Collaborative antenatal care assessment and action planning for low-birth-weight prevention in Kulisusu, Indonesia
DOI:
https://doi.org/10.61099/jpmei.v3i3.606Keywords:
antenatal care, collaborative assessment, continuity of care, low birth weight, maternal healthAbstract
Background: Low birth weight (LBW) remains a maternal and newborn health concern requiring continuity of care throughout pregnancy and after childbirth. Gaps between antenatal risk detection and follow-up may undermine coordinated care. Objective: To assess antenatal care responses to maternal risk factors and develop recommendations supporting LBW prevention at Kulisusu Primary Health Center, Indonesia.
Methods: A descriptive, collaborative field assessment was conducted on 23–30 September 2026 through program record reviews and semi-structured interviews with six informants representing healthcare personnel, community volunteers, and mothers. Records covered 25 LBW infants born in 2025 and 17 born during January–August 2026. Descriptive statistics and thematic analysis using a Five Lenses framework informed proposed action priorities.
Results: Antenatal screening, education, iron supplementation, and referral services were available. Among mothers of LBW infants, the last recorded hemoglobin level was below 11 g/dL in 47.8% in 2025 and 56.3% in 2026. However, risk detection dates, missed appointments, tracing outcomes, referral completion, and maternal–newborn care linkages were not consistently documented. Reported barriers included stigma, nausea, mobility, and dispersed follow-up responsibilities. Proposed actions included an at-risk maternal register, missed-appointment tracking, referral feedback, and linked maternal–newborn records.
Conclusion: The assessment identified documentation and coordination gaps and generated phased recommendations for strengthening care continuity. Implementation and outcome evaluation are required before effectiveness can be established.
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Adnani, Q. E. S., Nurfitriyani, E., Merida, Y., Khuzaiyah, S., Okinarum, G. Y., Susanti, A. I., Adepoju, V. A., & Hashim, S. H. (2025). Ninety-one years of midwifery continuity of care in lowcare middle-income countries: a scoping review. BMC Health Services Research, 25(1), 463. https://doi.org/10.1186/s12913-025-12612-0
Alamsyah, Arfinayanti, Ruqaiyah, Tut Handayani, & Ayatullah Harun. (2026). Health Information Exposure and Obstetric Emergency Knowledge Among Pregnant Women: A Cross-Sectional Study in Makassar, Indonesia. Jurnal Ilmiah Kesehatan Sandi Husada, 15(1), 318–328. https://doi.org/10.35816/jiksh.v15i1.261
Beressa, G., Whiting, S. J., Kuma, M. N., Lencha, B., & Belachew, T. (2024). Association between anemia in pregnancy with low birth weight and preterm birth in Ethiopia: A systematic review and meta-analysis. PLOS ONE, 19(9), e0310329. https://doi.org/10.1371/journal.pone.0310329
Bradford, B. F., Wilson, A. N., Portela, A., McConville, F., Fernandez Turienzo, C., & Homer, C. S. E. (2022). Midwifery continuity of care: A scoping review of where, how, by whom and for whom? PLOS Global Public Health, 2(10), e0000935. https://doi.org/10.1371/journal.pgph.0000935
Gustini, G., & Akib, A. (2025). Increasing Pregnant Women’s Knowledge of Pregnancy Care through Comthrough Communitycation. Jurnal Pengabdian Masyarakat Edukasi Indonesia, 2(2), 86–92. https://doi.org/10.61099/jpmei.v2i2.97
Hasni, Saman, Novica Ariyanti Putri, Sova Evie, & Enggar. (2026). Determinants of Antenatal Care Utilization Among Pregnant Women: A Qualitative Study. Jurnal Ilmiah Kesehatan Sandi Husada, 15(1), 283–293. https://doi.org/10.35816/jiksh.v15i1.254
Indonesia, K. K. R. (2020). Pedoman pelayanan antenatal terpadu. Kementerian Kesehatan RI. https://repository.kemkes.go.id/book/147
Indonesia, K. K. R. (2024a). Petunjuk teknis penggunaan Buku KIA Khusus Bayi Kecil. Kementerian Kesehatan RI. https://ayosehat.kemkes.go.id/petunjuk-teknis-penggunaan-buku-kia-khusus-bayi-kecil
Indonesia, K. K. R. (2024b). Survei Kesehatan Indonesia (SKI) 2023 dalam angka. Badan Kebijakan Pembangunan Kesehatan.
Kulisusu, U. P. (2026). Rekap bayi BBLR dan rekap pelayanan antenatal K1/K6 tahun 2025 sampai Agustus 2026. UPTD Puskesmas Kulisusu.
Kurniadi, A., Ernawati, D., Mubarokah, K., & Setiono, O. (2023). Pengembangan Aplikasi Jagabunda Sebagai Pendampingan Ibu Hamil dalam Upaya Penurunan Kematian Ibu dan Bayi. Jurnal Kesehatan Vokasional, 8(1), 37. https://doi.org/10.22146/jkesvo.76549
Merzalia, N., & Syafiq, A. (2024). The relationship of antenatal care services with the incidethe incidenceth weight. Jurnal Kebidanan Malahayati, 10(5). https://doi.org/10.33024/jkm.v10i5.15271
Okwaraji, Y. B., Krasevec, J., Bradley, E., Conkle, J., Stevens, G. A., & Gatica-Domínguez, G. (2024). National, regional, and global estimates of low birthweight in 2020, with trends from 2000: A systematic analysis. The Lancet, 403(10431), 1071–1080. https://pubmed.ncbi.nlm.nih.gov/38430921
Rammohan, A., Goli, S., & Chu, H. (2024). Continuum of care in maternal and child health in Indonesia. Primary Health Care Research & Development, 25, e17. https://doi.org/10.1017/S1463423624000094
Sandall, J., Fernandez Turienzo, C., Devane, D., Soltani, H., Gillespie, P., Gates, S., Jones, S., Jonesnnan, A. H., & Rayment-Jones, H. (2024). Midwife continuity of care models versus other models of care for childbearing women. Cochrane Database of Systematic Reviews, 2024(5), CD004667. https://doi.org/10.1002/14651858.CD004667.pub6
Suriyani, S., Razak, A., Ibnu, I. F., Zainuri, A., & Suprapto, S. (2026). Mental health policy implementation in primary healthcare facilities to improve mental health services inservices in Papua: a scoping review. Acta Innovations, 63(1), 1770–1790. https://doi.org/10.62441/actainnovations.v63i.1967
WHO. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. World Health Organization. https://www.who.int/publications/i/item/9789241549912
WHO. (2022). WHO recommendations for care of the preterm or low-birth-weight infant. World Health Organization. https://www.who.int/publications/i/item/9789240058262
WHO. (2024a). Networks of care for maternal and newborn health: Implementation guidance. World Health Organization. https://www.who.int/publications/b/70329
WHO. (2024b). Transitioning to midwifery models of care: Global position paper. World Health Organization. https://www.who.int/publications/i/item/9789240098268
Wulandari, F., Mahmudiono, T., Rifqi, M. A., Helmyati, S., Dewi, M., & Yuniar, C. T. (2022). Maternal Characteristics and Socio-Economic Factors as Determinants of Low Birth Weight in Indonesia: Analysis of 2017 Indonesian Demographic and Health Survey (IDHS). International Journal of Environmental Research and Public Health, 19(21), 13892. https://doi.org/10.3390/ijerph192113892
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