ABSTRACT :

Introduction: Posyandu (Integrated Health Post) cadres play a critical role in promoting and preventing health problems at the community level in Indonesia. However, the effectiveness of educational interventions aimed at optimizing their roles remains a key area of interest. This study aims to systematically review various intervention models used to enhance the knowledge and skills of Posyandu cadres in carrying out promotive and preventive health actions.
Materials & Methods: This literature review analyzed 22 relevant research articles published within the past five years, selected through database searches including Google Scholar and Garuda. The inclusion criteria focused on studies that implemented educational interventions for Posyandu cadres, used pre-test and post-test designs, and reported outcomes related to knowledge or behavior change. Thematic analysis was used to identify patterns in intervention types, media used, and observed outcomes.
Results: The findings revealed that educational interventions—ranging from conventional training and counseling to digital media-based approaches—significantly improved cadre knowledge and behavior. The most frequently used method was a quasi-experimental design with pre- and post-test assessments, which consistently showed measurable increases in knowledge scores and positive behavior changes. Media such as videos, audiovisuals, booklets, educational cards, and mobile apps (e.g., e-POSYANDU, ePoK) were particularly effective in enhancing comprehension and engagement. Cadres were also successfully empowered in areas such as child growth monitoring, stunting prevention, first aid, maternal readiness, and the prevention of infant choking. Collaborative approaches involving Focus Group Discussions (FGDs), brainstorming, and partnerships with local health institutions further enhanced intervention success.
Conclusions: Educational interventions are proven to be effective strategies in optimizing the role of Posyandu cadres as agents of behavioral change in community health. The integration of participatory, media-enriched, and contextually appropriate training into community-based health systems is essential. Continuous cadre empowerment and innovation in intervention design are necessary to sustain long-term improvements in public health outcomes.

KEYWORDS :

Posyandu Cadres; Health Education; Audio-Visual Media; Community Health; Health Promotion; Maternal and Child Health; Public Health Communication; Health Behavior Change.

REFERENCES :

1) M. Duncan and C. Auer, “Non-governmental Organizations — at the Interface between Municipalities and Communities,” Urban Health in Developing Countries, pp. 182–200, Apr. 2014, doi: 10.4324/9781315070698-13.
2) H. Andriani, C. Y. Liao, and H. W. Kuo, “Association of Maternal and Child Health Center (Posyandu) Availability with Child Weight Status in Indonesia: A National Study,” International Journal of Environmental Research and Public Health 2016, Vol. 13, Page 293, vol. 13, no. 3, p. 293, Mar. 2016, doi: 10.3390/IJERPH13030293.
3) M. Goi et al., “Cross- Sector Collaboration in Addressing Stunting in Indonesia,” Pharmacognosy Journal, vol. 16, no. 6, pp. 1424–1430, Jan. 2024, doi: 10.5530/pj.2024.16.229.
4) H. D. Windarwati et al., “Lay community mental health workers (cadres) in Indonesian health services: A qualitative exploration of the views of people with mental health problems and their families,” PLoS One, vol. 18, no. 11, p. e0289943, Nov. 2023, doi: 10.1371/JOURNAL.PONE.0289943.
5) A. Faza et al., “Posyandu Application in Indonesia: From Health Informatics Data Quality Bridging Bottom-Up and Top-Down Policy Implementation,” Informatics 2022, Vol. 9, Page 74, vol. 9, no. 4, p. 74, Sep. 2022, doi: 10.3390/INFORMATICS9040074.
6) U. Halajur, “Effectiveness of Audio-Visual Media in Health Education about Fruits and Vegetables Consumption in Early Adolescents at Palangka Raya Elementary School,” Indian Journal of Forensic Medicine & Toxicology, vol. 14, no. 3, p. 2280, Jul. 2020, doi: 10.37506/IJFMT.V14I3.10771.
7) S. Siregar, K. Rochadi, and L. T. Maas, “THE EFFECT OF AUDIO-VISUAL MEDIA ON ADOLESCENTS’ KNOWLEDGE AND ATTITUDE TOWARD SMOKING DANGEROUS AT SECONDARY HIGH SCHOOL 2 HALONGONAN SUBDISTRICT, INDONESIA,” International Journal of Nursing and Health Services (IJNHS), vol. 2, no. 3, pp. 164–171, Sep. 2019, doi: 10.35654/IJNHS.V2I3.147.
8) D. Karawang and T. Indrayani, “The Effect of Health Promotion Using Audio Visual Media on Increasing Knowledge Children About The Risk of Overnutrition at State Primary School Plawad IV District Karawang,” International Journal of Midwifery and Health Sciences, vol. 2, no. 3, pp. 99–104, Nov. 2024, Accessed: Jun. 20, 2025. [Online]. Available: https://ijmhs.id/index.php/OK/article/view/94
9) S. Nuraini and M. Mas’odi, “Bridging Theory and Practice: Implementation of Audio-Visual Media in Physical Education Classes,” Assyfa Journal of Multidisciplinary Education, vol. 1, no. 1, pp. 10–17, Feb. 2023, doi: 10.61650/AJME.V1I1.528.
10) S. Nurhayati, D. K. Anak, A. Keperawatan, and P. Rebo, “Optimalisasi Peran Kader Posyandu Dalam Pelayanan Stunting,” vol. 7, no. 1, p. 2023.
11) R. Cintyanisita, Y. Wardani, S. Lucilla, and S. Cb, “Hubungan Tingkat Kecemasan Dengan Tingkat Kepatuhan Perawat Dalam Penggunaan Alat Pelindung Diri Di Ruang Perawatan Pasien Covid,” I Care Jurnal Keperawatan STIKes Panti Rapih, vol. 3, no. 2, pp. 175–186, Oct. 2022, doi: 10.46668/JURKES.V3I2.182.
12) N. Kadek, Y. Lestari, N. Made, E. Mahayani, N. Luh, and P. T. Dewi, “The Effect of Feet Reflection Massage on Blood Pressure in Hypertension Patients at Community Health Centers II Petang,” Nursing and Health Sciences Journal (NHSJ), vol. 3, no. 1, pp. 56–60, Mar. 2023, doi: 10.53713/NHS.V3I1.151. 
13) O. Peran Kader Posbindu Melalui Psikoedukasi dalam Pengendalian Dm Di Puskesmas Sambongpari Kota Tasikmalaya Dudi Hartono, H. Djamiatul Maulana, P. Cahyati, Y. Bachtiar, and J. Keperawatan Politeknik Kesehatan Kemenkes Tasikmalaya, “Optimalisasi Peran Kader Posbindu Melalui Psikoedukasi dalam Pengendalian Dm Di Puskesmas Sambongpari Kota Tasikmalaya,” Celebes Journal of Community Services, vol. 3, no. 2, pp. 286–292, Nov. 2024, doi: 10.37531/CELEB.V3I2.1819.
14) W. L. Nurpratama, D. Sanjaya, U. P. Kinayungan, N. F. Asmi, and P. S. Gizi, “EDUKASI IBU BALITA DAN KADER POSYANDU TENTANG STUNTING DI PUSKESMAS MEKARMUKTI,” Jurnal Medika Mengabdi, vol. 1, no. 2, pp. 73–78, Jan. 2025, doi: 10.59981/FNAT5G72.
15) N. Shovie Rizqiea, R. Dwilestari, and P. Utami, “Edukasi Dengan Metode Audiovisual Sebagai Upaya Peningkatan Pengetahuan Kader Mengenai Bahaya Tersedak Pada Bayi,” Jurnal Empathy Pengabdian Kepada Masyarakat, vol. 1, no. 2, pp. 96–101, Dec. 2020, doi: 10.37341/JURNALEMPATHY.V1I2.24.
16) K. Kaluku, S. Aprilian Lestaluhu, M. Puspita Sari, J. Gizi Politeknik Kesehatan Kemenkes Maluku, and J. Laksdya Leo Wattimena, “Metode Brainstorming dan Media Audiovisual Dalam Upaya Mengedukasi Kader Untuk Secara Mandiri Mengenali dan Mengelola Stunting di Desa Larike Kabupaten Maluku Tengah,” DINAMISIA: Jurnal Pengabdian Kepada Masyarakat, vol. 5, pp. 1331–1340, 2021, doi: 10.31849/dinamisia.v5i5.3965.
17) N. Nikmah, S. Nurul Qomari, R. Rindi Antina, P. Profesi Bidan, S. Tinggi Ilmu Kesehatan Ngudia Husada Madura, and I. Jl Re Martadinata No, “Pemberdayaan Kader Posyandu dalam Meningkatkan Tumbuh Kembang Balita dengan Media Cetak Buku Saku ‘Teman Bunda,’” Indonesian Journal of Community Dedication in Health (IJCDH), vol. 5, no. 02, pp. 36–40, Apr. 2025, doi: 10.30587/IJCDH.V5I02.9530.
18) D. Kurnianingtyas, Indriati, and L. Muflikhah, “Application of Artificial Intelligence for Maternal and Child Disorders in Indonesia: A Review,” Communications in Computer and Information Science, vol. 1911 CCIS, pp. 289–306, 2024, doi: 10.1007/978-981-99-7240-1_23.
19) R., , D. P. E., and , E. E. U., “THE EFFECTIVENESS OF POSYANDU CADRE EMPOWERMENT IN ENHANCING POSYANDU CADRE’S KNOWLEDGE AS A STUNTING PREVENTION EFFORT,” INTERNATIONAL JOURNAL OF NURSING AND MIDWIFERY SCIENCE (IJNMS), vol. 7, no. 2A, pp. 30–34, Nov. 2023, doi: 10.29082/IJNMS/2023/VOL7/ISS2A/510.
20) M. W. Santi, M. Yunus, E. Rachmawati, and A. Deharja, “The Effect of Training on Improving the Knowledge of Cadres in Using E-Posyandu,” Proceedings of the 2nd International Conference on Social Science, Humanity and Public Health (ICOSHIP 2021), vol. 645, pp. 244–248, Feb. 2022, doi: 10.2991/ASSEHR.K.220207.041.
21) E. A. Puriastuti and Hardiningsih, “IMMUNIZATION FLASHCARD: EFFECTIVE AS AN EDUCATION MEDIA FOR POSYANDU cadres IN SURAKARTA,” Proceedings OPTIMAL, Nov. 2024, Accessed: Jun. 19, 2025. [Online]. Available: https://proceedings.optimalbynfc.com/index.php/ico/article/view/74
22) L. Syafrina Lubis, D. Ginting, F. Lina Tarigan, and P. Studi Magister Kesehatan Masyarakat, “The Influence Of Booklet And Video On Knowledge And Posyandu Cadres’ Attitudes Regarding Stunting In The Area Pb Selayang II Puskesmas Works In 2023,” Jurnal Info Sains : Informatika dan Sains, vol. 13, no. 02, pp. 308–319, Sep. 2023, Accessed: Jun. 19, 2025. [Online]. Available: https://ejournal.seaninstitute.or.id/index.php/InfoSains/article/view/2885
23) N. Indrawati, N. Aryastuti, F. Ekasari, and N. Muhani, “The Effectiveness of IEC Using Booklet and Video Media on Diarrhea Prevention Efforts on the Knowledge of Posyandu Cadres,” Jurnal Penelitian Pendidikan IPA, vol. 9, no. 10, p. 8873, 2023, doi: 10.29303/jppipa.v9i10.4200.
24) M. Damayanti, N. Aini, S. Saputri, V. Jayanti, and I. Susanti, “EFFECTIVENESS OF E-POSYANDU HEALTH (EPOK) APPLICATION ON KNOWLEDGE AND SKILLS OF POSYANDU CADRES IN MONITORING GROWTH AND DEVELOPMENT OF TODDLERS,” International Journal of Social Science, vol. 3, no. 5, pp. 627–634, Feb. 2024, doi: 10.53625/IJSS.V3I5.7417.
25) I. Fazrin, S. Anggraeni, and H. Saputro, “Audiovisual Demonstration Methods on The Knowledge and Behavior of Cadres About Stimulation of Massage Therapy in Improving Nutrition Status in Children,” STRADA : Jurnal Ilmiah Kesehatan, vol. 10, no. 2, pp. 1436–1442, Nov. 2021, doi: 10.30994/SJIK.V10I2.843.
26) Y. Fitriadi et al., “Empowerment of Dasawisma and Health Cadres as Family Cadres to Optimize Family Posyandu,” Review of Primary Care Practice and Education, vol. 7, no. 1, pp. 29–32, Jun. 2024, doi: 10.22146/RPCPE.88130.
27) K. E. Priyanto and D. Saifullah, “THE EFFECT OF EDUCATIONAL VIDEOS ON KNOWLEDGE ABOUT MENOPAUSE OF ELDERLY POSYANDU PARTICIPANTS IN BLABAK VILLAGE, KEDIRI REGENCY,” Journal for Research in Public Health, vol. 6, no. 2, pp. 51–56, Jan. 2025, doi: 10.30994/JRPH.V6I2.107.
28) T. Sudiarti, T. Amelia, and I. J. Hasanah, “The Capacity of Posyandu Cadres Through Complementary Food for Children by Training,” Jurnal Pengabdian kepada Masyarakat (Indonesian Journal of Community Engagement), vol. 8, no. 1, pp. 12–16, Mar. 2022, doi: 10.22146/JPKM.52309.
29) J. Astutik, B. Suprapto, and Z. Abidin, “Training and mentoring of Posyandu cadres based on behavior change in an effort to prevent stunting in Mulyoagung village, Dau sub-district, Malang district,” Journal of Community Service and Empowerment, vol. 6, no. 1, pp. 133–146, Apr. 2025, doi: 10.22219/JCSE.V6I1.39052.
30) L. Soetjiatie, B. Utomo, and D. Titisari, “Assistance In The Use And Utilization Of Posyandu Applications For Monitoring Toddler Growth And Development For Posyandu Cadres In Bulak Village Surabaya City, East Java,” Frontiers in Community Service and Empowerment, vol. 1, no. 4, pp. 124–131, Dec. 2022, doi: 10.35882/FICSE.V1I4.25.
31) P. V. V. S. Murty, M. V. Rao, and M. S. Bamji, “Impact of Enriching the Diet of Women and Children Through Health and Nutrition Education, Introduction of Homestead Gardens and Backyard Poultry in Rural India,” Agricultural Research, vol. 5, no. 2, pp. 210–217, Jun. 2016, doi: 10.1007/S40003-016-0206-X/FIGURES/1.
32) D. D. Jayant, G. A. Purushottam, P. B. Deepak, P. D. Vaishali, K. Piyush, and S. M. M Aarif, “Socio-cultural practices in relation to breastfeeding, weaning and child rearing among Indian mothers and assessment of nutritional status of children under five in rural India,” Australasian Medical Journal AMJ, vol. 3, pp. 618–624, 2010, doi: 10.4066/AMJ.2010.417.
33) D. Fossati, “ELECTIONS, PARTIES, AND POLICY: THE MULTILEVEL POLITICS OF FREE HEALTHCARE IN INDONESIA,” 2016.
34) K. Siste et al., “Relapse Prevention Group Therapy in Indonesia Involving Peers via Videoconferencing for Substance Use Disorder: Development and Feasibility Study.,” JMIR Form Res, vol. 8, no. 1, p. e50452, Jun. 2024, doi: 10.2196/50452.