Advances in Health Sciences Research (AHSR), volume 14 1st International Conference on Inter-Professional Health Collaboration (ICIHC 2018)

The Effect Of Training Mother Class Of Toddlers On Increased Mothers Ability In Caring Toddlers At Puskesmas Kampung Delima

Yusniarita Mulyadi Farida Esmianti Jurusan Kebidanan Jurusan Keperawatan Jurusan Kebidanan Poltekkes Poltekkes Bengkulu Poltekkes Bengkulu Bengkulu, Bengkulu, Indonesia Bengkulu, Indonesia [email protected] [email protected] [email protected]

Abstract---Mother’s class to toddler before and after training KIB with p (KIB) in order to increase the value <0.005, there is no influence empowerment of mothers through between attitudes before and after the increased knowledge, attitude and skills training KIB with p value> 0.005, and of a toddler care. To improve the ability there is a significant influence between of mothers in caring toddler this actions before and after the training KIB research was conducted a structured with p value <0.005. It Means There is training class used training modules in an effect of training Toddler mother’s order to improve the knowledge, attitudes class on increased mothers ability in and skills of mothers about infant care. caring toddlers at Puskesmas Kampung The impact of this is the increasing Delima Kabupaten Rejang Lebong empowerment of the health status of Regency. children under five. This reserarch is aimed to know the effect of training mother’s class of toddlers on icreased maother ability in caring toddlers atKeywords : Mother Class to toddler , Pskesmas Kampung Delima knowledge, attitude, action RejangLebong Regency. This research used a quasi-experimental design one- I. INTRODUCTION group pre and post-test with sample 34 Preparing children to become mothers who had toddler. Purposive beneficial person, it must begin at an early sampling techniques had adopted in this age through the role of mothers and good research. Training class mothers held parenting. Good parenting is very important for 2 days with sixmaterials The data to ensure the optimal development of the collected by questionnaires pre and child. Caring children in terms of behavior posttest to assess knowledge, attitudes, that is practiced daily, such as feeding, health and actions of the mother. Furthermore, care, mental stimulation, emotional support the ability of mothers in caring toddler and affection will make a significant observed after training. Data were contribution to the growth and intellectual analyzed using univariate, and bivariate development of children.Mother classroom using a paired sample T-test. There were training conducted to improve the significant influence between knowledge

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knowledge, attitudes, and skills in caring for class. [4]. In terms of mothers class (mother the toddler's mother. class childhood), sistematicly highlighted the Toddlers Mother class is a group of input variables (provider’s role and health learning activities in the classroom with officers), variables process (socialitation some members of mothers with young class for mother), and output variables children (ages 0-5 years) under the guidance (existence of class mother) which later on of one or more facilitators (teachers) to wear have an impact in decrease the akselerasi KIA book as a learning tool [1]. The material infant mortality rate (IMR) at Rejang will be given in class training mothers Lebong regency. include growth and development of young children, accident prevention, balanced The purpose of this study is aimed to nutrition, infectious diseases (dengue), first- know the effect of training class mother aid medicine, and a clean and healthy living toddlers on increased mothers ability in behaviors (PHBS). caring toddlers at Puskesmas Kampung The toddler is a susceptible time Delima Kabupaten Rejang Lebong. occurrence of infectious diseases, accidents, and malnutrition, which will have an impact II. METHODS on a lot of quality of life toddler for example Quasi-research expeimental one intelligence, motoric development, social group pre and post-test design. The development, and mental. Knowledge, population in this study are all mothers in the attitudes mother should be drilling with working area of Puskesmas Kampung various methods to meet health care to Delima , while the total sample of 34 children under five. nutrition is not optimal people to sample case with sampling with regard to ill health. Mal nutrition is a purposive sampling technique. risk factor for non-communicable diseases The location of this research is in (PTM), such as cardiovascular disease (heart working area of Puskesmas Kampung and blood vessel disease, hypertension and Delima Curup by taking 8 Posyandu area, stroke),diabetes and cancer is the leading there area Posyandu Karang Anyar, cause of death in Indonesia [2]. Kampung Delima, Sambe Baru, Sambe The effort to improve the health and Lama, Duku Ilir, Tasikmalaya, Seguring, welfare of children wasdone at the health Kota Pagu. The study was conducted from center through posyandu activities. This Agustus to Oktober 2017. The data collected program directly managed by the health by questionnaires pre and posttest to assess centers as the forefront of health services that knowledge, attitudes, and actions of the encounter the public directly to remote area. mother. Furthermore, the ability of mothers Seeing those problems, there are necessities in caring toddler observed after training. for strategy to prevent the incidence of the Data were analyzed using paired simple T- health problem to children towardimproved test statistic test. knowledge, attitude and behavior about preventive measures in children [3]. III. RESULT Kementerian Kesehatan R.I establish Table I. RESULT OF ANALYSIS decrease child mortalty rate (CMR) 68 to SIMPLE T-test OF KNOWLEDGE, 23/1000 birth. As for first programme ATTITUDE, ACTION PRIOR AND prevent infant and child mortality was In AFTER TRAINING TODDLERS toddlers mother class. [3] Rejang Lebong CLASS MOTHER IN Regency have 21 Puskesmas, the higher PUSKESMAS KAMPUNG activity toddlers mother class was in DELIMA Puskesmas Kampung Delima. There are 11 Posyandu implemented toddlers mother Variables Mean ± SD P value n

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Knowledge prior to32.24 ± 4.47 34 complete, so with the KIA book increases training 0,00 the mother's knowledge and can improve the Knowledge after 40.56 ± 2.97 34 health of mothers and children. MCH training Handbook is a tool that is simple, but Attitude prior to training50.35 ± 6.35 34 0,82 powerful as means of Information, Attitude after training50.53 ± 3.76 34 Education and Communication (IEC) in distributing important information regarding Action prior to training8.03 ± 2.86 34 0,00 the Kesehatan Ibu dan Aank (KIA) to the Action after training10.12 ± 1.17 34 family. Through the utilization of KIB, KIA book will materialize to the fullest [7].

Table I showed that the mean significant b. Mothers attitude toward the ability in effect between knowledge before and after Caring toddlers training with p-value <0.005, while the mother's attitude was no significant effect The results of statistical analysis of before and after training with p-value> the average scores attitudes was increase 0.005, and to measure the mother no in before and after the training class significant effect between the action before mothers, there is no significant difference and after training with p-value <0.005. This In line withSarbini (2012) The means that mothers classroom training can willingness in this regard is the improve knowledge, attitudes, and actions of willingness of individuals or mothers in the mother in caring toddler at home. accepting the influence of others like the facilitator and the group, the willingness IV. DISCUSSION is not normally appear on the conscience a. Mother’s knowledge toward ability in just to get a positive reaction especially caring toddlers. the facilitator in class mothers are people who have not previously known. Trusting Based on bivariate analysis showed relationship will arise when two people there are differences in the mother's have emotional understanding. The knowledge before and after training class identification process will occur,if the mothers with p value <0.005, this study are individual in this case mothers imitate the reliable with research conducted by Arfiah attitude expected by the group uncertainty and Warni (2012) knowledge or cognitive people believe that the change will domain is very important in shaping a provide a better impact accordance with person's actions (Over behavior) [5]. the expectations of the individual [8]. Knowledge can be acquired or natural person occurred, directly or indirectly. One As the results of studies, suggest of the factors influencing knowledge is theaffecting factors that change attitude education. According to Hagiwara (2012) where the environment or culture. Good health education is a rewarding experience in mothers who attend classes or not at the influencing habits, attitudes and knowledge beginning already have their own attitude of a person or community. Nowadays about caring toddlers as their beliefs, mothers’s education and child health in attitudes are formed due to the interaction general mostly done through individual of the three factors above,the mother class consultations or case by case basis but there is an effort to increase the mother's are still many weaknesses [6]. attitude towards caring the children. Implementation and mothers-class Mother’s knowledge and child health in process there are the interaction between the book can be increased with the program the messages, communicators and KIA KIB. Information on mother and child communicant. Communicators in health are contained in KIA book is very

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mothers’ class derived from the facilitator who came from anotherposyanduits REFERENCES means that the mother has to know more facilitators and only met during the [1] Sri Lestari Kartikawati, Endang Sutedja, implementation of a toddler class only Dzulfikar DLH. 2015. Pengaruh Kelas [9]. Ibu Balita Terhadap Peningkatan Pengetahuan, Sikap, dan Keterampilan c. Mothers action against Toddler Care Ibu Balita dalam Merawat Balita di Capabilities Wilayah Kerja Puskesmas Sukarasa Bandung. Jurnal Bhakti Kencana The influence of mother’s class is to Medika.Vol.4 No.1, Maret 2014, hal; increase the value of mother’s knowledge 1-74. duethe implementation of class mothers that held everymonth. Based on the graph [2] Departemen Kesehatan RI. 2009. retention of knowledge, knowledge will Pedoman Pelaksanaan Kelas Ibu decrease after one month so it is Balita. Jakarta : Depkes dan JICA necessary to emphasis or repetition the knowledge. In addition, the frequency or [3] Dinas Kesehatan Kabpaten Rejang intensity of more intensive meetings to Lebong (2015). Profil Kesehatan Di motivate more toddler’s mothers to apply Kabupaten Rejang Lebong. the acquired knowledge to motivate [4] RISKESDAS (2013). Riset Kesehatan mothers perform maintenance actions in Dasar Kementerian Kesehatan accordance with the toddler training Republik Indonesia. modules that have been granted [10]. [5] Arfiah dan dan Warni (2012). Faktor- According to Sri Lestari, et al (2015) faktor yang Mempengaruhi Minat The implementation of mothers class Ibu Mengikuti Kelas Ibu Hamil di once a month can improve their skills Purworejo, Jawa Tengah, Skripsi. quite high at around 13.4%. The results of [6] Hagiwara, A; Ueyema M., Ramlawi this study demonstrate that health A; Sawada Y., 2012. Is The promotion with mother class significantly Maternal and Child Health (MCH) improve skills score of mothers in caring Handbook Effective In Improving toddler at home which includes Health Related Behavior. Evidence monitoring of growth and development, From Palestina. J PubMed, 34 (1): provision of food with a balanced diet, 31-45. diakses tanggal 20 Maret treatment of sick toddlers as well as 2015. providing a simple home medicine. Same [7] Departemen Kesehatan RI. 2011. with the results of the participatory Pedoman Penyelenggaraan Kelas method Virgilio improve the skills of Ibu Balita, Ibu Hamil dan Ibu health personnel in performing their Menyusui. Jakarta : Nice Project duties [1]. [8] Sarbini sriwianti A. (2012). Hubungan Sikap dan Pengetahuan Terhadap Pemanfataan Buku Kesehatan Ibu V. CONCLUSION dan Anak, Studi Eksploratif Ibu Balita di Kelurahan Sukarasa Kota There is an effect of training Bandung; Universitas Padjajaran. Toddler mother’s class on increased [9] Azwar S. 2000. Sikap Manusia Teori mothers ability in caring toddlers at dan Pengukurannya. Yogyakarta: Puskesmas Kampung Delima Kabupaten Pustaka Pelajar Rejang Lebong.

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[10] Notoatmodjo S 2007. Promosi Kesehatan & Ilmu Perilaku. Jakarta: Rineka Cipta.

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