Implementation of the CERDIK and PATUH Programs for Hypertension Control: A Systematic Literature Review
Abstract
Hypertension is a non-communicable disease that requires ongoing control through behavioral change, early detection, treatment, and adherence to health recommendations. The CERDIK and PATUH programs were developed as promotive and preventive approaches to support hypertension control in the community. However, their implementation still shows variation in execution and outcomes. This systematic literature review aims to analyze the implementation of the CERDIK and PATUH programs in hypertension control, including implementation strategies, supporting and inhibiting factors, and the roles of health workers and the community. This study used a systematic literature review design. Literature searches were conducted in PubMed, Scopus, ScienceDirect, Google Scholar, and Garuda for publications from 2021 to 2026. Articles were selected based on inclusion and exclusion criteria, assessed for methodological quality, and then synthesized narratively following the PRISMA 2020 guidelines. The review shows that the implementation of CERDIK and PATUH is carried out through health education, screening and blood pressure measurement, lifestyle modification, medication adherence, counseling, and patient monitoring. Health workers and cadres play an important role in program implementation. Supporting factors include continuous education, community involvement, and health service support, whereas barriers include limited human resources, funding, and infrastructure, as well as the suboptimal role of cadres. The implementation of CERDIK and PATUH has the potential to strengthen hypertension control when carried out in an integrated and sustainable manner, based on primary health care, and supported by health workers, cadres, families, and the community.
References
Management of Hypertension and Diabetes in Low-Resource Communities. Journal of Pioneering Medical Sciences, 14, 146-152. https://doi.org/10.47310/jpms202514S0223
Alendra, V., Syafrani, S., Dewi, O., Kiswanto, K. & Abidin, Z. (2024). Analisis implementasi kebijakan program pelayanan kesehatan hipertensi dengan CERDIK dan PATUH di Puskesmas Alahair Kabupaten Kepulauan Meranti Tahun 2024. PREPOTIF: Jurnal Kesehatan Masyarakat, 8(3), 5609–5623. https://doi.org/10.31004/prepotif.v8i3.34819
Aromataris, E. & Munn, Z. (2020). JBI Manual for Evidence Synthesis. Adelaide: Joanna Briggs Institute. https://doi.org/10.46658/JBIMES-20-01.
Bajinka, O., Jallow, L., Zhang, Y., Feng, X., Zhan, X., & Li, N. (2025). The use of predictive, preventive, and personalized medical approaches to optimize hypertension management. EPMA Journal, 16(4), 785-804. https://doi.org/10.1007/s13167-025-00427-2
Burnier, M., & Damianaki, A. (2023). Hypertension as cardiovascular risk factor in chronic kidney disease. Circulation research, 132(8), 1050-1063. https://doi.org/10.1161/hypertensionaha.123.21354
Byiringiro, S., Ogungbe, O., Commodore-Mensah, Y., Adeleye, K., Sarfo, F. S., & Himmelfarb, C. R. (2023). Health systems interventions for hypertension management and associated outcomes in Sub-Saharan Africa: A systematic review. PLOS Global Public Health, 3(6), e0001794. https://doi.org/10.1371/journal.pgph.0001794
Chaturvedi, A., Zhu, A., Gadela, N. V., Prabhakaran, D., & Jafar, T. H. (2024). Social determinants of health and disparities in hypertension and cardiovascular diseases. Hypertension, 81(3), 387-399. https://doi.org/10.1161/circresaha.122.321762
Choudhry, N. K., Kronish, I. M., Vongpatanasin, W., Ferdinand, K. C., Pavlik, V. N., Egan, B. M., ... & American Heart Association Council on Hypertension; Council on Cardiovascular and Stroke Nursing; and Council on Clinical Cardiology. (2022). Medication adherence and blood pressure control: a scientific statement from the American Heart Association. Hypertension, 79(1), e1-e14. https://doi.org/10.1161/HYP.0000000000000203
Ekasari, Y., Rahman, Z., Putri, M. E., & Wati, L. (2025). Hubungan perilaku CERDIK dengan pengontrolan tekanan darah pada pasien hipertensi di Desa Terempa Selatan tahun 2023. Jurnal Keperawatan, 15(1), 1-9. Artikel jurnal Ekasari et al. (2023)
Elendu, C., Amaechi, D. C., Elendu, T. C., Amaechi, E. C., & Elendu, I. D. (2024). Dependable approaches to hypertension management: A review. Medicine, 103(24), e38560. https://doi.org/10.1097/MD.0000000000038560
Elendu, C., Amaechi, D. C., Elendu, T. C., Amaechi, E. C., & Elendu, I. D. (2024). Dependable approaches to hypertension management: A review. Medicine, 103(24), e38560. https://doi.org/10.1097/MD.0000000000038560
Ferreira Jr, P. D., Simões, J. A. R., & Velho, D. C. (2024). Adherence to antihypertensive therapy and its determinants: A systematic review. Cureus, 16(5), e59532. https://doi.org/10.7759/cureus.59532
Frieden, T. R., Lee, C. T., Lamorde, M., Nielsen, M., McClelland, A., & Tangcharoensathien, V. (2023). The road to achieving epidemic-ready primary health care. The Lancet Public Health, 8(5), e383-e390.
Hezam, A. A. M., Shaghdar, H. B. M., & Chen, L. (2024). The connection between hypertension and diabetes and their role in heart and kidney disease development. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences, 29, 22. https://doi.org/10.4103/jrms.jrms_470_23
Ichsan, M.I., Masulili, F., Rantesigi, N., Nurmalisa, B.E., Umar, N., Agusrianto, A., Collein, I., Pangaribuan, H., Ismunandar & Supirno. (2024). Implementasi CERDIK dan PATUH sebagai upaya pencegahan hipertensi di Kelurahan Gebangrejo. Jurnal Pengabdian Masyarakat Lentora, 4(1). Artikel jurnal Ichsan et al. (2024)
Kementerian Kesehatan Republik Indonesia. (2024). Survei Kesehatan Indonesia (SKI) 2023. Jakarta: Kementerian Kesehatan Republik Indonesia.
Konlan, K. D., & Shin, J. (2023). Determinants of self-care and home-based management of hypertension: An integrative review. Global Heart, 18(1), 16. https://doi.org/10.5334/gh.1190
Lailiah, N., Fazry, M., Hasan, D.S., Wasiaty, Nurwahidah, Mahmud, M.H., El Faraby, Kisworo & Wati, S. (2023). Pencegahan dan pengendalian hipertensi melalui CERDIK PTM dan PATUH. BARAKATI: Journal of Community Service, 1(2), 60–67. Artikel jurnal Lailiah et al. (2023)
Law, J. P., Pickup, L., Pavlovic, D., Townend, J. N., & Ferro, C. J. (2023). Hypertension and cardiomyopathy associated with chronic kidney disease: epidemiology, pathogenesis and treatment considerations. Journal of human hypertension, 37(1), 1-19. https://doi.org/10.1038/s41371-022-00751-4
Mancia, G., Cappuccio, F. P., Burnier, M., Coca, A., Persu, A., Borghi, C., ... & Sanner, B. (2023). Perspectives on improving blood pressure control to reduce the clinical and economic burden of hypertension. Journal of internal medicine, 294(3), 251-268. https://doi.org/10.1111/joim.13678
Marni, M., Firdaus, I., Husna, P. H., & Soares, D. (2025). Community-Based Hypertension Management: Qualitative Study. International Journal Of Qualitative Research, 5(1), 73-84. https://doi.org/10.47540/ijqr.v5i1.2052
Megayanti, S.D., Agustini, N.L.P.I.B., Diyu, I.A.N.P., Widiadnyana, I.N., Erawati, N.K., Lestari, P.I.J. & Budiningsih, V.E. (2025). CERDIK and PATUH method to control hypertension with the interprofessional education and collaboration approaches. Abdimas: Jurnal Pengabdian Masyarakat Universitas Merdeka Malang, 10(1), 70–81. https://doi.org/10.26905/abdimas.v10i1.14679. Artikel jurnal Megayanti et al. (2025)
Meng, F., Jiang, Y., Yu, P., Song, Y., Zhou, L., Xu, Y., & Zhou, Y. (2023). Effect of health coaching on blood pressure control and behavioral modification among patients with hypertension: A systematic review and meta-analysis of randomized controlled trials. International journal of nursing studies, 138, 104406. https://doi.org/10.1016/j.ijnurstu.2022.104406
Muharram, F. R., Widyahening, I. S., & Danaei, G. (2025). Hypertension care performance in Indonesia: evidence from three waves of nationally representative cross-sectional surveys. BMJ open, 15(12), e109588. https://doi.org/10.1136/bmjopen-2025-109588
Ojangba, T., Boamah, S., Miao, Y., Guo, X., Fen, Y., Agboyibor, C., Yuan, J., & Dong, W. (2023). Comprehensive effects of lifestyle reform, adherence, and related factors on hypertension control: A review. The Journal of Clinical Hypertension, 25(6), 509–520. https://doi.org/10.1111/jch.14653
Ordunez, P., Campbell, N. R., DiPette, D. J., Jaffe, M. G., Rosende, A., Martinez, R., ... & Brettler, J. (2024). HEARTS in the Americas: targeting health system change to improve population hypertension control. Current Hypertension Reports, 26(4), 141-156. https://doi.org/10.1007/s11906-023-01286-w
Ordunez, P., Campbell, N. R., DiPette, D. J., Jaffe, M. G., Rosende, A., Martinez, R., ... & Brettler, J. (2024). HEARTS in the Americas: targeting health system change to improve population hypertension control. Current Hypertension Reports, 26(4), 141-156.
Osonuga, A., Osonuga, A. A., Fidelis, S. C., Osonuga, G. C., Juckes, J., & Olawade, D. B. (2025). Bridging the digital divide: artificial intelligence as a catalyst for health equity in primary care settings. International Journal of Medical Informatics, 106051. https://doi.org/10.1016/j.ijmedinf.2025.106051
Page, M.J., McKenzie, J.E., Bossuyt, P.M., Boutron, I., Hoffmann, T.C., Mulrow, C.D., et al. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71.
Rumampuk, J. F., Wullur, M. M., Palilingan, R. N., & Rotty, V. N. (2026). Healthcare Team Education Management for Improving Antihypertensive Medication Adherence Among Older Adults in Manado City, Indonesia. International Journal of Information Technology and Education, 5(2S), 412-428.
Schutte, A. E., Jafar, T. H., Poulter, N. R., Damasceno, A., Khan, N. A., Nilsson, P. M., ... & Tomaszewski, M. (2023). Addressing global disparities in blood pressure control: perspectives of the International Society of Hypertension. Cardiovascular research, 119(2), 381-409. https://doi.org/10.1093/cvr/cvac130
Shiukashvili, I. (2026). Hypertension: a comprehensive review of risk factors, pathophysiology, complications, and treatment strategies. Revista Metropolitana de Ciencias Aplicadas, 9(5), 137-146. https://doi.org/10.62452/rpwezm31
Silva, B. V., Sousa, C., Caldeira, D., Abreu, A., & Pinto, F. J. (2022). Management of arterial hypertension: Challenges and opportunities. Clinical cardiology, 45(11), 1094. https://doi.org/10.1002/clc.23938
Solihah, G. M., Prijatmoko, D., & Luthviatin, N. (2025). Challenges and Strategies for Hypertension Control in the Young Generation in Indonesia: A Bibliometric Review. Preventia: The Indonesian Journal of Public Health, 10(2), 3. https://doi.org/10.17977/um044v10i22025p21-35
Sun, P., Wan, Z., & Liu, Y. (2026). Towards comprehensive chronic disease control: prevention, early detection, and integrated management. Medicine Bulletin, 2(1), 20-33. https://doi.org/10.1002/mdb2.70020
Sun, T., Xu, X., Ding, Z., Xie, H., Ma, L., Zhang, J., ... & Ma, Z. (2024). Development of a health behavioral digital intervention for patients with hypertension based on an intelligent health promotion system and WeChat: randomized controlled trial. JMIR mHealth and uHealth, 12, e53006.
Supriyatin, T., & Novitasari, D. (2022). Hubungan perilaku cerdik dengan tekanan darah peserta prolanis di puskesmas bobotsari kabupaten purbalingga. Viva Medika: Jurnal Kesehatan, Kebidanan Dan Keperawatan, 15(2), 31-47. https://doi.org/10.35960/vm.v15i2.879
Susanti, E., Anita & Santoso, B. (2021). Perilaku CERDIK penderita hipertensi di masa pandemi COVID-19. Jurnal Keperawatan, 13(4). Artikel jurnal Susanti et al. (2021)
Zeng, J., Gao, Y., Hou, C., & Liu, T. (2024). The impact of doctor–patient communication on medication adherence and blood pressure control in patients with hypertension: A systematic review. PeerJ, 12, e18527. https://doi.org/10.7717/peerj.18527
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