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Faktor-Faktor Yang Mempengaruhi Kepatuhan Perilaku Pencegahan Malaria Pada Ibu Hamil Berdasarkan Pendekatan Teori Health Belief Model (HBM) Selina Boseren; Hermayani Hermayani; Inggrit Rita Uli Manik; Peny Wena Betsy Maran; Leny Krey; Selpiana Toanapa
Jurnal Ners Vol. 10 No. 3 (2026): JULI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i3.53825

Abstract

Malaria merupakan ancaman serius bagi ibu hamil, terutama di daerah endemis, karena dapat menyebabkan komplikasi maternal dan perinatal. Penelitian ini bertujuan menganalisis faktor-faktor yang memengaruhi kepatuhan perilaku pencegahan malaria pada ibu hamil berdasarkan pendekatan Health Belief Model (HBM) di wilayah kerja Puskesmas Sumberker. Penelitian menggunakan desain kuantitatif observasional dengan pendekatan cross-sectional terhadap 45 responden ibu hamil yang dipilih secara purposive sampling. Data dikumpulkan melalui kuesioner dan dianalisis secara bivariat menggunakan uji regresi logistik sederhana. Hasil menunjukkan bahwa hanya Self-Efficacy (Efikasi Diri) yang memiliki hubungan signifikan dengan kepatuhan perilaku pencegahan malaria (COR = 13,33; p = 0,037). Artinya, ibu hamil dengan efikasi diri tinggi memiliki peluang 13 kali lebih besar untuk patuh dalam mencegah malaria dibandingkan yang efikasi dirinya rendah. Sementara itu, dimensi HBM lainnya yaitu Perceived Susceptibility, Perceived Severity, Perceived Benefits, dan Cues to Action tidak menunjukkan hubungan statistik yang signifikan (p > 0,05), kemungkinan karena keterbatasan sampel, homogenitas respons, serta kesenjangan antara persepsi dan tindakan nyata. Temuan ini menegaskan bahwa efikasi diri merupakan kunci utama dalam mendorong kepatuhan perilaku pencegahan malaria pada ibu hamil. Oleh karena itu, intervensi kesehatan sebaiknya tidak hanya fokus pada peningkatan pengetahuan, tetapi juga pada penguatan rasa percaya diri, keterampilan praktis, dan dukungan sosial agar perilaku pencegahan dapat dilakukan secara konsisten dan berkelanjutan.
Pemberdayaan Ibu Hamil dan Ibu Balita Dalam Upaya Pencegahan Malaria Melalui Pendekatan Promotif dan Preventif di Wilayah Kerja Puskesmas Biak Kota Kabupaten Biak Numfor Selina Boseren; Hermayani; Annisa Anggraini
Health Care : Journal of Community Service Vol. 3 No. 4 (2025)
Publisher : Rena Cipta Mandiri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62354/healthcare.v3i4.165

Abstract

Malaria in Indonesia remains a major public health concern in the eastern regions, despite a national decline in prevalence. An analysis of partner data obtained for 2024 indicates that approximately 93% of districts/cities in Indonesia have become malaria-free; however, Papua and West Papua still account for over 60% of national cases. In Papua Province, malaria is classified as highly endemic, with an Annual Parasite Incidence (API) reaching 12.5 per 1,000 population. Pregnant women constitute a vulnerable group due to limited access to antenatal care services and low use of insecticide-treated bed nets. Biak Numfor District is categorized as moderately endemic, with an API of 4.2 per 1,000 population and approximately 1,850 malaria cases throughout 2024, including 210 cases affecting pregnant women. Key risk factors include tropical conditions, population mobility and insufficient health education. Within the service area of Biak Kota Health Center, approximately 280 malaria cases were recorded in 2024, including 35 cases among pregnant women. The objective of this community service activity is to enhance the knowledge of pregnant women and mothers of toddlers within the Biak Kota Health Center’s service area regarding malaria, including its transmission routes, impacts on pregnancy, causes, symptoms, and consequences of malaria during pregnancy (such as anemia, miscarriage, and low birth weight), prevention methods through the use of long-lasting insecticidal nets (LLINs), maintaining environmental cleanliness, and avoiding mosquito bites, as well as the importance of routine blood testing for malaria during antenatal care (ANC) visits. The method employed involved small group discussions using leaflet.
The Influence of Regional Language Leaflets about Stunting on Increasing the Knowledge of Mothers of Toddlers Inggrit Rita Uli Manik; Selina Boseren
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.4819

Abstract

Stunting is a serious health issue affecting children's growth and development, particularly in areas with limited access to nutritional and health information, such as Biak Regency in Papua Province. This study aims to measure the impact of regional language leaflets on increasing mothers’ knowledge of stunting. The use of local language is expected to strengthen mothers' understanding of the causes, impacts, and prevention of stunting, as well as to enhance the effectiveness of health communication at the community level. This quantitative pre-experimental study employed a one-group pretest-posttest design with 20 mothers from Samau Village, selected through total sampling. Data collection used a validated and reliable stunting knowledge questionnaire with a Cronbach's Alpha of 0.908. The results were analyzed using the Wilcoxon Signed-Rank Test. Findings indicated that most respondents were aged 20-35, had high school education, were housewives, and had multiple children. Before the intervention, 95% had limited knowledge about stunting, but after the intervention, 75% demonstrated good understanding. The Wilcoxon Signed-Rank Test yielded a p-value of 0.000, confirming the effectiveness of using local language leaflets to improve stunting awareness.