The Relationship between the Role of Cadres and the Implementation of Clean and Healthy Living Behavior (PHBS) with the Incidence of Diarrhea at the Posyandu in BumiAyu Village South Dumai District

Authors

  • Yuliasari
  • Jufenti Ade Fitri Fitri
  • Fauzana Mustaffa

Keywords:

Diarrhea, Implementation of PHBS, Role of Cadres

Abstract

Diarrhea remains a significant global public health problem and is one of the leading causes of morbidity and mortality among children aged 1–4 years. In young children, diarrhea can result in complications ranging from mild dehydration to severe dehydration, shock, and death. Factors associated with the occurrence of diarrhea include the role of community health cadres and the implementation of Clean and Healthy Living Behavior (PHBS). This study aimed to examine the relationship between the role of health cadres, the implementation of PHBS, and the incidence of diarrhea among toddlers attending the Integrated Health Post (Posyandu) in BumiAyu Village South Dumai District. A quantitative cross-sectional study was conducted among mothers of children aged 0–59 months registered at Posyandu in 2025. From a population of 1,081 mothers, respondents were selected using simple random sampling. Data were collected using a structured questionnaire and analyzed using the chi-square test. The findings revealed that 65.2% of respondents perceived the role of health cadres as inadequate, 55.4% reported poor implementation of PHBS, and 59.8% reported diarrhea among their toddlers. Statistical analysis demonstrated a significant relationship between the role of health cadres, the implementation of PHBS, and the incidence of diarrhea among toddlers (p < 0.001). These findings suggest that strengthening the role of community health cadres and promoting clean and healthy living practices may contribute to reducing the incidence of diarrhea among young children in the community.

References

Ariyanto, E. (2018). Support of health workers and posyandu cadres in diarrhea management efforts in toddlers (1–5 years) in Banjarmasin City. An-Nadaa, 4(2), 59–63. https://doi.org/10.31602/ann.v4i2.1167

Astuti, D. (2022). Description of mothers' knowledge and attitudes in preventing diarrhea in toddlers at Sumowono Community Health Center, Candigaron Village, Semarang Regency. Universitas Islam Sultan Agung Semarang.

Buulolo, R., Rayanti, A., Maisa, R., & Lina. (2022). Midwifery care for a 2-year-old child "m" with diarrhea at the Orahili Community Health Center, Ulunoyo District, South Nias Regency, 2020. Jurnal Ilmu Kedokteran Dan Kesehatan Indonesia, 2(2), 172-179. https://doi.org/10.55606/jikki.v2i2.1257

Hanafiani, A., & Irianti, B. (2021). Midwifery care for infants with diarrhea with diarrhea massage therapy. Current Midwifery Journal, 1(2), 87-93. https://doi.org/10.25311/jkt/vol1.iss2.556

Juliati, Badiran, M., & Aini, N. (2019). The role of cadres in implementing posyandu activities in Titipanjang Hamlet, Bunut Health Center Working Area, South Labuhanbatu Regency in 2019. Jurnal Mutiara Kesehatan Masyarakat, 4(2), 72-80. http://e-journal.sari-mutiara.ac.id/index.php/JMKM/article/view/880

Jumhafni., Azis, R., & Yusuf, A. (2024). The relationship between clean and healthy living behavior (PHBS) and the incidence of diarrhea in toddlers in the Timampu Community Health Center Work Area, East Luwu Regency. Jurnal Promotif Preventif, 7(4), 814-821. https://journal.unpacti.ac.id/index.php/JPP/article/view/1443

Larasati, R.D., Nur, R., Marsalina., & Syam, S. (2025). Forecasting analysis of diarrhea cases in flood-prone areas in Donggala Regency. Jambura Journal of Health Science and Research, 7(2), 287-294. https://doi.org/10.35971/jjhsr.v7i2.27735

Maga, E. A. M., Yusuf, A., & Hasmah. (2024). The relationship between clean and healthy living behavior (PHBS) and the incidence of diarrhea in toddlers. INHEALTH: Indonesian Health Journal, 3(1), 51-65. https://doi.org/10.56314/inhealth.v3i1.204

Mantiri, F. H., & Michelles. (2022). Diarrheal disease. Faculty of Public Health, Ratulangi University.

Nawalia, C., Ningsih, F., & Tambunan, L. N. (2022). The relationship between clean and healthy living behavior (PHBS) and the incidence of diarrhea in toddlers. Jurnal Surya Medika (JSM), 8(2), 78-85. https://doi.org/10.33084/jsm.v8i2.3858

Novianti, H., Munjidah, A., Masita, E. D., & Dewi, U. M. (2024). Increasing the role of cadres in reducing the incidence of diarrhea in infants and toddlers. Jurnal Pengabdian Kesehatan, 7(2), 437–440. https://doi.org/10.31596/jpk.v7i2.365

Nurhaedah, N., Pannyiwi, R., & Suprapto, S. (2022). Community participation in diarrhea incidence rates. Jurnal Ilmiah Kesehatan Sandi Husada, 11(2), 403‒409.

Oishi, I. R. V. (2024). Diarrhea in children. Ikraith Humaniora, 8(2), 471–476. https://journals.upi-yai.ac.id/index.php/ikraith-humaniora/article/view/3975

Rahayu, A., Ruwiah., & Akifah. (2024). The relationship between clean and healthy living behavior (PHBS) and the incidence of diarrhea in elementary school children. Jurnal Wins (Jurnal Wawasan Promosi Kesehatan), 5(1), 26-31. https://garuda.kemdiktisaintek.go.id/documents/detail/4471930

Sugiarti, S., Dewi, I., & Ernawati. (2021). Qualifications and roles of posyandu cadres in monitoring toddler growth and development. JIMPK: Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan,1(4),408-415.https://jurnal.stikesnh.ac.id/index.php/jimpk/article/view/621

Syahputra, F.J., Ichwansyah, F., & Hasnur, H. (2023). Factors associated with the incidence of diarrhea in the working area of the Lampaseh City Health Center UPTD, Kuta Raja District, Banda Aceh City in 2022. Journal of Health and Medical Science, 2(3), 27-40. https://www.mendeley.com/catalogue/34e8ca29-e948-3a4b-8cf7-3701d3a46193/

Utami, P., Suprida., Amalia, R., & Yunola, S. (2023). Factors associated with the incidence of diarrhea in toddlers. Jurnal 'Aisyiyah Medika, 8(1), 251-263. https://jurnal.unisa-palembang.ac.id/index.php/JAM/article/view/1001

Downloads

Published

2026-06-30

How to Cite

Yuliasari, Fitri, J. A. F., & Mustaffa, F. (2026). The Relationship between the Role of Cadres and the Implementation of Clean and Healthy Living Behavior (PHBS) with the Incidence of Diarrhea at the Posyandu in BumiAyu Village South Dumai District. ASEAN Journal of Life Sciences, 4(1), 1–10. Retrieved from https://ajls.journals.unisel.edu.my/index.php/ajls/article/view/51

Issue

Section

Articles