Effectiveness of the health belief model-based husband empowerment module in enhancing postpartum contraceptive support readiness: a quasi-experimental study
Dublin Core
Title
Effectiveness of the health belief model-based husband empowerment module in enhancing postpartum contraceptive support readiness: a quasi-experimental study
Subject
behavior change, contraceptive decision-making, health intervention, paternal involvement, postpartum
support
support
Description
Introduction: Husband involvement is crucial in maternal health, particularly in postpartum contraceptive use.
However, many husbands lack awareness, facilitation skills, and appreciation for their role. This study evaluated the
effectiveness of a Health Belief Model (HBM)-based Husband Empowerment Module in enhancing husbands'
preparedness behaviors for postpartum contraceptive support.
Methods: A quasi-experimental pre-posttest control group design was conducted at two community health centers in
Samarinda, Indonesia. Sixty husbands of third-trimester pregnant women were recruited through a combination of
sampling, purposive sampling, and random sampling. Purposive sampling was used to choose the treatment group, and
random sampling was used to select the participants, who were assigned to the intervention (n=30) and control (n=30)
groups. The intervention group received a comprehensive 12-session HBM-based module delivered through antenatal
care visits, home visits, group discussions, and WhatsApp support over three months. Preparedness behavior was
measured using validated questionnaires assessing awareness, facilitation ability, and appreciation. Nonparametric
statistical analyses were employed.
Results: Post-intervention, the treatment group demonstrated significant improvements across all preparedness
dimensions: awareness median scores increased from 9.0 to 11.0 (p<0.001), facilitation ability, from 5.0 to 6.0 (p<0.001),
and appreciation from 4.0 to 5.0 (p<0.001), while the control group showed no significant changes (all p>0.05).
Between-group comparisons revealed substantially higher preparedness in the intervention group with large effect
sizes. Notably, 83.3% of intervention participants achieved good facilitation ability compared to 0% at baseline.
Conclusions: The HBM-based Husband Empowerment Module effectively enhanced husbands' preparedness for
postpartum contraceptive support, suggesting that structured interventions can improve husband involvement in
postpartum care and maternal health outcomes.
However, many husbands lack awareness, facilitation skills, and appreciation for their role. This study evaluated the
effectiveness of a Health Belief Model (HBM)-based Husband Empowerment Module in enhancing husbands'
preparedness behaviors for postpartum contraceptive support.
Methods: A quasi-experimental pre-posttest control group design was conducted at two community health centers in
Samarinda, Indonesia. Sixty husbands of third-trimester pregnant women were recruited through a combination of
sampling, purposive sampling, and random sampling. Purposive sampling was used to choose the treatment group, and
random sampling was used to select the participants, who were assigned to the intervention (n=30) and control (n=30)
groups. The intervention group received a comprehensive 12-session HBM-based module delivered through antenatal
care visits, home visits, group discussions, and WhatsApp support over three months. Preparedness behavior was
measured using validated questionnaires assessing awareness, facilitation ability, and appreciation. Nonparametric
statistical analyses were employed.
Results: Post-intervention, the treatment group demonstrated significant improvements across all preparedness
dimensions: awareness median scores increased from 9.0 to 11.0 (p<0.001), facilitation ability, from 5.0 to 6.0 (p<0.001),
and appreciation from 4.0 to 5.0 (p<0.001), while the control group showed no significant changes (all p>0.05).
Between-group comparisons revealed substantially higher preparedness in the intervention group with large effect
sizes. Notably, 83.3% of intervention participants achieved good facilitation ability compared to 0% at baseline.
Conclusions: The HBM-based Husband Empowerment Module effectively enhanced husbands' preparedness for
postpartum contraceptive support, suggesting that structured interventions can improve husband involvement in
postpartum care and maternal health outcomes.
Creator
Pipit Feriani1
* , Rini Ernawati1
, Lia Kurniasari2
, and Yhenti Widjayanti3
* , Rini Ernawati1
, Lia Kurniasari2
, and Yhenti Widjayanti3
Source
http://dx.doi.org/10.20473/jn.v20i3.70836
Date
18 August 2025
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Pipit Feriani1
* , Rini Ernawati1
, Lia Kurniasari2
, and Yhenti Widjayanti3, “Effectiveness of the health belief model-based husband empowerment module in enhancing postpartum contraceptive support readiness: a quasi-experimental study,” Repository Horizon University Indonesia, accessed February 21, 2026, https://repository.horizon.ac.id/items/show/11149.