The Improvement of Cadre Competence in implementation of NonCommunicable Diseases Screening in Community Based Intervention (Posbindu PTM) at Sleman Regency in Yogyakarta

Poltekkes Kemenkes Yogyakarta

2020

en

Article

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Background: The high mortality rate (out of 10 causes of death) is caused by Non-Communicable Diseases (NCDs). Moreover, NCDs is a catastrophic disease that creates a huge socioeconomic burden for sufferers, families, and countries. The lack of knowledge and the ignorance of the community towards NCDs, become a problem that may causing delay handling the diseases, so the complications and deaths occur earlier. Therefore, community participation is needed, so the model of community-based intervention torwards NCDs can be developed, which known as Posbindu PTM. Posbindu PTM’s activities are community participation in the early detection, monitoring and early follow-up of NCD’s risk factors independently and continuously. Aim: To determine the effectiveness of training in improving cadre’s competence in the implementation of Screening for Non-communicable Diseases at the Community Based Intervention (Posbindu PTM) in Sleman Regency in Yogyakarta. Methodology and result: This type of research was a quasi-experimental with “pre-post test with control group design”. Samples were taken by non-probability sampling that involved 5 respondents in one Posbindu and analyzed with a t-test which then obtained significance of 0.001 (<0.05). The results showed that the differences in the average skills before and after the training obtained the highest results in the difference between the types of simulation, i.e. before the treatment 71.05 and after the treatment 88.07 with the difference is 7. Changes in knowledge in the Leaflet, Demonstration, and Simulation groups were almost the same. This means that there were no significant differences in the three groups in terms of cadre knowledge regarding non-communicable disease screening (NCDs). There was no significant change in knowledge in the three groups. In the treatment group, the simulation obtained a higher rate than the leaflet and demonstration group. The highest increase in respondent skills was 17.0 or the highest among the three treatment groups. So that it can be interpreted that the group treated training with simulations have an impact on improving good skills for Posbindu PTM cadres. Conclusion: This study concludes that there was a difference in the average skill before and after the training which resulted from the highest difference between the types of simulation, i.e. before treatment 71.05 and after treatment 88.07 with the difference is 7. Keywords: Cadre Competence; Non-Communicable Diseases; Screening