Ability Of Cadres Research Articles

Research trends in increasing cadre capacity in efforts to reduce stunting in Indonesia: A review.

Stunting is a significant public health issue in Indonesia, characterized by a very high prevalence. The Indonesian government places utmost importance on prevention. Preventive measures and timely identification are crucial, particularly by trained personnel. The research aims to uncover patterns in the enhancement of cadre ability to mitigate the prevalence of stunting. A review was conducted using data from content analysis, which focuses on results from several studies published in health journals listed on Scopus. The search is conducted using Scopus, with the terms "cadre," "stunting," and "Indonesia" within 2018 to 2023. The research shows that increasing the capacity of cadres can be done by increasing knowledge, attitudes, motivation, skills, perceptions of effectiveness, self-efficacy, with training intervention methods, short courses and collaborative interventions with all parties for the entire community through cadres as the front line in reducing stunting as well.

Pelatihan Pemantauan Pertumbuhan Balita Pada Kader Kesehatan di Puskesmas Muara Tais, Kecamatan Angkola, Muara Tais Tapanuli Selatan

Stunting in Tapanuli Selah district will be 39.4 percent in 2022, and in 2023 it will decrease by 15.6 percent. Community empowerment in the health sector develops Community Resource Health Efforts (UKBM) namely Posyandu. Posyandu organizers are health cadres, elected by the community. Increasing the ability of cadres to manage posyandu activities, especially regarding basic health services to the community, is carried out by training by health workers. Muaratais Health Center was inaugurated on July 15 2023, the newest sub-district expansion in South Tapanuli Regency. The Muaratais Health Center area has 15 villages, in each village there is a posyandu, an average of 4 cadres and there are new cadres who have never attended training. The service team agreed with the Community Health Center to carry out training for posyandu cadres on monitoring the growth of toddlers. Training materials, toddler growth, measuring body length, height and weight using tools available at the posyandu, infant ruler, microtoise, portable electric body weight. The training participants consisted of 20 health cadres, appointed by the community health center to represent the posyandu in their work area. Training activities were carried out for two days in the community health center meeting room. Lecture, question and answer, simulation and demonstration methods. Trainees' knowledge about monitoring toddler growth is getting better. Skills in using the growth monitoring tools available at posyandu category are sufficient. Skills at the advanced stage are continued by the posyandu supervisor.

Tiered Training Model to Improve the Skills of Posyandu Cadres in Measuring Child Anthropometry in Demak Regency, Indonesia

Background: Posyandu cadres still lack the skills to measure anthropometry. Not all cadres received regular training. Objectives: This study aims to develop a training model to improve the skills of Posyandu cadres in conducting anthropometric measurements. Methods: This study used a research and development approach with two main stages. The first stage was the development of the training model. The second stage was field testing of the new training model, using a pretest-posttest control group design. The training model in the form of Training of trainers (ToT) was tested to 49 cadres in the treatment and control groups with expert resource persons, followed by grassroots training with 142 cadres in the treatment group and 146 cadres in the control group with resource persons from the ToT participants. The intervention lasted three months. The effect of applying the training model on changes in the ability of cadres in anthropometric measurements was analyzed using the General Linear Model with a significant p-value <0.05. Results: The developed anthropometry training model is tiered training, including ToT followed by grassroots training. Through the implementation of this training model, the number of trained cadre participants increased threefold. The results of the tiered anthropometry training model trial proved to improve knowledge, attitude, practice, self-efficacy, as well as the precision and accuracy of measuring the length, height, and weight of children by Posyandu cadres (p<0.05). Conclusions: The implementation of a tiered anthropometry training model can increase cadre participants and improve the capacity of cadres in measuring child anthropometry.

Health System Guidance as Nursing Intervention for Ineffective Health Management in Aggregate Adults with Hypertension

Introduction: Hypertension is a type of non-communicable disease that can significantly cause morbidity and mortality of sufferers. Adult age is a risk factor that has a great influence on hypertension. Interventions that can be given to the community are Health System Guidance to identify hypertension problems in the community and develop the ability to overcome existing health problems, namely hypertension problems. Objective: To determine the effectiveness of nursing interventions for health system guidance. Method: Descriptive and analytical research design with a sample of 50 productive age who have hypertension in the RW 08 area of Patrang Village and 5 health cadre. This research carried out implementation in the form of primary prevention (health education), secondary prevention (hypertension screening and cadre empowerment) and tertiary prevention (education and demonstration of giving star fruit juice). Data collection used respondent characteristic instruments, hypertension knowledge questionnaire, hypertension diet questionnaire, standart operating procedure for blood pressure measurement, standart operating procedure for making star fruit juice. Data analysis used paired sample t-test, wilcoxon test, and mann whitney test. Results: There was a significant difference between knowledge before health education and after health education (p = 0.000). In cadre empowerment, there was an increase in the percentage of cadre ability and the mean of cadre knowledge. In tertiary prevention, there was a significant difference between blood pressure after giving star fruit juice therapy between the intervention and control groups (p < 0.05). Conclusion: Health system guidance is effective in improving health management of hypertension.

Training on Early Detection of Stroke for Health Cadres to Prevent Disability After Stroke in the Kebonsari Village Area

ABSTRACT Early detection of stroke is an effort to prevent more severe disability in stroke patients. Delays in bringing stroke patients to the hospital are one of the reasons why patients miss the golden period of stroke treatment. Health cadres play an important role in identifying health problems in the community, but most cadres do not understand how to carry out early stroke detection. To increase the knowledge and ability of cadres in detecting strokes so that treatment does not exceed the golden period of strokes. The method used in this community service activity is a participative educational approach, including providing health education and demonstrations regarding early stroke detection. This activity was conducted in April 2023 and was attended by 35 health cadres. Knowledge and ability to detect stroke are evaluated used knowledge questionnaire instruments and observation sheets. The results of community service show that the knowledge and ability to perform stroke detection among cadres has increased after training. Cadres' knowledge and ability to detect stroke in the health community can be improved through early stroke detection training. It is hoped that trained health cadres can provide health education to other residents to increase residents' knowledge about stroke and when is the right time to take patients to hospital. Keywords: Early Detection, Health Cadres, Non-Communicable Disease, Stroke

OPTIMIZING THE GROWTH AND DEVELOPMENT OF TODDLERS THROUGH EMPOWERING CADRES AND MOTHERS OF TODDLERS WITH ASIKIA ACTIVITIES

The toddler period is a vulnerable time, especially with regard to growth, as it can affect the development of children in the future. Therefore, it is necessary to intervene to increase the interaction of health professionals with parents to have a positive impact on child development. The Maternal and Child Health Information Sharing Agenda (ASIKIA) is an activity carried out in an effort to empower the community, especially cadres and mothers of toddlers in optimizing the growth and development of infants and toddlers. Community empowerment activities were carried out through cadre mentoring activities on March 14, 2023 and toddler mother class activities on March 16, 2023. The empowerment model used is Unlimited Totality Health Empowerement (UTHE) which uses several kinds of models in activities in the form of lectures, group discussions, demonstrations and discussions. The activities carried out proved to be able to increase the knowledge of cadres about stimulation of growth and development of toddlers as shown by the results of the pre-test and post-test where before being given counseling, cadre knowledge in the good category was 50% and after being given counseling cadre knowledge increased to the good category as much as 88%. Likewise, the knowledge of mothers of toddlers about stunting showed results before being given counseling, the knowledge of mothers of toddlers in the good category was 17% and after being given counseling, the knowledge of mothers of toddlers increased to the good category by 100%. In addition, the success of the activity is also indicated by the ability of cadres to correctly assess child development using the "SIP (Developmental Stimulation) Bag" media. ASIKIA can be used as a means of sharing knowledge and active discussion between the service team and activity participants on various maternal and child health issues.

PELAKSANAAN PROGRAM SEHATI SEBAGAI UPAYA PENURUNAN ANGKA KEMATIAN BAYI DI DESA KEPUHPANDAK KECAMATAN KUTOREJO KABUPATEN MOJOKERTO

Infant mortality is a death that occurs in children before the age of 1 year which occurs due to several factors. Infant mortality is one of the important indicators of public health and is associated with maternal mortality. Referring to the problem, the SEHATI Program (Healthy Tuesday to Prevent Maternal, Infant and Stunting Events) Program activities were initiated by the Mojokerto Regency Health Office which was monitored directly by the Mojokerto Regent. This effort is able to improve the ability of cadres to assist breastfeeding and foster families to be able to provide nutritious food to prevent stunting from an early age.

The Performance of Cadre in Non-Communicable Disease Integrated Coaching Center in Medan City 2023

The aim of this research is to determine the factors that influence the performance of Posbindu Cadres for Non-Communicable Diseases in Medan City in 2023. This type of research is quantitative research with a cross sectional study design. Data analysis used univariate and bivariate analysis with a sample size of 88 respondents. The results of the research show that the variables that are related are income (p=0.016) and cadre motivation (p=0.011) with the performance of cadres at the Integrated Development Post for Non-Communicable Diseases (Posbindu PTM) in Medan City in 2023. The suggestion for this research is that cadres are always more active in increase responsibility in carrying out Posbindu activities so that the existing programs at Posbindu can be achieved and the Puskesmas is expected to increase the motivation and work ability of cadres in carrying out Posbindu activities in order to increase the activity of Posbindu cadres by providing training about Posbindu programs and activities to cadres on an ongoing basis.

Enabling the Grass Root: Health Cadres Empowerment Program in Efforts to Prevent and Manage Hypertension in the Tanjung Sub-Village Community

Community health cadres are frontline health workers and essential allies in improving hypertension management and promoting health equity. However, the phenomenon in Indonesia shows that the support given to cadres in efforts to promote hypertension still needs to be higher. This article describes the community service program, especially health cadres empowerment in Tanjung Sub-villages, Sewon, Special Region of Yogyakarta, to optimize the capabilities of health cadres in promoting health and preventing disease. The methods to determine the lack in community used observation, interviews, and surveys. Then action planning was carried out by including cadres, primary health care services Sewon II, head of sub-village, village youth organization in Plan of Action (PoA). Implementation of the program was held in May 2023. The descriptive analysis was used for analyzing the preliminary surveys. The Wilcoxon test was carried out to measure cadres' knowledge before and after the program was held as an evaluation. There are two main programs for empowering health cadres in this community: health cadre training and hypertension exercise to increase cadres' innovation in doing exercise for the community. Both of these programs have been proven to increase the knowledge and understanding of cadres about hypertension, as well as improve the ability of cadres to carry out health screening and lead hypertension exercises. Based on the results of the Wilcoxon test, the pre-test, and post-test values yielded a Z value of -2.375 and a sig value of 0.018, indicating that there is an influence of the presentation of hypertension on the knowledge and understanding of the cadres. Community acceptance of this program runs well and the Tanjung Sub-Village’s Cadres independently is able to carry out health screening of non-communicable diseases, especially hypertension in their monthly Integrated Healthcare Center (Posyandu) program in the future.

The Influence of Health Education About Cadre Knowledge on Early Detection of Toddler Growth and Development at the Tamansari Health Center, Tasikmalaya City

The growth and development of toddlers is one of the tasks of the central government up to the level of basic health services, namely posyandu. Where in its implementation can be carried out by trained cadres. The role of posyandu cadres is very important besides health workers, parents, cadres also play an active role in the process of monitoring growth and development. The purpose of this study was to determine the effect of health education in the implementation of stimulation of early detection of growth and development of toddlers. This study used a quantitative method with pre-experiments and used a pre-post design. Using the One-group pretest and post test design approach, the population in this study were 50 cadres representing each posyandu. The sampling technique in the study was carried out by total sampling. The instrument used to assess the knowledge of cadres is in the form of a questionnaire. The results showed that previously, more than half of the respondents had less knowledge, 26 (52%), whereas after being given health education, they experienced an increase in the good category of 38 people (76%). Wilcoxon - test obtained a p-value of 0.000 <0.05. The conclusion is that there are differences in the level of knowledge of the respondents before and after being given health education. Suggestions for health workers to strive for all posyandu to get the same visit and increase the ability of cadres to strengthen knowledge related to early detection of toddler growth and development.

Peningkatan Keterampilan Kader Posyandu dalam Pengukuran Antropometri di Desa Meteseh, Boja, Kendal

Meteseh Village is a village with 8 Posyandu. Various posyandu activities have been carried out, one of the routine activities carried out is anthropometric measurements, but there are still cadres who take measurements in an inappropriate way. This can produce erroneous measurement results, resulting in inaccurate interpretation. The accuracy of anthropometric measurements depends on the ability of cadres to make measurements, so training and assistance is needed in anthropometric measurements with the aim of increasing the knowledge and abilities of cadres in taking anthropometric measurements. The methods used in training and mentoring anthropometric measurements are lecture, discussion, simulation and demonstration methods using Ms. Power Point and various anthropometric measurement tools. Assistance is carried out within two months. Measurement of knowledge is done by giving pre-test and post-test. The activity was carried out with 50 Meteseh Village cadres, Boja, Kendal from June to September 2022. Based on the results of the pre-test and post-test, 60% of the cadres experienced an increase in knowledge. The results of the observations during the mentoring and evaluation of the participants also showed good results in the training and mentoring activities. suggestions that training and mentoring can be carried out on an ongoing basis to refresh the knowledge and consistency of cadres in making anthropometric measurements.

The Effectiveness of the Online Cadre Refresh Program on Capacity Building for Cadres in Toddler Posyandu Management During the Covid-19 Pandemic

One of the health services affected by the COVID-19 pandemic is the toddler posyandu, because that the implementation of toddler growth and development screening was non-optimal. The management of the Toddler Posyandu during the Covid-19 pandemic has its challenges to comply with the established health protocols. There is a need for education and training programs that can improve the ability of cadres to manage toddler posyandu during the COVID-19 pandemic. This study aims to look effectiveness of the cadre refresh program in increasing the ability of cadres to manage the toddler Posyandu during the Covid-19 pandemic. The research design was quasi-experimental with one group pretest posttest approach. The population in this study was 140 toddler cadre Puskesmas Baron Nganjuk with total sampling and using T-test data analysis. The ability of cadres to manage the toddler Posyandu showed an average score of 13.25 before the intervention and 14,75 after program. The result of data analysis indicates there is an effect of online refreshment program on capacity building toddler cadres with ρ-value = 0,000. It is indicate that the cadre refresh program has an impact on increasing the ability of toddler cadres. It was concluded that the cadre refresh program has an impact on increasing the ability of toddler cadres. Re-education will provide a learning experience again so cadres will recall the material they have learned and can broaden their understanding of the material presented by paying attention to updated knowledge and experience that they have experienced.

Optimalisasi Peran Kader dalam Pencegahan Stunting melalui Peningkatan Nutrisi Baduta dan Ibu Menyusui

Stunting is a health problem that contributes to child morbidity and mortality. Stunting prevention can be done through nutritional interventions. The high stunting prevalence in Seluma Regency is due to knowledge, culture, socio-economic and others. The purpose of the activity is to improve the children's nutrition and mothers to increase the child's growth and development to prevent stunting through cadres empowerment. The method of activities is the socialization of the first 1000 days of life, cadre training, education of lactations, giving additional nutrition, and cadre assistance. The targets are cadres and mothers. Assessment of knowledge through questionnaires, for the ability of cadres and lactation mothers by direct observation. The results showed an increase in the average knowledge of cadres by 10 points after training, an increase in the knowledge and skills of lactation mothers, exclusive breastfeeding at 57.17%, and good breastfeeding frequency at 85%. Optimizing cadres is useful in promoting nutrition to prevent stunting.

PENINGKATAN KETERAMPILAN KADER POSYANDU DALAM MEMBERIKAN EDUKASI DENGAN METODE EMOTIONAL DEMONSTRATION DALAM UPAYA PENCEGAHAN STUNTING DI POSYANDU CEMPAKA DESA PONDOK MEJA KECAMATAN MESTONG MUARO JAMBI

Stunting is still a public health problem in Pondok Meja Village, one of which is in the Cempaka posyandu area. The results of an interview with the Head of the Cempaka Posyandu Cadre, Pondok Meja Village, stated that in the Cempaka Posyandu, Pondok Meja Village, Muaro Jambi itself recorded ten children who were stunted and were currently under the supervision of the Pondok Meja village government and received assistance from the village. For this reason, the ability of cadres must be improved, one of which is the Emotional Demonstration (Emo Demo) method. The emotional demonstration approach is one way of health education through interactive education sessions using games between individuals, groups or communities involving child development stages. Based on this, the ability of cadres to provide counselling must continue to be improved, especially with the proper method, so that it can facilitate its implementation. This method is designed with a demonstration approach that plays on emotional aspects. With this method, the community will more easily understand the problems that cause stunting.

PELATIHAN KADER TENTANG DETEKSI DINI GANGGUAN JIWA DI WILAYAH KERJA PUSKESMAS MARGAHAYU KOTA BANDUNG

The prevalence of people with mental problems (ODMK) reaches 9.3 percent or around three million people. This high number is predicted to continue to increase due to the condition of the Covid 19 pandemic which creates new stressors for the community. so that currently we need cadres who are able to detect early mental disorders in the community so that preventive actions can be carried out immediately in the community. Increasing the ability of cadres to detect mental disorders early can be done through cadre training in the form of community service. The purpose of this community service is to find out the level of knowledge and attitudes of cadres before and after being given training on Early Detection of Mental Disorders (DDGJ). The community service method used is cadre training using the DDGJ module. The results of community service show that before being given cadre training, the mean knowledge was 48.48 and attitude was 64.02. after being given cadre training, it was found that the average value of knowledge increased was 80.30, the increase was 31.82, while the mean value of attitude was 88.86, an increase of 24.85. The conclusion of community service is that there is an increase in the knowledge and attitudes of cadres after training on early detection of mental disorders.

The Effect of Counseling Training for Health Cadres on the Skills of Providing Information on Tuberculosis Treatment at Dempar Health Center, Nyuatan District, West Kutai Regency

The success rate of tuberculosis treatment in East Kalimantan Province is still below the national target. This study aims to analyze the effect of counseling training on the skills of cadres in providing information on tuberculosis treatment at the Dempar Health Center. The research design was a quasi experiment without a control group. The training intervention was tuberculosis treatment counseling, cadre skills were measured before and after the intervention. Samples were taken as a total population of 40 respondents. Data analysis used the Wilcoxon test to determine the difference in the average pre and post intervention scores. The results showed that there was an increase in the ability of cadres to provide TB treatment counseling after being given training, p-value = 0.000 (< α = 0.05). The author concludes the need for counseling training for cadres to be able to provide information on tuberculosis treatment.

THE RELATIONSHIP OF HEALTH EDUCATION TO ELDERLY KNOWLEDGE ABOUT HOW TO PREVENT HYPERTENSION IN THE ELDERLY IN AEK BOLON JAE VILLAGE, BALIGE DISTRICT

Hypertension is still a health problem in the elderly group. Increased age is often followed by degenerative diseases and health problems in the elderly group. Therefore, researchers are interested in conducting a study entitled Relationship of health education to elderly knowledge on how to prevent hypertension in the elderly in Aek Bolon Jae Village, Balige District in 2022. This study was conducted in April-June 2017 with a population of 198 people while the sample used as many as 99 people using the formula from lemeshow book using simple random sampling techniques. The results of this study stated that health education has a relationship to the knowledge of the elderly in Aek Bolon Jae Village, Balige District in 2022, because p value < 0.05. It is expected that it can be increased the knowledge of elderly posyandu cadres about hypertension and how to prevent it and improve the ability of cadres in providing counseling so that counseling to the elderly is more effective. Education Institutions provide elderly posyandu material which is one of the basic health services through courses related to elderly services both integrally and specifically cases of hypertension in the elderly and prevention methods. The results of this study as preliminary data to conduct other research on the elderly with different variables.

Pemanfaatan Rambut Jagung (Zea mays L.) Menjadi Teh Herbal “KoNsilk” kepada Kader Puskesmas Perumnas 2 Kota Pontianak

The impact of the Covid-19 pandemic is felt by the people of Pontianak, in the economic, sociocultural, and health fields. One of the prime commodities in Pontianak is corn farming. The aim of the PKM Program is to innovate corn-based processed products. This PKM activity began with outreach to the heads and employees of the Puskesmas, as well as identifying health cadres as potential participants in training related to using corn silk as herbal tea drinks. Training on using corn silk as herbal tea drinks for cadres was carried out offline and interactively using leaflets, videos, and hands-on practice. Evaluation and monitoring activities are carried out using a Google form (pre-test and post-test). The results of the PKM activity showed success in understanding the cadres with good knowledge when the pre-test was carried out by only ten people (30.30%). After being given knowledge training, respondents in the good category amounted to 30 people (90.90%). PKM activities targeting UPT Puskesmas Perum II cadres increased the ability of cadres to utilize corn silk waste in herbal tea. The next activity is expected to be able to assist so that the resulting product obtains a permit.

PENINGKATAN KEMAMPUAN KADER MEMANTAU PERTUMBUHAN BALITA DI POSYANDU

There is still a shortage of active posyandu cadres in Martapura Barat District. Some cadres were recruited to replace cadres who had dropped out and had never been trained. Many Posyandu cadres have difficulty measuring toddlers’s height and weighing correctly. The purpose of this activity is to improve the ability of cadres to monitor the growth of toddlers in posyandu. The target of the activity was 43 posyandu cadres in Martapura Barat District. The activities were divided into two stages, namely training for cadres in class in the form of theory and practice for two days, and the second stage was field practice as well as fostering posyadu activitie. Material training is theory and practice of weighing, measuring height and length, filling in KMS, and counseling on nutrition. As a result of the activity, training has been carried out to improve the ability of cadres in monitoring growth. The activity was carried out at the Sungai Batang Ilir Village Hall. Weighing practices are carried out according to posyandu opening days. From the results of the activity, there was an increase in the knowledge and skills of cadres in carrying out the process of weighing weight and measuring TB as well as filling in the KMS. Skills of cadres in nutrition counseling at table 4 need to be improved and further coaching by related parties. Suggestions, it is necessary to periodically coach and refresh cadres by related parties, procure standard anthropometric tools, and increase the ability of cadres to provide counseling and nutrition counseling.
 Keywords: Ability of cadres, monitoring, growth of toddlers

A Study on the Training of Professional Ability of Cadres—Taking X City of Shaanxi Province as an Example

Cadre professionalization capability training is one of the important aspects of cadre education and training in the new era, and it is crucial for improving the overall quality of the cadre team, ensuring the Party remains a strong leading core, and promoting the development of the Party and national cause. It has a direct and significant impact on the growth of cadres. Taking X City in Shaanxi Province as an example, this article proposes corresponding countermeasures and suggestions to address the issues in the cadre professionalization capability training process, aiming to more efficiently adapt to the needs of cadre quality and capability improvement and the construction of high-quality professional cadre teams in the new era.