Strengthening Triad KRR Cadres to Enhance Adolescents’ Self-Efficacy in Reproductive Health Behaviors

Kustin; Yuni Handayani; Firda Dwi Anugrah; Lailatul Rahmawati; Ayik Nikmatul Laili; Angelina da Costa Fernandes

Authors

Kustin Universitas dr. Soebandi
Yuni Handayani Fakultas Ilmu Kesehatan, Universitas dr. Soebandi
Firda Dwi Anugrah Program Studi Ilmu Keperawatan, STIKES Bhakti Al Qodiri
Lailatul Rahmawati Fakuktas Kesehatan Masyarakat Universitas Bakti Indonesia
Ayik Nikmatul Laili Prodi D3 Kebidanan, Fakultas Ilmu Kesehatan, Universitas Bakti Indonesia
Angelina da Costa Fernandes Midwifery Departemen, Fakulty of Health Science, Instituto Superior Cristal

Keywords:

adolescent reproductive health; health cadres; community empowerment; self-efficacy;; health education; Triad KRR

Abstract

This community service program aims to strengthen the capacity of Triad Adolescent Reproductive Health (KRR) cadres in enhancing adolescents’ self-efficacy related to positive reproductive health behaviors. The low level of knowledge and confidence among adolescents in maintaining their reproductive health remains a challenge that requires the presence of competent and well-trained cadres as facilitators. The implementation methods included intensive training for cadres through participatory approaches, interactive lectures, focus group discussions, case simulations, and practical sessions on educational communication with adolescents. Cadres were equipped with Triad KRR materials—sexuality, HIV/AIDS, and drugs—as well as basic counseling techniques, self-efficacy enhancement strategies, and peer education methods. Evaluation was carried out through pre- and post-tests, observation of practice sessions, and participant feedback. The results showed a significant improvement in cadres’ knowledge, communication skills, and ability to deliver reproductive health education. Cadres also demonstrated increased confidence in identifying adolescent problems and effectively conveying Triad KRR messages. In addition, adolescent participation in cadre-facilitated educational activities increased. The program recommends ongoing mentoring for cadres to ensure continuity of education, the provision of standardized Triad KRR modules, and stronger collaboration with schools and community health centers to expand the reach of adolescent reproductive health education.

Downloads

Download data is not yet available.

References

Adilanisa, S., Indrati, D., & Jauhar, M. (2022). Peer Education Improve Knowledge and Attitude About Sexual Behavior in Adolescents : A Literature Review. 431–436.

Amutah, C., Petsis, D., Fields, N. F., Wood, S., Timko, A., & Akers, A. Y. (2021). Effect of Previous Adverse Reproductive Health Outcomes on Young Women’s Engagement in a Health Coaching Intervention to Improve Contraceptive Continuation. Journal of Pediatric and Adolescent Gynecology, 34(5), 732–738. https://doi.org/10.1016/j.jpag.2021.02.003

Barriuso-ortega, S., & Fern, M. (2024). Children and Youth Services Review Sex education in adolescence : A systematic review of programmes and. 166(May 2023).

Farahdiba, I., Indah Noviyanti, N., Kunci, K., & Reproduksi, K. (2024). Edukasi Tiga Ancaman Dasar Kesehatan Reproduksi Remaja (Triad Krr) Sebagai Upaya Peningkatan Kualitas Kesehatan Reproduksi Remaja. Jurnal Pengabdian Masyarakat Mandira Cendekia, 3(2), 101–106.

Handayani, L. & Pratiwi, D. (2022). Implementasi Model TRIAD dalam Promosi Kesehatan Reproduksi Remaja di Masyarakat. Jurnal Kesehatan Masyarakat Andalas, 17(2), 132–141. https://doi.org/https://doi.org/10.25077/jkma.17.2.132-141.2022

Kementerian Kesehatan Republik Indonesia. (2020). Pedoman Pelayanan Kesehatan Peduli Remaja (PKPR). Kemenkes RI.

Kleppang, A. L., Steigen, A. M., & Finbråten, H. S. (2023). Explaining variance in self efficacy among adolescents : the association between mastery experiences , social support , and self efficacy. BMC Public Health, 1–10. https://doi.org/10.1186/s12889-023-16603-w

Kurnaesih, E., Febriani, N., Kurnaesih, E., Herbawani, C. K., & Febriani, N. (2025). Kesmas Barriers to Implementing Comprehensive Sexuality Education as a Strategy to Prevent Adolescent Pregnancy in Indramayu District , Indonesia Barriers to Implementing Comprehensive Sexuality Education as a Strategy to Prevent Adolescent Pregnancy in Indramayu District , Indonesia. 20(3), 185–193. https://doi.org/10.7454/kesmas.v20i3.2270

Kustin. (2021). Efektifitas Pembentukan Kader PKPR terhadap Perilaku Kesehatan pada Santri di Pondok Pesantren Shofa Marwa. Agustus, 9(2), 100–108. https://doi.org/https://doi.org/10.25047/j-kes.

Kustin, K., Dermawan, F. A. A., & Dewi, S. N. C. (2023). Improving The Quality of Z Generation Regarding Knowledge of Reproductive Health for Junior High School Girls. Blambangan Journal of Community Services (BJCS), 1(1), 1–7. https://doi.org/10.61666/bjcs.v1i1.1

Kustin, K., & Handayani, Y. (2024). Konseling Teman tentang Keterampilan Reproduksi Kesehatan Remaja. Jurnal Kesehatan Komunitas (Journal of Community Health), 10(1), 96–103. https://doi.org/10.25311/keskom.vol10.iss1.1647

Kustin, K., & Handayani, Y. (2025). Pendampingan kader kesehatan remaja dengan modul dalam peningkatan perilaku kesehatan reproduksi remaja. INDRA: Jurnal Pengabdian Kepada Masyarakat, 6(1), 20–26. https://doi.org/10.29303/indra.v6i1.552

Kustin, K., Yuhbaba, Z. N., & Isnawati, N. (2023). Pemberdayaan kelompok remaja berbasis budaya santri dalam optimalisasi peningkatan keterampilan kesehatan reproduksi remaja. INDRA: Jurnal Pengabdian Kepada Masyarakat, 4(2), 80–84. https://doi.org/10.29303/indra.v4i2.253

Mafuta, E., Zarei, K., Egbende, L., Kazenza, B., & Bastien, S. (2025). Feasibility , acceptability , and effectiveness of a package of interventions to improve the performance of health workers in the Democratic Republic of Congo to deliver adolescent and youth sexual and reproductive health services. Global Health Action, 18(1). https://doi.org/10.1080/16549716.2025.2540687

Nurmala, I., Salim, L. A., Muthmainnah, M., Devi, Y. P., Wiseman, N., Nadia, A., Nurmala, I., Salim, L. A., Muthmainnah, M., Puspita, Y., Harris, N., Wiseman, N., & Nadia, A. (2024). Students ’ Perception of Their Self-Efficacy by Being a “ Hey Peer Educator ” in Drug Abuse Prevention. 12(2), 180–187. https://doi.org/10.20473/jpk.V12.I2.2024.180-187

Solehati, T., Putri, A. M., Ratnasari, N., Rahayu, F., Megatami, N., Nurilhami, I. T., & Kosasih, C. E. (2023). Promosi kesehatan pencegahan TRIAD Kesehatan Reproduksi Remaja (TRIAD KRR) dalam meningkatkan pengetahuan dan sikap remaja kota Bandung. Holistik Jurnal Kesehatan, 17(4), 269–276. https://doi.org/10.33024/hjk.v17i4.11235

Yuliani, A., Puspitasari, N. A., & Nurmawati, R. (2022). Pembentukan Kader Kesehatan Remaja Dan Pendampingan Pendidikan Kesehatan Reproduksi Remaja Pada Masa Pandemi Covid-19 Di Smp Manggala Kabupaten Bandung. Al-Khidmat, 5(1), 11–17. https://doi.org/10.15575/jak.v5i1.14663

Yusefni, E., Syurya, H. R., & Sari, R. P. (2022). Edukasi Pencegahan Masalah TRIAD KRR pada Remaja Di Kecamatan Naggalo Kota Padang. Prosiding …, 2022: PROSIDING SEMNAS HILIRISASI HASIL PENELITIAN DAN PENGABDIAN MASYARAKAT, 202–208.