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All Journal Majalah Kedokteran Bandung Media Penelitian dan Pengembangan Kesehatan Jurnal Kebijakan Kesehatan Indonesia Althea Medical Journal Global Medical and Health Communication JURNAL PENDIDIKAN KEPERAWATAN INDONESIA Jurnal Sistem Kesehatan GIZI INDONESIA NurseLine Journal Belitung Nursing Journal Syntax Literate: Jurnal Ilmiah Indonesia Jurnal Kesehatan Prima Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Pediomaternal Nursing Journal
Deni Kurniadi Sunjaya
Fakultas Kedokteran, Universitas Padjadjaran
Humanities Decision Sciences, Operations Research & Management Dentistry Education Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Journal : Belitung Nursing Journal

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Evaluating the knowledge, roles, and skills of health cadres in stunting prevention: A mixed-method study in Indonesia Widiasih, Restuning; Sunjaya, Deni Kurniadi; Rahayuwati, Laili; Rusyidi, Binahayati; Ermiati; Sari, Citra Windani Mambang; Mardani; Rusdi; Tung, Serene En Hui
Belitung Nursing Journal Vol. 11 No. 3 (2025): May - June
Publisher : Belitung Raya Foundation, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33546/bnj.3722

Abstract

Background: Stunting remains a critical public health issue in Indonesia, threatening the well-being of future generations. Community involvement, particularly by health cadres, is essential for effective prevention. However, structured assessments and follow-up initiatives to enhance their participation remain limited. Objective: This study aimed to evaluate health cadres' knowledge, roles, and skills in stunting prevention programs. Methods: A mixed-methods design with an embedded approach was applied in three phases. Phase 1: A quantitative survey assessed stunting knowledge among 193 cadres across 10 stunting locus villages in Bangka Belitung Province, Indonesia (October–December 2022). The survey tool was adapted from previous studies and analyzed using the RASCH IRT model and descriptive statistics. Phase 2: Qualitative data were collected through semi-structured interviews with 20 cadres selected from the survey pool, and analyzed thematically. Phase 3: The same 20 cadres were observed conducting anthropometric measurements to assess skill accuracy. Results: Knowledge levels were generally low, with 52% of cadres scoring low to very low and only 48% achieving moderate to high scores. Three themes emerged: 1) cadres’ perspectives on the causes and consequences of stunting, 2) their roles and actions in stunting prevention, and 3) their experiences during the COVID-19 pandemic. Observations revealed significant inaccuracies in anthropometric measurement techniques. Conclusion: There is a clear need to improve cadres’ knowledge and skills, especially in anthropometric assessment. Recommendations include implementing certification-based training, introducing innovative and standardized measurement tools, and offering accessible web-based learning platforms. Nurses play a crucial role in supporting cadre training and ensuring accurate growth monitoring at the community level.
Co-Authors Anggraini Widjajakusuma Ardini Saptaningsih Raksanagara, Ardini Saptaningsih Binahayati Rusyidi Binahayati Rusyidi Budi Sujatmiko Budiman, Dicky Dedi Rachmadi Dedi Rachmadi Devi Pratiktowati Dewi Marhaeni Diah Herawati Dewi Marhaeni Herawati Dida Akhmad Gurnida Dita Eka Mardiani Elan Jaelani Elan Jaelani, Elan Elsa Pudji Setiawati Elsa Pudji Setiawati Elsa Pudji Setiawati Elsi Rahmini Ermiati Ermiati Ermiati Faiza Khalifatunnisa Lukmansyah Febri Sri Lestari Fedri Rinawan Fedri Rinawan, Fedri Fedri Ruluwedrata Rinawan Fitria Nurwulansari Ginna Megawati Guswan Wiwaha Hadiyati, Ida Husin, Farid Ida Hadiyati Ieva Baniasih Akbar Ike R Husen Indah Nurfazriah Insi Farisa Arya Irvan Afriandi Ismiyati, Ismiyati Istriati Istriati Istriati Istriati, Istriati Kus Winarno Kusumawardana, Ramza Aurum Kuswandewi Mutyara Laili Rahayuwati Mardani Meliannisa Afader Mubasysyir Hasanbasri Mulya Nurmansyah Ardisasmita Nanan Sekarwana Ngu Ling Yee Ngu Ling Yee, Ngu Ling Nita Arisanti Nur Eva Aristina Nurwulansari, Fitria Putri Halleyana Adrikni Rahman Rahmini, Elsi Raini Diah Susanti Rasyid, Danial Renzavaldy Rusly Restuning Widiasih RM Haryadi Karyono RM Haryadi Karyono, RM Haryadi Ruhiyat, Yayat Rusdi Rusly, Renzavaldy Santi Suarsih Santi Suarsih, Santi Sapiie, Tuti Wahmurti A. Sari Nasution, Yuni An Sari, Citra Windani Mambang Sharon Gondodiputro Siti Karlinah Supriyati Supriyati Susi Susanah Susiarno, Hadi Tirta Adikusuma Suparto, Tirta Adikusuma Tung, Serene En Hui Udin Sabarudin Veranita Pandia Yosef Maing