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Effect of a Short Course on Improving the Cadres’ Knowledge in the Context of Reducing Stunting through Home Visits in Yogyakarta, Indonesia
Background: Stunting is primarily a public health concern in Low- and Middle-Income Countries (LMIC). The involvement of Integrated Health Service Post (Indonesian: Posyandu) cadres is among the strategies to combat stunting in Indonesia. Objective: This study aimed to determine the effect of a shor...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408553/ https://www.ncbi.nlm.nih.gov/pubmed/36011477 http://dx.doi.org/10.3390/ijerph19169843 |
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author | Siswati, Tri Iskandar, Slamet Pramestuti, Nova Raharjo, Jarohman Rialihanto, Muhammad Primiaji Rubaya, Agus Kharmayana Wiratama, Bayu Satria |
author_facet | Siswati, Tri Iskandar, Slamet Pramestuti, Nova Raharjo, Jarohman Rialihanto, Muhammad Primiaji Rubaya, Agus Kharmayana Wiratama, Bayu Satria |
author_sort | Siswati, Tri |
collection | PubMed |
description | Background: Stunting is primarily a public health concern in Low- and Middle-Income Countries (LMIC). The involvement of Integrated Health Service Post (Indonesian: Posyandu) cadres is among the strategies to combat stunting in Indonesia. Objective: This study aimed to determine the effect of a short course on cadres’ knowledge. Method: A single group pre-test post-test design was conducted in Yogyakarta, Indonesia, from March to May 2022. Thirty cadres were selected based on the following criteria: willingness to participate, the number of stunted children in their Posyandu, able to read and write, and full attendance at the short course. The knowledge scores were measured by a questionnaire using true and false answers after a short course (post-test 1) and 4 weeks later (post-test 2). We apply STATA 16 to calculate the Mean Difference (MD) using a t-test and a Generalized Estimated Equation (GEE). Furthermore, the adequacy of the short course was evaluated with in-depth interviews. Result: GEE analysis showed that after controlling for age, education, occupation, and years of experience, the short course improved cadres’ knowledge significantly on post-tests 1 and 2, i.e., knowledge regarding Children Growth Monitoring (CGM) (Beta = 6.07, 95%CI: 5.10–7.03 and Beta = 8.57, 95%CI: 7.60–9.53, respectively), Children Development Monitoring (CDM) (Beta = 6.70, 95%CI: 5.75–7.65 and Beta = 9.27, 95%CI: 8.31–10.22, respectively), and Infant Young Children Feeding (IYCF) (Beta = 5.83, 95%CI: 4.44–7.23 and Beta = 11.7, 95%CI: 10.31–13.09, respectively). Furthermore, the short course increased their self-efficacy, confidence, and ability to assist stunted children through home visits. Conclusion: The short courses consistently and significantly boosted cadres’ knowledge of CGM, CDM, and IYCF, and appropriately facilitated cadres in visits to the homes of stunted children’s home. |
format | Online Article Text |
id | pubmed-9408553 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-94085532022-08-26 Effect of a Short Course on Improving the Cadres’ Knowledge in the Context of Reducing Stunting through Home Visits in Yogyakarta, Indonesia Siswati, Tri Iskandar, Slamet Pramestuti, Nova Raharjo, Jarohman Rialihanto, Muhammad Primiaji Rubaya, Agus Kharmayana Wiratama, Bayu Satria Int J Environ Res Public Health Article Background: Stunting is primarily a public health concern in Low- and Middle-Income Countries (LMIC). The involvement of Integrated Health Service Post (Indonesian: Posyandu) cadres is among the strategies to combat stunting in Indonesia. Objective: This study aimed to determine the effect of a short course on cadres’ knowledge. Method: A single group pre-test post-test design was conducted in Yogyakarta, Indonesia, from March to May 2022. Thirty cadres were selected based on the following criteria: willingness to participate, the number of stunted children in their Posyandu, able to read and write, and full attendance at the short course. The knowledge scores were measured by a questionnaire using true and false answers after a short course (post-test 1) and 4 weeks later (post-test 2). We apply STATA 16 to calculate the Mean Difference (MD) using a t-test and a Generalized Estimated Equation (GEE). Furthermore, the adequacy of the short course was evaluated with in-depth interviews. Result: GEE analysis showed that after controlling for age, education, occupation, and years of experience, the short course improved cadres’ knowledge significantly on post-tests 1 and 2, i.e., knowledge regarding Children Growth Monitoring (CGM) (Beta = 6.07, 95%CI: 5.10–7.03 and Beta = 8.57, 95%CI: 7.60–9.53, respectively), Children Development Monitoring (CDM) (Beta = 6.70, 95%CI: 5.75–7.65 and Beta = 9.27, 95%CI: 8.31–10.22, respectively), and Infant Young Children Feeding (IYCF) (Beta = 5.83, 95%CI: 4.44–7.23 and Beta = 11.7, 95%CI: 10.31–13.09, respectively). Furthermore, the short course increased their self-efficacy, confidence, and ability to assist stunted children through home visits. Conclusion: The short courses consistently and significantly boosted cadres’ knowledge of CGM, CDM, and IYCF, and appropriately facilitated cadres in visits to the homes of stunted children’s home. MDPI 2022-08-10 /pmc/articles/PMC9408553/ /pubmed/36011477 http://dx.doi.org/10.3390/ijerph19169843 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Siswati, Tri Iskandar, Slamet Pramestuti, Nova Raharjo, Jarohman Rialihanto, Muhammad Primiaji Rubaya, Agus Kharmayana Wiratama, Bayu Satria Effect of a Short Course on Improving the Cadres’ Knowledge in the Context of Reducing Stunting through Home Visits in Yogyakarta, Indonesia |
title | Effect of a Short Course on Improving the Cadres’ Knowledge in the Context of Reducing Stunting through Home Visits in Yogyakarta, Indonesia |
title_full | Effect of a Short Course on Improving the Cadres’ Knowledge in the Context of Reducing Stunting through Home Visits in Yogyakarta, Indonesia |
title_fullStr | Effect of a Short Course on Improving the Cadres’ Knowledge in the Context of Reducing Stunting through Home Visits in Yogyakarta, Indonesia |
title_full_unstemmed | Effect of a Short Course on Improving the Cadres’ Knowledge in the Context of Reducing Stunting through Home Visits in Yogyakarta, Indonesia |
title_short | Effect of a Short Course on Improving the Cadres’ Knowledge in the Context of Reducing Stunting through Home Visits in Yogyakarta, Indonesia |
title_sort | effect of a short course on improving the cadres’ knowledge in the context of reducing stunting through home visits in yogyakarta, indonesia |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9408553/ https://www.ncbi.nlm.nih.gov/pubmed/36011477 http://dx.doi.org/10.3390/ijerph19169843 |
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