Support group training for pregnant adolescents as an initiative to enhance maternal health among adolescents
Maria Lupita Nena Meo(1*), Sinta Elisa Jelita Kaunang(2), Heilbert Armando Mapaly(3)
(1) The Nursing Science Study Program, Faculty of Medicine, Universitas Sam Ratulangi, Manado, Indonesia
(2) The Psychology Study Program, Faculty of Education and Psychology, Universitas Negeri Manado, Tondano, Indonesia
(3) The Informatics Engineering Study Program, Faculty of Engineering, Universitas Sam Ratulangi, Manado, Indonesia
(*) Corresponding Author
Abstract
Introduction: Minahasa Regency, North Sulawesi, faces a significant rate of teenage pregnancies, with serious health risks such as malnutrition, anemia, abortion complications, preterm births, and preeclampsia. In 2023, only 30% of the total pregnant adolescents registered at the Tateli Community Health Center received antenatal care services, highlighting the urgent need for intervention. This program aims to empower 40 health cadres from 12 villages through intensive training and mentoring conducted from September to October 2024.
Methods: The training covered topics such as adolescent reproductive health, communication skills, counseling, and nutritional support. Each participant also received a structured training module for independent learning.
Results: Post-training evaluations showed a substantial improvement in health cadres' knowledge, with the "good" category increasing from 25% to 82.5%, while the "moderate " and "low" categories decreased.
Conclusion: These results highlight the effectiveness of community-based training in improving cadres' competencies in supporting pregnant adolescents. Empowering health cadres through training and mentoring enhances the quality of healthcare services for teenage mothers. The sustainability of the program can be strengthened through follow-up training, technology integration, and cross-sector collaboration to reduce adolescent pregnancy rates and improve maternal and child health outcomes. This program provides an effective approach to addressing the challenges of adolescent pregnancy in the region.
Keywords
Full Text:
PDFReferences
- World Health Organization (WHO). Adolescent Pregnancy. [Internet]. WHO. Jenewa; 2024 [cited 2025 Dec 29]. Available from: https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy
- Badan Pusat Statistik. Buku I Analisis Tematik Kependudukan Indonesia. Jakarta; 2023.
- BPS Provinsi Sulawesi Utara. Persentase Perempuan Pernah Hamil Berumur 15-49 Tahun Menurut Kabupaten/Kota dan Umur Hamil Pertama di Sulawesi Utara (Persen), 2018-2020. Manado; 2021.
- Maheshwari M V, Khalid N, Patel PD, Alghareeb R, Hussain A. Maternal and Neonatal Outcomes of Adolescent Pregnancy: A Narrative Review. Cureus. 2022;14(6):1–10. doi: 10.7759/cureus.25921.
- Diabelková J, Rimárová K, Dorko E, Urdzík P, Houžvičková A, Argalášová Ľ. Adolescent Pregnancy Outcomes and Risk Factors. Int J Environ Res Public Health. 2023;20(5):0–9. Available from: doi: 10.3390/ijerph20054113
- Subki AH, Algethami MR, Baabdullah WM, Alnefaie MN, Alzanbagi MA, Alsolami RM, et al. Prevalence, risk factors, and fetal and maternal outcomes of hypertensive disorders of pregnancy: A retrospective study in Western Saudi Arabia. Oman Med J. 2018;33(5):409–15. doi: 10.5001/omj.2018.75
- Hindin MJ, Ph D, Kalamar AM, Ph D, Thompson T ann, Ph D, et al. Interventions to Prevent Unintended and Repeat Pregnancy Among Young People in Low- and Middle-Income Countries : A Systematic Review of the Published and Gray Literature. J Adolesc Heal. 2016;59(3):S8–15. doi: 10.1186/s12889-018-5586-3
- Nkhoma DE, Lin C ping, Katengeza HL, Soko CJ, Estinfort W, Wang Y chin, et al. Girls ’ Empowerment and Adolescent Pregnancy : A Systematic Review. Int J Environ Res Public Heal. 2020;17(1664):1–14. doi: 10.3390/ijerph17051664
- Nursalam. Metodologi Penelitian Ilmu Keperawatan: Pendekatan Praktis. Jakarta: Salemba Medika; 2017.
- Mezey G, Robinson F, Gillard S, Mantovani N, Meyer D, White S, et al. Tackling the problem of Adolescent pregnancyin looked-after children : a peer mentoring approach Correspondence : T e e n ag e p r e g n a n c y i n t h e u k : T H E. Child Fam Sos Work. 2015;(May):1–10. doi: 10.1111/cfs.12225
- Mehra D, Sarkar A, Sreenath P, Behera J, Mehra S. Effectiveness of a community based intervention to delay early marriage , early pregnancy and improve school retention among adolescents in India. BMC Public Heal. 2018;18(732):1–13. doi: 10.1186/s12889-018-5586-3
- Lutenbacher M, Elkins T, Dietrich MS, Riggs A. The Efficacy of Using Peer Mentors to Improve Maternal and Infant Health Outcomes in Hispanic Families : Findings from a Randomized Clinical Trial. Matern Child Health J. 2018;22(1):92–104. doi: 10.1007/s10995-018-2532-z
- Govender D, Taylor M, Naidoo S, Govender D, Taylor M. Adolescent Pregnancy and Parenting : Perceptions of Healthcare Providers Adolescent Pregnancy and Parenting : Perceptions of Healthcare Providers. J Multidiscip Healthc ISSN. 2020;13:1607–28. doi: 10.2147/JMDH.S258576
- Larsen A, Lorch SA, Passarella M, Gregory EF. Prevalence and predictors of integrated care among teen mothers and their infants. J Adolesc Heal. 2023;71(4):474–9. doi: 10.1016/j.jadohealth.2022.04.018.
- Buldum A, Emül TG. The Fear of Childbirth and Social Support in Adolescent Pregnancy. J Pediatr Adolesc Gynecol. 2021;6–13. doi: 10.1016/j.jpag.2021.06.005
- Yakubu I. Determinants of adolescent pregnancy in sub-Saharan Africa : a systematic review. Reprod Health. 2018;15(15):1–11. doi: 10.1186/s12978-018-0460-4
- Olaniran A, Madaj B, Bar-zev S, Broek N Van Den. The roles of community health workers who provide maternal and newborn health services : case studies from Africa and Asia. BMJ Glob Heal. 2019; doi: 10.1136/bmjgh-2019-001388
- Gupta A, Khan S. Importance of Community Health Workers for Maternal Health Care Management. Public Health Rev. 2024;45(February):1–11. doi: 10.1371/journal.pone.0220277
- Taguchi A, Murayama H, Ono K. Association between Japanese community health workers ’ willingness to continue service and two categories of motives : Altruistic and. PLoS One. 2021;138(October):1–12. doi: 10.1371/journal.pone.0220277
- Roux KW, Almirol E, Rezvan PH, Roux IM, Mbewu N, Dippenaar E, et al. Community health workers impact on maternal and child health outcomes in rural South Africa – a non-randomized two- group comparison study. BMC Public Health. 2020;20(1404):1–14. doi: 10.1186/s12889-020-09468-w.
Article Metrics
Refbacks
- There are currently no refbacks.
Copyright (c) 2026 Journal of Community Empowerment for Health

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada
Jl. Farmako, Sekip Utara, Yogyakarta 55281, Indonesia
Sekretariat Bersama Jurnal Room, 2nd floor above IKM canteen
📧 jcoemph.fk@ugm.ac.id
© 2026 Journal of Community Empowerment for Health





