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Lay Health Workers Empowerment on Reducing Stunting







                                                                                                                                                                                                                                                                            Prevalence Through Family









                                                                                                                                                                Laili Rahayuwati, Ikeu Nurhidayah, Desy Indra Yani, Sri Hendrawati, Kusman Ibrahim, Raden Nabilah Putri Fauziyyah



                                                                                                                                                                                                                                                                                       Faculty of Nursing Universitas Padjadjaran




                                                                                                                                                                                                                                                                                                          raden16006@mail.unpad.ac.id









                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    Table 5. Mean of Family Resilience-Related Behaviors Among
             INTRODUCTION                                                                                                                                                                                                                             Table 2 shows that almost all lay health workers had good                                                                                                                                                                               Families with Children Under Five Years in Garut and Tasikmalaya



                                                                                                                                                                                                                                                      knowledge at the pretest (84.0%), and a small proportion of lay


                                                                                                                                                                                                                                                      health workers had poor knowledge at the pretest (1.7%). It is also                                                                                                                                                                                                                                       Regencies (n=1697)
              Stunting becomes the focus of attention in Indonesia. The family is




              essential to form excellent and quality human resources free from                                                                                                                                                                       found that almost all lay health workers had good knowledge in the
                                                                                                                                                                                                                                                      posttest (93.3%), and there was an increase in knowledge between

              stunting. In providing family facilitations to overcome stunting, lay                                                                                                                                                                   pretest and posttest.




              health workers (LWH) play crucial roles. This study aimed to empower

                                                                                                                                                                                                                                                                        Table 2. Knowledge of Lay Health Workers in Garut and
              LWH in stunting prevention through family resilience.
                                                                                                                                                                                                                                                                                                          Tasikmalaya Regencies (n=119)





              METHODS










               The research used a quasi-experiment, one-group pretest-posttest




               design. The population was LHW who were active in posyandu and



               families with children under five years old who were willing to join this




               program. The sample was 119 LHWs, and 1,697 families obtaining



               using the cluster sampling technique. Empowerment was carried out




               through health education for a one-day training and thrice virtual                                                                                                                                                                         Table 3. Mean of Stunting Knowledge Pre-test and Post-test Among                                                                                                                                                                  DISCUSSION



               mentorings via LHW chat. LHW helped families perform family                                                                                                                                                                                     Lay health Worker in Garut and Tasikmalaya Regencies (n=119)                                                                                                                                                                   The results of this study are in line with several previous studies that




               resilience-related behaviours for a month by providing education for                                                                                                                                                                                                                                                                                                                                                                                                           stated that, on average, lay health workers possess good knowledge




               30-45 minutes, and thrice home visits mentoring and followings-up.                                                                                                                                                                                                                                                                                                                                                                                                             after being empowered through counseling or health education



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              (18,19). The pretest and posttest activities showed a significant


                 RESULT                                                                                                                                                                                                                                                                                                                                                                                                                                                                       difference in the increase in knowledge of lay health workers with p-




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              value = 0.022, with a difference in the average value between the



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              pretest and posttest measurements that were equal to 0.218. It
                The results showed that almost all LHW had good knowledge at                                                                                                                                                                                                                                                                                                                                                                                                                  showed that training, counseling, or health education could provide



                the pretest (84.0%) and posttest (93.3%). It was revealed that the                                                                                                                                                                                                                                                                                                                                                                                                            distribution to lay health workers to increase their knowledge. These



                total score of knowledge of LHW at the pretest (M = 10.63, SD =                                                                                                                                                                           Table 4 shows that lay health workers with good posttest knowledge                                                                                                                                                                  results are also in line with the results of previous studies conducted


                1.16) was significantly higher than the score at post-test (M =                                                                                                                                                                           scores were lay health workers with a junior secondary education                                                                                                                                                                    by Solehati et al. (2018); Ermayani et al. (2019); Andajani (2019);



                10.85, SD = 1.09) (p = .002). The family had average scores of                                                                                                                                                                            background (54.1%) and those who attended training (53.2%).                                                                                                                                                                         and Kusumastuti et al. (2019), which show that there are significant



                healthy homes, healthy toddlers, and active visits to posyandu at                                                                                                                                                                                Table 4. Crosstab of Demographic Data and Post-test Stuting                                                                                                                                                                  differences between the results of the lay health worker’s knowledge



                17.86, 7.29, and 0.56.
                                                                                                                                                                                                                                                           Knowledge Among Lay Health Workers in Garut and Tasikmalaya                                                                                                                                                                        at the pretest and at the posttest that had increased knowledge (20–



                                                                                                                                                                                                                                                                                                                             Regencies (n=119)                                                                                                                                                22).




                     Table 1. Demographic Data of Lay Health Workers in Garut and                                                                                                                                                                                                                                                                                                                                                                                                            CONCLUCION



                                                                  Tasikmalaya Regencies (n=119)




                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             This study's results showed a shred of strong evidence for the



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             effectiveness of empowerment. Therefore, all related parties must



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             continuously provide health education and motivation to LHW to



                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             continue to play a role in public health.







                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Reference












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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           2.             Kemenkes RI. Profil kesehatan Indonesia 2016. Jakarta: Keputusan Menteri kesehatan Republik

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Indonesia; 2017.


                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           3.             Bappenas. Kerangka Kebijakan Gerakan Nasional Percepatan Perbaikan Gizi Dalam Rangka

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           1000 Hari Pertama Kehidupan (Gerakan 1000 HPK). [Internet]. 2013. Available from:

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           https://www.bappenas.go.id/files/7713/8848/0483/Kerangka_Kebijakan_-_10_Sept_2013.pdf

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           4.             Kemenkes RI. Riset kesehatan dasar. Jakarta: Badan Penelitian dan Pengembangan Kesehatan

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           Kemenkes RI; 2013.

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           And more…









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                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 4 Udayana International Nursing Conference
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