Elmer Alexandrew V.

Balan CHN BSN 3A

LEARNING ACTIVITY 1.4

Apply HBM and Pender’s HPM in the following situation: Maja Salvador, 28 years old, married, now in
the third month of her second pregnancy, came to the health center for prenatal consultation. For
her first pregnancy, she availed of the services of a traditional birth attendant (hilot) that ended in a
stillbirth in the eight month of gestation. Working full time in a garment factory, she claims that she
hardly has the time for regular prenatal visits. However, she says that she and her husband want a
healthy baby, which is why her “early” consultation.

Maja's baby died due to insufficient knowledge on the utilization of prenatal care visits. She
resulted in a traditional birth attendant services or hilot, which became a major factor for losing
her eight-month-old baby. For the second time around, she took the initiative to have a prenatal
consultation at the health center. Looking back, the Health Belief model's first component of
perceived susceptibility. Maja made an early consultation because she believed that depending
on prenatal care rather than hilot would minimize the risk of death of her second baby. Also,
Pender's first area, which revolved around individual characteristics and experiences, is
observed. She came to visit as early as possible to reduce the risk of pregnancy complications
from her experience. She claims that she hardly has the time for regular prenatal visits. In the
second component of HBM, which is perceived severity, Maja and her partner wanted a healthy
baby—doing the initiative to go to the doctor for prenatal care. In Nola Pender's HPM second
area, she perceived the current pregnancy as critically at risk if she again depended on hilot and
not getting proper check-ups. These changed her behavior and attitude towards taking care of
her baby. In the 3rd component, Maja learned his lesson and did not avail a traditional attendant
again and directly went to the health center to have a prenatal check-up. Maja perceived that it
was the best way to ensure the health and safety of her and the baby. It will also prevent them
from complications brought by traditional hilot. While in Nola Pender’s HPM third area
behavioral outcomes, Maja’s early consultation will lead to her desired outcome: a healthy baby,
safe from any complications, and improve their quality of life.