Evaluation on Integrated Health Post Cadres Training Management in Paruga Primary Healthcare Centers at Bima City Nusa Tenggara Barat Province

摘要

Training of posyandu (integrated service post) cadres in Paruga primary healthcare center (puskesmas)Bima city did not improve the posyandu cadres\u27 competency. It was indicated by only 70% infants andunder-five children weighed their bodyweight in the posyandu; this was below the SPM (80%). Objectiveof this study was to evaluate training of posyandu cadres, and to analyze the evaluation results toimprove the implementation of posyandu cadre trainings in East Rasanae primary healthcare centers.This was a qualitative and quantitative study. Evaluation of the training implementation was donequalitatively by conducting in-depth interview at Paruga primary healthcare center, Bima city Main informant was task force team for posyandu cadre training. Content analysis was applied inthe qualitative analysis. Evaluation of a pilot testing on training method was done quantitatively inthe East Rasanae puskesmas. Two target groups, one with conventional method and the other withproblem based learning (BBM) method, were compared. Study subjects were training taskforce, 28posyandu cadres in the conventional method group, and 38 cadres in the problem based learningmethod group. Paired t-test was applied in the bivariate analysis.Results of the study showed that human resource quality was inadequate, and no standard guidelinesfor cadre training management. Cadres were not involved in the planning, implementation of trainingdid not match with the training purposes, and training evaluation was not conducted. Cadre trainingwith problem based learning and conventional methods improved knowledge and skill of the cadres.The improvement of knowledge and skill of cadres was higher in the BBM method group than in theconventional method group. Similarly, cadre satisfaction was higher in the BBM method groupthan in the conventional method group.Training plan should involve posyandu cadres; training guidelines should be made; trainingimplementation should be done according to the training purposes, and evaluation should be conducted.Training with BBM method is better in increasing cadre competence than conventional method.