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All Journal Jurnal Kesehatan dan Kedokteran Malahayati International Journal of Nursing and Health Science
Nova Isabella Mariance Br Napitupulu
Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
Health Professions Nursing Public Health

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Integrating Maternal Health Literacy and the Health Belief Model for Predicting Preeclampsia Screening Adherence Sonia Novita Sari; Sri Murtini; Yesica Geovany Sianipar; Nova Isabella Mariance Br Napitupulu; Amelia Erawaty Siregar; Natalya Rut Naomi Nainggolan
Jurnal Kesehatan dan Kedokteran Vol. 5 No. 2 (2026): Juni: Jurnal Kesehatan dan Kedokteran
Publisher : Asosiasi Dosen Muda Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56127/jukeke.v5i2.3029

Abstract

Preeclampsia remains one of the leading causes of maternal morbidity and mortality, highlighting the importance of improving pregnant women's adherence to early screening and timely clinical decision-making. Objective: This study aims to examine the integrated role of Maternal Health Literacy (MHL) and the Health Belief Model (HBM) in predicting preeclampsia screening adherence and mitigating delays in medical decision-making among pregnant women. Methods: A quantitative predictive study with a cross-sectional design was conducted involving 64 pregnant women at the Sarfina Sembiring Primary Clinic selected through purposive sampling. Data were collected using validated questionnaires measuring MHL and HBM constructs and analyzed using multiple logistic regression. Findings: The results showed that both MHL and HBM significantly predicted preeclampsia screening adherence and mitigation of delay in decision-making. HBM was identified as the strongest predictor of screening adherence (OR = 6.52), whereas MHL demonstrated the greatest influence on reducing delays in clinical decision-making (OR = 8.21). These findings indicate that psychological beliefs and cognitive health literacy play complementary roles in improving maternal preventive health behavior. Implications: The findings support the development of integrated maternal health education programs that combine health literacy enhancement with behavior-based interventions, including digital health education and counseling, to strengthen screening adherence and maternal self-efficacy in primary healthcare settings. Originality: This study proposes and empirically validates an integrated predictive framework combining Maternal Health Literacy and the Health Belief Model. Unlike previous studies that examined these constructs separately, this research demonstrates their complementary roles in improving preeclampsia prevention strategies and reducing delays in maternal healthcare decision-making.
Psychosocial factors associated with anemia among pregnant women attending a community health center Epi Putriani Zebua; Ariska Fauzianty; Juliyanti Pasaribu; Azrina Fetta Tanjung; Nova Isabella Mariance Br Napitupulu
Malahayati International Journal of Nursing and Health Science Vol. 9 No. 5 (2026): Volume 9 Number 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v9i5.3898

Abstract

Background: Anemia during pregnancy remains a major public health problem because it increases the risk of adverse maternal and fetal outcomes. Psychosocial factors, including husband's support, adherence to iron supplementation, self-efficacy, and maternal knowledge, may influence anemia prevention behaviors. Purpose: To analyze the association between psychosocial factors and the incidence of anemia among pregnant women in the Sentosa Baru Community Health Center working area. Method: A quantitative cross-sectional study was conducted among 64 pregnant women selected using total sampling. Data on psychosocial factors were collected using validated questionnaires, while hemoglobin levels were obtained from medical records or maternal health books. Data were analyzed using Chi-square tests and multiple logistic regression. Results: Of the 64 respondents, 46 (71.9%) experienced anemia. Bivariate analysis demonstrated significant associations between husband's support (p=0.002), iron supplementation adherence (p=0.004), self-efficacy (p=0.001), knowledge (p=0.001), and anemia incidence. Multiple logistic regression identified husband's support (adjusted OR=8.273; 95% CI: 2.037–23.814; p<0.05), iron supplementation adherence (adjusted OR=5.938; 95% CI: 1.784–19.759; p<0.05), self-efficacy (adjusted OR=0.087; 95% CI: 0.020–0.389; p<0.05), and maternal knowledge (adjusted OR=8.273; 95% CI: 2.408–28.416; p<0.05) as significant factors associated with anemia. Conclusion: Psychosocial factors are significantly associated with anemia among pregnant women. Strengthening family support, improving adherence to iron supplementation, enhancing self-efficacy, and increasing maternal knowledge should be integrated into anemia prevention programs during pregnancy.
Co-Authors Amelia Erawaty Siregar Azrina Fetta Tanjung Epi Putriani Zebua Fauzianty, Ariska Juliyanti Pasaribu Natalya Rut Naomi Nainggolan Sonia Novita Sari Sri Murtini Yesica Geovany Sianipar