Enhancing Preventive Service Coverage and Digital Local Area Monitoring Quality: A Quasi-Experimental Study of Life Cycle-Based Integrated Primary Care Posyandu in Rural Communities

Tuti Rohani; Yunita Theresiana

doi:10.56741/IISTR.jphs.002197

Authors

Tuti Rohani
medicoinsight.innovinitiative@gmail.com
Universitas Dehasen https://orcid.org/0009-0009-9334-485X
Yunita Theresiana Universitas Dehasen

Keywords:

Delivery of Health Care, Health Information Systems, Primary Health Care, Preventive Health Services, Program Evaluation

Abstract

Strengthening primary health care through integrated, life-course approaches is essential to improve preventive service delivery and health system performance. In Indonesia, the transformation of Posyandu into an Integrated Primary Care (ILP) platform aims to enhance service coverage and digital monitoring through Local Area Monitoring (PWS). This study assessed the effect of Integrated Primary Care Posyandu on preventive service coverage and digital PWS quality at the village level. A quasi-experimental design with a non-equivalent control group was conducted between September 2025 and January 2026 in Yogyakarta Province, involving 840 participants. The intervention included life-cycle–based integrated services and the use of digital monitoring tools. Outcomes were analyzed using a difference-in-differences approach. Preventive service coverage increased significantly in the intervention group compared to the control group, with a net effect of +13.2 percentage points (p < 0.001). The quality of digital PWS also improved significantly (+14.1 points; p < 0.001). Improvements were observed across all life-cycle groups, particularly among adolescents and older adults. These findings suggest that integrated and digitally enabled community-based health services can effectively improve both service utilization and data quality, supporting stronger primary health care systems and contributing to progress toward universal health coverage.

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Author Biographies

Tuti Rohani, Universitas Dehasen

is an academic affiliated with the Master’s Program in Public Health, Faculty of Health Sciences, Universitas Dehasen Bengkulu, Indonesia. Her research interests focus on public health, reproductive health, adolescent health behavior, and community health education. Her scholarly work addresses personal hygiene among elementary school children, health education interventions, and factors associated with risky sexual behavior among adolescents. Through her research, she contributes to promoting preventive healthcare, improving health literacy, and strengthening community-based health promotion practices in Indonesia. (email: tuti.rohani@gmail.com).

Yunita Theresiana, Universitas Dehasen

is an academic affiliated with Universitas Dehasen Bengkulu, Indonesia. Her research interests focus on public health, environmental sanitation, infectious disease prevention, and community health education. Her scholarly work addresses dengue fever incidence, the relationship between environmental sanitation and disease transmission, and the effectiveness of educational interventions in improving oral health knowledge among elementary school students. Through her research, she contributes to strengthening disease prevention strategies, promoting health literacy, and improving community-based public health practices in Indonesia. (email: yunita.theresiana@gmail.com).

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