Formation and Training of Peer Counselors on PKPR and Post-Covid-19 AKB Socialization

Limited knowledge of students about adolescent reproductive health is a problem that is often found in Islamic boarding school. The behavior of teenagers who often wear clothes or towels alternating with friends will be very influential for the reproductive health of adolescents, and it is feared that it could become a medium of spread of covid-19. Therefore, it is necessary to establish youth counselors and training through the provision of information as well as counseling practices on Youth Care Health Services (PKPR) and Socialization of New Habit Adaptation (AKB) after covid-19 in Al-Ittihaad Islamic Boarding School Purbaratu. The purpose of this PKM activity is to train and provide information on the importance of maintaining health by paying attention to adolescent reproductive health behaviors in Islamic boarding school with the implementation of health protocols / adaptation of new habits (AKB), which in the end participants are able to relay the information that has been obtained during the training process to others. The method in this activity is the establishment of youth counselors from santri sons and daughters. Providing training by directly training participants conduct counseling practices to their peers in the post-covid-19 PKPR and AKB. Conduct health protocols to prevent the spread of covid-19 virus in Islamic boarding school. The result of this activity is the increasing knowledge and skills of peer counsellors about PKPR and AKB post-covid-19 in Islamic boarding school.Conclusion is that participants can know and better understand and apply directly the material about PKPR and AKB post-covid-19 in Islamic boarding school.

Access and utilization of the youth-friendly sexual and reproductive health services in Nepal: What does literature show?

This study has attempted to assess the access and utilization of youth-friendly sexual and reproductive health services in Nepal. Different literature regarding youth-friendly sexual and reproductive health services has been reviewed using online databases. A total of 125 relevant articles were assessed for the study. The literature was categorized and analyzed with five key thematic areas: knowledge on SRH among youths, the prevalence of child marriage and teenage pregnancy, attitudes towards premarital sex, utilization of SRHs, and barriers to utilizing the SRHS. This study has found that youths do not always utilize SRHS. Various barriers exist for providing and using YFSRHs in Nepal. Nepal's adolescents and youths face problems of STIs, HIV/AIDS, early pregnancy and parenthood, difficulties accessing contraception, and safe abortion. The study has also found that many countries have single youth-friendly sexual and reproductive health policies and that utilization of SRHS is also high in those countries. Moreover, this review has also found that because of inadequate knowledge and information on SRHS, Nepalese youths are facing numerous reproductive health problems. Multiple factors contribute as barriers to utilizing the SRHS. Therefore, there is a need for a program to motivate youths to respect their right to access reproductive health information and service, ensure the availability of peer counselors in the health centers, and increase the awareness level of the community so that they can utilize the quality of SRHS.

Strengthening the role of peer counselors in preventing dental and oral diseases among students during the Covid-19 pandemic

The role of peer counselors is being strengthened in order to help the student community prevent dental and oral diseases. Peer counselor training is conducted by involving students who are active in student activities through the online small group discussion method. The goal is to increase prospective peer counselors' knowledge and understanding of oral hygiene and caries health in order to raise public awareness about the prevention of dental and oral diseases. With high participation and support from participants, this activity encourages participants to share their knowledge and play an active role in increasing knowledge and understanding of oral hygiene and caries health. As a result, it has the potential to raise public awareness about the importance of preventing dental and oral diseases, particularly among students during the Covid-19 pandemic.

PELATIHAN PEER COUNSELOR DAN PENGENALAN MEDIA PROMOTIF UNTUK PEER COUNSELOR

Medical students as early adults have different challenges from high school, especially medical students. Based on the results of the previous study, it was found that medical students experienced anxiety, stress, and even depression with various levels. Ranging from mild to moderate-severe. Various efforts have been made, starting with increasing early detection of students from the first year, to the training stage to increase the role of academic advisory lecturers, to solving student problems that are sent to the counseling guidance section. The purpose of this training is that peer guidance services can be used as a form of guidance and counseling services provided to adolescents or early adults who have low social interaction. Before the training, it was started with the selection stage for peer counselors using an empathy questionnaire, based on the results of the questionnaire 28 students were found to be candidates for peer counselors. The training begins with a pretest then presentation material and case discussions then end with a post-test. Based on the results of the pre-test and post-test, there was an increase in knowledge about peer counselors, their roles, the benefits of counseling, and media that can be used as promotions as part of the peer counselor's duties. It is hoped that from this training, students can increase the role of assistance to students from the early stages so that severe cases experienced by students both in terms of academic and non-academic can be resolved.

PELAYANANKESEHATAN PEDULIREMAJA (PKPR) DALAMMENINGKATKAN PHBSPADA SANTRIDI PONDOKPESANTREN SHOFAMARWA

Adolescenceis a vulnerableperiod becausethis period is a time forthem to findtheir identity. Thisis thetime we needto pay attention to. One manifestation of the government's concern for youth tobecome a quality generationthrough the Ministry of Health is to promote the Youth Care Health Service Activity program. These programs include counseling, clinical services and counseling by program implementers, as well as training peer counselors. Peer counselors in question are adolescent health cadres who have been given additional training in interpersonal relationships and counseling. This program can be applied to students to create clean living behavior for students in Islamic boarding schools. The purpose of the study was the Effectiveness of Formation of Adolescent Health Cadres in Improving Clean and Healthy Life Behavior in Santri at the Shofa Warwa Islamic Boarding School. This research is quantitative with a quasi-experimental research design with a one group pre-test-post-test design approach. The population is students with a sample of 50. Clean and Healthy Life Behavior of students before the Adolescent Care Health Service is in good criteria by 10% and after the Adolescent Care Health Service is formed there is an increase in good criteria to 60%. There was a significant change in the Clean and Healthy Lifestyle of the santri before and after the Adolescent Care Health Service was established. P=0.000<α 0.05. It is hoped that the Islamic boarding school can continue to monitor this activity so that the Clean and Healthy Life Behavior of students can continue to be improved.

PELATIHAN KONSELOR SEBAYA PADA SISWA KELAS XI SMAN 1 WONOGIRI MENGGUNAKAN ZOOM MEETING DI ERA PANDEMI COVID-19

<p><strong><em>Abstract.</em></strong> <em>The purpose of peer counselor training activities for class XI students of SMAN 1 Wonogiri using a zoom meeting in the Covid-19 pandemic era is to provide information about peer counselors and provide peer counselor skills to students at SMAN 1 Wonogiri. This training also provides information on guidance and counseling services, increases the ability to become peer counselors, and makes peer counselors an extension of counseling services in schools to help solve peer problems. Peer counselor training were carried out in 4 stages. Phase 1, by sharing and questioning, several training participants were asked to share their experiences while receiving guidance and counseling services during the Covid-19 pandemic. Stage 2 is the provision of material about peer counselors. The material is delivered in the form of lectures on peer counselor materials, discussions, provides examples of peer counselor activities through videos and carries out practices in the form of role-playing as a counselor and counselee. Stage 3 is the practice and implementation of peer counselor guidance and stage 4 is to evaluate the results of the peer counselor practice. The results of peer counselor training include improving the image of counseling guidance services through peer counseling activities, providing interpersonal skills to students, increasing knowledge and skills to become peer counselors so that students can become partners for guidance and counseling teachers.</em></p><p> </p><p><strong><em> </em></strong></p><p><strong>Abstrak.</strong> <em>Tujuan dari kegiatan pelatihan konselor sebaya pada siswa kelas XI SMAN 1 Wonogiri menggunakan zoom meeting di era pandemi covid-19 adalah memberikan informasi mengenai konselor sebaya dan memberikan ketrampilan konselor sebaya kepada siswa di SMAN 1 Wonogiri. Pelatihan ini juga memberikan informasi mengenai layanan bimbingan dan konseling, meningkatkan kemampuan menjadi konselor sebaya, dan menjadikan konselor sebaya sebagai perpanjang tangan layanan BK di sekolah untuk membantu memecahkan permasalahan teman sebaya. Pelatihan konselor sebaya dilaksanakan dalam 4 tahap. Tahap 1 dengan dengan sharing dan tanya jawab beberapa peserta pelatihan diminta untuk menyampaikan pengalaman selama menerima layanan bimbingan dan konseling di masa pandemi covid-19. Tahap 2 yaitu pemberian materi mengenai konselor sebaya. Materi disampaikan dalam bentuk ceramah mengenai materi konselor sebaya, diskusi, memberikan contoh kegiatan konselor sebaya melalui video dan melaksanakan praktik dalam bentuk role-playing sebagai konselor dan konseli. Tahap 3 yaitu praktik dan pendampingan pelaksanaan konselor sebaya dan tahap 4 yaitu mengevaluasi hasil dari praktik konselor sebaya. Hasil kegiatan pelatihan konselor sebaya antara lain meningkatkan citra layanan bimbingan konseling melalui kegiatan konseling sebaya, memberikan ketrampilan interpersonal kepada siswa, menambah pengetahuan dan keterampilan menjadi konselor sebaya sehingga siswa dapat menjadi partner guru bimbingan dan konseling.</em></p><p> </p><div id="gtx-trans" style="position: absolute; left: 28px; top: 565px;"> </div>

Effectiveness of peer counseling and membership in breastfeeding support groups in promoting optimal breastfeeding behaviors in the Philippines

Background The prevalence of early initiation of breastfeeding and exclusive breastfeeding (EBF) at 6 months remain low in the Philippines. To help meet the 90% early initiation of breastfeeding target and to improve infant and young child feeding practices in the Philippines, the Millennium Development Goals - Fund 2030 Joint Programme (JP) on Ensuring Food Security and Nutrition for Children 0–24 months old was implemented. We aimed to determine the effectiveness of visits by peer counselors during pregnancy and after delivery, and membership in breastfeeding support groups in promoting these optimal breastfeeding practices. Methods We used data from the Endline Survey of the JP to study the effects of prenatal and postnatal peer counselor visits, and membership in breastfeeding support groups, and their possible interactions with initiation of breastfeeding within 1 hour of birth among children aged 0 to 24 months and EBF at 6 months among children aged 6 to 24 months, while adjusting for confounding. We used logistic regression methods for survey data to assess these associations. Results Of the 2343 mother-infant pairs, only 1500 (63.1%) practiced early initiation of breastfeeding. Of the 1865 children aged 6 months or older, only 621 (34.7%) were exclusively breastfed at 6 months. After adjusting for confounding variables, there was no strong evidence that peer counselor visits were associated with early initiation or EBF at 6 months. However, members of breastfeeding support groups had 1.49 times higher odds of early initiation of breastfeeding (95% CI [Confidence Interval] 1.12, 1.98) and 1.65 times higher odds of EBF (95% CI 1.20, 2.24) compared to those who were not members of breastfeeding support groups. There was no interaction between the different exposure variables and early initiation and EBF at 6 months. Conclusions Our findings suggest breastfeeding support groups may be institutionalized to promote both early initiation of breastfeeding and EBF in the Philippines, while the role of peer counselors in promoting optimal breastfeeding behaviors should be further reviewed. Our suggestion to integrate non-healthcare professionals to promote early initiation of breastfeeding and EBF could be tested in future intervention studies.

Breastfeeding Peer Counseling Experiences Among Low-Income Women in the US: A Qualitative Evaluation

Objectives Positive experiences with breastfeeding counseling is a key, but often overlooked aspect of high-quality, person-centered, and equitable breastfeeding services. We explored the experiences of women enrolled in the Breastfeeding Heritage and Pride program (BHP), an evidence-based breastfeeding peer counseling program serving predominately low-income minority women in Connecticut and Massachusetts throughout pregnancy and up to one year postpartum. Methods In-depth interviews were conducted with a purposive sample of 28 women receiving counseling from BHP peer counselors, community health workers who have successfully breastfed and completed specialized training on lactation management. Women were asked to describe their experiences with BHP and to share examples of when good quality counseling was and/or was not provided. Each interview was conducted in the woman's preferred language (English or Spanish), audio-recorded, and transcribed verbatim. Data were analyzed using thematic analysis, and findings were organized according to the World Health Organization quality of care framework for maternal and newborn health, which describes three domains important for promoting positive experiences: effective communication; respect and dignity; and emotional support. Results Peer counselors were described as “friendly,” “warm,” and “genuine” in their interactions, which encouraged open communication. Peer counselors provided timely, credible breastfeeding information and used everyday words that facilitated understanding. Women appreciated that peer counselors respected their infant feeding decisions, including choices to supplement breast milk with infant formula or stop breastfeeding, and did not raise their voices, use rude language, or make judgmental comments that would constitute “mom shaming.” Women felt peer counselors gave them the “strength” to continue breastfeeding through consistent encouragement, especially when they lacked support from friends and family. Conclusions Positive experiences with BHP were valued by women and empowered them to meet their breastfeeding goals, suggesting that efforts to expand access to high-quality breastfeeding peer counseling should measure and promote positive breastfeeding counseling experiences. Funding Sources NIH/NHLBI; CDC; W.K. Kellogg Foundation.

Promoting equity in breastfeeding through peer counseling: the US Breastfeeding Heritage and Pride program

Background In the United States, Black and Hispanic mothers have lower breastfeeding rates compared with White mothers. To address breastfeeding inequities, the Breastfeeding Heritage and Pride program (BHP) provides breastfeeding support for predominately low-income minority mothers in Connecticut and Massachusetts. We described the process of designing BHP, the program model, and its impact on breastfeeding outcomes. Methods This BHP case study is based on in-depth interviews with BHP designers and implementers, peer counselors, and clients; a literature review of BHP impact evaluation studies; and a review of BHP materials. To guide the analysis and organize results, we used the Community Energy Balance Framework, an equity-oriented, multi-level framework for fostering healthy lifestyles. Results The Hispanic Health Council designed BHP to address barriers to breastfeeding identified through formative qualitative research with the Latino community, namely lack of role models, limited social support, embarrassment when breastfeeding in public, lack of breastfeeding knowledge, and a norm of formula feeding. According to the BHP model, clients receive education and support through in-person home and hospital visits supplemented by phone calls, beginning prenatally and continuing through one year postpartum. Counseling is delivered by peer counselors, women who have successfully breastfed, have similar cultural roots and life experiences as the clients they serve, and have completed intensive training on lactation management and communication skills. International Board Certified Lactation Consultants provide clinical guidance and ongoing training to peer counselors, as well as direct support to clients, if more specialized knowledge and clinical expertise is needed. Clients facing housing and food insecurity or other socio-economic obstacles that may negatively influence breastfeeding and health and well-being more broadly are connected to other health and social services needed to address their social determinants of health needs, including health care access and food and rent assistance programs. To continuously improve service delivery, BHP has a robust monitoring and evaluation system. In two randomized-controlled trials, BHP was shown to improve breastfeeding initiation and duration of any and exclusive breastfeeding. Conclusions BHP highlights the importance of community-engaged formative research for informing breastfeeding program design. It also provides an evidence-based example of a program model that offers a continuum of breastfeeding support, considers cultural-contextual influences on breastfeeding and social determinants of health, and incorporates continuous quality improvement.

FACTORS AFFECTING THE ROLE OF PEER COUNSELORS IN IMPLEMENTING ADOLESCENT REPRODUCTIVE HEALTH EDUCATION IN SUMENEP DISTRICT

Adolescents are considered as priority targets for reproductive health that will determine the quality of reproductive health in the future. The globalization of information has a big impact on adolescents. The great curiosity of adolescents about reproduction encourages adolescents to seek information from various sources, including peers, parents, schools and information media. This requires correct and responsible information so that adolescents can have healthy reproductive behavior. This study aims to analyze the factors that influence the behavior of peer counselors in the implementation of adolescent reproductive health counseling in Sumenep Regency. P enelitian uses quantitative methods to design cross-sectional. The population in this study is the total population, namely all peer counselors who have received training on Adolescent Reproductive Health in Sumenep Regency in 2020 as many as 66 people. Data analysis used chi-square statistical test and logistic regression. The results showed that the most dominant factor influencing was knowledge of KRR counseling, motivation towards the implementation of KRR counseling, support of officers for the implementation of KRR counseling, and the supervision of officers on the implementation of KRR counseling. This study recommends the Sumenep Regency BPMP & KB Office to organize and activate adolescent reproductive health counseling training and invite peer counselors who are active in Sumenep district, and facilitate any KRR counseling activities, namely in the form of facilities and infrastructure.