Maternal Health Literacy and the Uptake of Triple Elimination Services: A Case Study from Tobacco-Growing Communities in Jember
DOI:
https://doi.org/10.55927/ijcs.v2i8.93Keywords:
Health Literacy, Maternal Health, Triple Elimination ScreeningAbstract
This study aims to analyze the determinants of health literacy of pregnant women in tobacco growing areas of Jember Regency and its influence on participation in Triple Elimination testing (HIV, syphilis, and hepatitis B). The method used was a qualitative case study. This study was conducted in four health centers and used 24 informants with data collection through in-depth interviews, observation, and documentation on pregnant women, health workers, and community cadres. The results showed that low health literacy is influenced by limited access to culturally appropriate information, strong social norms, the role of family in decision-making, and limited health services that are not fully responsive to local needs. The findings emphasize the importance of contextualized educational approaches, involvement of family and community leaders, and integration of Triple Elimination testing in antenatal services to increase awareness and participation of pregnant women
References
Aljohani, K. A., & Kendall, G. (2022). Engaging male partners in maternal and newborn health: A systematic review of strategies and effects in low- and middle-income countries. BMC Pregnancy and Childbirth, 22(1), 123. https://doi.org/10.1186/s12884-022-04488-6
Berkman, N. D., Sheridan, S. L., Donahue, K. E., Halpern, D. J., & Crotty, K. (2018). Low health literacy and health outcomes: An updated systematic review. Annals of Internal Medicine, 155(2), 97–107. https://doi.org/10.7326/0003-4819-155-2-201107190-00005
Gebeyehu, N. A., Abebe, A. M., Demissie, B. W., & Alemayehu, M. (2022). Maternal health literacy and its associated factors among pregnant women attending antenatal care in rural Ethiopia: A cross-sectional study. BMC Pregnancy and Childbirth, 22, 204. https://doi.org/10.1186/s12884-022-04516-0
Kementerian Kesehatan Republik Indonesia. (2020). Profil Kesehatan Indonesia Tahun 2020. Jakarta: Kementerian Kesehatan RI. https://pusdatin.kemkes.go.id
Kementerian Kesehatan Republik Indonesia. (2022). Pedoman Pelaksanaan Triple Eliminasi HIV, Sifilis, dan Hepatitis B pada Ibu Hamil. Jakarta: Direktorat Jenderal Kesehatan Masyarakat. https://kesmas.kemkes.go.id
Kurniawan, B., Yuliana, S., & Handayani, M. (2021). Faktor Sosio-Kultural yang Mempengaruhi Pemanfaatan Pelayanan Kesehatan Ibu di Wilayah Terpencil. Jurnal Kesehatan Masyarakat Indonesia, 16(2), 147–157. https://doi.org/10.14710/jkmi.16.2.147-157
Kwan, B., Frankish, J., & Rootman, I. (2021). The development and validation of measures of health literacy in different populations. Canadian Journal of Public Health, 112(3), 450–458. https://doi.org/10.17269/s41997-021-00498-w
Lee, H. Y., Lee, M. H., & Lee, Y. J. (2018). Effects of a community-based antenatal education program on maternal health literacy and service utilization. Health Promotion International, 33(5), 923–932. https://doi.org/10.1093/heapro/dax022
Lee, S. Y. D., A. M. Arozullah, Y. I. Cho, K. Crittenden, dan D. Vicencio. (2009). Health literacy, social support, and health status among older adults. Educational Gerontology. 35(3):191–201.
Lestari, I. N., & Indrawati, Y. (2019). Akses Layanan Kesehatan Ibu di Komunitas Pedesaan: Kajian dari Perspektif Sosial Budaya. Jurnal Antropologi Indonesia, 40(1), 15–28. https://doi.org/10.7454/ai.v40i1.953
Muniroh, L., & Prabowo, H. (2019). Peran Tokoh Informal dalam Penyuluhan Kesehatan Maternal di Daerah Terpencil. Jurnal Promkes, 7(1), 64–72. https://doi.org/10.20473/jpk.V7.I1.2019.64-72
Nutbeam, D. (2000). Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International. 15(3):259–267.
Nutbeam, D. (2020). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 35(6), 1231–1237. https://doi.org/10.1093/heapro/daaa009
Nutbeam, D., McGill, B., & Premkumar, P. (2021). Improving health literacy in community populations: A review of progress. Health Promotion International, 36(1), 1–8. https://doi.org/10.1093/heapro/daaa106
Paakkari, L., & Okan, O. (2020). COVID-19: Health literacy is an underestimated problem. The Lancet Public Health, 5(5), e249–e250. https://doi.org/10.1016/S2468-2667(20)30086-4
Paasche-Orlow, M. K., & Wolf, M. S. (2019). Promoting health literacy research to reduce health disparities. Journal of Health Communication, 24(Sup1), 1–4. https://doi.org/10.1080/10810730.2019.1627291
Rachmawati, D., & Setiawan, M. (2022). Konstruksi Makna Pemeriksaan Kehamilan dalam Perspektif Ibu Hamil Pedesaan. Jurnal Sosiologi Reflektif, 16(2), 303–320. https://doi.org/10.14421/jsr.v16i2.3215
Rahmawati, N., Sulistyowati, R., & Wijayanti, A. (2021). Analisis Faktor yang Mempengaruhi Kepatuhan Ibu Hamil dalam Pemeriksaan Antenatal Care di Wilayah Pegunungan Jember. Jurnal Kesehatan Prima, 15(1), 55–63. https://doi.org/10.32807/jkp.v15i1.692
Sørensen, K., J. M. Pelikan, F. Röthlin, K. Ganahl, Z. Slonska, G. Doyle, J. Fullam, B. Kondilis, D. Agrafiotis, E. Uiters, M. Falcon, M. Mensing, K. Tchamov, S. Van Den Broucke, dan Helmut Brand. (2015). Health literacy in europe: comparative results of the european health literacy survey (hls-eu). European Journal of Public Health. 25(6):1053–1058.
Sørensen, K., Pelikan, J. M., Röthlin, F., Ganahl, K., Slonska, Z., Doyle, G., ... & Brand, H. (2021). Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). European Journal of Public Health, 31(3), 614–619. https://doi.org/10.1093/eurpub/ckab022
Sørensen, K., S. Van Den Broucke, J. Fullam, G. Doyle, J. Pelikan, Z. Slonska, dan H. Brand. (2012). Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 12(1):80.
Speros, C. (2010). Health literacy: concept analysis. Nursing theory and concept development. 50(VI):633–640.
Suryani, T., Wibowo, A., & Prasetyo, Y. (2020). Struktur Sosial dan Akses Layanan Kesehatan pada Komunitas Perkebunan. Jurnal Ilmu Sosial dan Humaniora, 9(1), 21–33. https://doi.org/10.23887/jish.v9i1.23450
Van den Broucke, S. (2019). Why health promotion matters to the COVID-19 pandemic, and vice versa. Health Promotion International, 34(4), 569–574. https://doi.org/10.1093/heapro/daaa042
WHO. (2022). Global Health Sector Strategies On, Respectively, HIV, Viral Hepatitis and Sexually Transmitted Infections for The Period 2022-2030. World Health Organization.
World Health Organization (WHO). (2023). Triple elimination of mother-to-child transmission of HIV, hepatitis B and syphilis: A call to action. Geneva: WHO. https://www.who.int/publications/i/item/9789240075214
World Health Organization. (2019). Triple elimination of mother-to-child transmission of HIV, hepatitis B and syphilis. Geneva: WHO Press. Retrieved from https://www.who.int/publications/i/item/9789240023615
Wulandari, L. P. L., Ruddick, A., & Wisaksana, R. (2020). Knowledge and perceptions about HIV testing among pregnant women in rural Indonesia. BMC Public Health, 20, 1170. https://doi.org/10.1186/s12889-020-09139-1
Yuliana, D., & Hartono, M. D. (2022). Konstruksi Sosial Keputusan Ibu Hamil dalam Mengakses Layanan Kesehatan: Studi di Desa Pinggiran. Jurnal Kependudukan Indonesia, 17(1), 71–84. https://doi.org/10.14203/jki.v17i1.535
