Geospatial analysis of hypertension control compliance and demographic factors among national insurance participants in Indonesia: An analysis based on national health insurance claims data

Hypertension, often referred to as ‘The Silent Killer’, presents a substantial health risk due to its symptomless progression, leading many individuals to remain unaware of their condition until complications arise. Regular monitoring and management are crucial, ideally through routine screenings at primary healthcare facilities. This research uniquely examines the geospatial distribution of compliance with hypertension treatment across various Indonesian regions, highlighting disparities based on demographic and insurance-related factors. Using a quantitative cross-sectional design, the study analyzed 2019–2020 data from Indonesian national health insurance claims, encompassing 62,757 respondents diagnosed with hypertension. Binary logistic regression tests were conducted to assess factors influencing treatment compliance. The findings indicate that provinces, such as Yogyakarta, West Sulawesi, North Sulawesi, and West Sumatra, exhibit higher levels of compliance whereas regions, such as Jambi, Lampung, West Nusa Tenggara, North Kalimantan, Central Kalimantan, and North Maluku, report lower adherence. The results highlight significant associations between age, gender, marital status, region, and insurance type with treatment compliance (p-value < 0.001), underscoring the intricate interplay of regional, demographic, and insurance-related factors in determining adherence to hypertension treatment. Understanding these geospatial variations in adherence is crucial for designing targeted interventions and policies to improve hypertension management nationwide.