Factors Influencing the Performance of Posyandu Cadres in Implementing Primary Health Service Integration

Kadek Ayu Indrayani; Ni Made Sri Nopiyani; Luh Seri Ani

doi:10.24198/mkk.v9i1.65780

Factors Influencing the Performance of Posyandu Cadres in Implementing Primary Health Service Integration

Kadek Ayu Indrayani, Ni Made Sri Nopiyani, Luh Seri Ani

Abstract

This study analyzes the factors associated with the performance of Posyandu cadres in implementing integrated primary health care services in Buleleng Regency. Posyandu activities, as part of the primary health care integration, heavily rely on the performance of its cadres, which play a crucial role in ensuring the effectiveness of health programs at the community level. The results of the study show that education, employment status, motivation, facilities, incentives, and training are significantly associated with Posyandu cadre performance, with multivariate analysis revealing an adjusted odds ratio (aOR) of 4.029 for education, 3.543 for employment status, 5.673 for motivation, 5.612 for facilities, 9.435 for incentives, and 16.607 for training, all with significant p-values (p < 0.05). Meanwhile, factors such as length of service, knowledge, supervision, community support, and workload were not significantly associated with cadre performance. The study uses an analytical observational design with a cross-sectional approach, involving 134 Posyandu cadres from three health centers selected using multistage sampling. This research aims to provide insights into the factors influencing cadre performance in the implementation of integrated primary health care services, which can serve as a basis for policy recommendations to enhance program effectiveness. Based on these findings, it is recommended that Posyandu cadres improve the monitoring of nutritional status and health of school-age children and adolescents by involving local village officials or community leaders to strengthen the integration of health programs within the community.

Keywords: Integrated primary health care service, motivation, education, training.

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References

Ahmed, S., Chase, L. E., Wagnild, J., Akhter, N., Sturridge, S., Clarke, A., Chowdhary, P., Mukami, D., Kasim, A., & Hampshire, K. (2022). Community health workers and health equity in low- and middle-income countries: systematic review and recommendations for policy and practice. International Journal for Equity in Health, 21(1), 1–30. https://doi.org/10.1186/s12939-021-01615-y

Arifin, J., Zulkarnain, & Misnaniarti. (2022). Pengaruh Insentif Terhadap Kinerja Kader Posyandu. Jurnal Kesehatan, 13(1), 71–79.

Astuti,DW. (2021). Hubungan Motivasi Dengan Keaktifan Kader Posyandu Pada Masa Pandemi Di Wilayah Kerja Puskesmas Helvetia Kecamatan Medan Helvetia Tahun 2021.;

Azis, A., Rahman, A., Umar, M., & Latoki, L. (2019). Pengaruh Fasilitas, Kemampuan dan Disiplin Kerja terhadap Kinerja Pegawai Kantor Kecamatan Tinombo Kabupaten Parigi Moutong. Jurnal Ekonomi, 7(2), 30–41.

Bhatt, N., Chitranshi, J., & Mehta, M. (2022). Testing Herzberg’s two factor theory on millennials. Symbiosis Institute of Management Studies, 22, 231–236. https://doi.org/10.18137/cardiome-try.2022.22.231236

Chipukuma, H. M., Zulu, J. M., Jacobs, C., Chongwe, G., Chola, M., Halwiindi, H., Zgambo, J., & Michelo, C. (2018). Towards a framework for analyzing determinants of performance of community health workers in malaria prevention and control : a systematic review. Human Resources for Health, 16(22), 1–16.

Coenraad, D., H, N., & UWS., A. (2020). Pengaruh Motivasi Intrinsik Dan Ektrinsik Terhadap Kinerja Kader Posyandu. Makro J Manaj Dan Kewirausahaan., 5(1), 46–59. https://doi.org/10.36467/makro.2020.05.01.04

Handayani, Rohmi., & Nuryani, S. (2022). Hubungan Karakteristik Dengan Kinerja Kader Posyandu Dalam Pemantauan Tumbuh Kembang Balita. Jurnal Bina Cipta Husada Vol. Xviii No. 1 Januari 2022 151.

Herzberg, F. (1966). Work and the Nature of Man. World Publishing.

I. Gede, A. Y. U., I. Gusti, N. A. J. S., Lie, J. M. J. (2020). Internet di Dinas Kesehatan Provinsi Bali Dengan Menggunakan Hierarchical Token Bucket.

Irianty, H., Agustina, N., & Sulistiyawati, R. (2017). Faktor-faktor yang berhubungan dengan kinerja kader posyandu balita di wilayah kerja Puskesmas Tambarangan Kabupaten Tapin. Dinamika Kesehatan Jurnal Kebidanan Dan Keperawatan, 8(1), 93–102.

Kemenkes. (2023). Integrasi Layanan Primer Melalui Posyandu.

Kemenkes RI. (2011). Pedoman Umum Pengelolaan Posyandu. Kementerian Kesehatan RI.

Kemenkes RI. (2023). Keputusan Menteri Kesehatan Republik Indonesia Nomor HK.01.07/MENKES/2015/2023 Tentang Petunjuk Teknis Integrasi Layanan Kesehatan Primer. Kemenkes RI.

Khoirurrahman, R., & Haryana. (2022). “Pengaruh Pelatihan Terhadap Motivasi, Kompetensi Dan Kinerja Peserta Pelatihan PT. Daya Artha Mulia.” Jurnal Administrasi Dan Manajemen, 12(3), 255–267.

Mangkunegara, A. P. (2020). Manajemen Sumber Daya Manusia Perusahaan. Bandung: PT. Remaja Rosdakarya.

Marini, I., Prakoso, A. D., & Hutagaol, E. K. (2023). Faktor yang berhubungan dengan kinerja kader dalam upaya pelaksanaan program posyandu balita. Journal of Nursing Practice and Education, 4(1), 16–22. https://doi.org/10.34305/jnpe.v4i1.815

Musmiler, E. (2020). Faktor-faktor yang Mempengaruhi Kinerja Kader Dalam Pelayanan Posyandu Di Jorong Lubuk Gadang Selatan Wilayah Kerja Puskesmas Rawatan Lubuk Gadang. Jurnal Amanah Kesehatan, 2(1), 126–133.

Notoatmodjo, S. (2015). Metodologi Penelitian Kesehatan. Rineka Cipta.

Nursyahputri, S. R., & Saragih, H. R. (2019). “Pengaruh Pelatihan Terhadap Prestasi Kerja Karyawan Pada Unit Hcbp Pt Telekomunikasi Indonesia (Tbk).” Jurnal. Ecodemica: Jurnal Ekonomi, Manajemen, Dan Bisnis, 3(2), 238–247.

Prastyo, E. B., & Sudiro, A. (2019). “Pengaruh Pelatihan Terhadap Kinerja Karyawan Di Mediasi Oleh Motivasi Kerja.” Journal of Business and Innovation Management, 5(1), 1–17.

Putri, A. A. S., Khaer, D. M., Kurniawati, & Maliki., B. I. (2024). Pengaruh Motivasi, Dan Disiplin Terhadap Kinerja Kader Posyandu Di Wilayah Desa Pangulah Utara Kecamatan Kotabaru Kabupaten Karawang Tahun 2024. Jurnal Sains Dan Teknologi Volume 6 No. 1 | Juni 2024 |pp: 180-185 E-ISSN : 2714-8661 | DOI : Https://Doi.Org/10.55338/Saintek.V6i1.3365.

Raniwatia, L., Ernawati., Sari., N. I., Sari., D. E. A., & . H. A. (2022). Faktor-Faktor Yang Mempengaruhi Kinerja Kader Dalam Pelaksanaan Kegiatan Posyandu Di Wilayah Kerja Puskesmas Anak Air Kota Padang. Jurnal Indonesia Kebidanan, 6(2), 106–117.

Riyanto, A., Askafi, E., & Mutiara, N. (2023). “Pengaruh Pelatihan Dan Pengembangan Karier Terhadap Sikap Pegawai Dan Implikasinya Pada Kepuasan Kerja Dan Komitmen Organisasional Di KPP Pratama Pare.” 4(1), 88–100.

Robbins, S. P., & Judge, T. A. (2019a). Organizational Bahavior (13th ed.). Pearson International Edition.

Robbins, S. P., & Judge, T. A. (2019b). Perilaku Organisasi. Jakarta: Salemba Empat.

Rosid, S., Rahim, F. K., & Sudasman, F. H. (2021). Analisis Faktor Yang Berhubungan Dengan Kinerja Kader Kesehatan Tuberkulosis Di Kabupaten Kuningan Pada Saat Pandemi Covid-19 Tahun 2020. Journal of Public Health Innovation, 2(1), 22–37. https://doi.org/10.34305/jphi.v2i1.345

Sendiyawati, F. (2022). Faktor yang Berhubungan dengan Kinerja Kader dalam Meningkatkan Partisipasi Masyarakat Berkunjung ke Posyandu Wilayah Kerja Puskesmas Jelbuk Kabupaten Jember. https://repository.unej.ac.id/handle/123456789/108119?show=full.

Thant, Z. M., & Chang, Y. (2020). Determinants of Public Employee Job Satisfaction in Myanmar : Focus on Herzberg’s Two Factor Theory. Public Organiz Re, 21, 157–175. https://doi.org/https://doi.org/10.1007/s11115-020-00481-6

WHO. (2020). What Do We Know About Community Health Workers? A Systematic Review of Existing Reviews.

Wulansari, B. H. (2023). Dampak Penguatan Layanan Kesehatan Primer Negara Thailand: Literature Review. Syntax Literate: Jurnal Ilmiah Indonesia, 5(6), 1–14.

DOI: https://doi.org/10.24198/mkk.v9i1.65780