Journal of Community Empowerment for Health
Vol 9, No 2 (2026)

Culturally adapted training and digital support to strengthen posyandu cadres in chronic disease management

Suharno Usman (Department of Nursing Science, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia)
Maria Heny Pratiknjo (Department of Social Anthropology, Faculty of Social and Political Studies, Universitas Sam Ratulangi, Manado, Indonesia)
Muhamad Nurmansyah (Department of Nursing Science, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia)



Article Info

Publish Date
26 Aug 2026

Abstract

Introduction: The management of non-communicable diseases (NCDs) within communities is impeded by three key factors: low health literacy, a paucity of trained professionals, and cultural influences. Therefore, the present study evaluated the ETiHC-BLoC programme, a Minahasa culture-based training initiative designed to enhance the knowledge and skills of Posyandu cadres in NCD management.Methods: This study employed a community-based interventional design with a one-group pre–post evaluation, conducted from August to November 2025 in Bunaken District, the programme involved 40 cadres and comprised training, simulations, and implementation activities.Results: The results demonstrated significant enhancements in cultural health understanding (from 69.5% to 84.2%) and culture-based skills (from 70.1% to 85.6%). Furthermore, 80% of cadres actively used the Sehati application, with 75% satisfied with their training.Conclusion: The programme also yielded educational materials and a digital system for monitoring. The findings suggest that integrating culture-based training with digital resources can enhance community-level NCD management and recommend ongoing collaboration and capacity building for sustainability.

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Journal Info

Abbrev

jcoemph

Publisher

Subject

Education Health Professions Medicine & Pharmacology Nursing Public Health

Description

Journal of Community Empowerment for Health (ISSN 2655-0164 (online); ISSN 2654-8283 (print)) is a national, open access, multidisciplinary, and peer-reviewed journal. We aim to publish research articles and reviews on educative, promotive, preventive and community empowerment activities in the ...