INTERPERSONAL COMMUNICATION TRAINING FOR MIDWIVES AND NUTRITIONISTS IN EFFORTS TO SUPPORT ANTENATAL SERVICES IN BADUNG DISTRICT

##plugins.themes.bootstrap3.article.main##

I Putu Suiraoka
Anak Agung Ngurah Kusumajaya

Abstract

Background: Anemia of pregnant women is still a major problem related to health problems in the first thousand days of life. The importance of the prevention and prevention of anemia in pregnant women is supported by the many research results that show a significant relationship between the problems of nutritional anemia in pregnant women and health problems for the mother and fetus, including the risk of giving birth. The success of the implementation of IEC in antenatal care for pregnant women at the puskesmas is related to the ability of health workers, both midwives and nutritionists, to provide counseling on reproductive health and nutrition needed during pregnancy.


Objective: to determine the effectiveness of interpersonal communication training for midwives and nutritionists in supporting the provision of antenatal care for pregnant women at the Badung District Health Center.


Methods: This study was an experimental study with a randomized pretest and posttest control group design. The research was conducted at the Badung District Health Center. The population in this study were midwives and nutritionists who served at the Puskesmas and performed antenatal services. The minimum sample size is 40 people for each group. Sampling is done by Multistage Sampling. Data was collected by interview method using a questionnaire. The data that has been obtained is then processed and analyzed with a computer application program.


Result: The training conducted in the intervention group, can improve interpersonal communication skills for the empathy component and the equality component. The openness component, the support component, and the positive feeling component did not significantly change after training in the intervention group. Meanwhile, in the control group, all components were relatively unchanged at the final data collection (post test). The practice of providing information on iron deficiency anemia by midwives and nutritionists has been carried out by all respondents. The recommendation from the research is that interpersonal communication training can be replicated in other health centers to maximize the antenatal services provided to pregnant women.

References

1. WHO 2008, 'Worldwide Prevalence of Anemia 1993-2005: WHO Global Database on Anaemia', in Bd Benoist, E McLean, I Egli & M Cogswell (eds), Geneva: World Health Organization (Tersedia online: http://whqlibdoc.who.int/publications/2008/9789241596657_eng.pdf, 10 Oktober 2015).
2. Fatimah, S, Hadju, V, Bahar, B & Abdullah, Z 2011, 'Pola Konsumsi dan Kadar Hemoglobin pada Ibu Hamil di Kabupaten Maros, Sulawesi Selatan', Makara Journal of Health Research, vol. 15, no. 1
3. Kementerian Kesehatan RI. Direktorat Jenderal Bina Gizi dan Kesehatan Ibu dan Anak 2015, Pedoman Penatalaksanaan Pemberian Tablet Tambah Darah, Kementerian Kesehatan RI, Jakarta.
4. Suega, K, Dharmayuda, TG, Sutarga, IM & Bakta, IM 2002, 'Iron-deficiency anemia in pregnant women in Bali, Indonesia: a profile of risk factors and epidemiology', Southeast Asian J Trop Med Public Health, vol. 33, no. 3, pp. 604-7.
5. Dinas Kesehatan Propinsi Bali 2004, Profil Kesehatan Provinsi Bali Tahun 2003, Denpasar: Dinas Kesehatan Propinsi Bali.
6. Centers for Disease Control Prevention 1998, Recommendations to Prevent and Control Iron Deficiency in th United States, U.S. Department of Health and Human Services, Atlanta, Georgia.
7. Scholl, TO & Hediger, ML 1994, 'Anemia and iron-deficiency anemia: compilation of data on pregnancy outcome', Am J Clin Nutr, vol. 59, no. 2, pp. 492S-500S discussion S-1S.
8. Radlowski, EC & Johnson, RW 2013, 'Perinatal iron deficiency and neurocognitive development', Front Hum Neurosci, vol. 7, p. 585.
9. Menkes RI, 2010, Pedoman Pelayanan Antenatal Terpadu, Kementerian Kesehatan Direktur Jenderal Bina Kesehatan Masyarakat. Tersedia Online: http://www.kesehatanibu.depkes.go.id/wp-content/uploads/downloads/2013/12/Pedoman-ANC-Terpadu.pdf
10. Menkes RI 2007, Keputusan Menteri Kesehatan Republik Indonesia Nomor 374/MENKES/SK/III/2007 tentang Standar Profesi Gizi, Menteri Kesehatan Republik Indonesia, Jakarta.
11. McMullan, A, Parush, A & Momtahan, K 2014, 'Transferring Patient Care: Patterns of Synchronous Bidisciplinary Communication Between Physicians and Nurses During Handoffs in a Critical Care Unit', Journal of PeriAnesthesia Nursing, vol. 30, no. 2, pp. 1-13.
12. Hutagaol, EE & Agustin, H 2012, 'Komunikasi Interpersonal Petugas Kesehatan dalam Kegiatan Posyandu di Wilayah Kerja Puskesmas Muara Siberut Kabupaten Mentawai', Jurnal Kesehatan Masyarakat, vol. 6, no. 2, pp. 104-12.
13. DeVito, JA 2013, The Interpersonal Communication Book, Pearson Education, Inc., New Jersey.