Knowledge of Pregnancy and Its Danger Signs Not Improved by Maternal and Child Health Handbook

Abstract

Background High numbers of maternal mortality rate and child mortality rate continue to be the pressing issues in Indonesia. To tackle this problem, multiple approaches have been undertaken, particularly through distributing a Maternal and Child Health (MCH) handbook to every pregnant woman. However, despite the widespread usage of such handbook, its true efficacy in supporting safe motherhood by improving maternal knowledge on various stages of pregnancy and the associated obstetric danger signs is relatively unknown and remains to be established. Methods This is a primary cross-sectional study conducted at Majalengka General District Hospital on recently delivering postpartum women between August and September 2017. A total of 127 women were recruited and later divided into two separate groups according to their self-admission on the degree they had read the MCH handbook (C 50% and \ 50%) and administered a prevalidated questionnaire to assess their knowledge around pregnancy and its danger signs. Results We discovered that our population had high knowledge around pregnancy and its danger signs, and the MCH handbook did not hold a significant role in effecting this finding (p value 0.295). Furthermore, various

Determinants of knowledge of pregnancy danger signs in Indonesia

“…Meanwhile, another study in Indonesia about the effects of the Maternal and Child Health Handbook on improving knowledge of the pregnancy danger signs found contradictory results. It was concluded that the Maternal and Child Health Handbook could not improve knowledge of the pregnancy danger signs [31].…”

A systematic review of home-based records in maternal and child health for improving informational continuity, health outcomes, and perceived usefulness in low and middle-income countries

“…Two were randomised controlled trials [ 21 , 22 ]; three cluster randomised trials [ 23 – 25 ] and one reporting three year follow-up results of a cluster randomised trial [ 26 ]; eight pre-post studies [ 27 – 34 ]; 25 cross sectional studies [ 35 – 59 ]; two qualitative studies [ 60 , 61 ] and one mixed method study [ 62 ]. Sixteen countries; Bangladesh (n = 2) [ 28 , 59 ]; Brazil (n = 10) [ 45 , 49 , 50 , 53 – 57 , 60 , 61 ]; Burkina Faso(n = 1) [ 44 ]; Burundi (n = 1) [ 30 ]; Cambodia (n = 1) [ 31 ]; The Gambia (n = 1) [ 62 ];Indonesia (n = 7) [ 23 , 25 , 34 , 36 , 46 , 47 , 52 ]; Kenya (n = 3) [ 39 , 40 , 48 ]; Lebanon(n = 1) [ 43 ]; Malawi(n = 1) [ 58 ]; Mongolia(n = 3) [ 24 , 26 , 35 ]; Nigeria (n = 1) [ 51 ];Pakistan(n = 2) [ 21 , 22 ]; Palestine(n = 2) [ 29 , 37 ]; South Africa (n = 4) [ 32 , 38 , 41 , ...…”

“…Ten studies [ 23 , 24 , 27 – 29 , 34 , 46 ] evaluated the use of HBR and its effects on knowledge, attitude, and practice outcomes. One study did not report any improvement in knowledge after the use of HBR [ 46 ]. Individual study results can be found in Table 5 .…”

“…However, the participants' representativeness of the target population could not be ascertained in five studies [28-30, 32, 33] due to inadequate descriptions of inclusion and exclusion criteria. Overall, twenty cross-sectional descriptive studies described the sampling strategy adequately [35-37, 39, 42-45, 48-59] and 13 studies described the measuring instruments [35][36][37][38][39][41][42][43][44][45][46][47][48]. However, the instrument validity and data relevant to assessing non-response bias were not well described in any included studies.…”

Determinant Factors for High-Risk Pregnancy among Minangkabau Ethnicity in Indonesia

“…The discovery of novel early detection of high-risk pregnancy can be one solution in answering several weaknesses of government programs, including the safe motherhood program where there are still several areas in Indonesia with difficult access to healthy childbirth, the causes can be in the form of geographic reasons and equal distribution of health workers [18], [19]. Apart from that, good and regular antenatal care services do not yet cover all areas of Indonesia in the overall geographic topography, even though one of the specific health problems of pregnant women is antenatal care through antenatal services.…”