INTERNATIONAL JOURNAL OF SCIENTIFIC & TECHNOLOGY RESEARCH VOLUME 8, ISSUE 10, OCTOBER 2019 ISSN 2277-8616

Effect Of Health Education Knowledge About Antenatal Care Mothers Against Hamlet Land Shake The District Huamual

Maritje SJ. Malisngorar, Ira Sandi Tunny, Sunik Cahyawati, Wiwi Rumaolat, Epi Dusra, Idham Soamole, M Chairul Basrun Umanailo

Abstract: Antenatal Care very important by all pregnant women to determine the growth of the fetus and the mother's health. Of the 26 pregnant women in the village who do not carry out a rocking Land Antenatal Care 22 people due to lack of knowledge about Antenatal Care. The purpose of this research is to know the level of knowledge of the mother before and after Health Education as well as Determine the effect of health education on mothers' knowledge of Antenatal Care. This research method is quasy experimental research design that is one-group pre-post test design. The population of this research that all pregnant women in Hamlet Land Shake Huamual District of West Seram regency. Research samples were 26 respondents with a total sampling technique. The study was conducted on 14 s / d 16 April 2018. Collecting the data using questionnaires, collecting the data obtained from the 25 respondents experienced an Increase in knowledge and first responder remains Whose knowledge this is due to additional information about Antenatal Education through Health Care. Analysis of the Data in this study using the Wilcoxon test, According to the results, the significant value of respondents' knowledge of the pre-test and post-test was 0.000 (p <0:01), so it can be concluded that there is a significant effect on the Increase in knowledge of Antenatal Care in mothers in Hamlet Land Shake Huamual District of West Seram regency. Collecting the data obtained from the 25 respondents experienced an Increase in knowledge and first responder remains whose knowledge this is due to additional information about Antenatal Education through Health Care. Analysis of the Data in this study using the Wilcoxon test, According to the results, the value Signifikan respondents' knowledge of the pre-test and post-test was 0.000 (p <0:01), so it can be concluded that there is a significant effect on the Increase in knowledge of Antenatal Care in mothers in Hamlet Land Shake Huamual District of West Seram regency. Collecting the data obtained from the 25 respondents experienced an Increase in knowledge and first responder remains Whose knowledge this is due to additional information about Antenatal Education through Health Care. Analysis of the Data in this study using the Wilcoxon test, According to the results, the value Signifikancy respondents' knowledge of the pre-test and post-test was 0.000 (p <0:01)

Keywords: Knowledge, Education, Health, Antenatal, Huamual ————————————————————

1. INTRODUCTION figure is slightly decreased[3], although not too significant[4]. The maternal mortality rate (MMR) is one indicator for the Target Global Millennium Development Goals (MDGs) The fifth degree of women's health. The maternal mortality rate IS is to reduce maternal mortality rate (MMR) to 102 per 100,000 ALSO one of the targets set in the Millennium Development live births in 2015[5]. Based on the data from Health Goals items, namely the fifth goal of improving maternal health Office Health Care Sector In 2011, the first visit of coverage by where the targets to be Achieved by 2015 is to reduce to ¾ the 88.6% and amounted to 74.6% over the fourth visit[6]. When risk of maternal mortality[1]. Compared to the achievement of the first visit and the fourth According to the World Health Organization (WHO) in 2014 visit sebesar14% visible gap means that many pregnant the maternal mortality rate (MMR) in the world totaled, 289 000 women do not come visit fourth (third trimester) so that inhabitants[2]. While the United States is 93,000 people, and pregnancy can not be monitored by health personnel who 16,000 Southeast Asia. Maternal mortality in Southeast Asian have Midwifery competence[7]. Comparison of coverage of countries items, namely 214 per 100,000 live births, pregnant women visit (fourth visit) in Maluku Province in 2012 Philippines 170 per 100,000 live births, Vietnam 160 per amounted to 74.63% and in 2013 and Increased to 81.75%, in 100,000 live births, Brunei 60 per 100,000 live births and 2014 Decreased by 70.49% over the fourth visit of first Malaysia 39 per 100,000 live births. Based on demographic trimester, still below the national targets of 90% (Maluku health survey of Indonesia (IDHS) in 2012, the maternal Provincial Health Office, 2014). Data Health Department of mortality rate is still high at 359 per 100,000 live births. This West Seram regency of pregnant women who received antenatal care care that in 2014 the number of pregnant ———————————————— women 4120 inhabitants, first visit by 79% while in 2015 the  Maritje SJ. Malisngorar, STIKes Maluku Husada , Indonesia. number of pregnant women of 3639 inhabitants, first visit by Email: [email protected] 89%[8][9]. Data from the clinic Land Shake about the visit of  Ira Sandi Tunny, STIKes Maluku Husada Kairatu, Indonesia. Email: pregnant women who received antenatal care Increased in [email protected]  Sunik Cahyawati, STIKes Maluku Husada Kairatu, Indonesia. Email: 2013 with the number of pregnant women 84 people, in 2014 [email protected] the number of pregnant women 78 people, in 2016 the number  Wiwi Rumaolat, STIKes Maluku Husada Kairatu, Indonesia. Email:: of pregnant women 47, 2017 with the number of pregnant [email protected] women 80 people and in 2018 in April, pregnant women are  Epi Dusra, STIKes Maluku Husada Kairatu, Indonesia. Email: four people from interviews with ground community health [email protected] center officers bouncy[10]  Idham Soamole, STIKes Maluku Husada Kairatu, Indonesia. Email: [email protected]  M Chairul Basrun Umanailo, Department of Agricultural and Forestry, University of Iqra , Maluku 97571, Indonesia. Email: [email protected] 3262 IJSTR©2019 www.ijstr.org INTERNATIONAL JOURNAL OF SCIENTIFIC & TECHNOLOGY RESEARCH VOLUME 8, ISSUE 10, OCTOBER 2019 ISSN 2277-8616

Table 1 2 LITERATURE REVIEW Frequency Distribution of Respondents by Age Group

Age group n %

2.1 Definition of Pregnancy <20 Years 1 3.8

Pregnancy is the result of the meeting of sperm and egg cells. 20-35 Years 22 84.6 In the process, the journey of the sperm to meet the egg > 35 Years 3 11.5 (ovum) of approximately 20-40 million sperm released, only Total 26 100% few survive and managed to reach the egg[11]. Of the amount that has little, only one sperm that could fertilize the egg [12](Elisabeth, 2015). Pregnancy is the first step in a life- changing relationships that last a lifetime and with the Source: Primary Data, 2019 children[13]. Being a parent can be one of the most enjoyable aspect and full of happiness in life [14]. Pregnancy is a Table 1 shows that most respondents aged 20-35 years with a continuous process that begins with ovulation, the migration of number of 22 people (84.6%) and the least aged <20 years sperm and ovum, conception, ninasi on the uterus, placenta with the amount of 1 (3.8%) and fetal growth until the formation term [15]. Level of education 2.2 Definition of Health Education Health Education in the sense of common Efforts education. Table 2 All designed to influence others from, whether individuals, Frequency Distribution of Respondents by Level groups or communities, so that they do what is expected by Level of education n % the perpetrator of education or health promotion. And this SD / equivalent 2 7.7 SMP / equivalent 4 15.4 limitation the implied input elements (goals and educator of SMU / equivalent 18 69.2 education), process (a planned effort to influence others) and S1 2 7.7 output (doing what is expected)[16][17]. The expected result of Total 26 100% a promotion or a Health Education is a health behavior, or Source: Primary Data, 2019 behavior to maintain and improve the health conducive to the objective of health promotion[18]. Health education can be Table 2 Explain that most respondents with high school given to pregnant women who are willing to be given Health education last as many as 18 people (69.2%), the which at Health Education. With expected given the mother could face least has the latest educational SD with the number 2 (7.7%) a fine of pregnancy and normal [19]. and S1 with the number 2 (7.7%).

3.2 Definition of Antenatal Care (ANC) Pregnancy age Antenatal care (ANC) is one of the priority programs of the Table 3 government in Efforts to reduce maternal mortality rate (MMR) Distribution of frequencies are Respondents by Age and infant mortality rate (IMR) for Maternal Mortality Rate Pregnancy (MMR) in Indonesia is still Relatively high in Asia[20][21]. The Age Pregnancy (Month) n % direct causes of maternal mortality in Indonesia and in other 1-3 Months 4 15.4 countries are bleeding, infections and eclampsia. It is expected 4-6 Months 12 46.2 that Care Antenatal care coverage to reach all targets in an 7-9 Months 10 38.4 area, so that when there is a high risk cases can be found to Total 26 100% get treatment [18]. Antenatal Care is a program that is planned Source: Primary Data, 2019 in the form of observation, education and medical treatment in pregnant women, for obtaining a process of pregnancy and Table 3 Explain that most respondents had a gestational age childbirth safe and satisfying [22]. of 4-6 months as many as 12 people (46.2%) and the least have a gestational age of 1-3 months as many as four people 3 METHOD (15.4%).

This type of research used in this research is quasi- Univariate analysis experimental research design that is one-group pre-post test Respondents knowledge design. In this design there is the pre-test questionnaire to Table 4 determine the level of prior knowledge of the mother before Knowledge Pre Test and Post Test Respondents giving treatment that is the provision of Antenatal Care Health

Education[23]. After the administration of the Health Education Knowledge n Median (min-max) post test is given with the same questionnaires to measure variable whether there is an increase is in the mother's knowledge or Pre-Test 26 5 (2-12) not after the Health Education do[24]. Post-Test 26 12 (10-14) Source: Primary Data, 2019 4 RESULT characteristics of Respondents According to the table 4.a, the analysis results obtained middle Respondents age respondents 'knowledge before intervention was 5. The Lowest score is 2 and the highest score is 12. While the results of the analysis on the respondents' knowledge after intervention knowledge obtained middle value is 12. The 3263 IJSTR©2019 www.ijstr.org INTERNATIONAL JOURNAL OF SCIENTIFIC & TECHNOLOGY RESEARCH VOLUME 8, ISSUE 10, OCTOBER 2019 ISSN 2277-8616

Lowest score was 10 and the highest value is 14. (0%)[30]. At post-test respondents experienced an increase is in the knowledge of as many as 25 people, knowledgeable 5 DISCUSSION remains as one person this is Because respondents know Health education in terms of education. In general is all the about antenatal care Earlier via the Internet and the effort that is planned to influence others from, whether respondent Obtain additional information from the Health individuals, groups or communities, so that they do what is Education Researchers provide. From Post-test concluded expected by the perpetrator of education or health promotion. that there are many mothers who are knowledgeable And this limitation the implied input elements (goals and good[31]. This is consistent with research Rahman Arif in 2017 educator of education), process (a planned effort to influence under the title "The Effect of Health Education Knowledge others) and output (doing what is expected). The expected against husband about Antenatal Care In the health center result of a sale or the Health Education is a health Purwosari Surakarta" Explains the which there is an Increased behavior[25], or behavior to maintain and improve the health knowledge after a given intervention in the form of health conducive to the objective of health promotion[26]. Antenatal education[32]. Based on the results of the pre-test and post- Care is a program that is planned in the form of observation, test can be concluded that the intervention by the Health education and medical treatment to pregnant women, In this Education Provided through leaflets and Also the media study, first given a pre-test to the respondent in the form of exposure of the material in the form of counseling, Affect the questionnaires that have been tested for validity and reliability level of knowledge of the mother in Hamlet Land Shake as much as 15 grains of questions to determine the level of Huamual District of West Seram regency[33]. It is also mothers' knowledge of Antenatal Care in the village of Goyang reinforced by the views Expressed by Notoadmojo, 2012; Land District of West Seram regency Huamual given before Health education in general is all the effort that is planned to intervention[27]. Pre-test as well as a benchmark to see influence others from, whether individuals, groups or knowledge before intervention. Pre-test carried out on communities, so that they do what is expected by the Monday, April 14, 2018 carried out door to door or directly in perpetrator of education or health promotion. From the results each house respondent upon approval Village Chief Land of this study, women who receive health education have Shake. The results of the analysis of the results of pre-test additional knowledge and better insight so that the mother can Showed that the level of knowledge of the mother in Hamlet understand in general about Antenatal Care. Health behaviors Land Shake District of Huamual District of West Seram prior to expected was the mother can carry out Antenatal Care intervention by the Health Education are knowledgeable well routine[34]. The results of the analysis of data shows there is as much as 1 (3.8%) due Often to read on Internet sites, an Increased knowledge of the respondents between pre-test knowledgeable Pretty much 4 (15.4%) due to the ever heard and post-test. The majority of the pre-test knowledge level of explanation of Antenatal Care through the medium of TV and respondents is less while the post-test was good[35]. Based knowledgeable Less than 21 persons (80.8%) due to the lack on Data Obtained Significant research value of the of information Obtained. It can be concluded there are many respondents' knowledge of the pre-test and post-test was mothers who are less knowledgeable[28]. This is in line with 0.000 (p <0.05), the decision was taken test is H0 rejected. It research conducted by whales Tuti Widi Yanti entitled "Factors can be concluded there is an influence on the mother's Associated with adherence Mother In The visit Antenatal Care knowledge Health Education in Hamlet Land Shake Huamual in Hamlet Land Shake the District Huamual West Seram District of West Seram regency in 2018. Reviews These regency Year 2017" Explains roomates that there is a results are consistent with research Rahman Arif (2017), relationship between knowledge and compliance of pregnant entitled "The Effect of Health Education Knowledge Against women in antenatal care visits in Hamlet Land Shake Huamual Husband About antenatal Care Health Center Purwosari In District of West Seram regency with the results of the analysis Surakarta city "with the results of research that shows that the Showed that knowledge Affects the mother in carrying out value of the respondents' significant knowledge of pre-test and compliance antenatal care. After the pre-test, intervention in post-test was 0.000 (p <0.05). Maternal knowledge in general the form of the Health Education to improve the knowledge of about Antenatal Care will add to the understanding of the respondents. The material Provided in the intervention is importance of implementing mothers Antenatal Care routine, general material about the notion of Antenatal Care Antenatal but the limitations of knowledge can the make the mother does Care Antenatal Care objectives, functions Antenatal Care[29], not carry out Antenatal Care. This can be dealt with given Antenatal Care and schedule service visits of pregnant women information through Health Education because of the ease in using instructional media in the form of leaflets and Also the Obtaining information may help expedite a person to acquire delivery of extension materials. Intervention is given face to new knowledge. face on exactly the same day Monday, August 14, Then post- test in the form of questionnaires by respondents again 6 CONCLUSION conducted on Wednesday, August 16, 2017 to determine the Based on the above results it can be deduced as follows; respondents' knowledge after a given intervention. The results Mothers' knowledge of Antenatal Care in the village of Tanah of the post-test Showed that the level of knowledge of the rocking District of West Seram regency Huamual year prior to mother in Hamlet Land Shake the District Huamual West treatment Health Education that many mothers are less Seram regency after intervention by the Health Education is knowledgeable. Mothers' knowledge of Antenatal Care in the the influential well as 15 people (57.7%) this is Because village of Tanah rocking District of West Seram regency respondents listened Health Education roomates Researchers Huamual year after Health Education treatments that many provide that the additional knowledge about Antenatal Care, mothers are knowledgeable good. There was a significant knowledgeable Quite many as 11 people (42.3%) this is effect of Health Education to Increase the knowledge of Because respondents are less focused with Health Education Antenatal Care in the mother in Hamlet Land Shake Huamual Researchers that provide and no less knowledgeable District of West Seram regency. 3264 IJSTR©2019 www.ijstr.org INTERNATIONAL JOURNAL OF SCIENTIFIC & TECHNOLOGY RESEARCH VOLUME 8, ISSUE 10, OCTOBER 2019 ISSN 2277-8616

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