| dc.description.abstract | The Posyandu, as the frontline of community-based health services, is currently
being revitalized through the implementation of the Integrated Primary Care
Services (ILP). Although the transformation of primary care services at the
puskesmas and its network has progressed, its implementation continues to face
various challenges. This study aims to examine the implementation of ILP posyandu
in the working area of Puskesmas Lalang, Medang Deras Subdistrict, Batubara
Regency, and to assess the input, process, and output components, as well as the
challenges encountered.This research employed a qualitative design with a case
study approach. Eight informants were selected using purposive sampling, ensuring
their relevance to the research objectives. Data were collected through in-depth
interviews, observations, and document reviews, and analyzed using the Miles and
Huberman interactive model.The findings show that ILP posyandu implementation
remains partial and uneven. Although life-cycle services have been initiated, the
tiered integrated system between the puskesmas, auxiliary health posts, and
posyandu has not been optimally established. Coordination of recording and
reporting, as well as the use of digital systems, remains limited. In terms of input,
challenges stem from limited health personnel, insufficient cadre skills, inadequate
funding, and incomplete facilities such as posyandu buildings and cadre kits. In
terms of process, posyandu activities follow the five-table workflow with life-cycle
services, but coverage remains inconsistent across target groups, particularly
adolescents. In terms of output, posyandu attendance increased following ILP
implementation, although home visit coverage remains low. Services meet
standards but remain suboptimal for adolescents and the elderly. Key challenges
include the complexity of the integrated system, limited resources, and low
community participation. Strengthening cadre capacity, increasing village funding
support, improving infrastructure, optimizing digital system utilization, and
enhancing community engagement are necessary to ensure the sustainability of the
ILP program. | en_US |
