CADRES PERFORMANCES AND POSYANDU ACTIVITIES DURING COVID-19 PANDEMIC

Abstract

Stunting is one of the biggest nutrition problem in Indonesia as the prevalence of child stunting is 29.9%. Growth monitoring program is an essential component that may influence stunting among children under-five. Posyandu is a community based preventive and promotive care for monitoring nutrition status of children under five years. However, posyandu cadres have a role in empowering the community as motivators, educators and health care. Cadre drop out influences the development of posyandu, while lack of incentives might also influence the performance of cadres. During the covid-19 pandemic, posyandu has changed its activities depend on the developments in the COVID-19 case. The incentive of cadre during the covid-19 pandemic to increase the performance of cadres and posyandu activities is little explored. This study aimed to evaluate the association between incentives with cadres performances and posyandu activities. Of the cross-sectional study, 116 cadres (19-67 years-old) were active cadres in East Kalimantan. Logistic regression examined the associations of cadres incentives with posyandu activities and cadres performances. Opening posyandu activities were higher in 36-45 years, house wife, higher education, very good performances; got incentives (transportation cost refund, training, and training transportation cost); and availability of hand washing facilities. After adjusting for all potential confounders (socio-demographic and prevention of covid-19 facilities), incentives (transportation cost refund (р=0.001) and training transportation cost (р=0.001) were associated with cadres performances. Prevention of covid-19 facilities (hand washing facilities and thermos gun, both р<0.001) were associated with cadres performances. The current study provided for the first time evidence on incentives cadre during the pandemic of covid-19. The discussed determinants and posyandu activities already point to some important incentives and facilities that need to be provided in future public health initiatives.