1. What is the problem?

• The prevalence of hypertension in Indonesia is based on the 2016 National Health Indicator Survey
of 32,4%
• The prevalence of hypertension based on the Health Profile of East Java Province in 2017 of
20,43% has increased 6,96% from 2016.
• The prevalence of hypertension based on the Health Profile of Surabaya City in 2017 of 45,32%
has increased 34,89% from 2016.
• Hypertension almost increases every year Morbidity is high  The appearance of complications
such as heart disease and stroke Many people do care and treatment in hospitals or health
facilities  So that it spends great health costs
2. Objective
To determine early detection in order to reduce the occurrence of complications of hypertension.
3. a. Screening Method: Hypertension screening with Aneroid Sphygmomanometer
b. Population of Interest: Women aged >40 years in Dukuh Sutorejo Village, Mulyorejo District,
Surabaya City.
c. Indicator : measurement of blood pressure with JNC VII classification

Category Sistolic Blood Diastolic Blood Pressure

Pressure
Normal <120 <80
Prehypertension 120-139 80-89
Hypertension ≥140 ≥90
Stage 1 140-159 90-99
Stage 2 ≥160 ≥100
4. Evaluation
o Measurement of Effectiveness
To determine early detection in order to reduce the occurrence of complications of
hypertension.
Program identified : Screening of hypertension
Indicators: classified as hypertension if systolic blood pressure is ≥140 and diastolic
is ≥90 mmHg.
o Feasibility Program
This program can be implemented through the PROLANIS program in primary
health facilities
Human resources: doctors and nurses in primary health facilities
Financial aspects: BPJS
Study methods: qualitative, survey, budget impact analysis.

o Acceptance and Accessibility

a. the intervention (measurement of hypertension with tensimeter) culturally
accepted
b. the people can afford the registration fee or transport to the nearest health
facilities
o Economic Evaluation
the cost of screening for hypertension using tensimeter is relatively
inexpensive, so it is very possible to achieve all targets.

o Comparison of same intervention in different population groups

1. Tensimeter (Aneroid and Mercury)
Hypertension case, the use of screening tools (Aneroid and Mercury) has
different between both. Aneroid is more environmentally than mercury.
Because mercury tensimeter easily pollutes the environment and
sometimes the user forgets to close the mercury valve so that causes
mercury to spill.
2. Age >40 years and <40 years (screening hypertension in the different )
Someone >40 years old has a higer risk because of the increase in age
there is a change in the structuren of the large blood vessels, so the
lumen becomes narrower and the blood vessel walls become stiff due to
increased blood pressure (Kaplan, 2010)