Analysis of Policy and Implementation for Non-Communicable Disease Control through the POSBINDU program in Bali

Abstract

Background: NCDs increased from 39.7% to 72.3% in 2019, resulting in increased health costs and mortality. However, in its implementation, NCDs program still experience many challenges, reflected in the data in Bali on 2023 is less than <10%. Objective: To determine how the implementation of POSBINDU NCDs program in Bali. Method: This descriptive study used an integration of primary and semi-quantitative secondary data with qualitative research carried out in three districts according to how well they execute POSBINDU NCDs activities. In-depth interviews, FGD, observations, and documentary research were used to collect the data. Purposive sampling was used to 21 respondents from a variety of sectors within the district. Results: The key challenges of the NCDs program include limited community engagement and human resource issues. Another issue is the budget and costs, policies, and reporting system. The practicality and usability of a health service program have an impact on its effectiveness. Feasibility is the determination of whether a new program can be executed and integrated with current ones. Human resources and community participation are two aspects that must be addressed while assessing feasibility. Usability is an evaluation of the media and tools utilized in an intervention program. Conclusion: The achievement of POSBINDU NCDs services is still far from the target. We recommend increasing public awareness to reduce morbidity and mortality rates, a legal regulation that protects local governments so that they can provide appropriate incentives to cadres, and a reporting system that is integrated with other community empowerment programs.