ANALYSIS OF FACTORS INFLUENCING ELDERLY PARTICIPATION IN POSYANDU PROGRAMS AT GULAI BANCAH HEALTH CENTER, BUKITTINGGI, 2025

Abstract

Edelry visits to elderly posyandu (integrited health posts) are one of the indicators of the success of community health service programs aimed at maintaining and improving the health status of the elderly. Low visit rates remain a challenge in various regions, including the study site. Several factors may influence visit rate, including elderly motivation, family support, and the role of posyandi cadres. This study aimed to analyze the influence of motivation, family support, and cadre roles on elderly visit to posyandu, and to determine the most dominant influencing variable. This research employed a descriptive analytic design with a cross sectional approach. The population included all elderly registered in the posyandu within the working area of Gulai Bancah Public Health Center, Bukittinggi. The study was conducted in July 2025. Samples were determined using purposive sampling based on inclusion criteria, and data were collected through interviews with structures questionnaires. Data analysis was conducted using univariate, bivariate and multivariate analysis with regresion at a significance level of p < 0,05. The results showed that motivation variable had  a significant effect on elderly visists ( p = 0,003 ; OR = 0,196 ), meaning elderly with higt motivation were more likely to visit. The cadre role variable also a significant effect ( p = 0,029 ; OR =3,503), indicating that elderly in areas with active cadre were liklely to attend. Conversely, family support did not show a significant effect on elderly visits ( p = 0,862). Multivariate analysis revealed that the most dominant factors influencing visits was the cadre role ( p = 0,029, OR = 3,503). The study recommended enhancing elderly motivation and optimizing cadre role as key strategies to improve regular elderly visits to posyandu. Sustainable cadre training programs and interventions to increase elderly individual motivation are highly recommended to achieve the elderly posyandu attendance targets.