Challenges and barriers to noncommunicable disease management at community health centers in south Sumatera province, Indonesia: A qualitative study

Background & Aim: Noncommunicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, heavily impacting low and middle-income countries like Indonesia. Community Health Centers (CHCs) play a critical role in providing healthcare, including NCD management, but they face s...

Full description

Saved in:
Bibliographic Details
Main Authors: Muhammad Agung Akbar, Junaiti Sahar, Etty Rekawati, Rayu Ayu Dewi Sartika
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2025-02-01
Series:Nursing Practice Today
Subjects:
Online Access:https://npt.tums.ac.ir/index.php/npt/article/view/3566
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849730051184001024
author Muhammad Agung Akbar
Junaiti Sahar
Etty Rekawati
Rayu Ayu Dewi Sartika
author_facet Muhammad Agung Akbar
Junaiti Sahar
Etty Rekawati
Rayu Ayu Dewi Sartika
author_sort Muhammad Agung Akbar
collection DOAJ
description Background & Aim: Noncommunicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, heavily impacting low and middle-income countries like Indonesia. Community Health Centers (CHCs) play a critical role in providing healthcare, including NCD management, but they face significant challenges. This study explores the challenges and barriers to NCD management at CHCs in South Sumatra Province, Indonesia. Methods & Materials: To gain an in-depth understanding of healthcare workers’ management of NCDs, an exploratory content analysis approach was employed. Data were collected through semi-structured interviews with 12 health workers, including nurses, doctors, midwives, and public health workers. Content analysis was used for data analysis. Results: The content analysis identified five themes: Resource constraints in primary healthcare, lack of effective interprofessional collaboration, social and cultural issues; work area coverage, and government policy and support. Conclusion: These findings highlight the complex challenges faced by CHCs. Addressing them requires a comprehensive strategy to enhance NCD care and primary healthcare services. Policymakers and health system managers can use these insights to develop targeted interventions. Further research is recommended to assess the effectiveness of specific strategies in overcoming these barriers in low-resource settings.
format Article
id doaj-art-6f8e724e70f4470481cb7a0f0f4b0fb0
institution DOAJ
issn 2383-1154
2383-1162
language English
publishDate 2025-02-01
publisher Tehran University of Medical Sciences
record_format Article
series Nursing Practice Today
spelling doaj-art-6f8e724e70f4470481cb7a0f0f4b0fb02025-08-20T03:09:00ZengTehran University of Medical SciencesNursing Practice Today2383-11542383-11622025-02-0112210.18502/npt.v12i2.18342Challenges and barriers to noncommunicable disease management at community health centers in south Sumatera province, Indonesia: A qualitative studyMuhammad Agung Akbar0Junaiti Sahar1Etty Rekawati2Rayu Ayu Dewi Sartika3Faculty of Nursing, Universitas Indonesia, Depok, IndonesiaDepartment of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, IndonesiaDepartment of Community Health Nursing, Faculty of Nursing, Universitas Indonesia, Depok, IndonesiaDepartement of Public Health Nutrition, Faculty of Public Health, Universitas Indonesia, Depok, Indonesia Background & Aim: Noncommunicable diseases (NCDs) are the leading cause of morbidity and mortality worldwide, heavily impacting low and middle-income countries like Indonesia. Community Health Centers (CHCs) play a critical role in providing healthcare, including NCD management, but they face significant challenges. This study explores the challenges and barriers to NCD management at CHCs in South Sumatra Province, Indonesia. Methods & Materials: To gain an in-depth understanding of healthcare workers’ management of NCDs, an exploratory content analysis approach was employed. Data were collected through semi-structured interviews with 12 health workers, including nurses, doctors, midwives, and public health workers. Content analysis was used for data analysis. Results: The content analysis identified five themes: Resource constraints in primary healthcare, lack of effective interprofessional collaboration, social and cultural issues; work area coverage, and government policy and support. Conclusion: These findings highlight the complex challenges faced by CHCs. Addressing them requires a comprehensive strategy to enhance NCD care and primary healthcare services. Policymakers and health system managers can use these insights to develop targeted interventions. Further research is recommended to assess the effectiveness of specific strategies in overcoming these barriers in low-resource settings. https://npt.tums.ac.ir/index.php/npt/article/view/3566noncommunicable disease; community health centers; healthcare disparities
spellingShingle Muhammad Agung Akbar
Junaiti Sahar
Etty Rekawati
Rayu Ayu Dewi Sartika
Challenges and barriers to noncommunicable disease management at community health centers in south Sumatera province, Indonesia: A qualitative study
Nursing Practice Today
noncommunicable disease; community health centers; healthcare disparities
title Challenges and barriers to noncommunicable disease management at community health centers in south Sumatera province, Indonesia: A qualitative study
title_full Challenges and barriers to noncommunicable disease management at community health centers in south Sumatera province, Indonesia: A qualitative study
title_fullStr Challenges and barriers to noncommunicable disease management at community health centers in south Sumatera province, Indonesia: A qualitative study
title_full_unstemmed Challenges and barriers to noncommunicable disease management at community health centers in south Sumatera province, Indonesia: A qualitative study
title_short Challenges and barriers to noncommunicable disease management at community health centers in south Sumatera province, Indonesia: A qualitative study
title_sort challenges and barriers to noncommunicable disease management at community health centers in south sumatera province indonesia a qualitative study
topic noncommunicable disease; community health centers; healthcare disparities
url https://npt.tums.ac.ir/index.php/npt/article/view/3566
work_keys_str_mv AT muhammadagungakbar challengesandbarrierstononcommunicablediseasemanagementatcommunityhealthcentersinsouthsumateraprovinceindonesiaaqualitativestudy
AT junaitisahar challengesandbarrierstononcommunicablediseasemanagementatcommunityhealthcentersinsouthsumateraprovinceindonesiaaqualitativestudy
AT ettyrekawati challengesandbarrierstononcommunicablediseasemanagementatcommunityhealthcentersinsouthsumateraprovinceindonesiaaqualitativestudy
AT rayuayudewisartika challengesandbarrierstononcommunicablediseasemanagementatcommunityhealthcentersinsouthsumateraprovinceindonesiaaqualitativestudy