PEMBERDAYAAN KADER KESEHATAN MELALUI PROGRAM SEHATI

Fransisca Noya, Lisda Widianti Longgupa, Febti Kuswanti, Khuzaifah Khuzaifah, Nurmiaty Nurmiaty, Muliani Muliani, Sri Restu Tempali, Hasni Hasni

Abstract


Abstrak: Penggunaan kontrasepi hormonal yang tinggi di wilayah yang mengalami keterbatasan tenaga Kesehatan, mendorong dilakukan penguatan peran kader kesehatan . Kegiatan ini bertujuan untuk meningkatkan pengetahuan dan keterampilan kader Kesehatan dalam melakukan pemberdayaan kepada masyarakat tentang dampak kontrasepsi hormonal serta terampil melakukan pengukuran tekanan darah. Program pengabdian masyarakat ini dilaksanakan di Kabupaten Poso melalui program SEHATI (Pelatihan Edukasi Kesehatan tentang Dampak Kontrasepsi Hormonal dan Skrining Hipertensi dalam Kehamilan).. . Adapun yang menjadi mitra dalam kegiatan ini adalah kepala desa, bidan desa, dan 10 orang kader Kesehatan. Program terdiri atas tiga tahap, yaitu peLatihan kader, role play dan praktik, serta evaluasi keberlanjutan kegiatan pada posyandu ibu hamil. Evaluasi dilakukan menggunakan kuesioner pengetahuan 10 item dan lembar observasi keterampilan pengukuran tekanan darah serta edukasi kesehatan. Hasil menunjukkan peningkatan skor pengetahuan rata-rata dari 6,2 menjadi 9,1, dengan persentase peningkatan 46,8%. Keterampilan kader juga meningkat, dari 20% kader terampil sebelum pelatihan menjadi 100% setelah pelatihan. Selama tindak lanjut di posyandu, seluruh kader mampu melakukan pengukuran tekanan darah dan memberikan edukasi terkait dampak kontrasepsi hormonal. Temuan ini menunjukkan bahwa program SEHATI secara efektif memperkuat kapasitas kader Kesehatan dan dapat berkontribusi pada peningkatan promosi Kesehatan reproduksi berbasis masyarakat dan deteksi dini risiko.

Abstract: The high prevalence of hormonal contraceptive use in areas with limited healthcare personnel highlighted the need to strengthen the role of community health cadres. This community service program aimed to enhance cadres’ knowledge and skills in providing education on the impacts of hormonal contraceptive use and conducting blood pressure measurements. The program was implemented in Poso Regency through the SEHATI program. The program involved village heads, village midwives, and 10 community health cadres. Activities were conducted in three stages: cadre training, role-play and practical sessions, and follow-up evaluation during maternal integrated health service activities. Program outcomes were assessed using a 10-item knowledge questionnaire and observation checklists evaluating blood pressure measurement and health education skills. The findings indicated a substantial improvement in cadres’ knowledge, with the mean score increasing from 6.2 to 9.1 (46.8%). The proportion of cadres demonstrating competency increased from 20% before training to 100% after training. Follow-up evaluation showed that all cadres were able to accurately measure blood pressure and provide education regarding the impacts of hormonal contraceptive use. These findings suggest that the SEHATI program effectively strengthened the capacity of community health cadres and may contribute to improving community-based reproductive health promotion and early risk detection.


Keywords


Education; Empowerment; Health Cadres; Training.

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References


Asare, L., Asare, G. A., Owiredu, W. K. B. A., Obikorang, C., Appiah, E., Tashie, W., & Seidu, L. (2021). The Use of Hormonal Contraceptives and Preeclampsia among Ghanaian Pregnant Women. 419–433. https://doi.org/10.4236/ojog.2021.114041

Asres, A., Tilahun, A., Waji, S., Adella, G., & Addissie, A. (2020). Past hormonal contraceptive use and pre-eclampsia among pregnant women in Northwest Ethiopia: a case-control study. Authorea Preprints. 1–8.

Asubiaro, J. (2024). The impact of hormonal contraceptives on the incidence and progression of cardiovascular diseases in women: a systematic review. Cureus, 16(7). https://doi.org/10.7759/cureus.65366

Cameron, N. A., Everitt, I., Seegmiller, L. E., Yee, L. M., Grobman, W. A., & Khan, S. S. (2022). Trends in the Incidence of New-Onset Hypertensive Disorders of Pregnancy Among Rural and Urban Areas in the United States, 2007 to 2019. Journal of the American Heart Association, 11(2), e023791. https://doi.org/10.1161/JAHA.121.023791

CDC. (2024a). Contraception and Birth Control Methods.

CDC. (2024b). U . S . Medical Eligibility Criteria for Contraceptive Use , 2024 (Vol. 73, Issue 4).

Chmaj-Wierzchowska, K., Wszołek, K., Tomczyk, K., & Wilczak, M. (2024). Safety of Progestogen Hormonal Contraceptive Methods during Lactation: An Overview. Clinics and Practice, 14(3), 1054-1064.

Cresswell, J. A., Alexander, M., Chong, M. Y., Link, H. M., Pejchinovska, M., Gazeley, U., ... & Say, L. (2025). Global and regional causes of maternal deaths 2009–20: a WHO systematic analysis. The Lancet Global Health, 13(4), e626-e634. https://doi.org/10.1016/S2214-109X(24)00560-6

Ferreira, N., Ferreira, M., Santos, E., Ferreira, S., de Arriaga, M. T., & Costa, A. (2025). Health literacy and its determinants among pregnant women in Portugal. BMC Public Health, 25(1), 2963.

Gunaratne, M. D., Thorsteinsdottir, B., & Garovic, V. D. (2021). Combined oral contraceptive pill-induced hypertension and hypertensive disorders of pregnancy: shared mechanisms and clinical similarities. Current hypertension reports, 23(5), 29. https://doi.org/10.1007/s11906-021-01147-4.Combined

Karrar, S. A., Martingano, D. J., & Hong, P. L. (2024). Preeclampsia. In StatPearls [Internet]. StatPearls Publishing.

Masriawan, J., & Ariadi, Z. (2025). Assessing The Effectiveness Of The Posyandu Program On Maternal And Child Health Outcomes In Kekalik Jaya And Child Health. Media Of Health Research, 3(2), 75-83.

Miao, B. Y., Williams, C. Y., Chinedu-Eneh, E., Zack, T., Alsentzer, E., Butte, A. J., & Chen, I. Y. (2024). Identifying reasons for contraceptive switching from real-world data using large language models. arXiv preprint arXiv:2402.03597.

National Institute for Health and Care Excellence. (2023). Hypertension in pregnancy : diagnosis and management. Am J Obstet Gynecol, 77(1), S1-s22.

Nawabi, F., Krebs, F., Vennedey, V., Shukri, A., Lorenz, L., & Stock, S. (2021). Health literacy in pregnant women: a systematic review. International journal of environmental research and public health, 18(7), 3847.

Nur, A., Pantaleon, M. G., Nita, M. H. D., & Adi, A. A. A. M. (2025). Effectiveness of nutrition training in improving cadres’ knowledge and skills in Kupang City. AcTion: Aceh Nutrition Journal, 10(1), 77-84.

Oyugi, B., Kallander, K., & Shahabuddin, A. S. M. (2025). Strengthening Primary Health Care Through Implementation Research: Strategies for Reaching Zero-Dose Children in Low-and Middle-Income Countries’ Immunization Programs. Vaccines, 13(10), 1040.

Prasetyorini, D., Josef, H. K., & Claramita, M. (2019). Training effectiveness to Change knowledge and attitude of health cadres on lung Tuberculosis. Review of Primary Care Practice and Education, 99-101.

Rudini, R., Helda, H., & Qomariah, M. (2023). The effect of cadres training on competence of tuberculosis health cadres at the Muntok Health Center in West Bangka Regency. Jurnal eduhealth, 14(02), 1041-1047.

Sharma, D. D., Chandresh, N. R., Javed, A., Girgis, P., Zeeshan, M., Fatima, S. S., ... & Mylavarapu, M. (2024). The management of preeclampsia: a comprehensive review of current practices and future directions. Cureus, 16(1), 1–10. https://doi.org/10.7759/cureus.51512

Sun, S., Li, W., Zhang, X., Aziz, A. U. R., & Zhang, N. (2025). Trends in global and regional incidence and prevalence of hypertensive disordersin pregnancy (1990–2021): an age-period-cohort analysis. Scientific Reports, 15(1), 1513.

UNFPA. (2024). State of World Population Report.

Vera-Ponce, V. J., Loayza-Castro, J. A., Ballena-Caicedo, J., Valladolid-Sandoval, L. A. M., Zuzunaga-Montoya, F. E., & Gutierrez De Carrillo, C. I. (2025). Global prevalence of preeclampsia, eclampsia, and HELLP syndrome: a systematic review and meta-analysis. Frontiers in reproductive health, 7, 1706009.https://doi.org/10.3389/frph.2025.1706009

WHO. (2025a). Contraception.

WHO. (2025b). Family Planning/Contraception Methods. Geneva.

World Health Organization. (2016). WHO recommendations on antenatal care for a positive pregnancy experience.




DOI: https://doi.org/10.31764/jmm.v10i4.40036

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