Maternal health literacy among pregnant women in Indonesia: A qualitative study


  • Anggie Pradana Putri National Taipei University of Nursing and Health Sciences, Taiwan & Mamba'ul 'Ulum Health College of Surakarta
  • Lilik Hanifah Stikes Mamba'ul 'Ulum Surakarta
  • Ady Irawan. AM Universitas Duta Bangsa
  • Yu Ying Lu National Taipei University of Nursing and Health Sciences



maternal health literacy, maternal health, literacy, pregnancy


Introduction: Gaining insight into the maternal health literacy situation among pregnant women in Indonesia is crucial, as it forms the foundation for crafting precise interventions to enhance the well-being of mothers and infants on a national scale. Objective: This study aimed to explore the perspective of maternal health literacy among pregnant Indonesian women. Method: We employed a qualitative phenomenology method to explore maternal health literacy. Purposive sampling was used to collect participants' data. The data saturation was achieved at the thirteenth pregnant woman. The collected data were analyzed using Colaizzi's strategy to identify themes and subthemes within the phenomenon. Results: Four themes and seventeen subthemes emerged to explain maternal health literacy among pregnant women in this study. These themes include the ability to understand health-related information, search for information related to maternal health during pregnancy, assess and evaluate obtained information regarding pregnancy and maternal health, and decision-making, action, and maternal health behavior. Recommendation: The findings have the potential to benefit multiple sectors and contribute to efforts to improve maternal health in Indonesia. Culturally tailored health education programs, community engagement, empowerment, decision-making support, strengthening healthcare infrastructure, and integrating technology and telemedicine are all essential components


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Bello CB, Esan DT, Akerele SA, Fadare RI. Maternal health literacy, utilization of maternal healthcare services and pregnancy outcomes among newly delivered mothers: A cross-sectional study in Nigeria. Public Health in Practice. 2022 Jun;3:100266.

(2) World Health Organization. Health topics: Sustainable Development Goals. 2021 [cited 2021 July 05th]. Sustainable Development Goals.html. Available from:

(3) Azugbene E. Maternal Health Literacy and Maternal and Child Health Outcomes: A Review of the Literature. Annals of Global Health. 2017 Apr 7;83(1):94.

(4) Taheri S, Tavousi M, Momenimovahed Z, Direkvand-Moghadam A, Tiznobaik A, Suhrabi Z, et al. Development and psychometric properties of maternal health literacy inventory in pregnancy. Tu WJ, editor. PLoS ONE. 2020 Jun 11;15(6):e0234305.

(5) McKinn S, Linh DT, Foster K, McCaffery K. Distributed Health Literacy in the Maternal Health Context in Vietnam. HLRP: Health Literacy Research and Practice [Internet]. 2019 Jan [cited 2021 July 26th];3(1). Available from:

(6) Putri AP, Irawan AM. A, Hanifah L, Wati SE, Lu YY. Maternal health literacy and adherence to recommended ANC contact among pregnant women in Indonesian. SEANR. 2023 Jun 25;5(2):1.

(7) Renkert S, Nutbeam. Opportunities to improve maternal health literacy through antenatal education: an exploratory study. Health Promotion International. 2001 Dec 1;16(4):381–8.

(8) Putri AP, Irawan AM. A, Lu YY. Development of Maternal Health Literacy Measurements: A Scoping Review. IJNHS. 2023 Apr 20;6(2):154–64.

(9) Afrizal SH, Hidayanto AN, Handayani PW, Besral B, Martha E, Markam H, et al. Evaluation of integrated antenatal care implementation in primary health care: A study from an urban area in Indonesia. JICA. 2020 Mar 7;28(2):99–117.

(10) Charoghchian Khorasani E, peyman nooshin, Esmaily H. Measuring Maternal Health Literacy in Pregnant Women Referred to the Healthcare Centers of Mashhad, Iran, in 2015. JMRH [Internet]. 2017 Nov [cited 2021 July 26th];(Online First). Available from:

(11) Kharazi SS, Peyman N, Esmaily H. The Relationship between Maternal Health Literacy and Dietary Self-Efficacy with Pregnancy Outcomes. JMRH. 2020;8(1):2058–68.

(12) Yesodharan VRR, Noronha JA, Ladd E, George A. Qualitative methods in health care research. International Journal of Preventive Medicine. 2021;12(20):1–7.

(13) Morrow, Rossie, Rodriguez, Alison and King, Nigel. Colaizzi’s descriptive phenomenological method. The psychologist. 2015;28(8):643–4.

(14) Lee JY, Murry N, Ko J, Kim MT. Exploring the Relationship between Maternal Health Literacy, Parenting Self-Efficacy, and Early Parenting Practices among Low-Income Mothers with Infants. Journal of Health Care for the Poor and Underserved. 2018;29(4):1455–71.