Effect of a Short Course on Improving the Cadres’ Knowledge in the Context of Reducing Stunting through Home Visits in Yogyakarta, Indonesia

Tri Siswati (), Slamet Iskandar, Nova Pramestuti, Jarohman Raharjo, Muhammad Primiaji Rialihanto, Agus Kharmayana Rubaya and Bayu Satria Wiratama
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Tri Siswati: Department of Nutrition, Politeknik Kesehatan Kemenkes Yogyakarta, Tata Bumi No. 3, Banyuraden, Gamping, Sleman, Yogyakarta 55293, Indonesia
Slamet Iskandar: Department of Nutrition, Politeknik Kesehatan Kemenkes Yogyakarta, Tata Bumi No. 3, Banyuraden, Gamping, Sleman, Yogyakarta 55293, Indonesia
Nova Pramestuti: Balai Litbang Kesehatan Banjarnegara, Selamanik No. 16 A, Banjarnegara 53415, Indonesia
Jarohman Raharjo: Balai Litbang Kesehatan Banjarnegara, Selamanik No. 16 A, Banjarnegara 53415, Indonesia
Muhammad Primiaji Rialihanto: Department of Nutrition, Politeknik Kesehatan Kemenkes Yogyakarta, Tata Bumi No. 3, Banyuraden, Gamping, Sleman, Yogyakarta 55293, Indonesia
Agus Kharmayana Rubaya: Pusat Unggulan Iptek Inovasi Teknologi Terapan Kesehatan Masyarakat, Politeknik Kesehatan Kemenkes Yogyakarta, Tata Bumi No. 3 Banyuraden, Gamping, Sleman, Yogyakarta 55293, Indonesia
Bayu Satria Wiratama: Department of Epidemiology, Biostatistics and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia

IJERPH, 2022, vol. 19, issue 16, 1-10

Abstract: 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.

Keywords: cadres; stunting; children’s growth; development; monitoring; IYCF; home visits (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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