The Problems Affecting the Implementation of Posyandu Program: A Literature Review

Abstract

Integrated Health Post for Child Center/Pos Pelayanan Terpadu (Posyandu) is a form of community-based health program carried out by, from, and along with the community to empower and provide facilities for the community to obtain health services for mothers, babies, and toddlers. Posyandu activities include: KIA, family planning, immunization, nutrition, diarrhea prevention. Posyandu in Indonesia still faced several problems. This study aimed at investigating the problems that affect the implementation of Posyandu program and actions to improve Posyandu program services. The method used in this study was literature review. The literatures used in this study were the search results through national and international journals. National includes google scholar [https://scholar.google.co.id/] and international includes Pubmed [https://www.ncbi.nlm.nih.gov/pubmed] with the keyword “Problems and Posyandu Program” published in 2016-2020. Based on the search results, 8 national and 2 international articles related to the topic and in accordance with the inclusion and exclusion criteria were found. The results of 10 literature reviews show there are several fundamental problems of Posyandu program in Indonesia, namely: 1) the low role of Posyandu cadres; 2) the lack of understanding on the benefit of Posyandu program; 3) The lack of participation in Posyandu activities; 4) The lack of facilities and infrastructure for Posyandu activities; and 5) the lack of cross-program and cross-sector cooperation. In addition, there are 5 actions needed to solve the problems. The first action is to conduct a training program for Posyandu cadres. The second one is to conduct regular outreach at Posyandu for mothers and families by trained cadres. The third one is to improve the facilities and infrastructure in Posyandu. The fourth one is to provide both material and immaterial incentives for an active Posyandu’s cadre. Lastly, the fifth action is to increase advocacy efforts to related parties. Posyandu program are still facing problems affecting its implementation. Therefore, the posyandu revitalization actions are needed. The main key lies in increasing cadres' capacity through training.

The Relationship Between Utilization of Health Service Center (Posyandu) and the Nutritional Status of Infants during the Pandemic

“…Posyandu regularly every month. Mothers not bringing their children to the Posyandu can be due to several problems with the health facilities available at the Posyandu and the lack of activities at the health center, so the mothers are not interested in bringing their children to the posyandu [10].…”

Kunjungan Posyandu Terhadap Kunjungan Berobat Di Puskesmas Kota Bengkulu

“…Hasil penelitian menunjukkan bahwa peran Puskesmas sebagai gatekeeper dapat menurunkan pemanfaatan layanan kesehatan sampai 78% dan pengeluaran lebih rendah sampai 80% (Garrido et al, 2011). Tingkat rujukan yang rendah dapat menjadi cerminan sistem pelayanan primer sektor publik yang efektif dan peran gatekeeper melalui sistem rujukan namun tidak mencegah pasien menggunakan cara alternatif lain untuk mengakses pelayanan di rumah sakit, seperti mendapatkan (Suparto et al, 2022).…”

Implementation Analysis of the Youth Posyandu Program in Pekalongan City

“…The Indonesian Republic Minister of Health Regulation No. 25 of 2014 states that every child must have the ability to live a clean and healthy lifestyle, healthy living skills, and social skills so that they can learn, grow, and develop harmoniously and optimally to become quality human resources (Kemenkes RI, 2014, 2018cNurhidayah et al, 2019;Suparto et al, 2022;Yustanta et al, 2020).…”