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Posyandu, a community-based health initiative, plays a vital role in improving maternal and child health. Using the Primary Care Integration (ILP) approach, the Life Cycle Posyandu strengthens promotive and preventive health services across life stages. This study in Puskesmas Ciganjur, South Jakarta, employs a sequential explanatory mixed methods design. Key findings highlight the importance of kader availability, though challenges remain in task distribution, competency, and infrastructure limitations. While health education and promotion are active, barriers like limited media and low awareness persist. Service coverage reached 100% monthly, with stable early detection at 89%, but follow-up coverage fluctuated. Strengthening kader capacity, infrastructure, and cross-sector collaboration is crucial for sustainable primary care integration.
Kata kunci: Pemanfaatan, Posbindu, Penyakit Tidak Menular
The prevalence of non-communicable diseases (PTM) in Indonesia is increasing every year. This happens due to an unhealthy lifestyle and various other factors. Posbindu PTM was formed in the context of early detection and monitoring of PTM risk factors as a preventive promotive health service effort aimed at controlling the prevalence of PTM in Indonesia. This study aims to determine the factors associated with the use of two Posbindu PTM by the elderly at the Kemanggisan Kelurahan Public Health Center in 2020. This research is a quantitative study using cross-sectional methods. The population in this study were residents aged 45-69 years with a sample of 119 people. This study used the Chi Square test for data analysis. The results of the study are 63.9% of elderly who use Posbindu PTM actively. Variables associated to the utilization of Posbindu PTM are gender (p value 0.003), education (p value 0.0001), knowledge (p value 0.0001), family support (p value 0.0001), health worker support (p value 0,0001), and the need for Posbindu PTM (p value 0,0001).
Key words: Posbindu, Utilization, Non-Communicable Disease
Kegiatan posyandu bertujuan memantau pertumbuhan balita dengan indikator pencapaian adalah cakupan penimbangan balita (D/S). Pencapaian D/S tahun 2011 di Kota Padang terendah pada Puskesmas Nanggalo 42,7% dan tertinggi pada Puskesmas Ambacang 96,7%. Tujuan penelitian untuk mengetahui hubungan faktor kader dan sarana posyandu dengan cakupan penimbangan di posyandu dua puskesmas Kota Padang tahun 2012. Desain penelitian adalah cross sectional.
Hasil penelitian rata ? rata D/S tahun 2012 puskesmas 66,01 % dengan proporsi cakupan tinggi 52,4 %. Pendidikan, lama kerja, pengetahuan, pelatihan, persepsi, jumlah kader dan sarana posyandu berhubungan bermakna dengan cakupan penimbangan balita. Perlu pelatihan kader, penambahan jumlah kader dan sarana posyandu.
Posyandu activities aimed at monitoring the growth of underfive children with indicators of achievement is the scope of child's weight (D/ S). Achievement of D / S of Padang in 2011, Nanggalo 42.7% and Ambacang 96.7%. Research purposes to determine the correlation between the cadres and the facilities posyandu to coverage of weighing in posyandu Padang City in 2012. The study design was cross-sectional.
The results the average D/ S in 2012 66,01% and propostion hight coverage of weighing 52,4 %. Education, Length of work, knowledge, training, perception, number of cadres and facilities posyandu significantly associated with coverage of weighting underfive children. Need training of cadres and increasing the number of cadres and facility.
ABSTRAK Peran kader kesehatan sebagai ujung tombak di bidang kesehatan sudah mulai menurun ditandai dengan pemanfaatan posyandu hanya sebesar 13% dan 14% kategori posyandu Purnama dan Mandiri . Sehingga dilakukan penelitian untuk analisis hubungan peran kader pada UKBM di posyandu berdasarkan 2 (dua) kriteria yakni kriteria kontekstual kelurahan dan kriteria Malcolm Baldrige, untuk mendapatkan dari sisi mana dari keduanya yang dapat mempercepat peningkatan peran kader kesehatan. Penelitian dengan 159 kader dari 32 posyandu. Uji yang digunakan dengan Chi Square untuk melihat hubungan yang ada pada 7 (tujuh) kriteria kontekstual kelurahan dan 7 (tujuh) kriteria Malcolm Baldrige. Kemudian Analisis Regresi Linier Ganda digunakan untuk melihat hubungan antara satu variabel dengan beberapa variabel terkait sesuai dengan tujuan dan kerangka konsep. Hasilnya, dari beberapa uji hubungan antara tingkat partisipasi masyarakat dengan tingkat kematangan masyarakat, tingkat kematangan dengan tingkat kendali masyarakat, tingkat kendali masyarakat dengan kader sebagai agent of changes, kader sebagai agent of changes dengan motif keberdayaan, motif keberdayaan dengan kepemilikan masyarakat dalam upaya pembangunan, kesemuanya memiliki hubungan yang signifikan antara kedua variabel. Sedangkan variabel keterlibatan berbagai stakeholders memiliki hubungan yang signifikan atas tingkat partisipasi, peran kader sebagai agent of changes, kepemilikan masyarakat dalam upaya pembangunan, dan tingkat kematangan keberdayaan. Pada kriteria Malcolm Baldrige ada hubungan yang signifikan antara kepemimpinan dengan rencana strategis dan desain program sesuai kebutuhan. Ada hubungan yang signifikan antara Kepemimpinan, desain program sesuai kebutuhan, manajemen pelayanan dan kapasitas SDM dengan fokus pada hasil. Peningkatan peran kader pada UKBM dalam program gizi dan KIA diperlukan pembenahan Pokja (kelompok Kerja) yang telah dibentuk untuk lebih mempertegas kembali tugas pokok dan fungsi lintas sektor terkait, sehingga dapat terlaksana dengan baik peran kader kesehatan dalam program gizi dan KIA.
ABSTRACT The role of health as a vanguard cadre of health has begun to decline marked by posyandu utilization of only 13% and 14% posyandu Purnama and Mandiri categories. So the research on the analysis of the role of volunteers in UKBM in posyandu by 2 (two) criteria and the criteria of contextual urban Malcolm Baldrige criteria, to get from which side of the two that can accelerate the increase in the role of health cadres. Study with 159 volunteers from 32 posyandu. Test used by Chi Square to see the relationships that exist in the 7 (seven) villages contextual criteria and 7 (seven) Malcolm Baldrige criteria. Multiple Linear Regression Analysis then used to examine the relationship between the variables associated with some variables in accordance with the objectives and conceptual framework. The result, of some of the test the relationship between the level of community participation with the maturity level, the level of maturity to the level of community control, level control society as an agent of changes cadres, cadres as the motive agent of changes to the empowerment, empowerment motif with local ownership in development, all of which have a significant relationship between the two variables. While the involvement of various stakeholders variables have a significant relationship on the level of participation, the role of volunteers as agents of changes, the ownership of development efforts, and the maturity level of empowerment. In the Malcolm Baldrige criteria no significant relationship between leadership and strategic planning and program design as needed. There is a significant relationship between leadership, program design as needed, service management and capacity building with a focus on results. Enhancing the role of volunteers in UKBM nutrition and MCH programs needed revamping Working Group (working group) which has been formed to further reaffirm the basic tasks and functions across relevant sectors, so that they can perform well in the role of health cadres nutrition and MCH programs.