Abstract
Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support.Methods: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents.Results: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00.Conclusion: This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively.
Highlights
Indonesia’s rate of MMR and IMR remains high among other ASEAN countries
This research employed participative approach and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model
The data collection technique used in this research were survey/observation, interview, FGD, in-depth interview for postpartum mothers and family (100 respondents), as well as healthcare extension agents
Summary
Penelitian ini diawali dengan tahap penggalian data faktual persepsi tentang adaptasi maternal fisiologis dan psikologis, perawatan diri dan perawatan bayi baru lahir (BBL) masa nifas dan status kesehatan pada ibu nifas dan keluarga. Pada tahap 3 dilakukan uji coba model secara komprehensif yang dilakukan dengan: a) melakukan pendidikan kesehatan tentang adaptasi maternal fisiologis dan psikologis, perawatan diri masa nifas, keluarga sebagai social support, perawatan bayi baru lahir, dan FGD tentang kesiapan penerimaan peran menjadi orangtua; b) melakukan koordinasi dengan institusi kesehatan terkait penyusunan kebijakan pelaksanaan edukasi postnatal bagi ibu nifas dan keluarga; dan c) melakukan pelatihan terhadap petugas kesehatan tentang strategi edukasi postnatal dengan pendekatan FCMC serta pelatihan tentang optimalisasi competent mothering ibu nifas. Pengolahan data yang diperoleh baik secara teoritis maupun lapangan dianalisis secara kuantitatif baik secara deskriptif maupun menggunakan uji dependent t-tes
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