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Journal : Journal Of Nursing Practice

Empowering Pregnant Women with Health Promotion Strategies to Prevent Chronic Energy Deficiency (CED): Systematic Review Ratna Indriyani; Yenny Puspitasari; Novita Ana Anggraini
Journal Of Nursing Practice Vol. 8 No. 1 (2024): October
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v8i1.525

Abstract

Background: Pregnant women's nutrition is very important for the growth and development of the fetus. Nutrition for pregnant women is very important for the development and growth of the fetus. The application of the concept of a health promotion model strategy as the right strategy to improve and prevent CED is urgently needed. Purpose: To find out changes in the behavior of empowering pregnant women with a strategic model of a health promotion approach to prevent CED. Method: The method used systematic review. Articles were searched using keywords that had been determined by the researcher then the articles were extracted based on inclusion and exclusion criteria. Thus, found 7 articles suitable for analysis. Results: Changing behavior by empowering pregnant women using health promotion strategies in preventing CED has proven to be very effective. But in its application it becomes a complex thing because of the diversity of cultures in Indonesia. Conclusion: The diversity of community characteristics can affect the application of the model of empowering pregnant women in preventing  CED. Several other factors such asbeliefs and environment that are understood also affect the understanding of each individual.
Multilevel Analysis of Socioeconomic and Cultural Factors on Chronic Energy Deficiency among Pregnant Women in Madura Indriyani, Ratna; Murti, Bhisma; Anggraini, Novita Ana; Puspitasari, Yenny
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.952

Abstract

Background: Chronic Energy Deficiency (CED) is one of the health problems that often occurs in pregnant women in various countries, especially in regions with low economic levels and vulnerable communities. Purpose: The purpose of this study is to examine the influence of socioeconomic and cultural contextual factors on the occurrence of CED in pregnant women. Methods: The research design is explanatory research with a cross-sectional approach. The research sample consists of 200 pregnant women with CED and 200 pregnant women without CED in Madura. The dependent variable in this study is the incidence of CED, while the independent variables are regional conditions, access to health services, parity, food availability, and CED preventive behavior. Data analysis in the study is univariate and linear regression with a multilevel approach using SPSS 23. The research ethics certificate 001867/EC/KEPK/I/II/2024. Results: Level 1 is rural and urban areas, access to health services, parity, food availability, and preventive behavior for CED. Level 2 is the subdistrict level. Subdistrict conditions have a contextual influence on the variation in the occurrence of CED in pregnant women, namely significant values in rural and urban areas (p=0.009), significant values in access to health services (p=0.013), significant values for parity (p=0.022), significant values for food availability (p=0.049), and significant values for CED preventive behavior (p=0.029). Conclusion: The highest prevalence of CED was found in coastal areas, followed by villages, and the lowest in cities. Women with low parity (primiparas) are not entirely free from the risk of CED. Conversely, pregnant women in urban areas tend to have better access to health facilities, nutritional information, and a variety of foods, resulting in a relatively lower risk of CED.