INSENTIF DAN KINERJA KADER POSYANDU
(1) Fakultas Kesehatan Masyarakat Universitas Mulawarman, Indonesia
Abstract
Drop out kader sangat mempengaruhi perkembangan posyandu. Drop out dikarenakankurangnya insentif, baik uang maupun non uang (pelatihan, piagam, bantuan operasional,seragam, dll), namun insentif apa yang sebenarnya mampu meningkatkan kinerja kader.Masalah penelitian adalah hubungan insentif uang dan non uang dengan kinerja kaderposyandu di Puskesmas Wonorejo Samarinda. Tujuan penelitian untuk mengetahui hubunganinsentif uang (uang transport) dan non uang (seragam, lomba, tunjangan kesehatan, piagam,sembako, tunjangan hari raya (THR), bantuan operasional, bantuan alat tulis, kunjunganpihak kelurahan, kunjungan ketua rukun tetangga (RT), kunjungan pimpinan puskesmas(pimpus), dan rekreasi) dengan kinerja kader posyandu. Metode penelitian cross sectional,dengan responden adalah seluruh kader di wilayah kerja Puskesmas Wonorejo. Hasilpenelitian menunjukkan ada hubungan antara pemberian bantuan operasional (p=0.002),piagam (p=0.01), uang transport (p=0.009), pelatihan (p=0.018) dengan kinerja kader. Tidakada hubungan antara seragam (p=0.927), lomba posyandu (p=0.936), tunjangan kesehatan(p=0.734), sembako (p=0.954), THR (p=0.493), kunjungan kelurahan (p=0.544), kunjunganketua RT (p=0.1), kunjungan pimpus (p=0.365) dan rekreasi (p=0.239) dengan kinerja kader.Simpulan penelitian, variabel yang berhubungan dengan kinerja kader adalah pemberianbantuan operasional, piagam, uang transport, dan pelatihan.
Cadre drop out infl uenced the development of posyandu. Drop out because lack of incentives,both cash and non-cash (training, charter, operational support, uniforms, etc.), but whatincentive is actually capable of improving the performance of cadres. Research problem was howthe relationship of money and non-cash incentives with the cadres performance in posyanduWonorejo health center in Samarinda. Research purpose to determine the relationship ofincentive money (money transport) and non-cash (uniform, competition, health benefi ts, charter,groceries , holiday allowance (THR) , operational support, stationery, head of village visit, RTvisit, head of health center visit, and recreation) with the performance of posyandu cadres. Crosssectionalresearch methods, the respondent were a whole cadre in Puskesmas Wonorejo. Th eresults showed no relationship between the provision of operational support (p=0.002), charter(p=0:01), transport (p=0.009), training (p=0.018) with cadres performance. Th ere were norelationship between the uniform (p=0927), posyandu competition (p=0.936), health benefi ts(p=0.734), groceries (p=0.954), THR (p=0.493), head village visits (p=0.544), RT visit (p=0.1),head of health center visit (p=0.365) and recreation (p=0.239) with the performance of cadres.Th e conclusions, variables related to cadres performance were providing operational support,charter, transport, and training.
Keywords
Full Text:
PDFReferences
Bhattacharyya, K., Winch, P., Leban, K. & Tien, M. 2001. Community Health Worker Incentives and Disincentives: How Th ey Aff ect Motivation, Retention, and Sustainability.
Arlington, Virginia: Basic Support for Institutionalizing Child Survival Project (BASIC II). Th e United State Agency for International Development
Faisal, A. 2010. High participation in the Posyandu nutrition program improved children nutritional status. Nutr Res Pract., 4(3): 208- 214
Haines, A., Sanders, D., Lehmann, U., Rowe, A.K., Lawn, J.E. & Jan, S. 2007. Achieving Child Survival Goals: Potential Contribution of Community Health Workers. Lancet, 369(9579): 2121-31
Haryanto, S. 2006. Hubungan Antara Tingkat Pendidikan, Umur dan Status Pekerjaan Kader dengan Keaktifan Kader Posyandu Wilayah Kerja Puskesmas Gamping I Kabupaten Sleman Yogyakarta. Yogyakarta: Universitas Gadjah Mada.
Hermann, K., Damme, W.V., Pariyo, G.W., Schouten, E., Assefa, Y., Cirera, A. & Massavon, W. 2009. Community Health Workers for ART in Sub-
Sahara Africa: Learning From Experience– Capitalizing on New Opportunities. Human Resources for Health. 7(31)
Hida, F.M. & Mardiana. 2011. Pelatihan terhadap Keterampilan Kader Posyandu. Jurnal Kemas, 7(1): 22-27
Lewin, S. A., Dick, J., Pond, P., Zwarenstein, M., Aja, G.N., Van Wyk, B.E., dkk. 2005 Lay Health Workers in Primary and Community Health
Care. Cochrane Database of Systematic Reviews, (1)
Perez, F., Ba, H., Dastagire, S.G., & Altmann, M. 2009 Th e Role of Community Health Workers in Improving Child Health Programmes in Mali. BMC International Health and Human Rights, 9(28)
Pittman, P., Blati, G., & Rodriguez, P. 2001. An Assessment of the Impact of Health Workers for Change in Avellaneda, Province of Buenos Aires, Argentina. Health Policy and Planning: 16 Suppl 1, S40-6
Sadah, A.E. 2006. Attitude of Health-Care Workers to HIV/AIDS. African Journal of Reproductive Health, 10(1): 39-46
Suchitra, J.B. 2007. Impact of education on knowledge, attitudes and practices among various categories of health care workers on nosocomial infections. Indian Journal of Medical Microbiology, 25(3): 181-187
Widagdo, L. 2006. Kepala Desa dan Kepemimpinan Perdesaan: Persepsi Kader Posyandu di Kecamatan Mlonggo Kabupaten Jepara, Jawa Tengah, 2000. Makara Kesehatan, 10(2): 54-9
Wirapuspita, W.R. 2012. Insentif Uang Tunai dan Peningkatan Kinerja Kader Posyandu. Jurnal Kesehatan Masyarakat Nasional. 7: 44-48
WHO, PEPFAR, & UNAIDS. 2007. Task Shift ing: Rational Redistribution of Task Among Health Workforce Teams. Global Recommendations and Guidelines. Geneva: Th e World Health Organization
Refbacks
- There are currently no refbacks.