Widiasih Restuning, Sunjaya Deni Kurniadi, Rahayuwati Laili, Rusyidi Binahayati, Sari Citra Windani Mambang, Tung Serene En Hui
Department of Maternity Nursing, Faculty of Nursing, Universitas Padjadjaran, Bandung, Indonesia.
Department of Public Health, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.
Belitung Nurs J. 2025 May 27;11(3):330-339. doi: 10.33546/bnj.3722. eCollection 2025.
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.
This study aimed to evaluate health cadres' knowledge, roles, and skills in stunting prevention programs.
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.
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.
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.
发育迟缓仍是印度尼西亚一个关键的公共卫生问题，威胁着子孙后代的福祉。社区参与，尤其是卫生干部的参与，对于有效预防至关重要。然而，用于加强他们参与的结构化评估和后续举措仍然有限。
本研究旨在评估卫生干部在发育迟缓预防项目中的知识、角色和技能。
采用一种嵌入方法的混合方法设计，分三个阶段进行。第一阶段：一项定量调查评估了印度尼西亚邦加勿里洞省10个发育迟缓高发村庄的193名干部的发育迟缓知识（2022年10月至12月）。调查工具改编自先前的研究，并使用拉施克IRT模型和描述性统计进行分析。第二阶段：通过对从调查对象中选出的20名干部进行半结构化访谈收集定性数据，并进行主题分析。第三阶段：观察同样的20名干部进行人体测量，以评估技能准确性。
知识水平普遍较低，52%的干部得分低至极低，只有48%的干部得分中等至高分。出现了三个主题：1）干部对发育迟缓原因和后果的看法，2）他们在发育迟缓预防中的角色和行动，3）他们在新冠疫情期间的经历。观察结果显示人体测量技术存在明显不准确之处。
显然需要提高干部的知识和技能，尤其是在人体测量评估方面。建议包括实施基于认证的培训、引入创新和标准化的测量工具，以及提供便捷的网络学习平台。护士在支持干部培训和确保社区层面准确的生长监测方面发挥着关键作用。
