The Effectiveness of the Family-Centered Care (FCC) Educational Model as a Clinical Learning Strategy for the Prevention of Anemia and Stunting

Darmawati Darmawati, Mira Rizkia, Sufriani Sufriani, Mariatul Kiftia, Elka Halifah, Zulkarnaini Zulkarnaini

= http://dx.doi.org/10.24990/injec.v10i2.1006
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Abstract


Introduction: Anemia in pregnancy and stunting in children are interrelated public health problems. This study aimed to evaluate the effectiveness of the Family Centered Care (FCC) educational model as a clinical learning strategy to prevent anemia and stunting.

Method: An experimental study with a randomized control design was conducted among 93 third-trimester pregnant women selected through total sampling. Participants were randomly assigned to the intervention group (n = 46) and the control group (n = 47). The intervention group received FCC-based education emphasizing family participation, collaboration, information sharing, and respect, while the control group received standard care. Data were collected before and after the intervention using validated questionnaires, anthropometric measurements, and hemoglobin tests. Data were analyzed using Wilcoxon, Mann–Whitney U, and Independent t-tests with a significance level of p < 0.05.

Results: The intervention significantly improved knowledge about anemia (mean difference = +5.50, p < 0.001) and stunting (+2.46, p < 0.001). Hemoglobin levels increased from 10.97 ± 1.23 g/dL to 12.30 ± 1.19 g/dL (p < 0.001), while the control group showed a decline. Height-for-age Z-scores (HAZ) improved within the intervention group (p = 0.002), though between-group differences were not significant (p = 0.909).

Conclusion: The Family Centered Care educational model effectively enhanced maternal knowledge and hemoglobin levels, contributing to anemia prevention. It shows potential for improving child growth outcomes.


Keywords


Family-Centered Care; Anemia, Pregnancy; Stunting; Health Education

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References


Adele, K. P. P. (2010) Maternal and Child Health Nursing "care of the childbearing & Childrearing Family. 6th edn.

Aisyah, R. D., Suparni, S. and Fitriyani, F. (2022) ‘ptimization Of The Class Of Pregnant Women With Family Centered Maternity Care ( FCMC ) In Early Detection Of Optimalisasi Kelas Ibu Hamil Dengan Family Centered Maternity Care ( FCMC ) Dalam Deteksi Dini Risiko Kehamilan.’, pp. 1414–1420.

Aisyah, R. D., Suparni, S. and Kartikasari, D. (2024) ‘Family-Based Pregnancy Risk Detection With Family-Centered Maternity Care’, Window of Health : Jurnal Kesehatan, 07(01), pp. 55–69. doi: 10.33096/woh.vi.836.

Aljawad, B. et al. (2025) ‘Family-centered care in neonatal and pediatric critical care units: a scoping review of interventions, barriers, and facilitators’, BMC Pediatrics. BioMed Central, 25(1). doi: 10.1186/s12887-025-05620-w.

Almeida, C. S. de et al. (2016) Kesehatan Maternal dan Neonatal, Revista Brasileira de Linguística Aplicada.

Apriana, R., Buheli, K. and Manumba, R. (2025) ‘Efektifitas Intervensi Supportive Educative berbasis Family-Centered Care ( SE-FCC ) Terhadap Pengetahuan dan Ketrampilan Ibu dalam Pencegahan Stunting’, 11(1), pp. 44–55.

Azizah, A. et al. (2022) ‘Implementation of Family Centered-Care ( Fcc ) Theory in Telehealth As E-Parenting for Golden Age Children To Prevent Stunting : a Literature Review Study’, 10(2), pp. 150–155.

Etlidawati, E. and Yulistika, D. (2022) ‘Metode Pembelajaran Klinik pada Praktik Profesi Mahasiswa Keperawatan’, Faletehan Health Journal, 9(01), pp. 37–42. doi: 10.33746/fhj.v9i01.382.

Habib, A. et al. (2023) ‘Prevalence and Risk Factors for Iron Deficiency Anemia among Children under Five and Women of Reproductive Age in Pakistan: Findings from the National Nutrition Survey 2018’, Nutrients, 15(15). doi: 10.3390/nu15153361.

Hidayati, I. and Andyarini, E. N. (2018) ‘Hubungan Jumlah Paritas dan Umur Kehamilan dengan Kejadian Anemia Ibu Hamil’, Journal of Health Science and Prevention, 2(1), pp. 42–47.

Januarti, L. F., Abdillah, A. and Priyanto, A. (2020) ‘Family Empowerment Model in Stunting Prevention Based on Family Centered Nursing’, STRADA Jurnal Ilmiah Kesehatan, 9(2), pp. 1797–1806. doi: 10.30994/sjik.v9i2.536.

Kamsatun, K. et al. (2023) ‘Family Center Maternity Care (FCMC) is Effective in Reducing Anxiety in Pregnant Women’, Jurnal Ilmu dan Teknologi Kesehatan, 10(2), pp. 186–193. doi: 10.32668/jitek.v10i2.1057.

Kemenkes RI (2018a) ‘Hasil Riset Kesehatan Dasar Tahun 2018’, Kementrian Kesehatan RI, 53(9), pp. 1689–1699.

Kemenkes RI (2018b) Hasil Utama Laporan Riskesdas 2018. Jakarta: Kementerian Kesehatan Republik Indonesia. doi: 10.1177/109019817400200403.

Kemenkes RI (2022) ‘Direktorat Jenderal Pelayanan Kesehatan’, Kementerian Kesehatan RI.

Kharate, M. A. and Choudhari, S. G. (2024) ‘Effects of Maternal Anemia Affecting Fetal Outcomes: A Narrative Review’, Cureus, 16(7). doi: 10.7759/cureus.64800.

Khasanah, U. et al. (2022) ‘Family Empowerment Model on Sensitive Nutrition Intervention for Stunting’, International Journal of Advanced Health Science and Technology, 2(5 SE-Health Science), pp. 303–308. doi: 10.35882/ijahst.v2i5.153.

Lim, S. J. and Bang, K. S. (2023) ‘The perceptions and performance of family-centered care among pediatric nurses at a children’s hospital in South Korea: a descriptive study’, Child Health Nursing Research, 29(3), pp. 207–217. doi: 10.4094/chnr.2023.29.3.207.

Mardiyanti, I. et al. (2024) ‘The effect of family empowerment on hemoglobin levels in pregnant women’, Healthcare in Low resource Settings, 74(3), pp. 530–536. doi: 10.4081/hls.2024.

Mestre, T. D. et al. (2024) ‘Impact of family-centered care in families with children with intellectual disability: A systematic review’, Heliyon, 10(7). doi: 10.1016/j.heliyon.2024.e28241.

Murniati, I. A., Birgita, M. and Warkula, G. B. (2024) ‘Faktor- faktor yang mempengaruhi terjadinya KEK’, Jurnal Kesehatan Tambusai, 5(September), pp. 1–64.

Muzakir, H., Prihayati, P. and Novianus, C. (2021) ‘Analisis Faktor Risiko Kelelahan Pekerjaan dan Non-Pekerjaan pada Ibu Hamil’, Jurnal Keselamatan Kesehatan Kerja dan Lingkungan, 2(1), pp. 46–54. doi: 10.25077/jk3l.2.1.46-54.2021.

Naz, H. and Ganai, N. (2023) ‘Preventative Care in Pediatric Nursing’, Advanced Nursing & Patient Care International Journal, 6(1), pp. 1–3.

Nursanti, I., Murti, B. and Mulyani, S. (2021) ‘Family empowerment for the prevention of childhood stunting in low and middle-income countries: scoping review’, The 8th International Conference on Public Health , pp. 1–10. Available at: https://doi.org/10.26911/ICPHepidemiology.FP.08.2021.19.

Rahman, Raudah Abd et al. (2022) ‘The Prevalence and Risk Factors of Iron Deficiency Anemia Among Pregnant Women in Malaysia : A Systematic Review Study Design and Search Strategy’, 9(April), pp. 1–9. doi: 10.3389/fnut.2022.847693.

Sari, D. M. et al. (2022) ‘Hubungan Antara Usia Dan Paritas Dengan Kejadian Anemia Pada Ibu Hamil Di Wilayah Kerja Puskesmas Seputih Banyak’, Malahayati Nursing Journal, 4(5), pp. 1315–1327. doi: 10.33024/mnj.v4i5.6412.

Sari, S. A., Fitri, N. L. and Dewi, N. R. (2021) ‘Hubungan Usia Dengan Kejadian Anemia Pada Ibu Hamil Di Kota Metro’, Jurnal Wacana Kesehatan, 6(1), p. 23. doi: 10.52822/jwk.v6i1.169.

Sarwinanti and Sari, L. P. (2020) ‘Faktor-Faktor Yang Berhubungan Dengan Kejadian Anemia Gravidarum’, University Research Colloqium, 5(2), pp. 13–24.

Setiawati, A. et al. (2025) ‘Community Nurses’ Strategies for Overcoming Stunting Through a Family Approach’, Jurnal Ilmiah Kesehatan Sandi Husada, 14(1), pp. 45–54. doi: 10.35816/jiskh.v14i1.1246.

Setyawan, F. E. B. (2017) Pedoman Metodologi Penelitian : (Statistika Praktis). Sidoarjo: Zifatama Jawara.

Singh, G. et al. (2024) ‘Family-centered Health Education Intervention for Improving Iron-folic Acid Adherence and Anemia Reduction among Antenatal Mothers in Rural Jodhpur: A Quasi-experimental Study’, Indian Journal of Public Health, 68(4), pp. 495–501. doi: 10.4103/ijph.ijph_844_23.

Sukmawati, S. et al. (2021) ‘Anemia Kehamilan Dan Faktor Yang Mempengaruhi:Studi Korelasi’, Jurnal Kesehatan Bakti Tunas Husada: Jurnal Ilmu-ilmu Keperawatan, Analis Kesehatan dan Farmasi, 21(1), pp. 43–53. doi: 10.36465/jkbth.v21i1.679.

Sunuwar, D. R. et al. (2019) ‘Effect of nutrition education on hemoglobin level in pregnant women: A quasi-experimental study’, PLoS ONE, 14(3), pp. 1–12. doi: 10.1371/journal.pone.0213982.

Utami, R. A., Setiawan, A. and Fitriyani, P. (2019) ‘Identifying causal risk factors for stunting in children under five years of age in South Jakarta, Indonesia. 29, 606-611.’, Enfermeria Clinica, 29, pp. 606–611. doi: 10.1016/j.enfcli.2019.04.093.

WHO (2023) ‘Global Anaemia Estimates 2023’, World Health Organization.

Widiastuti, Y. P. (2024) ‘Konsep Dasar Anemia Dalam Kehamilan’, in Book Chapter of Anemia, pp. 102–117.


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