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Efforts of Increase Cadre Capacity about Stunting Prevention
Irdawati Irdawati1, Siti Arifah1, Abi Muhlisin2
1Pediatric Nursing Department Of Nursing, Faculty of Health Sciences, Universitas Muhammadiyah Surakarta, Indonesia.
Abstract:
In 2018 30.8% of children in Indonesia were stunted. Although the prevalence of stunting has decreased from 37.2% in the previous year, namely 2013, the stunting rate in Indonesia remains high and there are still two provinces with a prevalence above 40%, in Gatak District, Sukoharjo Regency itself there are still 268 stunting toddlers with a percentage of 8.55% in 2022. Many factors result in stunting events, one of which is the cadre knowledge factor. The role of cadres is very important because cadres are responsible for implementing the Primary Health Care Program and the smooth detection of stunting. This quasy experiment was conducted with pre-test and post-test with control group design. The subjects of this study were health cadres in Gatak District, Sukoharjo Regency. The intervention group was health cadres in Krajan Village and the control group was cadres from Sanggung Village. The intervention group was the group that received health counselling with media, while the control group was the group that received health counselling without media. Pretest data was obtained before health counselling, while post-test was conducted after health counselling and several weeks later after health counselling was conducted. Data analysis used Repeated Anova test by SPSS Version 22. The results showed that from pretest, posttest-1, and posttest-2, both the highest and lowest scores obtained increased, compared to the control group. There was a significant increase in knowledge scores in the booklet media interventions group from pre-test 15.21 ± 2.39 first post test and 17.05 ± 2.29 and second post-test 19.68 ± 2.38. While in the control group the knowledge score from the pre-test was 15.52 ± 2.79, slightly increased in the first post-test 7.26 ± 2:34, and the second post-test was 17.26 ± 2.26 the same. There was a significant difference after the second post-test of knowledge scores between the intervention and control groups (p-value 0.003) an effect size of 0.96. Research showed that health counseling provided to cadres can increase the value of knowledge in both control groups and treatment groups. Although there is not much difference, the results of the study show that the use of media in health care can provide better results than the value of cadres.
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