PENINGKATAN KESEHATAN IBU HAMIL MELALUI CONTINUITY OF CARE (COC) BERBASIS PROGRAM YOGITA DI PUSKESMAS KEDUNGWUNGU

Silviatul Amalia; Septi Kurniawati; Emita Dewi Lilis Angkasa Wati; Rina Yunita Dewi Sari; Ririn Matriyani; Fista Rafflesiani; Silviatul Amalia; Septi Kurniawati; Emita Dewi Lilis Angkasa Wati; Rina Yunita Dewi Sari; Ririn Matriyani; Fista Rafflesiani

doi:10.32665/mafaza.v5i2.5724

Authors

Silviatul Amalia Sekolah Tinggi Ilmu Kesehatan Rustida
Septi Kurniawati Sekolah Tinggi Ilmu Kesehatan Rustida
Emita Dewi Lilis Angkasa Wati Sekolah Tinggi Ilmu Kesehatan Rustida
Rina Yunita Dewi Sari Sekolah Tinggi Ilmu Kesehatan Rustida
Ririn Matriyani Sekolah Tinggi Ilmu Kesehatan Rustida
Fista Rafflesiani Sekolah Tinggi Ilmu Kesehatan Rustida

DOI:

https://doi.org/10.32665/mafaza.v5i2.5724

Keywords:

Continuity of Care, YOGITA, yoga prenatal, gizi ibu hamil

Abstract

Maternal mortality in Indonesia remains at 140 per 100,000 live births in 2023, indicating the ongoing need to strengthen promotive and preventive efforts for pregnant women. Limited implementation of Continuity of Care (CoC), inadequate physical activity, and suboptimal nutritional intake contribute to increased maternal health risks. This community service activity aimed to improve maternal health through the YOGITA Program (Yoga Ibu Tangguh & Asupan Gizi Tepat), which is based on a Continuity of Care approach. The program methods included CoC-based mentoring, prenatal yoga classes, and nutritional education delivered to 25 pregnant women in their second and third trimesters within the working area of Kedungwungu Primary Health Center. Data were collected using knowledge questionnaires, mid-upper arm circumference (MUAC) measurements, hemoglobin level assessments, as well as observations and brief interviews conducted before and after the intervention. The results demonstrated an improvement in maternal knowledge, with the proportion of participants in the “good” category increasing from 76% to 92% following the intervention. Maternal nutritional status was predominantly classified as good, as indicated by normal MUAC in 88% of participants and non-anemic status in 92%. In addition, participants reported improved physical fitness, relaxation, and readiness for childbirth. Program outputs included enhanced maternal capacity, the development of nutritional education posters, and a community-based prenatal yoga class model. This activity contributes to strengthening promotive maternal health efforts through a holistic and sustainable approach and has the potential to be replicated in other primary health care settings.

References

Andriani, Helen, Salma Dhiya Rachmadani, Valencia Natasha, and Adila Saptari. 2022. ‘Continuum of Care in Maternal, Newborn and Child Health in Indonesia: Evidence from the Indonesia Demographic and Health Survey’. Journal of Public Health Research 11(4). doi: 10.1177/22799036221127619.

Beressa, Girma, Susan J. Whiting, and Tefera Belachew. 2024. ‘Effect of Nutrition Education on the Nutritional Status of Pregnant Women in Robe and Goba Towns, Southeast Ethiopia, Using a Cluster Randomized Controlled Trial’. Scientific Reports 14(1):1–11. doi: 10.1038/s41598-024-70861-1.

Binuko, Raafika Studiviani Dwi, and Joni Maulindar. 2024. ‘Sosialisasi Aplikasi Kesehatan Tentang Stunting Dan Penggunaan Obat Yang Tepat’. MAFAZA: Jurnal Pengabdian Kepada Masyarakat 4(1):1–12. doi: https://doi.org/10.32665/mafaza.v4i1.2812.

Corrigan, Lisa, Patrick Moran, Niamh McGrath, Jessica Eustace-Cook, and Deirdre Daly. 2022. ‘The Characteristics and Effectiveness of Pregnancy Yoga Interventions: A Systematic Review and Meta-Analysis’. BMC Pregnancy and Childbirth 22(1):1–21. doi: 10.1186/s12884-022-04474-9.

Gustini, Gustini, and Asridawati Akib. 2025. ‘Increasing Pregnant Women’s Knowledge of Pregnancy Care through Community Based Health Education’. Jurnal Pengabdian Masyarakat Edukasi Indonesia 2(2):86–92. doi: 10.61099/jpmei.v2i2.97.

Hijriani, Isni, Yulidar, and Lisma Luciana. 2023. ‘Peningkatan Pengetahuan Ibu Hamil Tentang Anemia Melalui Media Online Dan Leaflet’. Jurnal Peduli Masyarakat Masyarakat 5(JUNI):207–12.

Kazemi, Kianoosh, Iina Ryhta, Iman Azimi, Hannakaisa Niela-Vilén, Anna Axelin, Amir M. Rahmani, and Pasi Liljeberg. 2024. ‘Impact of Physical Activity on Quality of Life During Pregnancy: A Causal ML Approach’. Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society, EMBS. doi: 10.1109/EMBC53108.2024.10782584.

Kusuma, Inggar Ratna, Rita Damayanti, Sabarinah Prasetyo, and Helen Andriani. 2024. ‘Continuity of Care and Socio-Demographic Predictors of Postpartum Family Planning Utilization among Women with a High-Risk Pregnancy in Indonesia: Case-Control Study’. Bali Medical Journal 13(3):984–90. doi: 10.15562/bmj.v13i3.5221.

Ministry of Health Republic of Indonesia and UNICEF. 2023. ‘Maternal Nutrition in Indonesia’. UNICEF. Retrieved (https://www.unicef.org/indonesia/media/21761/file/Maternal nutrition in Indonesia - Landscape analysis and recommendation.pdf.pdf).

Ningrum, Ema Wahyu, Lely Lusmilasari, Emy Huriyati, and Mubasysyir Hasanbasri. 2024. ‘Experiences of Low-Income Indonesian Pregnant Women Regarding the Challenges of Receiving Health Services: A Qualitative Content Analysis’. International Journal of Community Based Nursing and Midwifery 12(4):278–88. doi: 10.30476/ijcbnm.2024.101795.2447.

Nor Khalimah, Nor Hidayati, Nuning Kusuma Dewi, and Mei LIa Nindya Zulis W. 2025. ‘Asuhan Kebidanan Berkelanjutan (Continuity of Care) Pada Ny. W Umur 24 Tahun G1P0A0’. SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat 4(3):865–74. doi: 10.55123/sehatmas.v4i3.5911.

Oladipo, Antonia F., and Maansi Jayade. 2024. ‘Review of Laboratory Testing and Biomarker Screening for Preeclampsia’. BioMed 4(2):122–35. doi: 10.3390/biomed4020010.

Putri, Pada Remaja. 2024. ‘Edukasi Pada Ibu Hamil Sebagai Upaya Optimalisasi Pelayanan Antenatal Care Di Wilayah Kerja Puskesmas Makrayu Kota Palembang Tahun 2023’. Journal Pengabdian Komunitas 03(01):1–6.

Rayment-Jones, Hannah, Kathryn Dalrymple, James Harris, Angela Harden, Elidh Parslow, Thomas Georgi, and Jane Sandall. 2021. ‘Project20: Does Continuity of Care and Community-Based Antenatal Care Improve Maternal and Neonatal Birth Outcomes for Women with Social Risk Factors? A Prospective, Observational Study’. PLoS ONE 16(5 May):1–30. doi: 10.1371/journal.pone.0250947.

Sandall, Jane, Hora Soltani, Simon Gates, Andrew Shennan, and Declan Devane. 2021. ‘Midwife-Led Continuity Models Versus Other Models of Care for Childbearing Women’. The Cochrane Database of Systematic Reviews 4:CD004667. doi: 10.1002/14651858.CD004667.pub5.

Sari, Intan, Bina Aquari, and Yuhemy Zurizah. 2024. ‘Peningkatan Derajat Kesehatan Ibu Hamil Melalui Program’. Indonesian Journal of Community Empowerment (IJCE) 6(2):217–23.

SB, Elies Meilinawati. 2024. ‘Upaya Peningkatan Pengetahuan Ibu Hamil Dalam Pencegahan Stunting Pada Masa Kehamilan Di Klinik Akbar Medika Kabupaten Mojokerto’. DIMAS: Jurnal Pengabdian Masyarakat 2(4):136–42. doi: 10.57101/dimasjurnal.

Septiono, Wahyu, Ferdinand Pangihutan Siagian, Lutfan Lazuardi, Samsriyaningsih Handayani, and Sabarinah Prasetyo. 2025. ‘Lessons of Practices of Community-Based Maternal and Child Health Surveillance System during and Post COVID-19 in Indonesia’. Global Health Action 18(1). doi: 10.1080/16549716.2025.2547438.

Sholikah, Mar’atus, Siti Nurwulansari, Fitria Aini, Elfira Nurul Wardoyo, Slamet Pramudita, and Jessica Juan. 2025. ‘The Role of Continuity of Care in High-Risk Pregnant Women in Indonesia’. European Journal of Midwifery 9(January):1–6. doi: 10.18332/ejm/195831.

Suttrisno, S., & Sulistiawan, A. (2025). Pemberdayaan PKK melalui UMKM tas ecoprint. Mafaza: Jurnal Pengabdian Masyarakat, 5(1), 27-41.

WHO. 2025. ‘Healthy Beginnings, Hopeful Futures: How Indonesia’s Commitment to Maternal and Child Health Is Changing Lives’. World Health Organization. Retrieved (https://www.who.int/indonesia/news/detail/07-04-2025-healthy-beginnings--hopeful-futures--how-indonesia-s-commitment-to-maternal-and-child-health-is-changing-lives#:~:text=A more hopeful tomorrow%2C todayOn World Health Day,the 2030 Sustainable Developmen).

Zupo, Roberta, Dewi Marhaeni Diah Herawati, Sara De Nucci, Rina Agustina, Davrina Rianda, Wanda Lasepa, Fitya S. Birahmatika, Vladimir Stajic, and Rachmi Mufida. 2023. ‘Nutrient Intakes of Pregnant and Lactating Women in Indonesia and Malaysia: Systematic Review and Meta-Analysis’. Frontiers in Nutrition 10:1–26. doi: 10.3389/fnut.2023.1030343.