The influence of e-leaflet media in improving the skills of toddler Posyandu cadres
DOI:
https://doi.org/10.53713/nhsj.v5i3.549Keywords:
cadre, skills, e-leafletAbstract
Primary health service transformation implementation focuses on a lifecycle approach with promotive and preventive efforts and brings health services closer to cadres through Posyandu. Good integration of Primary Services requires efforts to improve the skills of posyandu cadres through E-Leaflet media. This study aims to determine the influence of e-leaflet media on improving toddler posyandu cadres' skills. This study used a quasi-experimental design with a one-size-fits-all posttest without a control group. The sample amounted to 43 posyandu cadres. The sampling technique is simple random sampling—data analysis with the Wilcoxon test. The p-value on the respondents' skills before and after being given the e-leaflet media was (p=0.001). There was a significant increase in skills after being given the e-leaflet media to the cadres of the Posyandu for toddlers. This statistically significant outcome confirms the efficacy of digital learning resources in strengthening frontline community health worker capabilities.
References
Amalia, S., Ismarwati, & Rokhanawati, D. (2025). The Effectiveness of Video and Leaflet Media on Mothers’ Knowledge, Attitudes, And Behavior in Stunting Prevention Efforts at Puskesmas Karangmojo II. Professional Health Journal, 7(2), 481–492. https://doi.org/10.54832/phj.v7i2.1186
Asrianah, A., Wisnuwardani, R., Iriyani, I., Nurzihan, N., Ash Siddiq, M., & Fitriastuti, T. (2024). The association between financial and non-financial incentives and performance of posyandu cadres. AcTion: Aceh Nutrition Journal, 9(3), 489-495. doi:http://dx.doi.org/10.30867/action.v9i3.1763
Bateman, J. A. (2021). What are digital media? Discourse, Context & Media, 41, 100502. https://doi.org/10.1016/j.dcm.2021.100502
Bechini, A., Chiesi, F., Giammarco, B., Gori, E., Di Tommaso, M., Strambi, N., Alti, E., Picciolli, P., Mereu, G., Mori, M. G., Rosati, G. V., Van Damme, P., Bamberger, M., Bonanni, P., & Boccalini, S. (2022). Electronic Package Leaflets for Vaccines: What Are People’s Perceptions in Italy? Vaccines, 10(7). https://doi.org/10.3390/vaccines10071075
Chabibah, I. F. A., & Agustina, R. (2023). Exploration of the Role of Posyandu Cadres in the Achievements of the Community Health Center Program in Reducing Stunting Incidence: Eksplorasi Peran Kader Posyandu terhadap Capaian Program Puskesmas dalam Menurunkan Kejadian Stunting. Amerta Nutrition, 7(2SP), 65–72. https://doi.org/10.20473/amnt.v7i2SP.2023.65-72
Hidayat, E. M., Salsabilah, Z., & Mu, A. (2025). Effectiveness of Audiovisual Media vs Leaflets in Improving Mothers' Knowledge of Diphtheria in Toddlers in Mojo Health Center, Surabaya. International Journal of Advanced Health Science and Technology, 5(3), 133-139. https://doi.org/10.35882/ijahst.v5i3.459
Islam, K. F., Awal, A., Mazumder, H., Munni, U. R., Majumder, K., Afroz, K., Tabassum, M. N., & Hossain, M. M. (2023). Social cognitive theory-based health promotion in primary care practice: A scoping review. Heliyon, 9(4), e14889. https://doi.org/10.1016/j.heliyon.2023.e14889
Iyanna, S., Kaur, P., Ractham, P., Talwar, S., & Najmul Islam, A. (2022). Digital transformation of healthcare sector. What is impeding adoption and continued usage of technology-driven innovations by end-users? Journal of Business Research, 153, 150-161. https://doi.org/10.1016/j.jbusres.2022.08.007
Kartika, A. W., Setyoadi, S., Hayati, Y. S., & Setiowati, C. I. (2024). Roles and challenges of health cadres in handling stunting: A qualitative study. Healthcare in Low-resource Settings, 12(s1). https://doi.org/10.4081/hls.2024.13057
Lestari, L., Heryani, H., & Ariani, D. (2024). WhatsApp-based anemia e-leaflet for young women as a media for adolescent health promotion. Journal of education and health promotion, 12, 448. https://doi.org/10.4103/jehp.jehp_186_23
McGrath, S., & Yamada, S. (2023). Skills for development and vocational education and training: Current and emergent trends. International Journal of Educational Development, 102, 102853. https://doi.org/10.1016/j.ijedudev.2023.102853
Phooko, V., Maluleke, K., Ramatsokotla, S., Serite, T., Kgarosi, K., Sokudela, F., & Mashamba-Thompson, T. (2025). Defining Public Health Transformation: A Scoping Review. Public Health Challenges, 4(2), e70048. https://doi.org/10.1002/puh2.70048
Pia, C. O., Anna Siauta, J., & Suprihatin. (2024). Effect of Health Promotion Using Leaflets on Childbirth Readiness in Pregnant Women. Health and Technology Journal (HTechJ), 2(2), 139–144. https://doi.org/10.53713/htechj.v2i2.166
Rahmawati, A. E., & Ritanti. (2021). Relationship between Parent Role, Friends Effect Association and Use of Mass Media with Risk Sexual Behavior in Adolescents at Senior High School 76 Jakarta. Nursing and Health Sciences Journal (NHSJ), 1(1), 43–48. https://doi.org/10.53713/nhs.v1i1.15
Ramadhanti, R., Maknun, D., Ekanara, B., & Subagyo, S. (2025). Application of e-Leaflet-Assisted Jigsaw-Type Cooperative Learning Model to Improve Communication Skills of Class X Students on Ecosystem Materials. Jurnal Edusci, 2(6), 438–459. https://doi.org/10.62885/edusci.v2i6.790
Rodríguez-Bailón, M., Fernández-Solano, A. J., Merchán-Baeza, J. A., & Vidaña-Moya, L. (2021). From clinical practice to the classroom. Advantages and disadvantages of video and paper cases on the motivation and clinical reasoning of occupational therapy students. International Journal of Environmental Research and Public Health, 18(18), 9671. https://doi.org/10.3390/ijerph18189671
Rostikawati, R. T., Lamis, S. ., & Prasaja, D. . (2025). Development of a Gastropod Diversity E-booklet as a Learning Media for High School Students. Journal Of Biology Education Research (JBER), 6(1), 68–75. https://doi.org/10.55215/jber.v6i1.37
Sari, Adila Solida, Atik Maria, & Shafira Ainun Hafilda. (2022). The Activity Of Posyandu Cadres At Healt Center Siulak Mukai Kerinci Regency. International Journal of Health Engineering and Technology, 1(4). https://doi.org/10.55227/ijhet.v1i4.83
Siswati, T., Olfah, Y., Kasjono, H. S., & Paramashanti, B. A. (2022). Improving Adolescent Knowledge and Attitude toward the Intergenerational Cycle of Undernutrition through Audiovisual Education: Findings from RESEPIN Study in Yogyakarta, Indonesia. Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine, 47(2), 196–201. https://doi.org/10.4103/ijcm.ijcm_1229_21
Suparto, T. A., Azizah, N. N., Andriyani, S., Puspita, A. P. W., & Hermayanti, Y. (2021). The problems affecting the implementation of Posyandu program: A literature review. JIKO (Jurnal Ilmiah Keperawatan Orthopedi), 5(2), 55-61. https://doi.org/10.46749/jiko.v5i2.75
Suyatno, S., Kartasurya, M. I., & Susanto, H. S. (2024). Tiered Training Model to Improve the Skills of Posyandu Cadres in Measuring Child Anthropometry in Demak Regency, Indonesia: Model Pelatihan Berjenjang untuk Meningkatkan Kemampuan Kader Posyandu dalam Mengukur Antropometri Anak di Kabupaten Demak, Indonesia. Amerta Nutrition, 8(1SP), 9–18. https://doi.org/10.20473/amnt.v8i1SP.2024.9-18
Vaz, N., & Silva Araujo, C. A. (2024). Service design for the transformation of healthcare systems: A systematic review of literature. Health Services Management Research. https://doi.org/10.1177_09514848231194846
Yuliasih, N. D., Sari, P., Bestari, A. D., Martini, N., & Sujatmiko, B. (2025). Does Health Education Through Videos and E-Leaflet Have a Good Influence on Improving Students’ Reproductive Health Knowledge, Attitudes, and Practices? an Intervention Study in Jatinangor, Indonesia. Advances in Medical Education and Practice, 16, 29–39. https://doi.org/10.2147/AMEP.S487338









