Integrated Primary Health Care Strategies for Hypertension and Type 2 Diabetes Management: Analysis of Three-Month Morbidity Data Surveillance from an Indonesian Primary Health Center
Main Article Content
Abstract
Non-communicable diseases, particularly hypertension and type 2 diabetes mellitus, continue to impose a
substantial burden on primary health care systems. Routine morbidity surveillance at primary health centers
provides valuable epidemiological information, but it is often used mainly for administrative reporting rather
than integrated service planning. This study aimed to analyze three-month morbidity surveillance data and
explore its implications for integrated hypertension and type 2 diabetes management in primary health care. A
retrospective descriptive epidemiological design was used based on secondary routine outpatient morbidity data
from Puskesmas Purwosari, Kudus, Indonesia, from March to May 2026. Diagnoses were classified using ICD-
10, and data were analyzed using frequencies, percentages, monthly trend analysis, and an integrative public
health interpretation. Hypertension accounted for 111 cases in March, 72 in April, and 87 in May, while type 2
diabetes mellitus accounted for 70, 85, and 73 cases, respectively. Across the observation period, hypertension
contributed 270 cases and type 2 diabetes mellitus 228 cases among the selected chronic disease burden. These
patterns indicate a persistent need for continuous, multidisciplinary, and community-based chronic disease
management. Routine morbidity surveillance can support early detection, risk stratification, health promotion,
Posbindu PTM strengthening, Prolanis optimization, self-management, family-centered care, digital follow-up,
and local policy planning. The study concludes that routine health service data can be transformed into practical
evidence for integrated chronic disease management in Indonesian primary health care.
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