¹Ni Kadek Dwi Ardiani,²Wayan Maba,³I Ketut Arnawa,⁴I Wayan Gde Wiryawan

^1,2,3,4MP2WL Postgraduate Program Mahasaraswati Denpasar University Jalan Soka No.41, Kesiman Kertalangu, East Denpasar, Bali

The Sustainable Development Goals (SDGs) at ensuring a healthy lifeand promote well-being for all at all ages. In order to increase public access To quality health services, the World Health Organization introduced Primary Health Care. In Indonesia, the implementation of Primary Health Care was carried out based on community and community participation, namely Posyandu in every sub-district and village areas. This study at explore internal and external factors and to analyze strategies in the implementation of the Posyandu program. The research design used were qualitative and quantitative approaches where purposive sampling was applied to gathered the research subjects. The data was collected through a questionnaire, and then an Focus Group Discussion will be conducted. The data analysis used was theStrengths, Weaknesses, Opportunities, Threatsanalysis which followed by the Quantitative Strategic Planning Matrix analysis. The results showed that the internal and external position factors were in a strong position in the range of 3.00-4.00 which placed the implementation of posyandu in cell I in the internal and external matrix. The alternative strategy that gets the highest score is strategy 1 with a Total Attractive Score of 7.47. The conclusions from the results of the data analysis were: the dominant internal factor as a strength was the availability of cadres during the implementation of Posyandu should consist at least with 5 people, while the weakness found was that they did not have standard operating procedure for the implementation of Posyandu. External factors as the biggest challenges were choosing other health services, while as an opportunity was the policy of the central government by including Posyandu as one of the criteria for Puskesmas to be able to foster active Posyandu. The main priority strategy was to garner support from the business world and traditional leaders. The implication of this research was to socialize it to the business world and traditional leaders related to the Posyandu program to further garner support and cooperation.

Implementation, Integrated Healthcare Center, strategy

1) Aidha, Z. (2017). Analysis of the Implementation of Community Empowerment in Health Promotion Strategies and Its Effect on Community Participation in Prevention of Malnutrition in Toddlers in Helvetia District, Medan. Scientific Journal of Health Research, 1, 43. https://doi.org/10.1017/CBO9781107415324.004

2) Amrina, AF, Ramadhan, BF, Amar, NK, Fauzi, IA, & Levi, S. (2020). Implementation of Posyandu Activities during the COVID-19 Pandemic as an Effort to Fulfill the Rights of Toddlers and Pregnant Women in accordance with the recommendations of the Ministry of Health of the Republic of Indonesia in Bangkok Village, Kramat District, Tegal Regency. 15(2), 1–23.

3) Anjani. (2018). Factors Related to Mothers Who Bring Toddlers Weigh To Posyandu. Journal of Midwifery, 4(2), 49–53.

4) Coal, I., Nasution, N., & Dalimunthe, M. (2019). Factor Analysis of Toddler Visits to Posyandu in Batang Angkola District, South Tapanuli Regency. PANNMED Scientific Journal (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist), 12(3), 263–266. https://doi.org/10.36911/pannmed.v12i3.140

5) Bukhari, Wahyuni, AS, & Ginting, S. (2019). Interpersonal Communication Relationship between Cadres and Participation of Mothers with Toddlers in Posyandu Activities in the Work Area of Kuta Blang Health Center, Bireuen Regency 2015. Journal of TIKA, Faculty of Computer Science, Almuslim University, Bireuen, 4(2), 1–6.

6) Dewi, R., & Anisa, R. (2018). The Influence of Posyandu Cadres Credibility on Community Participation in Health Program. Journal of The Messenger, 10(1), 83. https://doi.org/10.26623/themessenger.v10i1.596

7) Estuti, DH (2014). Community Participation in Community-Based Posyandu Services on Toddler Growth (In Mergowati Village, Kedu District, Temanggung Regency). In Implementation Science (Vol. 39, Issue 1). http://dx.doi.org/10.1016/j.biochi.2015.03.025%0Ahttp://dx.doi.org/10.1038/nature10402%0Ahttp://dx.doi.org/10.10 38/nature21059%0Ahttp: //journal.stainkudus.ac.id/index.php/equilibrium/article/view/1268/1127%0Ahttp://dx.doi.org/10.1038/nrmicro2577% 0Ahttp://

8) Fatimah, S., Abdullah, A., & Harris, A. (2020). Analysis of Mother Toddler Participation in the use of Posyandu in the City Health Center area of Banda Aceh.

9) Fretty, H. (2020). Performance Analysis of Internal Posyandu Cadres in Palembang City.

10) East Denpasar District, UPIDK (2022). Health Profile of UPTD Puskesmas II Health Office of East Denpasar District. Galang Tanjung, 2504, 1–9.

11) Ministry of Home Affairs, R. (2011). Minister of Home Affairs Regulation Number 19 of 2021. July, 1–10.

12) Ministry of Health. (2017). Technical Guidelines for Community Based Basic Health Services.

13) Ministry of Health, R. (2014). Community Health centers. 12(2007), 703–712. https://hsgm.saglik.gov.tr/depo/birimler/saglikli-beslenme-hareketli-hayat-db/Yayinlar/kitaplar/diger-kitaplar/TBSA- Beslenme-Yayini.pdf

14) Ministry of Health, R. (2020). Guidelines for Public Health Program Indicators in the RPJMN and the Ministry of Health's Strategic Plan 2020-2024.

15) Maisya, IB, & Putro, G. (2011). The Role of Cadres and Indigenous Clients in Efforts to Increase Posyandu Independence in Bali Province (Case Study In Badung, Gianyar, Klungkung and Tabanan Regencies).

16) Nasution, WZ (2019). Factors Affecting the Utilization of Toddler Posyandu in the Work Area of the Sayur Matinggi Health Center, South Tapanuli Regency in 2018. 155. https://repositori.usu.ac.id/bitstream/handle/123456789/16128/167032006.pdf?sequence=1&isAllowed= y

17) Ningrum, A., & Ernawati, L. (2021). Assistance in the Implementation of Mobile Posyandu Activities during the Pandemic CoVid 19 in Improving the Health of Toddlers at Posyandu Kasih Ibu. Berdikari: Journal of Indonesian Community Service, 3(2), 28–31. https://doi.org/10.11594/bjpmi.03.02.01

18) Nopiani. (2019). Implementation of Development Programs in the Health Sector in Improving the Quality of Public Health. Journal of Social and Political Sciences, 8(3), 130–134.

19) Profita, AC (2018). Several factors related to the activity of Posyandu Cadres in Pengadegan Village, Banyumas Regency. Indonesian Journal of Health Administration, 6(2), 68. https://doi.org/10.20473/jaki.v6i2.2018.68-74

20) Putri, NE, Astuti, R., & Putri, SA (2014). Restaurant Development Strategy Planning Using SWOT Analysis and QSPM (Quantitative Strategic Planning Matrix) Method (Case Study of Big Burger Restaurant Malang). Industria: Journal of Agroindustrial Technology and Management, 3(2), 93–106.

21) Rosdiana, AI, Raharjo, BB, & Indarjo, S. (2017). Implementation of Chronic Disease Management Program (Prolanis). HIGEIA (Journal of Public Health Research and Development), 1(3), 140–150.

22) Sari, RP, & Utami, U. (2020). Anxiety Level Analysis Study With Compliance Posyandu Visits During the Covid 19 Pandemic. Maternal Scientific Journal, 4(2), 77–82. https://ejurnal.stikesmhk.ac.id/index.php/jurnal_ilmiah_maternal/article/view/800

23) Simbolon, DT (2021). The determinant of the mother's level of participation brings her toddler to the posyandu in the city of Medan thesis. Determinants of Mother's Participation Rate Bringing Toddlers To Posyandu in Medan City.

24) Siregar, M., & Sulubara, S. (2020). Analysis of the implementation of posyandu performance in the Hanopan Public Health Center, Arse District, South Tapanuli Regency in 2020.

25) Slamet, S., Azizah, AN, & Muzaki, IA (2021). Implementation of “Mobile Posyandu ” During Pandemic Covid 19. 1(1), 315– 320. https://ahlimediapress.com/proceeding/index.php/icistech/

26) Suharyani. (2018). The Influence of Attitude and Motivation on the Performance of Posyandu Cadres in the Work Area of the Tambakboyo Health Center, Ngewi Regency in 2018. Thesis.

27) Suriyati, NP, Widnyana, IK, & Sukerta, IM (2019). Implementation Strategy of Labor and Prevention Planning Program in Tabanan District. International Journal of Contemporary Research and Review, 10(01), 21237–21244.

28) Windiastuti, K., Setyowati, & Gunawan, IMA (2019). The Effect of Application of SOP on Height Measurement on Cadre Accuracy and Precision in Measurement of Toddler Height in Donomulyo Village. 2019

Volume 05 Issue 09 September 2022

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