Berita Kedokteran Masyarakat
Vol 40 No 12 (2024)

Improving personal hygiene practices through health cadre training: a case study in a boarding school

Fajrul Falah Farhany (Center for Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Ichwan Ichwan (Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Fitriana Aulia Sabila Eka Putri (Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Miftahurrahmah El Hayatli (Master of Public Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Dita Stiana (Master of Public Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Hanggoro Tri Rinonce (Department of Anatomical Pathology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada/RSUP Dr. Sardjito, Yogyakarta, Indonesia)
Happy Indah Kusumawati (Department of Basic and Emergency Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia)
Shinta Trilaksmi Dewi (Department of Dermatology, Venereology and Esthetics, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia)



Article Info

Publish Date
30 Dec 2024

Abstract

Purpose: To assess changes in SHCs’ scabies-related knowledge after a brief training and to explore feasibility, acceptability, and implementation challenges. Methods: Explanatory-sequential mixed-methods study at a Yogyakarta Islamic boarding school. The quantitative strand employed a one-group pretest–posttest design with a 10-item knowledge score (0–10), and a paired t-test was used to analyze the data. The qualitative strand comprised semi-structured interviews with SHCs, and the data were analyzed thematically. Results: Thirty-five SHCs completed both assessments (51.4% female). Mean knowledge increased from 6.26 ± 1.46 to 7.94 ± 1.26 with Δ = 1.69 ± 2.21, t(34) = 4.52, p < 0.001, and Cohen’s dz ≈ 0.76. The proportion with good knowledge rose from 20.0% to 71.4%. The largest gains involved bathing with soap, changing clothes after sweating or dust exposure, and not sharing personal items, whereas declines were observed in mattress-airing frequency and a stigma item. Interviews indicated acceptability and feasibility, and highlighted irregular coordination and the absence of a formal SHC structure. Item-level interpretations are exploratory. Conclusions: A brief training for SHCs was associated with a statistically significant within-group increase in scabies-related knowledge and appeared feasible in dormitory settings. Scale-up should pair concise training with a formal SHC structure, scheduled coordination, orientation-time sessions, and simple visual prompts. Future research should evaluate retention, observable behaviors, and incidence with a comparison or cluster design to determine the preventive impact.

Copyrights © 2024






Journal Info

Abbrev

bkm

Publisher

Subject

Nursing Public Health

Description

Berita Kedokteran Masyarakat (BKM Public Health and Community Medicine) is a peer-reviewed and open access journal that deals with the fields of public health and public medicine. The topics of the article will be grouped according to the main message of the author. This focus covers areas and scope ...