Intervention Effects in Using an Application Compared with a Module with Pictures on Knowledge, Attitude, and Practice of the Pregnant Women in North Sumatra, Indonesia

Authors

  • Herna Rinayanti Manurung Public Health Doctoral Program, Faculty of Public Health, Universitas Sumatera Utara, Medan, Indonesia
  • Heru Santoso Department of Biostatistics, Faculty of Public Health, Universitas Sumatera Utara, Medan, Indonesia
  • Kintoko Rochadi Department of Health Education and Behavioral Sciences, Faculty of Public Health, Universitas Sumatera Utara, Medan, Indonesia
  • Juanita Juanita Department of Health Administration and Policy Studies, Faculty of Public Health, Universitas Sumatera Utara, Medan, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.8125

Keywords:

KAP, Pregnant women, Mobile application, Module

Abstract

BACKGROUND: Pregnancy period is a crucial period for the maternal and infant health. Unfortunately, there are still many pregnant women having low knowledge, attitude, and practice (KAP). Meanwhile, the advanced technology and the occurrence of pandemic should have created change toward the method to provide education.

AIM: This research aims to compare the KAP of the pregnant women provided by an application with those provided with a module with pictures.

METHODS: This research was conducted in Deli Serdang Regency, North Sumatera Province. There were two groups of pregnant women, each of which consists of 32 people chosen from the pregnant women registered in two Public Health Centers. One group used the application and the other used the module with pictures. After 3 months, the KAP of those two groups was measured in accordance with the content of the module.

RESULTS: Those two groups had the profile of the same age and education, but their occupation was different, where the application users were mostly housewives, while the most of the module users were self-employed. The pregnant women using the application had a higher KAP than the pregnant women using the module with pictures.

CONCLUSION: The use of the application and the module with pictures is an important alternative to increase the KAP of the pregnant women.

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References

Ministry of Health. Statistics Indonesia NP, FP Board, Ministry of Health, and ICF International, Indonesia Demographic and Health Survey 2012. Jakarta: BPS, BKKBN, Kemenkes, and ICF International; 2013.

Zaluchu F. Gender Inequality, Behind Maternal Mortality in Nias Island, North Sumatra, Indonesia. Amsterdam: University of Amsterdam; 2018.

Renstra Kemenkes. Kemenkes, Peraturan Menteri Kesehatan RI No. 21 Tahun 2020 Tentang Renstra Kemenkes Tahun 2020- 2024; 2020.

Devkota R, Khan GM, Alam K, Sapkota B, Devkota D. Impacts of counseling on knowledge, attitude and practice of medication use during pregnancy. BMC Pregnancy Childbirth. 2017;17:131. https://doi.org/10.1186/s12884-017-1316-6 DOI: https://doi.org/10.1186/s12884-017-1316-6

Habeeb A, Dala H, Alani A, Abdul B, Hassan R, Mohd A. Osong public health and research perspectives use, awareness, knowledge and beliefs of medication during pregnancy in Malaysia. Osong Public Health Res Perspect. 2020;11(6):373-9. https://doi.org/10.24171/j.phrp.2020.11.6.05 PMid:33403200 DOI: https://doi.org/10.24171/j.phrp.2020.11.6.05

Tefera YG, Gebresillassie BM, Mersha AG. Beliefs and risk awareness on medications among pregnant women attending the antenatal care unit in Ethiopia university hospital overestimating the risks is another dread. Front Public Health. 2020;8:28. https://doi.org/10.3389/fpubh.2020.00028 PMid:32195214 DOI: https://doi.org/10.3389/fpubh.2020.00028

Wijaya-Erhardt M, Muslimatun S, Erhardt JG. Effect of an educational intervention related to health and nutrition on pregnant women in the villages of Central Java Province, Indonesia. Health Educ J. 2014;73(4):370-81. https://doi.org/10.1177%2F0017896913485741 DOI: https://doi.org/10.1177/0017896913485741

Bolin RC. Mobile Health Technology and Health Behavior : A Look into the Workplace Setting. University of Kentucky; 2013.

Kreps GL, Neuhauser L. New directions in eHealth communication: Opportunities and challenges. Patient Educ Couns. 2010;78(3):329-36. https://doi.org/10.1016/j.pec.2010.01.013 PMid:20202779 DOI: https://doi.org/10.1016/j.pec.2010.01.013

Macdonald ME, Diallo GS. Socio-cultural contextual factors that contribute to the uptake of a mobile health intervention to enhance maternal health care in rural Senegal. Reprod Health. 2019;16(1):141. https://doi.org/10.1186/s12978-019-0800-z PMid:31511028 DOI: https://doi.org/10.1186/s12978-019-0800-z

Sutherland T, Choi D, Yu C. Brought to life through imagery’ animated graphic novels to promote empathic, patient-centred care in postgraduate medical learners. BMC Med Educ. 2021;21(1):66. https://doi.org/10.1186/s12909-021-02491-4 PMid:33478483 DOI: https://doi.org/10.1186/s12909-021-02491-4

Eyanoer PC, Zaluchu F. COVID-19 and the fourth burden of women in developing countries: A mini review. Open Access Maced J Med Sci. 2020;8:476-9. https://doi.org/10.3889/oamjms.2020.5470 DOI: https://doi.org/10.3889/oamjms.2020.5470

Sarumpaet S, Zaluchu F, Eyanoer PC, Simanjuntak NH. Fighting against COVID-19 and fighting against stigma. Open Access Maced J Med Sci. 2020;8(T1):522-5. DOI: https://doi.org/10.3889/oamjms.2020.5490

Zaluchu F. Metodologi Penelitian Kesehatan. Bandung: Cipta Pustaka Media; 2006.

PAHO. 71st World Health Assembly Wraps up with Adoption of Resolutions on Wide-Ranging Topics; 2018. Available from: https://www3.paho.org/hq/index.php?option=com_content&view=article&id=14391:71st-world-health-assembly-wraps-up-with-adoption-of-resolutions-on-wide-ranging-topics&Itemid=1926&lang=en [Last accessed 2021 Oct 16].

Palmer MJ, Henschke N, Bergman H, Villanueva G, Maayan N, Tamrat T, et al. Targeted client communication via mobile devices for improving maternal, neonatal, and child health. Cochrane Database Syst Rev. 2020;8:CD013679. https://doi.org/10.1002/14651858.CD013679 PMid:32813276 DOI: https://doi.org/10.1002/14651858.CD013679

Ciapponi A, Lewin S, Herrera CA, Opiyo N, Pantoja T, Paulsen E, et al. Delivery arrangements for health systems in low-income countries: An overview of systematic reviews. Cochrane Database Syst Rev. 2017;9(9):CD011083. https://doi.org/10.1002/14651858.CD011083 PMid:28901005 DOI: https://doi.org/10.1002/14651858.CD011084.pub2

Bianchi CM, Huneau J, Le Goff G, Verger EO, Mariotti F, Gurviez P. Concerns, attitudes, beliefs and information seeking practices with respect to nutrition-related issues: A qualitative study in French pregnant women. BMC Pregnancy Childbirth. 2016;16(1):306. https://doi.org/10.1186/s12884-016-1078-6 PMid:27729021 DOI: https://doi.org/10.1186/s12884-016-1078-6

Kim SS, Nguyen PH, Yohannes Y, Abebe Y, Tharaney M, Drummond E, et al. Behavior change interventions delivered through interpersonal communication, agricultural activities, community mobilization, and mass media increase complementary feeding practices and reduce child stunting in Ethiopia. J Nutr. 2019;149(8):1470-81. https://doi.org/10.1093/jn/nxz087 PMid:31165869 DOI: https://doi.org/10.1093/jn/nxz087

Kim SS, Rawat R, Mwangi EM, Tesfaye R, Abebe Y, Baker J, et al. Exposure to large-scale social and behavior change communication interventions is associated with improvements in infant and young child feeding practices in Ethiopia. PLoS One. 2016;11(10):e0164800. https://doi.org/10.1371/journal.pone.0164800 PMid:27755586 DOI: https://doi.org/10.1371/journal.pone.0164800

Agus Y, Horiuchi S, Porter SE. Rural Indonesia women’s traditional beliefs about antenatal care. BMC Res Notes. 2012;5(1):589. https://doi.org/10.1186/1756-0500-5-589 PMid:23106915 DOI: https://doi.org/10.1186/1756-0500-5-589

Agus Y, Horiuchi S. Factors influencing the use of antenatal care in rural West Sumatra, Indonesia. BMC Pediatr. 2012;12:9. https://doi.org/1471-2393/12/9 PMid:22353252 DOI: https://doi.org/10.1186/1471-2393-12-9

Wulandari LP, Whelan AK. Beliefs, attitudes and behaviours of pregnant women in Bali. Midwifery. 2011;27(6):867-71. https://doi.org/10.1016/j.midw.2010.09.005 PMid:21131110 DOI: https://doi.org/10.1016/j.midw.2010.09.005

Downe S, Finlayson K, Tunçalp O, Am G. Provision and uptake of routine antenatal services: A qualitative evidence synthesis. Cochrane Database Syst Rev Provis. 2019;6:CD012392. https://doi.org/10.1002/14651858.CD012392.pub2 PMid:31194903 DOI: https://doi.org/10.1002/14651858.CD012392.pub2

Shimazaki T, Matsushita M, Iio M, Takenaka K. Use of health promotion manga to encourage physical activity and healthy eating in Japanese patients with metabolic syndrome: A case study. Arch Public Health. 2018;76:26. https://doi.org/10.1186/s13690-018-0273-5 DOI: https://doi.org/10.1186/s13690-018-0273-5

Kilanowski JF. Agricultural safety comic book for latinx migrant families: Development and evaluation. J Pediatr Health Care. 2020;34(3):230-8. https://doi.org/10.1016/j.pedhc.2019.11.003 PMid:31983514 DOI: https://doi.org/10.1016/j.pedhc.2019.11.003

Cedri S, Briguglio E, Cedri C, Masellis A, Crenca A, Pitidis A, et al. Development of an effective communication strategy for the prevention of burns in children: The PRIUS project. Ann Burns Fire Disasters. 2015;28(2):88-93. PMid:27252606

King AJ. Using comics to communicate about health: An introduction to the symposium on visual narratives and graphic medicine. Health Commun. 2017;32(5):523-4. https://doi.org/10.1080/10410236.2016.1211063 DOI: https://doi.org/10.1080/10410236.2016.1211063

Alemany-Pagès M, Azul AM, Ramalho-Santos J. The use of comics to promote health awareness: A template using nonalcoholic fatty liver disease. Eur J Clin Invest. 2021;2021:13642. https://doi.org/10.1111/eci.13642 DOI: https://doi.org/10.1111/eci.13642

Whiting J. Comics as reflection: In opposition to formulaic recipes for reflective processes. Perm J. 2020;19:134. https://doi.org/10.7812/TPP/19.134 DOI: https://doi.org/10.7812/TPP/19.134

Kamau M, Mirie W, Kimani S, Mugoya I. Effect of community based health education on knowledge and attitude towards iron and folic acid supplementation among pregnant women in Kiambu County, Kenya: A quasi experimental study. PLoS One. 2019;14(11):e0224361. https://doi.org/10.1371/journal.pone.0224361 PMid:31765422 DOI: https://doi.org/10.1371/journal.pone.0224361

Nair N, Tripathy P, Costello A, Prost A. Mobilizing women’s groups for improved maternal and newborn health: Evidence for impact, and challenges for sustainability and scale up. Int J Gynaecol Obstet. 2012;119(Suppl):S22-5. https://doi.org/10.1016/j.ijgo.2012.03.014 PMid:22883914 DOI: https://doi.org/10.1016/j.ijgo.2012.03.014

Prost A, Colbourn T, Seward N, Azad K, Coomarasamy A, Copas A, et al. Women’s groups practising participatory learning and action to improve maternal and newborn health in low-resource settings: A systematic review and meta-analysis. Lancet. 2013;381(9879):1736-46. https://doi.org/10.1016/ S0140-6736(13)60685-6 PMid:23683640 DOI: https://doi.org/10.1016/S0140-6736(13)60685-6

Sado L, Spaho A, Hotchkiss DR. The influence of women’s empowerment on maternal health care utilization: Evidence from Albania. Soc Sci Med. 2014;114:169-77. https://doi.org/10.1016/j.socscimed.2014.05.047 PMid:24929918 DOI: https://doi.org/10.1016/j.socscimed.2014.05.047

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Published

2022-01-20

How to Cite

1.
Manurung HR, Santoso H, Rochadi K, Juanita J. Intervention Effects in Using an Application Compared with a Module with Pictures on Knowledge, Attitude, and Practice of the Pregnant Women in North Sumatra, Indonesia. Open Access Maced J Med Sci [Internet]. 2022 Jan. 20 [cited 2024 Apr. 24];10(E):121-5. Available from: https://oamjms.eu/index.php/mjms/article/view/8125

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