EVALUASI PROGRAM HIPERTENSI DI PUSKESMAS SIRAIT, SAMOSIR: STUDI LOGIC MODEL TAHUN 2022-2024

Authors

  • Muhammad Ghifari Karsa Magister Kesehatan Masyarakat, Universitas Muhammadiyah Aceh
  • Marhamah Marhamah Magister Kesehatan Masyarakat, Universitas Muhammadiyah Aceh
  • Nana Wildana Magister Kesehatan Masyarakat, Universitas Muhammadiyah Aceh
  • Dharina Baharuddin Fakultas Ilmu Kesehatan Masyarakat, Universitas Muhammadiyah Aceh
  • Radhiah Zakaria Fakultas Ilmu Kesehatan Masyarakat, Universitas Muhammadiyah Aceh

DOI:

https://doi.org/10.31004/jkt.v6i3.48925

Keywords:

Evaluasi Program, Hipertensi, Model Logika, Hypertension, Logic Model, Program Evaluation

Abstract

ABSTRAK Pendahuluan: Hipertensi merupakan masalah kesehatan global yang dikenal sebagai silent killer karena gejalanya sering tidak disadari, namun berisiko menimbulkan komplikasi berat. Di Indonesia, prevalensi hipertensi meningkat signifikan setiap tahun, termasuk di Kabupaten Samosir. Metode: Penelitian ini bertujuan mengevaluasi pelaksanaan program hipertensi di Puskesmas Sirait menggunakan pendekatan logic model, menilai efektivitas, mengidentifikasi kendala, serta memberikan rekomendasi perbaikan. Penelitian ini menggunakan desain evaluasi deskriptif dengan pendekatan campuran. Data dikumpulkan dari laporan tahunan program hipertensi tahun 2022–2024, wawancara kepada penanggung jawab program, serta observasi langsung. Analisis data dilakukan secara deskriptif kuantitatif dan kualitatif. Hasil: Penelitian menunjukkan prevalensi hipertensi di wilayah kerja Puskesmas Sirait mencapai 15–29%, namun cakupan layanan hanya 15,26–25,40%. Terdapat kendala dalam ketersediaan SDM, alokasi anggaran, keterbatasan pelatihan, serta belum optimalnya distribusi dan edukasi. Tidak terdapat data pasti mengenai kepatuhan terapi, perubahan gaya hidup, dan penurunan tekanan darah. Outcome dan impact program belum menunjukkan hasil yang memuaskan, dengan prevalensi dan komplikasi yang terus meningkat. Simpulan: Penelitian ini menunjukkan bahwa pelaksanaan program hipertensi di Puskesmas Sirait telah berjalan, namun belum efektif dalam menurunkan prevalensi dan meningkatkan capaian layanan. Diperlukan evaluasi berkala, pendataan lebih rinci, peningkatan SDM, serta integrasi pelayanan dan edukasi berbasis komunitas untuk meningkatkan efektivitas program.   Kata kunci: Evaluasi program, hipertensi,  model logika   ABSTRACT Background: Hypertension is a global health issue known as a silent killer due to its often unnoticed symptoms, which can lead to severe complications. In Indonesia, the prevalence of hypertension has significantly increased annually, including in Samosir Regency. Method: This study aims to evaluate the implementation of the hypertension program at Puskesmas Sirait using a logic model approach, assess its effectiveness, identify obstacles, and provide recommendations for improvement. This research employed a descriptive evaluation design with a mixed-method approach. Data were collected from annual hypertension program reports from 2022 to 2024, interviews with the program officer, and direct observations. Data analysis was conducted descriptively using both quantitative and qualitative methods. Results: Showed that hypertension prevalence in the working area of Puskesmas Sirait reached 15–29%, but service coverage only ranged from 15.26–25.40%. Constraints were identified in human resources, budget allocation, limited training, and suboptimal distribution and education efforts. No specific data were available regarding treatment adherence, lifestyle changes, or blood pressure reduction. Program outcomes and impacts have not yielded satisfactory results, with both prevalence and complications continuing to increase. Conclusion: The hypertension program at Puskesmas Sirait has been implemented, it has not yet been effective in reducing prevalence and improving service coverage. Periodic evaluations, detailed data recording, increased human resources, and community-based integrated services and education are needed to improve program effectiveness.   Keywords: Hypertension, logic model, program evaluation

References

Brush, J. E., Lu, Y., Liu, Y., Asher, J. R., Li, S. X., Sawano, M., Young, P., Schulz, W. L., Anderson, M., Burrows, J. S., & Krumholz, H. M. (2024). Hypertension Trends and Disparities Over 12 Years in a Large Health System: Leveraging the Electronic Health Records. Journal of the American Heart Association, 13(9), 1–9. https://doi.org/10.1161/JAHA.123.033253

Fryar, C. D., Kit, B., Carroll, M. D., & Afful, J. (2024). Hypertension Prevalence, Awareness, Treatment, and Control Among Adults Age 18 and Older: United States, August 2021-August 2023. NCHS Data Brief ., Oct:(511).

Islam, B., Ibrahim, T. I., Tingting, W., Wu, M., & Jiabi, Q. (2025). Current status of elevated blood pressure and hypertension among adolescents in Asia: a systematic review. Journal of Global Health, 15. https://doi.org/10.7189/JOGH.15.04115

Mohammed Nawi, A., Mohammad, Z., Jetly, K., Abd Razak, M. A., Ramli, N. S., Wan Ibadullah, W. A. H., & Ahmad, N. (2021). The Prevalence and Risk Factors of Hypertension among the Urban Population in Southeast Asian Countries: A Systematic Review and Meta-Analysi. International Journal of Hypertension, 2021.

Purnama Ria Sihombing, E., Hidayat, W., Sinaga, J., Nababan, D., & Ester J. Sitorus, M. (2023). Faktor Risiko Hipertensi. Prepotif : Jurnal Kesehatan Masyarakat, 7(3), 16089–16105. https://doi.org/10.31004/prepotif.v7i3.19199

Tarigan, A. R., Lubis, Z., & Syarifah. (2018). Pengaruh Pengetahuan, Sikap, dan Dukungan Keluarga Terhadap Diet Hipertensi di Desa Hulu Kecamatan Pancur Batu Tahun 2016. JURNAL KESEHATAN, 11(1). https://doi.org/10.24252/jkesehatan.v11i1.5107

WHO. (2023a). Global Report on Hypertension. https://www.who.int/publications/i/item/9789240081062

WHO. (2023b). Hypertension. https://www.who.int/news-room/fact-sheets/detail/hypertension

Downloads

Published

2025-09-28

Issue

Vol. 6 No. 3 (2025): SEPTEMBER 2025

Section

Articles

License

Copyright (c) 2025 Muhammad Ghifari Karsa, Marhamah Marhamah, Nana Wildana, Dharina Baharuddin, Radhiah Zakaria

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Authors who publish with this journal agree to the following terms:

  • Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
  • Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  • Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).