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The Influence of Socioeconomic Factors on Maternal Health Promotion Strategies in Rural Pekalongan District, Central Java Suparni, Suparni; Ersila, Wahyu; Isyti’aroh, Isyti’aroh; Aisyah, Risqi Dewi; Khuzaiyah, Siti; Andrianirina, Rhino
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. 1 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educatio
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V14.I1.2026.91-98

Abstract

Background: In 2020, Indonesia’s maternal mortality rate (MMR) was 189 per 100,000 live births, well above the SDGs target of 70. High-risk pregnancies significantly contribute to maternal deaths, especially in rural areas with socioeconomic challenges. Disparities in education, income, and healthcare access influence pregnant women’s health-seeking behaviors. ObjectiveThis study aimed to examine the relationship between socioeconomic determinants and pregnancy risk and to develop an evidence-based, community-focused health promotion model that addresses these socioeconomic factors in rural settings. Methods: A cross-sectional study involved 130 pregnant women in the Puskesmas Tirto 1 area, Pekalongan Regency, Central Java. Data collection used structured questionnaires, analyzed via binary logistic regression. A theoretical framework guided community-based health promotion recommendations. Results:  The analysis revealed that age, parity, education, and income collectively affected pregnancy risk (p=0.033). Individually, only income had a significant effect (p=0.039; Exp(B)=0.380; 95% CI: 0.150–0.962), indicating higher income reduces high-risk pregnancy likelihood. Age, parity, and education were not significant predictors. Conclusion: Economic factors are the strongest predictors of pregnancy risk among the variables studied. Maternal health programs in rural areas should incorporate socioeconomic-based strategies through community empowerment, improved healthcare access, and targeted health education.
Optimization of Toddler Development Detection Through Mother-Based Toddler Class Education Aisyah, Risqi Dewi; Ersila, Wahyu; Faradisi, Firman
Jurnal Empathy Pengabdian Kepada Masyarakat Jurnal Empathy Pengabdian Kepada Masyarakat Volume 7 Number 1 Year 2026
Publisher : Poltekkes Kemenkes Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37341/jurnalempathy.v7i1.209

Abstract

Background: Early detection of toddler development is essential to prevent long-term developmental problems. Many mothers still have limited knowledge and practical skills in monitoring their children’s developmental milestones. This community service aimed to improve mothers’ knowledge and skills in toddler development detection and stimulation. Methods: This activity was conducted in Pangkah Village, Karangdadap Health Center area, involving 23 mothers of toddlers for 6 months. Activities included education, practical training on development detection using Pre-Screening Developmental Questionnaire (KPSP), and stimulation practices. Evaluation was conducted using pre-post knowledge assessment and observation of mothers' skills. Results: There was a significant difference observed before and after the community service activities with a p-value of 0.001 There was an increase in mothers’ knowledge after the community service activities, as indicated by the increase in mean scores of toddler nutrition (from 15.57 to 23.35), development detection (from 12.57 to 19.17), and development stimulation (from 9.09 to 17.70). Conclusion: The community service activities showed an improvement in mothers’ knowledge and skills in toddler development detection, as well as their ability to perform basic developmental screening independently. Recommendations for the community include actively participating in routine toddler growth and development monitoring, providing appropriate stimulation at home according to the child’s developmental stage, and seeking regular consultation with health workers to support optimal child development.
IMPLEMENTASI PAKET CARING DALAM PENURUNAN KECEMASAN DAN PENINGKATAN SELF-EFICCACY IBU HAMIL Aisyah, Risqi Dewi; Chabibah, Nur; Suparni, Suparni; Zuhana, Nina
JMM (Jurnal Masyarakat Mandiri) Vol 10, No 2 (2026): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v10i2.38410

Abstract

Abstrak: Kecemasan pada ibu hamil muncul akibat perubahan fisiologis dan psikologis selama kehamilan yang dapat memengaruhi kesejahteraan ibu dan janin, terutama bila disertai rendahnya self-efficacy. Pengabdian ini bertujuan menurunkan kecemasan dan meningkatkan self-efficacy melalui paket caring di Desa Dadirejo. Metode meliputi sosialisasi, edukasi, dan praktik mindfulness kombinasi aromaterapi serta musik relaksasi pada 20 ibu hamil. Evaluasi kegiatan dilakukan melalui kuesioner pre-test & post-test pengetahuan dan pengukuran tingkat kecemasan sebelum dan sesudah intervensi. Keberhasilan kegiatan dinilai dari peningkatan skor pengetahuan serta penurunan tingkat kecemasan setelah intervensi. Hasil menunjukkan peningkatan pengetahuan baik tentang kecemasan dari 30% menjadi 70% dan self-efficacy dari 40% menjadi 70%, dengan kenaikan mean 4,4 dan 3,1. Kategori cemas sedang dan berat menurun menjadi 0%, serta tidak cemas meningkat dari 10% menjadi 55%. Paket caring efektif meningkatkan kesiapan psikologis dan direkomendasikan dalam pelayanan antenatal.Abstract: Anxiety during pregnancy arises from physiological and psychological changes that may affect maternal and fetal well-being, particularly when self-efficacy is low. This program aimed to reduce anxiety and improve self-efficacy through a caring package in Dadirejo Village. Methods included socialization, education, and mindfulness practice combined with aromatherapy and relaxation music involving 20 pregnant women. Evaluation was conducted using pre-test & post-test knowledge questionnaires and measurement of anxiety levels before and after the intervention. The success of the activity was assessed based on an increase in knowledge scores and a decrease in anxiety levels after the intervention. Results showed increased good knowledge of anxiety (30% to 70%) and self-efficacy (40% to 70%), with mean increases of 4.4 and 3.1. Moderate and severe anxiety decreased to 0%, while the non-anxious category increased from 10% to 55%. The caring package effectively improved psychological readiness and is recommended for antenatal services.
Pemberdayaan Kader Dalam Deteksi dan Reduksi Kecemasan Ibu Hamil Risqi Dewi Aisyah; Lia Dwi Prafitri
Journal of Community Development Vol. 5 No. 1 (2024): August
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v5i1.196

Abstract

Perinatal anxiety affects about 17% of women; While up to 84% of women experience perinatal stress. Other scientific studies have shown that anxiety during pregnancy is linked to an increased risk of pregnancy complications, such as premature birth, low birth weight, as well as mental health problems in children, such as anxiety and depression. Empowering health cadres in the community can be an effective strategy to reduce the anxiety level of pregnant women. The purpose of dedication is to provide support to partners in efforts to reduce anxiety for pregnant women by empowering NA cadres who are responsive to women's health. The methods carried out are Forum Discussion Group (FGD), Education, empowerment practices, monitoring and evaluation, and follow-up plans. The dedication carried out was able to increase the knowledge of NA cadres including psychological adaptation, anxiety of pregnant women and husband support, this was seen from the increase in mean value, showing an increase in cadre knowledge from less to good from the material provided starting from an increase in knowledge of psychological adaptation of good knowledge by 28.6% (From good knowledge 57.1% to 85.7%, anxiety of pregnant women good knowledge increased by 28%,  Husband support was good at 39.3% (From good knowledge 46.4% to 85.7%). The expected follow-up is to increase responsive cadres in women's health, especially pregnant women and provide social support to reduce the health of pregnant women.
Pemberdayaan Kader SMART Stunting (Pencegahan dan Deteksi Pada Calon Pengantin, Ibu Hamil dan Balita) Risqi Dewi Aisyah; Suparni Suparni; Edi Subowo
Journal of Community Development Vol. 5 No. 3 (2025): April
Publisher : Indonesian Journal Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47134/comdev.v5i3.289

Abstract

Stunting in young children is a significant global health issue, and it remains a serious concern in Indonesia with persistently high prevalence despite various interventions. This study highlights the importance of early detection and prevention of stunting through anthropometric measurements such as height and weight. Data from the 2022 Indonesian Nutritional Status Survey (SSGI) reveals that stunting rates in Central Java Province stand at 20.8%, with an increase in prevalence in Pekalongan District from 19.5% in 2021 to 23.5% in 2022. Stunting has serious consequences, including impaired brain development, reduced intelligence, and a higher risk of long-term health issues such as diabetes and cardiovascular diseases. This research focuses on training health cadres to improve early detection of stunting through the Community Partnership Program (PKM), aiming to enhance cadres' knowledge and skills in stunting detection and prevention. The results show an increase in knowledge among cadres by 11.63 points for stunting detection and prevention, and 21.67 points for nutrition-related topics. Additionally, 80% of cadres successfully performed anthropometric examinations. Collaboration between midwives and health cadres is expected to reduce stunting rates by improving monitoring and more effective interventions.
Pemberdayaan Kader Stuntcare (Reproduksi Ideal dan Anti Stunting pada Calon Pengantin) Risqi Dewi Aisyah; Suparni Suparni; Aslam Fatkhudin; Velita Baiti Yantari; Nurul Azizah; M. Adil Hakim
Jurnal LINK Vol 21 No 2 (2025): NOVEMBER 2025
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v21i2.13914

Abstract

Stunting has long-term impacts on a child's growth, development, and overall quality of life. Prevention efforts starting from the preconception phase, particularly among prospective brides and grooms (catin), represent a strategic approach to breaking the cycle of stunting. This community service program aimed to strengthen the capacity of health cadres in educating and conducting early detection of stunting risks among catin. The program was conducted over eight months (May–December 2025) using an empowerment approach through focus group discussions, socialization, training, and mentoring activities. A total of 15 participants were involved, consisting of 12 cadres from Kranji Village and 3 health personnel from the local health center. Results showed an increase in the average knowledge score of cadres across three main topics: Ideal Reproductive Health for Catin by 6.2 points, Stunting Concepts (Detection and Prevention) by 5.14 points, and Nutrition for Catin by 2.67 points. These findings indicate that empowerment-based interventions are effective in forming cadres capable of playing an active role in stunting prevention starting from the preconception phase.