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Background: Program HERO (Helping and Empowering Women in Reproductive Choices) merupakan inisiatif pengabdian kepada masyarakat yang bertujuan untuk meningkatkan pengetahuan perempuan usia subur di Desa Sumbersekar, Kecamatan Dau, Kabupaten Malang. Analisis situasi terhadap Praktik Mandiri Bidan Sunarni mengungkap sejumlah tantangan signifikan, yaitu kurangnya kader kesehatan desa yang terlatih secara memadai untuk mendukung tenaga kesehatan dalam memberikan pendidikan kesehatan reproduksi dan rendahnya kesadaran masyarakat yang bersumber dari faktor pendidikan dan ekonomi. Metode: Dilaksanakan pada bulan September 2024 dan melalui dua sesi edukasi yang melibatkan tenaga kesehatan desa dan perempuan usia subur, program ini memberikan informasi tentang keluarga berencana, kesehatan reproduksi, dan gizi prakonsepsi. Sebelum dan sesudah kegiatan, peserta mengikuti pretest dan posttest untuk mengukur peningkatan pengetahuan. Hasil: Hasil menunjukkan adanya peningkatan yang signifikan pada rata-rata nilai posttest (89,80) dibandingkan pretest (57,80). Selain itu, distribusi tingkat pengetahuan menunjukkan peningkatan kategori "baik" dari 0% pada pretest menjadi 76% pada posttest. Hal ini menunjukkan bahwa edukasi yang diberikan efektif dalam meningkatkan pemahaman peserta mengenai kesehatan prakonsepsi. Tindak lanjut dan monitoring oleh kader desa diperlukan untuk menjaga keberlanjutan pengetahuan dan perilaku sehat yang telah diperoleh. Kesimpulan: Pentingnya untuk membangun keberhasilan inisiatif HERO dengan menerapkan program pendidikan yang sedang berlangsung dan mengatasi kesenjangan pengetahuan yang tersisa.
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© 2025 Oleh authors. Lisensi Jurnal SOLMA, LPPM-Uhamka, Jakarta. Artikel ini bersifat open access yang didistribusikan di bawah syarat dan ketentuan Creative Commons Attribution (CC BY) license. (http://creativecommons.org/licenses/by/4.0/).
Referensi
- AAFP. (2022, September). Preconception Care (Position Paper). American Academy of Family Physician. Diakses pada: https://www.aafp.org/about/policies/all/preconception-care.html
- Asaolu, O., Alawode, G., Ajike, S., Ogunsanmi, O., Bello, M., Ibitoye, J., Oyeyemi, A., Adeniran, A., Emeka, C., Obembe, O., Ojelade, O., Asaolu, O., Ugwu, A., Obanubi, C., Abubakar, A., Asaolu, A., Asaolu, O., Nalda, N., Amao, A., … Agbede, C. (2023). The The Influence of Peer-Led Health Education Intervention on Medication Adherence Practices Among Youths Living with HIV In Nigeria. Medical Research Archives, 11(8). https://doi.org/10.18103/mra.v11i8.4285
- Badan Pusat Statistik. (2023). Hasil Long Form Sensus Penduduk 2020. In Badan Pusat Statistik. Diakses pada: https://papua.bps.go.id/pressrelease/2018/05/07/336/indeks-pembangunan-manusia-provinsi-papua-tahun-2017.html
- Bah, H. T.-, 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
- Bortolus, R., Oprandi, N. C., Rech Morassutti, F., Marchetto, L., Filippini, F., Agricola, E., Tozzi, A. E., Castellani, C., Lalatta, F., Rusticali, B., & Mastroiacovo, P. (2017). Why women do not ask for information on preconception health? A qualitative study. BMC Pregnancy and Childbirth, 17(1). https://doi.org/10.1186/s12884-016-1198-z
- Cairncross, Z. F., Ravindran, S., Yoganathan, S., Dennis, C. L., Enders, J., Graves, L., Mill, C., Telner, D., & Brown, H. K. (2019). Measurement of Preconception Health Knowledge: A Systematic Review. In American Journal of Health Promotion, 33(6). https://doi.org/10.1177/0890117119835518
- Dean, S. V., Lassi, Z. S., Imam, A. M., & Bhutta, Z. A. (2014). Preconception care: Closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health. In Reproductive Health, 11. https://doi.org/10.1186/1742-4755-11-S3-S1
- Government of Indonesia. (2023). Indonesia FP2030 Commitment. 2030 (Family Planning 2030), 1–15. Diakses pada: https://fp2030.org/sites/default/files/Indonesia FP2030 Commitment 2023.01.25.pdf
- Gupta, R., Gupta, B. M., & Gupta, A. (2018). Impact of Educational Intervention on the Awareness of Undergraduate Medical Students Towards Teratogenicity: an observational study. International Journal of Basic & Clinical Pharmacology, 7(9). https://doi.org/10.18203/2319-2003.ijbcp20183500
- Kementerian Kesehatan RI. (2024, January 25). Agar Ibu dan Bayi Selamat. Diakses pada: https://sehatnegeriku.kemkes.go.id/baca/blog/20240125/3944849/agar-ibu-dan-bayi-selamat/#:~:text=Berdasarkan data dari Maternal Perinatal,pada tahun 2023 tercatat 29.945.
- Khan, N. N., Boyle, J., Lang, A. Y., & Harrison, C. L. (2019). Preconception health attitudes and behaviours of women: A qualitative investigation. Nutrients, 11(7). https://doi.org/10.3390/nu11071490
- Kheiri, M., Jeihooni, A. K., Alkamel, A., & Harsini, P. A. (2019). The effect of educational intervention based on the health belief model on the promotion of cardiovascular disease (CVD) preventive behaviors among subjects referred to health centers in fasa city (fars province, iran). Kontakt, 21(2). https://doi.org/10.32725/kont.2019.021
- Kurniawati, W., Afiyanti, Y., Nasution, L. A., & Juliastuti, D. (2023). Preconception care knowledge and information delivery modes among adolescent girls and women: a scoping review. Korean Journal of Women Health Nursing, 29(1), 12–19. https://doi.org/10.4069/kjwhn.2023.02.28
- Linda, I., Santoso, H., Lubis, Z., & Siregar, M. F. G. (2022). Empowering Village Health Workers to Influence Preconception Behavior and Increase Utilization of Preconception Health Services in the Deli Serdang Regency. Open Access Macedonian Journal of Medical Sciences, 10, 191–197. https://doi.org/10.3889/oamjms.2022.8219
- Munthali, M., Chiumia, I. K., Mandiwa, C., & Mwale, S. (2021). Knowledge and perceptions of preconception care among health workers and women of reproductive age in Mzuzu City, Malawi: a cross-sectional study. Reproductive Health, 18(1). https://doi.org/10.1186/s12978-021-01282-w
- Nascimento, N. de C., Borges, A. L. V., & Fujimori, E. (2019). Preconception health behaviors among women with planned pregnancies. Revista Brasileira de Enfermagem, 72. https://doi.org/10.1590/0034-7167-2017-0620
- Ojukwu, O., Patel, D., Stephenson, J., Howden, B., & Shawe, J. (2016). General practitioners’ knowledge, attitudes and views of providing preconception care: a qualitative investigation. Upsala Journal of Medical Sciences, 121(4). https://doi.org/10.1080/03009734.2016.1215853
- Sitaresmi, M. N., Rozanti, N. M., Simangunsong, L. B., & Wahab, A. (2020). Improvement of Parent’s awareness, knowledge, perception, and acceptability of human papillomavirus vaccination after a structured-educational intervention. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-09962-1
- TAMK. (2021). Preconception Health and Care – Handbook for education (J. Tuomi (ed.)). Tampere University of Applied Sciences. Diakses pada: https://www.theseus.fi/bitstream/handle/10024/504916/PreconNet-5.pdf?sequence=2&isAllowed=y
- Teshome, F., Kebede, Y., Abamecha, F., & Birhanu, Z. (2020). What do Women Know Before Getting Pregnant? Knowledge of Preconception Care and Associated Factors Among Pregnant Women in Mana District, Southwest Ethiopia: A Community-Based Cross-Sectional Study. BMJ Open, 10(7). https://doi.org/10.1136/bmjopen-2019-035937
- UNFPA. (2018). One Vision Three Zeros: Annual Data 2018.
- UNFPA. (2022). UNFPA Strategy for Family Planning, 2022-2030: Expanding Choices – Ensuring Rights in a Diverse and Changing World. Laser Focus World, 39(11), 60.
- Walker, R., Quong, S., Olivier, P., Wu, L., Xie, J., & Boyle, J. (2022). Empowerment for Behaviour Change through Social Connections: A Qualitative Exploration of Women’s Preferences in Preconception Health Promotion in the State of Victoria, Australia. BMC Public Health, 22(1), 1–14. https://doi.org/10.1186/s12889-022-14028-5
- WHO. (2017). Targets of Sustainable Development Goal 3. World Health Organization. Diakses pada: https://www.who.int/europe/about-us/our-work/sustainable-development-goals/targets-of-sustainable-development-goal-3
- WHO, & Johns Hopkins Bloomberg School of Public Health/CCP. (2018). Family Planning: A Global Handbook for Providers.
Referensi
AAFP. (2022, September). Preconception Care (Position Paper). American Academy of Family Physician. Diakses pada: https://www.aafp.org/about/policies/all/preconception-care.html
Asaolu, O., Alawode, G., Ajike, S., Ogunsanmi, O., Bello, M., Ibitoye, J., Oyeyemi, A., Adeniran, A., Emeka, C., Obembe, O., Ojelade, O., Asaolu, O., Ugwu, A., Obanubi, C., Abubakar, A., Asaolu, A., Asaolu, O., Nalda, N., Amao, A., … Agbede, C. (2023). The The Influence of Peer-Led Health Education Intervention on Medication Adherence Practices Among Youths Living with HIV In Nigeria. Medical Research Archives, 11(8). https://doi.org/10.18103/mra.v11i8.4285
Badan Pusat Statistik. (2023). Hasil Long Form Sensus Penduduk 2020. In Badan Pusat Statistik. Diakses pada: https://papua.bps.go.id/pressrelease/2018/05/07/336/indeks-pembangunan-manusia-provinsi-papua-tahun-2017.html
Bah, H. T.-, 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
Bortolus, R., Oprandi, N. C., Rech Morassutti, F., Marchetto, L., Filippini, F., Agricola, E., Tozzi, A. E., Castellani, C., Lalatta, F., Rusticali, B., & Mastroiacovo, P. (2017). Why women do not ask for information on preconception health? A qualitative study. BMC Pregnancy and Childbirth, 17(1). https://doi.org/10.1186/s12884-016-1198-z
Cairncross, Z. F., Ravindran, S., Yoganathan, S., Dennis, C. L., Enders, J., Graves, L., Mill, C., Telner, D., & Brown, H. K. (2019). Measurement of Preconception Health Knowledge: A Systematic Review. In American Journal of Health Promotion, 33(6). https://doi.org/10.1177/0890117119835518
Dean, S. V., Lassi, Z. S., Imam, A. M., & Bhutta, Z. A. (2014). Preconception care: Closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health. In Reproductive Health, 11. https://doi.org/10.1186/1742-4755-11-S3-S1
Government of Indonesia. (2023). Indonesia FP2030 Commitment. 2030 (Family Planning 2030), 1–15. Diakses pada: https://fp2030.org/sites/default/files/Indonesia FP2030 Commitment 2023.01.25.pdf
Gupta, R., Gupta, B. M., & Gupta, A. (2018). Impact of Educational Intervention on the Awareness of Undergraduate Medical Students Towards Teratogenicity: an observational study. International Journal of Basic & Clinical Pharmacology, 7(9). https://doi.org/10.18203/2319-2003.ijbcp20183500
Kementerian Kesehatan RI. (2024, January 25). Agar Ibu dan Bayi Selamat. Diakses pada: https://sehatnegeriku.kemkes.go.id/baca/blog/20240125/3944849/agar-ibu-dan-bayi-selamat/#:~:text=Berdasarkan data dari Maternal Perinatal,pada tahun 2023 tercatat 29.945.
Khan, N. N., Boyle, J., Lang, A. Y., & Harrison, C. L. (2019). Preconception health attitudes and behaviours of women: A qualitative investigation. Nutrients, 11(7). https://doi.org/10.3390/nu11071490
Kheiri, M., Jeihooni, A. K., Alkamel, A., & Harsini, P. A. (2019). The effect of educational intervention based on the health belief model on the promotion of cardiovascular disease (CVD) preventive behaviors among subjects referred to health centers in fasa city (fars province, iran). Kontakt, 21(2). https://doi.org/10.32725/kont.2019.021
Kurniawati, W., Afiyanti, Y., Nasution, L. A., & Juliastuti, D. (2023). Preconception care knowledge and information delivery modes among adolescent girls and women: a scoping review. Korean Journal of Women Health Nursing, 29(1), 12–19. https://doi.org/10.4069/kjwhn.2023.02.28
Linda, I., Santoso, H., Lubis, Z., & Siregar, M. F. G. (2022). Empowering Village Health Workers to Influence Preconception Behavior and Increase Utilization of Preconception Health Services in the Deli Serdang Regency. Open Access Macedonian Journal of Medical Sciences, 10, 191–197. https://doi.org/10.3889/oamjms.2022.8219
Munthali, M., Chiumia, I. K., Mandiwa, C., & Mwale, S. (2021). Knowledge and perceptions of preconception care among health workers and women of reproductive age in Mzuzu City, Malawi: a cross-sectional study. Reproductive Health, 18(1). https://doi.org/10.1186/s12978-021-01282-w
Nascimento, N. de C., Borges, A. L. V., & Fujimori, E. (2019). Preconception health behaviors among women with planned pregnancies. Revista Brasileira de Enfermagem, 72. https://doi.org/10.1590/0034-7167-2017-0620
Ojukwu, O., Patel, D., Stephenson, J., Howden, B., & Shawe, J. (2016). General practitioners’ knowledge, attitudes and views of providing preconception care: a qualitative investigation. Upsala Journal of Medical Sciences, 121(4). https://doi.org/10.1080/03009734.2016.1215853
Sitaresmi, M. N., Rozanti, N. M., Simangunsong, L. B., & Wahab, A. (2020). Improvement of Parent’s awareness, knowledge, perception, and acceptability of human papillomavirus vaccination after a structured-educational intervention. BMC Public Health, 20(1). https://doi.org/10.1186/s12889-020-09962-1
TAMK. (2021). Preconception Health and Care – Handbook for education (J. Tuomi (ed.)). Tampere University of Applied Sciences. Diakses pada: https://www.theseus.fi/bitstream/handle/10024/504916/PreconNet-5.pdf?sequence=2&isAllowed=y
Teshome, F., Kebede, Y., Abamecha, F., & Birhanu, Z. (2020). What do Women Know Before Getting Pregnant? Knowledge of Preconception Care and Associated Factors Among Pregnant Women in Mana District, Southwest Ethiopia: A Community-Based Cross-Sectional Study. BMJ Open, 10(7). https://doi.org/10.1136/bmjopen-2019-035937
UNFPA. (2018). One Vision Three Zeros: Annual Data 2018.
UNFPA. (2022). UNFPA Strategy for Family Planning, 2022-2030: Expanding Choices – Ensuring Rights in a Diverse and Changing World. Laser Focus World, 39(11), 60.
Walker, R., Quong, S., Olivier, P., Wu, L., Xie, J., & Boyle, J. (2022). Empowerment for Behaviour Change through Social Connections: A Qualitative Exploration of Women’s Preferences in Preconception Health Promotion in the State of Victoria, Australia. BMC Public Health, 22(1), 1–14. https://doi.org/10.1186/s12889-022-14028-5
WHO. (2017). Targets of Sustainable Development Goal 3. World Health Organization. Diakses pada: https://www.who.int/europe/about-us/our-work/sustainable-development-goals/targets-of-sustainable-development-goal-3
WHO, & Johns Hopkins Bloomberg School of Public Health/CCP. (2018). Family Planning: A Global Handbook for Providers.