Malahayati International Journal of Nursing and Health Science
Vol. 9 No. 7 (2026): Volume 9 Number 7

The effectiveness of leaflet media education on mother’s knowledge of complete basic vaccination for toddlers at community health center

Sri Elvi Yesya (STIKes Mitra Husada Medan)
Juliana Munthe (STIKes Mitra Husada Medan)
Ade Rachmat Yudiyanto (STIKes Mitra Husada Medan)
Ruth Febiyola Hutahaean (STIKes Mitra Husada Medan)
Aisah Mora Nasution (STIKes Mitra Husada Medan)



Article Info

Publish Date
01 Oct 2026

Abstract

Background: Complete basic vaccination remains suboptimal in Indonesia. Coverage in North Sumatra was only 32.7%, far below the national average. In the working area of Community Health Center Medan Area Selatan, several antigens—including polio 3 and booster doses—had not reached full coverage among 430 targeted infants in 2025. Low maternal knowledge and misconceptions about side effects contribute to incomplete vaccination. Purpose: To analyze the effect of leaflet-based health education on mothers’ knowledge regarding complete basic vaccination for toddlers in Medan Area Selatan, North Sumatra, in 2026. Method: A pre-experimental one-group pretest–posttest design was applied to 40 mothers of children aged 0–12 months, recruited through total sampling. Knowledge was measured using a 20-item questionnaire before and after leaflet-based education. Data were analyzed with the Wilcoxon Signed Rank Test. Results: Respondents were mostly aged 25–30 years (40%), with higher education (55%). The mean knowledge score increased from 10.63 (SD=1.580) to 16.64 (SD=1.564). All participants showed improvement, with Wilcoxon results indicating significance (Z=-5.970, p<0.05). Conclusion: Leaflet-based health education significantly improved maternal knowledge of complete vaccination. Leaflets are recommended as effective, affordable, and reusable tools in primary health care.

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Journal Info

Abbrev

minh

Publisher

Subject

Health Professions Nursing Public Health

Description

Malahayati International Journal of Nursing and Health Science is a peer-reviewed journal and provides a platform to publish areas of nursing and health science. The journal also seeks to advance the quality of research by publishing papers introducing or elaborating on new methods in nursing and ...