Literasi kesehatan berbasis budaya dan pengetahuan perawatan nifas pada ibu etnis ternate: Studi kuasi-eksperimental

Author(s): Nurdiana Lante, Sunarti Arsan, Hartin I K Nadi
DOI: 10.30867/gikes.v7i3.3294

Abstract

Background: Traditional postpartum care practices are common in the Ternate ethnic community and may pose health risks when maternal knowledge is limited. This study assessed whether a culturally tailored health literacy intervention was associated with improved postpartum care knowledge among Ternate women.

Methods: A quasi-experimental pretest-posttest study with a non-randomized control group was conducted at coastal community health centers in Ternate, North Maluku, Indonesia, from February to April 2024. Sixty-two postpartum mothers were recruited through purposive sampling and allocated to the intervention and control groups (n = 31 each). The intervention group received eight weekly culturally tailored education sessions and a booklet, whereas the control group received routine education. Knowledge was measured using a validated 20-item questionnaire (Cronbach's alpha = .85). Paired- and independent-samples t tests were used.

Results: The baseline mean (SD) knowledge scores were 11.74 (1.71) in the intervention group and 11.74 (1.69) in the control group. At posttest, the mean score was 19.35 (0.42) in the intervention group and 16.74 (1.67) in the control group (p < .001). The reported between-group mean difference was 2.61 (95% CI, 2.01-3.21; p < .001), with Cohen's d = 2.14.

Conclusion: The culturally tailored intervention was associated with higher immediate posttest knowledge than routine education among Ternate mothers. Interpretation should consider the non-randomized, site-based allocation and short-term knowledge outcome.

Keywords

Culturally tailored education, health literacy, maternal health, postpartum care, postpartum mothers

Full Text:

PDF

References

Alnaji, N., Akesson, B., & Gottlieb, A. (2024). The cultural significance of Syrian refugees’ traditional childbirth and postpartum practices. Midwifery, 139, Article 104180. https://doi.org/10.1016/j.midw.2024.104180

Bazzano, A. N., Stolow, J. A., Duggal, R., Oberhelman, R. A., & Var, C. (2020). Warming the postpartum body as a form of postnatal care: An ethnographic study of medical injections and traditional health practices in Cambodia. PLOS ONE, 15(2), Article e0228529. https://doi.org/10.1371/journal.pone.0228529

Chen, S., Lin, X., Wang, M., Gu, Z., Wang, M., Ji, Y., & Yang, M. (2025). Research on the status and influencing factors of maternal health literacy among postpartum women in urban villages. Journal of Advanced Nursing, 81(1), 499–512. https://doi.org/10.1111/jan.16379

Cheng, G. Z., Chen, A., Xin, Y., & Ni, Q. Q. (2023). Using the teach-back method to improve postpartum maternal-infant health among women with limited maternal health literacy: A randomized controlled study. BMC Pregnancy and Childbirth, 23, Article 13. https://doi.org/10.1186/s12884-022-05302-w

Eluri, S., Baliga, B. S., Rao, S. S., Vinayagamoorthy, V., & Kamath, N. (2022). Can flip-chart assisted maternal education improve essential newborn care knowledge and skills? A randomized controlled trial. Maternal and Child Health Journal, 26(9), 1891–1906. https://doi.org/10.1007/s10995-022-03409-2

Finlayson, K., Sacks, E., Brizuela, V., Crossland, N., Cordey, S., Ziegler, D., Langlois, E. V., Javadi, D., Comrie-Thomson, L., Downe, S., & Bonet, M. (2023). Factors that influence the uptake of postnatal care from the perspective of fathers, partners and other family members: A qualitative evidence synthesis. BMJ Global Health, 8(Suppl. 2), Article e011086. https://doi.org/10.1136/bmjgh-2022-011086

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, Article 3287. https://doi.org/10.1186/s12889-024-20747-8

Liu, Y., Hu, J., Chen, X., Yu, Y., & Bai, J. (2020). Effects of a health education program targeted to Chinese women adhering to their cultural practice of doing the month: A randomized controlled trial. Midwifery, 90, Article 102796. https://doi.org/10.1016/j.midw.2020.102796

Nguyen, V. V. T., Zheng, M. Y., Liu, S. M., Kallen, M. A., Kay, K., & Ivey, S. L. (2022). Prevalence of traditional Asian postpartum practices at a federally qualified health center. Journal of Immigrant and Minority Health, 24(5), 1251–1260. https://doi.org/10.1007/s10903-021-01299-0

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), Article e886. https://doi.org/10.52225/narra.v4i2.886

Putri, A. P., & Lu, Y. Y. (2024). Maternal health literacy in pregnant women: A concept analysis. Maternal and Child Health Journal, 28(8), 1272–1282. https://doi.org/10.1007/s10995-024-03945-z

Sacks, E., Finlayson, K., Brizuela, V., Crossland, N., Ziegler, D., Sauvé, C., Langlois, É. V., Javadi, D., Downe, S., & Bonet, M. (2022). Factors that influence uptake of routine postnatal care: Findings on women’s perspectives from a qualitative evidence synthesis. PLOS ONE, 17(8), Article e0270264. https://doi.org/10.1371/journal.pone.0270264

Sangdang, A., Phahuwatanakorn, W., & Limruangrong, P. (2025). Factors influencing maternal health literacy in postpartum women. International Journal of Women’s Health, 17, 1103–1114. https://doi.org/10.2147/IJWH.S511322

Refbacks

  • There are currently no refbacks.