Empowering Health Cadres for Early Pregnancy Screening: Changes in Knowledge Following ROSI Bumil Training
Main Article Content
Early pregnancy detection is vital for reducing maternal and neonatal mortality, yet first trimester antenatal care (K1) visits at Sukorejo community health center remain low at only 24.66% during January- May 2026, according to the MCH regional report. Passive service delivery models, low health literacy, and persistent socio-cultural myths drive this gap. Roda Sisir Ibu Hamil (ROSI Bumil) innovation was developed to empower health cadres as essential community links for active screening and monitoring. Seventy-three health cadres at Puskesmas Sukorejo participated in structured training on early pregnancy screening using innovative tools: ROSI Bumil, Kasir Bu MiJo, and Buku SAPA Ibu. The health cadres' knowledge was assessed before and after the training, and the results were analyzed using the Wilcoxon signed-rank test. Cadre knowledge increased significantly following the intervention (p< 0.001), rising from 21.9% to 95.9% in the “good knowledge” category. Cadre identified six new pregnant women who had not yet done an early pregnancy visit during the two-week active door-to-door pregnancy screening period. The ROSI Bumil program was associated with a significant improvement in cadre knowledge and facilitated the identification of a new pregnant woman. The intervention may complement routine pregnancy surveillance through community-based screening and digital reporting.
