Mother's Perspective and Trust Toward Integrated Services Post (Posyandu) in Indonesia

The Integrated Services Post (ISP), also known as Posyandu, is a program designed to enhance maternal and child health by providing integrated basic health services. For years, communities have relied on ISP as a primary source of health information, particularly for maternal and child health needs. This study seeks to assess mothers’ knowledge, perspectives, and family support related to ISP, focusing on maternal understanding, behavior, family support, and trust in ISP services as measured by the Health Collaborative Center Survey.

A cross-sectional study was conducted using an online survey (Google Form) from February to March 2023. A total of 2,155 mothers were randomly selected as respondents. Data were collected via a self-designed questionnaire adapted from multiple sources, measuring knowledge, behavior, and family support regarding ISP. Descriptive statistical analysis was applied to interpret mothers’ knowledge, behaviors, and levels of family support.

The majority of respondents demonstrated good knowledge of ISP services. Over 98% of mothers correctly identified the appropriate time for weighing children, understood the definition of ISP, and recognized the benefits of weighing children at ISP. More than 70% of mothers correctly answered questions about ISP schedules, recommended child weighing age, and the use of the Health Card (HC). Mothers exhibited positive behavior and high trust toward ISP, with 88.5% strongly believing that ISP can contribute to improving maternal and child health. Family support was generally high, though 4% of respondents reported that their husbands or families opposed immunization, thus limiting their engagement with ISP services.

The majority of mothers in this study possess adequate knowledge, exhibit positive behavior, have high trust in ISP services, and receive substantial family support. Nevertheless, further education and community outreach are needed to improve understanding of severe malnutrition management, the importance of ISP services, and the benefits of immunization.