The impact of information exposure on husbands involvement in maternal emergency prevention

Alamsyah Alamsyah* -  D3 Nursing Study Program, Institut Ilmu Kesehatan Pelamonia Kesdam XIV/Hasanuddin, Makassar, Indonesia
Ruqaiyah Ruqaiyah -  D3 Midwifery Study Program, Institut Ilmu Kesehatan Pelamonia Kesdam XIV/Hasanuddin, Makassar, Indonesia
Tut Handayani -  D3 Nursing Study Program, Institut Ilmu Kesehatan Pelamonia Kesdam XIV/Hasanuddin, Makassar, Indonesia
Nur Hamdani Nur -  Public Health Study Program, Faculty of Public Health, Universitas Pancasakti, Makassar, Indonesia
DOI : 10.30867/action.v10i3.2717
Maternal emergencies remain one of the leading causes of maternal morbidity and mortality; therefore, preventive efforts through adequate nutritional management during pregnancy are of paramount importance. The husband’s role in supporting pregnant women, particularly by understanding and ensuring adherence to proper dietary practices, is crucial in reducing the risk of complications. This study aimed to analyze the effect of information exposure on husbands’ knowledge regarding maternal emergency prevention through dietary pattern management. A cross-sectional design was employed in April 2025, involving 399 husbands residing in Makassar City and Gowa District, selected using accidental sampling. Data were collected online using a structured questionnaire that assessed sources of information, frequency of exposure, accessibility, and activeness in seeking information. The chi-square test was applied for statistical analysis. The results revealed that information exposure had a significant effect on husbands’ knowledge (p < 0,0001), including aspects of information sources, frequency of exposure, accessibility, and activeness in seeking information. In conclusion, improving the quality and accessibility of nutritional information for husbands plays an essential role in supporting maternal emergency prevention through the optimization of dietary patterns during pregnancy.

Keywords : Emergency medical services, health knowledge, practice, maternal mortality, nutrition policy

  1. Alamsyah, M., & Alhidayat, N. S. (2019). Pengaruh motivasi melalui aplikasi WhatsApp terhadap pengurangan jumlah batang rokok yang dihisap oleh perokok aktif. Jurnal Media Keperawatan: Politeknik Kesehatan Makassar, 10(2), 85–91.
  2. Althabe, F., Alemán, A., Berrueta, M., Morello, P., Gibbons, L., Colomar, M., Tong, V. T., Dietz, P. M., Farr, S. L., Ciganda, A., Mazzoni, A., Llambí, L., Becú, A., Smith, R. A., Johnson, C., Belizán, J. M., & Buekens, P. M. (2016). A multifaceted strategy to implement brief smoking cessation counseling during antenatal care in Argentina and Uruguay: A cluster randomized trial. Nicotine & Tobacco Research, 18(5), 1083–1092. https://doi.org/10.1093/ntr/ntv276
  3. Arihta, D. T., Kristina, R., & Kesehatan PharmaMedika. (2019). Perilaku suami dalam pengambilan keputusan pada ibu bersalin di kasus kegawatdaruratan maternal di RSUD Koja tahun 2018. Perilaku Suami dalam Pengambilan Keputusan pada Ibu Bersalin dan Kasus Kegawatdaruratan Maternal di RSUD Koja Tahun 2018.
  4. Collin, S. M., Baggaley, R. F., Pittrof, R., & Filippi, V. (2007). Could a simple antenatal package combining micronutritional supplementation with presumptive treatment of infection prevent maternal deaths in sub-Saharan Africa? BMC Pregnancy and Childbirth, 7, 6. https://doi.org/10.1186/1471-2393-7-6
  5. Coombs, N. M., Porter, J. E., & Barbagallo, M. (2023). An exploration of the influencing factors for effective public health messaging during disasters: A scoping review. https://doi.org/10.1016/j.puhe.2023.12.023
  6. Cresswell, J. A., Alexander, M., Chong, M. Y. C., Link, H. M., Pejchinovska, M., Gazeley, U., Ahmed, S. M. A., Chou, D., Moller, A. B., Simpson, D., Alkema, L., Villanueva, G., Sguassero, Y., Tunçalp, Ö., Long, Q., Xiao, S., & Say, L. (2025). Global and regional causes of maternal deaths 2009–2020: A WHO systematic analysis. The Lancet Global Health, 13(4), e626–e634. https://doi.org/10.1016/S2214-109X(24)00560-6
  7. Damayanti, R., Adelia, D., & Tunggal Mutika, W. (2020). Karakteristik ibu hamil dengan hiperemesis gravidarum di RSUD Pasar Rebo Jakarta Timur. Public Health Journal, 11(1). https://journal.fkm-untika.ac.id/index.php/phj
  8. Dearden, K. A., Bishwakarma, R., Crookston, B. T., Masau, B. T., & Mulokozi, G. I. (2021). Health facility-based counseling and community outreach are associated with maternal dietary practices in a cross-sectional study from Tanzania. BMC Nutrition, 7(1), 45. https://doi.org/10.1186/S40795-021-00447-X
  9. Falade-Fatila, O., & Adebayo, A. M. (2020). Male partners’ involvement in pregnancy-related care among married men in Ibadan, Nigeria. Reproductive Health, 17(1), 1–12. https://doi.org/10.1186/S12978-020-0850-2
  10. Frennesson, N. F., McQuire, C., Khan, S. A., Barnett, J., & Zuccolo, L. (2023). Evaluating messaging on prenatal health behaviors using social media data: Systematic review. Journal of Medical Internet Research, 25(1), e44912. https://doi.org/10.2196/44912
  11. Galle, A., De Melo, M., Griffin, S., Osman, N., Roelens, K., & Degomme, O. (2020). A cross-sectional study of the role of men and the knowledge of danger signs during pregnancy in southern Mozambique. BMC Pregnancy and Childbirth, 20(1). https://doi.org/10.1186/s12884-020-03265-4
  12. Graham, G., Goren, N., Sounderajah, V., & DeSalvo, K. (2024). Information is a determinant of health. Nature Medicine, 30(4), 927–928. https://doi.org/10.1038/s41591-023-02792-9
  13. Handayani, S., & Mubarokah, K. (2018). Peran suami dalam kesehatan ibu hamil di Kota Semarang. https://doi.org/https://badge.dimensions.ai/details/doi/10.31596/jkm.v6i1.243
  14. Hou, T., Ho, M. H., Li, H., & Lin, C. C. (2025). The effectiveness of instant messaging-based interventions on health behavior change: A systematic review and meta-analysis. Worldviews on Evidence-Based Nursing, 22(4), e70066. https://doi.org/10.1111/WVN.70066
  15. Isler, J., Sawadogo, N. H., Harling, G., Bärnighausen, T., Adam, M., Sié, A., & McMahon, S. A. (2020). “If he sees it with his own eyes, he will understand”: How gender informed the content and delivery of a maternal nutrition intervention in Burkina Faso. Health Policy and Planning, 35(5), 536–545. https://doi.org/10.1093/heapol/czaa012
  16. Ismawati, D., Roslita, R., Tobing, V. Y., & Utami, A. (2024). Pengetahuan suami dalam mengenali tanda bahaya kehamilan pada ibu hamil. Journal of Nursing Sciences, 13(1), 64–77. https://jurnal.ikta.ac.id/index.php/keperawatan
  17. Kemenkes RI. (2023). Survei Kesehatan Indonesia (SKI) 2023. https://www.badankebijakan.kemkes.go.id/ski-2023-dalam-angka/
  18. Khan, M., Dave, A., Benton, M., Moss, N., & Kaler, M. K. (2024). Health literacy interventions for pregnant women with limited language proficiency in the country they live in: A systematic review. BMC Public Health, 24(1), 1–10. https://doi.org/10.1186/S12889-024-20747-8
  19. Kim, T. H., Connolly, J. A., & Tamim, H. (2014). The effect of social support around pregnancy on postpartum depression among Canadian teen mothers and adult mothers in the maternity experiences survey. BMC Pregnancy and Childbirth, 14(1), 162. http://www.biomedcentral.com/1471-2393/14/162
  20. Kues, J. N., Janda, C., Kleinstäuber, M., & Weise, C. (2014). Internet-based cognitive behavioral self-help for premenstrual syndrome: Study protocol for a randomized controlled trial. Trials, 15(1). https://doi.org/10.1186/1745-6215-15-472
  21. Li, K., Jiang, S., Yan, X., & Li, J. (2023). Mechanism study of social media overload on health self-efficacy and anxiety. Heliyon, 10(1), e23326. https://doi.org/10.1016/J.HELIYON.2023.E23326
  22. Martin, S. L., Matare, C. R., Kayanda, R. A., Owoputi, I., Kazoba, A., Bezner Kerr, R., Nnally, L., Khan, M., Locklear, K. H., Dearden, K. A., & Dickin, K. L. (2021). Engaging fathers to improve complementary feeding is acceptable and feasible in the Lake Zone, Tanzania. Maternal & Child Nutrition, 17(S1), e13144. https://doi.org/10.1111/MCN.13144
  23. Masoi, T. J., & Kibusi, S. M. (2019). Improving pregnant women’s knowledge on danger signs and birth preparedness practices using an interactive mobile messaging alert system in Dodoma region, Tanzania: A controlled quasi-experimental study. Reproductive Health, 16(1). https://doi.org/10.1186/s12978-019-0838-y
  24. Moyo, E., Dzinamarira, T., Moyo, P., Murewanhema, G., & Ross, A. (2024). Men’s involvement in maternal health in sub-Saharan Africa: A scoping review of enablers and barriers. Midwifery, 133, 103993. https://doi.org/10.1016/J.MIDW.2024.103993
  25. Mullany, B. C., Becker, S., & Hindin, M. J. (2007). The impact of including husbands in antenatal health education services on maternal health practices in urban Nepal: Results from a randomized controlled trial. Health Education Research, 22(2), 166–176. https://doi.org/10.1093/her/cyl060
  26. Muthiru, A. W., & Bukachi, S. A. (2024). Male involvement in maternal and child nutrition in low-income informal settlements, Nairobi, Kenya. Journal of Health, Population and Nutrition, 43(1), 1–9. https://doi.org/10.1186/S41043-023-00476-1
  27. Nassar, A. A. H., & Al-Haddad, A. (2024). The potential effectiveness of community health and nutrition volunteers on mothers’ infant and young children feeding knowledge and practice in remote areas, Hajjah, Yemen. BMC Public Health, 24(1), 1–10. https://doi.org/10.1186/S12889-024-20061-3
  28. Nguyen, P. H., Frongillo, E. A., Sanghvi, T., Wable, G., Mahmud, Z., Tran, L. M., Aktar, B., Afsana, K., Alayon, S., Ruel, M. T., & Menon, P. (2018). Engagement of husbands in a maternal nutrition program substantially contributed to greater intake of micronutrient supplements and dietary diversity during pregnancy: Results of a cluster-randomized program evaluation in Bangladesh. Journal of Nutrition, 148(8), 1352–1363. https://doi.org/10.1093/jn/nxy090
  29. Ningrum, E. W., Lusmilasari, L., Huriyati, E., Marthias, T., & Hasanbasri, M. (2024). Improving maternal health literacy among low-income pregnant women: A systematic review. Narra J, 4(2), e886. https://doi.org/10.52225/NARRA.V4I2.886
  30. Oktaviance, R., Sitepu, A. B., Gunny, G. S., & Santa Elisabeth, S. (2022). Gambaran deteksi dini anemia pada ibu hamil di klinik Helen Tarigan tahun 2021. Jurnal Ilmiah Kesehatan, 1(1), 36–48.
  31. Pokhrel, K. N., Thakuri, D. S., Dagadu, N. A., Balami, R., Sharma, M., & Bhandari, R. (2022). Unlocking the potential for engaging men to improve reproductive, maternal, and neonatal health in Karnali Province, Nepal. BMC Public Health, 22(1), 1–11. https://doi.org/10.1186/S12889-022-14534-6
  32. Pratamaningtyas, S., & Titisari, I. (2022). Pengaruh penggunaan aplikasi Wellingbom 2.0 terhadap kemampuan suami mendeteksi dini kehamilan risiko tinggi. Jurnal Promosi Kesehatan Indonesia, 17(1), 7–12. https://doi.org/10.14710/jpki.17.1.7-12
  33. Rahman, A. E., Perkins, J., Islam, S., Siddique, A. B., Moinuddin, M., Anwar, M. R., Mazumder, T., Ansar, A., Rahman, M. M., Raihana, S., Capello, C., Santarelli, C., El Arifeen, S., & Hoque, D. M. E. (2018). Knowledge and involvement of husbands in maternal and newborn health in rural Bangladesh. BMC Pregnancy and Childbirth, 18(1). https://doi.org/10.1186/s12884-018-1882-2
  34. Rahrdjo, S., Kusumawaty, E., & Zaky, I. (2017). Hubungan pengetahuan, sikap, dan paparan informasi dengan peran suami dalam pencegahan bayi berat lahir rendah di Puskesmas II Sumbang dan Kedungbanteng. https://www.e-jurnal.com/2018/07/hubungan-pengetahuansikap-dan-paparan.html
  35. Rudiyanti, N., & Utomo, B. (2024). Challenges of health workers in primary health facilities in implementing obstetric emergency referrals to save women from death in Indonesia: A qualitative study. Belitung Nursing Journal, 10(6), 644–653. https://doi.org/10.33546/bnj.3525
  36. Sari, L. A., Nurty, T., Solvia Soleh, E., Susilawaty, E., & Suryanti, Y. (2021). Husband’s role in detecting danger signs of the wife’s pregnancy through the husband’s book. International Journal of Sciences: Basic and Applied Research, 59(1), 170–177. http://gssrr.org/index.php?journal=JournalOfBasicAndApplied
  37. Shabila, N. P., Ahmed, H. M., & Yasin, M. Y. (2014). Women’s views and experiences of antenatal care in Iraq: A Q methodology study. http://www.biomedcentral.com/1471-2393/14/43
  38. Suhartika, T., & Mulyati, S. (2021). Pengaruh film animasi tanda bahaya terhadap pengetahuan dan sikap suami ibu hamil dalam mendeteksi komplikasi kehamilan. Jurnal Riset Kesehatan Poltekkes Depkes Bandung, 13(1), 195–201. https://doi.org/10.34011/juriskesbdg.v13i1.1865
  39. Sumartini, N.. P. S., Ningtyas, L.. A. W., & Ariyani, N.. W. (2025). Hubungan pengetahuan ibu dan dukungan suami dengan pemilihan metode kontrasepsi jangka panjang (MKJP). Sciences and Clinical Pharmacy Research Journal, 2(2), 15. https://doi.org/10.47134/scpr.v2i2.4224
  40. Tunkara-Bah, H., Adeyemo, F.. O., & Okonofua, F.. E. (2021). Effects of health education on spousal knowledge and participation in birth preparedness in Farafenni Regional Hospital, The Gambia: A randomized trial. BMC Pregnancy and Childbirth, 21(1). https://doi.org/10.1186/s12884-021-03605-y
  41. Wilhelm, E., Vivilaki, V., Calleja-Agius, J., Petelos, E., Tzeli, M., Giaxi, P., Triantiafyllou, E., Asimaki, E., Alevizou, F., & Purnat, T. D. (2025). Effects of the modern digital information environment on maternal health care professionals, the role of midwives, and the people in their care: A scoping review. Journal of Medical Internet Research, 27, e70108. https://doi.org/10.2196/70108
  42. World Health Organization. (2025). Maternal mortality rates and statistics - UNICEF DATA. https://data.unicef.org/topic/maternal-health/maternal-mortality
  43. Wulandari, R. D., & Laksono, A.. D. (2020). Determinants of knowledge of pregnancy danger signs in Indonesia. PLOS ONE, 15(5), e0232550. https://doi.org/10.1371/journal.pone.0232550
  44. Zaman, S. Bin, Gupta, R., Das, A., Al Kibria, G. M., Hossain, N., Bulbul, M.. M. I., & Hoque, D.. M. E. (2018). Husband’s involvement with mother’s awareness and knowledge of newborn danger signs in facility-based childbirth settings: A cross-sectional study from rural Bangladesh. BMC Research Notes, 11(1). https://doi.org/10.1186/s13104-018-3386-6
  45. Zhou, S. S., Lu, J., Qin, A., Wang, Y., Gao, W., Li, H., & Rao, L. (2024). The role of paternal support in breastfeeding outcomes: A meta-analytic review. International Breastfeeding Journal, 19(1), 1–15. https://doi.org/10.1186/S13006-024-00694-1/FIGURES/4

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