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Ability and Willingness to Pay Premium in the Framework of National Health Insurance System Ramadhan, Aulia Abdillah; Rahmadi, Andri Reza; Djuhaeni, Henni
Althea Medical Journal Vol 2, No 4 (2015)
Publisher : Althea Medical Journal

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Background: The National Health Insurance is one of the governmentâs efforts to improve community access to health services. The government has fixed the premiums to be paid by community, except for underprivileged community. The aim of the study was to identify Ability to Pay (ATP) and Willingness to Pay (WTP) of the national health insurance premium.Methods: A descriptive study which involved 210Â housewives who were chosen by rapid survey method was conducted from September to November 2013 in Cipacing village, Jatinangor, Sumedang, West Java. Data collection was using questionnaire to obtain level of ability and willingness to pay the health insurance premium. The results were compared to the required premium by the government (Rp 22,000,-).Results: Most of the respondents were only housewives, but there were still respondents who were private workers. Most of them were 20â39 years old. About 57.6% of the respondents were able to pay for the required premium, but Only 17.4% of the them were willing to pay according to the required premium.Conclusions: The ATP of the respondents are higher compared to the WTP, meaning that most of theÂ respondents are able to pay the requires premium but are not willing to pay it. [AMJ.2015;2(4):502â5]Â DOI:Â 10.15850/amj.v2n4.635

Perbedaan Perhitungan Unit Cost dengan Menggunakan metode Activity Based Costing (ABC) dan Metode Doubel Distribution (DD) Untuk Pasien TB Paru Kategori 2 di Instalasi Rawat Jalan Dan Rawat Inap Rumah Sakit Paru Hilfi, Lukman; Setiawati, Elsa Pudji; Djuhaeni, Henni; Paramita, Sekar Ayu; Komara, Ratna
Jurnal Sistem Kesehatan Vol 1, No 2 (2015): Volume 1 Nomor 2 Desember 2015
Publisher : Universitas Padjadjaran

Latar Belakang Indonesia menduduki rangking ke-5 dari 22 negara-negara yang mempunyai beban tinggi untuk TB dan memberikan kontribusi jumlah kasus TB di dunia sebesar 4,7%. Penatalaksanaan TB tidak mudah, membutuhkan waktu yang lama dan membutuhkan biaya yang besar. Saat ini berbagai rumah sakit menentukan tarif pelayanan berdasarkan metode DD. Perhitungan biaya satuan pada pelayanan kesehatan dapat juga dilakukan dengan menggunakan metode Activity Based Costing (ABC) yang didasarkan pada aktivitas. Tujuan mengetahui perhitungan unit cost dengan metode ABC dan metode DD di Instalasi Rawat Jalan dan Rawat Inap TB Paru Kategori 2 di Rumah Sakit Paru. Metode Penelitian deskriptif analitik menggunakan data sekunder dan metoda Pusposive Sample. Penelitian dilakukan di Rumah Sakit Paru Bandung selama bulan September sampai dengan Desember 2013 dengan menggunakan data rekam medis dalam kurun waktu 2 tahun yaitu pada bulan Januari 2011 sampai dengan Desember 2012. Hasil dan Diskusi perhitungan biaya satuan rata-rata dengan metode ABC untuk pasien rawat jalan TB kategori 2 sebesar Rp 611.321; untuk pasien rawat darurat TB kategori 2 sebesar Rp 713.852; untuk pasien rawat inap yang masuk melalui instalasi rawat jalan sebesar Rp 5.037.309 dan instalasi rawat darurat sebesar Rp 4.398.415. Biaya satuan rata-rata dengan metode DD untuk pasien rawat jalan TB kategori 2 sebesar Rp 421.621; untuk pasien rawat darurat TB kategori 2 sebesar Rp 734.170; untuk pasien rawat inap yang masuk melalui instalasi rawat jalan sebesar Rp 1.727.213 dan instalasi rawat darurat sebesar Rp 1.846.337. Banyak nya obat yang diberikan untuk pasien rawat jalan yaitu untuk 2 minggu sedangkan ALOS untuk pasien rawat inap yaitu 9,2 hari. Kesimpulan dan Saran perhitungan biaya satuan dengan menggunakan metode ABC lebih menguntungkan secara financial bagi Rumah Sakit dibandingkan dengan metode DD. Manajemen rumah sakit sebaiknya memiliki sistem pencatatan dan pelaporan yang rapih, terintegrasi antar unit pelayanan dan unit penunjang untuk dapat melakukan perhitungan biaya satuan dengan baik. Manajemen rumah sakit melakukan evaluasi berkala terhadap kepatuhan SOP dan penggunaan obat rasional. Kata Kunci : Activity Based Costing, Biaya Satuan, DD

Keinginan untuk Membayar Pembiayaan Kesehatan Pemerintah Kota pada Masyarakat Mampu di Kota Bandung arisanti, nita; Djuhaeni, Henni; Gondodiputro, Sharon; Setiawati, Elsa Pudji; Wiwaha, Guswan; Arya, Insi Farisa; Rinawan, Fedri
Jurnal Sistem Kesehatan Vol 2, No 4 (2017): Volume 2 Nomor 4 Juni 2017
Publisher : Universitas Padjadjaran

Pembiayaan kesehatan diselenggarakan dengan prinsip ekuitas, artinya penduduk yang mampu akan membayar iuran/ premi secara penuh, dan masyarakat miskin dibayarkan oleh pemerintah. Banyak faktor yang memengaruhi keinginan untuk membayar (WTP). Penelitian ini bertujuan mendapatkan gambaran keinginan masyarakat mampu membayar pembiayaan kesehatan dan faktor-faktor yang memengaruhinya. Penelitian kuantitatif dilakukan pada Agustus â September 2011 terhadap 303 kepala keluarga yang tergolongÂ masyarakat mampu di Kota Bandung. Mampu dalam penelitian ini adalah penduduk tinggal di perumahan elite. Kriteria inklusi yaitu kepala keluarga, memiliti KTP Kota Bandung, bersedia diwawancara. Teknik pemilihan sampel menggunakan cluster sampling, dengan klaster adalah perumahan elit di Kota Bandung. Subjek di tiap klaster ditentukan secara proporsional systematic sampling. Analisis data menggunakan distribusi frekuensi dan regresi logistik. Dari 303 responden, 54,9% yang memiliki asuransi, tidak ingin membayar dan 60% yang belum memiliki, ingin membayar pembiayaan kesehatan Pemkot Bandung. Sebagian besar masyarakat mampu hanya ingin membayar premi kurang dari Rp. 25.000 dengan berharap mendapatkan semua jenis pelayanan kesehatan. Agama dan pendidikan terakhir merupakan faktor yang menentukan secara bermakna keinginan membayar pembiayaan kesehatan. Rendahnya kesadaran responden untuk ikut serta program pembiayaan kesehatan Pemkot Bandung harus dapat diantisipasi pemerintah dengan lebih mendorong masyarakat dari semua golongan status sosial â ekonomi untuk mengikuti program pembiayaan kesehatan.Kata kunci: Keinginan, Kesehatan, Pembiayaan, Masyarakat mampu

Cyanosis as Mortality Risk among Children with Severe Pneumonia Fadlinda, Herza; Utomo, Adi; Djuhaeni, Henni
Althea Medical Journal Vol 3, No 2 (2016)
Publisher : Althea Medical Journal

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Background: Pneumonia is the second leading cause of infant death in Indonesia. The mortality ofÂ pneumonia in children is associated with cyanosis, malnutrition, and age less than 4 months. The aim of thisÂ study was to determine the relationship between cyanosis, malnutrition, and age less than 4 months withÂ the mortality of infant patients with severe pneumonia at Dr Hasan Sadikin General hospital.Methods: A case-control study has been conducted using medical records of 80 patients with pneumoniaÂ at Dr. Hasan Sadikin General Hospital, period January 2007 to December 2013. The inclusion criteriaÂ were medical records consisting of information about infants with severe pneumonia, without comorbidÂ diagnoses, who died during hospitalization. While controls were infants who have been discharged fromÂ hospital. The independent variables of this study were cyanosis, malnutrition, and age less than 4 months,Â while the dependent variable was the mortality. Data were analyzed by using univariate and bivariateÂ analysis.Results: The study reported that only cyanosis was associated with mortality. Malnutrition and age lessÂ than 4 months were not associated with mortality.Conclusions: Cyanosis is known to be the only factor that has affected the mortality of infants withÂ pneumonia who are hospitalized at Dr. Hasan Sadikin General Hospital. [AMJ.2016;3(2):186â9]DOI:Â 10.15850/amj.v3n2.799

Comparison of Maternal Health Service Satisfaction Level of National Health Coverage and Non National Health Coverage Patients in Bandung Mother and Child Hospital Yuntiani, Rika; Achmad, Eppy Darmadi; Djuhaeni, Henni
Althea Medical Journal Vol 3, No 3 (2016)
Publisher : Althea Medical Journal

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Background: Healthcare is financially inaccessible to some people. This results in deterioration of patientsâ condition or even death, which is proven by the high level of Maternal Death Rate in Indonesia. The government implemented the National Health Coverage (NHC) system to ensure the provision of quality health care for the entire community. This study aimed to examine the NHC and non-NHC patientsâ perception to quality maternal healthcare services.Methods: This study was an analytic cross-sectional study conducted from AugustâOctober 2014. One hundred and twenty six respondents from Kota Bandung Mother and Child Hospital were included. The tool used in this study was a validity and reliability-tested questionnaire encompassing five dimensions of service quality: tangibles, reliability, responsiveness, assurance, and empathy. The Kolmogorov-Smirnov test was used to test the hypothesis.Results: The study showed that the majority of NHC(75%) and non-NHC patients (89%) ware unsatisfied with the maternal healthcare services. Most patients felt unsatisfied towards the reliability dimension which involved complicated referral procedures and examination time that failed to comply with what was promised.Conclusions: There is no difference between NHC and non-NHC patientsâ level of satisfaction of maternal health care service in Bandung Mother and Child Hospital. [AMJ.2016;3(3):425â29]DOI: 10.15850/amj.v3n3.869

Role of Knowledge and Attitude toward Perilaku Hidup Bersih dan Sehat (PHBS) of Medical Students 2009 Universitas Padjadjaran Syaefullah, Sufia Permatasari; Herryadi, Noorman; Setiawati, Elsa Pudji; Djuhaeni, Henni
Althea Medical Journal Vol 1, No 2 (2014)
Publisher : Althea Medical Journal

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Background: Perilaku hidup bersih dan sehat (PHBS) is one of the main pillars of preventive measures in Indonesia Sehat and also a strategy to reduce health cost caused by illness based on the desire, willingness, and ability to be able to help themselves in medical aspects. The health provider including a doctor as a community leader should behave toward PHBS which based on adequate knowledge and attitude.Methods: This study have been conducted in FebruaryâNovember 2012 with cross-sectional design of 152 medical students 7th semester admission 2009 Universitas Padjadjaran, using questionnaires. Data were analyzed using chi-square.Results: The number of students with good knowledge and poor knowledge were not different (50.7%vs 40.3%). Most of the respondens attitude are not in accordance with PHBS program(p=0.805).Conclusions: Knowledge of PHBSÂ for all medical students needs to be improved and needs to investigated whether there are other factors which affect student attitudes towardÂ PHBS.Key words: attitude, knowledge, PHBS, studentÂ Â Â Peranan Pengetahuan dan Sikap Mahasiswa Kedokteran Universitas Padjadjaran Angkatan 2009 terhadap Perilaku Hidup Bersih Dan Sehat (PHBS) Â AbstrakLatar Belakang: Perilaku Hidup Bersih Dan Sehat (PHBS) merupakan salah satu pilar utama pencegahan dalam program Indonesia Sehat serta strategi untuk mengurangi biaya kesehatan akibat penyakit yang berdasarkan keinginan, kemauan, dan kemampuan untuk membantu diri sendiri dalam aspek medis. Pelayanan kesehatan termasuk dokter sebagai pemimpin kesehatan di masyarakat harus mempunyai sikap dan pengetahuan yang memadai mengenai PHBS.Metode: Penelitian dilakukan pada bulan Februari-November 2012 dengan desain potong lintang terhadap 152 mahasiswa kedokteran angkatan 2009 Universitas Padjadjaran semester 7 dengan menggunakan kuesioner. Data dianalisis menggunakan chi-square.Hasil: Jumlah mahasiswa yang memiliki pengetahuan baik dan pengetahuan kurang tidak jauh berbeda (50,7% vs 40,3%). Sebagian besar responden mempunyai sikap yang tidak sesuai dengan program PHBS (p=0,805).Simpulan: Pengetahuan tentang PHBS bagi semua mahasiswa kedokteran perlu ditingkatkan dan perlu diteliti lebih lanjut mengenai faktor-faktor lain yang memengaruhi sikap mahasiswa terhadap PHBS.Kata kunci: sikap, pengetahuan, PHBS, mahasiswaÂ DOI: 10.15850/amj.v1n2.353

Role of Satisfaction with Health Care Services in Increasing Patient Loyalty: an Ambulatory Setting Yusri, Citra Restia; Hidayat, Marlianti; Djuhaeni, Henni
Althea Medical Journal Vol 4, No 3 (2017)
Publisher : Althea Medical Journal

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Background: Health care providers must be able to provide services that can satisfy the patient. This encourages patient loyalty so that competitiveness can be preserved. This study aimed to examine the correlation of patientsâ satisfaction to their loyalty towards health care facilities.Methods: An analytic cross-sectional study was conducted on 50 respondents from Anggrek Specialist Polyclinic at Dr. Hasan Sadikin General Hospital Bandung (ambulatory setting) who met the inclusion criteria during the period of September to October 2014. Questionnaires that had been validated and tested for reliability were used. Rank Spearman test was used to analyze the correlation between patient satisfaction and patient loyalty. This study used five dimensions of service quality to measure patient satisfaction, i.e. tangibles, reliability, responsiveness, assurance, and empathy.Results: The study showed that most (84%) patients felt unsatisfied and only 14% was loyal towards the health care services they received. Satisfaction and loyalty showed positive correlation with p=0.001 (p<0.05) and r=0.439, which showed a moderate correlation.Â Conclusions: There is significant correlation between patient satisfaction and loyalty in Anggrek Specialist Polyclinic at Dr. Hasan Sadikin Hospital. This study can be an evaluative material for health care providers to encourage improvement of service quality as to increase patient satisfaction and loyalty.Â

Peran Kepuasan Mutu Layanan Farmasi dalam Peningkatan Loyalitas Pasien di Rumah Sakit Al Islam dan Santo Yusup Kota Bandung Kurniasih, Dea A. A.; Subarnas, Anas; Djuhaeni, Henni
Indonesian Journal of Clinical Pharmacy Vol 4, No 3 (2015)
Publisher : Indonesian Journal of Clinical Pharmacy

Instalasi farmasi di rumah sakit merupakan salah satu pelayanan utama karena lebih dari 90% pelayanan kesehatan di rumah sakit menggunakan perbekalan farmasi sehingga pelayanan farmasi yang kurang bermutu akan menimbulkan kerugian. Mutu pelayanan farmasi akan berperan terhadap kepuasan dan selanjutnya terhadap loyalitas. Tujuan penelitian ini untuk menganalisis peran kepuasan atas mutu layanan farmasi dalam peningkatan loyalitas pasien rawat jalan di Rumah Sakit Al Islam dan Santo Yusup Kota Bandung. Rancangan penelitian yang digunakan adalah analitik observasional dengan pendekatan potong lintang yang dilakukan pada bulan September 2013 hingga Mei 2014. Instrumen yang digunakan adalah kuesioner dengan skala Likert. Pengambilan sampel dilakukan secara purposive sampling menggunakan 100 responden InHealth Rumah Sakit Al Islam, 103 responden InHealth Rumah Sakit Santo Yusup, dan 100 responden umum pada Rumah Sakit Al Islam Kota Bandung sebagai kontrol. Teknik analisis yang digunakan adalah model persamaan struktural dan analisis varians multivariat. Hasil penelitian menunjukkan bahwa pada pasien InHealth Rumah Sakit Al Islam, kepuasan atas bukti langsung, empati, daya tanggap, dan jaminan yang berperan dalam peningkatan loyalitas, pada pasien InHealth Rumah Sakit Santo Yusup hanya kepuasan atas bukti langsung dan daya tanggap yang berperan dalam peningkatan loyalitas sedangkan pada pasien umum Rumah Sakit Al Islam kepuasan atas bukti langsung, keandalan, dan jaminan yang berperan dalam peningkatan loyalitas.Kata kunci: Kepuasan, loyalitas, mutu layanan farmasi, rumah sakitThe Role of Satisfaction for Pharmaceutical Service Assurance to Improve Patient Loyalty at Al Islam and Santo Yusup Hospital in BandungPharmacy is one of the main services in hospital because more than 90% health services using pharmacy supplies, therefore pharmaceutical service which is not qualified would bring disadvantage to hospital. The quality of pharmacy service would impact to satisfaction, and furthermore will affect loyalty. The aim of this study was to analyze the role of satisfaction from pharmaceutical service quality to improve loyalty out-patient care in Al Islam and Santo Yusup hospital in Bandung. This study used observationalanalytical with cross sectional approachment in September 2013 until May 2014. Questionnaire with Likertâs scale was used as the instrument of this study. Purposive sampling was used with 100 samples from InHealth Al Islam Hospital patient, 103 samples from InHealth Santo Yusup Hospital patient and 100 samples from general out-patient care from Al Islam Hospital in Bandung, analyzed with Structural Equation Model and Multivariate Analysis of Variance. The results showed that in Al Islam Hospital InHealth out-patient care satisfaction of tangibles, empathy, responsiveness, and assurance improving loyalty, in Santo Yusup Hospital InHealth out-patient care satisfaction of tangibles and responsiveness improving loyalty. On the other hand, in general out-patient care Al Islam Hospital satisfaction of tangibles, reliability, and assurance improving loyalty.Keywords: Hospital, loyalty, pharmaceutical service, satisfaction

Kepatuhan Minum Obat Pada Pasien Lupus Eritematosus Sistemik di RSUP Dr. Hasan Sadikin Bandung Sheba, Shiane Hanako; Djuhaeni, Henni; Setiabudiawan, Budi; Sunjaya, Deni K.; Mutyara, Kuswandewi; Rinawan, Fedri Ruluwedrata
Majalah Kedokteran Bandung Vol 50, No 1 (2018)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Lupus eritematosus sistemik (LES) merupakan penyakit autoimun kronik yang mengharuskan penyandangnya minum obat dalam waktu lama bahkan seumur hidupnya. Keadaan ini selain menimbulkan dampak fisik, psikis maupun sosial juga menyebabkab biaya tinggi sehingga LES digolongkan sebagai penyakit catastrophic. Ketidakpatuhan minum obat penyandang LES akan berpengaruh langsung terhadap memburuknya outcome penyakit lupus. Penelitian bertujuan mengeksplorasi pelaksanaan dan kepatuhan minum obat pada pasien LES dengan harapan terjadinya perbaikan penatalaksanaan LES yang berdampak pada peningkatan kualitas hidup serta penurunan angka kematian karena LES. Telah dilakukan penelitian kualitatif terhadap 6 informan pasien LES suku Sunda di klinik reumatologi RSUP Dr. Hasan Sadikin Bandung pada bulan Juli sampai September 2016 dengan menggunakan pedoman wawancara mendalam open question yang dikembangkan sesuai dengan jawaban informan. Paradigma penelitan adalah constructivism dengan triangulasi terhadap 2 orang keluarga pasien dan 3 dokter konsultan klinik reumatologi RSUP Dr. Hasan Sadikin Bandung. Data yang diperoleh dianalisis secara bertahap melalui proses transkripsi, reduksi, koding, kategorisasi, penyusunan tema, interprestasi data serta pembangunan konsep. Hasil penelitian menunjukkan ada 57 koding, 14 kategori, dan 3 tema yang mengarah kepada kepatuhan minum obat pasien LES. Ke-14 kategori kepatuhan tersebut terdiri dari: karakteristik individu, daya ingat, pengetahuan, eksperimen, dan manajemen konsumsi (faktor predisposing); karakteristik penyakit, karakteristik obat, biaya, kebijakan rumah sakit, akses ke rumah sakit, terapi alternatif dan enabler agent (faktor enabling); karakteristik tenaga kesehatan dan dukungan eksternal dari berbagai pihak (faktor reinforcing). Konsep dan konstruk yang ditemukan membangun konstruk lokal Jawa Barat berlatar belakang karakteristik masyarakat Sunda dan bersifat kontekstual terhadap penyakit lupus.Kata kunci: Kepatuhan minum obat, lupus eritematosus sistemik, odapusDrug Adherence Drug in Systemic Lupus Erythematosus PatientsÂ in Dr. Hasan Sadikin General Hospital BandungSystemic Lupus Erythematosus (SLE) is a chronic autoimmune disease that requires prolonged treatment. SLE creates physical, psychological, social, and economic burden for the patients; therefore, it is categorized as a catastrophic illness. Non-adherence to medication in SLE patient isan important factor that directly leads to poor outcome. The aim of this study was to explore the management and adherence of patients with SLE to improve the quality of life and to reduce the mortality rate. A qualitative study was undertaken to 6 sundanese SLE patients at the Rheumatology clinic in Dr. Hasan Sadikin General Hospital Bandung in July-September 2016 by using open-ended questions in in-depth interviews with probing based on informant answers. The paradigm used was constructivism with triangulation to family members of 2 patients and 3 rheumatologist consultants in Dr. Hasan Sadikin General Hospital Bandung. Data collected were analyzed gradually through transcription, reduction, coding, categorizing, theme analysis, data interpretation, and theorizing. The results showed 57 codes, 14 categories, 3 themes that focused on the medication adherence of Lupus patients.The themes were categorized as predisposing (individual characteristics, memory, knowledge, experimentation, and consumption management), enabling (drug characteristic, cost, hospital policies, access to hospital, alternative therapy, and enabler agent), and reinforcing (characteristics of health care professionals and social support) according to the predetermined theory. This study has also identified the local concepts and constructs Sundanese people in West Java, which is contextual to the lupus disease.Key words: Adherence, systemic lupus erythematosus, odapus

Motivasi Kader Meningkatkan Keberhasilan Kegiatan Posyandu Djuhaeni, Henni; Gondodiputro, Sharon; Suparman, Rossi
Majalah Kedokteran Bandung Vol 42, No 4
Publisher : Faculty of Medicine, Universitas Padjadjaran

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Salah satu komponen sistem kesehatan di Indonesia adalah pemberdayaan masyarakat, khususnya posyandu yang keberhasilan kegiatannya bergantung pada peran serta kader dan masyarakat. Peran serta kader dan masyarakat sangat dipengaruhi oleh faktor motivasi yang mereka miliki. Penelitian ini bertujuan untuk menganalisis pengaruhÂ serta faktor motivasi yang paling berpengaruh terhadap peran serta kader dan masyarakat dalam kegiatan posyandu di Kabupaten Kuningan selama tahun 2009. Metode penelitian cross sectional explanatory survey denganÂ menggunakan kuesioner. Total sampel sebanyak 300 responden, terdiri dari masing-masing 100 orang untuk kader aktif dan tidak aktif yang diambil secara multistage sampling serta 100 orang masyarakat sebagai kontrol diambil secara purposive sampling. Motivasi internal dan eksternal sebagai variabel independen dan partisipasi kader/masyarakat sebagai variabel dependen, kemudian dianalisis menggunakan teknik structural equation modeling (SEM). Hasil penelitian memperlihatkan bahwa faktor motivasi berpengaruh terhadap peran serta kader dan masyarakat dalam posyandu. Meskipun demikian terdapat berbagai variasi pengaruh, pada kader aktif motivasi eksternal lebih berpengaruh (p=0,97) dibandingkan dengan motivasi internal (p=-0,41). Pada kader tidak aktif terjadi hal sebaliknya, sedangkan pada masyarakat, kedua faktor motivasi menunjukkan pengaruh yang tidak bermakna. Simpulan, pengaruh dan perbedaan pengaruh motivasi terhadap peran serta kader dan masyarakatÂ menentukan keberhasilan kegiatan posyandu. [MKB. 2010;42(4):140â€“8].Cadres Motivation as the Drive for the Success of PosyanduOne of the most important component of the health system in Indonesia is community empowerment, especially posyandu, which depends on their cadres and the community. It was hypothetically assumed that motivation will increase the participation for both cadres and community in the posyandu. The study aims were to analyze the effect of motivation and also determine which motivation factors that had the most influence towards participation in Kuningan district during 2009. The method adapted cross sectional explanatory survey using questionnaire. A total of 300 respondents were carried out, consisting 100 respondents each taken from active and inactive cadres (multistage sampling) and other 100 taken from the community (purposive sampling). Independent variables (internal and external motivation) and dependent variables (community participation) were mentioned and analyzed using structural equation modeling (SEM) technique. The results showed that motivation were actually had influence towards participations for both cadres and community in posyandu. However, the effect varies between groups. On active cadres, external motivation had more influence (p=0.97) compared to internal motivation (p=-0.41). The exact opposite happened in inactive cadres (internal more than external) and community. It can be concluded that cadres motivation is important as the drive for the success of posyandu. [MKB. 2010;42(4):140â€“8].Â DOI:Â http://dx.doi.org/10.15395/mkb.v42n4.26

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