Empowerment Of Kader Mantap (Independent, Skilled, Adaptive) With Victor Vroom's Theory Approach To Realize Families Aware Of Exclusive Breastfeeding In Sembahe Baru Village
Abstract
The coverage of exclusive breastfeeding in Sembahe Baru Village has not met the target (<70%). Limitations in manpower and time among health center staff or healthcare workers in Sembahe Baru Village hinder their ability to educate, monitor, and motivate mothers in providing exclusive breastfeeding. Additionally, many cadres remain inactive, and postpartum mothers often lack knowledge about exclusive breastfeeding, making them easily influenced by others. The community engagement activities were conducted in several stages: preparation, socialization of the community engagement activities, and surveys for collecting supporting data; training on using the ASIVroom application; application implementation; and monitoring progress and evaluation. Cadre training was conducted using Victor Vroom's theoretical approach to enhance cadre motivation. This approach emphasizes three key concepts: (1) Expectancy: The belief that a given effort will result in a desired behavior. (2) Valence: The value or significance of the outcomes resulting from specific behaviors, perceived as motivational force by individuals. (3) Instrumentality: The perception that achieving the first-level or best outcome will lead to further results. The ASIVroom application was introduced to breastfeeding mothers, cadres, and healthcare workers, enabling them to utilize the application effectively. Statistical analysis revealed that the education provided significantly improved mothers' knowledge about exclusive breastfeeding (p < 0.05). Evaluation of partner skills indicated that:(1) 62.5% of cadres found the ASIVroom application easy to use. (2) 53.1% rated the accessibility of information within the application as good.
References
Abdulahi M, Fretheim A, Argaw A, Magnus JH. Breastfeeding Education and Support to Improve Early Initiation and Exclusive Breastfeeding Practices and Infant Growth: A Cluster Randomized Controlled Trial from a Rural Ethiopian Setting. Nutrients [Internet]. 2021 Apr 1 [cited 2024 Mar 22];13(4). Available from: https://pubmed.ncbi.nlm.nih.gov/33917366/
Assriyah H, Indriasari rahayu, Hidayanti healthy, Thaha AR, Jafar N. Hubungan Pengetahuan, Sikap, Umur, Pendidikan, Pekerjaan, Psikologis, Dan Inisiasi Menyusui Dini Dengan Pemberian Asi Eksklusif Di Puskesmas Sudiang. Jurnal Gizi Masyarakat Indonesia (The Journal of Indonesian Community Nutrition) [Internet]. 2020 May 29 [cited 2024 Mar 24];9(1). Available from: https://journal.unhas.ac.id/index.php/mgmi/article/view/10156
Badan Penelitian dan Pengembangan Kesehatan -. Laporan Nasional Riskesdas 2018. Kementerian Kesehatan Republik Indonesia. 2018;146–379.
Berlanga-Macías C, Sánchez-López M, Solera-Martínez M, Díez-Fernández A, Ballesteros-Yáñez I, Castillo-Sarmiento CA, et al. Relationship between exclusive breastfeeding and brain-derived neurotrophic factor in children. PLoS One [Internet]. 2021 Mar 1 [cited 2024 Mar 15];16(3). Available from: https://pubmed.ncbi.nlm.nih.gov/33662047/
Dania G, Fitriyani P. Motivasi Ibu Sebagai Faktor Yang Berhubungan Dengan Pemberian Asi Eksklusif. Jurnal Keperawatan jiwa. 2020;3(4):571–6.
Dinas Kesehatan Kabupaten Deli Serdang. Profil Kesehatan Kabupaten Deli Serdang. Lubuk Pakam; 2023.
Dunggio M, Basri S. Pengaruh sistem kerja kontrak dan motivasi kerja terhadap kinerja karyawan pada perusahaan erha clinic. Kinerja : Jurnal Ekonomi dan Manajemen [Internet]. 2019 Aug 15 [cited 2024 Mar 25];16(2):166–74. Available from: https://journal.feb.unmul.ac.id/index.php/KINERJA/article/view/5357
Erfiyani RI. Faktor Yang Berhubungan Dengan Perilaku Pemberian Asi Eksklusif Di Kelurahan Pegirian Kecamatan Semampir Kota Surabaya. Medical Technology and Public Health Journal. 2020 Mar 25;4(1):91–100
Husniyawati YR, Wulandari RD. Analisis Motivasi Terhadap Kinerja Kader Posyandu Berdasarkan Teori Victor Vroom Analysis Motivation To Health Cadres Performance In Posyandu Based On Victor Vroom Theory. Jurnal Administrasi Kesehatan Indonesia. 2016;4.
Intami E, Yunartha M, Pratiwi M, Arista D. Pengaruh Peran Kader pada Pijat Akupresure terhadap Keberhasilan ASI Eksklusif. Jurnal Ilmiah Universitas Batanghari Jambi [Internet]. 2022 Oct 31 [cited 2024 Mar 19];22(3):2246–9. Available from: http://ji.unbari.ac.id/index.php/ilmiah/article/view/3052
Kementerian Kesehatan RI. Profil Kesehatan Indonesia 2022 [Internet]. 2023 [cited 2024 Mar 22]. Available from: https://www.kemkes.go.id/id/indonesia-health-profile-2022
Kementerian PPN/Bappenas. Metadata Indikator SDGs - SDGs Indonesia [Internet]. 2023 [cited 2024 Mar 24]. Available from: https://sdgs.bappenas.go.id/metadata-indikator-sdgs/
Lassi ZS, Rind F, Irfan O, Hadi R, Das JK, Bhutta ZA. Impact of Infant and Young Child Feeding (IYCF) Nutrition Interventions on Breastfeeding Practices, Growth and Mortality in Low- and Middle-Income Countries: Systematic Review. Nutrients [Internet]. 2020 Mar 1 [cited 2024 Mar 10];12(3). Available from: /pmc/articles/PMC7146402/
Liyuzinra R. Analisis Hubungan Motivasi Dan Komitmen Terhadap [Internet]. Repository Universitas Jambi. 2023 [cited 2024 Mar 25]. Available from: https://repository.unja.ac.id/59821/6/Full%20Text.pdf
Muhammadiyah Pekajangan Pekalongan U, Yulianti M. Motivasi Ibu dalam Pemberian ASI Eksklusif pada Bayi : Literature Review. Prosiding Seminar Nasional Kesehatan [Internet]. 2021 Nov 18 [cited 2024 Mar 25];1:287–92. Available from: https://jurnal.umpp.ac.id/index.php/prosiding/article/view/667
Nainggolan AW, Purba EM, Tarigan I, Barus M. Hubungan Pengetahuan Ibu Post Partum Dengan Pemberian Kolostrum Pada Bayi Baru Lahir Di Wilayah Kerja Puskesmas Sambirejo Kabupaten Langkat Tahun 2022. Excellent Midwifery Journal [Internet]. 2023 Jun 22 [cited 2024 Mar 23];6(1):1–9. Available from: http://jurnal.mitrahusada.ac.id/emj/article/view/234
Noer Iqbal, Wahyu Maulana. Repositori Stikes Ngudia Husada Madura. 2020 [cited 2024 Mar 24]. Pengaruh Promosi Kesehatan Terhadapkomitmen Ibu Dalam Memberikanasi Eksklusif. Available from: https://repository.stikesnhm.ac.id/id/eprint/793/
Nuraini P, Indria D. Analisis Komitmen Ibu Bekerja Dalam Menyusui Sampai Usia 6 Bulan Di Tempat Penitipanan Anak. Avicenna : Journal of Health Research [Internet]. 2020 Oct 31 [cited 2024 Mar 24];3(2):43–8. Available from: https://jurnal.stikesmus.ac.id/index.php/avicenna/article/view/416
Nurma Ika Zuliyanti, Miftahu Rofingatul Karomah. Jurnal Pengabdian Kepada Masyarakat. 2023 [cited 2024 Mar 24]. p. 24–30 View of Peran Kader terhadap Peningkatan Keberhasilan Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Winong Kabupaten Purworejo. Available from: https://akbidhipekalongan.ac.id/e-journal/index.php/abdimaship/article/view/219/204
Pemerintah Desa Sembahe Baru. https://id.wikipedia.org/wiki/Sembahe_Baru,_Pancur_Batu,_Deli_Serdang. 2022. Profil Sembahe Baru, Pancur Batu, Deli Serdang.
Rumiyati E, Nur Pratiwi E, Nurjanah S, Ilmu Kesehatan Universitas Kusuma Husada Surakarta F. Pengaruh Pendidikan Kesehatan Dengan Audio Visual Terhadap Pengetahuan Dan Motivasi Ibu Menyusui Secara Eksklusif Di Puskesmas Gambirsari Surakarta. Jurnal Ilmu Kebidanan dan Kesehatan (Journal of Midwifery Science and Health) [Internet]. 2020 Jul 31 [cited 2024 Mar 11];11(2):19–24. Available from: https://www.jurnal.stikesbup.ac.id/index.php/jks/article/view/67
Sukmawati E, Didik N, Imanah N, Suwariyah P, Serulingmas S. Pengaruh Pendampingan Kader Kesehatan Terhadap Keberhasilan Menyusui Untuk Memberikan Asi Eksklusif. Jurnal Kebidanan Indonesia [Internet]. 2021 Jul 16 [cited 2024 Mar 20];12(2):91–8. Available from: https://www.jurnal.stikesmus.ac.id/index.php/JKebIn/article/view/500
Trisnawati R, Hamid SA, Afrika E, Kader U, Palembang B. Hubungan Pekerjaan Ibu, Inisiasi Menyusu Dini (IMD) dan Dukungan Keluarga dengan Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Punti Kayu Palembang Tahun 2022. Jurnal Ilmiah Universitas Batanghari Jambi [Internet]. 2023 Jul 26 [cited 2024 Mar 21];23(2):2067–72. Available from: http://ji.unbari.ac.id/index.php/ilmiah/article/view/3145
Utari F, Aisyah S, Amalia R, Kader U, Palembang B. Hubungan Dukungan Petugas Kesehatan, Dukungan Keluarga dan Pengetahuan Ibu dengan Pemberian ASI Eksklusif. Jurnal Ilmiah Universitas Batanghari Jambi [Internet]. 2022 Jul 26 [cited 2024 Mar 24];22(2):661–7. Available from: http://ji.unbari.ac.id/index.php/ilmiah/article/view/1824
Wulandari RF. Hubungan Peran Serta Kader Dengan Mutu Pelayanan Posyandu Balita Strata Madya. EMBRIO. 2018 May 24;10(1):36–44.
_1.png)
