Abstract:Background: University communities represent a critical setting for advancing population health and addressing rising non-communicable disease (NCD) burdens. In Indonesia, the Health Promoting University (HPU) framework has guided institutional efforts to embed health into university systems, policies, and culture. Objectives: This study explores how a university-based annual Medical Check-Up (MCU) program contributes to health equity and chronic disease prevention among academic staff, with a focus on early detection and management of metabolic syndrome (MetS). Materials and methods: A qualitative descriptive design was employed, drawing on the CIPP (Context, Input, Process, Product) evaluation model. Data were gathered from two MCU providers at a major Indonesian public university through in-depth interviews with key informants (n=4), document analysis, and reflective journals. Thematic analysis was used to examine the program’s development and institutional alignment with HPU principles. This study received ethical approval from the Medical and Health Research Ethics Committee, Universitas Gadjah Mada (KE/FK/0057/EC/2025). Results: The MCU program has evolved over time, demonstrating improvements in inputs such as expanded interprofessional teams (e.g., nutritionists, lab personnel), enhanced infrastructure (e.g., mobile units, on-site labs), and updated MetS screening parameters. The COVID-19 pandemic accelerated innovation, prompting mobile service delivery and safety-driven layouts. Key enablers included institutional leadership, policy integration, and sustainable financing. Nonetheless, gaps in documentation, health communication, and participation persist, particularly among younger staff. Conclusion: Embedding preventive health screening within a university’s ecosystem fosters equitable access to NCD risk assessment and supports institutional health literacy. The findings underscore the role of HPUs in promoting long-term health outcomes and system resilience, aligning with global health goals and regional commitments to equity and prevention.
Keywords: Non-Communicable Diseases (NCDs), health promoting university, metabolic syndrome, medical check-up, CIPP model, program evaluation
