Analyzing implementation of integrated health services post: a mixed-method

Purpose This paper aims to analyze the on-going implementation of the integration of health service post of elderly and non-communicable diseases (NCDs) in order to better understand Indonesia’s preparedness for future integration through the life cycle health post. Design/methodology/approach This study employs a mixed-method explanatory sequential design with two research phases. The quantitative research using the Donabedian frameworks (structures–process–outcome) and qualitative approach was utilized to corroborate and further investigate the findings from the quantitative research through focus group discussion and in-depth interview. Findings This study concluded that the attendance of human resources during the program varied slightly between posts with = 5 cadres and those with >5 cadres; the government support of the toolkit was not yet distributed equally. The funding system was sourced from Health Operational Assistance and voluntary funds (Iuran Warga). Conversely, educational materials and monitoring books were unavailable during the program due to insufficient funds, which also affected the uneven training opportunities for cadres, resulting in a lack of confidence to provide clear health education or instruction to the users. This study also highlights the lack of defined indicators to evaluate the program’s success. Research limitations/implications The research was limited by the fact that the sample does not represent all health service posts for the elderly and NCDs in Depok City. However, the survey utilized a diverse range of demographic areas and employed a mixed-methods approach. Additional research with a larger sample size and expanded geographic scope, including other regions of Indonesia, is necessary to further assess the country’s preparedness to implement integrated primary healthcare (PHC), particularly for the integrated Posyandu program. Originality/value This study specifically investigated the current implementation of the integrated program through health services post for the elderly and NCDs to better understand Indonesia’s preparedness for future integration program through the life cycle health post.