Increasing knowledge and awareness of health workers and health cadres regarding congenital rubella syndrome in Imogiri II Bantul Primary Health Centre

https://doi.org/10.22146/jcoemph.94085

Elisabeth Siti Herini(1), Agung Triono(2), Kristy Iskandar(3*), Ashadi Prasetyo(4), Albaaza Nuady(5), Marissa Leviani Hadiyanto(6), Kania Diantika(7), Veronica Wulan Wijayanti(8), Rais Aliffandy Damroni(9), Avianti Paramastuti(10)

(1) Universitas Gadjah Mada
(2) Universitas Gadjah Mada
(3) Universitas Gadjah Mada
(4) Universitas Gadjah Mada
(5) Universitas Gadjah Mada
(6) Universitas Gadjah Mada
(7) Universitas Gadjah Mada
(8) Universitas Gadjah Mada
(9) Universitas Gadjah Mada
(10) Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Introduction: Prevention through campaign activities, Measles-Rubella (MR) vaccine introduction, and education play an essential role in controlling rubella and, eventually, Congenital Rubella Syndrome. A Community Engagement program was arranged collaboratively to improve the quality of promotive, preventive education by health workers and cadres and to improve the advanced management of Congenital Rubella Syndrome for health workers.

Methods: A multi-method engagement program was conducted in collaboration with Imogiri II Bantul Primary Health Centre from March to October 2023. The program aimed to implement various activities involving health workers and health cadres. A descriptive study using the survey method was conducted to assess the knowledge level about Congenital Rubella Syndrome among health workers and cadres before and after the program. The survey included multiple-choice yes-no questions, and the results were analyzed using the McNemar test for paired nominal data with SPSS version 27.

Results: We included 25 health workers and 28 health cadres. The results showed a significant increase in health worker's knowledge regarding the impact of Congenital Rubella Syndrome on various organs, including the brain, eyes, ears, heart, and child growth and development (p-values: 0.004, 0.004, 0.0004, 0.021, and 0.008, respectively). There was a notable improvement in health cadres' knowledge concerning the impact of CRS on the brain, eyes, ears, heart, child growth and development, and the child's quality of life (p-values: 0.007, 0.000, 0.000, 0.001, and 0.000, respectively).

Conclusion: The community engagement program helps to enhance the knowledge of health workers and cadres concerning the impact of Congenital Rubella Syndrome on patients. 



Keywords


congenital rubella syndrome; awareness; health workers; cadres; Indonesia

Full Text:

PDF


References

1. Masresha B, Shibeshi M, Kaiser R, Luce R, Katsande R, Mihigo R. Congenital Rubella Syndrome in The African Region - Data from Sentinel Surveillance. J Immunol Sci. 2018 Aug 2;Suppl:146–50. PMID: 30957103; PMCID: PMC6446990.

2. CDC. Rubella Information For Healthcare Professionals | CDC [Internet]. 2022 [cited 2023 Jan 13]. Available from: https://www.cdc.gov/rubella/hcp.html

3. Kementerian Kesehatan RI. PEDOMAN SURVEILLANS CONGENITAL RUBELLA SYNDROME (CRS). Jakarta: Direktorat Surveilans dan Karantina Kesehatan, Direktorat Pencegahan dan Pengendalian Penyakit; 2018.

4. Paller AS, Mancini AJ. In: Paller AS, Mancini AJ, editors. Hurwitz Clinical Pediatric Dermatology (Fifth Edition) [Internet]. London: Elsevier; 2016 [cited 2023 Jan 16]. p. 360-381.e3. Available from: https://doi.org/10.1016/B978-0-323-24475-6.00015-7

5. Motaze NV, Manamela J, Smit S, Rabie H, Harper K, duPlessis N, et al. Congenital Rubella Syndrome Surveillance in South Africa Using a Sentinel Site Approach: A Cross-sectional Study. Clin Infect Dis. 2019 May 2;68(10):1658–64. DOI: 10.1093/cid/ciy758

6. WHO. Surveillance Guidelines for Measles, Rubella and Congenital Rubella Syndrome in the WHO European Region. Denmark: World Health Organization; 2012.

7. Rosalina E, Purnami N. Congenital Rubella Syndrome profile of audiology outpatient clinic in Surabaya, Indonesia. Infect Dis Rep. 2020 Jul 7;12(Suppl 1):8762. doi: 10.4081/idr.2020.8762

8. Bouthry E, Picone O, Hamdi G, Grangeot-Keros L, Ayoubi JM, Vauloup-Fellous C. Rubella and pregnancy: diagnosis, management and outcomes. Prenat Diagn. 2014 Dec;34(13):1246–53. DOI: 10.1002/pd.4467

9. WHO. Rubella [Internet]. 2019 [cited 2023 Jan 16]. Available from: https://www.who.int/news-room/fact-sheets/detail/rubella

10. CDCGlobal. About Global Measles, Rubella, and Congenital Rubella Syndrome (CRS) [Internet]. Centers for Disease Control and Prevention. 2022 [cited 2023 Jan 13]. Available from: https://www.cdc.gov/globalhealth/measles/about/index.html

11. Kementerian Kesehatan RI. PETUNJUK TEKNIS KAMPANYE IMUNISASI MEASLES RUBELLA (MR). Jakarta: Direktorat Jenderal Pencegahan dan Pengendalian Penyakit; 2017.

12. Herini ES, Gunadi null, Triono A, Wirastuti F, Iskandar K, Mardin N, et al. Clinical profile of congenital rubella syndrome in Yogyakarta, Indonesia. Pediatr Int. 2018 Feb;60(2):168–72. DOI: 10.1111/ped.13444

13. Herini ES, Triono A, Iskandar K, Prasetyo A, Nugrahanto AP, Gunadi null. Congenital Rubella Syndrome Surveillance After Measles Rubella Vaccination Introduction in Yogyakarta, Indonesia. Pediatr Infect Dis J. 2021 Dec 1;40(12):1144–50. DOI: 10.1097/INF.0000000000003290

14. World Health Organization. Measles and Rubella Strategic Framework 2021-2023. WHO. Geneva. 2020

15.Tabari P, Amini M, Arya N, Moghadami M, Khoshnood K, Shokripour M, Omidifar N. The Role of Educating Health‑Care Personnel in Prevention, Diagnosis, or Treatment Of COVID‑19: A Narrative Mini Review. Journal of Education and Health Promotion. 2021;10. DOI: 10.4103/jehp.jehp_328_21

16.Triyanti M, Laksmono W, Syamsulhuda BM. Peningkatan Pengetahuan Dan Ketrampilan Kader Pemantauan Tumbuh Kembang Balita Di Posyandu Dengan Metode BBM dan Mind Mapping (MM). JPKI. 2017;12(2):265-77. DOI: 10.14710/jpki.12.2.265-277

17.Istifada R, Rekawati E. Peran Kader Kesehatan dalam Promosi Pencegahan Komplikasi Hipertensi di Wilayah Perkotaan: Literatur Review. jdk [Internet]. 2023 Mar. 24 [cited 2023 Sep. 24];7(1):28-40. DOI:10.20527/dk.v7i1.5615

18.Kementerian Kesehatan Republik Indonesia. Ayo ke Posyandu Setiap Bulan. Jakarta: Kementerian Kesehatan Republik Indonesia; 2012.

19.Vinci AS, Bachtiar A, Parahita IG. Efektivitas Edukasi Mengenai Pencegahan Stunting Kepada Kader: Systematic Literature Review. Endurance [Internet]. 2022 Feb 20 [cited 2023 Sep 24];7(1). DOI: 10.22216/endurance.v7i1.822

20.Kesumasari C, Kurniati Y, Syam A, Salam A, Virani D. Pencegahan Stunting Melalui Pemberdayaan Kader PKK Kecamatan Barebbo di Kabupaten Bone. Panrita Abdi - Jurnal Pengabdian pada Masyarakat. 2020 Jul 10;4(3):322. DOI: 10.20956/pa.v4i3.8083

21.WHO. Primary Health Care as An Enabler For “Ending the Epidemics” Of High-Impact Communicable Diseases. WHO, Geneva. 2018

22. Svensson B, Idvall E, Nilsson F, Liuba P. Health Related Quality of Life in Children with Earlier Surgical Repair for Right Ventricular Outflow Tract Anomalies and the Agreement Between Children and Their Parents. Front Cardiovasc Med. 2020 Apr 28; 7:66. DOI: 10.3389/fcvm.2020.00066

23.Chak M, Rahi J. The health-related quality of life of children with congenital cataract: Findings of the British Congenital Cataract Study. The British journal of ophthalmology. 2007 Aug 1;91:922–6. DOI: 10.1136/bjo.2006.109603

24.Le H, Petersen S, Mensah F, Gold L, Wake M, Reilly S. Health-Related Quality of Life in Children with Low Language or Congenital Hearing Loss, as Measured by the PedsQL and Health Utility Index Mark 3. Value in Health. 2019 Oct 1;23. DOI: 10.1016/j.jval.2019.07.019

25. Roberts I. Nelson’s textbook of pediatrics (20th edn.), by R. Kliegman, B. Stanton, J. St. Geme, N. Schor (eds). Pediatr Radiol. 2017 Sep 1;47(10):1364–5. DOI: 10.1007/s00247-017-3907-9

26.Huriyati, E., Ratrikaningtyas, P. D., Projosasmito, S. R., & Farmawati, A. (2019). Kader Hidup Sehat Dalam Upaya promotif penyakit denegeratif. Journal of Community Empowerment for Health, 2(1), 36. doi:10.22146/jcoemph.41292 8

27.WHO. Primary Health Care [Internet]. 2021 [cited 2023 Oct 1]. Available from: https://www.who.int/news-room/fact-sheets/detail/primary-health-care

28.Harapan H, Shields N, Kachoria AG, Shotwell A, Wagner AL. Religion and Measles Vaccination in Indonesia, 1991–2017. American Journal of Preventive Medicine. 2021 Jan;60(1): S44–52. DOI: 10.1016/j.amepre.2020.07.029

29.Ratih I G, Wahyono T. Relationship Between Mother’s Knowledge of Rubella with Measles Rubella (MR) Immunization Status in Children Aged 9-59 Months at MR Campaign, Java Island - Indonesia 2017. Indian Journal of Public Health Research & Development. 2020 Marc:11(3):1580-1581. DOI :10.37506/ijphrd.v11i3.1854




DOI: https://doi.org/10.22146/jcoemph.94085

Article Metrics

Abstract views : 205 | views : 98

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Journal of Community Empowerment for Health

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.