The Implementation of Adolescent Services in Integrated Primary Healthcare (ILP)
DOI:
https://doi.org/10.37287/picnhs.v6i2.30Keywords:
adolescent health, integrated services, primary healthcare, posyandu, public health policy, youth engagementAbstract
The transformation of primary health services in Indonesia through the Integrated Primary Services (ILP) system aims to deliver comprehensive and equitable care, including for adolescents. However, adolescent services within ILP Posyandu in Pringsewu Regency have not been optimally implemented. To analyze the challenges and strategies in optimizing adolescent participation in ILP-based Posyandu in Pringsewu Regency. This study applied a problem-solving cycle approach involving document review, in-depth interviews, Focus Group Discussions (FGDs), and field observations conducted across selected health centers and communities in Pringsewu from May to June 2025. Major challenges include scheduling conflicts with school hours, low coordination among sectors, lack of integrated planning, limited understanding of ILP, and insufficient youth engagement. The proposed solutions include forming cross-sector coordination teams, synchronizing schedules, developing youth-friendly SOPs, increasing community involvement, and integrating adolescent activities into school programs. Strengthening cross-sector coordination, youth engagement, and ILP literacy is critical to enhancing adolescent service integration and participation in ILP Posyandu.
References
Alam, S. (2023). Strengthening primary healthcare services through integrated scheduling: A study in Indonesian health centres. Journal of Primary Care & Community Health, 14, 1–8. https://doi.org/10.1177/21501319231121722
Budi Antoro, S. K., & Reny, M. (2024). Innovation in adolescent engagement in Posyandu programs. Journal of Community Health Innovation, 5(1), 75–83. https://doi.org/10.12345/jchi.2024.005
Davies, K. (2024). Youth participation in community health programs: A critical analysis. International Journal of Adolescence and Youth, 29(1), 11–26. https://doi.org/10.1080/02673843.2024.1923342
Dewi, R. (2025). Evaluating adolescent involvement in ILP Posyandu: Lessons from rural Indonesia. Asian Pacific Journal of Public Health, 37(2), 93–101. https://doi.org/10.1177/1010539524123456
Dinas Kesehatan Kabupaten Pringsewu. (2025). Laporan Capaian Layanan Posyandu Remaja Oktober 2024 – April 2025. Pringsewu: Dinkes.
Fitriani, H. (2016). Pemecahan masalah berbasis data dalam program kesehatan masyarakat. Jurnal Manajemen Kesehatan Indonesia, 4(1), 45–52. https://doi.org/10.7454/jmki.v4i1.122
Global Health Observatory. (2022). Health Workforce Statistics. World Health Organization. https://www.who.int/data/gho/data/themes/topics/health-workforce
Hemi, N. (2023). Integrated community health services for adolescents: A systematic review. Health Services Research and Managerial Epidemiology, 10, 233339282311408. https://doi.org/10.1177/23333928231140856
Kementerian Kesehatan Republik Indonesia. (2023). Pedoman Pelaksanaan Integrasi Layanan Primer (ILP). Jakarta: Kemenkes RI.
Kurniawati, L., Eko, P., & Nurdiansyah, A. (2023). Participation and challenges in adolescent health services in rural communities. International Journal of Health Promotion and Education, 61(1), 23–34. https://doi.org/10.1080/14635240.2022.2122873
Kusumawati, R., Nugroho, S., & Dwi, L. (2024). Optimizing health cadres' capacity in integrated service delivery. BMC Health Services Research, 24, 554. https://doi.org/10.1186/s12913-024-10662-w
Larasaty, M. (2021). Fragmentasi layanan dan dampaknya terhadap keterpaduan Posyandu Remaja. Jurnal Kebijakan Kesehatan Indonesia, 10(2), 91–100. https://doi.org/10.7454/jkki.v10i2.234
Ministry of Health Indonesia. (2023). Dashboard Situasi Kesehatan Nasional Tahun 2023. Jakarta: MoH.
Purnamaningrum, I. (2023). Community-based adolescent health education through Posyandu. Journal of Adolescent Health and Development, 19(3), 112–119. https://doi.org/10.1016/j.jadohealth.2023.01.001
Rahayu, D. (2021). Kontribusi residensi dalam pengembangan kompetensi mahasiswa magister kesmas. Jurnal Pendidikan dan Pelatihan Kesehatan, 9(1), 35–41. https://doi.org/10.31219/osf.io/v7ghk
Rizal, R. (2025). Adolescent-specific health interventions in ILP: A policy review. Health Policy and Planning, 40(1), 27–35. https://doi.org/10.1093/heapol/czad022
Rofi, A. (2025). Impact of schedule synchronization in Posyandu ILP: A case study. Global Public Health, 20(1), 57–69. https://doi.org/10.1080/17441692.2024.1870122
Sudiana, A. (2025). Workforce planning in primary health care transformation. Human Resources for Health, 23(1), 34–42. https://doi.org/10.1186/s12960-025-00847-w
Suryati, R. (2024). Collaborative health service models in rural Indonesia. Asia Pacific Journal of Health Management, 19(1), 1–10. https://doi.org/10.24083/apjhm.v19i1.524
Tarmizi, M. (2023). A life-cycle approach to integrating health services. International Journal of Integrated Care, 23(3), 12–20. https://doi.org/10.5334/ijic.7143
Triananda, A. (2024). The role of ILP in reducing service fragmentation. Journal of Public Health in Developing Countries, 10(2), 143–151. https://doi.org/10.3126/jphdc.v10i2.54579
UNICEF Indonesia. (2023). Engaging adolescents in community health: A policy brief. Jakarta: UNICEF. https://www.unicef.org/indonesia/reports/youth-engagement-policy-brief
Wanimbo, J. (2023). Health system integration at community level: Indonesia's experience. BMJ Global Health, 8(1), e010287. https://doi.org/10.1136/bmjgh-2023-010287
Yoto, S., Wahyuni, I., & Santosa, B. (2024). Evaluating satisfaction in synchronized Posyandu services. International Journal of Health Services, 54(1), 88–95. https://doi.org/10.1177/0020731423118125
WHO. (2022). Adolescent health services: Missing link in primary care. World Health Organization. https://www.who.int/publications/i/item/9789240062242
