Community Health Worker Empowerment and Pregnant Women’s Compliance with the P4K Program in Penfui Timur, Nusa Tenggara Timur
Keywords:
Empowerment of Cadres, Health Worker, Maternal Health, Penfui Timur Village, Pregnant WomenAbstract
This article reports an analysis of the relationship between the level of cadre empowerment and pregnant women’s compliance with the implementation of the Birth Planning and Complication Prevention Program (P4K). The study employed a cross-sectional survey design conducted in Penfui Timur Village, Kupang Regency, involving 30 community health cadres. Cadre empowerment was assessed through dimensions of knowledge, skills, support, and participation, while pregnant women’s compliance served as the dependent variable. Data were collected using structured questionnaires and analyzed using univariate analysis, bivariate analysis with the Chi-square test, and multivariate analysis using logistic regression. The results showed a significant association between cadre empowerment and pregnant women’s compliance with P4K implementation (p = 0.012). Cadres with a high level of empowerment were more effective in assisting compliant pregnant women compared to those with lower levels of empowerment. Participation in P4K training also had a significant effect on improving pregnant women’s compliance (p = 0.021). These findings indicate that cadre empowerment and training are key factors in enhancing pregnant women’s compliance with the P4K program. Strengthening cadre capacity through continuous training and institutional support is therefore necessary to optimize program implementation at the community level.
Downloads
References
Murdiningsih, Rohaya, Siti Hindun, and Ida Mardalena, “Development of Android-Based Media in Support of Birth Planning and Complications Prevention Programs,” International Journal Scientific and Professional (IJ-ChiProf), vol. 1, no. 2, pp. 52–58, May 2022, doi: 10.56988/chiprof.v1i2.8. DOI: https://doi.org/10.56988/chiprof.v1i2.8
C. I. Pattipeilohy, M. M. Maelissa, J. Mainase, C. R. Titaley, M. L. V. Malakauseya, and J. P. Nari, “Exploration of The Birth Planning and Complications Prevention Program Implementation,” Jurnal Kesehatan, vol. 14, no. 3, pp. 396–402, Nov. 2023, doi: 10.26630/jk.v14i3.3814. DOI: https://doi.org/10.26630/jk.v14i3.3814
S. Suparji, H. S. W. Nugroho, S. Sunarto, A. Latif, and A. S. Prayogi, “Impact, Implications, Challenges of Accelerating Maternal Mortality Rates in Indonesia,” Health Dynamics, vol. 1, no. 3, pp. 104–107, Mar. 2024, doi: 10.33846/hd10306. DOI: https://doi.org/10.33846/hd10306
A. D. Megantari, “Modified Doppler Healthy Pregnancy Monitoring (MODEM-KES) to speed up examinations of pregnant women,” Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics, vol. 7, no. 2, pp. 438–446, May 2025, doi: 10.35882/ijeeemi.v7i2.39. DOI: https://doi.org/10.35882/ijeeemi.v7i2.39
P. Permatasari, F. R. Hardy, and M. E. Setiawati, “Primary Health Service Integration Policy as a Key Strategy to Achieve Universal Health Coverage (UHC),” Jurnal Kesmas Jambi, vol. 9, no. 2, pp. 163–174, Jul. 2025, doi: 10.22437/jkmj.v9i2.45799. DOI: https://doi.org/10.22437/jkmj.v9i2.45799
R. C. Pacagnella, J. G. Cecatti, M. J. Osis, and J. P. Souza, “The role of delays in severe maternal morbidity and mortality: expanding the conceptual framework,” Reprod. Health Matters, vol. 20, no. 39, pp. 155–163, Jan. 2012, doi: 10.1016/S0968-8080(12)39601-8. DOI: https://doi.org/10.1016/S0968-8080(12)39601-8
W. Prabowo, “The Effect of Recombinant Vascular Endothelial Growth Factor (VEGF)-121 Towards Placenta Growth Factor Serum Levels in Female Mice (Mus Musculus) with Preeclampsia Model,” Journal of Maternal and Child Health, vol. 6, no. 3, pp. 338–343, Jul. 2021, doi: 10.26911/thejmch.2021.06.03.08. DOI: https://doi.org/10.26911/thejmch.2021.06.03.08
Y. R. Safitri and P. Pujiyanto, “Analysis of Implementation of Maternity Planning and Prevention of Complication (P4K) Program with Stickers in Purwakarta Regency 2017,” Journal of Indonesian Health Policy and Administration, vol. 6, no. 1, Jun. 2021, doi: 10.7454/ihpa.v6i1.2946. DOI: https://doi.org/10.7454/ihpa.v6i1.2946
G. N. Rayani, I. A. Haryono, and S. Nurliani, “PEKAN KERLIN: Peran Kader dalam Penempelan Stiker P4K,” Natural: Jurnal Pelaksanaan Pengabdian Bergerak bersama Masyarakat., vol. 3, no. 2, pp. 19–28, Apr. 2025, doi: 10.61132/natural.v3i2.1272. DOI: https://doi.org/10.61132/natural.v3i2.1272
Sugiyanto et al., “Peningkatan Keterampilan Kader Posyandu Melalui Pelatihan dan Asesmen Berbasis Kompetensi,” LINK, vol. 21, no. 2, pp. 186–195, Nov. 2025, doi: 10.31983/link.v21i2.14144. DOI: https://doi.org/10.31983/link.v21i2.14144
K. Aprilia and K. Ramadhan, “Peningkatan Pengetahuan Ibu Hamil tentang Tanda Bahaya Kehamilan Melalui Penyuluhan,” Jurnal Pengabdian Bidan Nasuha, vol. 1, no. 1, pp. 7–11, Dec. 2020, doi: 10.33860/jpbn.v1i1.302. DOI: https://doi.org/10.33860/jpbn.v1i1.302
N. Nurjannah, I. Ismail, and S. Usman, “Hubungan Peran Kader, Dukungan Keluarga Dan Budaya Dengan Pendampingan Ibu Hamil Risiko Tinggi Di Wilayah Kerja Puskesmas Krueng Barona Jaya Aceh Besar,” Majalah Kesehatan Masyarakat Aceh (MAKMA), vol. 6, no. 3, pp. 102–109, Oct. 2023, doi: 10.32672/makma.v6i3.3797.
A. Efendi, D. Sapitri, N. Christiani, and R. Susanti, “Optimalisasi Tingkat Pengetahuan Ibu Hamil tentang Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) di Desa Pringsari Kecamatan Pringapus,” Indonesian Journal Of Community Empowerment (IJCE), vol. 4, no. 1, p. 106, Jun. 2022, doi: 10.35473/ijce.v4i1.1654. DOI: https://doi.org/10.35473/ijce.v4i1.1654
Q. Wulandara, S. Pertiwi, and A. Hermawati, “Pendampingan Program Perencanaan Persalinan Dan Pencegahan Komplikasi (P4K) Terhadap Pengetahuan Dan Sikap Ibu Hamil”. DOI: https://doi.org/10.47134/inhis.v4i2.88
L. Ningsih and D. Novira, “Upaya Peningkatan Pengetahuan dan Sikap Ibu Hamil dalam Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) melalui Pemberdayaan Kader,” Jurnal Kesehatan, vol. 11, no. 3, pp. 386–394, Dec. 2020, doi: 10.26630/jk.v11i3.2239.
R. F. Wulandari, R. K. Wardhani, and M. Ulfa, “The Correlation of Knowledge and Attitude of Pregnant Women and The Compliance of Birth Planning and Complication Prevention Program (P4K) in Ringinpitu Kecamatan Pelemahan Kabupaten Kediri,” Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery), vol. 9, no. 1, pp. 028–033, Mar. 2022, doi: 10.26699/jnk.v9i1.ART.p028-033. DOI: https://doi.org/10.26699/jnk.v9i1.ART.p028-033
K. Ramadhan, C. Entoh, and N. Nurfatimah, “Peran Kader dalam Penurunan Stunting di Desa,” Jurnal Bidan Cerdas, vol. 4, no. 1, pp. 53–61, Apr. 2022, doi: 10.33860/jbc.v4i1.409. DOI: https://doi.org/10.33860/jbc.v4i1.409
A. Selvira, S. Khotimah, and H. Husna, “Hubungan Pengetahuan Ibu Hamil Dengan Implementasi P4K Di Wilayah Kerja Puskesmas Sitiung II Kecamatan Koto Salak Kabupaten Dharmasraya Tahun 2023,” Bunda Edu-Midwifery Journal (BEMJ), vol. 6, no. 2, pp. 221–225, Sep. 2023, doi: 10.54100/bemj.v6i2.128. DOI: https://doi.org/10.54100/bemj.v6i2.128
A. Kurniawan, C. Sistiarani, and E. Gamelia, “Pengaruh Pelatihan Deteksi Dini Kehamilan Risiko Tinggi terhadap Peningkatan Pengetahuan, Sikap, Motivasi dan Keterampilan Kader Kesehatan,” Jurnal Ilmu Kesehatan Masyarakat, vol. 12, no. 06, pp. 496–502, Nov. 2023, doi: 10.33221/jikm.v12i06.2332.
P. Tumbelaka, R. Limato, S. Nasir, D. Syafruddin, H. Ormel, and R. Ahmed, “Analysis of Indonesia’s community health volunteers (kader) as maternal health promoters in the community integrated health service (Posyandu) following health promotion training,” Int. J. Community Med. Public Health, vol. 5, no. 3, p. 856, Feb. 2018, doi: 10.18203/2394-6040.ijcmph20180462. DOI: https://doi.org/10.18203/2394-6040.ijcmph20180462
R. Oktaviance. S, S. R. Bangun, D. Sinaga, A. Veronika, and S. Martini, “Factors Associated with Knowledge of Pregnancy Danger Signs and Antenatal Care Compliance: A Cross-Sectional Study,” Journal of Applied Nursing and Health, vol. 8, no. 1, pp. 201–210, Mar. 2026, doi: 10.55018/janh.v8i1.593. DOI: https://doi.org/10.55018/janh.v8i1.593
Y. Yulyuswarni, M. Mugiati, and I. Isnenia, “Penguatan Peran Kader sebagai Agen Pemberdayaan Kesehatan Masyarakat dan Rintisan Posyandu Prima dalam Mendukung Transformasi Kesehatan Pelayanan Primer di Kampung Untoro Kecamatan Trimurjo Kabupaten Lampung Tengah Provinsi Lampung,” Jurnal Abdi Masyarakat Indonesia, vol. 3, no. 6, pp. 1761–1770, Nov. 2023, doi: 10.54082/jamsi.1003.
Y. Yuniarti, E. Yorita, D. Widiyanti, and E. Destariyani, “Effect of cadre-based empowerment on antenatal care knowledge, attitudes, and antenatal care visit among pregnant women,” Jurnal Kesehatan Ibu dan Anak, vol. 18, no. 1, pp. 21–33, Oct. 2024, doi: 10.29238/kia.v18i1.2245.
Elfina, Siti Nurcahyani Ritonga, Sumarah, Ranti Lestari, and Mahfuzhah Deswita Puteri, “The Association of Knowledge, Health Worker Roles, and Husband’s Support with Antenatal Care Attendance Among Pregnant Women at the Community Health Center,” Bulletin of Inspiring Developments and Achievements in Midwifery, vol. 2, no. 2, pp. 72–84, Jan. 2026, doi: 10.69855/bidan.v2i2.405. DOI: https://doi.org/10.69855/bidan.v2i2.405
A. Zhang et al., “Community Health Empowerment in the Chinese Cultural Context: A Hybrid Concept Analysis,” Asian Nurs. Res. (Korean. Soc. Nurs. Sci)., vol. 19, no. 3, pp. 203–219, Aug. 2025, doi: 10.1016/j.anr.2025.03.012. DOI: https://doi.org/10.1016/j.anr.2025.03.012
N. Syamsi Norma Lalla, “Community empowerment in improving health status,” Jurnal Pengabdian Masyarakat Edukasi Indonesia, vol. 1, no. 1, pp. 09–14, Feb. 2024, doi: 10.61099/jpmei.v1i1.32. DOI: https://doi.org/10.61099/jpmei.v1i1.32
E. Núñez Cabrera, M. Cajachagua Castro, and S. Huancahuire-Vega, “Self-Efficacy of the Community Health Agent, Importance of Motivation and Empowerment,” J. Prim. Care Community Health, vol. 14, Jan. 2023, doi: 10.1177/21501319231213771. DOI: https://doi.org/10.1177/21501319231213771
T. Susanti, Laili Wulandari, Rifka Sari Pratiwi, and Endah Wulan Safitri, “Empowering Health Cadres to Improve Primary Healthcare Access and Quality: A Case Study In Jekek Village, Nganjuk, Indonesia,” Journal of Community Engagement in Health, vol. 8, no. 2, pp. 280–289, Sep. 2025, doi: 10.30994/jceh.v8i2.739. DOI: https://doi.org/10.30994/jceh.v8i2.739
Y. Yulyuswarni, M. Mugiati, and I. Isnenia, “Penguatan Peran Kader sebagai Agen Pemberdayaan Kesehatan Masyarakat dan Rintisan Posyandu Prima dalam Mendukung Transformasi Kesehatan Pelayanan Primer di Kampung Untoro Kecamatan Trimurjo Kabupaten Lampung Tengah Provinsi Lampung,” Jurnal Abdi Masyarakat Indonesia, vol. 3, no. 6, pp. 1761–1770, Nov. 2023, doi: 10.54082/jamsi.1003. DOI: https://doi.org/10.54082/jamsi.1003
S. Sumarmiati, M. Fanani, Y. Peristiowati, and A. S. Wahyuningsih, “Empowerment of Health Cadres in the Early Detection of High-Risk Pregnancies: The Role of Motivation, Competence, and Social Support,” Media Publikasi Promosi Kesehatan Indonesia (MPPKI), vol. 9, no. 1, pp. 54–67, Dec. 2025, doi: 10.56338/mppki.v9i1.8644. DOI: https://doi.org/10.56338/mppki.v9i1.8644
A. Handayani, L. Triyawati, and S. Wahyuni, “Empowerment of Health Cadres in Improving Skills through Training on Early Detection and Warning Signs of Pregnancy in Kabunan Village, Balen District, Bojonegoro Regency,” Frontiers in Community Service and Empowerment, vol. 4, no. 3, Oct. 2025, doi: 10.35882/ficse.v4i3.102. DOI: https://doi.org/10.35882/ficse.v4i3.102
G. Kostania, S. Suprapti, and R. Yulifah, “Training of Health Cadres in strengthening Assistance Program for Pregnant Women in the Region Arjowinangun Malang Community Health Center,” Journal of Community Engagement in Health, vol. 6, no. 2, pp. 88–99, Sep. 2023, doi: 10.30994/jceh.v6i2.532. DOI: https://doi.org/10.30994/jceh.v6i2.532
Y. Yuniarti, E. Yorita, D. Widiyanti, and E. Destariyani, “Effect of cadre-based empowerment on antenatal care knowledge, attitudes, and antenatal care visit among pregnant women,” Jurnal Kesehatan Ibu dan Anak, vol. 18, no. 1, pp. 21–33, Oct. 2024, doi: 10.29238/kia.v18i1.2245. DOI: https://doi.org/10.29238/kia.v18i1.2245
L. Ningsih and D. Novira, “Upaya Peningkatan Pengetahuan dan Sikap Ibu Hamil dalam Program Perencanaan Persalinan dan Pencegahan Komplikasi (P4K) melalui Pemberdayaan Kader,” Jurnal Kesehatan, vol. 11, no. 3, pp. 386–394, Dec. 2020, doi: 10.26630/jk.v11i3.2239. DOI: https://doi.org/10.26630/jk.v11i3.2239
N. Nurjannah, I. Ismail, and S. Usman, “Hubungan Peran Kader, Dukungan Keluarga Dan Budaya Dengan Pendampingan Ibu Hamil Risiko Tinggi Di Wilayah Kerja Puskesmas Krueng Barona Jaya Aceh Besar,” Majalah Kesehatan Masyarakat Aceh (MAKMA), vol. 6, no. 3, pp. 102–109, Oct. 2023, doi: 10.32672/makma.v6i3.3797. DOI: https://doi.org/10.32672/makma.v6i3.3797
A. Kurniawan, C. Sistiarani, and E. Gamelia, “Pengaruh Pelatihan Deteksi Dini Kehamilan Risiko Tinggi terhadap Peningkatan Pengetahuan, Sikap, Motivasi dan Keterampilan Kader Kesehatan,” Jurnal Ilmu Kesehatan Masyarakat, vol. 12, no. 06, pp. 496–502, Nov. 2023, doi: 10.33221/jikm.v12i06.2332. DOI: https://doi.org/10.33221/jikm.v12i06.2332
Published
How to Cite
Issue
Section
Copyright (c) 2026 Serlyansie Boimau, Agustina Abuk Seran, Nurlaelah Al Tadom, Wirawati Amin, Andi Syintha Ida
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Plaudit
Funding data
-
Ministry of Health of the Republic of Indonesia
Grant numbers Ministry of Health of the Republic of Indonesia for financial support through “Penelitian Kerjasama Perguruan Tinggi (PKPT)” with contract number: BJ.01.03/F.XXIX.26/3509/2025.
