ABSTRACT

Mental health problems in Indonesia continue to increase, but many people still do not understand the symptoms and treatment pathways. Health cadres as an extension of health services in the community have an important role in education, early detection, and referral of mental illness cases. Cadres need a mental health module to support their tasks in the community.. This study aims to evaluate the effect of mental health training modules on improving the knowledge of health cadres in the community. This study used a quasi-experimental design with a pretest-posttest approach without a control group. The subjects were 37 health cadres in the working areas of Sewon 2 and Sedayu 1 Health Center, Bantul Regency, Yogyakarta Special Region. Inclusion criteria included active cadres and willing to participate in the training. Exclusion criteria were not attending the full training and incomplete questionnaire filling. The intervention was a one-day training consisting of 3 sessions using a mental health module for cadres developed by the researcher.  Data were analyzed using Wilcoxon Signed Rank Test. Most of the subjects were over 40 years old and all were female. The results of the analysis showed a significant increase in the subject's knowledge score after the intervention with a p value (p=0.000), with an effect size value of 0.613. Further analysis showed that the age factor and the length of time as a cadre had a p>0.05 value. Training using the Mental Health Module for Cadres is an effective strategy to increase the capacity of health cadres in the community. Contextualized materials and interactive training approaches are key factors in the success of the intervention. Replication and development of the module is needed for a wider and more diverse area.

Keywords: Health Cadres, Mental Health, Mental Health Module, Community.

Amiyati Hasan, L., Pratiwi, A., & Sari, R. P. (2020). Pengaruh Pelatihan Kader Kesehatan Jiwa dalam Peningkatan Pengetahuan, Keterampilan, Sikap, Persepsi dan Self Efficacy Kader Kesehatan Jiwa dalam Merawat Orang dengan Gangguan Jiwa. Jurnal Health Sains, 1(6), 377–384. https://doi.org/10.46799/jhs.v1i6.67

Armstrong, G., Kermode, M., Raja, S., Suja, S., Chandra, P., & Jorm, A. F. (2011). A mental health training program for community health workers in India: impact on knowledge and attitudes. International journal of mental health systems, 5, 1-11.

Basrowi, R. W., Wiguna, T., Samah, K., Djuwita F Moeloek, N., Soetrisno, M., Purwanto, S. A., Ekowati, M., Elisabeth, A., Rahadian, A., Ruru, B., & Pelangi, B. (2024). Exploring Mental Health Issues and Priorities in Indonesia Through Qualitative Expert Consensus. Clinical Practice and Epidemiology in Mental Health : CP & EMH, 20, e17450179331951. https://doi.org/10.2174/0117450179331951241022175443

Falasifah, M., & Syafitri, D. U. (2022). Literasi Kesehatan Mental dan Stigma Publik Sebagai Prediktor Sikap Terhadap Bantuan Psikologis Pada Mahasantri. Jurnal Ilmu Perilaku, 5(2), 159–173. https://doi.org/10.25077/jip.5.2.159-173.2021

Firmansyah, Y., & Widjaja, G. (2022). Masalah-masalah dalam kesehatan jiwa. Cross-Border, 5(1), Article 1.

Indrawati, P. A., Sulistiowati, N. M. D., & Nurhesti, P. O. Y. (2019). Pengaruh pelatihan kader kesehatan jiwa terhadap persepsi kader dalam merawat orang dengan gangguan jiwa. Jurnal Keperawatan Jiwa, 6(2), 71. https://doi.org/10.26714/jkj.6.2.2018.71-75

Jayanti, N. E., & Silaen, S. M. J. (2019). Hubungan Antara Keharmonisan Keluarga dan Kecerdasan Emosi Dengan Kecenderungan Perilaku Delinkuen Pada Siswa Smk Adi Luhur 2 Jakarta Timur. IKRAITH-HUMANIORA, 3, 46–51.

Jordans, M. J. D., Luitel, N. P., Kohrt, B. A., Rathod, S. D., Garman, E. C., De Silva, M., Komproe, I. H., Patel, V., & Lund, C. (2019). Community-, facility-, and individual-level outcomes of a district mental healthcare plan in a low-resource setting in Nepal: A population-based evaluation. PLOS Medicine, 16(2), e1002748. https://doi.org/10.1371/journal.pmed.1002748

Khalil, H., Peters, M. Dj., Tricco, A. C., Pollock, D., Alexander, L., McInerney, P., Godfrey, C. M., & Munn, Z. (2021). Conducting high quality scoping reviews-challenges and solutions. Journal of Clinical Epidemiology, 130, 156–160. https://doi.org/10.1016/j.jclinepi.2020.10.009

Kurniawan, K., Yosep, I., Khoirunnisa, K., Nur’aeni, Y., & Nugraha, P. (2023). Upaya peningkatan kesehatan mental masyarakat melalui pelatihan duta kader kesehatan jiwa. JMM (Jurnal Masyarakat Mandiri), 7(3), 2306. https://doi.org/10.31764/jmm.v7i3.14320

Li, J., Li, J., Thornicroft, G., Yang, H., Chen, W., & Huang, Y. (2015). Training community mental health staff in Guangzhou, China: evaluation of the effect of a new training model. BMC psychiatry, 15, 1-10.

Mawaddah, A. U., & Wisnusakti, K. (2022). Pengaruh pelatihan kader kesehatan jiwa terhadap self efficacy, pengetahuan dan keterampilan kader dalam mendeteksi dini orang dengan gangguan jiwa di masyarakat: litteratur review. Journal of Health Research Science, 2(01), 39–46. https://doi.org/10.34305/jhrs.v2i1.471

Marastuti, A., Subandi, M. A., Retnowati, S., Marchira, C. R., Yuen, C. M., Good, B. J., & Good, M. J. D. (2020). Development and evaluation of a mental health training program for community health workers in Indonesia. Community Mental Health Journal, 56(7), 1248-1254.

Rohmah, U. N., Setyaningsih, T., Fitria, D., Silalahi, M., Bastian, O. H., & Syamsu, Y. A. (2023). Pelatihan Kader Kesehatan Jiwa Sebagai Upaya Pemberdayaan Masyarakat dalam Meningkatkan Kesehatan Jiwa di Kecamatan Sawah Besar Jakarta Pusat. Madani : Jurnal Pengabdian Kepada Masyarakat, 9(2). https://doi.org/10.53834/mdn.v9i2.5196

Sari, M. K. (2021). Pengaruh pelatihan deteksi dini dan home visit pada odgj terhadap performa kader kesehatan jiwa. Jurnal Kesehatan, 12(2), 145–151. https://doi.org/10.38165/jk.v12i2.258

Utami, N. S., & Estria, S. R. (2024). The Effect Of Health Education Using “Module On Mental Health For Children And Adolescents” Media On Mental Health Knowledge Of Health Cadres. Jurnal Keperawatan, 16(2), 741-750.

WHO. (2021). Mental Health Atlas 2020 Country Profile: Indonesia. World Health Organization. https://www.who.int/publications/m/item/mental-health-atlas-idn-2020-country-profile

WHO. (2022a). Mental health. https://www.who.int/health-topics/mental-health

WHO. (2022b). World mental health report: Transforming mental health for all. https://www.who.int/publications/i/item/9789240049338

World Health Organization Regional Office for South-East Asia. (2022). Addressing mental health in Indonesia. World Health Organization. Regional Office for South-East Asia. https://iris.who.int/handle/10665/364878