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All Journal Journal of Public Health for Tropical and Coastal Region Journal of Community Empowerment for Health Berita Kedokteran Masyarakat
Wahyuningsih, Windu Syawalina
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Education Health Professions Medicine & Pharmacology Nursing Public Health

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Pregnancy Class Program in West Java Province: a literature review Rahmawaty, Dinta; Laro, Maria Natalia; Rajagukguk, Vivi Rosalin; Wahyuningsih, Windu Syawalina
BKM Public Health and Community Medicine Vol 41 No 02 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i02.17912

Abstract

Purpose: This study aims to analyze the implementation of the Pregnancy Class Program in West Java Province and develop policy recommendations to enhance maternal health outcomes. Method: A literature review was conducted using journal databases including ResearchGate, ScienceDirect, and Google Scholar. Articles published between 2018 and 2024 were retrieved using keywords such as “evaluation,” “implementation,” “policy,” “pregnancy class,” “prenatal education,” and “West Java.” From 58 identified articles, six studies that met the inclusion criteria were selected and thematically analyzed. Results: The review identified several challenges in implementing pregnancy classes in West Java, including low participation rates, limited partner and family involvement, and barriers faced by working mothers. Digital innovations, such as video-based education and online classes, have effectively increased maternal knowledge and participation. Furthermore, family-oriented approaches and prenatal yoga sessions had a positive impact on maternal preparedness and confidence. Conclusion: The pregnancy class program holds significant potential to improve maternal and neonatal outcomes in West Java. However, to maximize the effectiveness of its online educational sessions and offline interactive activities, such as prenatal yoga, is recommended. Additionally, to maximize its effectiveness, high-quality video content, continuous training for healthcare workers, and sufficient funding should be integrated to enhance the program's reach and impact.
Unplanned pregnancy as a social predictor of COVID-19 severity among pregnant women in Yogyakarta: Study of path analysis Puspitasari, Sepsiana; Hernayanti, Munica Rita; Lamawatu, Nuril F.; Wahyuningsih, Windu Syawalina
Journal of Community Empowerment for Health Vol 8, No 3 (2025)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.98282

Abstract

Introduction: Pandemic Corona Virus Disease-19 (COVID-19) has passed, but social determinants severity of COVID-19 in pregnant women are still under report. Pregnant women have a higher risk of experiencing severe COVID-19 infection, with the potential for serious complications for maternal and fetal health. The impact of pregnancy planning towards severity of COVID-19 in pregnant women is still lack reported. Objective: this study conducted to determine social factors that predict COVID-19 with severe symptoms among pregnant women at Rumah Sakit Lapangan Khusus COVID-19 (RSLKC) in Yogyakarta Province, Indonesia.Method: through the case-control study, 99 pregnant women who had experienced COVID-19 between August 2021 and May 2022 and were treated at RSLKC self-reporting the retrospective data. Chi square test and path analysis were used for determining the relationship and the direction on the dependent variable, respectively.Results: severe symptoms of COVID-19 were experienced by pregnant who were not vaccinated (p=0.032), undergo daily physical work (p = 0.023) and undergo unplanned pregnancy (p=0.027). The three variables have a direct influence coefficient magnitude -2.62; 4.05; 2.12, respectively. Unplanned pregnancy is directly influenced by age >35 years and the number of children with coefficient magnitudes 2.81.; -1.69, respectively.Conclusion: Unplanned pregnancy is a potential social determinant of severe COVID-19 symptoms in pregnant women and other several factors such as vaccine status and physical work (as direct factors), as well as age > 35 years and number of children (as indirect factors that predict unplanned pregnancy).
A Scoping Review of Strategic Approaches to Enhance Maternal Health and Antenatal Care Services in Coastal Areas Wahyuningsih, Windu Syawalina; Rajagukguk, Vivi Rosalin; Laro, Maria Natalia
Journal of Public Health for Tropical and Coastal Region Vol 8, No 3 (2025): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v8i3.29232

Abstract

Introduction: Globally, maternal mortality remains a major public health concern, with an estimated 223 maternal deaths per 100,000 live births and more than 800 women dying every day from preventable pregnancy-related causes. The burden is disproportionately high in low-resource settings, including coastal and island regions. This review aimed to identify the strategic approaches implemented to improve maternal health and antenatal care in these areas.Methods: A systematic search was conducted for studies published from 2000 to April 2025 in the PubMed, Scopus, and ScienceDirect databases. Of the 1,054 articles identified, 1,017 were screened, 54 met the eligibility criteria for full assessment, and 41 studies were ultimately included in the review.Results: The findings revealed several key strategies: mobile clinics, outreach services, and emergency transportation for pregnant women (n=6); telemedicine and mHealth initiatives (n=12); engagement of community health workers and local personnel (n=13); strengthening maternal waiting homes, delivery systems, and referral mechanisms; and integration of ANC with other health programs (n=10). These approaches highlight efforts to overcome socioeconomic, geographic, and cultural barriers to accessing essential maternal health services in coastal regionsConclusion: We recommend empowering local health workers, leveraging technology for outreach, strengthening referral and transport systems using data for targeted actions, and fostering community engagement to improve maternal health outcomes in coastal regions. Understanding the effectiveness and challenges of these strategies is crucial for developing context-specific interventions to reduce maternal mortality and enhance ANC coverage in underserved coastal communities. 
Co-Authors Hernayanti, Munica Rita Lamawatu, Nuril F. Laro, Maria Natalia Puspitasari, Sepsiana Rahmawaty, Dinta Rajagukguk, Vivi Rosalin