Asri Masitha Arsyati
Department of Public Health, Faculty of Health Science, Universitas Ibn Khaldun, Bogor, West Java, Indonesia, 16162

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Effectiveness of Health Cadres Counseling in Preventing Child Sexual Abuse Among Mothers: A Quasi-Experimental Study in Bogor Asri Masitha Arsyati; Hadi Pratomo; Raden Irawati Ismail; Sabarinah
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

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Abstract

Background: Child sexual abuse (CSA) in the world are seriously problems which affect the cause of death of children addition to disease. Research on appropriate approaches to Sexual Abuse Prevention in Toddlers Remains Limited in Indonesia, especially of the ones conducted on the outskirts of the capital city Jakarta. KemenPPPA (2023) reporting more than 15,000 cases (40 cases per day). Objective: To determine the effectiveness of counseling intervention by health cadres in preventing child sexual abuse among mother. Methods: A year-long study aims at pioneering a development of the health communication pre-post intervention models in preventing the occurrence of CSA in Bogor. The models comprise of individual and group counseling, given by the Integrated Health Services Cadres (Kader Posyandu), to educate the mothers about child sexual abuse prevention. Additionally, the study used randomized sample of 240 mothers-with-toddlers who were equally distributed to the individual-counseling groups, the focused-group-counseling groups, or controlled groups, and 15 health service staff from three districts in Bogor namely East Bogor, Central Bogor, and West Bogor. Results: Moreover, the participants’ increased knowledge was assessed through structured questionnaires. After four-time assessments within month 7 to 10, the mothers receiving either individual counseling or focused-group counseling showed a higher increased knowledge than those in the control groups (p=<0,0001 score). Conclusion: The individual technique proves to be more effective than the group approach, as evidenced by the differences in the scores related to knowledge, attitude, and practice (-0.43;2;1). Local governments a strongly suggested to formulate regulations that facilitate the use of individual counseling in mother and child health services. Â