Sukmawati Ellyzabeth, Wijaya Merry, Hilmanto Dany
Doctoral Program in Medical Sciences, Universitas Padjadjaran, Bandung, 40161, Indonesia.
Medical Sciences, Universitas Padjadjaran, Bandung, 40161, Indonesia.
J Multidiscip Healthc. 2024 Apr 24;17:1857-1875. doi: 10.2147/JMDH.S450634. eCollection 2024.
The purpose of this research is to develop a participatory health cadre model to enhance exclusive breastfeeding coverage through initial stages using the Imogene King model.
This study employs a mixed-methods approach with sequential exploratory designs. Qualitative research utilized in-depth interviews with informants including the head of the community health center, nutrition officers from the health center, the coordinator of Maternal and Child Health (MCH) midwives, village midwives, breastfeeding mothers, families of breastfeeding mothers, and health cadres. Quantitative research respondents consist of health cadres. The quantitative study utilizes a quasi-experimental method with a design paradigm known as the one-group pre and post-test design to measure health cadre perception on exclusive breastfeeding.
This study yields elements from Imogene King that form a participatory health cadre model to enhance exclusive breastfeeding coverage, consisting of interaction, perception, communication, transaction, role, growth and development, time, and space. Transactions represent the objective integration of the health cadre participation model, as demonstrated by the behavioral shifts observed in mothers regarding breastfeeding their infants. The -test results indicate that exclusive breastfeeding monitoring training is effective and successful in enhancing exclusive breastfeeding coverage (Sig. value = 0.000 < 0.05). In addition, the effectiveness of exclusive breastfeeding monitoring training falls within the category of good or high.
The research findings indicate the success of the participatory health cadre model in improving exclusive breastfeeding coverage.
本研究旨在开发一种参与式健康干部模式，通过使用伊莫金·金模式在初始阶段提高纯母乳喂养率。
本研究采用混合方法，采用顺序探索性设计。定性研究采用对包括社区卫生中心负责人、卫生中心营养官员、母婴健康（MCH）助产士协调员、乡村助产士、母乳喂养母亲、母乳喂养母亲家庭和健康干部在内的信息提供者进行深入访谈的方式。定量研究的受访者为健康干部。定量研究采用一种准实验方法，其设计范式称为单组前后测试设计，以衡量健康干部对纯母乳喂养的认知。
本研究得出了伊莫金·金模式中形成参与式健康干部模式以提高纯母乳喂养率的要素，包括互动、认知、沟通、交易、角色、成长与发展、时间和空间。交易代表了健康干部参与模式的客观整合，这在母亲们母乳喂养婴儿的行为转变中得到了体现。t检验结果表明，纯母乳喂养监测培训在提高纯母乳喂养率方面是有效且成功的（显著性值=0.000<0.05）。此外，纯母乳喂养监测培训的有效性属于良好或高度有效的范畴。
研究结果表明参与式健康干部模式在提高纯母乳喂养率方面取得了成功。
