PERAN STRATEGIS DAN DINAMIKA TANTANGAN KADER POSYANDU DALAM IMPLEMENTASI INTEGRASI LAYANAN PRIMER (ILP) BAGI ANAK, IBU HAMIL, DAN LANSIA DI DESA WINONGLOR

Adi Suwondo; Nur Maulidina Zahrotul Afiyah; Amirotul Khalimah; Anggun Kirana Zahra Fauzia; Amalia Rosyadah; Muthi' Fauziyah; Akmal Varras Amrulloh; Muhammad Lutfan Hakim; Amelia Khodijah; Laila Nur Arifah; Syaif Khulaidatun Nasywa; Muhammad Aditiya Ragil Saputra; Muhammad Albaz Ulumudin; Hanif Kurniawan; Fardan Khoirul Anam; Slamet Wahyu Asih

Authors

Adi Suwondo Universitas Sains Al-Qur’an
Nur Maulidina Zahrotul Afiyah Universitas Sains Al-Qur’an
Amirotul Khalimah Universitas Sains Al-Qur’an
Anggun Kirana Zahra Fauzia Universitas Sains Al-Qur’an
Amalia Rosyadah Universitas Sains Al-Qur’an
Muthi' Fauziyah Universitas Sains Al-Qur’an
Akmal Varras Amrulloh Universitas Sains Al-Qur’an
Muhammad Lutfan Hakim Universitas Sains Al-Qur’an
Amelia Khodijah Universitas Sains Al-Qur’an
Laila Nur Arifah Universitas Sains Al-Qur’an
Syaif Khulaidatun Nasywa Universitas Sains Al-Qur’an
Muhammad Aditiya Ragil Saputra Universitas Sains Al-Qur’an
Muhammad Albaz Ulumudin Universitas Sains Al-Qur’an
Hanif Kurniawan Universitas Sains Al-Qur’an
Fardan Khoirul Anam Universitas Sains Al-Qur’an
Slamet Wahyu Asih Universitas Sains Al-Qur’an

Keywords:

Community Empowerment, Integrated Primary Services, Primary Health Care, Village Health

Abstract

The transformation of community-based primary health services through the Integrated Primary Services (ILP) policy has positioned posyandu as a strategic entry point for comprehensive health care across the life cycle. This study aims to analyze the strategic roles and implementation challenges of posyandu cadres in delivering ILP services for children, pregnant women, and the elderly in Winonglor Village. A qualitative case study approach was employed to capture in-depth and contextual insights into the dynamics of ILP implementation at the village level. Data were collected through in-depth interviews, participant observation, and documentation involving posyandu cadres, village midwives, health center staff, village officials, and service users. The findings indicate that ILP implementation has expanded the role of cadres from technical facilitators into key actors in community mobilization, health communication, early detection, and data integration. Community participation showed encouraging results, with 59 out of 78 registered children attending posyandu activities, alongside the initial involvement of productive-age groups and elderly participants. However, the implementation also faces multidimensional challenges, including limited human resources, increasing workload, data management complexity, and socio-cultural barriers affecting service utilization. Overall, posyandu ILP in Winonglor Village reflects a transition toward a more holistic and participatory primary health care model, although it remains in an early adaptation phase. Strengthening cadre capacity, administrative systems, and cross-sectoral coordination is essential to ensure sustainable and equitable primary health services at the community level.

References

Abdussamad, H. Z., & Sik, M. S. (2021). Metode penelitian kualitatif. CV. Syakir Media Press.

Cicih, L. H. M., & Agung, D. N. (2022). Lansia di era bonus demografi. Jurnal Kependudukan Indonesia, 17(1), 1–14.

Dian, S. (2023). Peranan Kader Posyandu Sebagai Upaya Peningkatan Partisipasi Masyarakat Dalam Kegiatan Posyandu:(Studi Kasus Posyandu Melati 2 Kelurahan Gunungsari Kecamatan Dukuh Pakis Kota Surabaya Jawa Timur). PRAJA Observer: Jurnal Penelitian Administrasi Publik (e-ISSN: 2797-0469), 3(06), 49–57.

Fauziah, F., Riana, R. I., Ramadhany, A. N. C., Gorap, S. I., & Purba, A. A. (2025). Kepuasan Lansia Terhadap Pemeriksaan Kesehatan di Yayasan Batara Hati Mulia Gowa. HealthSense: Journal of Public Health Perspective, 2(1), 1–7.

Hamduna, A., Oktoviani, S., Wati, D. G., Salsabila, A. A., Salahuddin, S., Amalia, T., Amiluddin, L. A. A., Sahrizal, M., & Al Afgani, N. (n.d.). Pengantar Ilmu Kesehatan Masyarakat. CV Edu Akademi.

Heryunanto, D., Putri, S., Izzah, R., Ariyani, Y., & Herbawani, C. K. (2022). Gambaran Kondisi Kekurangan Energi Kronis Pada Ibu Hamil Di Indonesia, Faktor Penyebabnya, Serta Dampaknya. PREPOTIF: Jurnal Kesehatan Masyarakat, 6(2), 1792–1805.

Karwur, C. E. T. (2024). Pemenuhan hak memperoleh kesehatan ditinjau dari pasal 28 h ayat 1 undang–undang dasar negara republik indonesia tahun 1945. Lex Privatum, 13(2).

Komnas, H. A. M. (2021). Standar Norma dan Pengaturan Nomor 4 tentang Hak atas Kesehatan. Komnas HAM.

Mait, T. O., Rosyidah, R., & Sulistyawati, S. (2025). Evaluasi Kesiapan Promkes dalam Impelementasi Program Integrasi Layanan Primer (ILP) di Puskesmas. Jurnal Penelitian Inovatif, 5(1), 133–140.

Martony, O. (2023a). Stunting di Indonesia: Tantangan dan solusi di era modern. Journal of Telenursing (JOTING), 5(2), 1734–1745.

Martony, O. (2023b). Stunting di Indonesia: Tantangan dan solusi di era modern. Journal of Telenursing (JOTING), 5(2), 1734–1745.

Nurnaeni, N., & Bachri, S. (2024). Peran Hukum dalam Menjamin Hak atas Kesehatan: Analisis Perlindungan Hukum bagi Pasien di Indonesia. Jurnal Berita Kesehatan, 17(2), 58–69.

Rahman, H. (2025). Hak Atas Kesehatan Sebagai Hak Yang Tidak Dapat Dibatasi Oleh Negara Beserta Implikasinya Dalam Program Jaminan Kesehatan Nasional (JKN). MADANIA Jurnal Hukum Pidana Dan Ketatanegaraan Islam, 15(2), 11–20.

Rohmah, N. S., & Oktaviana, I. W. (2025a). Integrasi Layanan Primer (ILP) Kesehatan dan Posyandu: Mendorong Pemberdayaan Perempuan di Desa Kaligawe. Majalah Ilmiah Dinamika Administrasi (MIDA), 22(1), 81–98.

Rohmah, N. S., & Oktaviana, I. W. (2025b). Integrasi Layanan Primer (ILP) Kesehatan dan Posyandu: Mendorong Pemberdayaan Perempuan di Desa Kaligawe. Majalah Ilmiah Dinamika Administrasi (MIDA), 22(1), 81–98.

Roosinda, F. W., Lestari, N. S., Utama, A. A. G. S., Anisah, H. U., Siahaan, A. L. S., Islamiati, S. H. D., Astiti, K. A., Hikmah, N., & Fasa, M. I. (2021). Metode penelitian kualitatif. Zahir Publishing.

Safarudin, R., Zulfamanna, Z., Kustati, M., & Sepriyanti, N. (2023). Penelitian kualitatif. Innovative: Journal Of Social Science Research, 3(2), 9680–9694.

Sarjito, A. (2024). Free nutritious meal program as a human resource development strategy to support national defence. International Journal Administration, Business & Organization, 5(5), 129–141.

Susiloningtyas, L., Cahyono, A. D., & Zeho, F. H. (2025). Pemberdayaan Kader Dalam Sistem Manajemen Pelayanan Kesehatan Posyandu Integrasi Layanan Primer (Ilp): Empowerment Of Cadres In The Posyandu Health Service Management System Integrated Primary Services (Ilp). Jurnal Abdimas Pamenang, 3(2), 168–176.

Tupriliany Danefi, S. S. T. (2020). Literature review anemia dan kurang energi kronik (KEK) pada ibu hamil sebagai salah satu faktor penyebab stunting pada bayi balita. Jurnal Seminar Nasional, 2(01), 54–62.