Informatics Publishing Limited

Sri Achadi Nugraheni ¹, Nur Endah Wahyuningsih ¹, Hadiyanto ¹, Ike Johan Prihatini ², Etik Sulistyowati ¹, Nurhasmadiar Nandini ¹

Affiliations
1 Diponegoro University, ID
2 Darul Ulul Islamic Boarding University, ID

Abstract

Background: Awareness and knowledge about reproductive health among children in the elementary school in Indonesia was really low. Education about reproductive health is needed to increase the knowledge of reproductive health among elementary school students. This research is conducted to analyze the impact of Training-of Trainer model in elevating the knowledge of elementary school students as peer educators for reproductive health.

Method: This research used quasi-experimental method, with pretest and posttest one group only design. The samples of this research are 30 peer educators, which were selected purposively from 3 state elementary schools in the District of Brebes, Central Java, Indonesia. The intervention that had been given was a training about reproductive health for a whole day by a Facilitator Teacher and a Peer Educator from State Junior High School 2 Brebes. The assessments had been conducted before intervention and a month after intervention.

Result: According to the difference test using Wilcoxon Match paired Test, significant differences were found in the knowledge of the participants before and after Training-of Trainer model intervention (p=0.002) and there was an of 1.26 points in the knowledge.

Conclusion: Education about reproductive health by using training-of-trainers for a whole day could significantly elevate the knowledge of peer educators related to reproductive health within a month after the training had been conducted. The roles of peer educators are crucial because as peer facilitators, they are more trusted and it makes children more comfortable in performing discussion. Trained peer educators are expected to be reliable agents in changing reproductive health behavior of elementary school students.

Keywords

Knowledge, Training-of-Trainers, Reproductive Health, Elementary School Students.

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Sri Achadi Nugraheni ¹, Anung Sugihantono ², D. Izwardy ², R. G. Wurjandaru ², Etik Sulistyawati ¹, Ike Johan Prihatini ³, Nurhasmadiar Nandini ¹

Affiliations
1 Diponegoro University, Semarang, ID
2 The Ministry of Health, Republic of Indonesia, Jakarta, ID
3 Darul Ulum Islamic Boarding University, Jombang, ID

Abstract

The number of Low Birth Weight (LBW) in Indonesia is still high because of, among others, the lack of mothers’ knowledge to prevent LBW case. The solution proposed is to encourage Dasa Wisma (Dawis) activists to assist pregnant women as one of the strategic actions. The aim of the research was to analyze the effect of assistance training towards the knowledge and practices of Dawis activists related to the prevention of LBW case in pregnant women. Method of this research was pretest and posttest without control group design of Quasi-experimental were applied. The population sampled using purposive random sampling was 37 Dawis activists in Tlogosari Wetan District, Semarang. The distance between pretest and posttest was approximately one month. Test result of Wilcoxon Match Paired test revealed that there were significant differences in the knowledge (p < 0.05) and practices (p < 0.05) of Dawis Activists before and after the intervention of assistance training. In the end of this research, the knowledge of Dawis Activists increased 5.97 points, while their practices increased 3.97 points. The recommendation from this research is that assistance training for Dawis Activists is necessary, even if it is only for a day, in order to increase the competence of Dawis Activists in assisting pregnant women to prevent Low Birth Weight case in one month.

Keywords

Training, Knowledge, Dasa Wiswa Assistance, Pregnant Woman, Birth Weight.

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Chairunas ¹, Sjarif Hidajat Effendi ², Harmas Yazid Yusuf ³, Eriska Riyanti ³, Rachmad Suhanda ⁴, Nurhasmadiar Nandini ⁵

Affiliations
1 Department of Oral & Maxillofacial Surgery, Syiah Kuala University, Banda Aceh, Jl. Teuku Nyak Arief, Darussalam, Banda Aceh, Aceh, ID
2 Department of Pediatrics, Padjadjaran University, Bandung, Jl. Profesor Eryckman No. 38, Bandung 40161, ID
3 Department of Oral & Maxillofacial Surgery, Padjadjaran University, Bandung, Jl. Raya Bandung Sumedang KM 21, Jatinangor 45363, ID
4 Division of Public Health & Community Medicine, Syiah Kuala University, Banda Aceh, Kopelma Darussalam, Banda Aceh 23111, Aceh, ID
5 Diponegoro University, Jl. Prof. Soedarto SH, Tembalang, Semarang 1269, ID

Abstract

Non-syndromic cleft lip and palate is a common face malformation of all ethnic in population and one of factors caused it was nutritional deficiency. Micronutrient deficiency which mostly occurred in developing countries were Zinc (Zn) and folate acid deficiency. The deficiency of Zn serum in pregnant women was suspected in increasing the complication risk during pregnancy and the deformity risk of non-syndromic cleft lip and cleft palate. This study aimed to analyze the correlation between mother’s zinc level and their babies which suffered with non-syndromic cleft lip and palate, also to determine the median of zinc level among mothers and babies between group of cleft lip, cleft palate, and cleft lip & palate. This was observational and analytical study with cross-sectional design. The participants were 35 babies with Non-syndromic cleft lip and palate and their mother attended the unit of perinatology, Dr. Hasan Sadikin Hospital, Bandung and network hospitals during September 2016-June 2017. The study used consecutive sampling to measured zinc level with ICP-AES (Inductively Coupled Plasma-Atomic Emission Spectrometer) method. The result showed the mean of zinc level among mothers was higher than the babies. The test showed significant correlation (p=0.04 or p<0.05) with the correlation coefficient r=0.35 with term of moderate correlation. There was no difference in median of zinc level among mothers and babies between group of cleft lip, cleft palate, and cleft lip & palate. It concluded that there was moderate correlation between zinc level between mothers and babies with non-syndromic cleft lip and palate.

Keywords

Baby, Non-syndromic Cleft Lip and Palate, Zinc Level, Mother, Deficiency.

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