The Effect of Health Promotion (With MCH Book) on Knowlegde, Attitude, Behavior of Utilizing MCH Books in Pregnant Women at UPTD Public Health Center of Pati Distric
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Heriani Retnoningsih, Ari Yuniastuti, Intan Zainafree

The Effect of Health Promotion (With MCH Book) on Knowlegde, Attitude, Behavior of Utilizing MCH Books in Pregnant Women at UPTD Public Health Center of Pati Distric

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Introduction

The effect of health promotion (with mch book) on knowlegde, attitude, behavior of utilizing mch books in pregnant women at uptd public health center of pati distric. Examines health promotion with MCH books for pregnant women in Pati, Indonesia. Reveals improved knowledge, attitude, and behavior, crucial for reducing maternal mortality.

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Abstract

Health level is a measure of a country’ welfare. The purpose of this study was to determine the impact of health promotion with maternal and child health (MCH) books on knowledge, attitudes and health behavior of pregnant women at the UPTD Health Center of Pati Regency because high maternal mortality rate (MMR) indicates that maternal health is still poor. The type of research is Quasy-Experiment (pre-experimental designs). The research design used Pretest-Posttest Control Group design. Sampling in this study was non-random sampling with purposive sampling type. Based on the population of pregnant women in 29 UPTD Health Centers in Pati regency, 2 Health Centers were determined to be objects of research, namely UPTD Kayen Health Center and UPTD Pati II Health Center. The results showed that frequency distribution of respondents’ answers in the control group or Pati II Health Center showed that the pretest and posttest values in responents did not increase in the value of the knowledge variable of pregnant women. Meanwhile, the frequency distribution of the respondents showed the pretest and posttest in the experimental group or Kayen health Center respondents, where there was an increase in the value of the variable of knowledge of pregnant women which was getting better. The results of the Wilcolzon Signed Rank Test in the control group showed that the sig pretest and posttest values of the behavioral variables in the control group were > 0.05 so it can be concluded that there was no change in the behavior or pregnant women in the control group. The results of the Wilcoxon signed rank test in the intervention group showed that the sig pretest and posttest values of the behavioral variables of pregnant women in the experimental group were <0,05 so it can be concluded that there was a change in the behavior of pregnant women in the intervention group.


Review

This study investigates the effectiveness of health promotion utilizing Maternal and Child Health (MCH) books in enhancing knowledge, attitude, and health behavior among pregnant women, with the overarching goal of addressing high maternal mortality rates. Employing a quasi-experimental pretest-posttest control group design, the research involved pregnant women from two distinct health centers in Pati Regency, one serving as the experimental group and the other as the control. The core finding indicates a significant improvement in both knowledge and health-related behaviors among pregnant women exposed to the MCH book intervention, a positive change not observed in the control group. This research offers valuable preliminary insights into the potential of MCH books as a practical and effective tool for health education in maternal care. While the study's pretest-posttest control group design is a robust quasi-experimental approach to evaluate interventions, certain aspects of the methodology and reporting warrant attention. The abstract confusingly categorizes the design as "Quasy-Experiment (pre-experimental designs)," which is a mischaracterization as a pretest-posttest control group design is a more advanced form of quasi-experiment, not typically grouped with pre-experimental designs. A significant limitation in the abstract is the complete absence of results pertaining to the "attitude" variable, despite it being a stated objective in the title and purpose. Furthermore, while improvements in knowledge and behavior are noted, the abstract lacks specific quantitative details, such as mean scores or effect sizes, which would provide a clearer understanding of the practical significance of the intervention. The use of non-random purposive sampling also restricts the generalizability of these findings beyond the specific health centers studied. Despite these limitations, the documented positive changes in knowledge and behavior within the intervention group underscore the promise of MCH books as a valuable health promotion strategy, particularly in regions striving to reduce maternal mortality. This intervention's potential to empower pregnant women with crucial information and encourage healthier practices is significant. For future research, it would be beneficial to provide comprehensive reporting for all stated outcome variables, including attitude, and to offer more detailed statistical information on the magnitude of changes observed. Employing probability sampling methods would enhance the external validity of the findings, allowing for broader application. Additionally, exploring the long-term impact of MCH book utilization on maternal and child health outcomes, and investigating facilitators and barriers to their effective use, could further strengthen the evidence base for this intervention.


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