CBIA Education for Leprosy Knowledge, Attitudes, and Practices Among Health Cadres: A Quasi Experimental Study
DOI:
https://doi.org/10.22487/5wdk7941Keywords:
Active learning, Community health cadres, Health education, Leprosy, PracticeAbstract
Background: Community health cadres play an important role in leprosy control through health education and patient support in endemic areas. Objectives: This study evaluated changes in cadres' knowledge, attitudes, and practices following Cara Belajar Insan Aktif (CBIA) education. Methods: A nonrandomized quasi experimental time series study involved 70 cadres in Tombariri District, equally allocated to intervention and control groups. The intervention included standardized booklets, teaching aids, facilitated discussions, and plenary clarification. Outcomes were assessed at baseline, immediately after education, one month, and three months. Results: At three months, favorable knowledge increased from 46.0% to 71.0%, attitudes from 37.0% to 63.0%, and practices from 31.0% to 51.0% in the intervention group. Significant between group differences were observed for knowledge at three months (p < 0.001), attitudes at one month (p = 0.004), and practices at one month (p = 0.003). Baseline attitudes also differed significantly (p < 0.001). Conclusions: CBIA education was associated with improved cadre outcomes. However, baseline imbalance and declining attitude and practice gains suggest that sustained reinforcement and cautious interpretation are necessary.
Downloads
References
1. World Health Organization. Towards zero leprosy: global leprosy strategy 2021 to 2030. World Health Organization; 2021.
2. Onim F, Uly N, Al-Maidin ARM, Zamli Z. Evaluation of the leprosy program implementation at Teminabuan Health Center, South Sorong District, using the CIPP evaluation model. Healthy Tadulako Journal. 2025;11(1):97-107. doi:10.22487/htj.v11i1.1527
3. Dadun D, Peters RMH, van Brakel WH, Bunders JGF, Irwanto I, Regeer BJ. Assessing the impact of the twin track socioeconomic intervention on reducing leprosy related stigma in Cirebon District, Indonesia. Int J Environ Res Public Health. 2019;16(3):349. doi:10.3390/ijerph16030349
4. Singh R, Singh B, Mahato S. Community knowledge, attitude, and perceived stigma of leprosy among community members living in Dhanusha and Parsa districts of Southern Central Nepal. PLoS Negl Trop Dis. 2019;13(1):e0007075. doi:10.1371/journal.pntd.0007075
5. Torizellia C, Wahyunita S, Nasrullah M. Pengaruh edukasi leaflet terhadap perilaku menggunakan masker dan cuci tangan. Healthy Tadulako Journal. 2022;8(1):17-23. doi:10.22487/htj.v8i1.488
6. Adelia D, Indarwati F, Rahmah R, Suminar IT. The effect of educational interventions through animated video and booklet on parents’ knowledge regarding cognitive stimulation in preschool aged children. Healthy Tadulako Journal. 2026;12(3):444-454. doi:10.22487/atvb7n86
7. Hartayu TS, Mi MI, Suryawati S. Improving type 2 diabetic patients’ knowledge, attitude and practice towards diabetes self care by implementing community based interactive approach diabetes mellitus strategy. BMC Res Notes. 2012;5:315. doi:10.1186/1756-0500-5-315
8. Kumala AP, Suryawati S. CBIA diarrhea for improving knowledge, attitude and behavior of mothers in infant diarrhea treatment. J Manag Pharm Pract. 2016.
9. Abdillah UR. Pendidikan kesehatan sebagai upaya peningkatan pengetahuan, sikap, dan praktik deteksi dini kusta. J Health Educ. 2016;1(2).
10. Lestari ES, Hartayu TS, Priyatni N. Pengaruh promosi kesehatan pada swamedikasi menggunakan vitamin di era pandemi COVID 19 dengan metode Cara Belajar Insan Aktif. J Farmasi Kesehat Indones. 2022;2(2):47-58.
11. Prasetyo M, Azlimin A, Hadju L, et al. Peningkatan pengetahuan masyarakat tentang rasionalitas penggunaan antibiotik menggunakan metode CBIA di Desa Puusangi Kecamatan Anggalomoare Kabupaten Konawe. J Mandala Pengabdian Masyarakat. 2024;5(2):381-386.
12. Mahera DB, Cahyaningrum ED, Khasanah S. Peningkatan pengetahuan kader Posyandu tentang imunisasi Pneumococcal Conjugate Vaccine sebagai upaya pencegahan pneumonia di Desa Sumbang. Healthy Tadulako Journal. 2024;10(1):139-147. doi:10.22487/htj.v10i1.1022
13. Sudirman AN, Monoarfa SC. Efektifitas metode edukasi terstruktur terhadap perubahan perilaku penderita hipertensi di Desa Bulotalangi. Healthy Tadulako Journal. 2024;10(4):682-690. doi:10.22487/htj.v10i4.1449
14. Nurherliyany M, Sukmawati I, Nurmalasari I. Efektivitas metode peer group education dengan metode demonstrasi terhadap keterampilan SADARI pada siswi SMKN 1 Ciamis. Healthy Tadulako Journal. 2023;9(2):157-166. doi:10.22487/htj.v9i2.729
15. Green LW, Kreuter MW. Health Program Planning: An Educational and Ecological Approach. 4th ed. McGraw Hill; 2005.
16. Sartika LD, Pradana DLC, Muti AF, Rahmi EP. Pengaruh edukasi swamedikasi diare akut dengan metode CBIA terhadap tingkat pengetahuan dan sikap masyarakat di Kecamatan Cinere. J Serina Sains Teknik Kedokteran. 2024;2(1):111-118.
17. Untari EK, Robiyanto R, Apridamayanti P, et al. Increasing knowledge and promoting better attitude towards appropriate self medication in Sungai Ambawang community through CBIA. J Pengabdian Kepada Masyarakat. 2019;7:123-130.
18. Safira D, Musana RH, Putri SS, Lestari AP, Rusdiana N. Peningkatan pengetahuan swamedikasi obat melalui metode CBIA pada siswa kelas XI SMAN 31 Kabupaten Tangerang. J Pengabdian Kolaborasi Inovasi IPTEKS. 2025;3(3):654-659.
19. Nining N, Yeni Y. Edukasi dan sosialisasi Gerakan Masyarakat Cerdas Menggunakan Obat. Indones J Community Engagement. 2019;5(1):36.
20. Kasmawati H, Fristiohady A, Nuralifah N, Zubaydah WOS, Arfan A. Sosialisasi edukatif program DAGUSIBU dan risiko penyalahgunaan obat pada remaja di Kelurahan Ranomeeto. J Pengabdian Masyarakat Panacea. 2024;2(3):195-202.
21. Pelters P. I am what I am? An integrative review of understandings of health identity and illness identity in scientific literature. Sociol Health Illn. 2024;46(6):1169-1191. doi:10.1111/1467-9566.13771
22. Grabowski D. Health identity: theoretical and empirical development of a health education concept. J Sociol Res. 2015;6(2).
23. Maay AGA, Etnis BR. Peningkatan pengetahuan dan sikap tentang swamedikasi melalui media buku saku swamedikasi berbasis problem based learning pada komunitas GKI Emaus Makorem 181 PVT Sorong. Health Information J Penelitian. 2023;15(1):135-145.
24. Pratiwi LAD, Virginia DM, Priyatni N. Evaluasi tingkat pengetahuan, sikap dan tindakan terkait penggunaan antibiotika di Kecamatan Kubu Karangasem Bali. J Surya Medika. 2024;10(3):114-127.
25. Resawan MANA, Nurcahyo FA. The resilience of individual survivor of natural disaster: literature review. Tabularasa J Ilm Magister Psikol. 2025;7(2):106-116. doi:10.31289/tabularasa.v7i2.6157
26. Widiastuti SCA. Pengaruh metode CBIA pada peningkatan pengetahuan masyarakat dalam swamedikasi obat. J Farmasi Kesehat Indones. 2021;1(1).
27. Helni H. Pengaruh metode CBIA terhadap peningkatan pengetahuan dan keterampilan pada swamedikasi di Kota Jambi. J Penelitian Universitas Jambi Seri Humaniora. 2014;16(1).
28. Lathifah MA, Susanti S, Ilham M, Wibowo A. Perbandingan metode CBIA dan FGD dalam peningkatan pengetahuan dan ketepatan caregiver dalam upaya swamedikasi demam pada anak. Pharm Sci Res. 2015;2(2).
29. Yanti N. Pengaruh edukasi metode modifikasi CBIA terhadap pengetahuan penyandang diabetes melitus tentang perawatan kaki di Puskesmas Andalas Padang. Menara Ilmu. 2019;13(9).
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Fadlan Adelin Rosa, Titien Siwi Hartayu
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
