Faktor-Faktor yang Mempengaruhi Rendahnya Kunjungan Posyandu pada Balita di Wilayah Kerja Puskesmas Simalingkar Kota Medan Tahun 2025

Abstract

Posyandu is a community-based health service post that plays a strategic role in monitoring toddler growth and development, providing immunizations, and preventing stunting. Although the national target for Posyandu visits is set at 85%, the actual coverage has only reached 81%, while Medan City recorded the lowest coverage in North Sumatra at 67.2% with a stunting prevalence of 26.4%. At Simalingkar Public Health Center, monthly visits in the first quarter of 2026 reached only around 7% of the target, thereby increasing the risk of growth faltering. This cross-sectional analytical quantitative study aimed to analyze factors associated with low Posyandu visits among toddlers. A sample of 84 mothers of toddlers was selected from a population of 1,158 using Slovin's formula and purposive sampling, and the data were analyzed through univariate and bivariate Chi-Square tests as well as Odds Ratios (OR) with 95% Confidence Intervals (CI). The results showed that 61.9% of toddlers visited Posyandu regularly, whereas 38.1% did not visit regularly. Maternal knowledge (p = 0.744), health service quality (p = 0.051), and distance to Posyandu (p = 0.064) had no significant effect. Conversely, operational schedule (p = 0.026; OR = 3.375) and healthcare personnel (p = 0.016; OR = 3.009) were significantly associated as dominant risk factors. These findings indicate that improving activity scheduling and enhancing the competence of healthcare personnel and cadres should be top priorities for Simalingkar Public Health Center in increasing Posyandu visits among toddlers.