<p>Having a Low Birth Weight (LBW) is one of the risk factors that may lead to stunting in children under five years old. An education program based on the Maternal and Child Health handbook (MCH) for the first 1000 days of a child’s life is one way to prevent the impact of stunting by improving the mothers’ knowledge and self-confidence to look after LBWB. The study is designed along the line of pre-post quasi-experimental research with a control group, involving 69 samples of mothers with LBWB that match the predetermined criteria. Twenty three of these mothers whose babies were cared for in the perinatology ward were provided with instructions from the MCH handbook, another group of 23 mothers received the same instructions with additional audiovisual media from a mobile application, and the remaining 23 mothers only received verbal instructions in the ward. The data were analyzed using the Paired t-test/Wilcoxon and Kruskall-Wallis tests. The analysis revealed that the MCH handbook based instruction provided a significant boost on the score of mother’s knowledge and confidence, before and after they have received the instructions, both in the group that received the MCH handbook based instruction (p<0.001) and the group that received their instructions from a mobile application (p<0.001). Additional instructions using audiovisual media from a mobile application also provided a significant boost to the knowledge score, and therefore the post-education score of the mothers in this group was higher than in the other two groups (p<0.001). Mother’s knowledge of the provision of care for LBWB can therefore be optimized through education, discussion, and the use of technology as an instructional medium to complement the use of the MCH handbook.</p>
The period of 1000 days of life plays an important role in determining the quality of children's growth and development. Accessibility of quality health services through the MCH handbook is an important strategy for improving maternal and child health. The purpose of this review is to present an overview of the use and usefulness of the possession of a specific MCH handbook on maternal, infant and child outcomes, as well as the potential for further research development. The method of systematic study and study search through the ProQuest, EBSCOhost, and Scopus databases, with the keywords maternal and child health handbook, home based record, mother, newborn, infant, and child, published from January 2008 to October 2018. Furthermore, filtering of articles and data abstraction. A total of 56 articles on the use of the MCH handbook that met the eligibility/inclusion criteria were screened, and 16 articles were selected for a systematic review. The variety of existing studies, has proven the benefits, functions, and effectiveness of the MCH handbook on the health of mothers, infants, and children. The categories of use and use of MCH handbook are integrated with home-based records, namely as an effective tool to facilitate improvement in health-seeking behavior; continuous care; health communication, information and education; as well as home based health records. In order to fill the gap, further research can be directed at evaluating especially premature babies/LBW as part of a population of newborns with high risk. The use of digital technology in improving the implementation of interventions and the accessibility of MCH handbook is also important to be developed.
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