Evaluation of Integrated Primary Care (ILP) Implementation: A Qualitative Assessment of Input and Process Dimensions in Banjarbaru City Health Centers

Anggun  Wulandari; Neka  Erlyani; Fauzie  Rahman; Nur  Laily; Andini Octaviana  Putri; Lia  Anggraini; Siti  Maimunah; Sri  Wulandari; Nuralpisah Nuralpisah; Fitrya Hayati  Alkamaliah

doi:10.56303/jhnresearch.v5i2.845

Authors

Anggun Wulandari Public Health Study Program, Lambung Mangkurat University, Indonesia
Neka Erlyani Psychology Study Program, Lambung Mangkurat University, Indonesia
Fauzie Rahman Public Health Study Program, Lambung Mangkurat University, Indonesia
Nur Laily Public Health Study Program, Lambung Mangkurat University, Indonesia
Andini Octaviana Putri Public Health Study Program, Lambung Mangkurat University, Indonesia
Lia Anggraini Public Health Study Program, Lambung Mangkurat University, Indonesia
Siti Maimunah Public Health Study Program, Lambung Mangkurat University, Indonesia
Sri Wulandari Public Health Study Program, Lambung Mangkurat University, Indonesia
Nuralpisah Nuralpisah Public Health Study Program, Lambung Mangkurat University, Indonesia
Fitrya Hayati Alkamaliah Public Health Study Program, Lambung Mangkurat University, Indonesia

Keywords:

Integrated Primary Care, Adaptive Strategies, Health System Evaluation, Primary Health Center, Health Policy Implementation

Abstract

Primary health care is the foundation of the health system with a focus on promotion and prevention. To strengthen this, the Indonesian Ministry of Health launched Integration Primary Care (ILP) policy in 2023, although its initial implementation faced various obstacles. This study aims to assess the input (human resources, infrastructure, and funding) and process (planning, organizing, implementing, and evaluating policies) dimensions of ILP implementation in Banjarbaru City Health Centers. The study used a descriptive qualitative approach with 20 informants consisting of health center heads and program managers in 10 health centers through purposive sampling. Data were collected through focus group discussions. Validity was tested using source and technique triangulation. This study uses an evaluative approach based on Azwar's (1996) health systems theory, which allows for a comprehensive analysis of the input and process components in ILP implementation. The results showed that ILP was still constrained by limited human resources, especially the limited core implementing staff and ILP supporting infrastructure does not fully meet standards. However, adaptive strategies such as cluster role sharing, cross-sector collaboration, and community involvement supported the policy's sustainability. In terms of process, planning, organization, implementation, and evaluation were carried out, but were still influenced by old mechanisms and minimal budgetary and organizational support. This study provides an understanding of ILP implementation in Primary Health Centers by highlighting systemic barriers and local strategies. This study concludes that there is a need for preparedness for the procurement and distribution of strategic medical devices, particularly screening tools and basic services, as well as strengthening the guidance, monitoring, and evaluation of ILP implementation periodically through technical assistance

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