Barriers And Strategis For Improving Childhood Immunization Thtough The Role Of Posyandu Cadred In Lhok Timon, Aceh Jaya
Keywords:
Basic immunization, Barriers, Community Health, Posyandu Cadres, StrategiesAbstract
The coverage of Complete Basic Immunization (CBI) in Indonesia remains a challenge, particularly in rural areas. Lhok Timon Village, Setia Bakti Subdistrict, Aceh Jaya District, is among the villages with low CBI coverage. Limited knowledge of health volunteers (posyandu cadres), low community participation, and insufficient structural support were identified as influencing factors. This study aims to explore the barriers and strategies to improve CBI coverage through the role of posyandu cadres and village midwives. A qualitative approach with a case study design was applied. Fifteen informants were involved, including posyandu cadres, mothers of children under five, village midwives, immunization supervisors, and the head of the community health center. Data were collected using in-depth interviews and Focus Group Discussions (FGDs), then analyzed thematically. The findings revealed three major barriers to CBI coverage; (1) limited cadres’ skills in education and communication, (2) low community participation due to negative perceptions, cultural beliefs, and time constraints, and (3) inadequate cadre training and cross-sectoral support. Suggested strategies include regular cadre training, involvement of community and religious leaders, flexible posyandu schedules, utilization of simple communication technology (WhatsApp/SMS), and providing small incentives for parents. Improving CBI coverage requires a multilevel approach integrating cadre capacity building, health worker support, community empowerment, and local leader engagement. Community-based interventions with structured training, continuous supervision, and multi-sectoral collaboration are recommended to strengthen immunization coverage in rural settings.
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