Citra Indah Asmarah (1), Isnaini Rodiyah (2)
General Background: Population ageing has intensified the demand for accessible community-based elderly health services in Indonesia. Specific Background: Posyandu Lansia serves as a village-level health platform, yet participation in Durungbanjar Village remains low despite routine implementation. Knowledge Gap: Limited studies explain how Posyandu roles operate amid persistent attendance barriers at the local level. Aims: This study examines how Posyandu Lansia functions as a motivator, facilitator, and mobilisator in addressing elderly health needs and participation. Results: Using a qualitative descriptive approach, findings show that Posyandu provides motivation through information dissemination, psychological support, supplementary feeding, and home visits; facilitates access through village-funded health resources and basic services; and mobilises cadres, health workers, and community networks. However, attendance rates remained modest (12–22.7%) due to transport constraints, limited family support, information gaps, and physical limitations of older adults. Novelty: The study highlights the mismatch between structured institutional roles and real participation outcomes in a rural setting. Implications: Strengthening outreach strategies, family involvement, and service accessibility is essential to align Posyandu roles with sustainable elderly participation and community health goals.
Highlights:
Posyandu performs motivational, facilitative, and mobilising roles simultaneously.
Elderly attendance remains low despite available village health resources.
Participation barriers are driven by access, information, and family support issues.
Keywords: Posyandu Lansia; Elderly Participation; Community Health Services; Rural Governance; Qualitative Study
[1] Government of the Republic of Indonesia, Government Regulation of the Republic of Indonesia No. 43 of 2004 on the Implementation of Social Welfare Improvement for the Elderly, Jakarta, Indonesia, 2004.
[2] Government of East Java Province, Regional Regulation of East Java Province No. 5 of 2007 on Elderly Welfare, Surabaya, Indonesia, 2007.
[3] Ministry of Home Affairs of the Republic of Indonesia, Minister of Home Affairs Regulation No. 19 of 2011 on Guidelines for the Integration of Elderly Social Welfare, Jakarta, Indonesia, 2011.
[4] Government of Sidoarjo Regency, Regional Regulation of Sidoarjo Regency No. 4 of 2010 on Elderly Welfare, Sidoarjo, Indonesia, 2010.
[5] Indonesian Geriatric Medical Association (PERGEMI), Survey on Health Conditions and Welfare of the Elderly in Indonesia, Jakarta, Indonesia, 2022.
[6] Statistics Indonesia (BPS), Population by Age Group in Sidoarjo Regency, June 2024, Jakarta, Indonesia, 2024.
[7] R. A. Kristianti, “Implementation of Elderly Posyandu in RW IV, Wonokromo Subdistrict, Surabaya City,” Undergraduate Thesis, Universitas Airlangga, Surabaya, Indonesia, 2014.
[8] Efnileli, “Analysis of the Implementation of the Elderly Posyandu Program in Cirebon City,” Master’s Thesis, Universitas Padjadjaran, Bandung, Indonesia, 2013.
[9] S. Soekanto, Sociology: An Introduction, Jakarta, Indonesia: Rajawali Pers, 2012.
[10] B. Tjokroamidjojo, Introduction to Development Administration, Jakarta, Indonesia: PT Gunung Agung, 2010.
[11] S. Afifa and W. O. Asmawati, “Elderly Posyandu Services in Improving Elderly Welfare,” Journal of Public Administration and Social Policy, vol. 5, no. 2, pp. 101–110, 2023.
[12] S. P. Permata, “Utilization of Elderly Posyandu as an Effort to Improve Elderly Welfare in the Pekik Nyaring Health Center Area, Central Bengkulu,” Journal of Community Health Services, vol. 6, no. 1, pp. 45–54, 2023.
[13] L. T. Darmin and Tuwu, “Implementation of the Elderly Posyandu Program to Maintain Elderly Health,” Journal of Health Policy and Management, vol. 4, no. 2, pp. 78–86, 2023.
[14] F. Latumahina et al., “The Role of Elderly Posyandu on Elderly Welfare in Ilamahu Village, East Saparua District, Central Maluku Regency,” Journal of Social Welfare Studies, vol. 3, no. 1, pp. 22–31, 2022.
[15] A. Indrilia, I. Efendi, and M. E. Safitri, “Factors Affecting the Active Role of Cadres in Posyandu Implementation in Simeulue Timur District, Simeulue Regency,” Journal of Community Development and Health, vol. 2, no. 2, pp. 89–98, 2021.
[16] Rosnah, S. S. Kasim, and T. Faturrahman, “The Role of Elderly Posyandu in Improving Welfare and Quality of Life of the Elderly: A Study in Lakalamba Village, Sawerigadi District,” Journal of Rural Social Services, vol. 7, no. 1, pp. 1–12, 2024.
[17] U. Siburian, Nur’aini, and T. Niswati, “Factors Associated with the Utilization of Elderly Posyandu at Sibagindar Health Center, Pagindar District, Pakpak Bharat Regency,” Journal of Public Health Research, vol. 8, no. 2, pp. 134–143, 2024.