Empowerment of Dasawisma and Health Cadres as Family Cadres to Optimize Family Posyandu

https://doi.org/10.22146/rpcpe.88130

Yogi Fitriadi(1), Noor Afif Mahmudah(2), Fitriana Murriya Ekawati(3), Siti Rizki Fauziah(4), Inggong Ngang(5), Adelina Novita Nababan(6), Mora Claramita(7*)

(1) Department of Family and Community Medicine; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia
(2) Department of Family and Community Medicine; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia
(3) Department of Family and Community Medicine; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia
(4) Department of Family and Community Medicine; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia
(5) Department of Family and Community Medicine; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia
(6) Department of Family and Community Medicine; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia
(7) Department of Medical Education and Bioethic; Faculty of Medicine, Public Health, and Nursing; Universitas Gadjah Mada; Indonesia
(*) Corresponding Author

Abstract


Background: Health cadres are one of the important elements in realizing health in society. In the North Lombok region, the change in the status of ordinary Posyandu to family Posyandu makes health care in the community more comprehensive for all family members. For this reason, efforts to increase the capacity of health cadres are important to improve health status in the family sphere. Objective: This study aims to see the effect of training on increasing the capacity of family cadres on the knowledge of family cadres in the North Lombok Regency area. Method: The sampling process is carried out using the cluster sampling method where each village representative in the Kayangan sub-district of North Lombok Regency sends a cadre representative to train to increase the capacity of Dasawisma cadres to become family cadres. A descriptive analysis of respondents' characteristics and differences in knowledge scores before and after family cadre training activities were conducted. The data analysis process was carried out with the Wilcoxon Test because the data distribution was abnormal. Result: Thirty-three health cadres meet the inclusion and exclusion criteria. The results showed that the median value (maximum-minimum) of family cadres before training, shortly after training and six months after training was 66.67 (36.67-80), 66.67 (53.33-83.33) and 70 (53.33-96.67). From the Wilcoxon test, there was a statistically significant difference between the knowledge score before training and six months after training (p<0.05). There was no statistically significant difference between the knowledge score before training and shortly after training, as well as the knowledge score shortly after training and 6 months after training (p>0.05). Conclusion: Family cadre empowerment training can improve knowledge scores 6 months after training, but there is no significant difference in knowledge score improvement shortly after training as well as between knowledge scores shortly after training and 6 months after training.


Keywords


Empowerment; family cadre; family posyandu; training

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References

  1. Ministry of Health Indonesia Republic. General guidelines for the healthy Indonesia program with a family approach. Jakarta: Ministry of Health Indonesia Republic. 2016.
  2. Sung-Chan, P., Sung, Y. W., Zhao, X., & Brownson, R. C. Family-based models for childhood-obesity intervention: A systematic review of randomized controlled trials: Family-based models. Obesity Reviews. 2013;14(4),265–278. https://doi.org/10.1111/obr.12000
  3. Sacher, P. M., Kolotourou, M., Chadwick, P. M., Cole, T. J., Lawson, M. S., Lucas, A., & Singhal, A. Randomized controlled trial of the MEND program: A family-based community intervention for childhood obesity. Obesity. 2010;18(S1),S62–S68. https://doi.org/10.1038/oby.2009.433
  4. West Nusa Tenggara Governor. Posyandu for family. Health Department of NTB Province. 2021. https://dinkes.ntbprov.go.id/posyandu-keluarga/
  5. Department of Family and Community Medicine., & Sheep Indonesia Foundation. Post-disaster family resilience research report. Yogyakarta: Family and Community Medicine Publishing Agency Faculty of Medicine, Public Health, and Nursing Universitas Gadjah Mada. 2021.
  6. Fajri, N., Rahayuningsih, S. I., Nizami, N. H., & Rizkia, M. (2020). Needs and obstacles for health cadres in helping breastfeeding mothers succeed. Cell Journal of Health Research. 2020;7(2),89–97. https://doi.org/10.22435/sel.v7i2.4389
  7. Tempo.co. Empower dasawisma cadres to develop Jakarta. Tempo. 2021. https://nasional.tempo.co/read/1522524/berdayakan-kader-dasawisma-untuk-bangun-jakarta
  8. Huang, W., Long, H., Li, J., Tao, S., Zheng, P., Tang, S., & Abdullah, A. S. Delivery of public health services by community health workers (CHWs) in primary health care settings in China: a systematic review (1996–2016). Global Health Research and Policy. 2018;3(1). https://doi.org/10.1186/s41256-018-0072-0
  9. Schleiff, M. J., Aitken, I., Alam, M. A., Damtew, Z. A., & Perry, H. B. Community health workers at the dawn of a new era: 6. Recruitment, training, and continuing education. Health Res Policy Sys. 2021;113. https://doi.org/10.1186/s12961-021-00757-3
  10. Sherson, E. A., Jimenez, E. Y., & Katalanos, N. A review of the use of the 5 A’s model for weight loss counselling: Differences between physician practice and patient demand. Family Practice. 2014;31(4),389–398. https://doi.org/10.1093/fampra/cmu020
  11. Grossman‐kahn, R., Schoen, J., Mallett, J. W., Brentani, A., Kaselitz, E., & Heisler, M. Challenges facing community health workers in Brazil’s family health strategy: A qualitative study. International Journal of Health Planning and Management. 2018;33(2),309–320. https://doi.org/10.1002/hpm.2456
  12. WHO. WHO guidelines on health policy and system support to optimize community health worker programmes. https://apps.who.int/ iris/bitstream/handle/10665/275474/9789241550369-eng.pdf?ua=1. Accessed 18 April 2021.
  13. Dahn B, Tamire Woldemarian A, Perry HB, Maeda A, Panjabi R, Merchan N, Vosberg K, Palazuelos D, Lu C, Simon J, Brown D, Heydt P, Qureshi C. Strengthening primary health care through community health workers: investment case and financing recommendations. 2015.
  14. Baviskar MP, Sinha A, Javadekar SS, Bhalwar R. Need-based training of community health officers for tuberculosis care in Ahmednagar district of Maharashtra, India: A before and after study. J Educ Health Promot. 2021 Aug 31;10:322. DOI: 10.4103/jehp.jehp_1079_20. PMID: 34667822; PMCID: PMC8459849.
  15. Coetzee, B., Kohrman, H., Tomlinson, M., Mbewu, N., Le Roux, I., & Adam, M. Community health workers’ experiences of using video teaching tools during home visits—A pilot study. Health and Social Care in the Community, 2018;26(2),167–175. https://doi.org/10.1111/hsc.12488



DOI: https://doi.org/10.22146/rpcpe.88130

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