The Effect of Video-Based Education on Pregnant Women’s Commitment to Facility-Based Delivery in a Riverine Area of Indonesia

Aceptie Aceptie, Riyanti Riyanti, Yeni Lucin, Itma Annah

Abstract


Background: Choosing a safe place of delivery is a critical determinant of maternal and neonatal health outcomes, particularly in geographically isolated areas with limited access to healthcare services. Despite national efforts to increase facility-based childbirth, some pregnant women in rural settings still prefer home or non-health facility deliveries due to low health literacy, sociocultural influences, and accessibility barriers. Previous studies have mainly focused on improving maternal knowledge and birth preparedness, while evidence regarding the effectiveness of video-based education in strengthening pregnant women’s commitment to facility-based delivery remains limited. This study aimed to determine the effect of video-based education on pregnant women’s commitment to choosing delivery in health facilities in the working area of UPTD Puskesmas Rakumpit.

Methods: This quantitative study employed a pre-experimental one-group pretest–posttest design involving 35 pregnant women selected through total sampling. The intervention consisted of a 4-minute and 15-second educational video played twice in one session, covering the importance of facility-based delivery, risks of non-facility births, benefits of skilled birth attendants, delivery service procedures, and birth preparedness through the Birth Planning and Complication Prevention Program (P4K). Commitment levels were assessed before and after the intervention using a structured questionnaire. Data were analyzed using the paired sample t-test with a significance level of 95% (α = 0.05).

Result: The mean commitment score increased significantly from 65.1 to 99.28, with a mean difference of 34.18 points. The proportion of pregnant women committed to facility-based delivery increased from 62.1% to 100% after the intervention (p = 0.000).

Conclusion: Video-based education effectively improved pregnant women’s commitment to choosing facility-based delivery.

 

Keywords: video-based education; pregnant women; commitment; facility-based delivery; maternal health


References


WHO. Maternal mortality. (2025).https://www.who.int/news-room/fact-sheets/detail/maternal-mortality

WHO. Maternal Mortality Ratio (per 100 000 Live Births). https://www.who.int/data/gho/data/indicators/indicator-details/GHO/maternal-mortality-ratio (2023).

UNICEF. Maternal Mortality. https://data.unicef.org/topic/maternal-health (2025).https://data.unicef.org/topic/maternal-health

BPS. Angka Kematian Ibu/AKI (Maternal Mortality Rate/MMR) Hasil Long Form SP2020 Menurut Provinsi, 2020. https://www.bps.go.id/id/statistics-table/1/MjIxOSMx/ (2023).

Syairaji, M. et al. Trends and causes of maternal mortality in Indonesia: a systematic review. BMC Pregnancy Childbirth 24, 1–14 (2024).

Kementerian Kesehatan. Profil Kesehatan Indonesia 2023. (2023).

Fadhilah, U., Muliani, S. & Sarjana Kebidanan dan Pendidikan Profesi Bidan, P. Impact of Video Education on Mothers’ Knowledge of Early Initiation of Breastfeeding in Impact of Video Education on Mothers’ Knowledge of Early Initiation of Breastfeeding in Makassar. 16, 1896–1905 (2025).

Harizopoulou, V. C., Saranti, E., Antonakou, A. & Vivilaki, V. The importance of online childbirth preparation courses. Eur. J. Midwifery 8, 3–6 (2024).

Nisman, W. A., Khoironi, N. C. & Haryani, O. D. The impact of health education videos on the level of knowledge and attitudes of pregnant women about danger signs in pregnancy. J. Community Empower. Heal. 8, 1 (2025).

Wayan Nilawati, Riska Ismawati & Dian Monalisa. The Influence of Video-Based Nutrition Education on Knowledge of Pregnancy Nutrition in Pregnant Women in Sinar Pasemah Village. J. Educ. Innov. Public Heal. 3, 01–11 (2024).

Morgado, M. et al. Full title: Video-based approaches in health education: a systematic review and meta-analysis. Sci. Rep. 14, 1–14 (2024).

Wang, J. et al. Association of Digital Health Interventions With Maternal and Neonatal Outcomes: Systematic Review and Meta-Analysis. J. Med. Internet Res. 27, (2025).

Ariyani, N. W., Wirawan, I. M. A., Pinatih, G. N. I. & Jaya Kusuma, A. A. N. The effect of an application-based educational intervention with a social cognitive theory model on pregnant women in Denpasar, Bali, Indonesia: a randomized controlled trial. Osong Public Heal. Res. Perspect. 13, 153–161 (2022).

Indriyani, R., Murti, B., Anggraini, N. A. & Puspitasari, Y. Addressing chronic energy deficiency among Indonesian pregnant women: A social cognitive theory perspective. Soc. Sci. Humanit. Open 12, (2025).

Rismawati, N. L. & Pamungkasari, E. P. Applying Social Cognitive Theory to Exclusive Breastfeeding Behavior : A Path Analysis Model. J. Matern. Child Heal. 09, 836–848 (2024).

Ho, C. M., Yeh, C. C., Wang, J. Y., Hu, R. H., & Lee, P. H. Preclass video nanolearning or microlearning in blended medical education. Front. Med. 12, 1–10 (2025).

Yunianti, N. P. W., Khaerudin & Kusumawardani, D. Microlearning As a Digital Learning Strategy in Higher Health Education: Literature Review. J. Pendidik. Teknol. Dan Kejuru. 22, 1–11 (2025).

Adusei-Mensah, F., Muthelo, L., Ngwenya, M. W., Mphasha, M. H. & Kauhanen, J. Digital health interventions for pregnant women and mothers with children under 5 years old in low- and middle-income countries: a scoping review. Glob. Heal. J. 9, 113–123 (2025).

Rachmawati, T. et al. Understanding the drivers associated with maternal delivery choices: a comparative study between urban and rural women in Indonesia. Korean J. Fam. Med. 47, 119–126 (2025).

Nelson, J. R. et al. Using the health belief model to explore rural maternal utilisation of skilled health personnel for childbirth delivery: A qualitative study in three districts of the eastern region of Ghana. J. Glob. Heal. Reports 5, 1–13 (2021).

Metin, A. & Baltacı, N. The effects of video-assisted breastfeeding education given to primiparous pregnant women on breastfeeding self-efficacy: randomized controlled study. BMC Pregnancy Childbirth 24, 1–9 (2024).

Wika, A. T., Asrina, A. & Idris, F. P. Effectiveness of an Interactive Educational Video on Exclusive Breastfeeding Knowledge Among Pregnant Women in Indonesia : A Quasi-Experimental Study. 79–85 (2026).


Refbacks

  • There are currently no refbacks.




____________________________________________________________________________________________________________________________________________

Health Dynamics || Open Access Journal || Online version only || Publisher: Knowledge Dynamics || ISSN: 3006-5518 (online) || Contact: healthdynamics.journal@gmail.com; +8801814901991; +6282136364408