Empowering Community Health Volunteers: Enhancing Early Stunting Detection through Knowledge and Skill Development in Indonesia’s 3T Regions
DOI:
https://doi.org/10.61194/jrkpk.v4i2.894Keywords:
Stunting, Posyandu Cadres, Community Health Volunteers, Knowledge Training, Rural Health, Early Detection, IndonesiaAbstract
Stunting remains a persistent public health issue in Indonesia, particularly in rural and 3T (Terdepan, Terluar, Tertinggal) regions. Posyandu cadres, as community health volunteers, are positioned to play a pivotal role in the early detection of stunting. This study examines how knowledge and skill development interventions improve cadres’ capacity for early stunting detection. Using a qualitative descriptive design, this study synthesizes findings from eight empirical studies and relevant national data. Thematic analysis was applied to examine the effects of training programs on cadre knowledge acquisition, skill proficiency, and community health outcomes. The research further assesses frameworks appropriate for analog 3T contexts, including logistical, cultural, and policy considerations. Key results demonstrate a statistically significant improvement in cadre knowledge following training interventions, with a strong correlation (r = 0.80) between knowledge gains and improved stunting detection skills. Enhanced competencies led to reductions in community stunting cases, improved parental health behaviors, and greater community engagement. Barriers such as geographic isolation and cultural resistance were identified, underscoring the need for tailored training and ongoing supervision. The findings emphasize the importance of institutionalizing sustainable training models, supported by cross-sectoral policy frameworks. Posyandu cadres, when properly trained and supported, serve as critical agents in Indonesia’s mission to reduce childhood stunting. Community-integrated, scalable interventions are essential to extend this impact across underserved regions.
References
Agarwal, S., Sripad, P., Johnson, C., Kirk, K., Bellows, B., Ana, J., Blaser, V., Kumar, M. B., Buchholz, K., Casseus, A., Chen, N., Dini, H. S., Deussom, R., Jacobstein, D., Kintu, R., Kureshy, N., Meoli, L., Otiso, L., Pakenham‐Walsh, N., … Warren, C. (2019). A Conceptual Framework for Measuring Community Health Workforce Performance Within Primary Health Care Systems. Human Resources for Health, 17(1). https://doi.org/10.1186/s12960-019-0422-0
Ahmad, H., Alwi, F., & Hadi, A. J. (2023). Contribution of the Role of Health Cadres in the Prevention of Stunting in Toddlers. Jurnal Aisyah Jurnal Ilmu Kesehatan, 8(3). https://doi.org/10.30604/jika.v8i3.2483
Akhmadi, A., Sunartini, S., Haryanti, F., Madyaningrum, E., & Sitaresmi, M. N. (2021). Effect of Care for Child Development Training on Cadres’ Knowledge, Attitude, and Efficacy in Yogyakarta, Indonesia. Belitung Nursing Journal, 7(4), 311–319. https://doi.org/10.33546/bnj.1521
Ardianingsih, F., Wahjuni, E. S., Sugianto, Y. M., & Habsari, J. T. (2024). Pencegahan Stunting Melalui Pelatihan Pemantauan Pertumbuhan Anak Pada Kader Kesehatan Di Kecamatan Sutojayan, Kabupaten Blitar. Lumbung Inovasi Jurnal Pengabdian Kepada Masyarakat, 9(4), 1230–1238. https://doi.org/10.36312/linov.v9i4.2376
Armini, N. W. (2020). Performance of the Health Cadres in Children’s Growth and Development Monitoring Program After Training in the Working Area of Public Health Services of Abiansemal II, Badung, Bali. Medico-Legal Update. https://doi.org/10.37506/mlu.v20i3.1448
Bastian, A., Nurhidayah, R., Pratita, I., Dewi, W. P., & Purnomo, W. (2023). The Effectiveness of the Online Cadre Refresh Program on Capacity Building for Cadres in Toddler Posyandu Management During the Covid-19 Pandemic. Journal of Global Research in Public Health, 8(1), 99–103. https://doi.org/10.30994/jgrph.v8i1.443
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D., & Neufeld, L. M. (2018). A review of child stunting determinants in Indonesia. Maternal & Child Nutrition, 14(4), e12617. https://doi.org/10.1111/mcn.12617
Djuari, L., Dewanti, L., Sulistiawati, S., Brilianti, N. N., Nurdiansyah, F., & Prajitno, S. (2023). Improvement of Cadres’ Skills and Knowledge to Provide Comprehensive Health Services for the Elderly. Folia Medica Indonesiana, 59(2), 173–179. https://doi.org/10.20473/fmi.v59i2.39896
Dolovich, L., Gaber, J., Valaitis, R., Ploeg, J., Oliver, D., Richardson, J., Mangin, D., Parascandalo, F., & Agarwal, G. (2020). Exploration of Volunteers as Health Connectors Within a Multicomponent Primary Care‐based Program Supporting Self‐management of Diabetes and Hypertension. Health & Social Care in the Community, 28(3), 734–746. https://doi.org/10.1111/hsc.12904
Ekowati, D., Hofstee, C., Praputra, A. V., & Sheil, D. (2016). Motivation Matters: Lessons for REDD+ Participatory Measurement, Reporting and Verification From Three Decades of Child Health Participatory Monitoring in Indonesia. Plos One, 11(11), e0159480. https://doi.org/10.1371/journal.pone.0159480
Farokah, A., Khusmitha, Q. N., Putri, H. F. W., & Kurniasari, E. (2023). The Impact of Awarding Incentives on Posyandu Cadre Performance. Jurnal Kedokteran Diponegoro (Diponegoro Medical Journal), 12(5), 260–264. https://doi.org/10.14710/dmj.v12i5.38787
Gemiharto, I., Matsumoto, S., & Molefe, Z. (2024). Health Communication Strategy in Changing Community Nutrition Behavior and Reducing Stunting Cases in South Konawe Regency, Southeast Sulawesi. Ilomata International Journal of Social Science, 5(1), 190–204. https://doi.org/10.52728/ijss.v5i1.1091
Hill, T. G., Langley, J., Kervin, E., Pesut, B., Duggleby, W., & Warner, G. (2021). An Integrative Review on the Feasibility and Acceptability of Delivering an Online Training and Mentoring Module to Volunteers Working in Community Organizations. Frontiers in Digital Health, 3. https://doi.org/10.3389/fdgth.2021.688982
Indra, J., & Khoirunurrofik, K. (2022). Understanding the Role of Village Fund and Administrative Capacity in Stunting Reduction: Empirical Evidence From Indonesia. Plos One, 17(1), e0262743. https://doi.org/10.1371/journal.pone.0262743
Indrayani, N. (2023). Optimization of Counseling Services at the Desks to the Four Posyandu. Journal of Community Empowerment for Health, 6(2), 108. https://doi.org/10.22146/jcoemph.79667
Iswarawanti, D. N., Muslimatun, S., Basuki, E., & Hadi, A. H. (2019). Module Development and Its Effectiveness for Improving the Competencies of Voluntary Health Workers in Communicating Safe Complementary Feeding to Caregivers in Indonesia. Malaysian Journal of Nutrition, 25(1), 99–115. https://doi.org/10.31246/mjn-2018-0065
Kamau, M. W. (2020). Time for Change Is Now: Experiences of Participants in a Community-Based Approach for Iron and Folic Acid Supplementation in a Rural County in Kenya, a Qualitative Study. Plos One, 15(1), e0227332. https://doi.org/10.1371/journal.pone.0227332
Keller, B., McCarthy, E. A., Vosburg, K. B., Musonda, M., Mwila, J., Jan Willem van den Broek, & Walsh, F. (2017). Task-Shifting Impact of Introducing a Pilot Community Health Worker Cadre Into Zambia’s Public Sector Health Workforce. Plos One, 12(8), e0181740. https://doi.org/10.1371/journal.pone.0181740
Lusiana, D. (2024). Increasing the Role of Pregnant Women and Toddler Kader for Early Detection and Prevention of Stunting Pregnancy to Toddler Period. Bhakti Sabha Nusantara, 3(2), 56–61. https://doi.org/10.58439/bsn.v3i2.252
Mambulu-Chikankheni, F. N., Eyles, J., & Ditlopo, P. (2018). Exploring the Roles and Factors Influencing Community Health Workers’ Performance in Managing and Referring Severe Acute Malnutrition Cases in Two Subdistricts in South Africa. Health & Social Care in the Community, 26(6), 839–848. https://doi.org/10.1111/hsc.12595
Masdiputri, S. N., Hermina, C., Ariani, L., Nadia, H., & Sari, R. T. (2024). Kajian Pola Percepatan Penanganan Stunting Di Kota Banjarmasin Study on the Acceleration Pattern of Stunting Management in Banjarmasin City. Indonesia Berdaya, 5(4), 1491–1508. https://doi.org/10.47679/ib.20241074
Megawati, M., & Daiyah, I. (2024). Pelatihan Kader Kesehatan Dalam Deteksi Dini Dan Pencegahan Stunting Di Wilayah Puskesmas Karang Intan 2 Kabupaten Banjar. J-Abdi Jurnal Pengabdian Kepada Masyarakat, 4(6), 707–714. https://doi.org/10.53625/jabdi.v4i6.8822
Muharni, M. (2018). System Review on Distribution of Multiple Micronutrient Powder Program in Praya Tengah, Central Lombok District. JPK Jurnal Proteksi Kesehatan, 3(1). https://doi.org/10.36929/jpk.v3i1.24
Mulyani, Y. S., Apriyani, Y., Iskandar, I. D., Amirulloh, I., Mardani, H. M. H., & Zidane Dwi Kusuma Zidane Dwi Kusuma. (2024). Penerapan Teknologi Dalam Pencegahan Stunting Di UPTD Puskemas Sukamulya, Kecamatan Cihaurbeuti, Kabupaten Ciamis. Padimas, 3(2), 66–78. https://doi.org/10.32665/padimas.v3i2.3473
Muslimin, M., & Mursyidah, L. (2024). The Role of Posyandu Cadres in Reducing Stunting in the Community. Indonesian Journal of Cultural and Community Development, 15(3). https://doi.org/10.21070/ijccd.v15i3.1117
Nasution, B., Zainudin, Z., & Jaya, A. (2022). Prevention of Early Stunting Through Family Posyandu in Sape District, Bima Regency. Empiricism Journal, 3(2), 214–220. https://doi.org/10.36312/ej.v3i2.1008
Nkonki, L., Tugendhaft, A., & Hofman, K. (2017). A Systematic Review of Economic Evaluations of CHW Interventions Aimed at Improving Child Health Outcomes. Human Resources for Health, 15(1). https://doi.org/10.1186/s12960-017-0192-5
Novita, S., Taryana, A. M., & Setyowati, D. L. (2024). Optimization of Indonesian Youth Knowledge in Stunting Prevention Assistance. Jurnal Ilmiah Universitas Batanghari Jambi, 24(1), 353. https://doi.org/10.33087/jiubj.v24i1.4543
Pardosi, M., Hutabarat, J., Surbakti, E., Sianturi, E., & Pasaribu, R. D. (2024). Stunting Coaching Training for Midwives and Cadres About Stunting Prevention and Management in the First 1000 Days of Life. J. Health. Science. Med. Therapy., 2(03), 218–227. https://doi.org/10.59653/jhsmt.v2i03.1089
Prabandari, F., Sumarni, S., Suryati, S., Putri, N. A., Erika, E., & Septianingsih, S. (2022). Efforts to Improve Integrated Services Post (POSYANDU) Cadre Skills in Stunting Detection Through Cadre Training. Abdimas Jurnal Pengabdian Masyarakat, 4(2), 999–1003. https://doi.org/10.35568/abdimas.v4i2.1545
Qodir, A., Soelistyoningsih, D., Daramatasia, W., Wahyuningrum, A. D., Rachmadhani, R., & Yulianti, S. D. (2024). Empowerment Posyandu Cadres in the Transfer of Spinach-Based Technology for Early Stunting Prevention. Abdimas Jurnal Pengabdian Masyarakat Universitas Merdeka Malang, 9(1), 1–11. https://doi.org/10.26905/abdimas.v9i1.11898
Rahmayanti, W., Fitriani, S., Hidayani, W. R., Yogaswara, D., Turiano, L., & Tagum, K. N. H. (2022). Factors Related to the Performance of Cadres in the Implementation of Community Based Health Service Activities. Journal of Public Health Sciences, 1(02), 55–70. https://doi.org/10.56741/jphs.v1i02.82
Rinawan, F. R., Susanti, A. I., Amelia, I., Ardisasmita, M. N., Widarti, Dewi, R. K., Ferdian, D., Purnama, W. G., & Purbasari, A. (2021). Understanding Mobile Application Development and Implementation for Monitoring Posyandu Data in Indonesia: A 3-Year Hybrid Action Study to Build “A Bridge” From the Community to the National Scale. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-11035-w
Rokhmah, N. H., Kamariyah, S., Pramudiana, I. D., & Dwijosusilo, K. (2024). The Role of Government in Reducing Stunting. Ijim, 2(4), 293–303. https://doi.org/10.69693/ijim.v2i4.255
Rospiati, Era, D. P., & Urnia, E. E. (2023). The Effectiveness of Posyandu Cadre Empowerment in Enhancing Posyandu Cadre’s Knowledge as a Stunting Prevention Effort. International Journal of Nursing and Midwifery Science (Ijnms), 7(2A), 30–34. https://doi.org/10.29082/ijnms/2023/vol7/iss2a/510
Sanjaya, R., Febriyanti, H., Veronica, S. Y., & Mukhlis, H. (2022). Gerakan Kader Posyandu Sadar Stunting Di Provinsi Lampung. Indonesia Berdaya, 3(1), 27–32. https://doi.org/10.47679/ib.2022173
Santoso, S. I., & Rodiyah, I. (2024). Achievements and Barriers in Evaluating Stunting Prevention Programs in Keboguyang Village, Indonesia. Indonesian Journal of Cultural and Community Development, 15(3). https://doi.org/10.21070/ijccd.v15i3.1104
Sari, N. (2021). Hubungan stunting dan risiko penyakit tidak menular pada usia dewasa. Jurnal Ilmu Gizi Indonesia, 10(1), 55–62.
Schleiff, M., Aitken, I., Alam, M. A., Damtew, Z. A., & Perry, H. B. (2021). Community Health Workers at the Dawn of a New Era: 6. Recruitment, Training, and Continuing Education. Health Research Policy and Systems, 19(S3). https://doi.org/10.1186/s12961-021-00757-3
Selvia, B., Solfema, S., & Putri, L. D. (2024). Implementasi Program Posyandu Dalam Penurunan Angka Stunting Di Desa Manggopoh. Yudistira, 3(1), 135–141. https://doi.org/10.61132/yudistira.v3i1.1455
Setyoadi, S., Kartika, A. W., Hayati, Y. S., & Setiowati, C. I. (2023). Community Empowerment Program to Increase Individual Empowerment of Cadres in Stunting Prevention. Jurnal Aisyah Jurnal Ilmu Kesehatan, 8(2). https://doi.org/10.30604/jika.v8i3.2069
Sinaga, H. T. (2023). Pelatihan Kader Posyandu Menggunakan KMS Dinding Untuk Deteksi Anak Stunting Di Desa Pasar Miring Kecamatan Pagar Merbau, Deli Serdang. Jurnal Mitra Prima, 4(2). https://doi.org/10.34012/mitraprima.v4i2.2970
Siregar, F. A., Surdayati, E., & Nurmaini, N. (2020). Community Empowerment in the Prevention of Stunting for Children Under Five. Abdimas Talenta Jurnal Pengabdian Kepada Masyarakat, 5(2), 503–508. https://doi.org/10.32734/abdimastalenta.v5i2.4963
Siswati, T., Waris, L., Paramashanti, B. A., Kusnanto, H., & Susilo, J. (2022). Gross Domestic Product and Geographic Area as Social Determinants of Child Stunting and Severe Stunting in Indonesia: A Multilevel Analysis. Jurnal Gizi Dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), 10(3), 87. https://doi.org/10.21927/ijnd.2022.10(3).87-99
Suarayasa, K., Tiara, A. N., & Kalebbi, A. (2024). Empowering Posyandu Cadres in Stunting Prevention. Media Publikasi Promosi Kesehatan Indonesia (Mppki), 7(5), 1351–1358. https://doi.org/10.56338/mppki.v7i5.5346
Suratri, M. A. L., Putro, G., Rachmat, B., Nurhayati, N., Ristrini, R., Pracoyo, N. E., Yulianto, A., Suryatma, A., Samsudin, M., & Raharni, R. (2023). Risk Factors for Stunting Among Children Under Five Years in the Province of East Nusa Tenggara (NTT), Indonesia. International Journal of Environmental Research and Public Health, 20(2), 1640. https://doi.org/10.3390/ijerph20021640
Surjaningrum, E. R., Leonardi, T., & Mujahadah, H. (2022). Delphi Study to Develop Training Materials to Detect Maternal Mental Disorder for Health Cadres. https://doi.org/10.21203/rs.3.rs-1983338/v1
Tampake, R., Arianty, R., Mangundap, S. A., & Ra’bung, A. S. (2022). Edukasi Kader Kesehatan Dalam Upaya Peningkatan Kemampuan Kader Dalam Deteksi Dini Stunting Dan Faktor Resiko Stunting Pada Balita. Poltekita Jurnal Pengabdian Masyarakat, 3(1), 100–112. https://doi.org/10.33860/pjpm.v3i1.723
Trisfayeti, I. H., & Idris, H. (2023). Factors Associated With Utilization of Posyandu Lansia in Indonesia: An Analysis of Nationwide Survey Data. Public Health and Preventive Medicine Archive, 10(1). https://doi.org/10.53638/phpma.2022.v10.i1.p09
Tyarini, I. A., Akib, A., Ratnasari, F., Setyaningsih, T. S. A., & Setyawati, A. (2024). Health Education Lecture Method to Increase Posyandu Cadres’ Knowledge About Stunting Prevention in Children. Jurnal Ilmiah Kesehatan Sandi Husada, 13(1), 62–68. https://doi.org/10.35816/jiskh.v13i1.1173
Wasono, W., & Sukmana, H. (2024). Navigating Implementation Challenges of Stunting Solutions in Indonesia’s Health Programs. Indonesian Journal of Cultural and Community Development, 15(3). https://doi.org/10.21070/ijccd.v15i3.1106
Wiliyanarti, P. F., Choliq, I., Hasanah, U., & Lin, S. (2024). Mother’s Experiences in Caring for Children With Stunting in Rural Indonesia. Journal of Transcultural Nursing, 36(2), 161–167. https://doi.org/10.1177/10436596241274264
Yani, F., Shah, R., Retno, W., & Luqman, P. (2023). Access and Utilization of Health Services Improved by Trained Posyandu Cadres in Rural Indonesia. European Journal of Public Health, 33(Supplement_2). https://doi.org/10.1093/eurpub/ckad160.805
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