Cadre Knowledge And Self-Efficacy Following Care For Child Development Post Intervention: A Four-Year Prospective Follow-Up Study
Penulis/Author
AMARA TRI KURNIASIH (1); Dr. Akhmadi, S.Kp., M.Kes., M.Kep., Sp.Kep.Kom. (2); Widyawati, S.Kp., M.Kes., Ph.D (3); Dr. Fitri Haryanti, S.Kp., M.Kes. (4)
Tanggal/Date
3 2024
Kata Kunci/Keyword
Abstrak/Abstract
Background: Stunting is a significant malnutrition problem in
Indonesia, and community health cadres play a vital role in
addressing it through programs like Care for Child Development
(CCD) training. This study aimed to delineate the knowledge and
self-efficacy of cadres who participated in CCD training in
Yogyakarta in 2018, comparing their status in 2022.
Methods: In October 2022, a quantitative cross-sectional
approach was utilized to examine the knowledge and selfefficacy of 56 cadres who had undergone CCD training in 2018,
organized by the same authors and documented in a prior
publication, with participants selected through total sampling.
Three instruments were utilized, including a participant
demographic survey, the CKCDI, and the GSES. The paired ttest was employed to analyzed the data.
Results: The study's results reveal a significant difference
(p=0.002) in the mean knowledge scores of cadres following
their participation in the Care For Child Development (CCD)
training program in 2018 and four years later. The mean score
was 13.39 in 2018, decreased to 11.9 in 2022. Likewise, the selfefficacy component among cadres exhibited a reduction, with
mean scores of 30.93 in 2018 and 29.4 in 2022. However, it is
important to note that there is no statistically significant
difference in self-efficacy (p=0.106). The decline in average
knowledge scores over the four-year period may be attributed to
potential knowledge decay.
Conclusion: This study underscores the significance of
sustained training and support for community health workers,
emphasizing the need for flexible approaches to maintain their
knowledge and self-efficacy over time.