Effectiveness of Educational Calendar on Pregnant Women’s Attitudes Toward Anemia: A Pre-Experimental Study

Authors

  • Audi Nisa Fadila Midwifery Study Program, Faculty of Health, Universitas Muhammadiyah Purwokerto, Purwokerto, Indonesia
  • Ikhwah Mu’minah Midwifery Study Program, Faculty of Health, Universitas Muhammadiyah Purwokerto, Purwokerto, Indonesia
  • Sawitri Dewi Midwifery Study Program, Faculty of Health, Universitas Muhammadiyah Purwokerto, Purwokerto, Indonesia
  • Diah Atmarina Yuliani Midwifery Study Program, Faculty of Health, Universitas Muhammadiyah Purwokerto, Purwokerto, Indonesia

DOI:

https://doi.org/10.26630/jkmsw.v19i1.5696

Keywords:

Anemia, Pregnant Women , Educational Calendar , Attitude, Health Education

Abstract

Background: A high prevalence of anemia in pregnancy has occurred for 2 years in the working area of a Puskesmas Puwrokerto Selatan. Anemia can cause complications during pregnancy. Educational calendars can improve pregnant women’s knowledge and attitudes towards anemia.

Objective: To analyze the effectiveness of educational calendars on the attitudes of pregnant women with anemia.

Method: This study employed a pre-experimental design with a one-group pretest-posttest type, conducted from March-April 2026 involving 15 pregnant women with anemia determined using a total sampling technique. Instrument used questionnaires and an educational calendar that had been tested for the feasibility of media and materials. Data were analyzed using univariate and bivariate with Paired Sample t-test.

Results: The pre-test revealed that 66.67% of participants had good attitudes. After getting an educational calendar intervention for 30 minutes, a posttest conducted on the same day showed an increase to 93.33%, resulting in a difference of 26.67%. Paired sample t-test showed a significance value of p=0.004.

Conclusion: Educational calendar effectively improves pregnant woman’s attitudes, with an increase of the mean value of 6.27 and a p-value of 0.004 (<0.05). Educational calendar can be an alternative tool to support efforts in reducing the cases of anemia during pregnancy.

References

Abd Rahman, R., Idris, I. B., Isa, Z. M., Rahman, R. A., & Mahdy, Z. A. (2022). The Prevalence and Risk Factors of Iron Deficiency Anemia Among Pregnant Women in Malaysia: A Systematic Review. In Frontiers in Nutrition (Vol. 9). Frontiers Media S.A. https://doi.org/10.3389/fnut.2022.847693

Abou-Rizk, J., Jeremias, T., Nasreddine, L., Jomaa, L., Hwalla, N., Tamim, H., Frank, J., & Scherbaum, V. (2021). Anemia and nutritional status of syrian refugee mothers and their children under five years in greater Beirut, Lebanon. International Journal of Environmental Research and Public Health, 18(13). https://doi.org/10.3390/ijerph18136894

Admass, Z. E., Gessesse, A. D., Ayalsew, H. A., Abate, H. M., Leminie, A. A., & Wondimu, D. H. (2025). Hemoglobin response to iron folate supplementation and associated factors among pregnant women attending public hospitals in Addis Ababa, Ethiopia: a longitudinal quasi-experimental study. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1569643

Ali Bin-Hady, W. R., Abdu Nasser, A. N., & Al-Kadi, A. T. (2020). A pre-experimental study on a process-genre approach for teaching essay writing. Journal of Language and Education, 6(4), 44–54. https://doi.org/10.17323/jle.2020.10347

Alsubaie, N., Shah, Z. A., Ilyas, M., Ayaz, S., Habib, I., Binsaleh, A. Y., & Alrossies, A. S. (2026). Iron deficiency in non-pregnant women with normal hemoglobin: a cross-sectional analysis of risk factors and clinical implications. Frontiers in Medicine, 12. https://doi.org/10.3389/fmed.2025.1700235

Balis, B., Dessie, Y., Debella, A., Alemu, A., Tamiru, D., Negash, B., Bekele, H., Getachew, T., Eyeberu, A., Mesfin, S., Eshetu, B., Merga, B. T., Habte, S., & Yadeta, T. A. (2022). Magnitude of Anemia and Its Associated Factors Among Pregnant Women Attending Antenatal Care in Hiwot Fana Specialized University Hospital in Eastern Ethiopia. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.867888

Chillo, S. L., Woldesemayat, E. M., & Dangisso, M. H. (2025). Do dietary habits and iron-folic acid intake make a difference? Factors associated with anemia in pregnancy: a multi-center cross-sectional study. Frontiers in Global Women’s Health, 6. https://doi.org/10.3389/fgwh.2025.1599842

DinKes. (2025). Profil Kesehatan Kabupaten Banyumas Tahun 2023 dan 2024. Dinas Kesehatan Banyumas. www.dinkes.banyumaskab.go.id.

Elsharkawy, N. B., Abdelaziz, E. M., Ouda, M. M., & Oraby, F. A. (2022). Effectiveness of Health Information Package Program on Knowledge and Compliance among Pregnant Women with Anemia: A Randomized Controlled Trial. International Journal of Environmental Research and Public Health, 19(5). https://doi.org/10.3390/ijerph19052724

Indrayani, M., Khairani, & Fauza, R. (2022). Efektivitas Pemberian Pendidikan Kesehatan Dengan Menggunakan Media Kalender dalam Meningkatkan Pengetahuan Ibu dalam Mendeteksi Dini Pneumonia pada Balita di Desa Secanggang Kab.Langkat. Jurnal Ilmiah Keidanan IMELDA, 8(2), 2442–8116. https://doi.org/https://doi.org/10.52943/jikebi.v8i2.1125

Li, S., Li, J., Du, L., Wang, X., Zhang, Y., Xiao, Y., Pan, C., & Huo, Y. (2025). Association between parity and adverse maternal and neonatal outcomes: a population-based cross-sectional study. Frontiers in Medicine, 12. https://doi.org/10.3389/fmed.2025.1697655

Liu, W. Y., Tung, T. H., Zhou, Y., Gu, D. T., & Chen, H. Y. (2022). The Relationship Between Knowledge, Attitude, Practice, and Fall Prevention for Childhood in Shanghai, China. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.848122

Malik Asikin, A., Muhammad Dzulkifli, A., Alam, N., & Nour Rahman, S. (2025). Edukasi Media Kalender Untuk Pencegahan Kekurangan Energi Kronik pada Ibu Hamil. Jurnal Pengabdian Masyarakat, 2(2), 152–159. https://doi.org/10.59734

Nguyen, P. H., Kachwaha, S., Tran, L. M., Avula, R., Young, M. F., Ghosh, S., Sharma, P. K., Escobar-Alegria, J., Forissier, T., Patil, S., Frongillo, E. A., & Menon, P. (2021). Strengthening Nutrition Interventions in Antenatal Care Services Affects Dietary Intake, Micronutrient Intake, Gestational Weight Gain, and Breastfeeding in Uttar Pradesh, India: Results of a Cluster-Randomized Program Evaluation. Journal of Nutrition, 151(8), 2282–2295. https://doi.org/10.1093/jn/nxab131

Nguyen, P. H., Sununtnasuk, C., Christopher, A., Ash, D., Ireen, S., Kabir, R., Mahmud, Z., Ali, M., Forissier, T., Escobar-DeMarco, J., Frongillo, E. A., & Menon, P. (2023). Strengthening Nutrition Interventions during Antenatal Care Improved Maternal Dietary Diversity and Child Feeding Practices in Urban Bangladesh: Results of a Quasi-Experimental Evaluation Study. Journal of Nutrition, 153(10), 3068–3082. https://doi.org/10.1016/j.tjnut.2023.06.023

Nyongesa, P., Ekhaguere, O. A., Marete, I., Tenge, C., Kemoi, M., Bann, C. M., Bucher, S. L., Patel, A. B., Hibberd, P. L., Naqvi, F., Saleem, S., Goldenberg, R. L., Goudar, S. S., Derman, R. J., Krebs, N. F., Garces, A., Chomba, E., Carlo, W. A., Mwenechanya, M., … Esamai, F. (2023). Maternal age extremes and adverse pregnancy outcomes in low-resourced settings. Frontiers in Global Women’s Health, 4. https://doi.org/10.3389/fgwh.2023.1201037

Permatasari, T. A. E., Rizqiya, F., Kusumaningati, W., Suryaalamsah, I. I., & Hermiwahyoeni, Z. (2021). The effect of nutrition and reproductive health education of pregnant women in Indonesia using quasi experimental study. BMC Pregnancy and Childbirth, 21(1), 1–15. https://doi.org/10.1186/s12884-021-03676-x

Prasetyanti, D. K., & Fitriasnani, M. E. (2020). The Influence of Calendar of Health As A Prevention of Stunting In Pre-Marriage Couples. STRADA Jurnal Ilmiah Kesehatan, 9(2), 1300–1308. https://doi.org/10.30994/sjik.v9i2.466

Quraisy, C., Ikasartika Sineri, D., Sekar Haruni, D., & Syukrina Puteri, H. (2022). Peningkatan Pengetahuan Ibu Hamil: Penyuluhan Gizi dengan Media Kalender Makanan “Steril KEK.” Jurnal Pengabdian Masyarakat, 2(3), 489–503. https://doi.org/10.24246/jms.v5i32025

Rahmasari, F. V., Yuniarti, F. A., Tri, S. A., & Estri, S. (2025). Promoting Nutrition and Hygiene Awareness in Children Through Calendar Media. Empowering Communities and Ecosystems through Sustainable and Intelligent Technologies in Society 5.0, 3(1), 162–169. https://doi.org/https://doi.org/10.18196/iccs.v3i1.812

Sugiyono, (Ed.5). (2023). Metode Penelitian Kuantitatif, Kualitatif, dan R&D. ALFABETA Bandung.

Tirore, L. L., Areba, A. S., Tamrat, H., Habte, A., & Abame, D. E. (2024). Determinants of severity levels of anemia among pregnant women in Sub-Saharan Africa: multilevel analysis. Frontiers in Global Women’s Health, 5. https://doi.org/10.3389/fgwh.2024.1367426

Verbunt, E., Corona, M. V., Tunçalp, Ö., Rogers, L. M., Prang, K. H., Vaughan, C., & Bohren, M. A. (2025). Perceptions and experiences of the prevention, testing, and treatment of anaemia in pregnant women: A qualitative evidence synthesis. PLOS Global Public Health, 5(10 October). https://doi.org/10.1371/journal.pgph.0005158

Wang, R., Xu, S., Hao, X., Jin, X., Pan, D., Xia, H., Liao, W., Yang, L., & Wang, S. (2025). Anemia during pregnancy and adverse pregnancy outcomes: a systematic review and meta-analysis of cohort studies. In Frontiers in Global Women’s Health (Vol. 6). Frontiers Media SA. https://doi.org/10.3389/fgwh.2025.1502585

Wu, T., Wang, X., Zhao, S., Xiao, Y., Shen, M., Han, X., Chen, X., & Su, J. (2021). Socioeconomic Determinants of Melanoma-Related Health Literacy and Attitudes Among College Students in China: A Population-Based Cross-Sectional Study. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.743368

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Published

06-06-2026