Main Article Content

Abstract

Highlights:



  1. Due to the increasing elderly population in Indonesia, this study must address the knowledge and skill gaps among health cadres in a number of Integrated Health Posts for the Elderly (Pos Layanan Terpadu Lanjut Usia/ Posyandu Lansia). 

  2. Through this study, the health cadres increased their knowledge and skills, enabling them to provide comprehensive health services for the elderly. 


Abstract


Numerous issues have arisen as a result of the large size and rapid growth of the elderly population, attesting to the need for serious efforts from all sectors to enhance their welfare. However, the health cadres at the Integrated Health Post for the Elderly (Pos Layanan Terpadu Lanjut Usia/ Posyandu Lansia) lacked the training that would have equipped them with the necessary knowledge and skills to carry out their duties. This study aimed to evaluate the significance of training for enhancing the cadres' knowledge and skills in providing comprehensive health services for the elderly. This study was quasi-experimental research with a pre-test and post-test design. The data analysis was performed using the Shapiro-Wilk test (p>0.05) and the Wilcoxon test (p<0.05). A total of 30 health cadres at Songgon Community Health Center were measured for their levels of knowledge and skills before and after the training. The training included filling out health evaluation charts, providing leaflets containing health counseling materials for the elderly, practicing exercise for the elderly, and singing an elderly marching song. Before filling out the health evaluation chart, the cadres had to measure the elderly's degree of independence as well as their mental, emotional, and nutritional status. The cadres also had to measure the weight, height, and blood pressure of the elderly. Prior to training, the cadres' knowledge of hospitalization referrals, independence, and physical exercise for the elderly was limited. The cadres' skills in filling out health evaluation charts, assessing mental, emotional, and nutritional status, measuring blood pressure, and instructing physical exercise were also inadequate. There was a significant difference in the knowledge and skills of the health cadres before and after training (p<0.05). In conclusion, there was an improvement in the health cadres' knowledge and skills regarding comprehensive health services for the elderly at the Posyandu Lansia.

Keywords

Skills health cadres Integrated Health Post for the Elderly (Posyandu Lansia) comprehensive health services for the elderly public health

Article Details

How to Cite
Djuari, L., Linda Dewanti, Sulistiawati, Natasya Nurvita Brilianti, Farhan Nurdiansyah, & Subur Prajitno. (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

References

  1. Alessandri G et al. (2017). Evaluating intervention programs with a pretest-posttest design: A structural equation modeling approach. Frontiers in Psychology 8, 1–12. doi: 10.3389/fpsyg.2017. 00223.
  2. Arsyati AM & Chandra VK (2020). Assesment kesiapan kader Posyandu dalam pelatihan penggunaan media online. HEARTY: Jurnal Kesehatan Masyarakat 8, 27–32. doi: 10.32832/ hearty.v8i1.3635.
  3. Dewi VP et al. (2018). Training program to support preparedness of elderly health care services. ASEAN Journal of Community Engagement 2, 120. doi: 10.7454/ajce.v2i1.87.
  4. Djamhari EA et al. (2020). Welfare Conditions for the Elderly and Social Protection for the Elderly in Indonesia. Prakarsa: Jakarta. [Webpage]
  5. Fatmah & Nasution Y (2012). Peningkatan pengetahuan dan keterampilan kader Posbindu dalam pengukuran tinggi badan prediksi lansia, penyuluhan gizi seimbang dan hipertensi studi di Kecamatan Grogol Petamburan. Media Medika Indonesiana 46. Available at: https://ejournal. undip.ac.id/index.php/mmi/article/view/4218
  6. Frisca S et al. (2020). Pendampingan dan peningkatan kesehatan lansia dengan senam kaki dan pendekatan spiritual charitas di Gereja Protestan di Indonesia Bagian Barat Immanuel Palembang. JMM (Jurnal Masyarakat Mandiri) 4, 63. doi: 10.31764/jmm.v4i1.1751.
  7. Harahap A (2021). Posyandu elderly as an alternative health care program. International Journal Of Community Service 1, 365–369. doi: 10.51601/ijcs.v1i3.51.
  8. Hubbard RE et al. (2013). Medication prescribing in frail older people. European Journal of Clinical Pharmacology, 69 319–326. doi: 10.1007/s00228-012-1387-2.
  9. Ilyas ANK (2017). Peran Posyandu Lansia dalam meningkatkan kesejahteraan lanjut usia di posyandu lansia sejahtera Kelurahan Pasirmuncang. Jurnal Eksistensi Pendidikan Luar Sekolah (E-Plus), 2, 142–150. doi: 10.30870/e-plus.v2i2.2956.
  10. Kusumawardani D & Andanawarih P (2018). Peran Posyandu Lansia terhadap kesehatan lansia di Perumahan Bina Griya Indah Kota Pekalongan. Siklus: Journal Research Midwifery Politeknik Tegal, 7, 273–277. doi: 10.30591/siklus.v7i1.748.
  11. Lee SB et al. (2018). Differences in youngest-old, middle-old, and oldest-old patients who visit the emergency department. Clinical and Experimental Emergency Medicine, 5, 249–255. doi: 10.15441/ ceem.17.261.
  12. Levine ME (2013). Modeling the rate of senescence: Can estimated biological age predict mortality more accurately than chronological age? The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 68, 667–674. doi: 10.1093/gerona/gls233.
  13. Mardius A & Astuti Y (2017). Pengaruh senam lansia terhadap kebugaran jasmani warga Perumahan Pondok Pinang Kelurahan Lubuk Buaya Kecamatan Koto Tangah Kota Padang. Journal of Education Research and Evaluation, 1, 147. doi: 10.23887/jere.v1i3.10381.
  14. Ministry of Health of the Republic of Indonesia (2019). Laporan Nasional Riskesdas 2018. Jakarta. [Webpage]
  15. Nikmah K & Khomsatun M (2020). Pelatihan kader lansia dalam upaya peningkatan pelayanan kesehatan lansia di keluarga. Journal of Community Engagement in Health, 3, 210–216. doi: 10.30994/jceh.v3i2.66.
  16. Olsen C et al. (2016). Differences in quality of life in home-dwelling persons and nursing home residents with dementia – A cross-sectional study. BMC Geriatrics, 16, 137. doi: 10.1186/s12877-016-0312-4.
  17. Riasmini NM (2021). Improved health status among elderly with hypertension through continuity of care model based on the empowerment of cadres and the elderly. Quality: Jurnal Kesehatan, 15, 124–130. doi: 10.36082/qjk.v15i2.305.
  18. Statistics Indonesia (2017). Statistics of aging population 2016. [Webpage]
  19. Statistics Indonesia (2022). Life expectacy rate by province and gender (year), 2020-2022. [Webpage]
  20. Stratton SJ (2019). Quasi-experimental design (pre-test and post-test studies) in prehospital and disaster research. Prehospital and Disaster Medicine, 34, 573–574. doi: 10.1017/S1049023 X19005053.
  21. Sumiati S et al. (2022). Sex and age differences in the COVID-19 mortality in East Jakarta, Indonesia: Analysis of COVID-19 surveillance system. Journal of Public Health in Africa, 13, 97–99. doi: 10.4081/jphia.2022.2420.
  22. Taheri SM & Hesamian G (2013). A generalization of the Wilcoxon signed-rank test and its applications. Statistical Papers, 54, 457–470. doi: 10.1007/s00362-012-0443-4.
  23. Vetter TR (2017). Fundamentals of research data and variables: The devil is in the details. Anesthesia & Analgesia, 125, 1375–1380. doi: 10.1213/ANE.0000000000002370.
  24. Wahono A et al. (2023). Juridical review regarding the provision of health services (Law No. 36 of 2009 concerning Health) in: Proceedings of the 2nd Multidisciplinary International Conference, 12 November 2022, Semarang, Central Java, Indonesia. European Alliance for Innovation. doi: 10.4108/eai.12-11-2022.2327368.
  25. Wendimagegn NF & Bezuidenhout MC (2019). Integrating promotive, preventive, and curative health care services at hospitals and health centers in Addis Ababa, Ethiopia. Journal of Multidisciplinary Healthcare, Volume 12, 243–255. doi: 10.2147/JMDH.S193370.
  26. Zadworna-CieÅ›lak M (2020). Psychometric properties of the Developmental Tasks Questionnaire for Seniors. Current Psychology, 39, 1172–1180. doi: 10.1007/s12144-019-00380-0.

Most read articles by the same author(s)