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All Journal Health Notions Health Dynamics
Mariya Ulfah
Department Of Midwifery, Politeknik Kesehatan Kementerian Kesehatan Surabaya
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Knowledge, Attitude, and Culture as The Main Determinants of The Referral Behavior of Pregnant Women in The Community Health Center of Sukosewu Abdul Latip; Indrayanti Indrayanti; Mariya Ulfah
Health Notions Vol 5, No 11 (2021): November
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hn51106

Abstract

The high maternal mortality rate can be caused by the lack of referral behavior of pregnant women. The purpose of this study was to analyze the factors that influence the referral behavior of pregnant women. The design of this research is an analytic study with a cross sectional approach. The population were all pregnant womens in the working area of The Community Health Center of Sukosewu as many as 599 people. The sample size of 175 pregnant womens was selected using proportional random sampling technique. The independent variables were knowledge, attitude, accessibility, husband's support and culture. The dependent variable was the referral behavior of pregnant women. Collecting data using a questionnaire. Data were analyzed using logistic regression with p<0.05. The results indicate that there was an influence of knowledge (p=0.000), attitude (p=0.012), and culture (p=0.038) on the referral behavior of pregnant women. There was no effect of accessibility (p=0.490) and husband's support (p=0.377) on the referral behavior of pregnant women. Good knowledge, positive attitudes, and a strong culture can improve the referral behavior of pregnant women to facilitate the referral process for pregnant women to reach referral health facilities.Keywords: pregnant women; referral behavior; knowledge, attitudes, culture
Previous Preeclamptic Pregnancy and Chronic Hypertension Affects Current Preeclampsia at a Public Health Center in Bojonegoro, Indonesia Indrayanti Indrayanti; Abdul Latip; Masfuah Ernawati; Mariya Ulfah
Health Dynamics Vol 3, No 4 (2026): April 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30403

Abstract

Background: Preeclampsia is one of the leading causes of maternal mortality and occurs frequently in Indonesia. The high maternal mortality rate (MMR) reflects the low quality of health services during pregnancy, childbirth, and the postpartum period. This study aimed to analyze the risk factors associated with the incidence of preeclampsia among pregnant women at the Public Health Center in Sukosewu, Bojonegoro, Indonesia. Methods: This study used a cross-sectional design. The samples consisted of 120 pregnant women at the Public Health Center in Sukosewu, Bojonegoro District, Indonesia. Odds ratio and logistic regression tests were applied in this study. Results: Gravida (p = 0.046) and a history of chronic hypertension (p = 0.015) had a significant positive effect (p < 0.05) on the incidence of preeclampsia. Meanwhile, family history (p = 0.079), twin pregnancy (p = 0.999), gestational interval (p = 0.261), age (p = 0.132), BMI (p = 0.336), MAP (p = 0.997), history of hypertension during pregnancy (p = 0.260), and history of DM (p = 1.000) showed no significant effect on the incidence of preeclampsia. Conclusion: The incidence of preeclampsia among pregnant women at the Public Health Center in Sukosewu, Bojonegoro, Indonesia, was associated with the risk factors of previous preeclampsia and a history of chronic hypertension during pregnancy.
Knowledge, Husband Support, and Culture as the Main Determinants of Timeliness of K1 Visits for Pregnant Women Abdul Latip; Mariya Ulfah; Doni Yanu Arianto
Health Dynamics Vol 2, No 9 (2025): September 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20905

Abstract

Background: K1 is the first contact of pregnant women with health workers who have good clinical/obstetric and interpersonal competence, to get integrated and comprehensive services according to standards. The first contact should be made as early as possible in the first trimester (0-12 weeks). The achievement of K1 visits for pregnant women in Bojonegoro Regency in 2022 was 96.7% of pregnant women. Based on the 2022 Monitoring Report of Maternal Health at the Dander Public Health Center, Bojonegoro Regency, the achievement of Pure K1 Visits for pregnant women is 87.41% of the target of 100%, so that there are 12.59% of pregnant women who are not on time at the first visit. Methods: This observational analytic study employed a cross-sectional design. The sample consisted of 117 pregnant women in their second and third trimesters, selected using simple random sampling. Collecting data using a questionnaire. Data were analyzed using the Multiple Logistic Regression Test to assess influence of knowledge, accessibility, and husband support, and culture on the timeliness of K1 visits with p<0.05. Collecting data using a questionnaire. Results: There was an influence of knowledge (p=0.007), husband support (p=0.017), and culture (p=0.032) on the timeliness of K1 visits. There was no effect of accessibility (p=0.732). Conclusion: Good knowledge of K1 visits will foster awareness and positive attitudes in conducting early pregnancy checks; husband's support can provide motivation, and foster awareness of the importance of early pregnancy checkups; a culture that values and prioritizes the health of the mother and fetus will encourage pregnant women to immediately carry out pregnancy checks early. The researcher is then expected to be able to research other factors that can affect the K1 visit of pregnant women, namely belief, motivation, facilities, community leaders, and health workers.
Co-Authors Abdul Latip Doni Yanu Arianto Indrayanti Indrayanti Indrayanti Indrayanti Masfuah Ernawati