Effectiveness of the “SeGeRa Ke RS” Campaign in Reducing Prehospital Stroke Delay in West Nusa Tenggara

Abstract

Introduction: Stroke remains a leading cause of mortality and long-term disability worldwide. Timely recognition of stroke symptoms and rapid access to hospital care are critical determinants of patient outcomes. In Indonesia, the national campaign “SeGeRa Ke RS” was introduced as a risk communication strategy to reduce prehospital stroke delay; however, its effectiveness at the regional level has not been well documented.

Method: This study employed a descriptive-analytic qualitative design using a health policy and implementation analysis approach. The study was conducted at the West Nusa Tenggara Provincial Health Office. Data were collected through structured document review of stroke-related policies, performance reports, and provincial health profiles, complemented by non-participant field observations of campaign implementation. Data were analyzed using situation analysis, Fishbone (Ishikawa) analysis to identify root causes, the USG method (Urgency, Seriousness, Growth) for problem prioritization, and SWOT analysis to assess strategic factors influencing campaign effectiveness.

Results: Although the “SeGeRa Ke RS” campaign has been widely disseminated, its implementation remains inconsistent and lacks a standardized, sustainable educational model. Sociocultural factors, geographical barriers, and limited health promotion resources further hinder campaign effectiveness.

Conclusion: The “SeGeRa Ke RS” campaign has strategic potential to reduce prehospital stroke delay; however, its impact depends on strengthening community-based education and integrating risk communication into routine health services. These findings highlight the importance of adaptive and sustainable communication strategies as integral components of national stroke policy implementation.