Cadres Competence in Community-Based Management of Child Illness in Banyumas District, Central Java, Indonesia

Abstract

Background: One of the efforts in the health sector for programs to reduce infant and under-five mortality and morbidity rates is by the competence-based integrated management childhood illness (CB-IMCI) program. However, the program has been poorly implemented by health workers at the health center. Thus, the involvement of cadres is needed and their competency remains important to be improved.Objective: To quantitatively analyze cadre knowledge and competencies in the CB-IMCI program, and its relationship with the implementation of CB-IMCI, as well as to qualitatively explore and analyze the responses of cadres, health workers, and the community to the addition of cadre roles to the management of sick children.Methods: This was a mixed methods study with randomized controlled trials and qualitative method. For randomized controlled trials, 100 cadres were selected, which 50 randomly assigned in the intervention and control group. And for quantitative methods, informants included 10 cadres, 4 health workers, and 20 mothers. Paired t-test and independent t-test were employed for quantitative analysis, and triangulation was used for qualitative analysis.Results: The improvement of knowledge in the intervention group was better (I=14.42/C=4.44/p-value 0.00). The intervention group was more competent in the management of child illness (p-value 0.00). In addition, the cadres have additional competencies assisted by health workers to confidently detect cases earlier, and health center services reach a wider coverage in the community.Conclusion: The addition of cadres roles and competencies in the management of child illness in the community can be implemented in Banyumas Regency. It is suggested that the implementation of this program should be followed up in other health centers by the health department of Indonesia.

Promotion Media for Children’s Health: Applicable Study of Management Child Illness

“…Immunization is used as a routine and additional/supplement program, to reduce morbidity, disability, and infant mortality from diseases that can be prevented by immunization. The immunizations referred to are BCG, DPT, polio, and HB, to prevent tuberculosis, diphtheria, pertussis, tetanus, polio, and hepatitis [1], [2]. There was a decline in the past 5 years and increase 6% in the past year [3].…”

Effect of care for child development training on cadres’ knowledge, attitude, and efficacy in Yogyakarta, Indonesia

“…Due to the limited number of nurses, they often involve cadres (LHW). Usually, the cadres in every village can routinely monitor children’s nutritional and developmental status through community programs such as Balita , which are focused on children <5 years old (Solikhah et al, 2018 ). Nurses from the local Puskesmas are responsible for providing training and supervising the volunteer cadres.…”