Preventif Journal · Apr 30, 2026
Implementation of a free screening program in Indonesia
By Khaliyah IA, Nurrohmah A, Ariestyani C et al.
The increasing prevalence of noncommunicable diseases such as hypertension, diabetes mellitus, and cervical cancer in Indonesia poses a serious challenge to the health system, as many cases are asymptomatic and are not detected early. Free health screening programs serve as a primary prevention strategy aligned with the Sustainable Development Goals (SDGs) and Universal Health Coverage (UHC). This study aims to evaluate the implementation of free health screening programs in Indonesia, including their effectiveness in early detection, improvements in public knowledge, and implementation barriers and strategies. This study used a systematic literature review (SLR) method with an approach guided by the PRISMA flow diagram. Literature searches were conducted in the Google Scholar, PubMed, ScienceDirect, SINTA, Garuda, and ResearchGate databases using the keywords “free screening”, “noncommunicable diseases”, “early detection”, and “Indonesia” for the period 2016–2025. Of the 100 articles identified, selection based on inclusion and exclusion criteria yielded 45 articles, which were analyzed using a descriptive approach and thematic analysis. The results show that screening programs are effective in detecting hidden cases of PTM, with hypertension prevalence reaching 62.9% and high blood glucose levels at 17.5%. Integrating screening with education was proven to significantly improve public knowledge, such as an increase in understanding of cervical cancer detection from 65% to 89%. Implementation barriers include limited facilities, low participation among older adults, and disparities in access to health services. It is concluded that free health screening programs play an important role in early detection and improving public health literacy. Improving program sustainability requires strengthening infrastructure, providing ongoing post-screening education, integrating data-based recording systems, and fostering multisectoral collaboration integrated with community-based health services such as Posbindu PTM.