CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA

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...

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Autores principales:	Umi Solikhah, Hari Kusnanto, Fitri Haryanti, Yayi Suryo Prabandari
Formato:	article
Lenguaje:	EN
Publicado:	Belitung Raya Foundation 2018
Materias:	cadre competence integrative management child illness community Nursing RT1-120
Acceso en línea:	https://doaj.org/article/87eb9bccd0fa4daa9923425cfacdce0b
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spelling	oai:doaj.org-article:87eb9bccd0fa4daa9923425cfacdce0b2021-12-02T11:21:19ZCADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA2477-40732477-4073https://doaj.org/article/87eb9bccd0fa4daa9923425cfacdce0b2018-09-01T00:00:00Zhttps://belitungraya.org/BRP/index.php/bnj/article/view/542https://doaj.org/toc/2477-4073https://doaj.org/toc/2477-4073Background: 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. Umi SolikhahHari KusnantoFitri HaryantiYayi Suryo PrabandariBelitung Raya Foundationarticlecadrecompetenceintegrative managementchild illnesscommunityNursingRT1-120ENBelitung Nursing Journal, Vol 4, Iss 5, Pp 492-501 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	cadre competence integrative management child illness community Nursing RT1-120
spellingShingle	cadre competence integrative management child illness community Nursing RT1-120 Umi Solikhah Hari Kusnanto Fitri Haryanti Yayi Suryo Prabandari CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA
description	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.
format	article
author	Umi Solikhah Hari Kusnanto Fitri Haryanti Yayi Suryo Prabandari
author_facet	Umi Solikhah Hari Kusnanto Fitri Haryanti Yayi Suryo Prabandari
author_sort	Umi Solikhah
title	CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA
title_short	CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA
title_full	CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA
title_fullStr	CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA
title_full_unstemmed	CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA
title_sort	cadres competence in community-based management of child illness in banyumas district, central java, indonesia
publisher	Belitung Raya Foundation
publishDate	2018
url	https://doaj.org/article/87eb9bccd0fa4daa9923425cfacdce0b
work_keys_str_mv	AT umisolikhah cadrescompetenceincommunitybasedmanagementofchildillnessinbanyumasdistrictcentraljavaindonesia AT harikusnanto cadrescompetenceincommunitybasedmanagementofchildillnessinbanyumasdistrictcentraljavaindonesia AT fitriharyanti cadrescompetenceincommunitybasedmanagementofchildillnessinbanyumasdistrictcentraljavaindonesia AT yayisuryoprabandari cadrescompetenceincommunitybasedmanagementofchildillnessinbanyumasdistrictcentraljavaindonesia
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CADRES COMPETENCE IN COMMUNITY-BASED MANAGEMENT OF CHILD ILLNESS IN BANYUMAS DISTRICT, CENTRAL JAVA, INDONESIA

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