Covid-19 Pandemic, Posyandu Characteristics, Level of Community Participation, Posyandu Program
Wandira, Bertin Ayu
Since then, the Covid case in Central Sulawesi - especially in Palu - the number of Covid-19 cases has fluctuated and even the curve tends to slope. However, from August 2020 to October 2020 there was a significant increase in cases. As of October 31, 2020, there were 857 confirmed positive cases (CFR = 3.97) in Central Sulawesi and the city of Palu is the highest area of Covid-19 cases in Central Sulawesi (338 cases or 39.4% with CFR = 5.59). Even though the first Covid-19 case in Palu was found on March 26, 2020, the closure of posyandu and other community-based health services (pregnant women classes, counseling, etc.) had started since early March 2020 for 3 months. The purpose of this study was to determine the characteristics of the posyandu, analyze the level of community participation and analyze the impact of the Covid-19 pandemic on the posyandu program in Palu city including: weighing children under five, monitoring the growth and development of toddlers and basic immunization, especially in the first 3 months of Covid-19 entering in Indonesia. In this study, we conducted a combination of quantitative data obtained from the Palu City Health Office (January 2020 to July 2020) and interviews with the person in charge of Posyandu and Immunization at the Palu City Health Office (Mix Method). The results showed that: 1) Most of the Posyandu in Palu were in the intermediate strata (47.98%); 2) The level of community participation in Posyandu in 2019 was 62.57% (decreased by 10.82% compared to 2018 due to the impact of the 2018 Palu Disaster); 3) The direct impact of Covid-19 on the Posyandu program included: a decrease in the coverage of complete Basic Immunization (63.49% in April), a decrease in the weighing rate for children under five (24.8% in May) and a decrease in monitoring of under-five growth and development (30, 7% in May). Conclusion: The Covid-19 pandemic in Palu City has a direct impact on the Posyandu program. A significant decline occurred in April and May, at the start of the Covid-19 Pandemic. Preventive action needs to be taken to prevent a decrease in coverage in phase 2 (October - December 2020).