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This community service project aimed to strengthen the capacity of Posyandu cadres in performing early detection of child growth and development (SDIDTK) through a community-based intervention at Babadan Health Center, Indramayu. Limited knowledge, lack of assessment tools, and minimal continuous assistance were identified as key problems among cadres. The intervention involved training, mentoring, simulation practice, and monitoring–evaluation using participatory and human-centered approaches. Thirty cadres participated in the program. The results showed an improvement in cadres’ understanding of SDIDTK concepts, increased ability to conduct stimulation and screening using KPSP, and enhanced readiness to educate parents during Posyandu activities. This community-based approach successfully strengthened cadres’ competency and supported optimal child development monitoring in the community. The program is recommended to be continued through periodic mentoring and integration with local health programs.

Posyandu is expected to be able to detect any deviations in growth and development early and provide recommendations to immediately visit related health services. Stimulation recommendations are also given if the detection results show that there is dysfunction in growth and development, so that the dysfunction does not experience more severe disorders. Delays in growth and development in children that are detected early are very important and are part of the duties of posyandu cadres. There are several applications that can be accessed by the community at home, such as the "Nutritional Status Check", "Nutrition Calculator", and "PRIMAKU" applications, where these applications can be downloaded using a smartphone on the Google Playstore, these applications can be used to help parents monitor their children's growth and development while at home. 5 The Ministry of Health has launched the book Stimulation, Detection and Early Intervention of Growth and Development (SDIDTK) (Karima et al., 2021; N et al., 2019).

Puskesmas sebagai fasilitas kesehatan primer bertanggungjawab terhadap penyelenggaraan pelayanan kesehatan di wilayahnya, termasuk pelayanan SDIDTK. Pelayanan Kesehatan harus sesuai dengan Standar Pelayanan Minimal (SPM). Tujuan Penelitian untuk mengetahui gambaran evaluasi program pelaksana pelayanan kesehatan balita di Wilayah Kerja Puskesmas Batumandi. Metode penelitian kualitatif, subjek penelitian terdiri dari informan utama dan informan trianggulasi. Intrumen yang digunakan berupa pedoman wawancara. Hasil penelitian didapatkan aspek input meliputi man yaitu bidan desa, bidan Puskesmas, gizi, aparat desa dan kader yang bekerja sesuai dengan tupoksi masing-masing. Money berasal dari APBD, DAK dan dana desa. Material yaitu alat-alat pengukur timbangan, pemberian makanan tambahan dan permainan edukatif. Machines yaitu komputer/laptop dan jaringan internet. Method yaitu buku-buku pedoman terkait pelaksanaan program pelayanan kesehatan balita. Aspek proses program pelaksana pelayanan kesehatan balita meliputi perencanaan yaitu pelaksanaan sesuai dengan SOP yang telah ditetapkan sedangkan pelaksanaan sesuai dengan perencanaan dan jadwal yang telah ditentukan. Aspek output meliputi monitoring yaitu dengan melakukan rapat bulanan dan dilakukan secara berkala satu bulan sekali sedangkan evaluasi telah dilakukan dan mengalami kendala yaitu kekurangan tenaga kesehatan dan deteksi dini kesehatan balita.