ABSTRACT Health development aim to for increase the awareness, willingness and ability of healthy life for every people in order to existed by degree of health of society which at the farthest as well as representing of human rights being, what require to be fought for by each and everyone, socialize, inclusive of related/relevant part?s Integrated Health Post (Posyandu) represent to exist reality strive of community based health effort, having principle from, by and to community. Self reliant of Posyandu can only be reached with the improvement participate each; every element community exist in the region and motorized by cadre Posyandu. Factor influence role of cadre in improving self reliant of Posyandu for example cadre characteristic, others factor consisted of financing and construction and local policy to supporting execution of activity of Posyandu in the region. This research use approach qualitative to dig circumstantial information hit factor influencing the cadre role in improving independence Posyandu in region Public Health Center (PHC) Karang Kitri, Sub district of East Bekasi, District Bekasi by focus group discussion and others have from through in-depth interview conducted for builder coming from PHC, Leader of PKK, and chief of RW as elite figure of community. Informants in focus group discussion amount to 40 from 8 chosen Posyandu and represent cadre Posyandu have worked to become cadre during > 5 year. Result obtained there's only 2 self-reliant of Posyandu exist in region work CHC Karang Kitri. Characteristic factor of cadre have important influence in cadre lifelines execute activity Posyandu. Generally cadre age range from 31-60 year. Cadre old (aging) can only conduct balance activity, what have the low education of Faktor yang mempengaruhi..., Darmayanti, FKM UI, 2007 indigent do counseling. While cadre residence distance not have an effect on their activity execute in Posyandu, because they work voluntarily. This research concluded that active role of cadre in given the task to improve the development of the quality operational of activity Posyandu and to move community effort potency exist in this area of Posyandu. Others factor, availability of facility Posyandu, resources from community, including defrayal, to build and guidance by technical worker, joint responsibility among stakeholders as like as chief of RW as elite figure in community, community organization (PKK), and the local policy in this area. As potential human resources, cadre Posyandu have duty assist provider in collecting of data, surveillance in community health and to move empowering community participate. Finally, make-up of performance and quality of Posyandu will push reaching of self-reliant of that Posyandu itself.

Fungsi posyandu bagi masyarakat sasaran adalah sebagai upaya meningkatkan derajat kesehatan, umur harapan hidup, dan status gizi_ Namun, dari hasil pemantauan perkembangan posyandu menunjukkan penurunan mutu kerja yang ditandai dengan meningkatnya jumlah posyandu strata pratama. Kondisi ini terjadi disebabkan kader yang tidak aktif melaksanakan kegiatan posyandu. Keaktifan kader di posyandu sangat menentukan kualitas fungsi dan kinerja posyandu, karena unsur utama dalam pelayanan posyandu adalah kader. Berkaitan dengan hasil tersebut di atas penelitian ini mencoba untuk mengetahui faktor-faktor apa saja yang patut diduga berhubungan dengan keaktifan kader posyandu atau penurunan aktivitas kader posyandu. Tujuan penelitian ini adalah untuk menjawab apakah ada hubungan antara keaktifan dengan faktor-faktor : umur, pendidikan, status perkawinan, pengetahuan, sikap, motivasi, pelatihan, penghargaan, insentif, dan peran TP-PKK. Penelitian ini bersifat penelitian deskriptif dengan rancangan cross sectional. Instrumen utama yang digunakan separangkat kuesioner. Responden penelitian adalah seluruh kader yang ada dan sedang melaksanakan pelayanan posyandu yang berjumlah 150 orang kader aktif dari seluruh posyandu yang ada di kecamatan Teluk betung Barat Kota Bandar Lampung, sebagai populasi yang diteliti sekaligus merupakan sampel penelitian. Analisa data dengan menggunakan program SPSS versi 10.0.Analisis univariat untuk distribusi frekuensi dan analisis bivariat dengan menggunakan uji statistik, uji Chi Square untuk mengetahui hubungan antara variabel independen dengan variabel dependen. Hasil penelitian, berkaitan dengan kehadiran kader posyandu di kecamatan Teluk betung Barat ternyata 66,7% kader posyandu aktif melakukan kegiatan posyandu yang diadakan. Sedangkan hasil analisis terhadap faktor-faktor yang berhubungan dengan keaktifan kader, didapatkan enam faktor yang secara statistik terbukti berhubungan secara bermakna/signifikan yaitu umur, pendidikan, pengetahuan, sikap, pelatihan dan TP-PKK. Disarankan kepada institusi pembina posyandu di kelurahan/kecamatan bahwa semua posyandu dapat memiliki kader yang mampu aktif dan melakukan kegiatan posyandu apabila memilih calon kader yang berusia lebih dan 35 tahun, berpendidikan minimal SMP, diberikan pelatihan untuk meningkatkan pengetahuan dan keterampilannya, pembinaan dan bimbingan oleh TP-PKK setiap bulan untuk mempertahankan sikap, motivasi kerja, dan semangat kerja kader posyandu. Untuk mendapatkan gambaran yang lebih komprehensif lagi terhadap faktor-faktor yang berhubungan dengan keaktifan kader sekiranya perlu dilakukan penelitian terhadap faktor-faktor lainnya dengan rancangan yang berbeda dan kelompok sampel yang lebih banyak/ lebih luas.

Factors Related to The Activity of Posyandu Cadres at Teluk Betung Barat Subdistrict of Bandar Lampung CityThe main function of posyandu for the target community is to improve health quality, life expectancy, and nutrition. The monitoring of the development of quality performance of posyandu showed that there was a decline of the performance quality of posyandu indicated by the increasing number first strata posyandu. This might be caused by the inactivity of the cadres in implementing posyandu services, while in fact the cadre absences is very influential in determining the quality of posyandu performance because the cadres are the main element of the posyandu services. This research attempts to identify what factors than can be assumed to correlate with the activity of posyandu cadres and factors that might hinder the cadre activities. The main objective of the research is to answer the question whether there are any correlations between the cadre performances, and factors such as age, education, marital status, knowledge, attitude, motivation, training, incentive, award, and TPPKK. This research is a descriptive analysis using cross-sectional design. The main instrument used to gather the data is a set of questionnaires. The respondents are all available cadres who are still in posyandu services. The number of respondent is [50 cadres from all posyandus in Telukbetung Barat Sub-District of Bandar Lampung city who function both as the population as well as the sample. The data were analyzed using Efi Info version 6.4 and SPSS version 10.0. Univariate analysis for frequency distribution and bivariate analysis using Chi Square Correlations in order to find out whether there are any correlations between the independent variables and the dependent variable. The results show that in relation to the general performance of the posyandu cadres in Teluk Betung Sub-District, 66,7% of the posyandu does have absence cadres to provide services for the community. Statistical analyses show that there are five factors that correlate significantly with the cadre performance. The factors are: age, school, knowledge, attitude, training, and TP-PKK. It is recommended that the institutions in charge of managing the posyandus in villages and sub districts to provide the posyandu with cadres aged over 35 years, organizing trainings to develop the skills and knowledge of the cadres, supporting 1P-PICK every month to maintain the cadres attitude, and enhancing the motivation and working spirits of the cadres. In order to get a more comprehensive picture of the factors related to the performance of the cadres, it is also suggested that other research studies with different research design with bigger and wider groups off samples be conducted.