scholarly journals Factors Affecting the Performance of Community Health Workers at the Integrated Non Communicable Disease Health Post in Karanganyar, Central Java

Author(s):  
Eka Siti Chasanah ◽  
◽  
Endang Sutisna Sulaeman ◽  
etyo Sri Rahardjo ◽  
◽  
...  

ABSTRACT Background: Health workers (cadre) play role in controlling non-communicable disease by promoting people to participate in any integrated health posts (posbindu) activities. This study aimed to examine factors affecting the performance of community health workers at the integrated non communicable disease health post in Karanganyar, Central Java. Subjects and Method: A cross sectional study was carried out at 25 integrated health posts (posbindu) in Karanganyar, Central Java. A sample of 200 cadres was selected by stratified random sampling. The dependent variables were cadre performance. The independent variables were motivation, leadership, social support, skill, and tenure. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Cadre performance increased with high motivation (OR= 6.15; 95% CI= 2.75 to 13.76; p<0.001), good leadership (OR= 2.24; 95% CI= 1.04 to 4.83; p= 0.039), strong social support (OR= 3.62; 95% CI= 1.68 to 7.80; p=0.001), good skill (OR= 5.56; 95% CI= 2.40 to 12.86; p<0.001), had trained (OR= 2.42; 95% CI= 0.91 to 6.42; p= 0.076), and tenure ≥1 year (OR= 5.56; 95% CI= 2.40 to 12.86; p<0.001). Conclusion: Cadre performance increases with high motivation, good leadership, strong social support, good skill, had trained, and tenure ≥1 year. Keywords: cadre performance, non-communicable disease, integrated health post Correspondence: Eka Siti Chasanah. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281329017587. DOI: https://doi.org/10.26911/the7thicph.04.45

Author(s):  
Ulfah Hidayati ◽  
◽  
Didik Gunawan Tamtomo ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Cadre of health provider performance has cadres have a role in achieving the success of the integrated health post (posyandu) program. This study aimed to examine sosioeconomic factor affecting the performance of community health workers. Subjects and Method: This was a cross sectional study. The study was conducted at 25 integrated health posts (posyandu) in Purworejo, Central Java, in October 2019. A sample of 200 cadres was selected by simple random sampling. The dependent variable was cadre performance. The independent variables were number of children, education, family income, tenure, skill, and work environment. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Cadre performance increased with number of children <3 (b= 1.66; 95% CI= 0.54 to 2.77; p= 0.004), education ≥Senior high school (b= 1.46; 95% CI= 0.17 to 2.75; p= 0.027), working at home (b= 2.00; 95% CI= 0.58 to 3.42; p= 0.006), income ≥Rp 1,200,000 (b= 1.54; 95% CI= 0.14 to 2.93; p= 0.031), tenure ≥3 years (b= 1.93; 95% CI= 0.66 to 3.20; p= 0.003), good skill (b= 1.40; 95% CI= 0.07 to 2.74; p= 0.040), and good environmental (b= 1.88; 95% CI= 0.63 to 3.13; p= 0.003). Conclusion: Cadre performance increases with number of children <3, education ≥Senior high school, working at home, income ≥Rp 1,200,000, tenure ≥3 years, good skill, and good environmental. Keywords: cadre performance, community health workers, integrated health post Correspondence: Ulfah Hidayati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6285725932516. DOI: https://doi.org/10.26911/the7thicph.03.91


Author(s):  
Nia Handayani ◽  
◽  
Didik Gunawan Tamtomo ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Stress is unavoidable on workplaces, employees who feel stress are more likely to be less motivated, less satisfied, show poor performance, and less productivity. The purpose of this study was to examine factors affecting the performance of health workers at the community health centers in Klaten, Central Java. Subjects and Method: A cross sectional study was conducted at community health centers in Klaten, Central Java, from November to December 2019. A sample of 200 health workers was selected by stratified random sampling. The dependent variable was work performance. The independent variables were work stress, education, tenure, leadership style, and type of work. The data were collected by questionnaire and analyzed by a multiple logistic regression run on Stata 13. Results: Health workers performance increased with democratic leadership style (b= 1.40; 95% CI= 0.44 to 2.36; p= 0.004), education (undergraduate and magister) (b= 1.58; 95% CI= 0.65 to 2.52; p= 0.001), tenure ≥6 years (b= 1.72; 95% CI= 0.73 to 2.70; p= 0.001), single job (b= 2.05; 95% CI= 1.07 to 3.03; p<0.001). Health workers performance decreased with high work stress (b= -1.65; 95% CI= -2.58 to -0.72; p= 0.001). Conclusion: Health workers performance increases with democratic leadership style, education, tenure ≥6 years, and single job. Health workers performance decreases with high work stress. Keywords: work performance, heath workers, stress, leadership style Correspondence: Nia Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +6282133055176. DOI: https://doi.org/10.26911/the7thicph.04.40


2018 ◽  
Vol 36 ◽  
pp. e339
Author(s):  
Shiva Raj Mishra ◽  
Charilaos Lygidakis ◽  
Dinesh Neupane ◽  
Bishal Gyawali ◽  
Salim S. Virani ◽  
...  

2020 ◽  
Vol 7 (5) ◽  
pp. 31-51
Author(s):  
Alexander Miles ◽  
Matthew J Reeve ◽  
Nathan Grills

Background and Aims: Non-communicable diseases (NCDs) account for 61% of deaths in India. This review focuses on Community Health Workers’ (CHW) effectiveness in preventing and managing NCDs in India which could help direct future research and government policy. Methods: A search of PubMed, Ovid, Embase and CINAHL using terms related to “community health workers” and “India” was used to find articles that quantitatively measured the effect of CHW delivered interventions on NCD risk and health outcomes. Results: CHW interventions are associated with improved health outcomes, metabolic parameters, and lifestyle risk factors in diabetes, cardiovascular disease, and oral cancer. Current literature on CHW interventions for NCDs in India is limited in number of studies and the scope of NCDs covered. Conclusion: There is weak to moderate evidence that CHWs can improve NCD health outcomes in India.


2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Michael A.T. Freiberg ◽  
Nelson O. Onyango ◽  
Stephanie J. Ashbaugh ◽  
Khanjan Mehta

The burden of chronic, non-communicable disease such as diabetes, cardiovascular disease, and cancer is growing in many developing countries including Kenya. The use of community health workers is an important tool to improve the access to care and education in rural areas. This study aims to understand the knowledge and perceptions among the general population regarding three chronic diseases – diabetes, hypertension, and cancer – in Nyeri, Kenya. Standardized, open-ended interviews were conducted with 200 participants. This study shows that most individuals interviewed are familiar with these three diseases; however, knowledge varied among individuals with many having significant gaps in knowledge. These results are consistent with previous studies from this region and will inform future education directed at community health workers and the general population.


Author(s):  
Riza Firdaus ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Non-Communicable Diseases (NCDs) is the leading cause of death worldwide and a serious threat to health in low and middle income countries. This can be prevented by early detection and monitoring of NCDs risk factors. This study aimed to investigate the contextual effect of the integrated health post on the use of non- communicable disease screening service. Subjects and Method: A cross sectional study was carried out at 25 integrated health posts (posbindu) in Kapuas Hulu, West Kalimantan, Indonesia, from August to October 2019. A sample of 200 study subjects was selected by fixed disease sampling. The dependent variable was the use of NCD screening service. The independent variables were subjective norm, health information, family support, cadre support, health beha-vior, health status, attitude, and intention. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regression run on Stata 13. Results: The use of NCD screening service increased with supportive subjective norm (b= o.88; 95% CI= 0.01 to 1.75; p= 0.045), high health information exposure (b= 1.10; 95% CI= 0.18 to 2.02; p= 0.019), strong family support (b= 0.94; 95% CI= 0.05 to 1.83; p= 0.037), strong cadre support (b= 0.87; 95% CI= 0.01 to 1.73; p= 0.047), health behavior (b= 1.39; 95% CI= 0.49 to 2.30; p= 0.002), had NCD (b= 1.30; 95% CI= 0.19 to 2.41; p= 0.021), positive attitude (b= 0.98; 95% CI= 0.12 to 1.84; p= 0.025), and strong intention (b= 1.14; 95% CI= 0.26 to 2.01; p= 0.010). Posbindu had negligible contextual effect on the use of NCD screening service with intra-class correlation (ICC)= 7.1%. Conclusion: The use of NCD screening service increases with supportive subjective norm, high health information exposure, strong family support, strong cadre support, health behavior, had NCD, positive attitude, and strong intention. Posbindu has negligible contextual effect on the use of NCD screening service. Keywords: non-communicable disease, screening service, integrated health post Correspondence: Riza Firdaus. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutarmi 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 08565056311. DOI: https://doi.org/10.26911/the7thicph.04.38


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