Abstract
Reproductive health in Indonesia is still very poor, as evidenced by the still high maternal mortality rate (MMR). MMR decline was slow, as well as in the province of Central Java. The highest is in Brebes Regency which has as many as 53 cases of maternal decease. One of the causes of high MMR is the lack of reproductive health sensitivity of bride and groom candidates. The purpose of this research is to analyze the influence of counseling on bride and groom candidates knowledge and attitude related to reproductive health. This research is a quasi experimental research with pre and post test without control group design. The population was bride and groom candidates listed in KUA of Brebes Regency in July and August of 2017, with a sample of 100 pairs selected according to the inclusion criteria. The interventions in the form of a one-day course by KUA officers on reproductive health with Bride and Groom Candidates Reproductive Healt booklet and flipcharts as the tools. The data of knowledge and attitude are obtained by interviewing the bride and groom candidates. Analysis is conducted with Wilcoxon Match Paired Test. The results showed that there is a difference of bride and groom candidates knowledge and attitude before and after intervention (p <0,05), with mean value increased 2.58 points (knowledge) and 3,21 points (attitude). Recommended advised are the pre-marital program socialized by KUA officers is expanded and multiplication of the booklet as a tool for the officers in pre-marital courses implementation.
Highlights
Reproductive health in Indonesia is still an apprehensive matter
2015 Central Java health profile indicated that case of deceased mother was 619 cases with maternal mortality rate (MMR) 111.16, while highest number in Central Java is on Brebes Regency with 53 cases of deceased mother (Kementerian Kesehatan RI, 2017)
Based on the age group, the highest incidence of maternal deaths was in the age of 20-34 years 68.50 percent, in the age group over 35 years 26.17 percent and in the age group less than 20 years 5.33 percent (Kementerian Kesehatan RI, 2017)
Summary
Reproductive health in Indonesia is still an apprehensive matter. Based on the 2007 IDHS survey (1994-2007), the MMR is still at 228 per 100,000 live births and in 2012 at 359 per 100,000 live births, whereas the 2015 MDG target is to reduce MMR to 102 per 100,000 live births and the target seems to fail to meet.
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