Key result
Indonesian primary care providers show substantial knowledge gaps, with ~84% misunderstanding diabetes referral criteria.
Why the study?
This study aimed to explore provider knowledge, barriers, and opportunities for improving chronic disease management in Indonesian primary health care.
Cross-Sectional (n=59)
Yes
Significant provider knowledge gaps and structural barriers hinder the effective management of diabetes and hypertension in Indonesian primary care, highlighting the need for targeted training and system improvements.
Answers are grounded in this paper and cite their sources.
Identifies key barriers in Jakarta primary care for hypertension and DM; leaves open whether targeted interventions improve outcomes.
Objectives: This study aimed to explore provider knowledge, barriers, and opportunities for improving chronic disease management in Indonesian primary health care. Methods: A descriptive cross-sectional mixed methods study was conducted from December 1, 2022 to March 31, 2023 across 14 primary care centers in Jakarta. Multidisciplinary healthcare providers responsible in hypertension and diabetes mellitus (DM) care were involved. Data were collected using a semi-structured, interviewer-administered questionnaire consisting of both closed- and open-ended questions, structured across five domains: referral system knowledge, referral pathway implementation, hypertension management knowledge, DM management knowledge, and delivery of chronic disease care. Quantitative data were complemented with qualitative responses to provide contextual insight. Results: A total of 59 healthcare providers participated in the study, the majority of whom were female (89.8%). Participants included physicians (42.4%), nurses (35.6%), and midwives (10.2%). Most participants (71.4%) had over three years of practice. Notable knowledge gaps were identified in referral practices, diagnostic criteria, and monitoring protocols. Referrals were often delayed until complications occurred. Implementation of the national chronic disease (PROLANIS) program was suboptimal, particularly in patient selection and defining outcome targets. Screening for kidney complications was limited and medication availability was restricted. Poor adherence to national guidelines, short consultation times, and staffing shortages further hindered care and education efforts. Three major barriers-patient-related, provider-related, and structural-were identified. Conclusions: Improving chronic disease care in primary settings requires addressing provider knowledge gaps, strengthening referral systems, and enhancing PROLANIS implementation through targeted training and resource allocation.
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Hustrini et al. (2026) conducted a cross-sectional in Management of diabetes mellitus and hypertension (n=59). Provider knowledge and perceived barriers was evaluated on Knowledge of referral systems, diabetes and hypertension management, and perceived barriers to care. Primary healthcare providers in Indonesia demonstrated significant knowledge gaps in chronic disease management, with 84% misunderstanding diabetes referral criteria, highlighting major barriers to care.
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