Yulinda Oktaviana Harahap
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INTEGRATION OF LOCAL WISDOM IN MIDWIFERY EDUCATION FOR THE PREVENTION OF PREGNANCY COMPLICATIONS AMONG MOTHERS IN SUKA MULYA VILLAGE, CIANJUR Novalia Kridayanti; Chici Riansih; Muhammad Raoul Taufiq Abdullah; Yulinda Oktaviana Harahap
Journal of Midwifery and Health Administration Sciences Vol. 1 No. 2 (2025): Journal of Midwifery and Health Administration Sciences
Publisher : Universitas Prof Dr Hafiz MPH

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Abstract

Prevention of pregnancy complications is one of the main focuses in midwifery care, especially in rural areas such as Suka Mulya, Cianjur, where strong cultural values and local wisdom are still preserved. This study aims to analyze the effectiveness of integrating local wisdom into midwifery education to improve the knowledge, attitudes, and behaviors of pregnant women in preventing pregnancy complications. The research employed a approach with a sequential explanatory design, involving 25 pregnant women as respondents and 5 key informants consisting of midwives, community leaders, and health cadres. The research instruments included a structured questionnaire, in-depth interview guides, and observation sheets. The results showed that midwifery education based on local wisdom—covering cultural practices that support maternal health, the use of the local language, and the involvement of traditional leaders—significantly improved mothers’ understanding of danger signs in pregnancy, ANC practices, and preparedness for childbirth. The integration of cultural elements was proven to enhance the acceptance of health messages, strengthen emotional engagement, and reduce resistance to medical information. This study contributes a new model of culturally-based midwifery education that can be used as a reproductive health promotion strategy in rural communities.
ANALISIS IMPLEMENTASI KLINIK TELEMEDICINE (KTM) DALAM MENDUKUNG AKSES PELAYANAN KESEHATAN IBU DAN ANAK DI DESA CIGUNUNG HERANG Chici Riansih; Nesa; Yulinda Oktaviana Harahap
Journal of Midwifery and Health Administration Sciences Vol. 2 No. 1 (2026): Journal of Midwifery and Health Administration Sciences
Publisher : Universitas Prof Dr Hafiz MPH

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This study aimed to analyze barriers to maternal and child health service access and to examine the potential implementation of a locally appropriate Telemedicine Clinic (KTM) model in Cigunung Herang Village, Cianjur. A descriptive study with a participatory situational-analysis approach was conducted on 10 July 2026. Data were collected through field observation, participant registration, basic health screening including blood pressure, blood glucose, and uric acid examination, as well as health and educational counselling. The findings were analyzed descriptively to identify health-service barriers, community needs, and the feasibility of telemedicine implementation. A total of 146 participants were involved, consisting of 106 community members and 40 pregnant women. The study identified several major barriers, including difficult road access, an estimated 30 km distance to the public health center, and uneven telecommunications coverage. Elevated blood pressure and blood glucose were among the prominent health findings; however, the available individual-level data were insufficient to determine prevalence. The study also identified the need for a simple, low-bandwidth telemedicine system supported by health screening, documentation, referral mechanisms, and local assistance. These findings indicate that the Telemedicine Clinic model has the potential to support maternal and child health service accessibility when implemented gradually and integrated with existing primary health care services.
OPTIMALISASI EDUKASI KESEHATAN REPRODUKSI BERBASIS TELEMEDICINE TERHADAP KESIAPAN KEHAMILAN PADA WANITA USIA SUBUR DI RSDH Yulinda Oktaviana Harahap; Chici Riansih
Journal of Midwifery and Health Administration Sciences Vol. 2 No. 1 (2026): Journal of Midwifery and Health Administration Sciences
Publisher : Universitas Prof Dr Hafiz MPH

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Abstract

Telemedicine has expanded opportunities for reproductive health education before conception, particularly for women who require flexible access to counseling. This study aimed to analyze the effectiveness of telemedicine-based reproductive health education in improving pregnancy readiness among women of reproductive age at RSDH. A quasi-experimental pretest-posttest control group design was used. Seventy-two women of reproductive age were allocated to an intervention group (n=36) and a control group (n=36). The intervention consisted of four weekly telemedicine education sessions covering preconception nutrition, folic acid, reproductive risk screening, healthy lifestyle, and pregnancy planning. Pregnancy readiness was assessed before and after the intervention using a structured questionnaire. Draft analysis showed a greater increase in readiness scores in the intervention group than in the control group. Telemedicine-based education also improved knowledge of preconception risk factors and intention to seek preconception counseling. These findings indicate that structured telemedicine education has the potential to strengthen pregnancy readiness among women of reproductive age and can complement hospital-based preconception services. The numerical findings in this draft must be replaced with actual RSDH study data before publication.
EFEKTIVITAS EDUKASI BERBASIS DIGITAL TERHADAP PENINGKATAN PENGETAHUAN IBU HAMIL TENTANG TANDA BAHAYA KEHAMILAN DI WILAYAH KERJA PUSKESMAS CIANJUR Chici Riansih; Yulinda Oktaviana Harahap
Journal of Midwifery and Health Administration Sciences Vol. 1 No. 1 (2025): Journal of Midwifery and Health Administration Sciences
Publisher : Universitas Prof Dr Hafiz MPH

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Abstract

Background: Pregnancy danger signs require early recognition and prompt access to appropriate healthcare services to reduce the risk of maternal and fetal complications. Pregnant women need adequate knowledge to identify symptoms that require immediate attention, such as vaginal bleeding, severe headache, visual disturbances, severe abdominal pain, swelling of the face or hands, fever, convulsions, and decreased fetal movement. However, information provided during routine antenatal care may be limited by consultation time and differences in maternal understanding. Digital education can provide accessible, standardized, and repeatable information through multiple formats, potentially strengthening maternal understanding and recall. Objective: This study aimed to assess the effectiveness of a digital education package in improving pregnant women’s knowledge of pregnancy danger signs. Methods: This draft uses simulated data from a quasi-experimental pretest-posttest study involving 80 pregnant women divided into an intervention group and a comparison group. The intervention group received a seven-day digital education package consisting of short educational videos, infographics, and WhatsApp reminder messages. The educational content focused on identifying common pregnancy danger signs, the importance of seeking timely healthcare, and appropriate actions when danger signs occur. The comparison group received routine antenatal education. Knowledge was assessed before and after the intervention using a 20-item structured questionnaire. Changes in knowledge scores were analyzed and compared between the two groups. Results: Based on the simulated data, the mean knowledge score in the intervention group increased from 11.6±2.8 at pretest to 17.4±1.9 at posttest. In the comparison group, the mean score increased from 11.8±2.7 to 13.0±2.5. The intervention group demonstrated a substantially greater improvement in knowledge, and the between-group posttest difference was statistically significant (p<0.001). Conclusion: Digital education combining short videos, infographics, and reminders has the potential to improve pregnant women’s knowledge of pregnancy danger signs and may complement routine antenatal counselling. However, the findings are based on simulated data, and empirical field data, ethical approval, informed consent, and appropriate statistical analysis are required before publication.