Effectiveness of Counseling in Increasing Mothers' Behavior (Knowledge and Attitudes) Regarding Post-Placental IUD Selection to Realize the SDG Goals of Good Health and Well-Being

Jurnal Promkes Pub Date : 2024-01-26 DOI:10.20473/jpk.v12.isi1.2024.44-50

Agung Suharto, Astin Nur Hanifah, Nurtatik

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Abstract

Background: The low coverage of post-placenta IUDs is due to the non-optimal family planning counseling for third-trimester pregnant women. Aims: This study aims to analyze the effectiveness of ABPK and SKB counseling in increasing mothers' knowledge and attitudes about choosing a post-placenta IUD at Tawangrejo Health Center, Madiun City. Methods: This type of research is quasi quasi-experimental nonequivalent control group design. Data were analyzed using Marginal Homogeneity, Mann-Whitney, Mc Nemar, and Chi-Square. Results: The results showed that the Marginal Homogeneity test in the experimental group (SKB) obtained an increase in knowledge with a p-value of 0.000 (<0.05) and the control group (ABPK) obtained an increase in knowledge with a p-value of 0.000 (<0.05) so that it can be interpreted both effective in increasing the mother's knowledge about the selection of the Post Placenta IUD at the Tawangrejo Health Center. The result of the McNemar test on the attitude of the ABPK group was 0.227 (> 0.05) and the attitude of the SKB group was 0.146 (> 0.05) so it can be interpreted that both were not effective in increasing the attitude of mothers about the selection of the Post Placenta IUD at the Tawangrejo Health Center. The results of the Mann-Whitney test on knowledge after ABPK with knowledge after LCS show a p-value of 0.02 the mean rank at ABPK is 23 and the mean rank SKB is 28 meaning that there is a difference between ABPK counseling and SKB counseling in improving mothers' attitudes about choosing the Post Placenta IUD and counseling SKB is more effective. Conclusion: The conclusion of SKB counseling is more effective in increasing the mother's knowledge about the selection of the Post Placenta IUD at the Tawangrejo Health Center. Suggestions to further improve SKB counseling in Post Placenta IUD family planning services.

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为实现可持续发展目标中的 "良好健康和福祉 "目标，提高母亲对选择产后宫内节育器的行为（知识和态度）的咨询效果

背景：胎盘植入后宫内节育器覆盖率低的原因是第三孕期孕妇的计划生育咨询不理想。目的：本研究旨在分析马迪恩市 Tawangrejo 健康中心的 ABPK 和 SKB 咨询在增加母亲对选择胎盘后宫内节育器的知识和态度方面的效果。研究方法：此类研究采用准实验非等效对照组设计。数据分析采用边际同质性、曼-惠特尼、麦克尼玛和秩和方程。结果显示结果表明，边际同质性检验在实验组（SKB）获得的知识增长的 p 值为 0.000 ( 0.05)，而 SKB 组的态度为 0.146 (> 0.05)，因此可以解释为两者都没有有效提高 Tawangrejo 卫生中心母亲对选择后胎盘宫内节育器的态度。Mann-Whitney 检验对 ABPK 和 LCS 后知识的检验结果显示，P 值为 0.02，ABPK 的平均排名为 23，SKB 的平均排名为 28，这意味着 ABPK 咨询和 SKB 咨询在改善母亲对选择后胎盘宫内节育器的态度方面存在差异，而 SKB 咨询更为有效。结论在 Tawangrejo 卫生中心，SKB 咨询在提高母亲对选择后胎盘宫内节育器的认识方面更为有效。建议进一步改进后置胎盘宫内节育器计划生育服务中的SKB咨询。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Jurnal Promkes

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