Peningkatan Kapasitas Kader Kesehatan Dalam Deteksi Dini Faktor Risiko Diabetes Melitus Di Kelurahan Kebagusan Jakarta Selatan

Capacity Building For Community Health Workers In The Early Detection of Risk Factors For Diabetes Mellitus in Kebagusan Subdistrict, South Jakarta

Abstract

Health cadres serve as the frontline in community-based early detection of non-communicable diseases (NCDs) in Indonesia, yet limited capacity in diabetes mellitus (DM) risk factor screening undermines Posbindu PTM programme effectiveness. This community service aimed to analyse the effectiveness of a structured training programme in improving health cadres' knowledge and skills related to early DM risk factor detection. A pre-test and post-test with observational assessment design was employed with 24 active health cadres in RW 08, Kebagusan Village, Pasar Minggu Sub-District, South Jakarta. Full-day training adopted a participatory approach comprising interactive lectures, demonstrations, skills simulations, and field mentoring. Knowledge was assessed using a validated 20-item questionnaire (Cronbach's Alpha = 0.82) and Wilcoxon Signed-Rank test; skills were evaluated via dichotomous structured observation. Results showed a statistically significant improvement in mean knowledge scores from 79.8 ± 8.9 to 94.9 ± 5.1 (? = 18.9%, p < 0.001). A total of 79.2% of cadres improved their scores. Practical skill competency ranged from 83.3% to 100% across eight core domains, and participant satisfaction achieved the very satisfactory category (mean 4.69/5.00). Structured participatory training effectively enhanced cadre capacity for DM risk factor early detection. Follow-up training in motivational counselling and digital education media development is needed to sustain the programme.