Integrasi Edukasi dan Skrining Kesehatan Jiwa pada Kelas Ibu Hamil di Posyandu Seroja Puskesmas Parigi Kecamatan Pondok Aren Kota Tangerang Selatan

Arum Ariasih; Aisyah Maulina Zjubaidi; Nelfiyanti Nelfiyanti; Yunia Rachmawati; Cinta Azalia NP

doi:10.62027/sevaka.v4i3.950

Authors

Arum Ariasih Universitas Muhammadiyah Jakarta
Aisyah Maulina Zjubaidi Sekolah Tinggi Ilmu Kesehatan Pamentas
Nelfiyanti Nelfiyanti Universitas Muhammadiyah Jakarta
Yunia Rachmawati Universitas Muhammadiyah Jakarta
Cinta Azalia NP Universitas Muhammadiyah Jakarta

DOI:

https://doi.org/10.62027/sevaka.v4i3.950

Keywords:

Antenatal Class, Depression Screening, EPDS, Maternal Mental Health, Mental Health Education

Abstract

Maternal mental health education and depression screening had not been integrated into the routine antenatal classes conducted at Posyandu Seroja, within the service area of UPTD Parigi Public Health Center, South Tangerang City, limiting the early identification of psychological problems among pregnant women. This community service program aimed to improve maternal mental health literacy by integrating mental health education and depression screening into antenatal classes. The program involved 19 pregnant women and employed a participatory educational approach consisting of program socialization, pre-test, depression risk screening using the Edinburgh Postnatal Depression Scale (EPDS), interactive lectures, group discussions, and post-test. Participants' knowledge and attitudes were assessed using validated and reliable questionnaires, while the screening results were analyzed descriptively. The findings showed an increase in the mean knowledge score from 6.95 to 7.42 and the mean attitude score from 21.21 to 21.95 following the educational intervention. In addition, four of the 19 participants (21.1%) were identified as being at risk of depression and were referred for further follow-up according to the existing health service procedures. The program improved participants' understanding of maternal mental health while providing preliminary information to support early detection of psychological problems in primary healthcare settings. Integrating mental health education and depression screening into antenatal classes is a feasible community-based approach to strengthening maternal mental health promotion, prevention, and early detection within primary healthcare services.

References

Ariasih, A., & Budiharsana, M. (2023). Prevalence and sociodemographic factors associated with peripartum depression in Indonesia: National Basic Health Research Data 2018. Jurnal Kesehatan Reproduksi, 13(2), 141–149. doi:10.58185/jkr.v13i2.45

Ariasih, A., Besral, Budiharsana, M., & Ronoatmodjo, S. (2024). Common mental disorders and associated factors during pregnancy and the postpartum period in Indonesia: An analysis of data from the 2018 Basic Health Research. Journal of Preventive Medicine and Public Health, 57(4), 388–398. doi:10.3961/jpmph.24.082

Ariasih, A., Sabilla, M., & Purnamawati, D. (2023). Persepsi dan pengetahuan ibu hamil tentang depresi post partum di Kota Tangerang Selatan. Jurnal Semesta Sehat (J-Mestahat), 3(1), 11–20. doi:10.58185/j-mestahat.v3i1.101

Chauhan, A., & Potdar, J. (2022). Maternal mental health during pregnancy: A critical review. Cureus, 14(10), e30656. doi:10.7759/cureus.30656

Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression: Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150(6), 782–786. doi:10.1192/bjp.150.6.782

Hati, F. S., & Aryani, F. (2018). Efektifitas kelas ibu hamil sebagai upaya peningkatan sikap dan pengetahuan ibu tentang post partum blues. Prosiding Seminar Nasional Vokasi Indonesia, 40–46.

Howard, L. M., & Khalifeh, H. (2020). Perinatal mental health: A review of progress and challenges. World Psychiatry, 19(3), 313–327. doi:10.1002/wps.20769

Insan, N., Weke, A., Forrest, S., & Rankin, J. (2022). Social determinants of antenatal depression and anxiety among women in South Asia: A systematic review and meta-analysis. PLoS ONE, 17(2), e0263760. doi:10.1371/journal.pone.0263760

Kasujja, M., Omara, S., Senkungu, N., Ndibuuza, S., Kirabira, J., Ibe, U., & Barankunda, L. (2024). Factors associated with antenatal depression among women attending antenatal care at Mubende Regional Referral Hospital: A cross-sectional study. BMC Women's Health, 24(1), 195. doi:10.1186/s12905-024-03031-0

Koire, A., Nong, Y. H., Cain, C. M., Greeley, C. S., Puryear, L., & Van Horne, B. S. (2023). Prenatal depression screening with postpartum follow-up in an integrated healthcare system identifies risks for positive screens and persistent depressive symptoms. Journal of Affective Disorders Reports, 12, 100509. doi:10.1016/j.jadr.2023.100509

Kusumawati, Y., Widyawati, W., & Dewi, F. S. T. (2023). Mental health education for pregnant women during the COVID-19 pandemic in Surakarta, Indonesia. KEMAS: Jurnal Kesehatan Masyarakat, 19(1), 93–101. doi:10.15294/kemas.v19i1.42211

Muhawarman, A. (2024, October 25). Skrining kesehatan jiwa minimal setahun sekali. Kementerian Kesehatan Republik Indonesia.

Nawabi, F., Krebs, F., Vennedey, V., Shukri, A., Lorenz, L., & Stock, S. (2021). Health literacy in pregnant women: A systematic review. International Journal of Environmental Research and Public Health, 18(7), 3847. doi:10.3390/ijerph18073847

Ojo, A. O., Aftabi, A., Telagarapu, V. M. L., Raghubir, J., Gudapati, J., Akindele, A., ... Lee, Y. (2026). Community interventions for addressing postpartum depression across the United States: A narrative review. Cureus, 18(4), e106792. doi:10.7759/cureus.106792

Oliveira, T. A., Luzetti, G. G. C. M., Rosalém, M. M. A., & Mariani Neto, C. (2022). Screening of perinatal depression using the Edinburgh Postpartum Depression Scale. Revista Brasileira de Ginecologia e Obstetrícia, 44(5), 452–457. doi:10.1055/s-0042-1743095

Rohani, R., Pratiwi, C. S., & Sarwinanti, S. (2025). Analysis of the implementation of mental health screening of pregnant women by midwives in Bantul Regency, Yogyakarta: A mixed methods study. Journal of Health and Nutrition Research, 4(3), 1203–1212. doi:10.56303/jhnresearch.v4i3.564

Stefana, A., Mirabella, F., Gigantesco, A., Camoni, L., & Perinatal Mental Health Network. (2024). The screening accuracy of the Edinburgh Postnatal Depression Scale (EPDS) to detect perinatal depression with and without the self-harm item in pregnant and postpartum women. Journal of Psychosomatic Obstetrics & Gynecology, 45(1), 2404967. doi:10.1080/0167482X.2024.2404967

Winarni, L. M., Damayanti, R., Prasetyo, S., & Afiyanti, Y. (2025). The efficacy of integrative antenatal class (IAC) to improve the psychological well-being of pregnant mothers. Journal of Education and Health Promotion, 14(1), 217. doi:10.4103/jehp.jehp_822_24

World Health Organization. (2022a). WHO guide for integration of perinatal mental health in maternal and child health services. Geneva, Switzerland: Author.

World Health Organization. (2022b). WHO recommendations on maternal and newborn care for a positive postnatal experience. Geneva, Switzerland: Author.