Elizar Elizar, Jasmiati Jasmiati, Nova Sumaini Prihatin, Yusnaini Yusnaini, Elit Pebryatie, Endang Nurrochmi

The Effect Of Health Education Using Leaflet Media And Lecture Methods On Increasing Pregnant Women's Knowledge About Gestational Diabetes Mellitus In The Working Area Of The North Aceh District Community Health Center

Introduction

The effect of health education using leaflet media and lecture methods on increasing pregnant women's knowledge about gestational diabetes mellitus in the working area of the north aceh district community health center. Boost pregnant women's GDM knowledge! This North Aceh study found health education combining leaflets & lectures significantly improved understanding of Gestational Diabetes Mellitus.

Abstract

Background: Gestational diabetes mellitus (GDM) is a growing global health concern with increasing maternal-fetal morbidity and long-term health risks, and poor knowledge of GDM among pregnant women raises the potential for serious complications. Aim: This study aims to analyze the effect of health education using leaflets and lectures on pregnant women's knowledge about gestational diabetes mellitus in the community health center (Puskesmas) in North Aceh Regency. Methods. The study used a quasi-experimental design with a non-equivalent control group. The sample was drawn from pregnant women undergoing antenatal care at the community health center (Puskesmas) in North Aceh Regency, with a total of 64 respondents from the intervention and control groups. Respondents were selected using purposive sampling according to predetermined criteria. Results: The Wilcoxon signed-rank test showed a significant difference in knowledge before and after health education using lectures and leaflets on pregnant women's knowledge. Conclusions: Health education using lectures and leaflets has a greater impact on improving pregnant women's knowledge than lectures alone. Implications: Healthcare providers should develop health education programs that combine several simple and clear educational methods about gestational diabetes mellitus for pregnant women and their families.

Review

This study addresses a crucial public health challenge by investigating effective strategies to enhance pregnant women's knowledge about Gestational Diabetes Mellitus (GDM) in North Aceh, a topic with significant implications for maternal and fetal health outcomes. The paper's aim to analyze the impact of health education using combined leaflet and lecture methods is highly relevant given the identified knowledge gap among pregnant women. The overall conclusion, suggesting that a multi-modal approach of lectures combined with leaflets is more effective than lectures alone, provides valuable insight for designing targeted health education interventions and holds promise for improving antenatal care practices in the region. The methodology employed a quasi-experimental design with a non-equivalent control group, which is a practical approach for intervention studies in real-world clinical settings, although it inherently carries limitations regarding randomization. A total of 64 pregnant women undergoing antenatal care were included, selected via purposive sampling, which, while pragmatic, may affect the generalizability of the findings. The abstract indicates that the Wilcoxon signed-rank test showed a significant difference in knowledge before and after health education using lectures and leaflets. However, to fully substantiate the claim that the combined method has a "greater impact" than lectures alone, the abstract would ideally describe the statistical test used to *compare* the intervention group with the control group post-intervention or their respective gain scores. This specific inter-group statistical comparison is not explicitly detailed, leaving a slight ambiguity in the robust statistical support for the "greater impact" claim. Despite this minor clarification needed in the statistical reporting, the study offers compelling implications for healthcare providers. The recommendation to develop health education programs that combine several simple and clear educational methods for GDM is well-supported by the reported effectiveness of the multi-modal approach. Future research could further explore the long-term retention of this knowledge, its impact on actual health behaviors and GDM management, and investigate the cost-effectiveness of different educational strategies. Overall, this study makes a meaningful contribution to the field of maternal health education, offering practical guidance for improving health literacy and potentially mitigating GDM-related complications.

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