Analysis of PROLANIS activities on controlling type-2 diabetes mellitus at Puskesmas Tulungagung in 2022

Published: 25 May 2023
Abstract Views: 158
PDF: 84
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.


Background. Non-communicable diseases are still a global and national problem. Around 71% of deaths worldwide are caused by non-communicable diseases, and about 36 million people per year died from them in 2016. One of these preventions is the prevention of type-2 diabetes mellitus (type-2 DM), which can be done by knowing the risk factors. There are two risk factors for type-2 DM: the ones we can change and the ones we cannot change. We can change our lifestyle, such as what food we consume, rest patterns, physical activity, and stress management. In contrast, we cannot change age and genetics.

Objective. This research aimed to analyze PROLANIS activities on controlling type-2 diabetes mellitus.

Methods. This research is a cross-sectional study carried out at selected Puskesmas (Community Health Center) in Tulungagung Regency between April and July 2022. The selection of research locations was based on the area’s characteristics in Tulungagung Regency, namely urban Puskesmas, rural Puskesmas, and mountainous Puskesmas. One Puskesmas represented each region.

Results. Based on data from the Health Department of Tulungagung, with the results of 546 type-2 DM patients, only 34% participated in the PROLANIS (chronic disease management program) activities. Of those who participated in PROLANIS, 36% could control their type-2 DM, which means there were still many type-2 DMs that had not been controlled.

Conclusion. There was a relationship between attendance in PROLANIS activities and controlled blood sugar levels in patients with type-2 DM.

Atlas IDFD. International diabetes federation. 9th edition; 2019. Available from:

World Health Organization. Noncommunicable diseases country profiles 2018; 2018. Available from:

Kemenkes RI. Hasil riset kesehatan dasar tahun 2013; 2013. Epub ahead of print 2013. DOI: 10.1126/science.127.3309.1275. DOI:

Kemenkes RI. Hasil riset kesehatan dasar tahun 2018; 2018. Available from:

SDKT. Satu data kabupaten tulungagung; 2020.

Soelistijo S. Pedoman pengelolaan dan pencegahan diabetes melitus tipe 2 dewasa di Indonesia 2021; 2021. Available from:

Soelistijo SA, Novida H, Rudijanto A, et al. Konsensus pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia 2015; 2015.

Ramadhan N, Marissa N, Fitria E, et al. Pengendalian diabetes melitus tipe 2 pada pasien di puskesmas jayabaru kota banda aceh. Media Penelit dan Pengemb Kesehat 2018;28:239-46. DOI:

Fajrunni’mah R, Lestari D, Purwanti A. Faktor pendukung dan penghambat penderita diabetes melitus dalam melakukan pemeriksaan glukosa darah. Glob Med Heal Commun 2017;5:174. DOI:

Khoe LC, Wangge G, Soewondo P, et al. The implementation of community-based diabetes and hypertension management care program in Indonesia. PLoS One 2020;15:e0227806. DOI:

Indonesian National Health Insurance System. Practical guideline for non communicable and chronic disease management. Badan Penyelenggara Jaminan Sosial Kesehatan; 2014.

Adyas A. The Indonesian strategy to achieve universal health coverage through national health insurance system: its challenges in human resources. Kesmas Natl Public Heal J 2021;16:221-7. DOI:

World Health Organization. Prevention and control of noncommunicable diseases: guidelines for primary health care in low-resource settings. WHO Libr Cat Data 2012;1-70.

Agustina R, Dartanto T, Sitompul R, et al. Universal health coverage in Indonesia: concept, progress, and challenges. Lancet 2019;393:75-102. DOI:

Tanty HN, Anggriani Y, Saragi S. Pengaruh prolanis terhadap outcome klinik pasien diabetes melitus tipe 2 di puskesmas kecamatan pulogadung. Farmasains J Ilm Ilmu Kefarmasian 2019;6:11-9.

Pradyta AD, Masfiah S, Gamelia E, et al. Perilaku pemanfaatan prolanis dengan status kesehatan pasien diabetes mellitus di kota purwokerto. J Kesmas Indones 2017;9:63-72. DOI:

Ladyani F, Agustina R, Hernowo AW FH. The compliance following prolanis BPJS with HbA1c test results in patients with diabetes mellitus. J Ilm Kesehat Sandi Husada 2020;11:292-7. DOI:

Isnaini N, Ratnasari R. Faktor risiko mempengaruhi kejadian diabetes mellitus tipe dua. J Kebidanan dan Keperawatan Aisyiyah 2018;14:59-68. DOI:

Navicharern R. Diabetes self-management, fasting blood sugar and quality of life among type 2 diabetic patients with foot ulcers. Erratum J Med Assoc Thai 2012;95:156-62.

Scollan-Koliopoulos M, Bleich D, Rapp KJ, et al. Health-related quality of life, disease severity, and anticipated trajectory of diabetes. Diabetes Educ 2013;39:83-91. DOI:

Chatterjee S, Khunti K, Davies MJ. Type 2 diabetes. Lancet 2017;389:2239-51. DOI:

Pham TB, Nguyen TT, Truong HT, et al. Effects of diabetic complications on health-related quality of life impairment in vietnamese patients with type 2 diabetes. J Diabetes Res 2020; 2020:4360804. DOI:

Men C, Meessen B, Pelt M Van, et al. “I wish I had AIDS”: a qualitative study on access to health care services for HIV/AIDS and diabetic patients in Cambodia. Heal Cult Soc 2012;2. DOI: 10.5195/hcs.2012.67. DOI:

Putri LP, Mawarni D, Trisnantoro L. Challenges of shifting diabetes mellitus care from secondary- to primary-level care in urban and rural districts: a qualitative inquiry among health providers. J Prim Care Community Heal 2020;11:2150132720924214. DOI:

Abdullah Abdullah, Elly L Sjattar ARK. Faktor Penyebab terjadinya penurunan jumlah kunjungan peserta program pengelolaan penyakit kronis (prolanis) di puskesmas minasa upa kota makassar. J Ilm Kesehat Diagnosis 2017;11:382-7.

Idris F. Pengintegrasian program preventif penyakit diabetes melitus tipe 2 ptaskes (persero) ke badan penyelenggara jaminan sosial kesehatan (BPJS kesehatan). J Indon Med Assoc 2014;64:115-21.

Asfiani LV, Ilyas Y. Level of adherence and its determinants of prolanis attendance in type 2 diabetes mellitus participants at five bpjs primary health care in Bekasi 2016. J Indones Heal Policy Adm 2017;2:6. DOI: DOI:

Alkaff FF, Illavi F, Salamah S, et al. The impact of the indonesian chronic disease management program (PROLANIS) on metabolic control and renal function of type 2 diabetes mellitus patients in primary care setting. J Prim Care Community Health 2021;12:2150132720984409. DOI:

Rosdiana, Ayu I, Raharjo, Bambang B, Indarjo S. Implementasi Program pengelolaan penyakit kronis (prolanis). Higeia J Public Heal Res Dev 2017;1:141.

Syahid ZM. Faktor yang berhubungan dengan kepatuhan pengobatan diabetes mellitus. J Ilm Kesehat Sandi Husada 2021;10:147-55. DOI:

Kristianto FC, Sari DL, Kirtishanti A. Pengaruh program penanggulangan penyakit kronis (prolanis) terhadap kadar gula darah pasien diabetes melitus tipe 2. CoMPHI J Community Med Public Heal Indones J 2021;2:8-14. DOI:

Nurdianto AR, Anhar CA, Anwari F, et al. Edukasi Pola hidup sehat dalam mengontrol kadar glukosa darah puasa bagi anggota prolanis puskesmas trosobo, sidoarjo saat pandemi COVID – 19. Pros Semin Nas Pengabdi Masy Univ Ma Chung 2021;1:387-99. DOI:

Liu Y, Zupan NJ, Shiyanbola OO, et al. Factors influencing patient adherence with diabetic eye screening in rural communities: a qualitative study. PLoS One 2018;13:e0206742. DOI:

van Eijk KN, Blom JW, Gussekloo J, Polak BC GY. Diabetic retinopathy screening in patients with diabetes mellitus in primary care: incentives and barriers to screening attendance. Diabetes Res Clin Pr 2012;96:10-6. DOI:

Byun S, Ma SH, Jun JK, et al. Screening for diabetic retinopathy and nephropathy in patients with diabetes: a nationwide survey in Korea. PLoS One 2013;8:e62991. DOI:

Hall WJ, Chapman M V, Lee KM, et al. Implicit racial/ethnic bias among health care professionals and its influence on health care outcomes : a systematic review. Am J Public Health 2015;105:e60-76. DOI:

Frølich A, Bellows J, Nielsen BF, et al. Effective population management practices in diabetes care - an observational study. BMC Health Serv Res 2010;10:277. DOI:

Bains SS, Egede LE. Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low income population with type 2 diabetes. Diabetes Technol Ther 2011;13:335-41. DOI:

Ahmad B, Ramadas A, Kia Fatt Q, et al. A pilot study: the development of a culturally tailored malaysian diabetes education module (MY-DEMO) based on the health belief model. BMC Endocr Disord 2014;14:1-8. DOI:

Kueh YC, Kuan G. Psychometric properties of malay version of summary of diabetes self-care activities measures among the malay adults with type 2 diabetes mellitus in Kelantan, Malaysia. Austin Diabetes Res 2018;3:1017.

Nam S, Chesla C, Stotts NA, Kroon L JS. Barriers to diabetes management: patient and provider factors. Diabetes Res Clin Pr 2011;93:1-9. DOI:

Rahem A, Utami W, Sukorini AI EM. The effect of advocacy on understanding and levels of blood glucose in diabetes mellitus patients. Asian J Pharm 2019;13:375-80.

PERKENI. Konsensus pengelolaan dan pencegahan diabetes melitus tipe 2 di Indonesia 2011; 2011.

Ciccone MM, Aquilino A, Cortese F, et al. Feasibility and effectiveness of a disease and care management model in the primary health care system for patients with heart failure and diabetes (Project Leonardo). Vasc Health Risk Manag 2010;6:297-305. DOI:

Davy C, Bleasel J, Liu H, et al. Factors influencing the implementation of chronic care models: A systematic literature review. BMC Fam Pract 2015;16:1-12. DOI:

Liddy C, Johnston S, Nash K, et al. Health coaching in primary care: a feasibility model for diabetes care. BMC Fam Pract 2014;15:60. DOI:

Stellefson M, Dipnarine K, Stopka C. The chronic care model and diabetes management in us primary care settings: a systematic review. Prev Chronic Dis 2013;10:E26. DOI:

Perry MG, Greenwood DA, Paterniti DA, et al. The eHealth enhanced chronic care model: a theory derivation approach. J Med Internet Res 2015;17:e86. DOI:

Kim HS, Suh Y, Kim MS, et al. Effects of community-based primary care management on patients with hypertension and diabetes. Asia Pac J Public Heal 2019;31:522-35. DOI:

Kim HS, Yoo BN, Lee EJ, et al. Community primary care-based hypertension and diabetes management program in korea: evaluation of participating patients and doctors. Iran J Public Health 2022;51:1618-28. DOI:

Choi Y-J, Kim Y-T, Yi H-S, et al. Effects of Community-based interventions on medication adherence and hospitalization for elderly patients with type 2 diabetes at primary care clinics in South Korea. Int J Environ Res Public Health 2021;18:3396. DOI:

Al-Aboudi IS, Hassali MA SA. Knowledge, attitudes, and quality of life of type 2 diabetes patients in Riyadh, Saudi Arabia. J Pharm Bioallied Sci 2016;8:195-202. DOI:

Sami W, Ansari T, Butt NS, et al. Effect of diet on type 2 diabetes mellitus : a review. Int J Health Sci (Qassim) 2017;11:65-71.

Cahyamulat T, Yuriatson Y. Studi Kasus pada pasien Tn.“B” dengan diabetes millitus diruang igd rumah sakit labuang baji makassar. J Ilm Kesehat Sandi Husada 2019;9:9-12. DOI:

Gu L, Wu S, Zhao S, et al. Association of social support and medication adherence in chinese patients with type 2 diabetes mellitus. Int J Environ Res Public Health 2017;14:1522. DOI:

Gholami S, Ghadiri A. Relationship between self care management with glycemic control in type 2 diabetic patients. Int J Prev Med 2020;11:27. DOI:

Rokhmad, K., & Supriyanto, S. (2023). Analysis of PROLANIS activities on controlling type-2 diabetes mellitus at Puskesmas Tulungagung in 2022. Journal of Public Health in Africa, 14(s2).


Download data is not yet available.