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Peran Kader dan Klian Adat dalam Upaya Meningkatkan Kemandirian Posyandu di Provinsi Bali (Studi Kasus di Kabupaten Badung, Gianyar, Klungkung dan Tabanan)
Background: The expansion paradigm of development, its line has determined the direction of health development policies contained in the Medium Term Development Plan (Development Plan) for 2004-2009 in the Health Sector. which was more emphasis on preventive and promotive and empowering families and communities in the health field. One form of community empowerment efforts in the health sector was to develop the UKBM (Upaya Kesehatan Bersumberdaya Masyarakat), for an example, Posyandu managed and organized from, by, for and with society in the implementation of health development, in order to empower and provide convenience to the public in obtaining basic health services, primarily to accelerate the declining in maternal and infant mortality Posyandu was a vehicle for the integration of Family's Healthy Planning district or village level, conducting five priority programs are: Family Planning, Nutrition, Maternal and Child Health, Immunization and the prevention of diarrhea. Methods: This type of research was qualitative and observational design. Population was a whole cadre of Posyandu in the region of Bali Province in 2008. Purposive research sample is taken on 4 selected districts are: Badung, Gianyar, Klungkung and Tabanan regency. Qualitative methods as the pnmary data that is carried out through in-depth interviews to cadres, head of health centers, village midwives, program managers, indigenous Klian, perbekel (headman), and the public to obtain information about the extent to which the role of cadres and Klian customary in an effort to improve the lot of integrated health as well as constraints faced. While the secondary data obtained by tracking data from the Health Department. Data is analyzed descriptively. Results: The role of cadres and traditional Klian is very important in supporting the activities of Posyandu so that people, especially women and children who use the facility will more often come every month to Posyandu. There is an assumption, that if the mother/society that does not come to a Posyandu will get sanctioned or excluded kemsayarakatan activities in the area.
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