Indian Journal of Public Health Research & Development

Abstract

Background: Awareness and knowledge about reproductive health among children in the elementary school in Indonesia was really low. Education about reproductive health is needed to increase the knowledge of reproductive health among elementary school students. This research is conducted to analyze the impact of Training-of Trainer model in elevating the knowledge of elementary school students as peer educators for reproductive health.

Method: This research used quasi-experimental method, with pretest and posttest one group only design. The samples of this research are 30 peer educators, which were selected purposively from 3 state elementary schools in the District of Brebes, Central Java, Indonesia. The intervention that had been given was a training about reproductive health for a whole day by a Facilitator Teacher and a Peer Educator from State Junior High School 2 Brebes. The assessments had been conducted before intervention and a month after intervention.

Result: According to the difference test using Wilcoxon Match paired Test, significant differences were found in the knowledge of the participants before and after Training-of Trainer model intervention (p=0.002) and there was an of 1.26 points in the knowledge.

Conclusion: Education about reproductive health by using training-of-trainers for a whole day could significantly elevate the knowledge of peer educators related to reproductive health within a month after the training had been conducted. The roles of peer educators are crucial because as peer facilitators, they are more trusted and it makes children more comfortable in performing discussion. Trained peer educators are expected to be reliable agents in changing reproductive health behavior of elementary school students.

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Abstract

Background: Health cadres have a significant role in helping improve the health of pregnant women. Therefore, providing education supported by comprehensive tools to increase cadres’ competence and knowledge of ante natal care (ANC) for pregnant women is a strategic action. The aim of the study was to analyze the effect of conducting nutrition education using “Bumil-Kit” media as a comprehensive tools on knowledge, attitudes, and behavior of the cadres in performing ANC.

Method: The quasi-experimental research with one group pre and posttest design was used to analyze 40 cadres as subject working in the area of Lebdosari Community Health Center. Cadres were trained by the nutrition workers the procedures for using “Bumil-Kit/Pregnant Mother-kit” consisting of weight scales, mid-upper arm circumference (MUAC) ribbon, microtoise, ANC books, chart of pregnancy growth, and booklets as well as conducting ANC. Knowledge, attitudes, and behaviors were measured before and after a given intervention using a structured questionnaire and data gathered were analyzed using Wilcoxon Signed Rank Test.

Result: The results showed that most cadres (45%) had 6-20 years of working experience. There was an effect of nutritional education on knowledge (p = 0.001), attitudes (p = 0.001), and behavior (p = 0.038) regarding ANC. The increased score of knowledge, attitudes, and behaviors before and after intervention was 7.15%, 6.53%, and 6.43%.

Conclusion: Providing nutrition education using “Bumil-Kit”media as a comprehensive tool increases knowledge, attitudes, and behavior of health cadres regarding ANC.

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