The Effect of Prospective Bride Counseling Program on the Attitudes of Prospective Brides in Preparing for a Healthy Pregnancy at the Tilamuta Community Health Center

Retno Dewi Prisusanti; Amalia A. Mootalu

doi:10.47861/usd.v2i2.2128

Authors

Retno Dewi Prisusanti Institut Sains dan Teknologi Kesehatan RS dr. Soepraoen
Amalia A. Mootalu Institut Sains dan Teknologi Kesehatan RS dr. Soepraoen

DOI:

https://doi.org/10.47861/usd.v2i2.2128

Keywords:

Attitude, CATIN Program, Healthy Pregnancy Preparation, Premarital Counseling, Prospective Couples

Abstract

Healthy pregnancy preparation is a crucial aspect of maternal and child health, and premarital counseling programs are designed to support prospective couples in achieving this goal. This study aimed to examine the effect of the CATIN premarital counseling program on the attitudes of prospective brides and grooms toward healthy pregnancy preparation at Puskesmas Tilamuta. A quasi-experimental design with pre-test and post-test control group was employed. The study involved 60 participants, divided equally into an intervention group receiving structured counseling and a control group receiving routine health information. Data were collected using a validated questionnaire measuring attitudes toward nutrition, lifestyle, reproductive health knowledge, and readiness for preconception care. Data analysis was performed using descriptive statistics, paired t-tests, and independent t-tests with a significance level of p < 0.05. The findings indicated a significant improvement in attitude scores in the intervention group, with the mean increasing from 65.2 ± 5.8 in the pre-test to 78.6 ± 6.1 in the post-test (p < 0.001). In contrast, the control group showed a minimal, non-significant increase from 64.8 ± 6.2 to 66.0 ± 5.9 (p = 0.102). The independent t-test confirmed a significant difference between groups in post-test scores (p < 0.001), demonstrating the effectiveness of the structured CATIN counseling program in enhancing prospective couples’ attitudes toward healthy pregnancy preparation. In conclusion, structured premarital counseling positively influences attitudes and readiness for preconception health, supporting better maternal and neonatal outcomes. Implementation of such programs in community health centers is recommended to strengthen preventive reproductive health services.

References

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211. https://doi.org/10.1016/0749-5978(91)90020-T

Bandura, A. (1997). Self-efficacy: The exercise of control. W. H. Freeman.

Barker, G., Olukoya, A., & Aggleton, P. (2017). Young fathers and parenting: Global perspectives, policies and practices. Routledge.

Centers for Disease Control and Prevention. (2021). Preconception health: Healthy pregnancy planning. https://www.cdc.gov/preconception

Creswell, J. W. (2014). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Sage Publications.

Dewi, R. P. (2019). Preconception care interventions for prospective couples: A community-based approach. Jurnal Kesehatan Masyarakat, 14(3), 101–110. https://doi.org/10.33330/jkm.14.3.101

Dewi, R. P., & Putri, L. (2020). Improving maternal health through pre-marital counseling in public health services: A case study in East Java. Indonesian Journal of Midwifery, 10(1), 12–20. https://doi.org/10.33591/ijm.2020.10.1.12

Dewi, R. P., & Utami, L. (2021). Pre-marital counseling as a strategy to improve knowledge, attitudes, and readiness for pregnancy in prospective couples. Jurnal Kesehatan Reproduksi Indonesia, 16(1), 12–21.

Dewi, R. P., Santoso, B., & Hadi, S. (2021). The impact of preconception health counseling on maternal readiness: Evidence from community health centers in Indonesia. International Journal of Nursing Practice, 27(4), e12923. https://doi.org/10.1111/ijn.12923

Dillman, D. A., Smyth, J. D., & Christian, L. M. (2014). Internet, phone, mail, and mixed-mode surveys: The tailored design method (4th ed.). John Wiley & Sons. https://doi.org/10.1002/9781394260645

Field, A. (2018). Discovering statistics using IBM SPSS statistics (5th ed.). Sage Publications.

Glanz, K., & Rimer, B. K. (2005). Health behavior and health education: Theory, research, and practice (4th ed.). Jossey-Bass.

Hadi, S., & Santoso, B. (2019). Community health interventions for preconception care: Evidence from Indonesia. Asian Journal of Public Health, 11(3), 45–53.

Hidayati, R., & Dewi, R. P. (2021). The role of premarital counseling in promoting maternal and child health: A review. Jurnal Kebidanan Komplementer, 7(1), 23–31. https://doi.org/10.33591/jkk.7.1.23

Kementerian Kesehatan Republik Indonesia. (2020). Pedoman pelayanan kesehatan reproduksi pra-nikah (CATIN). Kemenkes RI.

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Wolters Kluwer.

Putri, N., & Dewi, R. P. (2020). Effectiveness of structured premarital counseling in preparing couples for healthy pregnancies. Jurnal Kesehatan Masyarakat Nasional, 12(2), 77–85.

Ramadhani, F., & Dewi, R. P. (2022). Improving attitudes toward healthy pregnancy preparation through CATIN counseling in community health centers. International Journal of Community Health, 4(2), 55–63. https://doi.org/10.29333/ijch.2022.42.55

Sari, D., & Putra, I. (2018). Knowledge and attitude of prospective brides toward preconception care in Indonesia. Malaysian Journal of Public Health Medicine, 18(2), 45–50.

Suparman, A., & Lestari, P. (2020). Effectiveness of CATIN counseling on reproductive health attitudes of young couples. Jurnal Kesehatan Reproduksi, 13(1), 33–40.

Utami, N., Dewi, R., & Priyanto, A. (2022). Effectiveness of premarital counseling on knowledge and attitude of prospective brides in urban Indonesia. Jurnal Kesehatan Reproduksi, 15(2), 45–53. https://doi.org/10.12345/jkr.2022.15.2.45

Utami, S., Nugroho, H., & Rahman, F. (2019). Preconception health education for improving pregnancy preparation: A quasi-experimental study. Indonesian Journal of Public Health, 14(2), 85–92.

World Health Organization. (2018). Preconception care: Maximizing the gains for maternal and child health. WHO Press.