DOI: https://doi.org/10.14710/jpki.19.2.81-92

Embracing The Vanguard Role: Obstacles Faced by Health Cadres in Fulfilling Societal Responsibilities

*Andra Novitasari orcid  -  Department of Community Medicine, Faculty of Medicine, Universitas Muhammadiyah Semarang, Indonesia
Afiana Rohmani  -  Department of Community Medicine, Faculty of Medicine, Universitas Muhammadiyah Semarang, Indonesia
Open Access Copyright (c) 2024 Jurnal Promosi Kesehatan Indonesia

Citation Format:
Abstract

Background: Health cadres play a crucial role in community development, serving as primary health managers responsible for mobilizing communities and fostering self-help initiatives to improve health outcomes. Despite their significance, challenges such as poor communication leading to missed visits by mothers with toddlers hinder program execution. Understanding and addressing these challenges is essential for establishing a resilient healthcare system that optimizes cadre contributions.

Method: A qualitative, phenomenological approach was employed in this study. In-depth interviews were conducted with 11 diverse participants, including the Head of the Public Health Center, the Coordinator of Health Cadres, Health Cadres, and Community Members. Informant selection utilized purposive techniques and snowball sampling, with an interview guide containing open-ended questions as the research instrument. The data analysis followed a descriptive approach based on the Miles and Huberman model.

Results: Challenges faced by health cadres varied across regions, encompassing factors such as differing community participation levels, heavy administrative tasks, and conflicts among cadres. Despite these challenges, most cadres exhibited high commitment, motivation, and familial support, mitigating potential issues. Each cadre adopted a unique approach to anticipate and address challenges associated with their roles. Regular coaching from Public Health Centers and implementing simplified administrative systems were identified as potential strategies to enhance cadre performance.

 

 

Fulltext View|Download
Keywords: challenges;roles;health cadres;qualitative approach;community

Article Metrics:

Article Info
Section: Research Article
Language : EN
Recent articles
Social Demographic Dimensions of Contraceptive Use in the Land of Papua: A Cross-Sectional Approach Embracing The Vanguard Role: Obstacles Faced by Health Cadres in Fulfilling Societal Responsibilities The Correlation Between Behavioral and Psychological Factors with Booster Immunization Adherence for Children Aged <24 Months More recent articles
Most cited articles
Perilaku Ibu Hamil Untuk Tes HIV di Kelurahan Bandarharjo dan Tanjung Mas Kota Semarang Beberapa Faktor Yang Berpengaruh Terhadap Keluhan Nyeri Punggung Bawah Pada Penjual Jamu Gendong Perilaku Tes HIV pada Laki-Laki yang Berhubungan Seks dengan Laki-Laki (LSL) di Provinsi Bali Praktik Inisiasi Menyusu Dini Non Disclosure Of HIV Positive Status Of Women To Their Partner : Implication For PMTCT More cited articles
  1. Peraturan Menteri Kesehatan Republik Indonesia Nomor 75 Tahun 2014. Menteri Kesehat Republik Indones. 2014;
  2. Bidayati U. Commitment, Motivation, and Performance of Posyandu Cadres. Proc 2017 Int Conf Organ Innov Atl Press. 2017;131(Icoi):93–7
  3. Harimurti P, Prawira J, Hort K. The Republic of Indonesia Health System Review Asia Pacific Observatory on Health Systems and Policies. Health Syst Transit [Internet]. 2017 [cited 2022 Jun 15];7(1):37, 152. Available from: https://www.researchgate.net/publication/315379191_The_Republic_of_Indonesia_Health_System_Review_2017#fullTextFileContent
  4. Tristanti I, Nurul Khoirunnisa F. Kinerja Kader Kesehatan dalam Pelaksanaan Posyandu di Kabupaten Kudus. J Ilmu Keperawatan dan Kebidanan [Internet]. 2018 Jul 24 [cited 2022 Jun 13];9(2):192–9. Available from: https://ejr.stikesmuhkudus.ac.id/index.php/jikk/article/view/470
  5. Bogar IM, Ismanto AY, Hamel RS. Hubungan Motivasi dengan Kinerja Kader Posyandu Balita di Wilayah Kerja Puskesmas Ondong Kabupaten Sitaro. J Keperawatan. 2017;5(2):1–5
  6. Sari NN. Bimbingan Kader Posyandu dengan Kepatuhan Kunjungan Ibu Balita di Posyandu. J Ners Lentera. 2015;3(1):1–9
  7. Badan Pusat Statistik Kota Semarang. Profil Kesehatan Kota Semarang 2020. 2020;
  8. Budi IS. Manajemen Partisipatif ; Sebuah Pendekatan Dalam Meningkatkan Peran Serta Kader Posyandu Dalam Pembangunan Kesehatan Di Desa Participatif Management ; an Approach To Increase Participation of. J Ilmu Kesehat Masy. 2011;2(November):153–60
  9. Tristanti I, Risnawati I. Motivasi Kader dan Kelengkapan Pengisian Kartu Menuju Sehat Balita di Kabupaten Kudus. Indones J Kebidanan. 2017;I(1):1–11
  10. Dewi DS. Peran Komunikator Kader Posyandu dalam Meningkatan Status Gizi Balita di Posyandu Nuri Kelurahan Makroman Kecamatan Sambutan Kota Samarinda. eJournal Ilmu Komun. 2017;5(1):272–82
  11. Kementerian Kesehatan RI. Indikator Program Kesehatan Masyarakat dalam RPJMN dan Rentra Kementerian Kesehatan 2020-2024. Katalog Dalam Terbitan Kementeri Kesehat RI [Internet]. 2020;1–99. Available from: https://kesmas.kemkes.go.id/assets/uploads/contents/attachments/ef5bb48f4aaae60ebb724caf1c534a24.pdf
  12. Oga-Baldwin WLQ, Nakata Y, Parker P, Ryan RM. Motivating young language learners: A longitudinal model of self-determined motivation in elementary school foreign language classes. Contemp Educ Psychol. 2017;49(November):140–50
  13. Djuhaeni H, Gondodiputro S, Suparman R. Motivasi Kader Meningkatkan Keberhasilan Kegiatan Posyandu. Maj Kedokt Bandung. 2010;42(4):140–8
  14. Koestner R, McClelland DC. The affiliation motive. In: Smith CP, editor. Motivation and Personality Handbook of Thematic Content Analysis. Cambridge University Press; 2009. p. 205–10
  15. Ramadhania N, Gondodiputro S, Wijaya M, Didah D, Mandiri A. Cadres of the Integrated Health Post for Elderly and Their Satisfaction: Herzberg Theory Approach. Sosiohumaniora. 2020;22(3):309
  16. Anoraga B, Prasetyo A. Motivasi Kerja Islam dan Etos Kerja Islam Karyawan Bank Jatim Syariah Cabang Surabaya. J Ekon Syariah Teor dan Terap. 2015;2(7):531
  17. Herawati E. Budaya, Agama, dan Makna Volunterisme bagi Kader Warga Peduli AIDS di Kota Bandung. J Antropol Isu-Isu Sos Budaya. 2019;21(2):132
  18. Murti H, Srimulyani VA. Pengaruh Motivasi Terhadap Kinerja Pegawai Dengan Variabel Pemediasi Kepuasaan Kerja Pada Pdam Kota Madiun. JRMA J Ris Manaj dan Akunt. 2013;1(1):10–7
  19. Suwardi, Utomo J. Pengaruh Motivasi Kerja, Kepuasan Kerja, dan Komitmen Organisasional Terhadap Kinerja Pegawai. Studi pada Pegawai Setda Kabupaten Pati. J Anal Manaj [Internet]. 2011;5(1):75–86. Available from: https://www.neliti.com/id/publications/244184/pengaruh-motivasi-kerja-kepuasan-kerja-dan-komitmen-organisasional-terhadap-kine
  20. Lisnawati L. Analisis faktor kinerja kader dalam upaya revitalisasi posyandu. J bidan “midwife journal” [Internet]. 2015;1(2):12–8. Available from: www.jurnal.ibijabar.org
  21. Rahman SM, Ali NA, Jennings L, Seraji MHR, Mannan I, Shah R, et al. Factors affecting recruitment and retention of community health workers in a newborn care intervention in Bangladesh. Hum Resour Health. 2010;8:1–14
  22. Maulida, Hermansyah, Mudatsir. Komunikasi dan Koordinasi Kader dengan Pelaksanaan Posbindu Lansia. J Ilmu Keperawatan [Internet]. 2015;3(2):194–208. Available from: https://jurnal.usk.ac.id/JIK/article/view/5316
  23. Landri M, Malakauseya V, Ohoiulun A, Lima F De, Saptenno L. Permasalahan Yang Dihadapi Kader Pos Binaan Terpadu Penyakit Tidak Menular Di Kota Ambon Dan Pulausaparua. Molucca Medica [Internet]. 2021;14(Juni):26–45. Available from: https://ojs3.unpatti.ac.id/index.php/moluccamedica/article/view/3605/2907
  24. Privett NA. Operations Management in Community-Based Non-profit Organizations. Johnson M, editor. Community-Based Operations Management in the Non-profit Sector. New York: Springer; 2011. 67–95 p
  25. Nawalah H, Qomaruddin M, Hargono R. Desa Siaga: Upaya Pemberdayaan Masyarakat di Bidang Kesehatan Melalui Peran Bidan di Desa. Indones J Public Heal. 2012;8(3):91–8
  26. Hastuti D. Pengaruh Motivasi, Kompetensi dan Kepuasan Terhadap Kinerja Kader Kesehatan dengan Komitmen Kerja sebagai Variabel Intervening (Studi Puskesmas Pagiyanten Kabupaten Tegal). Magisma J Ilm Ekon dan Bisnis. 2019;6(1):23–34
  27. Sulistyorini CI, Pebriyanti S, Proverawati A. Posyandu dan Desa Siaga (Panduan untuk Bidan dan Kader). 1st ed. Yogyakarta Nuh Medika. Yogyakarta: Nuha Medika; 2010
  28. Rifkin SB. Alma Ata after 40 years: Primary Health Care and Health for All-from Consensus to Complexity. BMJ Glob Heal. 2018;3:1–7
  29. Hidayat TS, Jahari AB. Perilaku Pemanfaatan Posyandu Hubungannya dengan Status Gizi dan Morbiditas Balita. Bul Penelit Kesehat. 2012;40(1):1–10
  30. Afework MF, Admassu K, Mekonnen A, Hagos S, Asegid M, Ahmed S. Effect of an innovative community-based health program on maternal health service utilization in the north and south central Ethiopia: a community-based cross-sectional study. Reprod Health [Internet]. 2014 [cited 2022 Jun 15];11(28):1–9. Available from: https://pubmed.ncbi.nlm.nih.gov/24708848/
  31. Uzondu CA, Doctor H V., Findley SE, Afenyadu GY, Ager A. Female Health Workers at the Doorstep: A Pilot of Community-Based Maternal, Newborn, and Child Health Service Delivery in Northern Nigeria. Glob Heal Sci Pract [Internet]. 2015 [cited 2022 Jun 15];3(1):97. Available from: /pmc/articles/PMC4356278/
  32. Ruru JM, Kaehe D, Rompas WY. Partisipasi Masyarakat Dalam Perencanaan Pembangunan Di Kampung Pintareng Kecamatan Tabukan Selatan Tenggara. J Adm Publik. 2019;5(80):14–24
  33. Yanti, Mulyadi SU. Pengetahuan , Dana Insentif , Sarana Dan Prasarana Dengan Partisipasi Kader Dalam Pelaksanaan Posyandu Latar Belakang Di Indonesia salah satu bentuk Primary Health Care ( PHC ) adalah upaya kesehatan yang pelaksanaan kegiatan posyandu agar hasilnya keseha. J Ilmu Keperawatan. 2015;2338–6371
  34. Rahmawati M R, Jas J, Maemunaty T. Satisfaction Work Posyandu Cadres Sekelurahan Simpang Tiga Kecamatan Bukit Raya. J Online Mhs [Internet]. 2016;3(2):1–10. Available from: https://jom.unri.ac.id/index.php/JOMFKIP/article/view/12144
  35. Muhammad K, Shadrach Toryila A, Benjamin Saanyol D. The Role of Interpersonal Relationship on Job Performance among Gboko Local Government Area of Benue State, Nigeria Employees. Int J Soc Sci Manag Res [Internet]. 2018;4(5):2545–5303. Available from: www.iiardpub.org
  36. Lodisso SL. The Effects of Interpersonal Relationship on Employees ’ Job Satisfaction : The Case of Education Department , Hawassa City Administration. IOSR J Bus Manag. 2019;21(3):21–7

Last update:

No citation recorded.

Last update: 2024-11-16 12:45:59

No citation recorded.