Empowering Communities, Transforming Health: A Simulation-Based Approach to Optimizing Posyandu Management
DOI:
https://doi.org/10.62255/noval.v3i1.180Abstract
Community-based Posyandu (Integrated Health Posts) programs are vital for improving public
health outcomes in underserved areas, yet many face challenges such as low participation and
resource limitations. This study employed a simulation-based approach to evaluate strategies for
enhancing Posyandu effectiveness, focusing on three key interventions: empowering health cadres
and community leaders, adjusting schedules to align with community needs, and adding
supplementary services such as maternal health consultations and child nutrition checks. The results
demonstrated that supplementary services had the most significant impact, increasing participation
rates to 75%, followed by community mobilization (60%) and flexible scheduling (55%). These
findings highlight the importance of offering value-added services, fostering trust through local
leaders, and ensuring inclusivity through adaptable schedules. Continuous health education further
reinforced awareness and voluntary participation. However, challenges such as resource allocation,
training, and scalability remain critical. Leveraging digital tools like mobile applications and
electronic health records offers innovative solutions to streamline operations and enhance efficiency.
The study concludes that a holistic, community-driven approach is essential for strengthening
Posyandu programs, ensuring equitable access to quality healthcare while remaining adaptable to
diverse contexts.
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Keywords:
Posyandu, community-based management, health participation, supplementary services simulationReferences
Alam, S., & Bahar, B. (2021). Interventions in Nutrition Education for Improving the Performance
of Integrated Health Care. Al-Sihah: The Public Health Science Journal.
https://doi.org/10.24252/al-sihah.v13i1.21461
Arini, M., & Primastuti, H. I. (2023). Inisiasi Pendirian Posyandu Lansia Jomboran, Sleman Melalui
Pelatihan dan Pendampingan Kader Kesehatan. Poltekita: Jurnal Pengabdian Masyarakat.
https://doi.org/10.33860/pjpm.v4i1.1461
Besada, D., Goga, A., Daviaud, E., Rohde, S., Chinkonde, J., Villeneuve, S., Clarysse, G., Raphaely,
N., Okokwu, S., Tumwesigye, N., Daries, N., & Doherty, T. (2018). Roles played by community
cadres to support retention in PMTCT Option B+ in four African countries: A qualitative rapid
appraisal. BMJ Open, 8. https://doi.org/10.1136/bmjopen-2017-020754
Boyce, M., & Katz, R. (2019). Community Health Workers and Pandemic Preparedness: Current and
Prospective Roles. Frontiers in Public Health, 7. https://doi.org/10.3389/fpubh.2019.00062
Budiana, I., Setiyawati, Y. D., & Hoshitanisita, H. (2022). Comparison of Characteristics of
Posyandu Services During the Covid-19 Pandemic Before and after Revitalization of Posyandu
and Empowerment of Cadres through Integrated Program. BIO Web of Conferences.
https://doi.org/10.1051/bioconf/20225400014
Chuah, F. L. H., Srivastava, A., Singh, S., Haldane, V., Koh, G. C. H., Seng, C., McCoy, D., &
Legido-Quigley, H. (2018). Community participation in general health initiatives in high and
upper-middle income countries: A systematic review exploring the nature of participation, use
of theories, contextual drivers and power relations in community participation. Social Science
& Medicine, 213, 106–122. https://doi.org/10.1016/j.socscimed.2018.07.019
Dewi, R., & Anisa, R. (2018). The Influence of Posyandu Cadres Credibility on Community
Participation in Health Program.
, 83–92.
https://doi.org/10.26623/THEMESSENGER.V10I1.596
Efendi, D., & Ismaniar, I. (2021). Correlation Between Interest With Participation of Toddlers
Mothers in the Activities of the Posyandu. SPEKTRUM: Jurnal Pendidikan Luar Sekolah
(PLS). https://doi.org/10.24036/spektrumpls.v9i3.113796
Ekowati, D., Hofstee, C., Praputra, A., & Sheil, D. (2016). Motivation Matters: Lessons for REDD+
Participatory Measurement, Reporting and Verification from Three Decades of Child Health
Participatory Monitoring in Indonesia.
PLoS ONE,
https://doi.org/10.1371/journal.pone.0159480
Fajriani, I., Kasim, S., & Sarmadan. (2024). Elderly Posyandu Services in Improving the Quality of
Life of the Elderly at the Mekar Health Center Kendari City. Well-Being: Journal of Social
Welfare. https://doi.org/10.52423/wjsw.v5i1.6
Gayatri, M., Kusumaningtyas, D., Pramesti, L. D., & Karomah, S. (2022). Faktor Pemungkin dan
Penguat Perilaku Ibu Membawa Anaknya ke Pos Pelayanan Terpadu (Posyandu). Journal of
Issues in Midwifery. https://doi.org/10.21776/ub.joim.2022.006.03.2
Gunawan, R., Fitriani, A., Siregar, D. M., Asrul, A., Siregar, D., & Sugito, S. (2023). Penguatan
Posyandu dalam Pencegahan Stunting Melalui Deteksi Dini Berbasis Aplikasi dan
Pendampingan Wirausaha di Sumatera Utara. Journal of Dedicators Community.
https://doi.org/10.34001/jdc.v7i1.3765
Kayubi, K., Priyanto, P., & Ruswadi, I. (2021). Penerapan Media Pendidikan Kesehatan Terintegrasi
Di Pos Pelayanan Terpadu (Posyandu) Madya Dalam Meningkatkan Cakupan Pelayanan.
SAFARI?:Jurnal Pengabdian Masyarakat Indonesia. https://doi.org/10.56910/safari.v1i1.161
Kiswati, W., Titisari, I., & Aisyah, S. (2022). Elderly Participation in Elderly POSYANDU in
Relationship with Family Support. Jurnal Ners Dan Kebidanan (Journal of Ners and
Midwifery). https://doi.org/10.26699/jnk.v9i1.art.p105-111
Maghfiroh, S. A., & Wulandari, R. (2022). EVALUATION OF POSYANDU INFORMATION
SYSTEMS USING THE HEALTH METRIC NETWORK MODEL. The Indonesian Journal
of Public Health. https://doi.org/10.20473/ijph.v17i3.2022.439-450
Mahadewi, E. P., Purnama, S., Tamzil, F., Mustikawati, I. S., Hilmy, M. R., & Nurmawaty, D.
(2023). Family Communication Literacy Education and Social Marketing in Health Center West
Java Indonesia.
International Journal Of Community Service.
https://doi.org/10.51601/ijcs.v3i3.204
Marshall, D., Burgos-Liz, L., IJzerman, M., Osgood, N., Padula, W., Higashi, M., Wong, P.,
Pasupathy, K., & Crown, W. (2015). Applying dynamic simulation modeling methods in health
care delivery research-the SIMULATE checklist: Report of the ISPOR simulation modeling
emerging good practices task force. Value in Health?: The Journal of the International Society
for Pharmacoeconomics and Outcomes Research,
1, 5–16.
https://doi.org/10.1016/j.jval.2014.12.001
Marwati, A., & Hanum, N. N. (2021). FLEKSIBILITAS INTERIOR DALAM MENUNJANG
SIFAT TEMPORARITY PADA RUANG POSYANDU.
RUSTIC.
https://doi.org/10.32546/rustic.v2i1.1748
Maulana, M. R., Rahayu, R., Firdiasari, S., & Hartianti, S. (2024). Kesadaran Masyarakat Akan
Kesehatan Anak Balita Melalui Posyandu Di Desa Mekarasih. Jurnal Pengabdian Kepada
Masyarakat Abdi Putra. https://doi.org/10.52005/abdiputra.v4i1.177
Nazri, C., Yamazaki, C., Kameo, S., Herawati, D., Sekarwana, N., Raksanagara, A., & Koyama, H.
(2015). Factors influencing mother’s participation in Posyandu for improving nutritional status
of children under-five in Aceh Utara district, Aceh province, Indonesia. BMC Public Health,
https://doi.org/10.1186/s12889-016-2732-7
Novitasari, A., & Rohmani, A. (2024). Embracing The Vanguard Role: Obstacles Faced by Health
Cadres in Fulfilling Societal Responsibilities. Jurnal Promosi Kesehatan Indonesia.
https://doi.org/10.14710/jpki.19.2.81-92
Pangestuti, R., Dewi, Y. L. R., & Sulaeman, E. (2020). Contextual Factors of Posyandu on Cadre
Performance in Providing Maternal and Child Health Service in Surakarta, Central Java. 5,
–34.
Pelaksanaan program imunisasi BCG terhadap partisipasi masyarakat di Posyandu Seroja. (2023).
Tropical Public Health Journal. https://doi.org/10.32734/trophico.v3i1.11385
Puspitaningarti, D. A., Ngarawula, B., & Wahyudi, C. (2024). Community Social Behavior Toward
Posyandu. KnE Social Sciences. https://doi.org/10.18502/kss.v9i26.17068
Rahimah, S., Muflihan, H., Indriyanti, R., Dewi, M. K., Andriane, Y., Kuswardiyah, K. F., Wijaya,
C. H., Aistu, A. F., Farihah, S. R., & Wibowo, P. A. (2023). Feature of the Knowledge of the
Posyandu Cadre School Participants Based on the Pattern of the Material Provided. KnE Social
Sciences. https://doi.org/10.18502/kss.v8i18.14250
Rifkin, S. (2014). Examining the links between community participation and health outcomes: A
review of the literature. Health Policy and Planning, 29. https://doi.org/10.1093/heapol/czu076
Rinawan, F., Faza, A., Susanti, A., Purnama, W. G., Indraswari, N., Didah, D., Ferdian, D., Fatimah,
S. N., Purbasari, A., Zulianto, A., Sari, A. N., Yulita, I., Rabbi, M. F. A., & Ridwana, R. (2022).
Posyandu Application for Monitoring Children Under-Five: A 3-Year Data Quality Map in
Indonesia. ISPRS Int. J. Geo Inf., 11, 399. https://doi.org/10.3390/ijgi11070399
Rohbisti, C. E., & Agustina, I. F. (2022). The Role of the Community in the Posyandu Program in
Tambakrejo Village.
Indonesian Journal of Public Policy Review.
https://doi.org/10.21070/ijppr.v20i0.1282
Rulaningtyas, R., Maritsa, A. A., Warni, W. E., Soelistiono, S., Ain, K., Amalia, A., Pramulen, A.
S., Zuchruf, Y., Assyarify, H., Widyananda, M. S., & Maulama, M. F. (2020).
IMPLEMENTATION OF ICT BASED PEDIATRIC TELEHEALTH CARE POSYANDU AS
AUTOMATIC MONITOR AND IDENTIFICATION OF INFANT’S GROWTH AND
DEVELOPMENT.
Distributed Computing,
, 38–45.
https://doi.org/10.20473/dc.v2.i1.2020.38-45
Ryall, T., Judd, B., & Gordon, C. (2016). Simulation-based assessments in health professional
education: A systematic review. Journal of Multidisciplinary Healthcare, 9, 69–82.
https://doi.org/10.2147/JMDH.S92695
Safitri, N. R., & Rs, S. (2023). Peningkatan Kualitas Kesehatan Masyarakat Pasca Pandemik Covid-
Melalui Pos Pelayanan Terpadu. Tamkin: Jurnal Pengembangan Masyarakat Islam.
https://doi.org/10.15575/tamkin.v7i1.24415
Samsualam, Agung, A. T., Multazam, Muh., Haeruddin, Nurlinda, A., Yuliaty, & Amir, H. (2023).
The Influence of Elderly Posyandu Management on Health and Quality of Life at the Sinoa
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