Studi ketidakaktifan kader posyandu di Wilayah Kerja Puskesmas Paramasan, Banjar, Kalimantan Selatan
Bibliographic record
Abstract
ABSTRACT Background: Integrated health post is a community empowered health service that also supported by health workers. Cadres are the drive motor of integrated health post. Inactivity of cadres influence the continuity of integrated health post and affect nutritional status early detection of infants and children underfive. Paramasan Primary Health Care is a region in Banjar Regency that has the highest inactivity cadres level (54.5%). Objectives: To examine the knowledge of cadres, comprehensiveness of facilities and infrastructure at integrated health post, head of village and health workers support, incentives and awards, and community participation as the background of integrated health post cadres inactivity in Banjar Regency, South Kalimantan. Methods: This was a descriptive research with qualitative methods using a case study design. The research was implemented in the Region of Paramasan Primary Health Cares at Banjar Regency, South Kalimantan in April until May 2014. Informants were selected by purposive sampling until get saturated data. The data collection was done by using 3 methods: in-depth interview of 23 informants, focus group discussion (FGD) of 30 informants, and field observation. Data analysis used in this study was constant comparative method. Results: Cadres had very low knowledge never joined any training, and also illeterate. The facilities and infrastructure in integrated health post were very limited. Head of village support on cadres and integrated health post were also low. Unscheduled and unstable of incentive numbers and awards received by cadres was also a problem. The level of community participation was really depended on the activeness of cadres in reminding the schedule of integrated health post activities. Conclusions: The knowledge of cadres contibuted to the cadres inactivity, such as a poor participation and lack of confidence in attending the activities of the integrated health post. KEYWORDS: cadres, inactivity, integrated health post ABSTRAK Latar belakang: Posyandu merupakan wadah pelayanan kesehatan dari, oleh, dan untuk masyarakat dengan dukungan petugas kesehatan. Kader merupakan motor penggerak posyandu. Tidak aktifnya kader menyebabkan ketidaklancaran pelaksanaan posyandu serta tidak terdeteksinya status gizi bayi dan balita sejak dini. Puskesmas Paramasan merupakan salah satu wilayah di Kabupaten Banjar dengan tingkat ketidakaktifan kader tertinggi yaitu sebesar 54,5%. Tujuan: Mengkaji secara mendalam pengetahuan kader, kelengkapan sarana dan prasarana posyandu, dukungan kepala desa dan petugas kesehatan, insentif dan penghargaan kader, serta partisipasi masyarakat ke posyandu sebagai latar belakang ketidakaktifan kader posyandu. Metode: Penelitian ini merupakan penelitian deskriptif dengan metode kualitatif menggunakan rancangan studi kasus. Pelaksanaan penelitian di wilayah kerja Puskesmas Paramasan Kabupaten Banjar Provinsi Kalimantan Selatan pada bulan April hingga Mei 2014. Informan dipilih secara purposive sampling, berlanjut hingga saturasi data. Pengumpulan data dilakukan dengan wawancara mendalam terhadap 23 orang informan, diskusi kelompok terfokus (DKT) terhadap 30 orang informan, dan observasi lapangan. Analisis data menggunakan metode constant comparative method. Hasil: Kader memiliki pengetahuan kurang, tidak pernah mengikuti pelatihan, dan tidak bisa baca tulis. Sarana dan prasarana di posyandu sangat kurang, demikian pula dengan dukungan kepala desa terhadap kader, dan posyandu yang tergolong masih minim. Insentif dan penghargaan yang diterima kader dikategorikan tidak rutin dengan jumlah tidak tetap. Tingkat partisipasi masyarakat ke posyandu masih tergantung pada keaktifan kader dalam mengingatkan tentang hari buka posyandu. Kesimpulan: Pengetahuan kader memberikan kontribusi terhadap ketidakaktifan kader yaitu kurangnya keaktifan dalam menghadiri kegiatan di posyandu. KATA KUNCI: kader, ketidakaktifan, posyandu
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.006 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".