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Education on High-Risk Pregnancy and Nutritional Monitoring of Pregnant Women to Prevent Stunting: High-Risk Pregnancy Education and Stunting Prevention Nurhikmah; Muliyana; Evawaty Uli; Dyah Tahir; Erwin
Journal of Evidence-Based Community Health Vol. 3 No. 1 (2026): Journal of Evidence-Based Community Health
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/rn6dvj92

Abstract

Stunting remains a major public health problem in Indonesia, particularly in rural areas, and prevention efforts must begin during pregnancy. This community service program aimed to improve knowledge and awareness regarding high-risk pregnancy and maternal nutritional monitoring as an early strategy to prevent stunting in Tupabiring Village. The program was conducted using a structured approach consisting of preparation, implementation, and evaluation stages. Activities included health education sessions, interactive discussions, nutritional status assessment through body weight and mid-upper arm circumference (MUAC) measurements, anemia risk identification, and individualized counseling for pregnant women. The results showed an improvement in participants’ knowledge of high-risk pregnancy, danger signs, balanced maternal nutrition, and the importance of routine antenatal care (ANC) visits. Nutritional monitoring enabled early identification of pregnant women at risk of nutritional problems, providing a basis for targeted counseling and follow-up recommendations. The involvement of family members and community health cadres strengthened community participation and program sustainability. In conclusion, education combined with maternal nutritional monitoring is an effective community-based intervention to enhance maternal health awareness and support early stunting prevention efforts. Sustainable and integrated programs at the village level are recommended to optimize long-term maternal and child health outcomes
Psychosocial Determinants of Antenatal Care Utilisation in Palopo City, Indonesia: An Integrated Health Belief Model and Intention-Based Approach Dyah Tahir; Evawati Uly; Fadli Fadli; Andi Sastria Ahmad
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 8 (2026)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i8.8718

Abstract

Introduction: Antenatal care (ANC) is an essential maternal health service for preventing pregnancy complications. However, ANC utilisation remains suboptimal in many developing countries, including Indonesia. This study examined psychosocial determinants associated with ANC utilisation using an integrated Health Belief Model and an intention-based behavioural framework among pregnant women in Palopo City, Indonesia. Methods: A cross-sectional study was conducted among 109 pregnant women in the second and third trimesters at Pontap Health Center, Palopo City, Indonesia. Data were collected using a structured questionnaire and analysed using partial least squares structural equation modelling (PLS-SEM) to examine direct and indirect associations among psychosocial constructs, intention, and ANC behaviour. Results: Knowledge was inversely associated with intention (β = -0.410; p = 0.030), while risk perception (β = 0.333; p < 0.001), subjective norms (β = 0.187; p = 0.001), and self-efficacy (β = 0.893; p < 0.001) were positively associated with intention. Intention was positively associated with ANC behaviour (β = 0.598; p < 0.001). In contrast, knowledge and self-efficacy did not have significant direct associations with ANC behaviour. The reported indirect effects suggest a potential mediating role for intention. These findings highlight psychosocial and intention-based pathways associated with ANC behaviour among pregnant women in Indonesia. Conclusion: This study highlights the association between psychosocial factors, particularly behavioural intention, and ANC behaviour among pregnant women. Health-promotion strategies that address risk perception, subjective norms, and self-efficacy may support ANC attendance. Longitudinal and intervention studies are needed to examine these relationships over time.