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 Role Performance of Community Health Volunteers and Its Associated Factors in Kuching District, Sarawak

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Melvin Hsien Liang Chung ◽  
Helmy Hazmi ◽  
Whye Lian Cheah
Keyword(s):  
Community Health ◽  
Associated Factors ◽  
Work Performance ◽  
Cross Sectional Study ◽  
Role Performance ◽  
Cross Sectional ◽  
Job Aids ◽  
Community Health Volunteers ◽  
Community Health Volunteer ◽  
The Government

The objective of this study was to assess the role performance among KOSPEN community health volunteer in Kuching district and its associated factors. This was a cross-sectional study, conducted in 21 localities in Kuching with a total of 210 respondents. Data were collected using validated interviewer-administered questionnaires and analyzed using SPSS version 22.0. The respondents comprised 55.2% females, 81.9% married, and 41.4% aged above 45 and above and 72.4% completed their education up to secondary school. The result revealed that 59.0% of the respondents agreed and understood their role performances. Multiple Logistics analysis revealed that factors associated with role performance were age group (p=0.003), education level (p<0.001), marital status (p=0.025), prestige and respect (p=0.012), being seen as “doctor” in community (p=0.003), job aids (p=0.009), training location (p=0.001), and supervision by community (p<0.001). To increase and maintain the work performance of CHVs, commitment from the government, policy makers, stakeholders, and the communities is required.

scholarly journals Strengthening community health volunteers as a community empowerment in the reduction of HIV/AIDS stigma

2020 ◽  
Vol 3 (3) ◽  
pp. 173
Author(s):  
Rizka Ayu Setyani ◽  
Fika Lilik Indrawati
Keyword(s):  
Community Health ◽  
Community Empowerment ◽  
Childbearing Age ◽  
Adult Age ◽  
Government Organizations ◽  
Aids Stigma ◽  
Community Health Volunteer ◽  
Expectant Mothers ◽  
Childbearing Age Women ◽  
Hiv Aids

Negative stigma of society is one of the inhibitory factors of HIV/AIDS promotion and prevention programs. The Community Health Volunteer HIV (CHV HIV) program represents a community attempt to reduce the negative stigma of society concerning HIV/AIDS. The purpose of this activity is the formation of CHV HIV activities which are expected to educate the Primary Health Care (PHC) patients who are childbearing age women and expectant mothers in HIV/AIDS prevention; to support the success of the Prevention of Mother to Child Transmission (PMTCT) program; to increase the participation of childbearing age women and expectant mothers in Voluntary Counselling and Testing (VCT), and to reduce the incidence rate of HIV. Community empowerment activities were conducted in 2018, from July until November in Sleman, District Istimewa Yogyakarta (DIY). These activities involved the socialization of HIV/AIDS programs and education about VCT for CHVs in cooperation with PHC and non-government organizations (NGOs). The CHVs provided counselling for childbearing age women and expectant mothers related to prevention of HIV/AIDS transmission. The results of these activities were the increasing of CHV knowledge about HIV/AIDS and the formation of twelve CHV HIV in Sleman, DIY. In conclusion, this activity effectively increases the participation of childbearing age women and expectant mothers in voluntary HIV tests, so that the formation of CHV HIV could not only involve adult age volunteers but also adolescents.

scholarly journals Understanding community health volunteer incentive preferences in Kenya

2021 ◽  
Author(s):  
◽  
Keyword(s):  
Health Services ◽  
Community Health ◽  
Discrete Choice ◽  
Choice Experiment ◽  
Community Health Services ◽  
Experiment Study ◽  
Health Extension Workers ◽  
Qualitative And Quantitative ◽  
Community Health Volunteers ◽  
Community Health Volunteer

In Kenya, community health services are implemented through community health units. Community health volunteers (CHVs) who serve these units are chosen by the community and trained by community health extension workers. This brief summarizes qualitative and quantitative findings from the Frontline Health project’s discrete choice experiment study in Kenya, which aimed to understand incentive preferences of CHVs with the aim of improving motivation, performance, and retention of CHVs.

scholarly journals Evaluating the Feasibility and Acceptability of a Mobile Health–Based Female Community Health Volunteer Program for Hypertension Control in Rural Nepal: Cross-Sectional Study

10.2196/15419 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e15419 ◽  
Author(s):  
Zhao Ni ◽  
Namratha Atluri ◽  
Ryan J Shaw ◽  
Jingru Tan ◽  
Kinza Khan ◽  
...  
Keyword(s):  
Health Care ◽  
Mobile Phone ◽  
Community Health ◽  
Volunteer Program ◽  
Health Volunteer ◽  
Community Health Volunteers ◽  
Female Community ◽  
Community Health Volunteer ◽  
Female Community Health Volunteers ◽  
Rural Nepal

Background Hypertension is a major modifiable risk factor for cardiovascular disease, the world’s leading cause of death. The prevalence of hypertension is disproportionately higher in South Asian countries than in other regions of the world. Screening for hypertension in primary care settings remains a challenge in many South Asian countries, including Nepal. Nepal is located in the Himalayan Mountains region, posing significant geographical challenges for its rural citizens to access primary health care and service delivery. This barrier increases the costs and inconvenience for rural Nepalis to access hypertension screening and treatment. As a result, the prevalence of hypertension in Nepal tripled in the last 25 years to 22.4%-38.6%. Nepal’s Ministry of Health and Population relies on female community health volunteers to link health centers and communities to provide basic health services. Over 50,000 of these volunteers in Nepal have received basic health care training and are assigned to take care of maternal and child health. Due to limited health care resources, adopting new methods to control hypertension is an urgent need in Nepal. Several recent studies in Nepal have recommended extending the role of female community health volunteers to include hypertension management through blood pressure monitoring and home-based education. Objective The goal of this study was to assess if a mobile health–based female community health volunteer approach of combining the traditional community health volunteer program with digital technologies would be feasible and acceptable in rural Nepal. Methods In this study, we recruited 17 female community health volunteers and extended their role from maternal and child health to hypertension management through screening blood pressures. Results All 17 female community health volunteers successfully measured 1113 rural Nepalis’ blood pressures, identified 169 hypertensive patients, and collected health behaviors data of the 169 hypertensive patients. Among the 169 patients, 70% of them had a mobile phone, and 92% were interested in receiving health-related information via a mobile phone. Among those who were interested in receiving information via a mobile phone, 84% preferred voice calls, and 7% and 1% preferred texting and apps, respectively. Conclusions Results from this study indicate that a digital health intervention that leverages feature-phones combined with female community health volunteers may be an acceptable and pragmatic way to implement an evidence-based program to reduce hypertension in rural Nepal.

scholarly journals Communication skills with children in paediatric anaesthesia: challenges while wearing a face mask

2020 ◽  
Vol 4 (1) ◽  
pp. e000846
Author(s):  
Ann-Marie Lydia Crowe
Keyword(s):  
Communication Skills ◽  
Effective Communication ◽  
Face Mask ◽  
Paediatric Anaesthesia ◽  
Positive Interactions ◽  
Healthcare Outcomes ◽  
Good Communication ◽  
Communication Techniques ◽  
Patient Cooperation

Effective communication with children is a skill, the importance of which is especially highlighted by the COVID-19 pandemic and the ubiquitous wearing of face masks. Anaesthesiology consultants have been shown to display excellent communication skills that facilitate the development of rapid rapport and patient cooperation. Good communication results in positive interactions for hospitalised children, which correlates with improved healthcare outcomes. However, interactions with a child aren’t always straightforward, particularly for trainees unfamiliar with certain communication techniques, which are important to use at a time when when the wearing of face masks is commonplace.

scholarly journals Empowering community health volunteer on community-based tuberculosis case management programs in lower-income countries: A systematic review

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Muhamad Jauhar ◽  
I Gusti Ayu Putu Desy Rohana ◽  
Utami Rachmawati ◽  
Lita Heni Kusumawardani ◽  
Rasdiyanah Rasdiyanah
Keyword(s):  
Case Management ◽  
Community Health ◽  
Disease Transmission ◽  
Case Finding ◽  
Health Care Facilities ◽  
Community Based ◽  
Tuberculosis Case ◽  
Health Volunteer ◽  
Community Health Volunteers ◽  
Community Health Volunteer

Globally, almost 40% of tuberculosis clients are undiagnosed and delayed treatment. This condition leads to disease transmission and increasing new cases. Healthcare workers and community health volunteers as an active case finding frontliner and case manager in the community. The elevated numbers of new case findings and comprehensive management of diseases are the successful indicators of the tuberculosis prevention program. This study identified research articles related to community health volunteer empowerment in tuberculosis case management. Literature study of 20 articles from journal database, such as: Science Direct, Proquest, Scopus, and EBSCO for the last 5 years. It used keywords tuberculosis, community volunteer or empowerment, community-based early case finding. Data were analyzed in tables consist of title, author, year, methodology, result, and recommendation. The empowerment of the community health volunteers was effective in increasing tuberculosis case finding, especially in the border areas, remote areas and rural area. The existence of the community health volunteers brought tuberculosis services closer to the community and able to minimize barriers of health access and costs. Increasing the capacity of the community health volunteers is needed to support their role. Community health volunteers with a history of tuberculosis or from a family with tuberculosis are more acceptable in the community so the success of case finding and treatment is achieved. Community health volunteers worked through home visits were able to change community’s perspectives, promote the formation of health seeking behavior and minimize public-stigma. The empowerment of the community health volunteers is essentially needed as the alternative strategies to find new cases in the community and strengthen its management. There need to provide a wholesome moral and material support from the government for the community health volunteers. This can be integrated into the management of tuberculosis programs in primary health care facilities.

scholarly journals Evaluating the Feasibility and Acceptability of a Mobile Health–Based Female Community Health Volunteer Program for Hypertension Control in Rural Nepal: Cross-Sectional Study (Preprint)

2019 ◽  
Author(s):  
Zhao Ni ◽  
Namratha Atluri ◽  
Ryan J Shaw ◽  
Jingru Tan ◽  
Kinza Khan ◽  
...  
Keyword(s):  
Health Care ◽  
Mobile Phone ◽  
Community Health ◽  
Volunteer Program ◽  
Health Volunteer ◽  
Community Health Volunteers ◽  
Female Community ◽  
Community Health Volunteer ◽  
Female Community Health Volunteers ◽  
Rural Nepal

BACKGROUND Hypertension is a major modifiable risk factor for cardiovascular disease, the world’s leading cause of death. The prevalence of hypertension is disproportionately higher in South Asian countries than in other regions of the world. Screening for hypertension in primary care settings remains a challenge in many South Asian countries, including Nepal. Nepal is located in the Himalayan Mountains region, posing significant geographical challenges for its rural citizens to access primary health care and service delivery. This barrier increases the costs and inconvenience for rural Nepalis to access hypertension screening and treatment. As a result, the prevalence of hypertension in Nepal tripled in the last 25 years to 22.4%-38.6%. Nepal’s Ministry of Health and Population relies on female community health volunteers to link health centers and communities to provide basic health services. Over 50,000 of these volunteers in Nepal have received basic health care training and are assigned to take care of maternal and child health. Due to limited health care resources, adopting new methods to control hypertension is an urgent need in Nepal. Several recent studies in Nepal have recommended extending the role of female community health volunteers to include hypertension management through blood pressure monitoring and home-based education. OBJECTIVE The goal of this study was to assess if a mobile health–based female community health volunteer approach of combining the traditional community health volunteer program with digital technologies would be feasible and acceptable in rural Nepa METHODS In this study, we recruited 17 female community health volunteers and extended their role from maternal and child health to hypertension management through screening blood pressures. RESULTS All 17 female community health volunteers successfully measured 1113 rural Nepalis’ blood pressures, identified 169 hypertensive patients, and collected health behaviors data of the 169 hypertensive patients. Among the 169 patients, 70% of them had a mobile phone, and 92% were interested in receiving health-related information via a mobile phone. Among those who were interested in receiving information via a mobile phone, 84% preferred voice calls, and 7% and 1% preferred texting and apps, respectively. CONCLUSIONS Results from this study indicate that a digital health intervention that leverages feature-phones combined with female community health volunteers may be an acceptable and pragmatic way to implement an evidence-based program to reduce hypertension in rural Nepal.

Can the financial burden of being a community health volunteer in western Kenya exacerbate poverty?

2018 ◽  
Vol 35 (1) ◽  
pp. 93-101
Author(s):  
Alyssa Kelly ◽  
Sanjana Mitra ◽  
Justus Elung’at ◽  
Julia Songok ◽  
Suzanne Jackson ◽  
...  
Keyword(s):  
Community Health ◽  
Health Workers ◽  
Financial Burden ◽  
Health Service Delivery ◽  
Middle Income ◽  
Western Kenya ◽  
Roles And Responsibilities ◽  
Community Health Volunteers ◽  
Incentive Model ◽  
Community Health Volunteer

Summary Community health volunteers (CHVs) act as vital links between communities and health facilities, bridging the health service delivery gap common in low- and middle-income countries. In 2013, changes in funding in western Kenya left most CHVs without their individual monthly stipend. In this article, we explore how the implementation of a pooled incentive model had an impact on the lives of CHVs from two counties in western Kenya. Participation in this form of table banking was meant to allow CHVs to pool their resources together and invest in income-generating activities to offset the costs of unpaid health work. A pre-post qualitative study, consisting of focus group discussions and in-depth interviews explored CHV compensation, motivations and challenges experienced in 2013 and 2015, prior to and after the implementation of this pooled incentive model. Following withdrawal of the monthly stipend, we found that CHVs continued to take on roles and responsibilities of paid health workers, motivated by shared social identities and connections to their communities. However, replacing the stipend with a pooled-group incentive model seemingly exacerbated the financial burden already experienced by this vulnerable population. This study brings into question the sustainability and viability of a volunteer community health worker programme and highlights the need to address the financial burden associated with the CHV role in western Kenya.

scholarly journals Chamas for Change: Redevelopment of Community Health Volunteer Curriculum for a Group-Based Maternal-Child Peer Support and Microfinance Care Model in Western Kenya

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Grace Rushton, BS ◽  
Julia Jerono Songok, MMBchB ◽  
Anjellah Jumah ◽  
Justus E. Ikemeri, BSc ◽  
Laura Ruhl, MD MPH
Keyword(s):  
Community Health ◽  
Peer Support ◽  
Cultural Practices ◽  
Group Discussion ◽  
Social Education ◽  
Community Health Volunteers ◽  
Cluster Randomized Control Trial ◽  
Reflection Time ◽  
Community Health Volunteer ◽  
Cluster Randomized

Background: Maternal mortality continues to be the leading cause of death for women of child-bearing age in Kenya. Chamas for Change builds on longstanding cultural practices as a community-based peer support model for pregnant and breast-feeding mothers. Through medical and social education, microfinancing for economic empowerment, and a culture of community accountability, Chamas enables women to advocate for their health and improve health outcomes for their children. With significant success over the past eight years and a recently completed cluster randomized control trial (RCT), the Chamas for Change team is looking to expand the scope of Chamas to additional counties in Kenya and beyond. Project: To prepare for this transition to scale, the Chamas flipchart curriculum was redeveloped to include additional education topics and restructured to make each of the three cycles (or years) more cohesive and structured. To investigate new topics, brainstorming was conducted within the Maternal, Newborn, and Child Health (MNCH) team. Community Health Volunteers (CHVs) and implementation leads for the program were surveyed and a previously completed focus group discussion with Chamas members was analyzed. Lastly, additional topics were gathered from existing child development and adolescent reproductive health curricula through AMPATH. Results: Content for new medical and social topics was developed and integrated with existing topics. A total of 24 medical and 24 social topics were established for each of the two initial cycles of the program. Each session includes a reflection, time for socializing and activities, health and social education content, and homework to prompt further reflection. Conclusions and Impact: This refined flipchart will help to address demands from Chama mothers who are seeking a more robust education, while also further standardizing and broadening the curriculum for CHVs. It will additionally

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