Factors That Influence the Performance of Jumantik Cadres

Abstract

Roughly 50-100 million people are infected with dengue every year. This disease has threatened public health related to morbidity and mortality. Case fatality rates in untreated dengue hemorrhagic fever patients have been reported to reach 20%. This study aimed to examine factors that affect the performance of jumantik cadres in the X Public Health Center, including relating to attitudes, learning, motivation, facilities, employment, leadership, reward, age, gender, knowledge, recent education, length of time and marital status. This study used a cross-sectional design. 253 cadres were included. Cadres filled out questionnaires with 61 questions about performance and influencing factors. The data were analyzed by univariate test, bivariate test with Chi-square and multivariate test using logistic regression. The multivariate test results showed that five independent variables had a significant effect on the performance of jumantik cadres, namely knowledge (p < 0.001, OR: 11.990, 95% CI: 5.122-28.067), motivation (p = 0.005, OR: 3.396, 95% CI: 1.455-7.929), attitude (p < 0.001, OR: 4.899, 95% CI: 2.124-11.299), facilities (p < 0.001, OR: 65.296, 95% CI: 17.051-250.054), and leadership (p = 0.002, OR: 3.812, 95% CI: 1.644-8.841). The results indicated the need for program implementation that focuses on jumantik. Continuous training is needed to increase cadre knowledge. Improvement of financial and non-financial incentives might help to increase cadre motivation. Support from the Public Health Center is also needed to coordinate, monitor and evaluate the performance of jumantik cadres for anticipation of dengue cases.
 Keywords: jumantik cadres, DHF, performance, attitude, motivation, facilities, leadership, knowledge