Background and purpose: World Health Organization (WHO) reported the number of people with hypertension worldwide reached one billion in 2015. Hypertension screening is an effort to manage and control hypertension through hypertension management stages. This study aims to explore in-depth the implementation of hypertension screening guidelines performed by the public health centers (PHCs)Methods: This is a qualitative exploration with an exploratory case study approach by adopting the Lawrence W. Green Theory. This study was conducted in two PHCs in Tabanan District, those with the highest and the lowest target achievement. The factors examined were the implementation of guidelines and factors affecting it. The data were collected using in-depth interviews with ten informants and data were analyzed using thematic methods.Results: We found the predisposing factors of the implementation including the management of Health Operational Assistance (HOA) funds, the grouping of targets at risk of hypertension, hypertension screening guidelines, and the attitudes and beliefs of the officers and the community. The driving factors consisted of the lack of community participation. The inhibiting factors were indicated by the insufficient number of health workers and community support. Conclusion: There are several obstacles for the implementation of hypertension screening guidelines both from the health services side including budget allocation and community participation. Therefore, more thorough planning and measures to improve participation is needed.

Latar belakang dan tujuan: Hipertensi mengakibatkan sekitar 70% meninggal dunia akibat jantung koroner, 15% mengalami kerusakan jaringan otak, 10% mengalami gagal jantung. Data DINKES Kabupaten Tabanan kasus hipertensi mencapai 6.616 orang (5,87%). Pada tahun 2018 kasus hipertensi meningkat menjadi 10.563 orang (10,81%). Penjaringan hipertensi merupakan upaya dalam pengelolaan dan pengendalian hipertensi. Maka peneliti menggali lebih dalam tentang penerapan pedoman penjaringan hipertensi. Metode: Penelitian ini penelitian kualitaif dengan pendekatan eksploratif case study mengadopsi teori Lawrence Green. Data hasil penelitian dianalisis dengan metode tematik. Data dikumpul dengan teknik in depth interview terhadap 10 informan. Yaitu 2 orang kepala puskesmas, 2 orang pemegang program P2PTM. 2 orang petugas kesehatan, 2 orang kader kesehatan dan 2 orang masyarakat setempat. Hasil: Hasil penelitian menunjukan bahwa terdapat dua puskesmas dengan capaian target tertinggi dan terendah. Bedasarkan data tersebut ditemukan Puskesmas dengan capaian tertinggi yaitu Puskesmas Baturiti 1 sebesar 41,16% dan terendah adalah puskesmas kediri 1 sebesar 0,35%. Dari data tersebut setelah dilakukan wawancara mendalam ditemukan pengetahuan informan terkait Pedoman Penjaringan Hipertensi. Simpulan dan Rekomendasi: Kendala yang sering terjadi dalam penerapan pedoman penjaringan hipertensi yaitu petugas kesehatannya kurang, kedatangan masyarakat juga kurang Sehingga perlu diupayakan perencanaan yang lebih matang dengan anggaran yang memadai dalam melaksanakan penjaringan hipertensi.