CIPP Evaluation of the Implementation of the Integrated Non-Communicable Disease Development Post (Posbindu PTM) and Stakeholder Dynamics in Gatak Village
DOI:
https://doi.org/10.35451/h3tvgp36Keywords:
Non-Communicable Diseases Posbindu, Adolescents, CIPP Evaluation, Adolescent Participation, Stakeholder RolesAbstract
Non-communicable diseases (NCDs) among adolescents show an increasing trend, necessitating promotive and preventive interventions through the Integrated Non-Communicable Disease Development Post (Posbindu PTM) for Adolescents. This study aims to evaluate the implementation of the Posbindu PTM for Adolescents in Gatak Village using the CIPP (Context, Input, Process, Product) approach. This qualitative case study design involved 17 informants from the village government, health workers, community health workers, community leaders, and active and passive adolescents. Data were collected through semi-structured interviews, observation, and documentation, and then analyzed using the Miles and Huberman interactive model.The results indicate that program planning is based on adolescent health needs and supported by cross-sector collaboration, although implementation of Primary Care Integration is not yet optimal. Resource availability is deemed adequate. The main differentiating factors between active and passive adolescents lie in peer influence and psychological readiness for health checkups. Qualitatively, the program contributed to increased knowledge and awareness of healthy lifestyle behaviors, especially among active adolescents, although the long-term quantitative impact has not been measured. The effectiveness of the program is influenced by stakeholder involvement and participatory strategies that are adaptive to the characteristics of adolescents, so that it is necessary to strengthen communication, activity innovation, and cross-sector synergy to increase the sustainability of the program.
Downloads
References
[1] World Health Organization, Noncommunicable Diseases Country Profiles 2022. Geneva: World Health Organization, 2022.
[2] S. Pengpid and K. Peltzer, “Behavioral risk factors of non-communicable diseases among a nationally representative sample of school-going adolescents in Indonesia,” Int. J. Gen. Med., vol. 12, pp. 387–394, 2019.
[3] R. R. Mahdur and W. Sulistiadi, “Evaluasi Program Pos Pembinaan Terpadu Penyakit Tidak Menular (Posbindu PTM),” J. Ilm. Kesehat. Masy., vol. 12, no. 1, 2020.
[4] S. N. Mintarsih, R. Ambarwati, A. Y. Rahmawati, and M. Mardiana, “Deteksi dini faktor risiko PTM pada remaja berbasis Posbindu,” J. Ris. Gizi, vol. 10, no. 2, pp. 86–93, 2022.
[5] M. Claramita, N. Fitriyani, N. A. Syah, O. Hilman, and others, “Empowering adolescents as peer-educators for early prevention of non-communicable diseases: Through existing POSBINDU program in Indonesia,” J. Fam. Med. Prim. Care, vol. 10, no. 6, pp. 2202–2208, 2021.
[6] K. I. Cini et al., “Towards responsive policy and actions to address non-communicable disease risks amongst adolescents in Indonesia: insights from key stakeholders,” Lancet Reg. Heal. -- Southeast Asia, vol. 18, p. 100260, 2023.
[7] S. Baird and others, “A call to action: the second Lancet Commission on adolescent health and wellbeing,” Lancet, vol. 405, no. 10493, pp. 1945–2022, 2025.
[8] S. Jauhari and others, “Effectiveness of educational interventions on adolescent knowledge and practices for preventing noncommunicable diseases in low- and middle-income countries: a systematic review and meta-analysis,” J. Adolesc. Heal., vol. 76, no. 5, pp. 767–780, 2025.
[9] M. Rajashekhar and others, “Community-based health promotion interventions to reduce risk factors of non-communicable diseases among adolescent and young adults in low- and middle-income countries: a systematic review and meta-analysis,” Public Health, vol. 243, p. 105714, 2025.
[10] A. M. Doyle and others, “Implementation and evaluation of the Y-Check comprehensive adolescent health check-up intervention in Zimbabwe: a pre--post mixed-methods study,” Nat. Med., 2026.
[11] R. Curran et al., “Community engagement in global health: addressing power, ownership, and invisible labour,” Lancet Glob. Heal., vol. 14, no. 2, pp. e184--e185, 2026.
[12] D. Larasati and Z. Abdullah, “Evaluation of the Community Development and Empowerment Program (ProBebaya) in RT 43 Sempaja Timur District, North Samarinda District, Samarinda City,” Prog. Soc. Dev., vol. 5, no. 1, pp. 106–112, 2024.
[13] Dewi, “Implementation Analysis of the Youth Posyandu Program in Pekalongan City,” J. Penelit. Pendidik. IPA, vol. 10, no. 5, pp. 2446–2453, 2024.
[14] I. Handriani, “Hubungan Pengetahuan, Sikap dan Dukungan Keluarga Terhadap Minat Remaja Mengikuti Posyandu Remaja di Wilayah Kerja Puskesmas Atari Jaya Kabupaten Konawe Selatan,” J. Penelit. Sains dan Kesehat. Avicenna, vol. 3, no. 3, pp. 233–241, 2024.
[15] O. O. Handayani and N. Muhani, “Evaluasi pelayanan posbindu penyakit tidak menular selama pandemi covid-19,” J. Trop. Med. Issues, vol. 1, no. 2, pp. 62–72, 2024.
[16] E. S. Sibatuara, “Peran Puskesmas Onan Runggu dalam pencegahan dan penanggulangan penyakit tidak menular melalui program Posbindu PTM,” SAJJANA Public Adm. Rev., vol. 2, no. 2, pp. 176–187, 2024.
[17] N. L. A. Megasari and A. S. Wahyudi, “Efforts to empowerment the community and health involunters related to non-communicable diseases through strengthening Posbindu,” Sci. Midwifery, vol. 10, no. 4, pp. 2510–2517, 2022.
[18] F. Prabandari and D. P. Astuti, “Faktor-faktor yang berpengaruh terhadap pemanfaatan Posbindu PTM,” Indones. J. Midwifery, vol. 6, no. 1, pp. 46–54, 2023.
[19] K. K. R. Indonesia, “Keputusan Menteri Kesehatan Nomor 2015 Tahun 2023 tentang Petunjuk Teknis Integrasi Pelayanan Kesehatan Primer.” 2023.
[20] Y. L. H. Kusuma, D. Puspitaningsih, A. Dwisyalfina, and E. Widayanti, “Pembentukan Program Pos Pembinaan Terpadu (Posbindu) Penyakit Tidak Menular (PTM) dengan Memanfaatkan Dana Desa,” J. Pengabdi. Masy. Kesehat., vol. 4, no. 2, pp. 68–75, 2018.
[21] T. A. Siregar and R. Gurusinga, “The Analysis of Participant Activity in Utilizing the Integrated Post for Non-Communicable Disease Empowerment Services (Posbindu PTM),” J. Kesmas dan Gizi, vol. 8, no. 1, pp. 670–679, 2025.
[22] F. Astuti, A. A. Mekarisce, A. Solida, H. Hubaybah, and R. Wardiah, “Analisis Implementasi Program Posbindu PTM di Wilayah Kerja Puskesmas Putri Ayu Kota Jambi Tahun 2024,” J. Kesehat. Masy., vol. 18, no. 1, 2025.
[23] A. A. R. Suparno and A. C. Wijayanti, “The relationship between the support of community leaders and family support with the interest of adolescents in participating Posbindu PTM,” Kesmas Uwigama, vol. 10, no. 1, 2024.
[24] I. Yazidah, V. R. Fawzyputri, F. D. Ayuningtias, D. Nurwijaya, A. K. Nuraini, and J. T. Nugraha, “Teenagers’ participation in Posbindu in RW 1 Kalinegoro Village Mertoyudan District,” Soc. Sci. Stud., vol. 5, no. 4, pp. 301–336, 2025.
[25] S. Zulkhairani and F. P. Gurning, “Faktor-faktor yang mempengaruhi pemanfaatan Posbindu PTM pada masa pandemi Covid-19 di Puskesmas Dalu Sepuluh Kecamatan Tanjung Morawa,” Sehatrakyat (Jurnal Kesehat. Masyarakat), vol. 1, no. 4, 2022.
[26] K. A. Pulungan, R. A. Sirait, and D. B. Panjaitan, “The Relationship Between the Role of Posyandu Cadres and Elderly Posyandu Services in the Work Area of the UPTD Health Center,” J. Kesmas dan Gizi, vol. 8, no. 1, pp. 758–765, 2025.
[27] A. C. Wijayanti, R. Maula, and R. Berlian, “Hubungan antara Sikap dengan Minat Remaja Mengikuti Posbindu PTM di SMA ABBS Surakarta,” J. Kesehat., pp. 146–153, 2023.
[28] M. Renta, D. Y. Ginting, and A. Sitepu, “Analysis of the Implementation of Health Promotion Strategies in the Utilization of Posbindu PTM by At-Risk Groups,” J. Kesmas dan Gizi, vol. 7, no. 1, pp. 130–136, 2024.
[29] S. C. P. Sandrana, N. H. N. Pertiwi, N. S. Rini, M. I. Zahran, M. Alichwan, and T. A. I. Kusumaningrum, “Pemantauan Status Kesehatan dengan Memanfaatkan Aplikasi Z-Health Guna Meningkatkan Perilaku Pencegahan Penyakit Tidak Menular Pada Posyandu Remaja di Desa Mliwis Cepogo Boyolali,” War. LPM, vol. 27, no. 1, pp. 147–162, 2024.
[30] Rohimah, D. Fatmasari, and D. Wirastri, “Faktor-faktor yang berhubungan dengan minat remaja berkunjung ke posyandu di Desa Ganti,” Sekol. Tinggi Ilmu Kesehat. Hamzar, 2023.
[31] S. Febriandi and S. A. Rahmi, “Evaluasi Posbindu dalam Mencegah Penyakit Tidak Menular,” J. Ilmu Kesehat. Mulia Madani Yogyakarta, vol. 4, no. 2, pp. 1–10, 2023.
[32] D. L. Kusumah and N. Purnaingsih, “Peran Posbindu dalam Upaya Memberdayakan Kesehatan Diri Lansia,” J. Pus. Inov. Masy., vol. 2, no. 5, 2020.
[33] W. Arsyad, N. T. A. Amijaya, R. Febrianti, and N. Soesilawati, “Kontribusi Program Posbindu PTM terhadap Deteksi Dini dan Pengendalian Penyakit Tidak Menular di Indonesia: Tinjauan Literatur 2019--2024,” Indones. J. Heal. Res. Innov., vol. 2, no. 2, pp. 90–99, 2025.
[34] M. Lumbantoruan, A. Sirait, and I. Sidabukke, “Peningkatan Breasfeeding Self Efficacy Melalui Edukasi Teman Sebaya (Peer Education),” JOMIS (Journal Midwifery Sci., vol. 7, no. 1, pp. 86–91, 2023.
[35] Y. Bhoki, E. E. P. Upa, and D. O. Dodo, “Factors Related To The Utilization Of Integrated Development Posts Non-Communicable Disease In Lekogoko Village Working Area Of Aimere Public Health Center,” Lontar J. Community Heal., vol. 4, no. 2, pp. 75–83, 2022.
[36] E. S. Herini, M. D. Kusumadewi, Y. Yusmiyati, and A. S. Isnoor, “Pelatihan pada Kader Kesehatan dan Pembentukan Kelas Kesehatan Hidup Sehat Dengan Diabetes Mellitus,” J. Pengabdi. Kpd. Masy. (Indonesian J. Community Engag., vol. 6, no. 3, pp. 136–142, 2020.
[37] I. Arifah and K. E. Werdani, “Path analysis of adolescents’ reproductive health education on college students’ sexual behavior,” Int. J. Public Heal. Sci., vol. 12, no. 4, pp. 1500–1507, 2023.
[38] T. A. I. Kusumaningrum et al., “Pendampingan Remaja untuk Berhenti Merokok dengan Pendekatan Transtheoretical Model (Stages of Change) di Posyandu Remaja Desa Mliwis Boyolali,” War. LPM, pp. 269–281, 2024.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Lintang Martha Sari, Dwi Linna Suswardany
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright in each article is the property of the Author.
