International Journal of Public Health Excellence (IJPHE)

Development and Pilot Testing of a Childbirth Readiness Questionnaire (CRQ) for Third-Trimester Pregnant Women In Indonesia

Nurul Jannah, Gunavathy Selvarajh — Thu, 08 Jan 2026 00:00:00 +0000

Childbirth readiness is a multidimensional construct encompassing physical, psychological, social, and spiritual preparedness, yet contextually appropriate instruments for Indonesian pregnant women remain limited. This study aimed to develop and pilot test the Childbirth Readiness Questionnaire (CRQ) for third-trimester pregnant women in Indonesia. A methodological pilot design was employed, including expert review (n = 5) and field testing with 110 pregnant women. Content validity was evaluated using the Item Content Validity Index (I-CVI), while preliminary construct performance was examined through descriptive statistics and corrected item–total correlations. Internal consistency reliability was assessed using Cronbach’s alpha. All nine items demonstrated acceptable content validity (I-CVI ≥ 0.80) and adequate item–total correlations (r = 0.34–0.61). The overall scale showed satisfactory internal consistency (α = 0.82). Dimension-level descriptive scores supported the conceptual structure of physical–cognitive, psychological–spiritual, and social support readiness. These findings indicate that the CRQ has promising preliminary psychometric properties and is feasible for assessing childbirth readiness among Indonesian third-trimester pregnant women. Further validation with larger and more diverse samples is required to confirm its factorial structure and generalizability

Development of the Third-trimester Pregnancy Knowledge Questionnaire (TPKQ): A Pilot Study

Nurul Jannah, Gunavathy Selvarajh — Fri, 09 Jan 2026 00:00:00 +0000

Background: Maternal knowledge during the third trimester is critical for timely care-seeking and preparation for childbirth, yet standardized instruments specific to this phase remain limited. Objective: This study aimed to develop and pilot test the Third-trimester Pregnancy Knowledge Questionnaire (TPKQ). Methods: A methodological pilot study involved four experts and 110 third-trimester pregnant women. Items were derived from literature and organized into four dimensions: danger signs and care-seeking, birth preparation and delivery planning, preventive care before birth, and maternal conditions affecting labor outcomes. Content validity was assessed using Item and Scale Content Validity Indexes, response-based validity via corrected item–total correlations, and internal consistency with Cronbach’s alpha. Results: The TPKQ includes 10 multiple-choice items with dichotomous scoring. All items showed acceptable content validity (I-CVI = 0.75–1.00; S-CVI/Ave = 0.93), adequate discrimination (r = 0.36–0.46), and good reliability (α = 0.81). Dimension scores suggested higher knowledge of danger signs and lower knowledge of preventive care. Conclusion: The TPKQ demonstrates preliminary validity and reliability

Screening IVA Test Effort to Increase Intention for Early Detection Cancer Cervix in Panyabungan, Mandailing Natal

Ayu Ulfah Nur Lubis, Wahyuni Harahap, Kiki Khoiriyani, Doriani Harahap — Fri, 09 Jan 2026 00:00:00 +0000

Cervical cancer remains one of the leading causes of death among women in Indonesia, largely due to delays in treatment due to lack of knowledge of early detection. IVA (Visual Inspection with Acetic Acid) examination is a simple, affordable, and effective screening method to recognize early symptoms of cervical cancer, especially in communities with limited access to advanced health facilities. This service activity aims to provide comprehensive education on cervical Cancer prevention efforts through a promotive and preventive approach based on VIA. Counseling is conducted to productive-aged women with interactive methods that include material delivery, group discussions, and simulation of general examination procedures. The results showed an increase in participants' understanding of the importance of routine screening, recognition of early symptoms, and preventive measures that can be taken independently. This program is expected to be able to foster public awareness of the importance of early detection and become part of a strategy to empower women in maintaining their reproductive health in a sustainable manne