EXPERIENCE AND TRAINING RELATE TO PERFORMANCE CLEAN AND HEALTHY LIVING BEHAVIOR IN CADRE IN THE WORKING AREA OF POASIA PRIMARY HEALTH CARE, KENDARI CITY

Background:Southeast Sulawesi Provincial data shows that Community life behavior is measured by the number of households with a clean and healthy lifestyle which is based on predetermined indicators. In 2015, the percentage of Clean and Healthy Living Behaviors was 45%, in 2016 there was an increase of 52% and decreased in 2017 by 49% and in 2018 by 46%, while in 2019 there was an increase in the percentage of 53% again. Based on these data, the coverage was still low because the target was set according to the minimum service standard was 80%. The orientation of community empowerment for health cadres is still insufficient, it is noted that only 36 people have received community empowerment training. The insufficient number of cadres can also make a negative contribution, resulting in the lack of achievement of the primary health care s program Methods:This type of research is a quantitative study, with a cross sectional study approach. The population of this study were 100 people and the samples of this study were 80 cadres in 20 comprehensive health Post in the working area of Poasia primary health care centre in Kendari City. The sampling technique which was used in this study was a simple random sampling. Results: Based on the results of statistical tests show that the value (X 2 test) = 0.286 <X 2 table =3,841), meaning that there is no relationship between experience and performance of clean and healthy living behavior cadres. The household structures with Chi-square values (X 2 test) = 15,556> X 2 table =3,841, meaning that there is a relationship between training and the performance of clean and healthy living behavior cadres in household arrangements in the working area of Poasia Primary health care centre in Kendari City. Conclusion:Cadres are expected to play an active role in increasing their knowledge and experience through training activities on cadre performance held by Puskesmas Poasia.


INTRODUCTION
The percentage of households with a clean and healthy lifestyle based on data at the National level in Indonesia is still low, in 2015 amounting to 55.46%, in 2016 amounting to 56.58% while the target for achieving clean and healthy living behavior for the minimum household structure is 80%. There are 10 indicators in the household structure consisting of (1) delivery by health workers in health facilities, (2) exclusive breastfeeding for babies, (3) weighing children under five, (4) using clean water, (5) washing hands with clean water and soap, (6) use of healthy latrines, (7) eradication of larvae at home once a week, (8) eating vegetables and fruit every day, (9) physical activity every day and (10) the habit of not smoking in the house (1).
Data from the Health Office of Southeast Sulawesi Province also explains the distribution of the percentage of households with clean and healthy living behavior starting from the highest district, namely North Konawe Regency at 94%, Muna Regency at 81%, Kendari City at 74%, and the lowest percentage is in West Munar Regency, 14%. Broadly speaking, Southeast Sulawesi Province has not reached the target of the SPM set for clean and healthy living behavior coverage, which is 80%, as well as Kendari City, which has quite complete facilities, is the capital of Southeast Sulawesi Province but has not yet been able to achieve the predetermined targets (2).
This study took the research location at Puskesmas Poasia, the reason for choosing Puskesmas Poasia as the research location compared to other Puskesmas in Kendari City because after comparing it with Puskesmas Lepo-Lepo, and Puskesmas Mokoau it is known that the performance of cadres at Puskesmas Poasia has not shown the target of clean and healthy living behavior coverage in the community that is, at least 80% while the Lepo-Lepo Puskesmas and Mokoau Puskesmas. Apart from the low performance of clean and healthy living behavior cadres at the Poasia Community Health Center, another reason was that during the Covid-19 pandemic, it was deemed necessary to restrict movement within Kendari City, therefore the research scope of the Regency or the whole Kendari City was not chosen. But of course by not reducing the quality of the results of the research to be carried out.
The role of cadres in health services can be caused by various factors such as internal factors, namely from cadres such as cadre characteristics, knowledge, attitudes, motivation, busyness, while external factors such as providing incentives, rewards, training and so on(3). The knowledge and attitudes of cadres need to be improved with a health promotion strategy for clean and healthy living behavior guidance to cadres and are comprehensive, empowerment in household arrangements is carried out for individuals, families and community groups (4).

METHOD
This type of research is a quantitative study, with a cross sectional study approach (5). The location of this research has been carried out in the working area of the Puskesmas Poasia, Kendari City, which was carried out from October to November 2020. The population in this study was 100 people and a sample of 80 people all cadres in 20 Posyandu in the working area of Puskesmas Poasia, Kendari City. The sampling technique used in this study was simple random sampling (6).

RESULTS
Table-1 shows that of the 80 respondents who have sufficient experience category as many as 37 people (46.2%) and less experience category are 43 people (53.8%).

Relationship of Experience with Clean and Healthy Living Behavior Cadre Performance
This study shows there is no relationship between experience and performance of Clean and Healthy Living Behavior cadres in household arrangements. This is in line with (7) entitled The Effect of Education, Training and Work Experience on Employee Performance in the Marketing Department of PT. Central Santosa Finance (BCA GROUP) Mojokerto Branch. These results indicate that work experience has no effect on cadre performance. The results of the analysis show that the work experience of Clean and Healthy Living Behavior cadres in the household structure is less than or equal to three years, so that the cadres are less able to carry out the tasks given by their superiors to the fullest.
Experience is one of the factors that influence a person's performance in carrying out tasks in order to achieve organizational goals (8). Work experience is an ability that employees have in carrying out the tasks assigned to them. In this study, experience did not provide a significant value to the performance of Clean and Healthy Living Behavior cadres (9). This could have happened because the data from the Poasian Health Center stated that the Clean and Healthy Living Behavior coverage at the Poasia Health Center had not shown any significant changes since three years ago. So even though cadres are known to have work experience that is in accordance with the indicators, because the work experience that is usually applied is still or cannot be developed so that it impacts on the results of Clean and Healthy Living Behavior achievements that are not in accordance with the standards.

Relationship between Training and Clean and Healthy Living Behavior Cadre Performance
This study shows that there is a relationship between training and the performance of PHBS cadres in household arrangements. So it can be concluded that cadre training is related to the performance of cadres in posyandu activities. Respondents with sufficient training showed more good performance, while respondents with less training showed less performance. The results of this study are in line with research conducted by (10)who found that there was a relationship between cadre training and the performance of posyandu cadres in the work area of Lisi Puskesmas, Tanete Riaja sub-district, Barru district.
States that training is intended so that cadres who have participated are expected to gain knowledge and skills so that they are able to carry out health-minded interventions for the community and someone who has taken non-formal education such as training will have better performance than someone who is less even not getting any training at all (11). In training, in principle, there are learning process activities, both theoretical and practical, aiming at improving and developing academic, social and personal competencies or abilities in the fields of knowledge, skills and attitudes, as well as being useful for training participants in improving performance on tasks or jobs for which they are responsible (12).
Effective training must be oriented towards results (goals) and processes (the ability of the organization to adapt and survive) (13). The results of an effective training process will be able to make an organization well able to carry out its planned programs systematically in an effort to achieve the results or objectives that have been set (14). In other words, a training is called effective if the training can produce human resources whose abilities, skills, and attitude change are more independent. In this way will also affect the quality of performance.

CONCLUSION
Cadres are expected to play an active role in increasing their knowledge and experience through training activities on cadre performance and the Puskesmas Poasia is expected to be selective by determining the criteria needed in selecting cadres so that the purpose of appointing cadres, namely to increase Clean and Healthy Living Behavior coverage, can be achieved. .