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Effectiveness of AToluCare Application with Batak Cultural Approach in Enhancing Knowledge, Attitudes, and Support for Anemia Prevention Among Pregnant Women: Efektivitas Aplikasi AToluCare Dengan Pendekatan Budaya Batak Dalam Meningkatkan Pengetahuan Sikap dan Dukungan Pencegahan Anemia Pada Ibu Hamil

Efektivitas Aplikasi AToluCare Dengan Pendekatan Budaya Batak Dalam Meningkatkan Pengetahuan Sikap dan Dukungan Pencegahan Anemia Pada Ibu Hamil: Effectiveness of AToluCare Application with Batak Cultural Approach in Enhancing Knowledge, Attitudes, and Support for Anemia Prevention Among Pregnant Women

Amerta Nutrition · Vol. 10 No. 1 (2026) · hlm. 72–82

DOI
10.20473/amnt.v10i1.2026.72-82
ISSN
2580-9776, 2580-1163
Terbit
2026-03-13
Penerbit
Universitas Airlangga
Bahasa
eng
Lisensi
creativecommons.org/licenses/by-sa/4.0

Abstrak

Inggris

Background: The prevalence of anemia among pregnant women in Indonesia remains high, with 27.7% reported in the 2023 Indonesia Health Survey. This condition is influenced by low levels of knowledge and awareness, inadequate attitudes toward prevention, and limited family support. Dalihan Na Tolu, a Batak cultural philosophy that emphasises the roles of hula-hula (providing guidance and advice), dongan tubu (ensuring vigilance and mutual supervision), and boru (offering practical and tangible support), has been incorporated into the AToluCare application as a culturally grounded educational and supportive innovation. Objectives:: To analyze the effect of the AToluCare application with a Batak cultural approach in improving knowledge, attitudes, and Dalihan Na Tolu support for anemia prevention among pregnant women. Methods: A quasi-experimental study with a pre-test and post-test design was conducted in Humbang Hasundutan District. Ninety pregnant women were selected through multistage sampling. The intervention involved using the AToluCare application for one month. Valid and reliable questionnaires were used to measure knowledge, attitudes, and Dalihan Na Tolu support. Data were analyzed using the Wilcoxon signed-rank test. Results: Most participants were aged 20–35 years (58.89%), had higher education (75.56%), were employed (70.00%), had parity ≤2 (61.11%), and attended antenatal care regularly (64.44%). Significant improvements were observed in mean scores of knowledge (11.28±2.76 to 16.10±2.40; p-value=0.001), attitudes (39.97±6.86 to 43.22±4.19; p-value=0.008), and Dalihan Na Tolu support (34.12±6.23 to 40.47±5.45; p-value=0.001). Conclusions:The AToluCare application, which incorporates a Batak cultural approach, has been shown to effectively improve knowledge, attitudes, and family support related to anemia prevention among pregnant women. Integrating this application into existing healthcare programs may offer a sustainable, culturally grounded strategy for reducing anemia during pregnancy.

Bahasa Indonesia

Latar Belakang: Prevalensi anemia pada ibu hamil di Indonesia berdasarkan Survei Kesehatan Indonesia 2023 cukup tinggi yaitu 27,7%. Rendahnya pengetahuan, sikap, dan dukungan sosial keluarga turut berkontribusi terhadap kondisi ini. Dalihan Na Tolu, filosofi budaya Batak yang menekankan peran hula-hula (memberi nasihat), dongan tubu (siaga menjaga), dan boru (memberi bantuan secara konkret), diintegrasikan dalam aplikasi AToluCare sebagai inovasi edukasi dan dukungan berbasis budaya. Tujuan: Untuk menganalisis pengaruh aplikasi AToluCare dengan pendekatan budaya Batak dalam meningkatkan pengetahuan, sikap, dan dukungan Dalihan Na Tolu terhadap pencegahan anemia pada ibu hamil. Metode: Penelitian quasi-eksperimen dengan desain pre-test dan post-test dilaksanakan di Kabupaten Humbang Hasundutan. Sampel berjumlah 90 ibu hamil yang dipilih melalui multistage sampling. Intervensi berupa penggunaan aplikasi AToluCare selama satu bulan. Instrumen meliputi kuesioner pengetahuan, sikap dan dukungan Dalihan Na Tolu yang telah valid dan reliabel. Analisis data menggunakan uji Wilcoxon. Hasil: Mayoritas ibu hamil berusia usia 20–35 tahun (58,89%), berpendidikan tinggi (75,56,7%), bekerja (70,00%), paritas ≤2 kali (61,11%), dan melakukan kunjungan antenatal secara teratur (64,44%). Terdapat peningkatan signifikan pada skor rata-rata pengetahuan (pre-test 11,28±2,76; post-test 16,10±2,40; p-value=0,001), sikap (pre-test 39,97±6,86; post-test 43,22±4,19; p-value=0,008), dan dukungan Dalihan Na Tolu (pre-test 34,12±6,23; post-test 40,47±5,45; p-value=0,001). Kesimpulan: Aplikasi AToluCare dengan pendekatan budaya Batak Dalihan Na Tolu terbukti dapat meningkatkan pengetahuan, sikap, dan dukungan pencegahan anemia pada ibu hamil. Integrasi aplikasi ini ke dalam program puskesmas dapat menjadi strategi operasional berbasis kearifan lokal yang berkelanjutan.

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  • State University of Medan
  • IPB University
  • Sekolah Tinggi Ilmu Kesehatan Mitra Husada Medan
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Rekan penulisOrganisasiArtikel bersama
Nila Reswari HaryanaState University of Medan5
Kanaya Yori DamanikState University of Medan4
Erni RukmanaState University of Medan3
Nadhifah Aulia GucieState University of Medan1
Erli MutiaraState University of Medan1
Elfanny ElfannyState University of Medan1
Hardi Fatma Tresno IngtyasState University of Medan1
Tyas PermatasariIPB University1
Risti RosmiatiState University of Medan1
Hardi FirmansyahState University of Medan1
Cinta Maulida AzbiState University of Medan1
Caca PratiwiState University of Medan1
Edy Marjuang PurbaState University of Medan1
Saut PurbaState University of Medan1
Anna Waris NainggolanSekolah Tinggi Ilmu Kesehatan Mitra Husada Medan1
Esi EmiliaState University of Medan1
Grace Ballanceya Margaretha MatanariState University of Medan1
Muhammad Edwin FransiariState University of Medan1
Latifah Rahman NurfazriahState University of Medan1
Caca PratiwiState University of Medan1
Kalasta Ayunda PutriState University of Medan1

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Sumber metadata: OAI-PMH (metadata jurnal) https://e-journal.unair.ac.id/AMNT/oai, pertama di-harvest 8 Nov 2026, terakhir terlihat 8 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Effectiveness of AToluCare Application with Batak Cultural Approach in Enhancing Knowledge, Attitudes, and Support for Anemia Prevention Among Pregnant Women: Efektivitas Aplikasi AToluCare Dengan Pendekatan Budaya Batak Dalam Meningkatkan Pengetahuan Sikap dan Dukungan Pencegahan Anemia Pada Ibu Hamil</dc:title>
	<dc:title xml:lang="id-ID">Efektivitas Aplikasi AToluCare Dengan Pendekatan Budaya Batak Dalam Meningkatkan Pengetahuan Sikap dan Dukungan Pencegahan Anemia Pada Ibu Hamil: Effectiveness of AToluCare Application with Batak Cultural Approach in Enhancing Knowledge, Attitudes, and Support for Anemia Prevention Among Pregnant Women</dc:title>
	<dc:creator>Purba, Edy Marjuang</dc:creator>
	<dc:creator>Sandy, Yatty Destani</dc:creator>
	<dc:creator>Naibaho, Zanrison</dc:creator>
	<dc:subject xml:lang="id-ID">Anemia</dc:subject>
	<dc:subject xml:lang="id-ID">Ibu hamil</dc:subject>
	<dc:subject xml:lang="id-ID">Aplikasi AToluCare</dc:subject>
	<dc:subject xml:lang="id-ID">Budaya Batak</dc:subject>
	<dc:subject xml:lang="id-ID">Pencegahan </dc:subject>
	<dc:subject xml:lang="en-US">Anemia</dc:subject>
	<dc:subject xml:lang="en-US">Pregnant women</dc:subject>
	<dc:subject xml:lang="en-US">AToluCare</dc:subject>
	<dc:subject xml:lang="en-US">Batak culture</dc:subject>
	<dc:subject xml:lang="en-US">Prevention</dc:subject>
	<dc:description xml:lang="en-US">Background:  The prevalence of anemia among pregnant women in Indonesia remains high, with 27.7% reported in the 2023 Indonesia Health Survey. This condition is influenced by low levels of knowledge and awareness, inadequate attitudes toward prevention, and limited family support. Dalihan Na Tolu, a Batak cultural philosophy that emphasises the roles of hula-hula (providing guidance and advice), dongan tubu (ensuring vigilance and mutual supervision), and boru (offering practical and tangible support), has been incorporated into the AToluCare application as a culturally grounded educational and supportive innovation.
Objectives: : To analyze the effect of the AToluCare application with a Batak cultural approach in improving knowledge, attitudes, and Dalihan Na Tolu support for anemia prevention among pregnant women.
Methods: A quasi-experimental study with a pre-test and post-test design was conducted in Humbang Hasundutan District. Ninety pregnant women were selected through multistage sampling. The intervention involved using the AToluCare application for one month. Valid and reliable questionnaires were used to measure knowledge, attitudes, and Dalihan Na Tolu support. Data were analyzed using the Wilcoxon signed-rank test.
Results: Most participants were aged 20–35 years (58.89%), had higher education (75.56%), were employed (70.00%), had parity ≤2 (61.11%), and attended antenatal care regularly (64.44%). Significant improvements were observed in mean scores of knowledge (11.28±2.76 to 16.10±2.40; p-value=0.001), attitudes (39.97±6.86 to 43.22±4.19; p-value=0.008), and Dalihan Na Tolu support (34.12±6.23 to 40.47±5.45; p-value=0.001).
Conclusions:The AToluCare application, which incorporates a Batak cultural approach, has been shown to effectively improve knowledge, attitudes, and family support related to anemia prevention among pregnant women. Integrating this application into existing healthcare programs may offer a sustainable, culturally grounded strategy for reducing anemia during pregnancy.</dc:description>
	<dc:description xml:lang="id-ID">Latar Belakang: Prevalensi anemia pada ibu hamil di Indonesia berdasarkan Survei Kesehatan Indonesia 2023 cukup tinggi yaitu 27,7%. Rendahnya pengetahuan, sikap, dan dukungan sosial keluarga turut berkontribusi terhadap kondisi ini. Dalihan Na Tolu, filosofi budaya Batak yang menekankan peran hula-hula (memberi nasihat), dongan tubu (siaga menjaga), dan boru (memberi bantuan secara konkret), diintegrasikan dalam aplikasi AToluCare sebagai inovasi edukasi dan dukungan berbasis budaya.
Tujuan: Untuk menganalisis pengaruh aplikasi AToluCare dengan pendekatan budaya Batak dalam meningkatkan pengetahuan, sikap, dan dukungan Dalihan Na Tolu terhadap pencegahan anemia pada ibu hamil.
Metode: Penelitian quasi-eksperimen dengan desain pre-test dan post-test dilaksanakan di Kabupaten Humbang Hasundutan. Sampel berjumlah 90 ibu hamil yang dipilih melalui multistage sampling. Intervensi berupa penggunaan aplikasi AToluCare selama satu bulan. Instrumen meliputi kuesioner pengetahuan, sikap dan dukungan Dalihan Na Tolu yang telah valid dan reliabel. Analisis data menggunakan uji Wilcoxon.
Hasil: Mayoritas ibu hamil berusia usia 20–35 tahun (58,89%), berpendidikan tinggi (75,56,7%), bekerja (70,00%), paritas ≤2 kali (61,11%), dan melakukan kunjungan antenatal secara teratur (64,44%). Terdapat peningkatan signifikan pada skor rata-rata pengetahuan (pre-test 11,28±2,76; post-test 16,10±2,40; p-value=0,001), sikap (pre-test 39,97±6,86; post-test 43,22±4,19; p-value=0,008), dan dukungan Dalihan Na Tolu (pre-test 34,12±6,23; post-test 40,47±5,45; p-value=0,001).
Kesimpulan: Aplikasi AToluCare dengan pendekatan budaya Batak Dalihan Na Tolu terbukti dapat meningkatkan pengetahuan, sikap, dan dukungan pencegahan anemia pada ibu hamil. Integrasi aplikasi ini ke dalam program puskesmas dapat menjadi strategi operasional berbasis kearifan lokal yang berkelanjutan.</dc:description>
	<dc:publisher xml:lang="en-US">Universitas Airlangga</dc:publisher>
	<dc:date>2026-03-13</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://e-journal.unair.ac.id/AMNT/article/view/79343</dc:identifier>
	<dc:identifier>10.20473/amnt.v10i1.2026.72-82</dc:identifier>
	<dc:source xml:lang="en-US">Amerta Nutrition; Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition); 72-82</dc:source>
	<dc:source>2580-9776</dc:source>
	<dc:source>2580-1163</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://e-journal.unair.ac.id/AMNT/article/view/79343/36824</dc:relation>
	<dc:relation>https://e-journal.unair.ac.id/AMNT/article/view/79343/36825</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2026 Amerta Nutrition</dc:rights>
	<dc:rights xml:lang="en-US">https://creativecommons.org/licenses/by-sa/4.0</dc:rights>
</oai_dc:dc>