The Implementation of the Posyandu Program and Complete Infant Immunization at the Tiga Balata Community Health Center

ABSTRACT


INTRODUCTION
Health is a basic right (1945 Constitution) and at the same time as an investment, so it needs to be strived for, fought for and improved by every individual and by all components of the nation, so that people can enjoy a healthy life, and in the end can realize an optimal degree of public health. This needs to be done, because health is not the responsibility of the government alone, but is a joint responsibility of the government and society, including the private sector. In line with the development of the development paradigm, a policy direction for health development has been set, which is contained in the Medium-Term Development Plan (RPJM), namely empowering families and communities by developing Posyandu. [9].
Posyandu stands for integrated service post, where this posyandu was declared in 1986 through a joint decree between the Indonesian Minister of Home Affairs (Mendagri), the Indonesian Minister of Health, the head of the BKKBN and the Family Welfare Development Team (PKK). Posyandu was established in small villages that are not reached by hospitals and clinics with the aim of reducing maternal and child mortality, accelerating acceptance of NKKBS (Norma for Happy and Prosperous Small Families), improving health services in the community and also increasing community participation [9].
Some of the obstacles faced by posyandu in implementing their programs include; lack of facilities, lack of trained cadres, and lack of public awareness of the importance of posyandu. Besides that, the availability of buildings for posyandu is also an obstacle for posyandu activities, in West Java only 3% to 4% of the total posyandu have their own building, the rest use the sub-district/village office, community association (RW), houses of sub-district/village officials or cadres posyandu, there are even posyandu who are forced to carry out their activities under a tree [7].
These constraints resulted in the Posyandu not functioning properly which resulted in low public interest in using the Posyandu. A further consequence is that there are many things that can actually be useful for mothers to understand how to care for their children properly from the time they are in the womb, then to increase the safety of mothers during childbirth easily and affordably, becomes impracticable [14].

Formulation of the problem
Based on the description of the background above, it can be formulated the problem of how to implement posyandu and completeness of infant immunization at Tiga Balata Health Center, Jorlang Hataran District, Simalungun Regency.

METHOD Types and Research Design
This research is a descriptive exploratory research that aims to identify descriptions of the implementation of the posyandu program and completeness of infant immunization in Kasindir Village, Jorlang Hataran District, Simalungun Regency

Location and time of Research
This research was conducted in the working area of Tiga Balata Health Center, Kasindir Village, Jorlang Hataran District, Simalungun Regency. The implementation of data collection in this study was carried out from April to May 2022.

Population and Research Sample
The population in this study were all mothers with children aged 1-2 years who had come to posyandu in Kasindir Village, Jorlang Hataran District, Simalungun Regency, namely 70 people. The sample in this study was the entire population (total sampling), namely all mothers with children aged 1-2 years.

Data Processing and Analysis
After all the data has been collected, data analysis is carried out by examining all the questionnaires one by one, namely the identity and data of the respondents and ensuring that all answers must be filled in according to the instructions. Then code members to the questionnaire to make it easier to do tabulations. Furthermore, data processing is carried out using computerization and then cleaning, namely checking back the data that has been entered to find out if there is an error or not. To process the collected data used descriptive analysis with a computerized program. Furthermore, the data is presented in the form of a frequency distribution and presentation.

RESULTS AND DISCUSSION
From the results of this study it is known that based on the age of the babies are between the ages of 1 to 1.6 years (59.4%) and the rest are aged between 1.7 to 2 years (41.6%). Based on the place of birth, toddlers are generally born in hospitals/clinics, which is around 70.3%, this illustrates that the majority of people in Jorlang Hataran District, Simalungun Regency use health care facilities as a place to give birth.

Posyandu Program Implementation
Based on the results of research on the implementation of the posyandu program, it can be seen that the implementation of the posyandu program in Jorlang Hataran District, Simalungun Regency has been going well (90.6%). This shows a very significant increase when compared to the statement by [24] that the average posyandu that is active at the district level is only 60%. This fact is a very good achievement, especially for Tiga Balata Health Center. Even so, it should also be noted that there are still a number of things in the implementation of posyandu activities that are only partially implemented (9.4%).

Completeness of Infant Immunization
Based on the results of research on the completeness of toddler immunization, it can be seen that the majority of toddlers (85.9%) in Jorlang Hataran District, Simalungun Regency have received complete immunization. However, the achievement of immunization coverage which has reached 98% illustrates that parents of toddlers are motivated to take their children to health service facilities, especially posyandu for immunization. This motivation arises because of the increasing understanding of mothers about the importance of immunization for their children. Increased understanding of mothers can be due to information received by mothers through health promotion activities and influences from the environment [23]. The Minister of Health of the Republic of Indonesia (Endang. RS), stated that the coverage of the basic immunization program had reached Universal Child Immunization (UCI) status, namely the