DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20192138

The effectiveness education of counseling of infant and young child feeding as intensive to improve counseling performance of Posyandu cadres in Bogor, Indonesia

Siti Mutia Rahmawati, Siti Madanijah, Faisal Anwar, Risatianti Kolopaking

Abstract


Background: Cadres have an essential role in providing counseling in integrated health service post (Posyandu). Poor capacity cadres may affect information delivery to the mothers/caregivers of under-five children. This study aimed is to assess the effect education of counseling of infant and young child feeding (IYCF) as intensive on the performance of the cadres in providing IYCF counseling.

Methods: The study was a quasi-experimental with a pre-post test controlled group. The subjects were 55 Posyandu cadres in Ciomas sub-district Bogor. The intervention was training for cadres using education of counseling of IYCF as intensive carried out in the classroom and the field. Data on knowledge, attitude, motivation and counseling performance of cadres before and after the training were collected using a validated structured questionnaire. The paired and independent T-test was applied to analyze the difference before and after the intervention, and analysis of covariance (ANCOVA) was applied to analyze the factors that influence cadre counseling performance.

Results: Mean score of knowledge (p=0.00), attitude (p=0.00), motivation (p=0.04), and counseling performance (p=0.00) of cadres in intervention group significantly increased. There is an increase in the score of performance counseling indicators for cadre in the quantity and quality after the education of counseling of IYCF as intensive. All of the indicators of the counseling performance of cadres influenced by educational models, knowledge, attitudes and attended training (p<0.05).

Conclusions: Training of cadres using the education of counseling of IYCF as intensive effectively improved the knowledge, attitude, motivation and counseling performance of IYCF practice with indicators of quantity, quality, concern, and character. The capacity building of the cadres should improve continuously through the development of various methods which are more specific and applicable.


Keywords


Cadres, Counseling, IYCF, Performance, Posyandu

Full Text:

PDF

References


Hidayat TS, Jahari AB. Perilaku pemanfaatan posyandu hubungannya dengan status gizi dan morbiditas Balita. Buletin Penelitian Kesehatan. 2012;40(1):1–10.

WHO. World Health Organisation. Infant and Young Child Feeding Counselling: An Integrated Course. Trainer’s Guide. Geneva: WHO, 2006.

MoH. Ministry of Health of Republic of Indonesia. Module for Training on Infant and Young Child Feeding for Health Personnel and Cadre. Jakarta (ID): Directorate of Public Nutrition, Directorate General of Public Nutrition and Maternal and Child Health; 2014.

UNICEF. Supportive Supervision/Mentoring and Monitoring for Community Infant and Young Child Feeding, UNICEF. 2013.

Bassichetto KC, Rea MF. Infant and young child feeding counseling an intervention study. Rio J. 2008;84(1):75-82.

Retno A, Soebijanto AA, Hadiwidjaja S. Pengaruh pelatihan pemberian makan pada bayi dan anak (PMBA) terhadap pengetahuan, ketrampilan konseling dan motivasi bidan desa. J DIKESA. 2013;1(1):1-20.

Uno H, Lamatenggo N. Teori Kinerja dan Pengukurannya. Jakarta (ID): Bumi Aksara;2012.

Riniwati H. Mendongkrak motivasi dan kinerja. Malang (ID): Universitas Brawijaya Press; 2011.

Gopalan SS, Mohanty, Das A. Assessing community health workers’ performance motivation: a mixed-methods approach on India’s Accredited Social Health Activists (ASHA) programme. BMJ Open. 2012;2(e001557):1-10.

Zaman S, Ashraf R, Martines J. Training in complementary feeding counseling of health care workers and its influence on maternal behaviors and child growth: a cluster randomized controlled trial in Lahore, Pakistan. J Health Popular Nutr. 2008;26(2):210-22.

Iswarawanti DN. Kader Posyandu: Peranan dan tantangan pemberdayaannya dalam usaha peningkatan gizi anak di Indonesia. Jurnal Manajemen Pelayanan Kesehatan. 2010;13(4):169-73.

Simanjuntak M. Karakteristik sosial demografi dan faktor pendorong peningkatan kinerja kader Posyandu. J Wira Ekonomi Mikroskil. 2012;2(1):49-58.

Wisnuwardani RW. Insentif uang tunai dan peningkatan kinerja kader posyandu. Jurnal Kesehatan Masyarakat Nasional. 2012;7(1):44-8.

Pardosi R. Knowledge, Attitude and Counseling skills of Trained Cadres on Infant and Young Child Feeding (IYCF) in West Lombok District [Tesis]. Jakarta (ID): Universitas Indonesia, 2013.

Murti B. Desain dan ukuran sampel untuk penelitian kuantitatif dan kualitatif bidang kesehatan. Yogjakarta (ID): Gadjah Mada University Press; 2013.

Sunguya BF, Poudel KC, Mlunde LB, Urassa DP, Yasuoka J, Jimba M. Nutrition training improve health workers' nutrition knowledge and competence to manage child undernutrition: a systematic review. Front public health. 2013.1(37):1-21.

Khomsan A, Anwar F, Mudjajanto ES. Pengetahuan, sikap dan praktek gizi ibu peserta Posyandu. J Gizi dan Pangan. 2009;4(1):33–41.

Sarwono SW, Meinarno E. Psikologi Sosial. Jakarta (ID): Salemba Humanika; 2012.

Sukandar D, Khomsan A, Anwar F, Riyadi H, Mudjajanto E. Nutrition knowledge, attitude, and practice of mothers and children nutritional status improved after five months of nutrition education intervention. IJSBAR. 2015;23(2):424-42.

Shattuck M, Bidwell P, Thomas S, Wyness L, Blaauw D, Ditlopo P. Motivation and retention of health workers in developing countries: a systematic review. BMC Health Services Res. 2008;8(1):247.

Daneshkohan A, Zarei E, Mansouri T, Maajani K, Ghasemi M, Rezaeian M. Factors affecting job motivation among health workers: A study from Iran. Global J Health Sci. 2015;7(3):153-60.

Ramawickrama J, Opatha HHDNP, PushpaKumari MD. A Synthesis towards the Construct of Job Performance. Int Business Res. 2017;10(10):66-81.

Fabrizio CS, Liere MV, Pelto G. Identifying determinants of effective complementary feeding behavior change interventions in developing countries. Maternal & Child Nutrition published by John Wiley & Sons Ltd. Maternal Child Nutr. 2014;10(4):575-92.

Sunguya BF, Poudel KC, Mlunde LB, Shakya P, Urassa DP, Jimba M, et al. Effectiveness of nutrition training of health workers toward improving caregivers’ feeding practices for children aged six months to two years: a systematic review. Nutrition J. 2013;12(1):1-14.

Tumbelaka P, Nasir S, Syafrudin D, Ormel H, Ahmed R. Analysis of Indonesia’s community health volunteers (Kader) as maternal health promoters in the community integrated health service (Posyandu) following health promotion training. Int J Community Med Public Health. 2018;5(3):856-63.

Yanti SV, Hasballah K, Mulyadi. Studi komparatif kinerja kader Posyandu. Jurnal Keperawatan. 2016;4(2):1.

Vitriah M. Determinan Kinerja Kader Posyandu Dalam Menuju Revitalisasi Posyandu Di Kecamatan Pantai Labu Kabupaten Deli Serdang Tahun 2009. [Tesis]. 2010.

Shahzadi I, Javed A, Pirzada SS, Nasreen S, Khanam F. Impact of Employee Motivation on Employee Performance. Eur J Business Management. 2014;6(23);159-67.

Sanghvi T, Martin L, Hajeebhoy N, Abrha TH, Abebe Y, Haque R, et al. Strengthening systems to support mothers in infant and young child feeding at scale. Food Nutr Bulletin. 2013;34(3):156-68.

Khomsan A, Merita, Anwar F, Sukandar D, Riyadi H, Herawati T, Fatchiya A, Dewi M, Madanijah S, Syarief H. Impact of nutritional education on service quality in the integrated service post (Posyandu). Pak J Nutr. 2014;13(3):122-8.

Penny ME, Kanashiro HMC, Robert RC, Narro MR, Caulfield LE, Black RE. Effectiveness of an educational intervention delivered through the health services to improve nutrition in young children: a cluster-randomized controlled trial. Lancet. 2005;365:1863-72.