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Abstrak :
Latar Belakang: Kader kesehatan dan ibu hamil Indonesia belum cukup menerima pelatihan khusus sehingga kurang pengetahuan tentang penyakit periodontal yang berisiko terhadap kehamilan dan kelahiran bayi.Model pelatihan berbasis teori 9 langkah mencakup tahapan identifikasi masalah hingga evaluasi yang dapat diterapkan pada program pendidikan kesehatan gigi dan mulut di puskesmas. Tujuan: Meningkatkan pengetahuan kader kesehatan tentang penyakit periodontal yang berisiko terhadap kehamilan dan kelahiran bayi. Metode: Kuantitatif pra-eksperimental dengan one group comparison pre test-post test design.Pelatihan 9 langkah diberikan pada 53 kader kesehatan Puskesmas Pulo Gadung Jakarta Timur oleh dokter gigi. 50 ibu hamil diberi pendidikan setelahnya oleh kader kesehatan. Hasil: Terdapat peningkatan pengetahuan kader kesehatan dan ibu hamil(α=0,05;p-value=0,000 dengan uji Wilcoxon). Tidak ada perbedaan bermakna antara flip chart dan kartu puzzle dalam meningkatkan pengetahuan kader(p-value = 0,969 dengan uji t-independent)dan ibu hamil (p=0,359 dengan uji Mann Whitney). Kesimpulan: Model pelatihan berbasis teori 9 langkah efektif meningkatkan pengetahuan kader kesehatan. Flip chart dan kartu puzzle sama efektif meningkatkan pengetahuan kader kesehatan dan ibu hamil. ......Background: Indonesian health cadres and pregnant women have not received enough specific training so there is a lack of knowledge about periodontal disease that are risk for pregnancy and childbirth.The 9 step theory based training model covers the stage of problem identification to evaluation that can be applied to dental and oral health education programs. Purpose: Increasing knowledge of health cadres about periodontal disease that are at risk for pregnancy and childbirth. Methods: Quantitative pre-experimental with one group comparison pre test-post test design.9 step training was given to 53 health cadres by dentist in Puskesmas Pulo Gadung,East Jakarta.50 pregnant women were given education afterwards by health cadres. Results: There is an increase of health cadres and pregnant women knowledge (α=0,05;p-value = 0,000).There is no significant difference between flip chart and puzzle card (health cadres p-value = 0,969 ; pregnant women p-value = 0,359). Conclusion: The 9 step theory based training model effectively increases knowledge of health cadres.Flip chart and puzzle card are equally effective.

Abstrak :
Tuberculosis (TB) is a difficult health problem to overcome. Active case finding is an important step in managing this infectious disease. However, the prevalence of TB case finding among cadres at the community level is low because of the stigma attached to TB, difficulty in geographical coverage, low public awareness, and social economic barriers. In addition, the empowerment and intention of cadres to perform community-based TB case finding are not optimal yet. This cross-sectional study aimed to determine the intention of TB case finding among 162 public health cadres at one district. Convenient sampling technique was employed in this study. Relationship analyses were performed using Chi-Square test. Results suggested that three factors, namely, attitude, subjective norm, and perceived behavior control influenced the intention to practice TB case finding among cadres. Public health care providers must encourage cadres to practice active TB case finding and understand the benefits and burdens encountered by cadres during TB case finding.