Victorian maternal and child health nurses’ family violence practices and training needs: a cross-sectional analysis of routine data

ABSTRAK Latar Belakang: Kinerja kader merupakan salah satu indikator keberhasilan program Posyandu dalam pelayanan kesehatan ibu dan anak. Adanya faktor individu dan sosial dapat mempengaruhi kinerja kader dalam memberikan pelayanan kesehatan. Tingkat pengetahuan dan pelatihan yang diberikan kepada kader mampu menunjang kinerja dalam pelayanan Posyandu. Tujuan Penelitian: Mengetahui pengaruh pengetahuan dan pelatihan kader Posyandu terhadap pelayanan kesehatan ibu dan anak di Kabupaten Purworejo. Metode Penelitian: Jenis penelitian yang digunakan yaitu observasional analitik dengan pendekatan cross sectional. Penelitian dilakukan pada 25 Posyandu dari bulan Juni - Juli 2019 di Purworejo, Jawa Tengah. Subjek penelitian sebanyak 200 kader dengan teknik pengambilan sampel menggunakan simple random sampling. Variabel dependen dalam penelitian ini adalah pelayanan kesehatan. Variabel independen yang digunakan yaitu pengetahuan dan pelatihan. Pengumpulan data menggunakan kuesioner dan analisis data menggunakan uji Chi-Square dengan Stata 13. Hasil Penelitian: Kader dengan pengetahuan yang baik memiliki kemungkinan untuk melakukan pelayanan yang baik 24,56 kali daripada kader dengan pengetahuan yang kurang. Kader dengan pelatihan yang baik memiliki kemungkinan untuk melakukan pelayanan yang baik 35,55 kali daripada kader yang memiliki pelatihan kurang dalam memberikan pelayanan kesehatan ibu dan anak. Nilai signifikansi p yaitu <0.001. Kesimpulan: Pengetahuan kader yang baik dan pelatihan yang baik yang diberikan kepada kader dapat meningkatkan pelayanan kesehatan ibu dan anak dalam kegiatan Posyandu dengan nilai p<0.001. Hasil tersebut menunjukkan bahwa pengetahuan dan pelatihan sangat berpengaruh dalam meningkatkan pelayanan. Saran: Memberikan pelatihan untuk meningkatkan ketrampilan dan pengetahuan pada semua kader Posyandu secara berkala dan menyeluruh.Kata kunci : Kader Posyandu, Pelayanan Kesehatan, Kesehatan Ibu dan AnakTHE EFFECT OF POSYANDU CADRE KNOWLEDGE AND TRAINING ON MATERNAL CHILD HEALTH SERVICES IN PURWOREJO REGENCYABSTRACTBackground: Cadre performance is one of the indicators Posyandu program in maternal and child health services. The existence of individual and social factors can affect the performance of cadres in providing health services. The level of knowledge and training given to cadres is able to support the performance in Posyandu services. Purpose: Knowing the effect of posyandu cadre knowledge and training on maternal and child health services in Purworejo Regency. Subjects and Method: The type of research used is observational analytics with a cross sectional approach. The research was conducted on 25 Posyandu from June - July 2019 in Purworejo, Central Java. The study subjects were 200 cadres with sampling techniques using simple random sampling. The dependent variable in this study is the health service. Independent variables used are knowledge and training. Data collection using questionnaires and data analysis using Chi-Square test with Stata 13. Results: Cadres with good knowledge have the possibility to perform good service 24.56 times than cadres with less knowledge. Cadres with good training are more likely to perform good service 35.55 times than cadres who have less training in providing maternal and child health services. The value of p significance is <0.001. Conclusion: Good cadre knowledge and good training provided to cadres can improve maternal and child health services in Posyandu activities with p value <0.001. These results show that knowledge and training are very influential in improving services. Suggestions: Providing training to improve skills and knowledge to all Posyandu cadres periodically and comprehensive.Keywords: Posyandu Cadre, Health Services, Maternal and Child Health

Download Full-text

Maternal and Child Health in Mongolia at 3 Years After Childbirth: A Population-Based Cross-Sectional Descriptive Study

Maternal and Child Health Journal ◽

10.1007/s10995-015-1893-9 ◽

2015 ◽

Vol 20 (5) ◽

pp. 1072-1081 ◽

Cited By ~ 6

Author(s):

Kenji Takehara ◽

Amarjargal Dagvadorj ◽

Naoko Hikita ◽

Narantuya Sumya ◽

Solongo Ganhuyag ◽

...

Keyword(s):

Child Health ◽

Maternal And Child Health ◽

Descriptive Study ◽

Population Based ◽

Cross Sectional ◽

And Child Health

Download Full-text

Project ACCLAIM: Intervention Effect on Community Knowledge, Attitudes and Beliefs of Maternal and Child Health and HIV/AIDS in Eswatini, Uganda and Zimbabwe

AIDS and Behavior ◽

10.1007/s10461-021-03202-2 ◽

2021 ◽

Author(s):

N. Bandopadhay ◽

◽

G. B. Woelk ◽

M. P. Kieffer ◽

D. Mpofu

Keyword(s):

Child Health ◽

Maternal And Child Health ◽

Community Leaders ◽

Community Leader ◽

Community Interventions ◽

Attitudes And Beliefs ◽

Hiv Knowledge ◽

Post Intervention ◽

Cross Sectional ◽

And Child Health

AbstractThe ACCLAIM Study aimed to assess the effect of a package of community interventions on the demand for, uptake of, and retention of HIV-positive pregnant/postpartum women in maternal and child health (MCH) and prevention of mother-to-child HIV transmission (PMTCT) services. The study occurred from 2013 to 2015 in Eswatini, Uganda, and Zimbabwe. The three interventions were: (1) a social learning and action component for community leaders, (2) community days, and (3) peer discussion groups. Household cross-sectional surveys on community members’ MCH and PMTCT knowledge, attitudes, and beliefs were analyzed pre- and post-intervention, using MCH, HIV stigma, and gender-equitable men (GEM) indicators. We used t-tests to measure the significance of mean pre- vs. post-intervention score changes stratified by gender within each intervention arm and generalized linear models to compare mean score changes of the cumulative intervention arms with the community leaders-only intervention. Response rates were over 85% for both surveys for men and women, with a total of 3337 pre-intervention and 3162 post-intervention responses. The combined package of three interventions demonstrated a significantly greater increase in MCH scores for both women (diff = 1.34, p ≤ 0.001) and men (diff = 2.03, p < 0.001). The arms that included interventions for both community leader engagement and community days (arms 2 and 3)led to a greater increase in mean GEM scores compared to the community leader engagement intervention alone (arm 1), for both women (diff = 1.32, p = 0.002) and men (diff = 1.37, p = 0.004). Our findings suggest that a package of community interventions may be most effective in increasing community MCH/HIV knowledge and improving gender-equitable norms.

Download Full-text

Managing maternal and child health nurses undertaking family violence work in Australia: A qualitative study

Journal of Nursing Management ◽

10.1111/jonm.13466 ◽

2021 ◽

Author(s):

Catina Adams ◽

Leesa Hooker ◽

Angela Taft

Keyword(s):

Child Health ◽

Qualitative Study ◽

Family Violence ◽

Maternal And Child Health ◽

And Child Health

Download Full-text

The Maternal and Child Health Handbook for Improving the Continuum of Care and Other Maternal and Child Health Indicators in Angola: An Implementation Study Protocol

Frontiers in Global Women's Health ◽

10.3389/fgwh.2021.638766 ◽

2021 ◽

Vol 2 ◽

Author(s):

Ai Aoki ◽

Keiji Mochida ◽

Michiru Kuramata ◽

Toru Sadamori ◽

Helga Reis Freitas ◽

...

Keyword(s):

Child Health ◽

Maternal And Child Health ◽

Intervention Group ◽

Health Indicators ◽

Continuum Of Care ◽

Health Facilities ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Implementation Status ◽

And Child Health

Background: Reducing maternal, neonatal, and infant mortality tops the health targets of sustainable development goals. Many lifesaving interventions are being introduced in antenatal, delivery, and postnatal care. However, many low- and middle-income countries (LMICs) have not reached maternal and child health targets. The Maternal and Child Health Handbook (MCH-HB) is recommended as a home-based record to promote a continuum of care from pregnancy to early childhood, and is gaining increasing attention among LMICs. Several countries have adopted it as national health policy. To effectively utilize the MCH-HB in LMICs, implementation needs to be considered. Angola is an LIMC in Sub-Saharan Africa, where maternal and child health indicators are among the poorest. The Angolan Ministry of Health adopted the MCH-HB program in its national health policy and is currently conducting a cluster randomized controlled trial (MCH-HB RCT) to evaluate its impact on the continuum of care. This study aimed to evaluate implementation status, and barriers and facilitators of MCH-HB program implementation in Angola.Methods: To evaluate implementation status comprehensively, the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework will be used. Four components other than effectiveness will be investigated. A cross-sectional survey will be conducted targeting all health facilities and officers in charge of the MCH-HB at the municipality health office in the intervention group after the MCH-HB RCT. Data from the cross-sectional survey, secondary MCH-HB RCT data, and operational MCH-HB RCT records will be analyzed. Health facilities will be classified into good-implementation and poor-implementation groups using RE-AIM indicators. To identify barriers to and facilitators of MCH-HB implementation, semi-structured interviews/focus group discussions will be conducted among health workers at a sub-sample of health facilities and all municipality health officers in charge of MCH-HB in the intervention group. The Consolidated Framework for Implementation Research will be adopted to develop interview items. Thematic analysis will be performed. By comparing good-implementation and poor-implementation health facilities, factors that differ between groups that contribute to successful implementation can be identified.Discussion: This study's findings are expected to inform MCH-HB implementation policy and guidelines in Angola and in other countries that plan to adopt the MCH-HB program.

Download Full-text