Sri Achadi Nugraheni
Department of Public Health Nutrition, Faculty of Public Health, Universitas Diponegoro, Semarang, Central Java, Indonesia

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Development and Validation of A Community-Based Prenatal Breastfeeding Mentoring Model Using Dasawisma Cadres in Indonesia Hani Sutianingsih; Sri Achadi Nugraheni; M. Zen Rahfiludin; Yudhy Dharmawan
Journal of Universal Community Empowerment Provision Vol. 6 No. 1 (2026): Journal of Universal Community Empowerment Provision
Publisher : Pusat Studi Pembangunan dan Pemberdayaan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55885/jucep.v6i1.983

Abstract

Stunting is primarily a consequence of an environmental setback in childhood, often due to malnutrition, which has become a major public health problem in Indonesia and highly correlated with less than optimal breastfeeding behaviour. Maternal readiness during pregnancy is a key determinant of breastfeeding initiation and continuation of breastfeeding. Breastfeeding promotion in Indonesia, however, is still mainly facility-based and has not optimized community resources. This study aimed to design and assess a structured community-based prenatal breastfeeding mentoring model with dasawisma cadres. This study used a research and development design based on the Seels and Richey model, which includes analysis, design, development, validation, and implementation stages. The model and complementary materials were assessed via expert reviews as well as through a cadre and small group try-out with cadres and third-trimester pregnant women patients. All individual components of the intervention showed a high feasibility with mean scores greater than 4.21 (out of 5). The mentoring model received at least 4.67 as an average score and educational media were in the range of 4.70-4.85. This small group try-out indicated that implementation was feasible (75%), and acceptance of use among pregnant women (mean = 4.45) and cadres (mean = 4.84) was high. This model is feasible, acceptable, and appropriate for implementation at community level; Incorporating systematic prenatal mentoring into existing community structures like dasawisma represents a promising, scalable approach to improve maternal breastfeeding readiness. Further research is needed to evaluate its effectiveness on breastfeeding outcomes.
Trends in Digital Health Education for Iron Supplementation During Pregnancy (2010-2025): A Bibliometric Study Herinawati Herinawati; Ani Margawati; Sri Achadi Nugraheni; Dwi Pudjonarko
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 10 (2025)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i10.8346

Abstract

Introduction: Iron deficiency anemia is one of the major health issues that significantly impacts pregnant women, both in developing and developed countries. Interventions through health education, particularly digital-based education, are increasingly being used to improve compliance with iron supplementation. However, little is known about how global research trends on this topic have evolved over time. This study aims to analyze global research trends in scientific literature related to digital health education and mHealth interventions for iron supplementation and anemia prevention in pregnant women. To achieve this, a bibliometric analysis was conducted to map publication growth, collaboration networks, and emerging themes in the field. Methods: Data retrieval was conducted through the PubMed database using relevant keywords “Iron” AND “Anemia” AND ‘Pregnancy’ AND (“Health education” OR “Mobile health” OR “Digital health”). Articles published between 2010 and 2025 were selected. Bibliometric analysis was conducted using the VOSviewer tool to map keywords, author collaborations, and publication trends. Results: A total of 78 relevant publications were identified, with a significant increase in the past decade. Ethiopia, the USA, China, Egypt, and Indonesia were among the countries with the highest contributions. Dominant themes included mHealth and app-based approaches. Network mapping revealed major thematic clusters in technology-based interventions, compliance behavior, and pregnancy outcomes. Conclusion: Research trends indicate growing interest in the use of digital platforms to educate pregnant women about iron supplementation and anemia prevention. This reflects a paradigm shift toward more personalized and technology-based interventions. Further studies are needed to evaluate the effectiveness and sustainability of various digital intervention models.