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All Journal Public Health of Indonesia Jurnal Kesehatan Vokasional
Tungga Dewi, Christin Hiyana
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Computer Science & IT Education Health Professions Nursing Public Health

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Exploring Husband Involvement in Antenatal Classes : A Mix-Method Approach on Demographic, Structural, and Psychological Dimensions Tungga Dewi, Christin Hiyana; Rahfiluddin, Mohammad Zen; Sriatmi, Ayun; Agushybana, Farid
Public Health of Indonesia Vol. 11 No. 1 (2025): January - March
Publisher : YCAB Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36685/phi.v11i1.857

Abstract

Background: The involvement of husbands in the health of pregnant women is very important; adequate knowledge supports their role as good companions. Antenatal classes aims to reduce the knowledge gap between couples by involving husbands. However, the participation of husbands remains low. Objective: The study aims to analyze the correlation between the demographic, structural and psychological dimensions of husband's involvement and to identify the different reasons for low husband's involvement in antenatal classes. Methods: This is a cross-sectional study using a mixed methods approach. The study population consisted of the husbands of pregnant women who attended antenatal classes during the period December 2021 to May 2022 (6 months), totaling of 254 people. The sample siza was determined using the sample size formula for a known population, resulting in 168 people selected through a proportional sampling technique. Data collection was conducted through interview. Bivariate data analysis was performed using Chi-Square test, and multivariate analysis was conducted using Multiple Logistic Regression test. Qualitative data collected through in-depth interview based on interview guidelines with 5 (five) husbands as main informants, 3 (three) pregnant women and 1 (one) health worker (midwife) as triangulation informants. The data were analyzed using thematic analysis approach. Results: Partially, education and occupation variables were significantly associated with husband's participation in antenatal class (p<0.05). Simultaneously, education and perceived barriers were shown to jointly influence husband's involvement in antenatal class (p<0.05). The odds of husband's participation in antenatal class increase by 5.6 times as education increases. Additionally, the odds of involvement would be 3.266 times greater if there were no perceived barriers. Conclution: The use of educational technology as a medium of communication and information is an alternative to reduce perceived barriers related to time and work constraints.
Hybrid Education Program for Couples: A Strategy to Enhance Pregnancy Quality of Life Widatiningsih, Sri; Mundarti, Mundarti; Handayani, Esti; Tungga Dewi, Christin Hiyana
Jurnal Kesehatan Vokasional Vol 10, No 3 (2025): August (In Process)
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.106192

Abstract

Background: Pregnancy involved physical, emotional, and social changes, making spousal support crucial in reducing stress, anxiety, and improving maternal quality of life. However, participation of mothers and husbands in prenatal classes in Indonesia remained low. A hybrid education model (online and face-to-face) had the potential to address these limitations.Objective: This study aimed to assess the effectiveness of a digital-based hybrid companion class on improving the quality of life of pregnant women in Magelang City.Methods: This was a quasi-experimental study with a non-randomized pretest-posttest with control group design. The sample consisted of 60 couples of reproductive age (30 intervention, 30 control) selected through simple random sampling. The hybrid class intervention included modules, educational videos, and mentoring through WhatsApp, conducted in four sessions. Quality of life was measured using WHOQOL-BREF at three time points and analyzed with GLM-RM.Results: The intervention significantly improved the quality of life of pregnant women in the psychological domain (p = 0.001; η² = 69.3%), social domain (p = 0.021; η² = 34.2%), and environmental domain (p = 0.001; η² = 65.7%), while the physical domain was not significant (p = 0.510).Conclusion: The digital-based hybrid companion class was effective in improving the quality of life of pregnant women in psychological, social, and environmental aspects. Integration of the program into antenatal services was recommended to enhance the role of husbands in pregnancy care.
Hybrid Education Program for Couples: A Strategy to Enhance Pregnancy Quality of Life Widatiningsih, Sri; Mundarti, Mundarti; Handayani, Esti; Tungga Dewi, Christin Hiyana
Jurnal Kesehatan Vokasional Vol 10, No 3 (2025): August
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.106192

Abstract

Background: Pregnancy involved physical, emotional, and social changes, making spousal support crucial in reducing stress, anxiety, and improving maternal quality of life. However, participation of mothers and husbands in prenatal classes in Indonesia remained low. A hybrid education model (online and face-to-face) had the potential to address these limitations.Objective: This study aimed to assess the effectiveness of a digital-based hybrid companion class on improving the quality of life of pregnant women in Magelang City.Methods: This was a quasi-experimental study with a non-randomized pretest-posttest with control group design. The sample consisted of 60 couples of reproductive age (30 intervention, 30 control) selected through simple random sampling. The hybrid class intervention included modules, educational videos, and mentoring through WhatsApp, conducted in four sessions. Quality of life was measured using WHOQOL-BREF at three time points and analyzed with GLM-RM.Results: The intervention significantly improved the quality of life of pregnant women in the psychological domain (p = 0.001; η² = 69.3%), social domain (p = 0.021; η² = 34.2%), and environmental domain (p = 0.001; η² = 65.7%), while the physical domain was not significant (p = 0.510).Conclusion: The digital-based hybrid companion class was effective in improving the quality of life of pregnant women in psychological, social, and environmental aspects. Integration of the program into antenatal services was recommended to enhance the role of husbands in pregnancy care.
Co-Authors Ayun Sriatmi Esti Handayani Farid Agushybana Mundarti Mundarti Rahfiluddin, Mohammad Zen Sri Widatiningsih, Sri