PREFERENCES OF WOMEN IN JAKARTA ON LEARNING METHODS AND MEDIA RELATING TO HEALTHY EATING DURING PREGNANCY: A QUALITATIVE STUDY

Author(s):  
ARIESKA MALIA NOVIA PUTRI ◽  
DIAN NOVITA CHANDRA ◽  
RETNO ASTI WERDHANI ◽  
SAPTAWATI BARDOSONO

Objective: The nutrition of pregnant women and of their child during the first 1,000 d of life is vital, as it affects fetal development and maternal health. Nutrition education is a strategy used to improve the nutritional status of pregnant women by increasing their knowledge, encouraging the practice of diversity, and teaching the proper amounts of food consumed in accordance with the specific requirements of pregnancy. Learning methods should promote the sustainability of good nutritional habits. Educational media is an important component of a quality learning system. This study aims to explore the effectiveness of learning methods and media regarding nutrition and healthy eating during pregnancy. Methods: The study is exploratory in design with a qualitative approach to data collection. It was conducted between May and September of 2019, with 37 pregnant women living in Jakarta who participated in an online survey by responding to a questionnaire. Results: Three of findings on nutrition and health emerged: the source of information were individual learning (i.e., internet/social media, and print media) and non-individual learning (i.e., discussing with health workers, family and close friends); preferences expressed for learning materials were interactive books and videos; for learning methods, preferences were role-playing and simulation learning, peer teaching/cooperative learning, and lectures/seminars. Conclusion: The study concluded that the provision of nutrition education for pregnant women should be presented through direct interaction and discussion using interesting and interactive learning media.

Author(s):  
ARIESKA MALIA NOVIA PUTRI ◽  
DIAN NOVITA CHANDRA ◽  
RETNO ASTI WERDHANI ◽  
SAPTAWATI BARDOSONO

Objective: Nutrition in pregnant women influences fetal and maternal health. Nutrition education is used to improve the nutritional status of pregnant women, but currently, there are no guidelines available for this demographic in Indonesia. Therefore, this qualitative study aims to identify topics relevant to healthy eating in pregnant women in Jakarta, Indonesia. Methods: The mixed-methods approach included an online survey to understand the problems (relevant to healthy eating) that pregnant women face and the subjects that they lack information about and a review of the relevant literature. The information obtained from both sources was analyzed by a panel of experts with the multi-step Delphi technique, and a list of relevant topics was created. Results: The study was conducted from April to September 2019 and included 37 pregnant women and 10 experts in nutrition and obstetrics-gynecology. The 13 relevant topics identified were: (1) importance of healthy eating during pregnancy; (2) food groups and serving sizes; (3) nutrition requirements during pregnancy and use of multivitamins/supplements; (4) foods to be restricted or avoided; (5) substances to be restricted or avoided; (6) weight gain during pregnancy; (7) physical activity requirements; (8) tips for ensuring the safety of food; (9) menu containing healthy foods for pregnant women; (10) pregnancy problems related to eating patterns and solutions; (11) healthy eating tips for women with special conditions; (12) myths and facts about eating patterns during pregnancy; and (13) healthy eating for lactation. Conclusion: These topics would be useful for the creation of nutritional education material for pregnant women in Indonesia.


Author(s):  
Hande Nur Onur

A woman’s nutritional status prior to and during pregnancy affects foetal development, the course of the pregnancy and her long-term health. This study aims to determine the diets of pregnant and non-pregnant women using the Healthy Eating Index 2010 (HEI-2010). The study was performed on 43 non-pregnant and 25 pregnant volunteers, who had no chronic diseases, took no diet treatments and had a mean age of 23.0 ± 30.1 years. Their general features were determined through a questionnaire, dietary intake was measured by 24-hour dietary recall method, diet quality was assessed by HEI-2010 and energy and nutrient intake was calculated by the Nutrition Information System programme. The diet quality of 60.3% of the participants was found to be poor, while 39.7% was average. Although pregnant women had a slightly higher HEI-2010 score, the diet quality was low for all; hence, dieticians should provide nutrition education for all child-bearing aged women. Keywords: Diet quality, healthy eating index, pregnancy nutrition.


2020 ◽  
Vol 3 (2) ◽  
pp. 191-201
Author(s):  
Firman - Mansir ◽  
Tumin Tumin ◽  
Halim Purnomo

This research describes and discusses about the importance of using role-playing method in Aqidah Akhlak at Madrasa. Professional teachers are those who are able to lead students to achieve maximum outcomes. This research aims to realize the learning of Aqidah Akhlak  that is appropriate to the current context. Thus, teachers are required to use brilliant and different methods from the others. Aqidah Akhlak subject requires an effective method because Aqidah Akhlak has different characteristics from other subjects. That is why 21st century PAI (Islamic education) teachers need to be creative by utilizing a variety of learning methods. An effective method for Aqidah Akhlak subjects is role playing. The skills of a PAI teacher are expected to emerge from the role playing method in the Aqidah Akhlak learning process. The strategy and method of role playing are one of the components contained in the learning system. The components are capable of delivering effective and dynamic learning processes. Therefore, from various learning methods used by PAI teachers, role playing one is considered effective to make directed, capable, and effective learning based on learning goals.


2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 153-153
Author(s):  
Ashraful Alam ◽  
Morseda Chowdhury ◽  
Michael Dibley ◽  
Camille Raynes-Greenow

Abstract Objectives To assess the strategies that worked to motivate the women and families to adhere to a nutrition behavior change intervention trial that aimed to promote balanced diet in pregnancy in rural Bangladesh. Methods We designed this process evaluation as part of a cluster randomized controlled trial. We conducted in-depth interviews with pregnant women, recently-delivered women, and husbands; focus groups with mothers and mothers-in-law; and key-informant interviews with Shasthya Kormis (community health workers) who provided the balanced plate nutrition intervention. Results The novel finding in the study was that the balanced plate nutrition education helped women through practical demonstration to learn about a balanced meal considering appropriate portion sizes and diversity of foods. We also found that pregnant women needed active involvement of community health workers in mobilizing social support to create an enabling environment essential to bring changes in dietary behavior with self-motivation. Practical demonstration, opportunity to participate and convenience of making of the plate with the food available in own or neighbors’ kitchen were the most commonly mentioned reasons of acceptance of the intervention to the women and families. We identified six key areas within the intervention strategy that played crucial role in achieving desired adherence. These include: practical demonstration of portion sizes engaging the end-users; addressing local food perceptions; demystifying animal-source foods; engaging husbands and mothers-in-law; leveraging women's social networks; and harnessing community health workers’ social role. Conclusions Programs to improve maternal nutritious food consumption should focus on promoting diet through practical demonstration of portion sizes through active engagement of the women and family instead of replicating the conventional information-based counseling. Funding Sources The University of Sydney Faculty of Medicine and Health.


BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e015393 ◽  
Author(s):  
Morseda Chowdhury ◽  
Camille Raynes-Greenow ◽  
Ashraful Alam ◽  
Michael J Dibley

ObjectivesLow birthweight significantly contributes to neonatal mortality, morbidities and psychosocial debilities throughout the course of life. A large proportion of infants (36–55%) in Bangladesh is born with low birthweight. Nutritional status of women during pregnancy is critical for optimal growth and development of the fetus. Nutrition education has been found to improve maternal nutritional status. Our study aims to determine whether nutrition education with a practical demonstration during pregnancy is an effective intervention for improving the birthweight of infants compared with standard nutrition education only.Methods and analysisWe will conduct a community-based cluster randomised controlled trial in one rural district of Bangladesh. Treatments will be allocated evenly between the study clusters (n=36). Participants in the intervention clusters receive ‘balanced plate nutrition education’ with a practical demonstration from community health workers 4–7 times throughout their entire pregnancy, starting from the first trimester. The control clusters will receive standard nutrition education delivered by public and other healthcare providers as per ongoing antenatal care protocol. Our sample size would be 900 pregnant women to determine 100 g differences in mean birthweight, considering 5% type 1 error, 80% power and an intra-cluster correlation coefficient of 0.03. The primary outcome of the trial is birthweight of the infants and the secondary outcomes include daily caloric intake and dietary diversity score among the pregnant women. Outcomes will be measured at enrolment, third to ninth month of gestation (monthly) and at delivery. Community health workers blinded to the study hypothesis will collect all data.Ethics and disseminationThe study was approved by the James P Grant School of Public Health, BRAC University Ethical Review Committee, Dhaka, Bangladesh. We will communicate the final results to relevant research and public health groups and publish research papers in peer-reviewed journals.Trial registration numberACTRN12616000080426.


2021 ◽  
Vol 7 (4) ◽  
pp. 345-358
Author(s):  
Shwikar Mahmoud Etman Othman ◽  
Julie-Anne Fleet ◽  
Mary Steen ◽  
Rasika Jayasekara

AbstractObjectiveTo explore midwives’ views on how they provide healthy eating education to pregnant women after attending a healthy eating education workshop/webinar.MethodsA qualitative descriptive approach was utilized. Semi-structured interviews were conducted to explore the views and experiences of midwives on providing healthy eating education for pregnant women. A purposive sample of six midwives was interviewed face-to-face, and one was conducted by telephone interview. Data were analyzed through qualitative conventional content analysis.ResultsMidwives described their views and experiences of factors that impacted their role in providing healthy eating education. They identified three categories: perceived role of midwives, health literacy, and model of care.ConclusionsKnowledge and confidence of midwives improved after attending the workshop/webinar on healthy eating education. Findings suggested that midwives perceived their role as important in providing nutrition education. However, time and resources were highlighted as challenges when providing healthy eating education for pregnant women. The availability of health literacy and model of care were significant factors in enabling midwives to adequately provide this education. Midwives acknowledged a need for further education in areas of vegan diet, cultural food preferences for ethnic minority groups, and regular updates on national healthy eating guidelines.


2021 ◽  
Author(s):  
Dereje Tsegaye ◽  
Dessalegn Tamiru ◽  
Tefera Belachew

Abstract Background: Poor maternal nutrition adversely affects pregnancy and birth outcomes. In many societies, pregnant women have food taboos and misconceptions which consequently results in the depletion of vital nutrients. These cultural malpractices and beliefs can influence dietary intake of pregnant women which subsequently affects the birth outcome. This study aimed at exploring the extent of food taboos and misconceptions during pregnancy in rural communities of Illu Aba Bor Zone, Southwest Ethiopia. Methods: A qualitative study was conducted using in-depth interviews of key informants and focus group discussions among purposefully selected pregnant women and their husbands, elderly people, health workers and health extension workers. Data were transcribed verbatim, thematized; color coded and analyzed manually using the thematic framework method.Result: Thorough reading and review of the transcripts generated three major themes. The first theme was belief and practice of taboos related to the intake of certain food items during pregnancy. Pregnant women, their husbands and mothers- in- law believed that certain foods should be avoided during pregnancy. The second theme was foods that were held as taboo and the reason attached to the food taboos. The most common food items held as taboo were related to the consumption of vegetables like cabbage, pumpkin, milk and milk products, sugar cane, fruit like banana and avocado and egg and the main reasons to avoid these foods were a belief that it can be plastered on the fetal head, making fatty baby which is difficult for delivery. The third theme was the reasons underlying adherence to food taboos which is deeply embedded in the personal believes and attitudes of the pregnant women, who were nested within the influence of the social environment surrounding them and the traditional beliefs and values of the society in general. Conclusions: The results showed a widespread practice of food taboo during pregnancy in the study area. The finding suggested that there is a need for strengthening the nutrition counseling components of antenatal care follow-up and planning comprehensive nutrition education through involving important others to dispel such traditional beliefs and prevent food taboo practices in the study community.


2021 ◽  
Vol 5 (3) ◽  
pp. 140-145
Author(s):  
Rosnadila Humaira Gunawan ◽  
◽  
Astuti Dyah Bestari ◽  
Merry Wijaya ◽  
Didah Didah ◽  
...  

The indirect cause of maternal death in Indonesia is “3T” factors, one of which is being late in knowing the danger signs of pregnancy. Health workers need to be aware of this because there is currently a pandemic that can make limited time for pregnancy checks. It can cause pregnant women to not have enough time for health education about the dangerous signs of pregnancy, so we need the right media for health education about danger signs of pregnancy. Industrial revolution 4.0 makes us unable to avoid using technology, including in the world of health. Augmented reality is part of it. It can be media for health education that you can use every time and everywhere with direct interaction. So, pregnant woman can use it to improve their knowledge. This study aims to determine whether there is knowledge improvement from pregnant women about danger signs of pregnancy after using augmented reality. This is a quantitative research with one group pre-post test design which requires 30 respondents. The result shows that there is an effect of augmented reality media on the knowledge of pregnant women about the danger signs of pregnancy in the form of increasing knowledge(p=0,001)


2020 ◽  
Author(s):  
Dereje Tsegaye ◽  
Dessalegn Tamiru ◽  
Tefera Belachew

Abstract Background: Poor maternal nutrition adversely affects pregnancy and birth outcomes. In many societies, pregnant women have food taboos and misconceptions which consequently results in the depletion of vital nutrients. These cultural malpractices and beliefs can influence dietary intake of pregnant women which subsequently affects the birth outcome. This study aimed at exploring the extent of food taboos and misconceptions during pregnancy in rural communities of Illu Aba Bor Zone, Southwest Ethiopia.Methods: A qualitative study was conducted using in-depth interviews of key informants and focus group discussions among purposefully selected pregnant women and their husbands, elderly people, health workers and health extension workers. Data were transcribed verbatim, thematized; color coded and analyzed manually using the thematic framework method.Result: Thorough reading and review of the transcripts generated three major themes. The first theme was belief and practice of taboos related to the intake of certain food items during pregnancy. Pregnant women, their husbands and mothers- in- law believed that certain foods should be avoided during pregnancy. The second theme was foods that were held as taboo and the reason attached to the food taboos. The most common food items held as taboo were related to the consumption of vegetables like cabbage, pumpkin, milk and milk products, sugar cane, fruit like banana and avocado and egg and the main reasons to avoid these foods were a belief that it can be plastered on the fetal head, making fatty baby which is difficult for delivery. The third theme was the reasons underlying adherence to food taboos which is deeply embedded in the personal believes and attitudes of the pregnant women, who were nested within the influence of the social environment surrounding them and the traditional beliefs and values of the society in general.Conclusions: The results showed a widespread practice of food taboo during pregnancy in the study area. The finding suggested that there is a need for strengthening the nutrition counseling components of antenatal care follow-up and planning comprehensive nutrition education through involving important others to dispel such traditional beliefs and prevent food taboo practices in the study community.


2020 ◽  
pp. 17-26
Author(s):  
Arista Apriani ◽  
M Mufdlilah ◽  
Menik Sri Daryanti

ABSTRAK GDM dapat berpotensi menimbulkan komplikasi serius yang dapat mengakibatkan risiko kesehatan jangka pendek dan jangka panjang bagi ibu dan bayinya. diagnosis GDM menimbulkan efek emosional yang negatif. Persepsi ibu hamil tentang GDM dapat memengaruhi perubahan gaya hidup. Garis pertama penatalaksanaan DMG yaitu dengan perubahan gaya hidup. Tujuan menggali secara mendalam kebutuhan ibu dengan diagnosis diabetes melitus gestasional. Metode penelitian kualitatif dengan pendekatan  fenomenologi. Lokasi di Kabupaten Karanganyar yaitu Puskesmas Jaten I, Puskesmas Matesih dan RSUD Kabupaten Karanganyar, pada bulan Oktober 2019 - Januari 2020. Sampel secara criterion sampling Pengumpulan data dengan semistructure interview dengan one on one interview. Uji Keabsahan Data dengan Credibility pada penelitian ini menggunakan strategi validitas triangulasi, Tranferability, Dependability, Confirmability. Analisis data dengan Interpretative Phenomenological Analysis (IPA). Hasil penelitian kebutuhan ibu hamil dengan DMG teridentifikasi empat tema, yaitu dukungan keluarga dalam hal mengontrol pola makan, mengatarkan periksa ke tenaga kesehatan, dan mengingatkan untuk aktifitas olah raga. Dukungan sosial, yaitu cara mengontrol gula darah. Dukungan tenaga kesehatan, yaitu saran dan motivasi untuk mengontrol gula darah. Informasi mendapat saran atau perawatan DMG dalam kehamilan adalah dari tenaga kesehatan yaitu bidan, dokter, serta selain tenaga kesehatan dari teman dan internet. Kesimpulannya kebutuhan ibu hamil dengan DMG teridentifikasi empat tema, yaitu dukungan keluarga, dukungan sosial, dukungan tenaga kesehatan dan informasi.   Kata kunci: diabetes melitus gestasional, kehamilan, kebutuhan.   ABSTRACT GDM can overcome serious problems that can overcome short-term and long-term health problems for mother and baby. a diagnosis of GDM has a negative emotional effect. Pregnant women 's perception of GDM can affect lifestyle changes. The first line of management of DMG is lifestyle changes. Diagnosis of gestational diabetes mellitus. Qualitative research methods by studying phenomenology. Locations in Karanganyar Regency are Jaten I Health Center, Matesih Health Center and Karanganyar District Public Hospital, in October 2019 - January 2020. Sample sampling criteria Data collection by semi-structured interviews with one-on-one interviews. Data Validity Test with Credibility in this study using the triangulation validity strategy, Transparency, Dependability, Confirmability. Data analysis with Interpretative Phenomenological Analysis (IPA). The results of the study of the needs of pregnant women with DMG identified four themes, namely supporting the family in terms of controlling diet, sending check to health workers, and reminding for sports activities. Social support, which is a way to control blood sugar. Support of Health Workers, namely advice and motivation to control blood sugar. The information obtained from DMG advice or treatment in the assessment is from health workers, namely midwives, doctors, and also health workers from friends and the internet. In conclusion, the needs of pregnant women with DMG identified four themes, namely family support, social support, support of health workers and information.  


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