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All Journal Gema Lingkungan Kesehatan
Nintinjri Husnida
Department of Midwifery, Poltekkes Kemenkes Banten, Serang, Indonesia
Environmental Science Health Professions Immunology & microbiology Public Health

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Promotional Media Needs in Capacity Building of Health Cadres in Rural Areas: A Qualitative Study in Lebak District Nintinjri Husnida; Kadar Kuswandi; Tutik Iswanti; Melly Halimatussa’adiah
Gema Lingkungan Kesehatan Vol. 23 No. 2 (2025): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i2.303

Abstract

Health cadres play an important role in community health promotion, especially in rural areas. However, the process of empowering and training cadres has not always been effective in achieving the expected goals. This study aims to explore the knowledge, barriers, and needs of cadres related to child growth and development, so that health workers can design appropriate learning media and methods. This study used a qualitative phenomenological approach and was conducted in the Mandala Rangkasbitung Health Centre Working Area, Lebak Regency, Banten Province, in June-October 2024. The results showed that the cadres' knowledge about children's growth and development was quite good. However, they experienced difficulties in explaining the material to the community due to limited media. Cadres expressed the need for simple, pictorial health promotion media with written explanations to support their work. Therefore, traditional media such as leaflets or posters with a flip-sheet format are urgently needed to improve the effectiveness of health promotion by cadres.
Effectiveness of Flipchart Media in Improving Mothers’ Knowledge of Child Growth and Development in Lebak District, Indonesia Kadar Kuswandi; Nintinjri Husnida; Melly Halimatussa'adiah
Gema Lingkungan Kesehatan Vol. 24 No. 2 (2026): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i2.424

Abstract

This study aims to analyse the effectiveness of flipcharts compared to the KIA Book in improving mothers’ knowledge of child growth and development at Posyandu clinics. The study employed a mixed methods convergent design using a quasi-experimental pre-test–post-test two-group design and in-depth interviews with health workers. Quantitative data were collected using a 20-item questionnaire on child growth and development knowledge from 18 mothers of toddlers, divided into a flipchart group and a KIA Book group, whilst qualitative data were obtained through semi-structured interviews. Data analysis utilised the Shapiro–Wilk test, the Wilcoxon Signed Rank Test, the Independent Samples t-test, gain score analysis, and ANCOVA, whilst effect sizes were reported using Cohen’s d and the standardised mean difference (SMD). The results of the study showed that the flipchart group experienced a greater increase in knowledge compared to the MCH Book group, with a large effect size (Cohen’s d = 1.06). Interview results indicated that health workers considered the flipchart to be more practical, communicative, user-friendly, and visually appealing compared to the KIA Book. The integration of quantitative and qualitative results suggests that the flipchart medium is more effective in supporting child growth and development education based on Posyandu in rural communities and has the potential to strengthen the implementation of Posyandu Reform through a more contextually appropriate health communication approach.
Co-Authors Kadar Kuswandi Melly Halimatussa'adiah Melly Halimatussa’adiah Tutik Iswanti