The Effect of Health Promotion Programs on Maternal Health Outcomes in Gorontalo
DOI:
https://doi.org/10.37899/mjdh.v2i3.231Keywords:
Health promotion, Maternal Health, Outcomes, GorontaloAbstract
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.
References
Adeosun, A. (2022). Cultural beliefs and practices influencing the health seeking behaviour of women during pregnancy in Ota, Southwest Nigeria. University of Salford (United Kingdom).
Adeosun, A. (2022). Cultural beliefs and practices influencing the health seeking behaviour of women during pregnancy in Ota, Southwest Nigeria. University of Salford (United Kingdom).
Ali, I., Sadique, S., Ali, S., & Davis-Floyd, R. (2021). Birthing between the “traditional” and the “modern”: DāĪ practices and childbearing women’s choices during COVID-19 in Pakistan. Frontiers in Sociology, 6, 622223. https://doi.org/10.3389/fsoc.2021.622223
Amri, S., & Sihotang, J. (2023). Impact of Poverty Reduction Programs on Healthcare Access in Remote Ar-eas: Fostering Community Development for Sustainable Health. Law and Economics, 17(3), 170-185. https://doi.org/10.35335/laweco.v17i3.43
Anyanwu, E. C., Maduka, C. P., Ayo-Farai, O., Okongwu, C. C., & Daraojimba, A. I. (2024). Maternal and child health policy: A global review of current practices and future directions. World Journal of Advanced Research and Reviews, 21(2), 1770-1781. https://doi.org/10.30574/wjarr.2024.21.2.0306
Aryastami, N. K., & Mubasyiroh, R. (2021). Traditional practices influencing the use of maternal health care services in Indonesia. PLoS One, 16(9), e0257032. https://doi.org/10.1371/journal.pone.0257032
Aynalem, B. Y., Melesse, M. F., & Bitewa, Y. B. (2023). Cultural beliefs and traditional practices during pregnancy, child birth, and the postpartum period in East Gojjam Zone, Northwest Ethiopia: a qualitative study. Women's Health Reports, 4(1), 415-422. https://doi.org/10.1089/whr.2023.0024
Bohren, M. A., Iyer, A., Barros, A. J., Williams, C. R., Hazfiarini, A., Arroyave, L., ... & Oladapo, O. T. (2024). Towards a better tomorrow: addressing intersectional gender power relations to eradicate inequities in maternal health. EClinicalMedicine, 67. https://doi.org/10.1016/j.eclinm.2023.102180
Chen, L., Feng, P., Shaver, L., & Wang, Z. (2021). Maternal mortality ratio in China from 1990 to 2019: trends, causes and correlations. BMC Public Health, 21(1), 1536. https://doi.org/10.1186/s12889-021-11557-3
Clancy, G., Boardman, F., & Rees, S. (2022). Exploring trust in (bio) medical and experiential knowledge of birth: The perspectives of pregnant women, new mothers and maternity care providers. Midwifery, 107, 103272. https://doi.org/10.1016/j.midw.2022.103272
Crear-Perry, J., Correa-de-Araujo, R., Lewis Johnson, T., McLemore, M. R., Neilson, E., & Wallace, M. (2021). Social and structural determinants of health inequities in maternal health. Journal of women's health, 30(2), 230-235. https://doi.org/10.1089/jwh.2020.8882
Edelman, C., & Kudzma, E. C. (2021). Health promotion throughout the life span-e-book. Elsevier Health Sciences.
Favara, G., Maugeri, A., Barchitta, M., Lanza, E., Magnano San Lio, R., & Agodi, A. (2024). Maternal lifestyle factors affecting breast milk composition and infant health: A systematic review. Nutrients, 17(1), 62. https://doi.org/10.3390/nu17010062
Fox-Harding, C. (2024). Maternal Health Considerations: Highlighting and advancing opportunities for improved maternal health. Women's Health, 20, 17455057241253931. https://doi.org/10.1177/17455057241253931
Kalaris, K., Radovich, E., Carmone, A. E., Smith, J. M., Hyre, A., Baye, M. L., ... & Moran, A. C. (2022). Networks of care: an approach to improving maternal and newborn health. Global Health: Science and Practice, 10(6). https://doi.org/10.9745/GHSP-D-22-00162
Li, C. L., Jiang, M., Huang, K. C., Li, J., & Xu, L. G. (2022). The trends of maternal mortality ratios and cause pattern in 34 Chinese provinces, 1990–2017. BMC Public Health, 22(1), 1369. https://doi.org/10.1186/s12889-022-13770-0
Majebi, N. L., Adelodun, M. O., & Chinyere, E. (2024). Maternal mortality and healthcare disparities: Addressing systemic inequities in underserved communities. International Journal of Engineering Inventions, 13(9), 375-385.
Mehta, L. S., Sharma, G., Creanga, A. A., Hameed, A. B., Hollier, L. M., Johnson, J. C., ... & American Heart Association Advocacy Coordinating Committee. (2021). Call to action: maternal health and saving mothers: a policy statement from the American Heart Association. Circulation, 144(15), e251-e269. https://doi.org/10.1161/cir.0000000000001000
Metcalfe, R., & Adegoke, A. A. (2013). Strategies to increase facility-based skilled birth attendance in South Asia: a literature review. International health, 5(2), 96-105. https://doi.org/10.1093/inthealth/ihs001
Neely, E., & Reed, A. (2023). Towards a mother-centred maternal health promotion. Health Promotion International, 38(2), daad014. https://doi.org/10.1093/heapro/daad014
Obohwemu, K. (2024). All animals are equal, but some animals are more equal than others”: Equity as a fundamental dimension of health. International Journal of Medical Science and Public Health Research, 5(11), 56-69. https://doi.org/10.37547/ijmsphr/Volume05Issue11-06
Ombere, S. O., Haller, T., Nyambedha, E., & Merten, S. (2021). Cultural practices during pregnancy and birth among the Giriama community in coastal Kenya: a qualitative study. International Journal of Childbirth, (4), 154-165. https://doi.org/10.1891/IJC-2021-0008
Onambele, L., Ortega-Leon, W., Guillen-Aguinaga, S., Forjaz, M. J., Yoseph, A., Guillen-Aguinaga, L., ... & Guillen-Grima, F. (2022). Maternal mortality in Africa: Regional trends (2000–2017). International journal of environmental research and public health, 19(20), 13146. https://doi.org/10.3390/ijerph192013146
Osei, R. (2024). Nutritional Status and Health Seeking Behaviour of Pregnant Women in Awutu Senya West District of Ghana (Doctoral dissertation, University of Cape Coast).
Sharma, B. B., Jones, L., Loxton, D. J., Booth, D., & Smith, R. (2018). Systematic review of community participation interventions to improve maternal health outcomes in rural South Asia. BMC pregnancy and childbirth, 18(1), 327. https://doi.org/10.1186/s12884-018-1964-1
Solomon, N., & Tesfaye, M. (2022). Traditional practices during pregnancy and childbirth among mothers in Shey Bench District, South West Ethiopia. SAGE Open Medicine, 10, 20503121221098139. https://doi.org/10.1177/20503121221098139
Sumankuuro, J., Mahama, M. Y., Crockett, J., Wang, S., & Young, J. (2019). Narratives on why pregnant women delay seeking maternal health care during delivery and obstetric complications in rural Ghana. BMC pregnancy and childbirth, 19(1), 260. https://doi.org/10.1186/s12884-019-2414-4
Tabong, P. T. N., Kyilleh, J. M., & Amoah, W. W. (2021). Reasons for the utilization of the services of traditional birth attendants during childbirth: A qualitative study in Northern Ghana. Women's Health, 17, 17455065211002483. https://doi.org/10.1177/17455065211002483
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