Community-Based Health Promotion and Its Influence on Hypertension Control among Elderly Populations in South Sulawesi

Hypertension is a major global public health challenge that disproportionately affects elderly populations and contributes significantly to non-communicable disease burdens. In Indonesia, particularly in South Sulawesi, hypertension prevalence among older adults continues to rise, while effective control remains constrained by structural, cultural, and organizational factors. This study examined the influence of community-based health promotion on hypertension control among the elderly in South Sulawesi from a management perspective. Using a quantitative design, the study analyzed how participation in local health promotion initiatives, including Posyandu Lansia and community health cadre programs, affects blood pressure control, medication adherence, and lifestyle modification. The findings indicate that community-based health promotion plays a significant role in improving hypertension outcomes. Higher participation levels were associated with lower systolic and diastolic blood pressure, improved treatment adherence, and healthier lifestyle behaviors. The study also highlights the managerial importance of community-based initiatives grounded in decentralization and participatory governance. By leveraging social networks and shared leadership, these programs strengthen health system reach and sustainability. Overall, effective hypertension control among the elderly depends on strategic management practices that align organizational capacity with community engagement.