<![CDATA[Maternal health outcomes remain a significant concern in Indonesia, with regional disparities hindering national and global goals for reducing maternal mortality. This study explored the effect of health promotion programs on maternal health outcomes in Gorontalo, a province with limited healthcare access and persistent inequities. A quasi-experimental design with pre- and post-test measures involved 200 women of reproductive age, equally split into intervention and control groups. The intervention included structured health promotion sessions focused on maternal nutrition, danger sign recognition, birth preparedness, and the importance of facility-based deliveries. Data were collected through questionnaires and health records, analyzed using paired t-tests, independent t-tests, and regression models. Results showed significant improvements in maternal knowledge, antenatal care attendance, and facility-based deliveries for participants, with the intervention remaining a strong predictor of positive outcomes, even when adjusting for education, income, and parity. These findings suggest that health promotion is a key strategy for improving maternal health behaviors and enhancing healthcare systems when integrated into community governance and organizational structures.]]>
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