Table 1 Description of existing chronic disease programs

Posbindu

Every Puskesmas in Indonesia hosts the Posbindu PTM program, which is implemented by the Indonesian Ministry of Health. Each Puskesmas has a dedicated Posbindu PTM program manager who is responsible for the treatment of patients with a NCD, including type 2 diabetes. Because Puskesmas cover relatively large geographical areas, especially in rural regions, the Posbindu program is provided at village level to increase the accessibility of health services. Usually, one doctor, two nurses, and local community health workers from the villages attend monthly meetings and provide health examinations, counselling, and health education, as well as basic physical examinations

Prolanis

Similar to Posbindu PTM, all Puskesmas in Banda Aceh and Aceh Besar offer the Prolanis program. Prolanis was designed by the Indonesian National Health Insurance Organization (BPJS Kesehatan) specifically for patients with diabetes and hypertension. At each Puskesmas, a group of at least 30 patients with diabetes or hypertension is established. Prolanis offers weekly activities at the Puskesmas and this includes physical exercise. Unlike Posbindu, all Prolanis activities are held centrally at Puskesmas. Each Prolanis group is supported by a team consisting of one nurse (who could be a Posbindu PTM program manager) who functions as the Prolanis program manager, one doctor and one additional nurse. Each Puskesmas is free to choose the staff involved in the program