Youth Posyandu as a Space for Mental Health Promotion: A Participant-Centered Study in Urban Communities
Authors
Abstract
Indonesian adolescents carry a substantial mental health burden, yet only a small fraction of those with a diagnosable disorder use any support service. Youth Posyandu (Posyandu Remaja), a cadre-run community health post, has been proposed as a low-threshold platform for closing this gap, but evidence on how young participants themselves experience it remains scattered. This study synthesizes participant-centered evidence on Youth Posyandu as a space for mental health promotion in urban and peri-urban communities. Using a qualitative evidence synthesis guided by reflexive thematic analysis and the socioecological model, we analyzed 19 studies published between 2024 and 2026: ten Indonesian Posyandu studies, six international youth-led programs, and three reviews. Four themes emerged: (1) literacy gains through cadre training and interactive education; (2) cultural normalization that reframes mental health as an ordinary community routine; (3) peer-mediated reinforcement that sustains participation; and (4) a persistent literacy-to-help-seeking gap shaped by cadre overload, passive participation, time poverty, gender norms, and the absence of funded referral pathways. The findings indicate that Youth Posyandu works best as a socially embedded entry point rather than a stand-alone intervention. Its effectiveness depends on continuous cadre mentoring, youth co-leadership, and structured referral links with community health centers (Puskesmas). The study proposes a participant-centered integration model to guide local health offices and community program designers
Keywords
References
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