scholarly journals PENINGKATAN PENGETAHUAN DAN SIKAP IBU PRAKONSEPSI MELALUI EDUKASI SERIBU HARI PERTAMA KEHIDUPAN: STUDI KUASI-EKSPERIMENTAL Enhancing Knowledge and Attitude of Preconception Mother through the First Thousand Days of Life Education: a Quasi-Experimental Study

2021 ◽  
Vol 16 (2) ◽  
pp. 96
Author(s):  
Betty Yosephin Simanjuntak ◽  
Anang Wahyudi
Keyword(s):  
Experimental Study ◽  
Exclusive Breastfeeding ◽  
Health Sector ◽  
P Value ◽  
Breastfeeding Initiation ◽  
Knowledge And Attitudes ◽  
Pocket Book ◽  
Quasi Experimental ◽  
Book Group ◽  
Knowledge And Attitude

Stunting is one of nutritional problem in children which the manifestation started since preconception period. Sensitive intervention is a program outside the health sector that can accelerate the improvement of nutrition, especially stunting. The purpose of this study was to increase the knowledge and attitudes of the preconception period of women regarding the fi rst 1000 days of life in order to prevent stunting. This research was a quasi-experimental study with two intervention groups. The sample was registered women, consisted of 60 women who were given education on 1000 days of life using leafl et media and 60 women using pocket book. Education was carried out by offi cers at 6 Religious Aff airs Offi ce. Women knowledge in leafl et group showed no signifi cant diff erences before and after education, especially in topics of chronic energy defi ciency (p = 0.791), anemia (p = 0.503), early breastfeeding initiation (p = 0.581), exclusive breastfeeding (p = 0.832), complementary feeding (p = 1.000), and stunting in children (p = 0.327). Among pocket book group, the increament of knowledge was better compared to leafl et group, especially in the topic of anemia (p <0.001), early breastfeeding initiation (p = 0.002), exclusive breastfeeding (p = 0.021), and stunting in children (p = 0.05). Meanwhile, the increase in attitude for all educational materials using pocket books increased with p value <0.05. Conclusion of this study was the increase in knowledge and attitudes of preconception is better in the pocket book group.

scholarly journals KNOWLEDGE AND ATTITUDES REGARDING ETHICAL AND MEDICOLEGAL ISSUES IN HANDLING THE COVID-19 PANDEMIC AMONG RESIDENT DOCTORS AT ZAINOEL ABIDIN HOSPITAL, ACEH, INDONESIA

2021 ◽  
Vol 18 (38) ◽  
pp. 62-84
Author(s):  
Taufik SURYADI ◽  
Hijra Novia SUARDI ◽  
Hanifah ZAIN ◽  
Zinatul HAYATI ◽  
Budi YANTI
Keyword(s):  
Health Sector ◽  
Cross Sectional Study ◽  
P Value ◽  
Online Questionnaire ◽  
Chi Square ◽  
Cross Sectional ◽  
Knowledge And Attitudes ◽  
Adequate Knowledge ◽  
Knowledge And Attitude ◽  
Medicolegal Issues

Background: Coronavirus Disease 2019 (COVID-19) has spread throughout the world to become a pandemic, making the entire health sector overwhelmed. Hospitals as health service facilities continuously strive to provide optimal service to patients with the confirmed COVID-19 infection. Resident doctors usually handle COVID-19 patients at the Zainoel Abidin Hospital (ZAH). As the front liner in handling the COVID-19 pandemic, these resident doctors must have adequate knowledge and good attitudes in dealing with COVID-19 patients, especially regarding ethical and medicolegal. Aim: This study aims at finding out the level of knowledge and attitudes of resident doctors in dealing with the COVID-19 pandemic at the ZAH, Aceh. Methods: This was a cross sectional study conducted among resident doctors (n=80) in the ZAH during November-December 2020 with a self-administered online questionnaire. It had been tested for validity by experts with a Content Validity Ratio / CVR of 0.738 and reliability of 0.732. The data were analyzed using the frequency distribution test (univariate) and the Chi square correlation test (bivariate). Results and Discussion: The results show that the majority of respondents had inadequate knowledge of ethical and medicolegal issues in handling the COVID-19 pandemic (70.0%); however, they had a positive attitude in overcoming ethical and medicolegal issues, i.e.77.5%. The chi square statistical test result shows no correlation between knowledge and attitude with a p-value of 0.077 (p-value >0.05). Conclusions: Therefore, it can be concluded that the theoretical knowledge of doctors was not sufficient to identify ethical and medicolegal issues, but the attitude in dealing with ethical and medicolegal issues was satisfactory. This result offers a new opportunity and challenge to increase the awareness of doctors in applying their knowledge and attitudes towards handling the COVID-19 pandemic.

scholarly journals Early essential newborn care is associated with increased breastfeeding: a quasi-experimental study from Sichuan Province of Western China

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Chen-ran Wang ◽  
Xia-yun Li ◽  
Lin Zhang ◽  
Lin-man Wu ◽  
Ling Tan ◽  
...  
Keyword(s):  
Experimental Study ◽  
Exclusive Breastfeeding ◽  
Newborn Care ◽  
Sichuan Province ◽  
Western China ◽  
Breastfeeding Initiation ◽  
Essential Newborn Care ◽  
Breastfeeding Rate ◽  
Quasi Experimental ◽  
First Time

Abstract Background Breastfeeding is critical to promote maternal and child health. China has set national targets to further improve the exclusive breastfeeding rate. We aimed to examine associations between the provision of early essential newborn care (EENC) and breastfeeding outcomes among full term vaginally delivered neonates in the first 6 months of life. Methods We conducted a quasi-experimental study in eight maternal and children’s hospitals in Mianyang City and Deyang City in Sichuan Province of western China. Four hospitals were randomly selected as the intervention group with the implementation of EENC while others as the control group receiving routine care. We assessed effects of EENC on breastfeeding initiation time, duration of first-time breastfeeding, and exclusive breastfeeding rates up to 6 months of age. Data were collected after delivery, at hospital discharge, 1 month, 3 months, and 6 months post birth in the baseline phase from May to June 2017 and post-EENC phase from October to December 2017. We performed univariate analyses to ascertain differences between the two groups, and difference in difference (DID) models to explore the net effects. Results Of the 1349 enrolled mother and newborn pairs in our study, 1131 (83.9%) were followed up at 1 month of age, 1075 (79.7%) at 3 months, and 981 (72.7%) at 6 months. EENC was associated with earlier median time to initiate breastfeeding (25 min vs. 33 min, P <  0.01), an increased chance of successful first-time breastfeeding (OR 5.53; 95% CI 2.69, 11.40), longer duration of skin to skin contact (SSC) (21.53 min; 95% CI 18.17, 24.89) and longer duration of the first breastfeed (4.16 min; 95% CI 2.10, 6.22), and an increased likelihood of being exclusively breastfed at discharge (74.5% vs. 55.0%, P <  0.001), 3 months (OR 3.20; 95% CI 1.01, 10.15), and 6 months (OR 4.91; 95% CI 1.71, 14.13) of age. Conclusions EENC enhances breastfeeding initiation and increases exclusive breastfeeding at 6 months of age. Our evidence suggests that nationwide scale up of EENC would increase the exclusive breastfeeding rate in the first 6 months of life.

scholarly journals Early essential newborn care is associated with increased breastfeeding: a quasi-experimental study from Sichuan Province of western China

2020 ◽  
Author(s):  
Chenran Wang ◽  
Xiayun Li ◽  
Lin Zhang ◽  
Linman Wu ◽  
Ling Tan ◽  
...  
Keyword(s):  
Experimental Study ◽  
Exclusive Breastfeeding ◽  
Newborn Care ◽  
Sichuan Province ◽  
Western China ◽  
Breastfeeding Initiation ◽  
Essential Newborn Care ◽  
Breastfeeding Rate ◽  
Quasi Experimental ◽  
First Time

Abstract Background: Breastfeeding is critical to promote maternal and child health in a short and long term. China has set national targets to further improve the exclusive breastfeeding rate. We aimed to examine associations between the provision of early essential newborn care (EENC) and breastfeeding outcomes among full-term vaginally delivered neonates in the first six months of life. Methods: We conducted a quasi-experimental study in eight maternal and children’s hospitals in Mianyang City and Deyang City in Sichuan Province of western China. Four hospitals were randomly selected as the intervention group with the implementation of EENC while others as the control group receiving routine care. We assessed effects of EENC on breastfeeding initiation time, duration of first-time breastfeeding, and exclusive breastfeeding rates up to six months of age. Data in both groups were collected after delivery, at hospital discharge, 1 month, 3 months, and 6 months post birth in the baseline phase from May to June 2017 and post-EENC phase from October to December 2017. Written consent was obtained from eligible mothers enrolled in this study. We performed univariate analyses to ascertain differences between the two groups, and difference in difference (DID) models to explore the net effects. Results: Of the 1349 enrolled mother and newborn pairs in our study, 1131 (83.9%) were followed up at 1 month of age, 1075 (79.7%) at 3 months, and 981 (72.7%) at 6 months. EENC was associated with earlier median time to initiate breastfeeding (25min vs. 33min, P<0.01), an increased chance of successful first-time breastfeeding (OR=5.53; 95% CI: 2.69, 11.40), longer duration of skin to skin contact (SSC) (21.53 min; 95% CI: 18.17, 24.89) and longer duration of the first breastfeed (4.16 min; 95% CI: 2.10, 6.22), and an increased likelihood of being exclusively breastfed at discharge (74.5% vs. 55.0%, P<0.001), 3 months (OR=3.20; 95% CI: 1.01, 10.15), and 6 months (OR=4.91; 95% CI: 1.71, 14.13) of age. Conclusions: EENC enhances early and successful breastfeeding initiation, prolongs duration of the first breastfeed, and increases the rate of exclusive breastfeeding at six months of age. Our evidence suggests that nation wide scale up of EENC would increase the exclusive breastfeeding rate in the first six months of life.

scholarly journals Early essential newborn care is associated with increased breastfeeding: a quasi-experimental study from Sichuan Province of Western China

2020 ◽  
Author(s):  
Chenran Wang ◽  
Xiayun Li ◽  
Lin Zhang ◽  
Linman Wu ◽  
Ling Tan ◽  
...  
Keyword(s):  
Experimental Study ◽  
Exclusive Breastfeeding ◽  
Newborn Care ◽  
Sichuan Province ◽  
Western China ◽  
Breastfeeding Initiation ◽  
Essential Newborn Care ◽  
Breastfeeding Rate ◽  
Quasi Experimental ◽  
First Time

Abstract Background: Breastfeeding is critical to promote maternal and child health in a short and long term. China has set national targets to further improve the exclusive breastfeeding rate. We aimed to examine associations between the provision of early essential newborn care (EENC) and breastfeeding outcomes among full-term vaginally delivered neonates in the first six months of life.Methods: We conducted a quasi-experimental study in eight maternal and children’s hospitals in Mianyang City and Deyang City in Sichuan Province of western China. Four hospitals were randomly selected as the intervention group with the implementation of EENC while others as the control group receiving routine care. We assessed effects of EENC on breastfeeding initiation time, duration of first-time breastfeeding, and exclusive breastfeeding rates up to six months of age. Data in both groups were collected after delivery, at hospital discharge, 1 month, 3 months, and 6 months post birth in the baseline phase from May to June 2017 and post-EENC phase from October to December 2017. Written consent was obtained from eligible mothers enrolled in this study. We performed univariate analyses to ascertain differences between the two groups, and difference in difference (DID) models to explore the net effects.Results: Of the 1349 enrolled mother and newborn pairs in our study, 1131 (83.9%) were followed up at 1 month of age, 1075 (79.7%) at 3 months, and 981 (72.7%) at 6 months. EENC was associated with earlier median time to initiate breastfeeding (25min vs. 33min, P<0.01), an increased chance of successful first-time breastfeeding (OR=5.53; 95% CI: 2.69, 11.40), longer duration of skin to skin contact (SSC) (21.53 min; 95% CI: 18.17, 24.89) and longer duration of the first breastfeed (4.16 min; 95% CI: 2.10, 6.22), and an increased likelihood of being exclusively breastfed at discharge (74.5% vs. 55.0%, P<0.001), 3 months (OR=3.20; 95% CI: 1.01, 10.15), and 6 months (OR=4.91; 95% CI: 1.71, 14.13) of age.Conclusions: EENC enhances early and successful breastfeeding initiation, prolongs duration of the first breastfeed, and increases the rate of exclusive breastfeeding at six months of age. Our evidence suggests that nation wide scale up of EENC would increase the exclusive breastfeeding rate in the first six months of life.

scholarly journals Effects of The First 1000 Days of Life Module For Premarital Women Against Knowledge and Attitudes to Prevent Stunting

2020 ◽  
Vol 9 (2) ◽  
pp. 515-522
Author(s):  
Zubaeda Zubaeda ◽  
Suhartono Suhartono ◽  
Runjati Runjati
Keyword(s):  
T Test ◽  
Control Group ◽  
P Value ◽  
Attitude Score ◽  
Control Group Design ◽  
Group Design ◽  
Knowledge And Attitudes ◽  
Post Test ◽  
Quasi Experimental ◽  
Knowledge And Attitude

The first 1000 days of life period is the most frequent period of stunting as well as the best period to prevent and improve the stunting condition, so it needs optimal preparation before entering this period which can be applied to premarital women. This study aims to analyze the effect of giving first 1000 days of life modules to the knowledge and attitude of stunting prevention in Premarital women. This type of research is quasi-experimental pre test-post test with control group design. The number of samples is 60 premarital women divided into two groups. The Result of Paired T-test knowlede and attitude score obtained p value 0.001), while the result of Independen T-test p value of knowledge = 0.002 and attitude = 0.02. The First 1000 days of life modules   has more effect on increasing knowledge and attitude of stunting prevention compare premarital class only.

scholarly journals THE EFFECT OF AUDIO VISUAL AND WEBTOON EXPLANATION TO KNOWLEDGE AND ATTITUDE ABOUT THE THREE BASIC THREATS OF ADOLESCENT REPRODUCTIVE HEALTH (TRIAD KRR) ON STUDENTS OF SMAN 8 CIREBON CITY, 2021

2021 ◽  
Vol 1 (1) ◽  
pp. 80-91
Author(s):  
Diyah Sri Yuhandini ◽  
Nadhifatun Khulaidah
Keyword(s):  
Reproductive Health ◽  
Visual Media ◽  
Bivariate Analysis ◽  
P Value ◽  
Knowledge And Attitudes ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Level Of Knowledge ◽  
Adolescent Reproductive Health ◽  
Knowledge And Attitude

The problem of adolescent reproductive health in Indonesia is about sexuality, HIV / AIDS and drugs. The problem occurs due to low knowledge of the TRIAD KRR which will affect the attitudes that adolescents will take in relation to the TRIAD KRR. The low level of knowledge occurs due to the lack of education that adolescents get about TRIAD KRR. The aim of this study was to find out the effect of providing counseling through audio-visual and webtoon on increasing knowledge and attitudes about the three basic threats to adolescent reproductive health (TRIAD KRR). This research is a quasi experimental study using a two groups pretest-posttest design approach. The research sample was students of SMAN 8 Cirebon City. The data analysis used was univariate and bivariate analysis using the Wilxocon test, paired t test and the Man-witney test. The measuring instrument used is a questionnaire. The analysis of the median pretest obtained for knowledge in the audiovisual group was 8.0000 and the posttest was 11,000. In the attitude, the median value for pretest was 36.00 and posttest was 37.00. Bivariate analysis in the audio-visual group, both knowledge and attitude, obtained p value 0.000 (<0.05). In the knowledge of the webtoon group, the p value was 0.000 (<0.05) and for the attitude, the p value was 0.350 (> 0.05). Differences in knowledge of audio visual media with webtoon obtained p value of 0.411 and for attitude that is 0.033. There is no significant difference in knowledge through audio-visual media and webtoon but in attitude there is a difference

Peningkatan Pengetahuan Calon Pengantin Melalui Konseling ASI Eksklusif di Kecamatan Darul Imarah Aceh Besar

2017 ◽  
Vol 19 (1) ◽  
pp. 36-42
Author(s):  
Agus Hendra Al-Rahmad
Keyword(s):  
Experimental Study ◽  
Exclusive Breastfeeding ◽  
Action Plan ◽  
Scaling Up ◽  
Random Assignment ◽  
Nutrition And Health ◽  
Face To Face ◽  
Child Stunting ◽  
Quasi Experimental ◽  
Breastfeeding Counseling

Background : Scaling Up Nutrition movement is a global effort to strengthen our commitment and accelerating action plan to improve nutrition, particularly the handling of nutrition in the first 1,000 days of life is exclusive breastfeeding and it until 24 months. One of the way is with exclusive breastfeeding counselling that can reduce stunting. The counseling is addressed to brides who need special attention in improving the nutrition and health. Objective : The aim of research to improve knowledge about exclusive breastfeeding counseling the bride through the use of leaflets. Method : This quasi-experimental study was a sample of 30 person a brides with non-random assignment, the variable a knowledge obtained through interviews using questionnaires while the method of counseling does face to face with an exclusive breastfeeding leaflet. The data was analyzed by dependent t-test. Result : The results showed exclusive breastfeeding counseling can improve knowledge bride (p= 0,000) with a mean difference is 6,13 and a deviation is 3,71. Conclusion : Increase of knowledge among ‘bride-to be’ about exclusive breastfeeding could be improved through the use of exclusive breastfeeding leaflet. Each health center must be in collaboration with Office of Religious Affairs to have exclusive breastfeeding counseling, and set one of the priority programs in the prevention of child stunting.   Keywords: Bride, counseling, knowledge of exclusive breastfeeding

The Effect of Breastfeeding Calendar Training on Knowledge and Attitudes of Mothers in Exclusive Breastfeeding

2021 ◽  
Vol 10 (1) ◽  
pp. 80-87
Author(s):  
Ari Indra Susanti ◽  
Aminarista Aminarista ◽  
Neneng Martini ◽  
Nur Rahmah ◽  
Sri Astuti
Keyword(s):  
Exclusive Breastfeeding ◽  
Health Workers ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Test Design ◽  
Knowledge And Attitudes ◽  
Lactating Mothers ◽  
Before And After ◽  
Post Test ◽  
Quasi Experimental

Background: Lactating mothers were successful in giving exclusive breastfeeding as much as 42% based on SDKI (Survei Demografi Kesehatan Indonesia) in 2012. This is depend on the support of husbands and families as well as health workers. Thus, the husband or family should remind and motivate mothers as well as monitor the breastfeeding activity every day for 6 months using breastfeeding calendar.Objectives: This study aimed to determine the increase in knowledge and attitudes of mothers in providing exclusive breastfeeding after the exclusive breastfeeding calendar training.Materials and Methods: The research design used a quasi-experimental one group pre-test post-test design. This research was conducted on mothers who had babies (age 0-12 months) in Pasawahan Village and Pasawahan Kidul Village, Pasawahan District, Purwakarta Regency in April to November 2018, with 96 respondents. The sampling technique was conducted by purposive sampling. Data were collected by giving questionnaires to respondents, before and after the breastfeeding calendar training were given. The Wilcoxon test was used for the analysis of the data in this study.Results: The results showed that there were differences in the knowledge of mothers before and after training on breastfeeding calendar (p <0,000) and there were differences in the attitudes of mothers before and after the training on breastfeeding calendar (p <0,000).Conclusions: There was an increase in knowledge and changes in the attitude of mothers towards exclusive breastfeeding after being given the breastfeeding Calendar training. Therefore, suggestions for health workers, especially midwives and nutrition workers, can use the breastfeeding calendar as an educational medium to increase husband and family support in exclusive breastfeeding.

scholarly journals Promotion of Early and Exclusive Breastfeeding in Neonatal Care Units in Rural Rwanda: a Quasi-experimental Study

2020 ◽  
Author(s):  
Saidath Gato ◽  
Francois Biziyaremye ◽  
Catherine M. Kirk ◽  
Chiquita Palha De Sousa ◽  
Alain Mukuralinda ◽  
...  
Keyword(s):  
Experimental Study ◽  
Exclusive Breastfeeding ◽  
Child Survival ◽  
Neonatal Care ◽  
Post Intervention ◽  
Factors Associated ◽  
Before And After ◽  
Quasi Experimental ◽  
Evidenced Based ◽  
Additional Support

Abstract Background: Early initiation of breastfeeding after birth and ongoing exclusive breastfeeding for the first 6 months improves child survival, nutrition and health outcomes. However, only 42% of newborns worldwide are breastfed within the first hour of life. Small and sick newborns are at greater risk of not receiving breastmilk and often require additional support for feeding. This study compares breastfeeding practices in Rwandan neonatal care units (NCUs) before and after the implementation of a package of interventions aimed to improve breastfeeding, aligned with the Baby Friendly Hospital Initiative for small and sick newborns.Methods: A pre-post quasi experimental study was conducted at two District hospital NCUs in rural Rwanda from October 2017–December 2017 (pre-intervention) and September 2018–March 2019 (post-intervention). Only newborns admitted before their second day of life (DOL) were included. Data was extracted from patient charts for clinical and demographic characteristics, feeding throughout admission, and patient outcomes. Bivariate analyses were conducted using Fisher’s exact and Wilcoxon rank sum tests. Logistic regression was used to evaluate factors associated with exclusive breastfeeding at discharge following a backwards stepwise procedure.Results: Pre-intervention, 255 newborns were admitted in the NCUs and 793 were admitted in the post-intervention period. The percentage of infants who were exclusively breastfed on their day of birth, or day-of-life zero (DOL0) increased from 5.4% to 35.9% (p<0.001). For newborns discharged alive, the proportion exclusively breastfeeding increased from 69.6% to 87.0% (p<0.001). The mortality rate for all admitted newborns decreased from 16.1% to 10.5% (p<0.019). Factors associated with greater odds of exclusive breastfeeding at discharge included post-intervention time point (Odds Ratio (OR): 4.91, 95% Confidence Interval (CI) 1.99-12.11, p<0.001), and admission for infection (OR 2.99, 95%CI 1.13-7.93, p=0.027). Home deliveries (OR 0.15, 95%CI 0.05-0.47, p=0.001), preterm delivery (OR 0.36, 95%CI 0.15-0.87, p=0.0260 and delayed first breastmilk feed (OR=0.04 for DOL3 vs. DOL0, 95%CI 0.01, 0.35, p=0.004) reduced odds of exclusive breastfeeding at discharge. Conclusion: Expansion and adoption of evidenced-based guidelines, using innovative approaches, aimed at the unique needs of small and sick newborns should be expanded and adapted in similar settings to improve outcomes for these infants.

scholarly journals penyuluhan menggunakan media lembar balik terhadap pengetahuan dan sikap ibu balita mengenai Kadarzi

2019 ◽  
Vol 11 (1) ◽  
pp. 58
Author(s):  
Ulfah Sofindra Syahidatunnisa ◽  
Holil M Par'i ◽  
Fred Agung Suprihartono ◽  
Fred Agung Suprihartono ◽  
Rr. Nur Fauziyah ◽  
...  
Keyword(s):  
Total Sample ◽  
Wilcoxon Test ◽  
Control Group ◽  
Control Group Design ◽  
Knowledge And Attitudes ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Knowledge And Attitude ◽  
Attitudinal Changes ◽  
Experimental Group

One of the factors that influence Kadarzi's achievement is the knowledge and attitudes of the toddler's mother. This study aims to determine the effect of counseling using backsheet media on the knowledge and attitudes of toddlers' mothers about Kadarzi in the Cipeundeuy Health Center District of West Bandung Regency. The research design used was quasi-experimental with a pre-post test control group design model with a total sample of 28 people each for the experimental group and the control group. The experimental group was given an intervention in the form of counseling using flipchart media, while the control group was given an intervention in the form of counseling using leaflet media. The results obtained from the Wilcoxon test in the experimental group and the t-dependent test in the control group were changes in the increase in knowledge and attitude scores in the experimental group and the control group after intervention (p <0.005). The results of the Mann-Whitney test showed no significant difference between knowledge and attitude scores in the experimental group and the control group (p> 0.005). It is better to do further research related to Kadarzi's behavior so that the application of the Kadarzi indicator can be monitored so that it can describe the results of attitudinal changes, and to increase Kadarzi's knowledge and attitudes to toddler mothers.

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