Summary: | Background: Integrated Health Post is a health service from and to community
supported by health workers. Cadres are the drive motor of Integrated Health Post,
and activity-inactivity of Integrated Health Post really depends on the activiness
of cadres. Inactivity of cadres can influence the continuity of Integrated Health
Post and affect nutritional status early detection of infants and children underfive.
Paramasan Primary Health Care is with the highest inactivity cadres level which is
54.5% the located in Banjar Regency.
Objection: To examine in depth 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.
Methods: The descriptive research with qualitative methods was using a case
study design. 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 the data. The data collection
was done by using 3 methods: interview in depth to 23 informants, Focus Group
Discussion (FGD) to 30 informants, and field observation. Data analysis used in
this study was constant comparative method.
Result: Knowledge of cadres was very low. The cadres never joined any training
generally. They are also illiterate. 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 really depended on activeness of cadres to remind them of Integrated
Health Post schedule.
Conclusion: The knowledge of cadres contibuted to the cadres inactivity, such as
a laziness and lack of confidence in attending the activities of the Integrated
Health Post.
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