# Use of most significant change (MSC) technique to evaluate health promotion training of maternal community health workers in Cianjur district, Indonesia
> Limato R.

URL kanonis: https://discover.unhas.ac.id/publications/use-of-most-significant-change-msc-technique-to-evaluate-health-promotion-traini
Jurnal / Konferensi: Evaluation and Program Planning
Tahun terbit: 2018
DOI: https://doi.org/10.1016/j.evalprogplan.2017.10.011
ISSN: 01497189
Kuartil SJR: Q2
Citations: 30

## Authors
- Limato R.

## Abstract
Maternal health promotion is a defined activity in the community integrated posts (Posyandu) in Indonesia. However, it is often neglected due to limited knowledge and skills of the community health workers (kader). We conducted health promotion training for the kader and village midwives in four villages in Cianjur district. This study describes the use of "most significant change" (MSC) technique to evaluate impact of health promotion to the beneficiaries and community at large. The MSC uses stories as raw data. Through interviews focused on perception of change, stories were collected from four pregnant women, eight kader and three village midwives. A Panel consisting of policy and programme managers and implementers read all the stories. The story by a pregnant woman who routinely attended Posyandu was selected as the story with most significant change. Her story highlighted changes in kader's knowledge and communication of health messages and attitude towards pregnant women. She expressed these changes impacted community awareness about health and to seek help from kader.The MSC technique enabled stakeholders to view raw data and evaluate the impact of health promotion from the beneficiary's perspective. At the same time, recipients of health promotion contributed to the decision process of evaluation through their stories. The different perspectives on the MSC reflected individual's objectives of the health promotion. The application of this technique is limited in maternal health promotion programme in Indonesia, and none have been published in peer reviewed journals.

## Keywords
- Health promotion
- Promotion (chess)
- Beneficiary
- Community health
- Medicine
- Community health workers
- Health education
- Nursing
- Public relations
- Medical education
- Public health
- Environmental health
- Political science
- Politics
- Population
- Health services
- Law

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Sumber: Discover Unhas — RIMS Universitas Hasanuddin.
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