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All Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Dewi Susanti
Midwifery Department, Padang Health Polytechnic Ministry of Health, Padang, West Sumatera, Indonesia
Health Professions Public Health

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Developing a Social Learning-Based Educational Model to Improve Pregnancy and Baby Care Behavior in Adolescent Mothers Dewi Susanti; Muhammad Faisal; Elda Yusefni; Renidayati Renidayati
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 7, No 3 (2025): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v7i3.25510

Abstract

Adolescent pregnancy remains a serious public health issue, especially in developing countries. Many young mothers struggle because they lack the knowledge, emotional readiness, and support systems needed to maintain a healthy pregnancy and care for their babies. In Indonesia, these challenges are made worse by limited reproductive health education and the presence of social stigma. Padang, West Sumatra, faces similar concerns, with relatively high rates of adolescent pregnancy. The region's predominantly Muslim population and the Minangkabau culture; known for its strong emphasis on family and community values, play a significant role in shaping adolescent reproductive health behaviors. This study aims to design an educational model based on social learning theory to improve pregnancy and baby care practices among adolescent mothers in West Sumatra. A convergent mixed-methods design was used. Quantitative data came from structured questionnaires completed by 76 pregnant adolescents, while qualitative insights were gathered through interviews and focus group discussions with 11 informants, including adolescent husbands, family caregivers, midwives, and psychologists. The analysis showed that knowledge alone was not enough to encourage positive maternal behavior. Emotional readiness, stress management, family communication, and future planning were all significantly linked to better pregnancy care (p < 0.05). Qualitative findings further highlighted the importance of group-based training, interactive modules, accessible materials, and family involvement in strengthening adolescents' readiness and caregiving skills. The proposed educational model, grounded in social learning principles, offers a culturally sensitive and practical approach to empower adolescent mothers. If applied in community and clinical settings, it has the potential to improve maternal and child health outcomes and reduce the long-term risks associated with adolescent pregnancy Keywords: Adolescent pregnancy, educational model, social learning theory, maternal behavior, baby care
Changes in Awareness, Capacity, and Empowerment among Family Planning Cadres Following Community Empowerment Training in Padang City: A Three-Month Repeated-Measures Study Dewi Susanti; Rahmi Andrita Yuda; Erwani Erwani
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 8, No 3 (2026): Contagion
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v8i3.29686

Abstract

Unmet need for contraception, defined as women who wish to postpone or avoid pregnancy but are not using any contraceptive method, remains a major public health challenge. In Indonesia, the prevalence of unmet need has remained at approximately 10–12% over the past two decades, while Padang City recorded 28.9% in the 2020 National Socioeconomic Survey, highlighting the need for effective community-based interventions. This study examined changes in family planning cadres’ awareness, capacity, and empowerment following Community Empowerment Module–based training in Padang City. A one-group repeated-measures quasi-experimental study included 120 family planning cadres in Padang City, West Sumatra. All participants completed assessments at baseline (T0), immediately after the 21-day training program (T1), and at the three-month follow-up (T2). Awareness, capacity, and empowerment were assessed using structured questionnaires and knowledge assessments. Changes over time were analyzed using a repeated-measures General Linear Model with a significance level of p < 0.05. All three outcomes increased progressively across the three measurement points. From baseline to three months, awareness increased by 3.875 points (95% CI: 3.648–4.102), capacity by 8.875 points (95% CI: 8.587–9.163), and empowerment by 18.692 points (95% CI: 18.243–19.140), with all adjusted p-values < 0.001. The overall effects across the three measurement points were large for awareness (partial η² = 0.936), capacity (partial η² = 0.979), and empowerment (partial η² = 0.993). Community Empowerment Module–based training was associated with improvements in family planning cadres’ awareness, capacity, and empowerment, with improvements persisting at the three-month assessment. These findings suggest enhanced cadre competencies that may support community-based efforts to address unmet need for contraception; however, whether the intervention reduces the prevalence of unmet need for contraception remains to be demonstrated.Keywords: Contraception, Unmet Need, Community Empowerment, Community Health Workers, Indonesia
Co-Authors Elda Yusefni Erwani Erwani Muhammad Faisal Rahmi Andrita Yuda Renidayati Renidayati