Quality) During The Covid-19 Pandemic, Gabriela Bianca, Kurnia Sari, Purnawan Junadi

Journal of Indonesian Health Policy and Administration

The use of a contact tracing application is one of the efforts made to overcome the global COVID-19 pandemic with an increasing number of cases. The contact tracing application used in Indonesia is PeduliLindungi which is one of the requirements for accessing public areas, which was initially applied to the Java-Bali region. However, in its use, there are still challenges that affect the quality of electronic services. This study aims to analyze user perceptions of the service quality of the PeduliLindungi application based on the E-Servqual dimension. The method used is observational with a quantitative approach using a cross-sectional design. …

Dispute Analysis Of Claims For Patients With Covid-19: A Case Study At Hospital X Class B In Bantul Regency, Beby Antika Putri, Firdaus Hafidz, Yulita Hendrartini

Journal of Indonesian Health Policy and Administration

The Indonesian Government established referral hospitals for COVID-19 as an effort in combating the pandemic. Referral hospitals for COVID-19 submit their services’ claims to the Ministry of Health. Hospital X in Bantul experienced challenges in submitting COVID-19 claims and underwent claim disputes which caused delays in payment process. This research aimed to explore the factors that led to the disputes over the COVID-19 claims. This descriptive research was conducted with a qualitative approach, using in-depth interviews and observations. The additional descriptive analysis used secondary data COVID-19 claim dispute file reports from 2020. The results showed that the highest criteria of …

Policy Considerations For The Utilization And Rationalization Of Ppe In Maternal Care During Covid-19 Pandemic – Literature Review, Mas Aditya Soebangil, Ascobat Gani, Puput Oktamianti

Journal of Indonesian Health Policy and Administration

Policies regarding utilizing and rationalizing Personal Protective Equipment (PPE) during the COVID-19 pandemic challenge every healthcare service provider. Within the maternal health sector, it is suspected that the negative perception of patients and the lack of implementation and compliance with infection prevention and control policies disrupt the quality of care provided. This research is a narrative review highlighting all proper considerations for using and rationalizing PPE within the maternal health sector. Articles are gathered and filtered from well-known scientific publishing sites, and ten articles became the main discussion of this research. The utilization of PPE impacts all levels of maternal …

Factors Influencing The Utilization Of Antenatal Care, Institutional Delivery, And Postnatal Care Services Among Women In Bangladesh, Akibul Islam Chowdhury, Mohammad Asadul Habib, Tanjina Rahman

Makara Journal of Health Research

Background: In Bangladesh, the utilization of maternal health services is low, which triggers pregnancy-related complications and maternal deaths. The current community-based cross-sectional study aims to evaluate the factors associated with antenatal care (ANC), institutional delivery, and postnatal care (PNC) service utilization among women in selected areas of Southwest Dhaka, Bangladesh.

Methods: The study was carried out among 391 mothers from rural and urban areas. Data were collected using a standard questionnaire. Univariate and multivariate analyses were performed to identify the significant determinants associated with maternity care service utilization.

Results: Result shows that approximately 65%, 71%, and 72% …

Impact Of Instrumental Support From Family On Medication Adherence Among Tuberculosis Patients, Astuti Yuni Nursasi, Mega Hasanul Huda, Syifa Widya Rahmasari

Kesmas

Instrumental support is concrete and tangible, for instance, helping to provide food or accompanying patients to health care facilities. However, its impact on medication adherence among tuberculosis patients in Indonesia needs to be explored. This study aimed to examine the impact of instrumental support from family on tuberculosis patients’ adherence to medication in Bogor City, West Java Province, Indonesia. A cross-sectional study involving 106 participants with an age average of 39.7 (SD = 14.9) was conducted in 12 primary health care (PHC). The independent variables (age, sex, education, employment status, wealth index, and the distance between home and PHC) of …

Factors Associated With Depression Among Type 2 Diabetes Mellitus Patients At A Tertiary Hospital During The Covid-19 Pandemic, Muhammad Ikhsan Mokoagow, Dian Pitawati, Ditya Nona Arisandy, Nadya Magfira, Pratiwi Indah Palupi, Jerry Nasarudin, Marina Epriliawati, Ida Ayu Kshanti

Kesmas

Diabetes mellitus is a metabolic disorder characterized by chronic hyperglycemia that can cause various complications, economic burdens, and psychosocial issues that eventually lead to depression. This study aimed to describe the prevalence of depression among type 2 diabetes mellitus patients in the Internal Medicine Outpatient Clinic of a South Jakarta tertiary hospital during the COVID-19 pandemic. This cross-sectional study was conducted from May to July 2021. The data were collected consecutively from 100 patients aged 18 years or older who came for regular consultation. The instrument used for determining depression is Beck Depression Inventory-II. The prevalence of depression, a correlation …

Faktor-Faktor Yang Berhubungan Dengan Tingginya Rujukan Kasus Non Spesialistik Oleh Fasilitas Kesehatan Tingkat Pertama Di Era Jaminan Kesehatan Nasional: Systematic Review, I Nyoman Gede Semarajana, I Nyoman Gede Bayu Wiratama Suwedia, Maria Wahyu Daruki, Anak Agung Sri Stuti Damayanti

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The Primary Health Facility (FKTP) in the era of National Health Insurance (JKN) must behave effective and efficiently in serving patients. Referring patients as indicated is an effort to achieve this. The research shows that optimizing primary services has the potential to save on health costs from the Social Security Agency of Health (BPJS) source of 49.1 billion per year. BPJS data also shows the high number of referrals for non- specialist cases, namely 714 thousand cases during 2014-2017. This study aims to find out the factors that are related to the high number of non-specialist cases referral by FKTP …

Analisis Layanan Dan Bauran Pemasaran Klinik Telekonsultasi Gizi Rumah Sakit Izza Karawang Di Masa Pandemi Covid-19, Arif Guntur Wiryawan

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

Izza Karawang Hospital Nutrition Clinic as an excellent service must adapt to the COVID-19 pandemic situation, in this case the transformation into a virtual or Nutrition Teleconsultation Clinic. The Nutrition Teleconsultation Clinic is expected to provide benefits as a means of consulting about healthy diet patterns. The research objective was to analyze the marketing of Nutrition Teleconsultation Clinic services using the STP (Segmenting, Targeting, Positioning) method and the marketing mix with the 4P concept (Product, Price, Place, Promotion). This type of research is quantitative descriptive research. Using primary data collected by questionnaire to 100 respondents, patients who seek treatment at …

Strategi Promosi Medical Check-Up Covid-19 Rsud Matraman, Vellyana Gustik, Wahyu Sulistiadi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The community's need for health services during the Coronavirus Disease (COVID-19) pandemic has increased drastically. The need for health services at the hospital level includes examining and issuing a COVID-19 examination certificate. Responding to this, the Matraman Hospital incidentally created a new service, the COVID-19 Medical Check-Up (MCU). The management of RSUD Matraman realizes the importance of a promotional strategy to increase public interest in using the new service. This study aims to obtain an overview of the MCU COVID-19 service promotion strategy at the Matraman Hospital. The case study design in this study uses qualitative methods with in-depth interviews …

Rencana Strategi Pemasaran Rumah Sakit Saat Pandemi Covid-19 (Studi Kasus Rs Xyz Di Bogor), Makassari Dewi

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

The COVID-19 pandemic has changed the behavior of hospital organizations in medical services and patient behavior. This encourages the hospitals to develop specific strategies to restore patient trust by providing a sense of security for patients and customers to obtain hospital services during the COVID-19 pandemic. The purpose of this study is to formulate the design of hospital marketing strategy of XYZ Hospital Bogor during the COVID-19 pandemic. This research method is descriptive qualitative with a case study approach in the XYZ Hospital Bogor using triangulation methods. The results was XYZ Hospital Bogor developed Telemedicine and digital marketing services as …

Perilaku Petugas Medis Dalam Merujuk Pasien Antenatal Care (Anc) Ke Rumah Sakit, Siti Hardina, Haerawati Idris

Jurnal ARSI : Administrasi Rumah Sakit Indonesia

High referrals can increase hospital workloads and result in increased claims costs to BPJS Health. The purpose of this study was to determine the behavior of health center staff in referring antenatal care patients to hospitals. The research method uses a descriptive qualitative design with a health belief model approach. Informants were selected using a purposive technique. Data were collected using an in-depth interview guide, observation, and document review in one of the primary health care in Palembang City. Data validation is done using the triangulation of sources, methods, and data. This study uses content analysis as a data analysis …

Analysis Of Factors Related To Intention-To-Use Telemedicine Services (Teleconsultation) In Jabodetabek Residents During The Covid-19 Pandemic In 2021, Isna Mutiara Salsabila, Kurnia Sari

Journal of Indonesian Health Policy and Administration

The emergence of COVID-19 pandemic has made it difficult for people to access health services. According to JKN statistics, FKTP visits was decreased from 337.69 million (2019) to 193.03 (2021). Teleconsultation, a type of telemedicine, could be the right solution so that people can still access the health services they need and protect themselves from the spread of COVID-19. There was an increase in the use of several teleconsultation applications in Indonesia during pandemic, from 4 million to more than 15 million people. However, this rate is only 7.63% of the internet users and 5.6% of the total population of …

Analysis Of Prolanis Policy Implementation During The Covid-19 Pandemic In 2021, D.Fitria Sari Firdaus, Mardiati Nadjib

Journal of Indonesian Health Policy and Administration

Data from Basic Health Research (Riskesdas) in 2018 shows that Diabetes and Hypertension dominate chronic diseases. The Director of BPJS Kesehatan has issued Circular No. 14 of 2020 concerning health services for national health insurance participants during the COVID-19 prevention period, especially Prolanis. The policy contains an appeal to postpone the provision of services in the form of mass gathering activities such as Prolanis Gymnastics, Club Education, and and other activities. Hence, this research is needed to describe the implementation of Prolanis policies during the COVID-19 Pandemic. The study used a descriptive research design with qualitative methods and George C. …