Social support interventions in health cadres on knowledge and self-efficacy in managing pregnant women with iron deficiency anemia in Indonesia

Neneng Kurwiyah, Syamsul Anwar, Syamikar Baridwan Syamsir, Tantri Puspita, Heru Supriyatno

Abstract


Background: Anemia in pregnant women is not only a health concern for the mothers themselves but also has an impact on the health of the fetus. The role of health cadres is crucial in addressing anemia in pregnant women.

Purpose: To evaluate the influence of community support interventions on the knowledge and self-efficacy of health cadres in managing anemia in pregnant women in the Thousand Islands region, Indonesia.

Method: The research design is quasi-experimental with a single intervention group. A total of 30 health cadres on Kelapa Island and Harapan Island received community support interventions for managing anemia in pregnant women. Assessments of knowledge and self-efficacy were conducted before and after the intervention. Data analysis was performed using paired sample t-tests.

Results: Indicate that community support interventions significantly improved the knowledge of health cadres about anemia in pregnant women (p < 0.05). Furthermore, the self-efficacy of health cadres also experienced a significant increase after the intervention (p < 0.05).

Conclusion: Community support interventions effectively enhance health cadres' knowledge and self-efficacy in managing anemia in pregnant women in the Thousand Islands region. This study has implications for improving the quality of health services and the management of anemia in pregnant women.

 


Keywords


Anemia; Community Health Worker; Community Support; Knowledge; Self-efficacy

Full Text:

PDF SIMILARITY

References


Adams, L. B., Richmond, J., Watson, S. N., Cené, C. W., Urrutia, R., Ataga, O., Dunlap, P., & Corbie-Smith, G. (2021). Community Health Worker Training Curricula and Intervention Outcomes in African American and Latinx Communities: A Systematic Review. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 48(4), 516–531. https://doi.org/10.1177/1090198120959326

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

Centers for Disease Control and Prevention. (2022). Pregnancy Complications. Maternal and Infant Health. https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pregnancy-complications.html

Darmawati, D., Siregar, T. N., Kamil, H., & Tahlil, T. (2020). Barriers to Health Workers in Iron Deficiency Anemia Prevention among Indonesian Pregnant Women. Anemia, 2020. https://doi.org/10.1155/2020/8597174

Gallagher, M. W. (2012). Self-Efficacy. In V. S. Ramachandran (Ed.), Encyclopedia of Human Behavior (Second Edition) (Second Edi, pp. 314–320). Academic Press. https://doi.org/https://doi.org/10.1016/B978-0-12-375000-6.00312-8

Garzon, S., Cacciato, P. M., Certelli, C., Salvaggio, C., Magliarditi, M., & Rizzo, G. (2020). Iron deficiency anemia in pregnancy: Novel approaches for an old problem. Oman Medical Journal, 35(5), 1–9. https://doi.org/10.5001/omj.2020.108

Grant, A., Morgan, M., Mannay, D., & Gallagher, D. (2019). Understanding health behaviour in pregnancy and infant feeding intentions in low-income women from the UK through qualitative visual methods and application to the COM-B (Capability, Opportunity, Motivation-Behaviour) model. BMC Pregnancy and Childbirth, 19(1), 1–16. https://doi.org/10.1186/s12884-018-2156-8

Hartzler, A. L., Tuzzio, L., Hsu, C., & Wagner, E. H. (2018). Roles and functions of community health workers in primary care. Annals of Family Medicine, 16(3), 240–245. https://doi.org/10.1370/afm.2208

Herzog-Petropaki, N., Derksen, C., & Lippke, S. (2022). Health Behaviors and Behavior Change during Pregnancy: Theory-Based Investigation of Predictors and Interrelations. Sexes, 3(3), 351–366. https://doi.org/10.3390/sexes3030027

Hidayanti, L., & Rahfiludin, M. Z. (2020). Dampak Anemi Defisiensi Besi pada Kehamilan : a Literature Review. Gaster, 18(1), 50. https://doi.org/10.30787/gaster.v18i1.464

Ingram, M., Doubleday, K., Bell, M. L., Lohr, A., Murrieta, L., Velasco, M., Blackburn, J., Sabo, S., De Zapien, J. G., & Carvajal, S. C. (2017). Community health worker impact on chronic disease outcomes within primary care examined using electronic health records. American Journal of Public Health, 107(10), 1668–1674. https://doi.org/10.2105/AJPH.2017.303934

Jeffers, N. K., Wilson, D., Tappis, H., Bertrand, D., Veenema, T., & Glass, N. (2022). Experiences of pregnant women exposed to Hurricanes Irma and Maria in the US Virgin Islands: a qualitative study. BMC Pregnancy and Childbirth, 22(1), 1–13. https://doi.org/10.1186/s12884-022-05232-7

Kaforau, L. S., Tessema, G. A., Bugoro, H., Pereira, G., & Jancey, J. (2022). Lived experiences of women with low birth weight infants in the Solomon Islands: A descriptive qualitative study. PLOS Global Public Health, 2(12), e0001008. https://doi.org/10.1371/journal.pgph.0001008

Lehmann, U., & Sanders, D. (2007). Community Health Workers: What Do We Know About Them? World Health Organization, January.

Ma, Y., Gao, Y., Li, J., Sun, A., Wang, B., Zhang, J., Dill, S. E., Medina, A., & Rozelle, S. (2020). Maternal health behaviors during pregnancy in rural Northwestern China. BMC Pregnancy and Childbirth, 20(1), 1–13. https://doi.org/10.1186/s12884-020-03444-3

Ministry of Health of the Republic of Indonesia. (2018). Riset Kesehatan Dasar. Kementrian Kesehatan Republik Indonesia. Retrieved from: https://layanandata.kemkes.go.id/katalog-data/riskesdas/ketersediaan-data/riskesdas-2018

Ministry of Health of the Republic of Indonesia. (2022). Gerakan Bumil Sehat untuk Ibu Hamil Lebih Sehat dan Bahagia. Direktorat Promosi Kesehatan Dan Pemberdayaan Masyarakat. https://promkes.kemkes.go.id/gerakan-bumil-sehat-untuk-ibu-hamil-lebih-sehat-dan-bahagia

Mistry, S. K., Harris, E., & Harris, M. (2021). Community Health Workers as Healthcare Navigators in Primary Care Chronic Disease Management: a Systematic Review. Journal of General Internal Medicine, 36(9), 2755–2771. https://doi.org/10.1007/s11606-021-06667-y

National Institutes of Health. (2023). About Pregnancy. US Department of Health and Human Services. https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo#:~:text=Pregnancy is the term used,segments of pregnancy%2C called trimesters.

Oktaviani, O. (2017). Anemia Pada Kehamilan Sebagai Faktor Risiko Perdarahan Postpartum Di Rumah Sakit. Jurnal Medikes (Media Informasi Kesehatan), 4(2), 121–128. https://doi.org/10.36743/medikes.v4i2.78

Olaniran, A., Smith, H., Unkels, R., Bar-Zeev, S., & van den Broek, N. (2017). Who is a community health worker? - A systematic review of definitions. Global Health Action, 10(1). https://doi.org/10.1080/16549716.2017.1272223

Parajuli, S. B., Shrestha, S., Sah, A., Heera, K. C., Amgain, K., & Pyakurel, P. (2020). Role of female community health volunteers for prevention and control of COVID-19 in Nepal. Journal of Karnali Academy of Health Sciences, 3(1), 3–8. https://doi.org/10.3126/jkahs.v3i1.28847

Phiri, S. C., Prust, M. L., Chibawe, C. P., Misapa, R., Broek, J. W. Van Den, & Wilmink, N. (2017). An exploration of facilitators and challenges in the scale-up of a national , public sector community health worker cadre in Zambia : a qualitative study. 1–9. https://doi.org/10.1186/s12960-017-0214-3

Purwati, P., & Noviyana, A. (2018). Keterlibatan Kader Posyandu Dalam Pemantauan Konsumsi Tablet Fe Pada Pencegahan Anemia Ibu Hamil Di Kabupaten Banyumas. Jurnal Ilmiah Rekam Medis Dan Informatika Kesehatan, 8(2), 1–6.

Rahayuningsih, N., & Margiana, W. (2023). Hubungan Tingkat Pengetahuan Kader Posyandu Dengan Keaktifan Kader Dalam Kegiatan Posyandu Bayi Balita Di Desa Kebarongan Kecamatan Kemranjen. NERSMID : Jurnal Keperawatan Dan Kebidanan, 6(1), 87–95. https://app.dimensions.ai/details/publication/pub.1160440286%0Ahttps://nersmid.unmerbaya.ac.id/index.php/nersmid/article/download/149/121

Schweizer, M. L., Braun, B. I., & Milstone, A. M. (2016). Research Methods in Healthcare Epidemiology and Antimicrobial Stewardship-Quasi-Experimental Designs. Infection Control and Hospital Epidemiology, 37(10), 1135–1140. https://doi.org/10.1017/ice.2016.117

Subramaniam, A., Jagadeesh, S. N., Ramalingam, P., & Saranya, P. (2020). Validation of Tamil version of the anemia knowledge questionnaire (AKQ). International Journal of Pharmaceutical Research, 12(4), 2676–2682. https://doi.org/10.31838/ijpr/2020.12.04.369

Timmons, J. (2023). Anemia in Pregnancy: What It Is and How to Prevent It. Healthline. https://www.healthline.com/health/pregnancy/iron-deficiency-anemia

Trevethan, R. (2017). Deconstructing and Assessing Knowledge and Awareness in Public Health Research. Frontiers in Public Health, 5(August), 16–19. https://doi.org/10.3389/fpubh.2017.00194

Vaezi, M., Niknami, S., Zarei, F., & Hidarnia, A. (2020). Psychometric Analysis of Iron-Deficiency Anemia Prevention Scale among Afghan Children. International Journal of Pediatrics-Mashhad, 8(7), 11635–11644. https://doi.org/10.22038/ijp.2020.46247.3768

Widoyoko, A. P. H., & Septianto, R. (2020). Pengaruh Anemia terhadap Kematian Maternal. Jurnal Penelitian Perawat Profesional, 2(1), 1–6. https://doi.org/10.37287/jppp.v2i1.36

World Health Oranization. (2022). Anaemia. Health Topics. https://www.who.int/health-topics/anaemia#tab=tab_1

World Health Oranization. (2023). Anaemia. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/anaemia#:~:text=During pregnancy%2C anaemia has been,%2C families%2C communities and countries.

Wulandari, A. F., Sutrisminah, E., & Susiloningtyas, I. (2021). Literature Review: Dampak Anemia Defisiensi Besi Pada Ibu Hamil. Jurnal Ilmiah PANNMED (Pharmacist, Analyst, Nurse, Nutrition, Midwivery, Environment, Dentist), 16(3), 692–698. https://doi.org/10.36911/pannmed.v16i3.1219

Young, M. F., Oaks, B. M., Rogers, H. P., Tandon, S., Martorell, R., Dewey, K. G., & Wendt, A. S. (2023). Maternal low and high hemoglobin concentrations and associations with adverse maternal and infant health outcomes: an updated global systematic review and meta-analysis. BMC Pregnancy and Childbirth, 23(1), 1–16. https://doi.org/10.1186/s12884-023-05489-6




DOI: https://doi.org/10.33024/minh.v6i8.13337

Refbacks

  • There are currently no refbacks.


Copyright (c) 2024 Malahayati International Journal of Nursing and Health Science

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.