Strategy to Improve Understanding of Prospective Brides Through Empowering Health Cadres (Smart Katin)

Fidyawati Aprianti A.  Hiola; Dwi Nur Octaviani  Katili

doi:10.37899/journallamedihealtico.v7i1.2873

Fidyawati Aprianti A. Hiola Muhammadiyah University of Gorontalo, Indonesia
Dwi Nur Octaviani Katili Muhammadiyah University of Gorontalo, Indonesia

DOI: https://doi.org/10.37899/journallamedihealtico.v7i1.2873

Keywords: Strategy, Improving Understanding, Prospective Brides and Grooms, Empowerment Health Cadres

Abstract

Planning Agency (BKKBN), approximately 1.7 million couples marry each year, and more than 40% of them lack a basic understanding of premarital health, such as nutrition, reproductive health, mental health, and family planning. Conventional one-way education methods are often ineffective, necessitating a community-based approach. The Health Cadre Intervention is offered as an alternative strategy that leverages the cadre's social proximity to the prospective bride and groom to increase understanding. This study used a pre-experimental design with a pretest- posttest model without a control group. The sample consisted of 30 respondents, the majority of whom were aged 20–35 (93.3%), female (86.7%), and had secondary education (63.3%). A knowledge questionnaire was administered before and after the intervention. The data were analyzed using the Wilcoxon test to assess differences in understanding scores. The results showed an increase in the average score from 90.17 (SD = 7.87) in the pretest to 96.70 (SD = 5.24) in the posttest . The Wilcoxon test yielded a Z-value of -4.29 with p < 0.001, indicating a significant difference. Eighty percent of respondents experienced an increase in their scores, 20% remained in the good category, and none experienced a decrease. The KATIN CERDAS intervention has proven effective in improving prospective brides and grooms' understanding of reproductive health. This cadre-based strategy can be integrated into premarital counseling programs in primary care to support the formation of healthy families and prevent reproductive health problems early on.

References

Agustina, D., Lestari, Y. D., & Winarni, S. (2023). The effectiveness of reproductive health education models among Indonesian migrant workers. Malaysian Journal of Public Health Medicine, 23(3), 207–213. https://doi.org/10.37268/mjphm/vol23/no3/art2133

Aisyah, R. D., Suparni, S., & Subowo, E. (2025). Empowering SMART cadres on stunting prevention and detection in prospective brides, pregnant women, and toddlers. Journal of Community Development, 4, 434–445. https://comdev.pubmedia.id/index.php/comdev/article/view/289/204

Berthold, T., & Somsanith, D. (Eds.). (2024). Foundations for community health workers (3rd ed.). Wiley. https://doi.org/10.1002/9781394199785

Coulter, K., Ingram, M., McClelland, D. J., & Lohr, A. (2020). Positionality of community health workers on health intervention research teams. Frontiers in Public Health, 8, Article 208. https://doi.org/10.3389/fpubh.2020.00208

Crawford, K., Febres Cordero, S., Brasher, S., Kaligotla, L., Phan, Q., Steiger, L., Chicas, R., Spaulding, A., & Swan, B. A. (2025). Evaluating the impact of a community health worker training program. Journal of Health, Population and Nutrition, 44, Article 256. https://doi.org/10.1186/s41043-025-01011-0

Dilli, P. P., Obeagu, E., Tamale, A., Ajugwo, A., Pius, T., & Makeri, D. (2024). Update on the practice of premarital screening for sickle cell traits in Africa. BMC Public Health, 24(1), 1–8.

Elkhidir, E., Mannakkara, S., Henning, T. F., & Wilkinson, S. (2022). Knowledge types and knowledge transfer mechanisms for effective resilience knowledge-sharing between cities–A case study of New Zealand. International Journal of Disaster Risk Reduction, 70, 102790. https://ui.adsabs.harvard.edu/link_gateway/2022IJDRR..7002790E/doi:10.1016/j.ijdrr.2022.102790

Fatimah, O. Z. S., & Hidayah, S. N. (2023). The Psychosocial Challenges Faced by Women With High-Risk Pregnancies. Jurnal Kesehatan, 309-316. https://doi.org/10.23917/jk.v16i3.3025

Friska, D., Kekalih, A., Runtu, F., Rahmawati, A., Ibrahim, N. A. A., & Anugrapaksi, E. (2022). Health cadres empowerment program through smartphone application based educational videos to promote child growth and development. Frontiers in Public Health, 10.

Khan, A., Nisar, M. A., & Shah, S. (2022). Gender differences in community based health education and women responsiveness in family health promotion. Frontiers in Public Health, 10, Article 947823. https://doi.org/10.3389/fpubh.2022.947823

Liu, T., Pang, P. C. I., & Lam, C. K. (2024). Public health education using social learning theory. BMC Public Health, 24, Article 1906. https://doi.org/10.1186/s12889-024-19333-9

Lo-oh, J. (2023). Conceptions of marriage readiness and marital quality indicators for future wellbeing among emerging adult students in the university of buea, Cameroon. American Journal of Social Sciences and Humanities, 8(1), 16-34. https://doi.org/10.55284/ajssh.v8i1.822

Mikulec, B., & Marko, D. (2024). Workplace flexibility and participation in adult learning. Sustainability, 16(14), 5950. https://doi.org/10.3390/su16145950

O’Mara-Eves, A., Brunton, G., Oliver, S., Kavanagh, J., Jamal, F., & Thomas, J. (2015). The effectiveness of community engagement in public health interventions for disadvantaged groups. BMC Public Health, 15, Article 129. https://doi.org/10.1186/s12889-015-1352-y

Purnamasari, R., Dewi, N. L., & Wulandari, A. (2021). The role of women in community-based health education. International Journal of Public Health Science, 10(2), 450–458. https://doi.org/10.11591/ijphs.v10i2.20711

Puspitasari, D., Utami, L. S., & Rahayu, N. (2023). Workplace-based health education strategies for contract and private employees. Journal of Public Health Research, 12(2), 215–224. https://doi.org/10.4081/jphr.2023.3871

Putri, R. D., Santoso, A., & Prabowo, H. (2023). The role of productive age in adoption of community health interventions in Southeast Asia. BMC Public Health, 23, 1312. https://doi.org/10.1186/s12889-023-15123-9

Rahmah, N., & Kurniawati, W. (2021). Relationship between marriage readiness and pregnancy planning among prospective brides. Journal of Public Health Research, 10, 88–93.

Rahman, M. M., Ali, S. M., & Chowdhury, M. R. (2021). Occupational influence on health education uptake among working adults. BMC Public Health, 21, 1357. https://doi.org/10.1186/s12889-021-11357-9

Rahmanda, J. M. F., Maryanah, M., & Mulyati, S. (2023). The effectiveness of premarital health counseling on attitudes of prospective brides in preparing for a healthy pregnancy. International Journal of Science and Society, 5(4), 551–559.

Rahmayanti, R., Yogaswara, G., Fitriani, W., & Hidayani, W. R. (2022). Factors related to cadre performance in community-based health service implementation. Journal of Public Health Sciences, 11(2), 82–88.

Rivaldo, Y., & Nabella, S. D. (2023). Employee performance in relation to education training experience and work discipline. International Journal of Social Science Research and Reviews, 6(3), 434–445. https://doi.org/10.47814/ijssrr.v6i3.1117

Sani, A. I., Yusuf, R., & Abdullah, H. (2022). The role of unemployment in community health program participation in rural Indonesia. International Journal of Health Promotion and Education, 60(4), 210–219. https://doi.org/10.1080/14635240.2022.2033171

Setiawan, I., & Nugroho, D. (2022). Health education effectiveness among students. Heliyon, 8(11), e11621. https://doi.org/10.1016/j.heliyon.2022.e11621

Sultan, H., Kumar, S., Yadav, A., Singh, R., Thakur, S., & Goli, S. (2025). Competency-based education and training for community health workers. BMC Health Services Research, 25(1), 12217. https://doi.org/10.1186/s12913-025-12217-7

Tarsikah, T., Amelia, D., & Aristina, N. E. (2022). Partner village development program for KIA and BKR cadres in integrated premarital screening. JMM Jurnal Masyarakat Mandiri, 6(3), 2426–2434.

van Iseghem, T., Jacobs, I., Vanden Bossche, D., Delobelle, P., Willems, S., & Masquillier, C. (2023). The role of community health workers in primary healthcare in the WHO European region. Frontiers in Public Health, 11, 1–15.

Viswanathan, M., Kraschnewski, J. L., Nishikawa, B., Morgan, L. C., Honeycutt, A. A., Thieda, P., Lohr, K. N., & Jonas, D. E. (2010). Outcomes and costs of community health worker interventions. Medical Care, 48(9), 792–808. https://doi.org/10.1097/MLR.0b013e3181e35b51

Welshman, H., Dombrowski, S., Grant, A., Swanson, V., Goudreau, A., & Currie, S. (2023). Preconception knowledge, beliefs and behaviours among people of reproductive age: A systematic review of qualitative studies. Preventive medicine, 175, 107707. https://doi.org/10.1016/j.ypmed.2023.107707

Wheeler, D. I., Ormel, I., Assefa, M., & Rab, F. (2024). Engaging community health workers in Africa: Lessons from Canadian Red Cross supported programs. PLOS Global Public Health, 4, Article e0002799. https://doi.org/10.1371/journal.pgph.0002799

White‐Gosselin, C. É., Poulin, F., & Denault, A. S. (2023). Trajectories of team and individual sports participation in childhood and links with internalizing problems. Social Development, 32(1), 348-364. https://doi.org/10.1111/sode.12640?urlappend=%3Futm_source%3Dresearchgate.net%26utm_medium%3Darticle

Yorita, E., Nugraheni, D. E., Yanniarti, S., Burhan, R., Savitri, W., & Dewi, R. (2023). Empowering cadres to improve adolescent family knowledge and attitudes toward marriage age maturity. Journal of Community Empowerment, 5, 1–10.

Yusriani, Y., Alwi, M. K., Herli, A., & Syahrani, V. (2024). Structural equation modeling of health cadre skills based on knowledge and attitudes in health promotion. Journal of Health Systems Research, 1, 1–6.

Zhou, Y., Li, X., & Wang, Z. (2023). Education level as a predictor of health literacy and intervention outcomes. International Journal of Environmental Research and Public Health, 20(7), 5341. https://doi.org/10.3390/ijerph20075341

Zulaizeh, F. M., Pipitcahyani, T. I., Aini, E. N., & Sholikah, S. M. (2023). The effect of health education on increasing premarital health knowledge among prospective brides and grooms. Journal of Midwifery Science and Women’s Health, 4, 13–22.