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Maternal health literacy and adherence to recommended ANC contact among pregnant women in Indonesian Putri, Anggie Pradana; Irawan AM., Ady; Hanifah, Lilik; Wati, Susi Erna; Lu, Yu Ying
South East Asia Nursing Research Vol 5, No 2 (2023)
Publisher : University of Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/seanr.5.2.2023.1-11

Abstract

Maternal health literacy (MHL) equips pregnant women to seek timely Antenatal care (ANC). Through ANC, health workers can provide education that contributes to reducing the maternal mortality rate. This research aims to investigate the relationship between MHL and adherence to recommended ANC contacts and explore how mothers experience accessing ANC. The study design was a mixed-method study. A total of 305 pregnant women with various characteristics participated in this study. Quantitative data analysis used simple linear regression, while qualitative used Collaizi's strategy. The research found a positive relationship between MHL and adherence to recommended ANC contact with R2 = 0.18; F(1, 303) = 6.533, p < 0.05. Three themes represented the phenomenon of pregnant women in carrying out ANC: 1) perceptions about ANC, 2) challenges faced by pregnant women in accessing recommended ANC contact, and 3) supporting factors in doing routine ANC contact. Pregnant women with higher MHL have higher adherence to ANC contact. Health workers and policymakers can involve the results of this research in efforts to revise or make policies related to increasing pregnant women's ANC contacts.
Development of Maternal Health Literacy Measurements: A Scoping Review Putri, Anggie Pradana; AM., Ady Irawan; Lu, Yu Ying
International Journal of Nursing and Health Services (IJNHS) Vol. 6 No. 2 (2023): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v6i2.706

Abstract

Background: Maternal health literacy (MHL) is essential in identifying pregnant women with limited MHL, especially in the post-COVID-19 period. The data can assist in the design of tailored interventions for improving MHL. Nevertheless, MHL measurements are not routinely applied because more general health literacy scales are used to assess MHL in pregnancy. Objective: This study aimed to provide an overview of MHL measurement development. Method: A scoping review was utilized in this study. The search was conducted through four electronic databases (CINAHL, PubMed, Web of Science, and Science Direct) published in English and Indonesian between 2001 to 2021, with the searching process of PCC (Population: pregnant women, Concept: maternal health literacy instrument development, Context: clinical or community setting). The selection process of the articles is referred to as Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Result: The selected articles' critical appraisal was done using The Joanna Briggs Institute Checklist. The measurements of MHL are Maternal Health Literacy and Pregnancy Outcome Questionnaire (MHLAPQ), Maternal Health Literacy (MaHeLi), and Maternal Health Literacy Inventory in Pregnancy (MHELIP). These instruments are adequate, valid, and reliable. The MHELIP is the fittest instrument to capture the MHL concept because it consists of specific items to measure MHL in pregnancy. Future studies must investigate this topic as thoroughly as the current material available in some databases. In addition, healthcare practitioners can apply the MHL in pregnancy measurement to analyze and report client cases, contributing to the expansion of MHL's body knowledge.
Maternal health literacy among pregnant women in Indonesia: A qualitative study Putri, Anggie Pradana; Hanifah, Lilik; AM, Ady Irawan.; Lu, Yu Ying
International Journal of Nursing and Health Services (IJNHS) Vol. 6 No. 6 (2023): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v6i6.763

Abstract

Introduction: Gaining insight into the maternal health literacy situation among pregnant women in Indonesia is crucial, as it forms the foundation for crafting precise interventions to enhance the well-being of mothers and infants on a national scale. Objective: This study aimed to explore the perspective of maternal health literacy among pregnant Indonesian women. Method: We employed a qualitative phenomenology method to explore maternal health literacy. Purposive sampling was used to collect participants' data. The data saturation was achieved at the thirteenth pregnant woman. The collected data were analyzed using Colaizzi's strategy to identify themes and subthemes within the phenomenon. Results: Four themes and seventeen subthemes emerged to explain maternal health literacy among pregnant women in this study. These themes include the ability to understand health-related information, search for information related to maternal health during pregnancy, assess and evaluate obtained information regarding pregnancy and maternal health, and decision-making, action, and maternal health behavior. Recommendation: The findings have the potential to benefit multiple sectors and contribute to efforts to improve maternal health in Indonesia. Culturally tailored health education programs, community engagement, empowerment, decision-making support, strengthening healthcare infrastructure, and integrating technology and telemedicine are all essential components