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Nugraheni, Sri Achadi
- Factors of Need for Antenatal Care and its relation to Mother’s Participation in Antenatal Education; Study in Semarang City, Indonesia
Authors
1 Department of Health Policy and Administration, Diponegoro University, Semarang, ID
2 Department of Public Administration, Diponegoro University, Semarang, ID
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 1613-1617Abstract
The low utilization of antenatal care routinely has an impact on the increasing difficulty of detecting potential risk of pregnancy complications resulting in maternal deaths. Knowledge constraints are the cause of the low utilization of antenatal services. Through the Antenatal Education (AE) class, it is hoped that mother’s knowledge and attitudes can be improved. AE class is not effective because of low participation of mothers. The purpose of study was to analyze the relationship need factors for ANC and their participation in AE class. It was a quantitative survey with cross-sectional design. Sample was 140 pregnant women that selected using purposive sampling based on characteristics of PHC.
The study showed no relationship between history of illness and pregnancy, perception of pregnancy, level of pregnancy complaints and perceived level of danger pregnancy for maternal participation in AE class. In a composite analysis it is proven that the need factors of pregnant women for antenatal care is related to the mothers participation in AE class. Mother’s perception of pregnancy is a key factor to increasing the taste and value of her needs. Increasing the sense of need can be done through improvement of women’s access and roles in the family and community about maternal health services. Continuous efforts need to be made as encouragement as well as support for AE class through structured and integrated socialization to every pregnant woman.
Keywords
Need factors, Antenatal Education, Antenatal Care, PHC, Semarang.
- Improving Knowledge of Elementary School Students as Peer Educators of Reproductive Health
Authors
1 Diponegoro University, ID
2 Darul Ulul Islamic Boarding University, ID
Source
Indian Journal of Public Health Research & Development, Vol 10, No 12 (2019), Pagination: 1875-1879Abstract
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.
Keywords
Knowledge, Training-of-Trainers, Reproductive Health, Elementary School Students.- Effect of Training to Knowledge and Practices of Dasa Wisma Activists as Pregnant Women Assistants in Preventing Low Birth Weight
Authors
1 Diponegoro University, Semarang, ID
2 The Ministry of Health, Republic of Indonesia, Jakarta, ID
3 Darul Ulum Islamic Boarding University, Jombang, ID
Source
Indian Journal of Public Health Research & Development, Vol 10, No 11 (2019), Pagination: 1720-1724Abstract
The number of Low Birth Weight (LBW) in Indonesia is still high because of, among others, the lack of mothers’ knowledge to prevent LBW case. The solution proposed is to encourage Dasa Wisma (Dawis) activists to assist pregnant women as one of the strategic actions. The aim of the research was to analyze the effect of assistance training towards the knowledge and practices of Dawis activists related to the prevention of LBW case in pregnant women. Method of this research was pretest and posttest without control group design of Quasi-experimental were applied. The population sampled using purposive random sampling was 37 Dawis activists in Tlogosari Wetan District, Semarang. The distance between pretest and posttest was approximately one month. Test result of Wilcoxon Match Paired test revealed that there were significant differences in the knowledge (p < 0.05) and practices (p < 0.05) of Dawis Activists before and after the intervention of assistance training. In the end of this research, the knowledge of Dawis Activists increased 5.97 points, while their practices increased 3.97 points. The recommendation from this research is that assistance training for Dawis Activists is necessary, even if it is only for a day, in order to increase the competence of Dawis Activists in assisting pregnant women to prevent Low Birth Weight case in one month.Keywords
Training, Knowledge, Dasa Wiswa Assistance, Pregnant Woman, Birth Weight.- Nutritional Education Regarding Ante Natal Care: Improving Knowledge, Attitudes, and Behaviors of Health Cadres
Authors
1 Tembalang, Semarang, Central Java, ID
Source
Indian Journal of Public Health Research & Development, Vol 11, No 2 (2020), Pagination: 1749-1753Abstract
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.