scholarly journals Developing Reproductive Health Communication in Early Marriage

2020 ◽  
Vol 15 (3) ◽  
pp. 441-449
Author(s):  
Najib Najib ◽  
Alfiana Ainun Nisa ◽  
Efa Nugroho ◽  
Evi Widowati ◽  
Chia En Yang

Adolescent fertility is an important health and social problem because it is related to the level of morbidity and mortality of mothers and children. The results of the 2017 IDHS show that 7% of women aged 15-19 are already mothers, 5% have given birth, and 2% are pregnant with their first child. The data shows that adolescents are already sexually active, but still have an understanding of low reproductive health. The purpose of this study was to determine the effectiveness of community-based health communication models that developed to improve access to information and public knowledge related to contraceptive methods in young married couples in Rembang Regency in 2019. This research  used Research and Development design with a quasi-experimental data collection method. The population in this study were adolescents who married at a young age in Rembang District, while the sample was adolescents who married young in Sedan and Kragan villages (intervention group), Menoro and Ngasinan (control group). Quantitative data analysis uses univariate, bivariate, and multivariate, while for qualitative data use grounded theory. The effectiveness test showed significant data for knowledge (p = 0,000), attitudes (p = 0.003), access to information (0.012), preferences (p = 0.001), and access to contraception (p = 0,000). It can be concluded that the community-based health communication model can improve knowledge, attitudes, access to information, preferences, and access related to contraception in early married couples

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Sri Hennyati Amiruddin ◽  
Sri Komalaningsih ◽  
Ma'mun Sutisna ◽  
Hidayat Wijayanegara ◽  
Leri Septiani ◽  
...  

Adolescent period is a critical period that requires quality health services. The aim of this study was to analyze the effect of health education through booklet media on the knowledge and attitude towards reproductive health among adolescents. This was a quasi-experimental case control study with nonequivalent two group design conducted on 282 students of SMP Negeri 37, a public junior high school, in the work area of Ibrahim Adjie Public Health Center in Bandung city during December 2018–May 2019. Subjects were divided into two groups, intervention and control groups, with 141 subjects in each group. Data collected were tested for normality and homogeneity using Kolmogorov-Smirnov and Levene tests, respectively, followed by a bivariate analysis using Wilcoxon test to determine the difference. Knowledge of all students in both groups was poor during pre-test with an increase found in 135 subjects (95.7%) in the intervention group (p=0.001) and 63 subjects (44.7%) in the control group (p=0.003) based on the post-test results. Negative attitude was also seen in both groups during pre-test, with a shift towards positive attitude was evident in 134 students (95.0%) in the intervention group (p=0.001) and 117 students (83.0%) in the control group (p=0.002) based on post-test results. This presence that health information conveyed through booklet has a probability of giving 0.995 times stronger influence leaflet. Thus, the use of booklet can improve knowledge and attitude towards adolescent reproductive health. PENGARUH BOOKLET MEDIA PROMOSI KESEHATAN REPRODUKSI REMAJA TERHADAP PENGETAHUAN DAN SIKAP REMAJA YANG BERTEMPAT TINGGAL DI WILAYAH KERJA PUSKESMAS IBRAHIM ADJIE TAHUN 2018Masa remaja merupakan masa kritis yang membutuhkan pelayanan kesehatan yang berkualitas. Tujuan penelitian ini adalah menganalisis pengaruh pendidikan kesehatan melalui media booklet terhadap pengetahuan dan sikap remaja tentang kesehatan reproduksi. Penelitian ini merupakan penelitian quasi-experimental case control dengan rancangan nonequivalent two group yang dilaksanakan terhadap 282 siswa/i SMP Negeri 37 di wilayah kerja Puskesmas Ibrahim Adjie Kota Bandung selama Desember 2018–Mei 2019. Subjek dibagi menjadi dua kelompok, yaitu kelompok intervensi dan kontrol dengan 141 subjek di setiap kelompok. Data yang terkumpul diuji normalitas dan homogenitasnya masing-masing menggunakan Uji Kolmogorov-Smirnov dan Levene, dilanjutkan dengan analisis bivariat menggunakan Uji Wilcoxon untuk mengetahui perbedaannya. Pengetahuan semua siswa pada kedua kelompok kurang saat pre-test dengan peningkatan pengetahuan 135 subjek (95,7%) pada kelompok intervensi (p=0,001) dan 63 subjek (44,7%) pada kelompok kontrol (p=0,003) berdasar atas hasil post-test. Sikap negatif juga terlihat pada kedua kelompok selama pre-test dengan pergeseran ke arah sikap positif 134 siswa (95,0%) pada kelompok intervensi (p=0,001) dan 117 siswa (83,0%) pada kelompok kontrol (p=0,002) berdasar atas hasil post-test. Informasi kesehatan yang disampaikan melalui media booklet ini berpeluang memberikan pengaruh 0,995 kali lebih kuat daripada media leaflet. Dengan demikian, penggunaan booklet dapat meningkatkan pengetahuan dan sikap remaja terhadap kesehatan reproduksi. Simpulan, terdapat pengaruh pendidikan kesehatan melalui media booklet terhadap pengetahuan dan sikap remaja tentang kesehatan reproduksi.


Author(s):  
Tine Buch-Andersen ◽  
Frank Eriksson ◽  
Paul Bloch ◽  
Charlotte Glümer ◽  
Bent Egberg Mikkelsen ◽  
...  

The aim of the study was to determine the effects of a multi-component community-based health promotion intervention on body mass index (BMI) z-scores and waist circumference (WC) in three- to eight-year-old children. A quasi-experimental design was adopted to evaluate the effects of the SoL intervention involving three intervention and three control communities. The 19-month intervention was based on the supersetting approach and was designed to promote healthier eating and physical activity among children and their families. BMI z-scores and WC were measured at baseline and follow-up. At baseline, 238 (54%) and 214 (51%) of all eligible children were measured from intervention and control, respectively. The change over time in the BMI z-scores of children from the intervention group was significantly different from that of the control group (p = 0.001). BMI z-scores increased over time in the intervention group in contrast to the control group, whose BMI z-scores decreased (difference in change between groups 0.19 z-scores 95% CI 0.08, 0.30). No significant differences were observed for WC. The results showed no favourable effects of the intervention of Project SoL on BMI z-scores and WC in children. Further studies based on a larger sample size and a longer intervention duration are needed.


2020 ◽  
Author(s):  
Tria Astika Endah Permatasari ◽  
Fauza Rizqiya ◽  
Walliyana Kusumaningati ◽  
Inne Indraaryani Suryaalamsah ◽  
Zahrofa Hermiwahyoeni

Abstract Background: Almost one-third of children under five suffer from stunting in Indonesia. Stunting can be prevented optimally since the period of pregnancy as the initial phase of the first 1000 days of life. This study aims to determine the effect of nutrition education and reproductive health on pregnant women in Bogor Regency, Indonesia.Methods: A quasi-experimental study was conducted among 194 pregnant women from August to November 2019. The pregnant women were randomly selected from two different villages that were the stunting locus in Bogor Regency. The intervention group (n=97) received two hours of nutrition and reproductive health education in small groups (4-5 mothers per group) every two weeks for three consecutive months. This interactive education had been given by a facilitator using some techniques such as role-playing, lectures, simulation, and games. The control group (n=97) were to obtain regular health care services. A structured questionnaire was applied to collect data consisting of maternal characteristics, nutritional and reproductive health knowledge, attitudes, and practices in the intervention and control groups. Data were analyzed using t-test and chi-square analysis.Results: Pregnant women in the intervention group indicate a significant increase in knowledge, attitudes, and practices regarding nutrition and health reproductive after being given an education. The pretest and posttest mean scores in the intervention group were 55.1 and 83.1; 40.2 and 49.0; and 36.2 and 40.2, for the overall mother's knowledge, attitudes, and practices, respectively. Whereas in the control group, there was no significance between the pretest and posttest mean for these three variables. There was a significant difference (p<0.05) in the posttest mean between the intervention group and the control group, but the difference was not significant (p>0.05) at the pretest.Conclusion: Providing nutrition and reproductive health education through small groups with interactive methods improves the knowledge, attitudes, and practices of pregnant women. This intervention has the potential to be replicated and developed into large-scale implementation by optimizing collaboration between government, non-governmental organizations, and maternal and child health service providers.


2019 ◽  
Vol 7 (5) ◽  
Author(s):  
Yuli Mulyanti Soenar ◽  
Deswani Kasim

An understanding of reproductive health in the elderly, especially women, becomes so important because there are so many changes that occur when women enter old age. Decreasing reproductive health in women occurs when women enter menopause. For this reason, it is necessary to provide appropriate information to the elderly regarding the health of their reproductive system, to avoid health problems that threaten the overall condition of the body. This study aims to determine the effect of reproductive health education in the elderly. The research method used was quasi-experimental with non-randomized pretest-posttest group control design. The number of samples in this study was 62 people consisting of 32 people in the intervention group and 30 people in the control group. Data analysis in this study with paired t-test and independent. The results showed that there was a significant difference in knowledge of the elderly between the intervention group and the control group after the intervention (p-value = 0,000), so there were significant differences in the attitudes of Keywords: reproductive health education, elderly, knowledge, attitudes the elderly between the intervention and control groups, after the intervention (p = 0.008). The conclusion is that there is an influence of reproductive health education in the elderly on the knowledge and attitudes.


2020 ◽  
Vol 6 (4) ◽  
pp. 515-522
Author(s):  
Sri Dinengsih ◽  
Nurzakirah Hakim

ABSTRACT Background: Adolescence is a transition from childhood to adulthood. During this period adolescents experience some changes that occur both physically, psychologically, and socially. This transitional period often exposes adolescents to situations that are confusing, have no clear place, do not belong to the group of children, and do not also belong to the group of adultsObjective: This study aims to determine the effect of providing android-based applications on increasing adolescent knowledge about reproductive health at SMAN 73 Jakarta in 2020.Method: This quasi-experimental study uses a non equivalent control group design. The sample in this study amounted to 60 class X students consisting of 30 control group patients and 30 intervention group patients. The sampling technique uses accidental sampling technique. The research instrument consisted of a questionnaire about reproductive health knowledge.Results: this study showed that there were significant differences in the knowledge score before and after the Android-based application was given to the intervention group (p <0.05) and the lecture method in the control group (p, 0.05), and there were significant differences in the score knowledge between the intervention group and the control group after being given an android-based application (p <0.05).Conclusion: that Android-based applications are better at increasing knowledge of reproductive health in adolescents.Suggestion; It is expected to develop Android applications on adolescent reproductive health in more interesting forms such as adding pictures, more extensive information, animations and videos. Keywords: Android, Lecture, Knowledge, Reproduction ABSTRAK Latar Belakang: Masa remaja adalah masa peralihan dari masa anak-anak menuju masa dewasa. Pada masa ini remaja mengalami beberapa perubahan yang terjadi baik secara fisik, psikologis, maupun sosial. Masa peralihan ini seringkali menghadapkan remaja pada situasi yang membingungkan, tidak mempunyai tempat yang jelas, tidak termasuk golongan anak-anak, dan tidak juga termasuk golongan orang dewasaTujuan: Penelitian ini bertujuan untuk mengetahui pengaruh pemberian aplikasi berbasis android terhadap peningkatan pengetahuan remaja tentang kesehatan reproduksi di SMAN 73 Jakarta Tahun 2020.Metode: Penelitian ini  quasi-experiment menggunakan rancangan non equivalent control group. Sampel dalam penelitian ini berjumlah 60 siswa kelas X yang terdiri dari 30 pasien kelompok kontrol dan 30 pasien kelompok intervensi. Teknik pengambilan sampel menggunakan accidental sampling technique. Instrumen penelitian terdiri dari kuesioner tentang pengetahuan kesehatan reproduksi..Hasil: penelitian ini bahwa Ada perbedaan yang signifikan pada skor pengetahuan sebelum dan sesudah diberikan aplikasi berbasis android pada kelompok intervensi (p<0,05) dan metode ceramah pada kelompok kontrol (p,0,05), dan ada perbedaan yang signifikan pada skor pengetahun antara kelompok intervesi dengan kelompok kontrol setelah diberikan aplikasi berbasis android (p<0.05).Kesimpulan : bahwa Aplikasi berbasis android lebih baik dalam meningkatkan pengetahuan kesehatan reproduksi pada remaja.Saran; diharapkan mengembangkan aplikasi android tentang kesehatan reproduksi remaja dalam bentuk yang lebih menarik seperti menambahkan gambar, informasi yang lebih luas, animasi serta video. Kata kunci : Android, Ceramah,Pengetahuan, Reproduksi


2020 ◽  
Author(s):  
Jeslyn Tengkawan ◽  
Ayu Anandhika Septisari ◽  
Zulfikar Ihyauddin ◽  
Titi Pambudi Karuniawaty ◽  
Lina Nurbaiti ◽  
...  

Abstract BackgroundStunting is one of the major child public health concerns in Indonesia. West Nusa Tenggara (WNT) province, specifically, is still struggling to reduce its stunting prevalence as it is still higher than the average national prevalence, accounted for 31.4% in 2018. Ensuring knowledge, attitude, and practices (KAP) of complementary feeding among parents is relevant to succeeding in the implementation of stunting reduction programs. This study aimed to assess the effectiveness of interventions in the form of seminar and workshop on preparing complementary feeding in stunting villages in Central Lombok, Indonesia.MethodsThis is a quasi-experimental community-based study, held in three stunting villages of Central Lombok, WNT, from June until August 2019. Three villages were chosen randomly from ten stunting-villages in Central Lombok District and divided into three groups, i.e., control group, seminar group and seminar and workshop group. We assessed KAP before and after intervention with a four-week interval.ResultsA total of 205 participants were enrolled in this study, consisting of 67, 70, and 68 participants for the control group, the first intervention group, and the second intervention group, respectively. Most participants had poor knowledge (75.1%) of complementary feeding in the baseline assessment. We found an insignificant change in knowledge, but notable alterations in attitudes and practices after intervention. Seminar intervention could increase practice, while complete intervention (seminar and workshop) could increase both practices and attitudes significantly (p = 0.015 dan p = 0.014). We found that complete intervention was more effective in increasing attitudes compared to the control group (p = 0.039). In contrast, practices in both seminar and complete intervention was increased effectively than controls (p = 0.006 vs. p = 0.008), and no differences between seminar and complete intervention group (p = 0.943).ConclusionsComplementary feeding KAP among parents in stunting villages in Central Lombok was inadequate. Our study showed that the combination of seminar and workshop increased parents’ attitudes and practices, while the seminar only increased parents’ practices. We suggest further prospective study to assess how long the effectivity of such interventions could impact and last; and obtain any cultural concerns.Trial registration: 376/UN18.8/ETIK/2018


2021 ◽  
Author(s):  
Fabiola Vincent Moshi

Abstract Background: According to theory of planned behavior, the intention to engage into a behavior predicts the behavior to occur. The intention to engage into a behavior is influenced by three domains which are the attitude towards the behavior, the perceived subjective norms and the perceived behavior control. The study aimed at testing the effectiveness of a Community Based Continuous training (CBCT) intervention on improving the three domains of Birth Preparedness and Complication Readiness (BPCR) intention. Method: The quasi-experimental study design with control was done from June 2017 until March 2018. A multi-stage sampling technique was used to obtain 561 couples. Pre-test and end-line information were collected using semi-structured questionnaires developed using theory of planned behavior. The effectiveness of the intervention on improving domains of BPCR intention was assessed by using both independent t-test and pared t-test. Results: In comparison between groups at posttest assessment, there was a significant increase in mean scores only on perceived subjective norms in the intervention group if compared to the control group among pregnant women. Among male partners, none of the domain showed a significant difference between the intervention group and control group. In the comparison within groups, mean scores in all three domains had significant increase at posttest in both groups among male partners while among pregnant women the significant increase in the three domains were only among pregnant women in the intervention group. The predictor of change on attitudes and subjective norms mean scores were only the intervention β=0.065, p<0.05 and β=0.112, p=0.001 respectively. Predictors of change in perceived behavior control mean scores towards birth preparedness were level of education (secondary school, β=0.066, p<0.05), age at marriage (more than 24 years, β=0.069, p<0.05) and ethnic group (others, β=-0.067, p<0.05).Conclusion: The improvement brought by the intervention indicates that the intervention has the potential to significantly change the attitude and subjective norms domains of BPCR intention. The study recommends the CBCT intervention to be used in rural community to improve attitude and perceived subjective norms of BPCR intention.


Crisis ◽  
2016 ◽  
Vol 37 (6) ◽  
pp. 415-426 ◽  
Author(s):  
Yik-Wa Law ◽  
Paul S. F. Yip ◽  
Carmen C. S. Lai ◽  
Chi Leung Kwok ◽  
Paul W. C. Wong ◽  
...  

Abstract. Background: Studies have shown that postdischarge care for self-harm patients is effective in reducing repeated suicidal behaviors. Little is known about whether volunteer support can help reduce self-harm repetition and improve psychosocial well-being. Aim: This study investigated the efficacy of volunteer support in preventing repetition of self-harm. Method: This study used a quasi-experimental design by assigning self-harm patients admitted to the emergency departments to an intervention group with volunteer support and treatment as usual (TAU) for 9 months and to a control group of TAU. Outcome measures include repetition of self-harm, suicidal ideation, hopelessness, and level of depressive and anxiety symptoms. Results: A total of 74 cases were recruited (38 participants; 36 controls). There were no significant differences in age, gender, and clinical condition between the two groups at the baseline. The intervention group showed significant improvements in hopelessness and depressive symptoms. However, the number of cases of suicide ideation and of repetition of self-harm episodes was similar for both groups at the postintervention period. Conclusion: Postdischarge care provided by volunteers showed significant improvement in hopelessness and depression. Volunteers have been commonly involved in suicide prevention services. Further research using rigorous methods is recommended for improving service quality in the long term.


2020 ◽  
Vol 11 (1) ◽  
Author(s):  
Wawan Kurniawan

ABSTRAK  Latar belakang: Demam Berdarah Dengue (DBD) disebabkan oleh virus Dengue dapat menyebabkan kematian. Pencegahan DBD yang dianggap paling tepat adalah Pemberantasan Sarang Nyamuk (PSN). Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan pengendalian vektor Demam Berdarah pada siswa sekolah dasar terhadap Maya Index di Majalengka. Metode: Penelitian ini menggunakan desain quasi experiment (pretest-posttest control group design). Sebanyak 4 sekolah terpilih sebagai kelompok intervensi dan 4 sekolah lainnya sebagai kontrol. Subyek penelitian adalah siswa kelas IV-VI yang terdiri dari 171 siswa pada kelompok intervensi dan 163 pada kelompok kontrol. Instrumen yang digunakan adalah formulir pemantauan jentik berkala. Hasil: Jumlah rumah dengan kategori Maya Index tinggi berkurang dari 27,5% menjadi 9,4%. Terjadi penurunan angka BRI kategori tinggi pada kelompok intervensi dari 20,5% menjadi 1,8%. Pada kelompok kontrol tidak terjadi penurunan angka BRI kategori tinggi (22,1%), sebaliknya terjadi penurunan kategori rendah dari 34,4% menjadi 3,7%. Tidak terjadi penurunan angka HRI pada kelompok intervensi maupun kontrol. Kesimpulan: Pelatihan pengendalian vektor Demam Berdarah dapat menurunkan nilai BRI dan Maya Index, tetapi tidak berpengaruh terhadap nilai HRI. Tidak adanya perubahan nilai HRI menunjukkan bahwa kebersihan dan sanitasi lingkungan merupakan faktor yang berpengaruh terhadap probabilitas kejadian demam berdarah. Kata Kunci : Demam Berdarah, Maya Index, pelatihan, pengendalian vektor   ABSTRACT Background: Dengue Hemorrhagic Fever (DHF) caused by Dengue virus could cause death. The most appropriate prevention of Dengue is eradication of mosquito nests (PSN). This study aims to determine the effect of Dengue vector control training on elementary students towards Maya Index in Majalengka. Method: This study used quasi-experimental design (pretest-posttest control group design). A total of 4 schools were selected as intervention groups and 4 other schools as controls. The subjects were students in grades IV-VI consisting of 171 students in the intervention group and 163 in the control group. The instrument used was periodic larva monitoring form. Results: The number of houses with a high Maya Index category in the intervention group decreased from 27.5% to 9.4%. There was a decrease in the high BRI category in the intervention group from 20.5% to 1.8%. In the control group, there was no decrease in the high BRI category (22.1%), on the contrary, there was a decrease in the low category from 34.4% to 3.7%. There was no decrease in HRI rates both of intervention or control groups. Conclusion: Dengue Fever vector control training could decrease the value of BRI and Maya Index, but does not affect the value of HRI. The absence of changes in HRI  indicate that environmental hygiene and sanitation are factors that influence the probability of dengue fever occurrence. Keywords: Dengue Hemorrhagic Fever, Maya Index, training, vector control


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