The Effectiveness of Leaflet Education Media on Knowledge of Pregnancy Danger Signs and Compliance with Antenatal Care Visits among Pregnant Women at Pagat Community Health Center, Hulu Sungai Tengah Regency

Abstract

Maternal literacy regarding pregnancy danger signs and fidelity to Antenatal Care (ANC) protocols constitute pivotal determinants in mitigating obstetric anomalies and optimizing maternal-fetal clinical outcomes. Nonetheless, profound deficits in hazard recognition and non-adherence to standardized prenatal surveillance schedules remain highly prevalent among expectant mothers. This study evaluated the operational efficacy of leaflet-mediated health education in upgrading cognitive awareness of pregnancy danger signs and driving compliance with scheduled ANC visits at the Pagat Community Health Center. Employing a quantitative pre-experimental approach via a One-Group Pretest-Posttest Design, the investigation assessed a cohort of 30 pregnant individuals recruited through a total sampling framework. Primary data were captured using structured questionnaires and clinical observation sheets across pre- and post-intervention cycles, with subsequent computational modeling utilizing descriptive statistics and the Wilcoxon Signed-Rank Test. The analytical outputs revealed that post-intervention, the collective knowledge index advanced from 64.90 to 69.33, while the mean frequency of prenatal consultations increased from 5.60 to 6.90. Inferential modeling validated these longitudinal shifts as highly significant, confirming substantial improvements in both cognitive literacy (p = 0.008) and behavioral compliance (p = 0.014). These findings provide empirical proof that targeted typographic media serve as an effective, low-cost intervention for modifying health-seeking trajectories and reinforcing preventive care utilization in maternal health.