Enhancing Elderly Health Cadre Capacity Through Church-Based Community Training for Early Detection of Non-Communicable Diseases in Southwest Papua

(1) * Alva Cherry Mustamu Mail (Politeknik Kesehatan Kementerian Kesehatan Sorong, Indonesia)
(2) Elisabeth Samaran Mail (Politeknik Kesehatan Kementerian Kesehatan Sorong, Indonesia)
(3) Rizqi Alvian Fabanyo Mail (Politeknik Kesehatan Kementerian Kesehatan Sorong, Indonesia)
*corresponding author

Abstract


Non-communicable diseases remain a leading cause of morbidity among the elderly, particularly in underserved regions with limited access to preventive health services. This study aimed to evaluate the effectiveness of a church-based community training program in improving the capacity of elderly health cadres for early detection of non-communicable diseases in Southwest Papua. A participatory action research design with a one-group pre-test–post-test approach was applied to 17 cadres from seven congregations. The intervention consisted of interactive lectures, hands-on practice, and simulation using a structured training manual. The results showed a significant increase in knowledge scores from 54.1±12.3 to 86.5±8.7 (p<0.001), with a large practical effect. All participants achieved independence in blood pressure measurement and anthropometry, while 82.4 percent demonstrated competence in blood glucose testing. Participant satisfaction was high, with an average score of 4.7 out of 5. The findings indicate that integrating community training with church-based structures can effectively strengthen early detection practices and improve community participation. This model offers a practical and scalable approach for enhancing preventive health services in resource-limited settings.

Keywords


community empowerment; elderly health services; health cadre training; participatory approach; preventive health; primary healthcare

   

DOI

https://doi.org/10.47679/ib.20261495
      

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