scholarly journals Training and Assessing Model for the Ability of Community Health Volunteers in Anthropometric Measurement Using the Rasch Stacking and Racking Analyses

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Deni Kurniadi Sunjaya ◽  
Dewi Marhaeni Diah Herawati ◽  
Noormarina Indraswari ◽  
Ginna Megawati ◽  
Bambang Sumintono
Keyword(s):  
Community Health ◽  
Child Growth ◽  
Anthropometric Measurements ◽  
Anthropometric Measurement ◽  
Infants And Toddlers ◽  
Analysis Techniques ◽  
Community Health Volunteers ◽  
Perceived Difficulty ◽  
Before And After ◽  
Proper Training

Background. Inappropriate anthropometric measurements of infants and toddlers lead to a misclassification in nutritional status and loss of important interventions. Considering the practice conducted in this program within a country, its impact on millions of children must be considered. This study assesses the ability of community health volunteers (CHVs) before and after anthropometric training on infants and toddlers.  Methods. This study used a quantitative approach with a quasiexperimental and pretest-posttest design. The pre- and posttraining assessments of CHVs were conducted by standardized trainers using instruments developed according to WHO standards. There were 11 and 13 statement items for infants’ and toddlers’ indicators of assessment in anthropometric measurements, respectively. The result of the assessment was then analyzed using Rasch modeling with stacking and racking data analysis techniques. Results. The CHVs’ skills before training were far from adequate. Although widely varied, all trainees improved their abilities. Stacking analysis showed that the skills of all CHVs in measuring infants and toddlers increased by 2.68 and 3.34 logits ( p < 0.01 ), respectively. Racking analysis showed a decrease in the perceived difficulty of all items by 2.61 and 3.07 logits for infant and toddler measurements, respectively ( p < 0.01 ). The results of the racking analysis showed that the difficulty in measuring the anthropometrics of infants decreased more than that of toddlers. Conclusions. CHVs’ capacity to monitor child growth must be refreshed regularly. Standardized and proper training and assessment were developed to make CHVs reliable in taking anthropometric measurements of infants and toddlers.

scholarly journals Assessing effectiveness of a novel mid-upper arm circumference Z-score tape in a community setting in Guatemala

2019 ◽  
Vol 77 (1) ◽  
Author(s):  
Mikaela A. Miller ◽  
Kristen Mallory ◽  
Manolo Escobedo ◽  
Ana Cecilia Tarot ◽  
Susan Abdel-Rahman
Keyword(s):  
Community Health ◽  
Community Setting ◽  
Rehabilitation Program ◽  
Nutritional Risk ◽  
Anthropometric Measurement ◽  
Z Score ◽  
Upper Arm ◽  
Community Health Volunteers ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Abstract Background Mid-Upper Arm Circumference (MUAC) is an independent anthropometric measurement used to identify malnutrition in children. While much research has been dedicated to applying fixed estimates of MUAC to identify cases of malnutrition in children under 5 years of age, far less has been done with age-specific MUAC Z-score values across the continuum of age from birth through adolescence. Methods The present study examined the effectiveness of a novel MUAC Z-score tape, in the hands of community health volunteers, to identify children over the age of 5 who would benefit from nutritional rehabilitation. In January of 2019, 112 community health volunteers working within Children International in Guatemala were trained to use the MUAC Z-score tape and asked to collect measurements on children or youth in their communities. Results Of the 818 MUAC Z-score tape measurements obtained by volunteers, 88.26% (722/818) were concordant with nutritional risk status as predicted by BMI Z-score, and 90.95% (744/818) were concordant with MUAC Z-score tape measurements made by field medical staff. MUAC Z-scores identified 87.10% (27/31) of the severely or moderately undernourished children as determined by the BMI Z-score who would be candidates for the nutrition rehabilitation program (Z-score ≤ − 2) along with an additional six children that would not have been classified as such with BMI Z-score. A qualitative survey distributed to the volunteers showed moderate rates of understanding of nutritional risk using the tape, and 62.50% reported the tape was easy to use. Conclusions These quantitative and qualitative findings suggest that with more in-depth training and education the MUAC Z-score tape is a viable, low-cost, low-burden alternative for community-level nutritional status assessment among the population served by Children International in Guatemala.

scholarly journals The effect of 8 week resistance exercise on some anthropometric measurements and body composition to Sedentary Women

2018 ◽  
Vol 23 (2) ◽  
pp. 93-97
Author(s):  
M. Turğut ◽  
S. Bağir ◽  
M. Sarikaya ◽  
Ü. Tinaz
Keyword(s):  
Body Composition ◽  
Resistance Exercise ◽  
Exercise Program ◽  
The Body ◽  
Anthropometric Measurements ◽  
Wilcoxon Test ◽  
Anthropometric Measurement ◽  
Significant Difference ◽  
Before And After ◽  
Sedentary Women

Purpose: The aim of this study is to determine the effect of resistance exercise program applied to eight weeks on some anthropometric measurements and body composition in sedentary women. Material: Fifteen volunteer women with a mean age of 20.67 ± 1.29 years were included in the study. After asking the participants whether there are any health problems before the exercise program, detailed information was given and the exercises were implemented correctly and efficiently. Participants were given a 45-minute resistance exercise for 3 days a week. In order to compare the data obtained (Wilcoxon Test) was applied to compare descriptive statistics with pre- and post-exercise values via using SPSS 22.0. Before and after the exercise program (Weight, Hip circumference, calf circumference, chest circumference, waist circumference, shoulder circumference and BMI) were measured Results: According to the findings of the study, it was determined that there was a significant difference between the anthropometric measurement and body composition values of the exercise program applied before and after the exercise program of the participating women (p> 0.05) Conclusions: In conclusion, the effects of regularly performed exercises, especially aerobic and resistance exercises done for women, on persons are seen in the literature and research essays. Deterioration in the body composition of women is seen depending on age and excessive weight.

scholarly journals Stunting and Wasting Among Children 0-59 Months of Age in Zambézia and Nampula Provinces of Mozambique: An Assessment of Population-Based Survey Results Against Global Targets

2021 ◽  
Author(s):  
Ann F. Green ◽  
Carole J. Wilson ◽  
Lazaro Gonzalez-Calvo ◽  
Leslie Pierce ◽  
Diana Quelhas ◽  
...  
Keyword(s):  
Action Plan ◽  
Population Based ◽  
Child Growth ◽  
Anthropometric Measurements ◽  
Anthropometric Measurement ◽  
Categorical Variables ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Survey Tool ◽  
Survey Results

Abstract Background: The number of undernourished children worldwide has increased by 45 million since 1990. In Mozambique, Zambézia and Nampula Provinces carry a heavy burden of infectious diseases, as well as high rates of stunting and wasting. Mozambique developed a Multisectoral Action Plan for the Reduction of Stunting (2011–2014) that aimed to reduce the national prevalence of stunting to 20% by 2020, but little is documented of its impact on childhood stunting since the 2011 DHS survey.Methods: Cross-sectional data from a population-based household-level survey was collected between February and July 2019, among heads of households ≥ 15 years of age in Zambézia and Nampula Provinces. The survey tool was a 500-item questionnaire covering domains related to household health and economics, with a special emphasis on maternal and child health, nutrition and WASH and the collection of anthropometric measurements in children 0-59 months. Children were assessed for Stunting and Wasting according to the WHO Child Growth Standards. SurveyToGo software was used for developing the data collection form, gathering data on mobile devices and sending securely to a server. Descriptive statistics were calculated for continuous variables as median with interquartile range and for categorical variables as percentages. The significance level for all testing was two-sided, set at 0.05.Results: A total of 3,937 households were included in our analysis, including anthropometric measurements of 5,423 children under five. Nearly half (45%, n=2,460) of all children assessed met the criteria for stunting, with a higher prevalence in Nampula Province (51%, n=1,180) than Zambézia Province (41%, n=1,280). Four percent of children met the criteria for wasting in both provinces with children aged 6-11-months having the highest wasting prevalence overall (7%).Conclusions: Based on survey results using highly standardized anthropometric measurement methods, these two provinces are on track to meet international 2025 targets for reduction in wasting in children under 5 years. However, stunting prevalence over time in both provinces has maintained at 40-50% with no clear evidence of decline since 2003. It is doubtful the related Sustainable Development Goal targets will be reached unless a focused multi-sectoral approach is employed and closely monitored.

scholarly journals Evaluating the capacity of community health volunteers and factors affecting their implementation of community health strategy in Mogotio Sub-County, Baringo, Kenya

2020 ◽  
Vol 7 (11) ◽  
pp. 4233
Author(s):  
Bartena Kimosop Samuel ◽  
Moses Otiati Esilaba ◽  
Oscar Omondi Donde
Keyword(s):  
Community Health ◽  
Secondary Data ◽  
Cross Sectional Study ◽  
County Government ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Community Health Volunteers ◽  
Health Strategy ◽  
Proper Training ◽  
Household Heads

Background: Community health volunteers (CHVs) play key role in the delivery of community health strategy. Mogotio Sub County has a total of thirty-two health facilities with nine established Community Units. However, the dissemination of information on community health strategy to household members is low or non-existence, probably due to poor training and facilitation of CHV and lack of awareness creation to local communities in the implementation of the programme.Methods: Cross-sectional study design was used to collect primary and secondary data through administration of questionnaires to selected respondents in three locations to assess the capacity of CHVs and factors affecting their implementation of community health strategy in Mogotio Sub-County, Baringo, Kenya.Results: The results indicated that 46%, 36% and 18% of the household respondents had primary, secondary and tertiary level of education respectively. More than 33% of household heads respondents were not employed and hence had no sustainable source of income. A big number of CHV had not attained all the required qualifications for proper implementation of community health strategy. Additionally, the CHVs experienced numerous challenges that affected the efficient implementation of community health strategy. Majority (52.2%) of the CHVs had attained secondary education, and (45%) were unemployed, 35 % were engaged in business and 20% earned their living by engaging in casual labor.Conclusion: The study revealed the need by the county government to strengthen the capacity of the CHVs through proper training and adequate financial support.

scholarly journals Role of community health volunteers in identifying people with elevated blood pressure for diagnosis and monitoring of hypertension in Malawi: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Elvis Safary ◽  
Micrina Mwandeti ◽  
Beatrice Matanje ◽  
Claudia Beiersmann ◽  
Caroline Mtaita ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Community Health ◽  
Communicable Diseases ◽  
Health Facilities ◽  
Elevated Blood Pressure ◽  
Elevated Blood ◽  
Structured Interviews ◽  
Community Health Volunteers ◽  
Provision Of Services

Abstract Background In recent years, there has been greater recognition of the important role of community health volunteers in many countries and their important role informs many health programs. This include health education, provision of services such as screening, monitoring and referral to health facilities. Their roles are better understood in the areas of communicable diseases like HIV infection, Tuberculosis and Malaria however little is known about their role in non-communicable diseases. This study seeks to explore perception of CHVs’ functions, tasks, and their fulfilment in identifying people with elevated blood pressure for diagnosis and monitoring of hypertension in Lilongwe, Malawi. Methods This was a qualitative naturalistic research design utilizing observation and semi-structured interviews with community health volunteers working in Lilongwe, Malawi. Interviews were carried out with the researcher. Participants were recruited from the ZaMaC project. An interview guide was developed with a category-guided deductive approach. The interviews were recorded through note taking. Data analysis was performed using content analysis approach. Results Community health volunteers have multiple roles in prevention and monitoring of hypertension. They act as health educators and provide lifestyle counselling. They screened for hypertension and monitored blood pressure and assisted community members to navigate the health system such as linkage to health facilities. These roles were shaped in response to community needs. Conclusion This study indicates the complexities of the roles of community health volunteer in identifying people with elevated BP for diagnosis and monitoring of hypertension. Understanding community health volunteers’ roles provides insight into their required competencies in provision of their daily activities as well as required training to fill in their knowledge gaps.

scholarly journals Pemberdayaan Masyarakat melalui Pelatihan Komunikasi Efektif bagi Kader Posyandu

2020 ◽  
Vol 5 (1) ◽  
pp. 167-174
Author(s):  
Ngatoiatu Rohmani ◽  
Dewi Utari
Keyword(s):  
Health Promotion ◽  
Community Health ◽  
Effective Communication ◽  
Community Empowerment ◽  
Communication Training ◽  
Health Development ◽  
Good Communication ◽  
Community Health Volunteers ◽  
Communication Techniques ◽  
Community Health Volunteer

COMMUNITY EMPOWERMENT TROUGH EFFECTIVE COMMUNICATION TRAINING FOR COMMUNITY HEALTH VOLUNTEER (CADRE) OF POSYANDU. Community participation for creating Indonesia’s health development is necessary. One of manifestation of community empowerment is through Posyandu activities that are managed by community health volunteers (cadre) with the aim of providing facilities to the public in obtaining basic health services as a promotive and preventive health strategy in community. Cadres as the driving agent need to be equipped with health promotion skills as an attempt to create national health development optimally. The purpose of this community service is to provide knowledge of effective communication, and to introduce of communication media for promoting of health information. The methods of conducting communication training include: survey activities, communication training, preparing health promotion media and evaluation. The results of the training showed that participants had good communication skills, participants were able to practice effective communication techniques and realized the importance of the media to promote Posyandu activities.

scholarly journals Analysis of Indonesia’s community health volunteers (kader) as maternal health promoters in the community integrated health service (Posyandu) following health promotion training

2018 ◽  
Vol 5 (3) ◽  
pp. 856 ◽  
Author(s):  
Patricia Tumbelaka ◽  
Ralalicia Limato ◽  
Sudirman Nasir ◽  
Din Syafruddin ◽  
Hermen Ormel ◽  
...  
Keyword(s):  
Health Promotion ◽  
Maternal Health ◽  
Pregnant Women ◽  
Community Health ◽  
Health Care Providers ◽  
Health Messages ◽  
Training Data ◽  
Care Providers ◽  
Community Health Volunteers ◽  
Integrated Health

Background: Maternal health promotion is a task allocated to the kader (community health volunteers) in the community integrated health services called Posyandu. Yet, they are inadequately trained to perform this task. We present an analysis of the kader as maternal health promoters after their health promotion training with use of counselling card. Methods: Between March-April 2015, 14 participatory workshops were conducted and 188 kader in four villages in Ciranjang sub-district were trained. Data were collected through in-depth interviews and focus group discussions from community members, health care providers and policy makers in the four villages. A total of 44 interviews were conducted prior to health promotion training and 48 interviews post- training. In 46 Posyandu, kader were observed during their practice of health promotion within 3 consecutive months of post training. Data was transcribed and analysed in NVivo 10. Results: Most kader acknowledged that health promotion training improved their knowledge of maternal health and counselling skills and changed their attitude towards pregnant women at the Posyandu. They could confidently negotiate health messages and importance of health facility delivery with antenatal women. The kader also found the counselling cards helped pregnant women understand the health messages more clearly. The participatory training method involving role play and direct discussions boost kader confidence to deliver health promotion. As a result, the kader gained community appreciation which enhanced their motivation about their job. Conclusions: Appropriate health promotion training, provided the kader with adequate knowledge and skills to become resourceful maternal health promoters in the community.  

scholarly journals THE IMPLEMENTATION OF BUSINESS MODEL CANVAS (BMC) TO IMPROVE STUDENTS’ ENTREPRENEURSHIP MINDSET

2021 ◽  
Vol 2 (3) ◽  
pp. 395-403
Author(s):  
Anaseputri Jamira ◽  
Nur Agustiningsih ◽  
Yulita Febriani
Keyword(s):  
Action Research ◽  
Business Model ◽  
Research Method ◽  
Analysis Techniques ◽  
Business Model Canvas ◽  
Traditional Research ◽  
Before And After ◽  
Develop Theory ◽  
Level 2 ◽  
Descriptive Statistical Analysis

The purpose of this study is to understand the implementation Business Model Canvas (BMC) to improve students’ entrepreneurship mindset. There is a gap from previous researches that using traditional research which just focus to develop theory. Action Research gives appropriate approach to improve work or study situation effectively and efficiency. In each cycle in the Level 2 Action Research Method using descriptive statistical analysis techniques through a comparison of the average students' entrepreneurship mindset before and after the application of the BMC method. There are 84 students who participated in this research. The results show that the hypothesis which indicates the BMC method can increase the students' entrepreneurship mindset is empirically proven. The BMC method deserves to be introduced to students. Students have knowledge about how to start a business, and have the courage, ability to create, and innovate and have a high interest in starting a business.

scholarly journals Pengembangan video pembelajaran bumbu dan rempah pada mata pelajaranpengolahan makanan kontinental

2018 ◽  
Vol 5 (1) ◽  
pp. 91-102
Author(s):  
Febria Demayanti ◽  
Sunaryo Soenarto
Keyword(s):  
Small Scale ◽  
Vocational High School ◽  
Learning Achievement ◽  
Analysis Techniques ◽  
Program Testing ◽  
Interview Technique ◽  
Before And After ◽  
The Subject ◽  
Production Vidéo ◽  
Video Program

Penelitian ini bertujuan: (1) menghasilkan materi video yang layak digunakan sebagai media pembelajaran bagi siswa SMK Jurusan Tata Boga secara umum, dan secara khusus untuk SMK Ma’Arif 2 Sleman. Materi video lebih menekankan pada pengenalan bumbu dan rempah kontinental (continental spice) pada mata pelajaran Pengolahan Makanan Kontinental; (2) mendokumentasikan beberapa bumbu dan rempah kontinental (continental spice) secara detail, meliputi: bentuk, sifat, karakter dan kegunaan bahan tersebut; (3) mengetahui manfaat penggunaan media video pembelajaran dalam meningkatkan hasil belajar siswa. Penelitian pengembangan ini merujuk 3 langkah yang dikembangkan antara lain: (a) praproduksi; (b) produksi; dan (c) pascaproduksi. Uji coba program video dilakukan 2 tahap yaitu skala kecil dan besar. Produk video yang telah direvisi digunakanuntuk pembelajaran PMK. Subjek tes sebelum dan sesudah pembelajaran menggunakan media video untuk mengetahui peningkatan hasil belajar. Pengumpulan data menggunakan teknik wawancara, observasi, dan angket. Teknik analisis menggunakan deskriptif. Validasi ahli materi dan ahli media hasilnya layak digunakan. Penilaian siswa tentang media video pembelajaran bumbu dan rempah kontinental rata-rata siswa memberi tanggapan “sangat layak” serta terdapat peningkatan hasil belajar siswa sesudah menggunakan program video pembelajaran.Kata kunci: video pembelajaran, bumbu dan rempah kontinental, hasil belajar DEVELOPING A VIDEO FOR THE LEARNING OF INGREDIENTS AND SPICES IN THE SUBJECT OF CONTINENTAL CUISINE PROCESSINGAbstractThis study aims to: (1) produce video materials appropriate to be used as learning media for students of Gastronomy in the vocational high school in general and in SMK Ma’arif 2 Sleman in particular; the video materials emphasize the introduction to continental ingredients and spices in the subject of Continental Cuisine Processing; (2) document several continental ingredients and spices in detail including their forms, nature, characters, and uses; and (3) investigate the benefits of the use of the learning video to improve students’ learning achievement. This was a research and development pouting 3 to the steps developed i.e.: (a) preproduction, (b) production, and (c) post-production. Video program testing is done in 2 to the steps; large & small scale. Revised video products are used for PMK learning. Tes subjects before and after learning using video media to the know the improvement of learning outcomes. The data were collected by interview technique, observation, and questioner. The analysis techniques were use descriptive. The results of the validation by the materials and media experts of the results is feasible to be used. The students’ assessment of the video for the learning of continental ingredients and spices show very appropriate responses on the average and there is an increase on the learning outcome after using the learning video program.Keywords: learning video, continental ingredients and spices, learning achievement

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