Literasi kesehatan berbasis budaya dan pengetahuan perawatan nifas pada ibu etnis ternate: Studi kuasi-eksperimental

Background: Traditional postpartum care practices are common in the Ternate ethnic community and may pose health risks when maternal knowledge is limited. This study assessed whether a culturally tailored health literacy intervention was associated with improved postpartum care knowledge among Ternate women.Methods: A quasi-experimental pretest-posttest study with a non-randomized control group was conducted at coastal community health centers in Ternate, North Maluku, Indonesia, from February to April 2024. Sixty-two postpartum mothers were recruited through purposive sampling and allocated to the intervention and control groups (n = 31 each). The intervention group received eight weekly culturally tailored education sessions and a booklet, whereas the control group received routine education. Knowledge was measured using a validated 20-item questionnaire (Cronbach's alpha = .85). Paired- and independent-samples t tests were used.Results: The baseline mean (SD) knowledge scores were 11.74 (1.71) in the intervention group and 11.74 (1.69) in the control group. At posttest, the mean score was 19.35 (0.42) in the intervention group and 16.74 (1.67) in the control group (p < .001). The reported between-group mean difference was 2.61 (95% CI, 2.01-3.21; p < .001), with Cohen's d = 2.14.Conclusion: The culturally tailored intervention was associated with higher immediate posttest knowledge than routine education among Ternate mothers. Interpretation should consider the non-randomized, site-based allocation and short-term knowledge outcome.