Background: The Maternal Mortality Rate (MMR) remains a critical global and national issue. To address this, the government implemented the Birth Planning and Complication Prevention Program (P4K) to improve childbirth preparedness, particularly for first-time mothers (primigravida). At the Sugiharjo Auxiliary Health Center, low adherence to follow-up Antenatal Care (ANC) visits highlights the urgent need for structured educational interventions. Objective: This research focuses on examining how P4K health education affects the understanding and outlook of first-time pregnant women at the Sugiharjo Auxiliary Health Center in 2026. Methods: Implementing a pre-experimental method with a One Group Pretest-Posttest framework, a total of 44 participants were chosen from an overall group of 80 using purposive sampling. The information gathered through structured surveys was examined employing the non-parametric Wilcoxon Signed Rank Test due to the non-normal distribution of the data. Results: Prior to the intervention, most respondents possessed sufficient knowledge (77.3%) but maintained a disagreeing attitude (40.9%). Post-intervention, significant improvements were observed: 59.1% achieved good knowledge, while attitudes shifted positively toward agreeing (36.4%) and strongly agreeing (22.7%). The bivariate Wilcoxon test confirmed these significant changes, yielding p-values of 0.003 for knowledge and 0.002 for attitude (p < 0.05). Conclusion: P4K health education significantly improves knowledge and fosters positive attitudes among primigravida pregnant women. This structured educational approach serves as a strategic tool to enhance mothers' psychophysical readiness, enabling early detection of pregnancy danger signs and timely clinical decision-making.
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Siregar et al. (2026) studied this question.
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