Community Empowerment Through an Integrated Complementary Therapy Education Program for Independent Management of Pregnancy-Related Edema Among Second-Trimester Pregnant Women
Abstract
This community empowerment program aimed to strengthen maternal self-care capacity through an integrated complementary therapy education program combining Kaempferia galanga boiled water foot soaking and foot massage. The program involved 20 pregnant women attending routine antenatal care and was implemented through interactive health education, group discussions, live demonstrations, supervised practice, and continuous mentoring. Program evaluation included pre- and post-education assessments, direct observation of practical skills, and participant feedback. The intervention resulted in considerable improvements in participants’ understanding of pregnancy-related edema, practical skills in preparing herbal foot soaks and performing foot massage, as well as confidence in independently applying the therapy at home. Midwives also expressed commitment to integrating the educational model into routine antenatal care services. Overall, the program enhanced maternal knowledge, practical competence, and self-care capacity while establishing a sustainable community-based educational model to support the independent management of pregnancy-related edema.
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References
Aminah, A., & Mayunita, A. (2023). Effectiveness of health education toward personal hygiene during menstruation among adolescent girls. Jurnal Keperawatan Komprehensif, 10(4), 1–8.
Ariyanti, L., Kusumaningayu, W. A. D., Prabandari, F. I., & Ramadhani, A. N. (2024). Dysmenorrhea and practice of menstrual hygiene in adolescent females. Gaster, 22(1), 25–33. https://doi.org/https://doi.org/10.30787/gaster.v22i1.1427
Armini, N. K. A., Setyani, A., Nastiti, A. A., & Triharini, M. (2023). Knowledge and peer support for increase menstrual hygiene management (MHM) in adolescents. Healthcare in Low-resource Settings. Suppl, 11. https://doi.org/https://doi.org/10.4081/hls.2023.11193
Fauziah, H. A., Yualita, P., & Kamila, A. (2024). A holistic approach to menstrual hygiene: Analyzing the interconnected roles of knowledge, socio-cultural correlates, and attitudes in adolescent girls. Jurnal Ners Dan Kebidanan Indonesia, 12(2), 178–189. https://doi.org/https://doi.org/10.21927/jnki.2024.12(2).178-189
Fund., U. N. C. (2023). Guidance on menstrual health and hygiene. New York: UNICEF.
Green, L. W., & Kreuter, M. W. (2022). Health Program Planning: An Educational and Ecological Approach (5th ed.). McGraw-Hill.
Lubis, B., Wulandari, S., & Hayati, S. N. (2024). The effect of ginger water decoction on leg edema in pregnant mothers at Kasih Ibu Primary Clinic, 2024. Jurnal Kebidanan Kestra, 7(1), 85–89. https://doi.org/https://doi.org/10.35451/jkk.v7i1.2355
Novelia, S., Rukmaini, & Caka, R. V. (2022). The effect of foot massage and warm water mixed with aromatic ginger foot bath on edema in pregnancy. Nursing and Health Sciences Journal, 2(4). https://doi.org/https://doi.org/10.53713/nhs.v2i4.144
Nutbeam, D., & Lloyd, J. E. (2021). Understanding and responding to health literacy as a social determinant of health. Annual Review of Public Health, 42, 159–173. https://doi.org/https://doi.org/10.1146/annurev-publhealth-090419-102529
Obstetrics., I. F. of G. and. (2023). Good practice recommendations for adolescent reproductive health. London: FIGO.
Onubogu, C. U., Umeh, U. M., Mbachu, C. N. P., et al. (2024). Menstrual hygiene practices of adolescent secondary school girls in rural Anambra communities. Women’s Health, 20. https://doi.org/https://doi.org/10.1177/17455057241228204
Rezaei, Z., Yazdanpanahi, Z., Asadollahi, A., et al. (2025). Evaluating the impact of an educational self-care intervention on the empowerment of primigravida pregnant women covered by family medicine program in Estahban City: An application of Pender’s Health Promotion Model. BMC Pregnancy and Childbirth, 25, 308. https://doi.org/https://doi.org/10.1186/s12884-025-07437-y
Sari, I., Aquari, B., & Zurizah, Y. (2024). Peningkatan derajat kesehatan ibu hamil melalui program edukasi terstruktur kelompok ibu hamil. Indonesian. Journal of Community Empowerment, 6(2).
Sari, R. Y., Ariani, P. A., Iriyani, K., & Wisnuwardani, R. W. (2025). Community empowerment in providing local supplementary feeding for pregnant women with chronic energy deficiency at Puskesmas Bengkuring, Samarinda. Jurnal Abdimas, 29(1). https://doi.org/https://doi.org/10.15294/abdimas.v29i1.27431
Sulistiawati, I., & Tiwi, L. S. (2025). Edukasi kesehatan tentang terapi komplementer pada ibu hamil dengan nyeri punggung di Puskesmas Putri Ayu Tahun 2024. Jurnal Abdimas Kesehatan, 7(3). https://doi.org/https://doi.org/10.36565/jak.v7i3.903
Sundari, S. W., Windiyani, W., Novayanti, N., et al. (2025). Social support campaign as an effort to fulfill psychological needs in pregnant, childbirth, and postpartum mothers. Community Empowerment, 10(5), 1203–1211. https://doi.org/https://doi.org/10.31603/ce.12959
Suryati, E. (2024). Keefektifan pijat kaki dan terapi rendam air hangat terhadap edema kaki ibu hamil trimester III. Jurnal Pembelajaran Pemberdayaan Masyarakat, 5(3), 685–695. https://doi.org/https://doi.org/10.33474/jp2m.v5i3.22182
Suttora, H., Yamayanti, K. P., Astiti, N. L. E. P., et al. (2024). Seeking and encountering online information for menstrual health: A qualitative study among adolescent schoolgirls in Gianyar Regency and Denpasar City, Bali, Indonesia. Sexual and Reproductive Health Matters, 32(1). https://doi.org/https://doi.org/10.1080/26410397.2024.2445936
van Lonkhuijzen, R. M., de Vries, J. H. M., Brouwer-Brolsma, E., et al. (2025). ). An empowerment programme to improve diet quality during pregnancy: The Power 4 a Healthy Pregnancy cluster randomised controlled trial. BMC Public Health, 25, 338. https://doi.org/https://doi.org/10.1186/s12889-025-21344-z
Warisantika, I., & Tridiyawati, F. (2025). ). Community empowerment in knowledge improvement, the foot soaking application warm water and foot massage to help relieve symptoms of preeclampsia. Jurnal Layanan Masyarakat (Journal of Public Services), 9(1), 149–154. https://doi.org/https://doi.org/10.20473/jlm.v9i1.2025.149-154
WHO. (2022). ). WHO global strategy on infection prevention and control. Geneva: World Health Organization.
WHO. (2024). Adolescent sexual and reproductive health. Geneva: World Health Organization.
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