ANALISIS JALUR FAKTOR YANG MEMENGARUHI KESIAPAN KADER DALAM PELAKSANAAN ENAM STANDAR PELAYANAN MINIMAL POSYANDU DI KABUPATEN SRAGEN

Oleh :
Ani Afifah - S022502016 - Fak. Kedokteran

Exploring Readiness for Change among Community Health Cadres in Indonesia’s Minimum Service Standards Program: A Path Analysis Ani Afifah1), Revi Gama Hatta Novika1,2), Setyo Sri Rahardjo1,3), Eti Poncorini Pamungkasari1,4), Anik Lestari1,4) 1)Master’s Program in Public Health, Faculty of Medicine, Sebelas Maret University, Indonesia2)Midwifery Study Program, Faculty of Medicine, Sebelas Maret University, Indonesia3)Department of Pharmacology, Faculty of Medicine, Sebelas Maret University, Indonesia4)Department of Public Health, Faculty of Medicine, Sebelas Maret University, Indonesia  ABSTRAK Background: The increasing workload of integrated health service post cadres in implementing the six minimum service standards has not been fully accompanied by adequate cadre readiness. This condition may affect the optimization of the community-based integrated health service post service quality. This study aimed to analyze the effects of perceived program feasibility, perceived benefits, perceived management support, and self-efficacy on cadre readiness in implementing the six minimum service standards in Sragen Regency.Subjects and Methods: This analytic observational study used a cross-sectional design conducted in Sragen Regency, Central Java, Indonesia, from February to March 2026. A total of 217 active Integrated Health Service Post cadres were selected using purposive sampling from 25 primary healthcare centers. The dependent variable was cadre readiness, while the independent variables included perceived program feasibility, perceived benefits, perceived management support, and self-efficacy. Data were collected using a structured and validated questionnaire developed from the Organizational Readiness for Change framework. Data were analyzed using descriptive statistics, bivariate linear regression, and multivariate path analysis with STATA.Results: Self-efficacy had a direct and significant effect on cadre readiness (b=0.45; 95% CI=0.34 to 0.53; p<0.001). Perceived benefits also had a direct and significant effect on cadre readiness (b=0.34; 95% CI=0.26 to 0.42; p<0.001). Regarding indirect effects through self-efficacy, perceived program feasibility had a significant indirect effect on cadre readiness (b=0.37; 95% CI=0.15 to 0.59; p=0.001). Perceived benefits also showed a significant indirect effect (b=0.29; 95% CI=0.12 to 0.46; p=0.001), as did perceived management support (b=0.16; 95% CI=0.04 to 0.28; p=0.009).Conclusion: Cadre readiness in implementing the six MSS is influenced by both organizational and individual factors. Perceived program feasibility, perceived benefits, management support, and self-efficacy contribute to strengthening readiness for change among Integrated Health Service Post cadres. Strengthening supervision, operational support, and capacity-building programs may improve the successful implementation of MSS at the community level.