scholarly journals The effects of educational program on child care knowledge and behaviors of mothers of children under five years with pneumonia

1970 ◽  
Vol 9 (3) ◽  
pp. 136-142
Author(s):  
MM Parvez ◽  
W Wiroonpanich ◽  
M Naphapunsakul

Objectives: This study was aimed to evaluate the effects of the educational program on child care knowledge and behaviors of mothers of children aged under five years. Materials and Methods: The quasi-experimental, pretest-posttest design was used to examine the effects of educational program on child care knowledge and behaviors of mothers of children under five years old with pneumonia. Fifty mothers of children under five years hospitalized with pneumonia were purposively assigned following standard procedure into either experimental or control group. Mothers of the study group received educational program together with children’s routine care, where as control group mothers just attended their children receiving treatment. Subsequently mothers’ knowledge, evaluated through structured Knowledge Questionnaire and behavioral information, through Behavioral Checklist Form were evaluated. Data were expressed as number (percent) and mean (SD) as appropriate. Demographic characteristics were analyzed by using frequency, percentage, mean, and standard deviation. Independent t-test and paired t-test were used to calculate statistical difference between groups as applicable. Results: Findings revealed that, subjects of both groups are homogenous in terms of demographic characteristics, but significant difference was observed regarding their mean (±SD) knowledge (25.04±5.81 vs 34.64±3.86, p<0 .001) and behavior score (6.64±2.23 vs 17.68±1.89; p<0.001) between control and study group respectively. Conclusions: It was concluded that educational program supported that nurses need to involve themselves through helpful method of the educational program to teach the mothers' knowledge about pneumonia and their behavior during caring their sick children. Such program could effectively increase both knowledge and behavior of mothers of children under five with pneumonia. Key words: Pneumonia; knowledge and behavior; education program. DOI: 10.3329/bjms.v9i3.6468Bangladesh Journal of Medical Science Vol.09 No.3 July 2010, pp.136-142

Author(s):  
Annif Munjidah ◽  
Fitria Dwi Anggraini

Nutritional problem in urban area is generally caused by food absorption disorder which can be treated by Tui Na massage. This article was aimed to investigate the effect of Tui Na massage on the growth status of children less than five years of age with KMS T status (low weight gain in Indonesia medical record). This quasiexperimental study was conducted by implementing pre-and-posttest design with control group. This study involved 26 children less than five years of age with KMS T as research samples chosen by simple random sampling technique. The results of analysis using paired t-test on the effect before and after Tui Na massage showed p=0.019 < α=0.05, while independent t-test in control and treatment group obtained p=0.065 > α=0.05. It shows that Tui Na massage affects the growth status of children under five years of age. Based on those results, midwives are expected to be able to perform Tui Na massage as an effort to develop the growth status of children under five years of age.


2018 ◽  
Vol 1 (2) ◽  
pp. 134
Author(s):  
Titih Huriah ◽  
Ema Waliyanti ◽  
Hanjayadi Hanjayadi

Introduction. Prevalence of children under five with malnutrition is an indicator of Millenium Development Goals (MDGs) that should be reach in a region (Regency/City) in 2015. Prevalence of nutrition base on weight for height (WFH) in Daerah Istimewa Yogyakarta showed that children under five prevalence with very lean nutrition status was about 2,6 percent and lean about 6,5 percent. Community Therapeutic Care combining three approaches to handling under five malnutrition children including community intervention, home based treatment for under five malnutrition children without complication and stabilitation center for under five malnutrition children with complication. The aim of this research was to find out the changing of malnutrition children under five through home care program in Yogyakarta. Method. This research used quantitative method through home care intervention for children under five with malnutrition and was conducted by nurse in public health center. Design of this research was pretest-posttest control group design. The population of this research was all children under five with malnutrition or not complication. Sample divided into two groups, 35 children for the intervention group and 25 children for control group. Analysis used was Paired t-test and independent t-test. Results. The result showed that before home care intervention, there is no significant difference of two groups. The result after intervention for three month with 7 times of visiting, home care intervention can increase nutritional status of children under five with malnutrition. The value of Independent t-test for control group and intervention group was significant with p<0,05. Discussion. The researcher conclude that Home Care has effect to increase nutrition status of children under five with malnutrition and also Z score value which is weight for height (WFH) was increase. Keywords: Home Care, Nutrition status , Malnutrition.


2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Anik Kurniawati ◽  
Endang Suwanti

Abstract: Toddler, PMBA, Malnutrition. Background, Klaten district shows the incidence of malnutrition as many as 479 infants and less than 2,890 children under five nutrition, one in Ngawen health ceter in Candirejo village has 3 malnourished children under five and 21 toddler less nutrition, the participation rate of toddler to posyandu also still below target that is 80, 35 %% while the weight gain rate of children under 5 years old is still under the target of 72,75%, and Mayungan Village there are 7 children under five with malnutrition status and 37 under fives with less nutritional status. While the rate of weight gain that comes to be weighed to posyandu is still under the target of 58.54%. Some mothers said that children underweight and malnutrition caused by toddlers difficult to eat. Some of the problems that many occur at the beginning of infant feeding is the lack of food variations given by parents, especially fruit, vegetables and animal side dishes. The purpose, to determine the effectiveness of additional food description with the concept of four stars to increase weight toddler malnutrition in Posyandu area Ngawen Puskesmas Klaten District. The research hypothesis, supplementary food queue with the concept of four stars effectively increase the weight of malnutrition toddler at Posyandu of Puskesmas Ngawen Region, Klaten Regency. Research Method, This research type is experiment, with approach of quasi ekapeiment with design of Nonequivalent Control Group Design. Target population in this research is all toddler malnutrition in posyandu of puskesmas ngawen area counted 24 toddler. Sampling technique in this study is purposive sampling, toddlers taken into the sample is a toddler who is not getting another treatment for 18 toddler. Data analysis using independent t test test hypothesis test using Anava Friedman test. The results showed normal distributed data. Independent test of t-Test shows sig value (0.000) <0,05. This means that there are significant differences in body weight of pre-test and body weight of post test with correlation of 0.995. Hypothesis test results show data that sig value (0.008) <0.05 supplementary feeding with the concept of 4 stars effectively increase the weight of children under five with malnutrition in posyandu of puskesmas Ngawen subdistrict Ngawen Sub-district of Klaten Regency.


2007 ◽  
Vol 4 (2) ◽  
pp. 69
Author(s):  
Ira Rahmawati ◽  
Toto Sudargo ◽  
Ira Paramastri

Background: The incident of malnutrition, when it is being examined, will caused mortality in 54% children under five years old. Malnutrition in children under five years old based on districts in Indonesia with prevalence of > 40% (very high) is located in 35 districts which one them is West Kotawaringin district (Kobar). The result of nutrition status measurement survey or statistic center survey in Kobar district in the year of 2005 showed that the prevalence of lack nutrition of children under five years old was 13.1 % and malnutrition was 2.3%. Children under five years old who were below the red line from January to May 2006 was 5%, 4%, 4%, 4.1% and 4.6%. The improvement of nutrition condition is necessary to improve health, decrease mortality rate of infants and children under five years old, improve the ability of growth, physical, mental, child social, work productivity as well as academic achievement. One of the approaches that are often used is by conveying message or information through education, teaching and information so that it can be well obtained and understood.Objective: This research was aimed to improve knowledge, attitude and behavior of mother of children under five years old who joint the health information with audiovisual media, module and control as well as to find out the different level of the improvement before and after intervention.Method: This was a quasi-experimental research that used pretest – posttest with control group design (random allocation). The population was allocated in three groups; control, treatment and audiovisual groups with 15 mothers who had mildly and severely malnourished children under five years of age respectively.Result: The improvement of knowledge, attitude and behavior of mothers who had children under five years old who joint the information with audiovisual media was higher than those who joint the information with module and control group. There was a difference on knowledge, attitude and behavior of mother of children under five years old before and after intervention.Conclusion: The result of the research showed that, in general, audiovisual method was better than module method and module method was better than without intervention (control group). Therefore, audiovisual was the best method to be used.


2019 ◽  
Vol 31 (2) ◽  
pp. 153-158

Mothers are fundamental caregivers for under-five children and thus, family participation in child health services is very important. Therefore, a quasi-experimental study for promoting key family practices of mothers with under-five children was conducted among 278 respondents from Oaktwin Cantonment and Inndaing Cantonment in 2014. Data were collected by face-to-face interview with pretested structured questionnaire. Health promotion program including health education and advocacy for unit supports was implemented in study group. Before intervention, baseline data of respondents and pre-intervention knowledge and practices levels were identified. In the three-month and six-month after interventions, post-intervention data collection was done in both groups and data were analyzed. Findings show that there was a statistically significant difference of knowledge and practice scores between study group and control group after three-month interventions (t=10.827, p<0.0001, eta squared=0.297 and t=8.2, p<0.0001, eta squared=0.195, respectively), and six-month post-intervention (t=10.035, p<0.0001, eta squared=0.267 and t=8.773, p<0.0001, eta squared=0.304, respectively). Moreover, knowledge and practice level within study groups have a significant effect for time (F=160.45, p<0.0001 and F=113.06, p<0.0001, respectively) and the magnitude of this effect was also large (eta squared=0.699 for knowledge and 0.621 for practice). At the same time, knowledge and practice of control group have a significant effect for time (F=3.648, p=0.029 and F=19.564, p<0.0001, respectively) but this effect was very small. It can be asserted that health promotion program can improve the knowledge and practice of mothers regarding key family practices. The findings of current study might be a cornerstone for improvement of maternal knowledge and practice on caring for children in the military community.


1992 ◽  
Vol 22 (1) ◽  
pp. 87-100 ◽  
Author(s):  
James M. Kooler ◽  
William H. Bruvold

The Contra Costa County educational program for juveniles found guilty of driving under the influence (DUI) was evaluated. Over 600 juveniles convicted of DUI from 1983 to 1988 formed the study group for this research and of these over 100 participated in the educational program. Assessment of program participants was conducted for knowledge, attitudes and behavior. Participants demonstrated increased knowledge, stronger attitudes against driving under the influence, and less risky alcohol and automobile related behaviors. County juvenile records analyzed by the logit procedure showed that class participants had a significantly lower number of repeat offenses compared to non-program participants that could not be explained by race, offense severity, age or gender.


2021 ◽  
Vol 104 (8) ◽  
pp. 1229-1234

Background: Hand-foot-mouth disease (HFMD) is an infectious disease that mainly occurs in children under five years old. Vietnam is a developing country with high prevalence of the disease outbreak every year. Can Tho City, Co Do District had the highest incidence of children under five years old acquired HFMD. Objective: 1) To determine the factors correlating with knowledge, attitude, and practice in HFMD prevention of mothers having children under five years old, and 2) to evaluate the alteration in knowledge, attitude, and practice in prevention HFMD of mothers having children under five years old after intervention with health educational communication. Materials and Methods: Community intervention study was done in 420 subjects. At first, all the participants would do the questionnaire and practicing assessment. Then, the participants were divided into two groups, the intervened group for educational communication, and the control group with no intervention. The intervention included three steps, 1) training knowledge and skills for medical staffs and collaborators, 2) providing information about HFMD for the mothers, 3) broadcasting information leaflets to the subjects’ house every month. The assessment in awareness, attitude, and practice would be performed again after one month. The present study staff achieved approval from the Science and Educating Council of Can Tho University of Medicine and Pharmacy. In addition, the present study also received the agreement from The People’s Committee of Co Do District. Results: The present study results shows that 23.3% of mothers had the right knowledge, 50.5% of mothers had the right attitude, and 17.4% of mothers with children under five years of age had the right disease prevention practice. There was an association between education level of mothers with children under five years of age with knowledge, attitude, and practice in disease prevention. After intervention, knowledge of the mothers in the intervened group improved more than 2.79 times, right attitude more than 2.84 times, and practice improvement more than 1.83 times in compared with the control group. Conclusion: Educational communication plays an important role in HFMD disease prevention through increasing the awareness, opinion, and disease prevention of the mothers who directly take care of the under five years old children. Keywords: Hand-foot-mouth disease; Knowledge; Attitudes; Practices; Effective intervention


2018 ◽  
Vol 2 (1) ◽  
pp. 32
Author(s):  
Muryoto 1 ◽  
Atik Badi'ah

ABSTRAKLatar Belakang : Penyakit diare masih merupakan masalah kesehatan masyarakat di Indonesia, di Kabupaten Sleman insiden rate diare 34,8 per seribu penduduk atau 2909 balita dengan cakupan pelayanan 70% di Puskesmas Gamping I sekitar 325 balita (Profil Dinas Kesehatan Kabupaten Sleman, 2013). Kolaborasi perawat dan sanitarian dalam pelayanan kesehatan di komunitas menggunakan pendekatan input-proses-output-efek-outcome.  Input meliputi jumlah penderita diare balita, perawat, sanitarian, program lintas tuntas diare. Proses meliputi penemuan penderita diregister di Puskesmas, pemeriksaan balita, botol susu, sumber air, terapi, desinfeksi, klorinasi dan konseling.  Sedangkan output meliputi jumlah balita diare yang dilayani dua kali selama empat belas hari. Efek berupa penurunan skor dehidrasi out come berupa turunnya angka kesakitan diare. Tujuan :Penelitian ini bertujuan secara umum membuat model pelayanan kesehatan kolaborasi perawat sanitarian penderita diare balita dikomunitas yang dapat mencegah dan menurunkan derajat dehidrasi. Secara khusus bertujuan menetapkan pengaruh pelayanan kesehatan kolaborasi perawat sanitarian terhadap penurunan derajat dehidrasi.  Metode : Jenis penelitianQuasi eksperiment dengan rancangan“Pre test Post test with Control Design“.Penderita diare balita3 (tiga) bulan yang lalu dicatatan medis Puskesmas diambil secara sistimatis random sampling 15 (lima belas) balita untuk kelompok kontrol dan 15 (lima belas) balita untuk kelompok perlakuan. Uji analisa data menggunakan t test. Hasil :Ada pengaruh kolaborasi terhadap penurunan skor dehidrasi anak balita diare, tidak ada pengaruh kolaborasi terhadap penurunan jumlah kuman botol susu anak balita diare. Ada pengaruh kolaborasi terhadap penurunan MPN E Coli air bersih anak balita diare. Ada pengaruh kolaborasi terhadap penurunan MPN Coliform air bersih anak balita diare. Kesimpulan :Ada pengaruh pelayanan kesehatan kolaborasi perawat sanitarian terhadap penurunan skor derajat dehidrasi penderita diare balita. Saran : Dalam kolaborasi perawat sanitarian ditingkat internal program Puskesmas perlu dibuatkan panduan yang memuat etika profesi sesuai lingkup kerja dan fungsinya.Kata Kunci : Model Kolaborasi, Perawat, Sanitarian, Pelayanan Kesehatan, Penderita diareABSTRACTBackground : Diarrhea disease is still a public health problem in Indonesia, in Sleman District incidence rate of diarrhea 34,8 per thousand population or 2909 under fives with coverage 70% service in PuskesmasGamping I about 325 balita (Profile of Sleman District Health Office, 2013). Collaboration of nurses and sanitarians in community health services using an input-process-output-effect-outcome approach. Inputs include the number of patients with diarrhea toddlers, nurses, sanitarians, diarrhea diarrhea programs. The process includes the findings of patients enrolled in Puskesmas, checking for infants, bottles of milk, water sources, therapy, disinfection, chlorination and counseling. While the output includes the number of infant diarrhea that is served twice for fourteen days. The effect of decreasing the dehydration score out come is the decrease of morbidity rate of diarrhea. Objective : This study aims at generating a model of healthcare services for the collaboration of sanitarian nurses with diarrhea in children under five who can prevent and reduce dehydration. Specifically aimed at establishing the influence of sanitarian nurse collaboration health services on dehydration degrees reduction. Method : Quasi experimental research type with "Pre testPost test with Control Design"  Patients with child diarrhea 3 (three) months ago medical Puskesmas was taken by systematic random sampling of 15 (fifteen) children under five for control group and 15 (fifteen) children under five for treatment group. Test data analysis using t-test. Result: There is influence of collaboration to decrease dehydration score of children under five diarrhea, there is no influence of collaboration to decrease amount of germ of baby milk bottle diarrhea. There is a collaboration effect on the decrease of MPN E Coli clean water for children under five diarrhea. There is a collaboration effect on the decrease of MPN Coliform clean water of children under five diarrhea. Conclusion: There is influence of health service of sanitarian nurse collaboration to decrease of dehydration degrees score of diarrhea sufferer. Suggestion: In the collaboration of sanitarian nurses at the internal level of the Puskesmas program, it is necessary to create guidelines that contain professional ethics according to the scope of work and function.Keywords: Collaboration Model, Nurse, Sanitarian, Health Service, Diarrhea Patient


Author(s):  
Tracy Morse ◽  
Elizabeth Tilley ◽  
Kondwani Chidziwisano ◽  
Rossanie Malolo ◽  
Janelisa Musaya

Diarrhoeal disease in children under five in low income settings has been associated with multiple environmental exposure pathways, including complementary foods. Conducted from February to December 2018 in rural Malawi, this before and after trial with a control used diarrhoeal disease as a primary outcome, to measure the impact of a food hygiene intervention (food hygiene + handwashing) relative to a food hygiene and water, sanitation and hygiene (WASH) intervention (food hygiene + handwashing + faeces management + water management). The 31-week intervention was delivered by community-based coordinators through community events (n = 2), cluster group meetings (n = 17) and household visits (n = 14). Diarrhoeal disease was self-reported and measured through an end line survey, and daily diaries completed by caregivers. Difference-in-differences results show a 13-percentage point reduction in self-reported diarrhoea compared to the control group. There were also significant increases in the presence of proxy measures in each of the treatment groups (e.g., the presence of soap). We conclude that food hygiene interventions (including hand washing with soap) can significantly reduce diarrhoeal disease prevalence in children under five years in a low-income setting. Therefore, the promotion of food hygiene practices using a behaviour-centred approach should be embedded in nutrition and WASH policies and programming.


2018 ◽  
Vol 15 (1) ◽  
pp. 16 ◽  
Author(s):  
Bunga Paramashanti ◽  
Sulistyawati Sulistyawati

Background: Indonesia has faced the problem where double burden malnutrition increasing. On the other hand, malnutrition in children may affect the development both in early childhood and the quality of human capital in later life.Objective: This study aimed to examine the effect of integration of nutrition intervention and development stimulation on weight gain and development of wasted children.Method: Design used in this study was quasi-experimental with pre- and post-test control group. Subjects were 38 children under-five resided in Sedayu Subdistrict. Sampels were selected by using total sampling of children under-five in community feeding center, meanwhile controls were children under-five selected from integrated health posts in another villages with the ratio of 1:1. Interventions given were education, development stimulation and food supplementation package distributed by the community health workers whom were given capacity building. Analysis used were Mann-Whitney U and Wilcoxon Signed Rank tests at the level of significance 0,05.Results: Children in intervention groups gained their weight significantly from before (9.17±1.89) and after (9.27±1.79) intervention (p=0.04). Meanwhile, development impairment score decreased from 1.32±0.75 to 0.42±0.61 significantly (p=0.00).Conclusion: Intervention package containing nutrition and development education, development stimulation and supplementary food through community feeding center (CFC) sucessfully increased body weight and development of wasted children significantly.


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