ANALISIS CAKUPAN PEMANTAUAN PERTUMBUHAN BALITA MELALUI KEGIATAN POSYANDU

Abstrak

Background: Growth monitoring is an essential strategy for the early detection and prevention of stunting, wasting, undernutrition, and other growth disorders among children under five years of age. Integrated Health Service Posts (Posyandu) serve as community-based primary healthcare facilities that provide growth monitoring, nutritional assessment, immunization, health education, and maternal-child health services. Although Posyandu coverage is extensive in Indonesia, regular attendance of children remains inconsistent, limiting the effectiveness of growth monitoring programs. Objective: To analyze the coverage of child growth monitoring through Posyandu activities and identify factors associated with regular attendance at Posyandu. Methods: An analytical observational study with a cross-sectional design was conducted among mothers with children aged 0–59 months in the working area of Tugumulyo Primary Health Center. A total of 210 respondents were selected using proportionate stratified random sampling. Data were collected through structured questionnaires, Maternal and Child Health (MCH) books, and Posyandu records. Variables included maternal age, education, occupation, knowledge, family support, cadre support, accessibility to Posyandu, and attendance for growth monitoring. Data were analyzed using descriptive statistics, Chi-square tests, and multiple logistic regression. Results: Regular child growth monitoring coverage reached 76.2%, while 23.8% of children did not attend Posyandu regularly. Maternal knowledge (p<0.001), family support (p=0.002), active Posyandu cadre involvement (p<0.001), and accessibility (p=0.011) were significantly associated with regular growth monitoring. Multiple logistic regression revealed that active Posyandu cadre support was the strongest determinant of regular child growth monitoring (AOR=3.84; 95%CI:1.92–7.66). Conclusion: Growth monitoring coverage through Posyandu was relatively good but remains suboptimal. Maternal knowledge, family support, service accessibility, and cadre involvement significantly influence regular attendance for growth monitoring. Strengthening cadre capacity and improving community education are recommended to optimize child growth monitoring services.