integration of health literacy and local cultural approaches for preeclampsia prevention: a qualitative study in maros district, indonesia

Background: preeclampsia is a serious pregnancy complication that increases the risk of maternal morbidity. barriers to health literacy, socio-cultural norms, and economic limitations exacerbate the prevention of this condition, especially in maros district, south sulawesi. methods: using a qualitative approach with a case study design, this research was conducted from july to october 2024. the required data were obtained through in-depth interviews with six pregnant women and focus group discussions (fgds) with seven health workers. finally, the data were thematically analyzed using nvivo 12 software. results: the main barriers included low health literacy, cultural myths, and lack of family support. the proposed strategies included a family-based approach, provision of printed educational media (e.g., booklets), and utilization of social media (e.g., whatsapp and tiktok) to improve pregnant women's understanding of the risks of preeclampsia. conclusion: this study highlighted key barriers to preeclampsia prevention in the maros district, including low health literacy, the influence of socio-cultural norms, and economic limitations. the findings suggest that family- and community-based approaches integrated with health literacy can increase pregnant women's and their families' awareness of preeclampsia risk. in addition, using digital and visual media (e.g., whatsapp, tiktok, and illustrated booklets) is effective for reaching groups with low literacy levels. practical implications include the need for cross-sector collaboration to expand the reach of health education and subsidize affordable nutrition and health services. the results of this study offer a strategic framework for improving maternal health through sustainable, local, culture-based interventions.