HUBUNGAN PROGRAM PENDAMPINGAN BERBASIS KOMUNITAS DENGAN KEPATUHAN ANTENATAL CARE DAN KEJADIAN PRE-EKLAMPSIA BERAT PADA IBU HAMIL RISIKO TINGGI

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Published Jun 25, 2026
https://doi.org/10.53510/nsj.v7i1.410
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Vol. 7 No. 1 (2026): Nursing Science Journal

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Nita Indah Lestari
Sekolah Tinggi Ilmu Kesehatan Rustida
Yuni Riska Hadi
Nadia Rahma Putri

Abstract

Background: PEB remains a significant maternal health issue in Indonesia, especially in areas with limited access to services. The community-based SAKINA (Stop Maternal and Child Mortality) support program at Puskesmas Sempu, Banyuwangi Regency, has the potential to improve antenatal care (ANC) compliance and identify severe pre-eclampsia risks earlier.


Objective: To analyse the association between the SAKINA community-based accompaniment programme, ANC adherence, and severe pre-eclampsia incidence among high-risk pregnant women at Sempu PHC.


Methods: A retrospective case-control study utilising secondary data from medical records and maternal cohort registers at Sempu PHC (January–December 2024). A total of 95 high-risk pregnant women were enrolled (total sampling). Data were analysed using Chi-Square tests and logistic regression (95% CI).


Results: Of respondents, 68.4% were exposed to the SAKINA programme. ANC adherence was significantly higher in the exposed group (83.1% vs 36.7%; p<0.001; OR=8.92; 95% CI: 3.41–23.31). Severe pre-eclampsia was significantly lower in the exposed group (6.2% vs 33.3%; p=0.003; OR=0.13; AOR=0.15; p=0.008).


Conclusion: The SAKINA community-based accompaniment programme is significantly associated with improved ANC adherence and reduced severe pre-eclampsia incidence. Evidence-based replication is recommended for PHCs with similar geographical characteristics.


Keywords: Community accompaniment; ANC adherence; Severe pre-eclampsia; High-risk pregnancy; Primary health centre

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How to Cite
Nita Indah Lestari, Yuni Riska Hadi, & Nadia Rahma Putri. (2026). HUBUNGAN PROGRAM PENDAMPINGAN BERBASIS KOMUNITAS DENGAN KEPATUHAN ANTENATAL CARE DAN KEJADIAN PRE-EKLAMPSIA BERAT PADA IBU HAMIL RISIKO TINGGI. Nursing Science Journal (NSJ), 7(1), 57–64. https://doi.org/10.53510/nsj.v7i1.410 (Original work published July 28, 2026)

References

  1. Kader Terlatih Dalam Pemantauan Ibu Hamil Risiko Tinggi: Studi Kasus Di Kabupaten Bantul.” Jurnal Kesehatan Reproduksi 11(3):201–13.
  2. World Health Organization. 2023. Trends in Maternal Mortality 2000 to 2020: Estimates by WHO, UNICEF, UNFPA, World Bank Group and UNDESA/Population Division. Geneva: World Health Organization.