Implementation of the Combination of Lactation Management and Kangaroo Mother Care (KMC) Training for Village Midwives in the Sawit and Ngemplak Sub-districts, Boyolali, Indonesia
Abstract
The incidence of low birth weight (LBW) in the Boyolali region of Indonesia in 2013 was 15.3 per 1000 live births, while the exclusive breastfeeding coverage was only 51.3%. To resolve these problems, capacity building among midwives, through a combination of lactation management and kangaroo mother care (KMC) training, was
required. The purpose of this study was to describe village midwives’ experiences one month after attending the above training. This study used a quasi-experimental design with a rapid assessment procedure (RAP). Data collection was done through in-depth interviews. The informants of this study were four village midwives and
pregnant and lactating women (one each). The results showed that, after one month of training, the informants had some competence in both lactation management and KMC skills. However, some informants reported some difficulties in counseling regarding breastfeeding problems. This was primarily caused by the fact that the
participants did not have in-depth knowledge related to breastfeeding counseling. Breastfeeding counseling materials were not included in the above training curriculum; therefore, it is suggested that these be included in future lactation management and KMC training programs.
References
[1] BKKBN, BPS, and Ministry of Health (National Family Planning Coordinating Board, Central Bureau of Statistics and the Ministry of Health). 2012. Indonesia Demographic and Health Survey 2012. Jakarta: Central Bureau of Statistics.
[2] Dinas Kesehatan Provinsi Jawa Tengah (Provincial Health Office of Central Java). 2013. Profil Kesehatan Provinsi Jawa Tengah tahun 2013 (Health Profile of Central Java Province 2013). Semarang: Dinas Kesehatan Provinsi Jawa Tengah (Provincial Health Office of Central Java).
[3] Djaja, S. 2003. Cause of Neonatal Mortality and Related Health Care Systems in Indonesia, Health Household Survey 2001,” Health Researcher Bulletin 331, no. 3: 155– 165.
[4] Horwood, C., A. Voce, K. Vermaak, N. Rollins, and S. Qazi. 2009. Experiences of Training and Implementation of Integrated Management of Childhood Illness (IMCI) in South Africa: A Qualitative Evaluation of the IMCI Case Management Training Course, BMC Pediatrics 9 no, 62: 1–9.
[5] Ingram, J. 2006. Multiprofessional Training for Breastfeeding Management in Primary Care in the UK. International Breastfeeding Journal 1, no. 9: 1–7.
[6] Kirkpatrick, D. L. and J. D. Kirkpatrick. 2005. Evaluating Training Programs – The Four Levels. San Francisco: Berret-Koehler.
[7] Kusumaningsih, F. S. 2012. The Influence of Health Education Kangaroo Mother Care towards Skills and Mother Confidence for Giving Exclusive Breastfeeding in Low Birth Weight Babies. Master’s thesis, Indonesia University.
[8] Law, S. M., O. M. Dunn, L. M. Wallace, and S. A. Inch. 2007. Breastfeeding Best Star Study: Training Midwives in a ‘Hands Off’ Positioning and Attachment Intervention, Maternal and Child Nutrition 3 no. 3: 194–205.
[9] Moran, V. H., R. Bramwell, F. Dykes, and K. Dinwoodie. 2000. An Evaluation of Skills Acquisition on the WHO/UNICEF Breastfeeding Management Course Using the Pre-Validated Breastfeeding Support Skills Tool (BeSST), Midwifery Journal 16, no. 3:197–203.
[10] Notoatmodjo, S. 2012. Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.
[11] Raharjo, B. B. 2014. Mothers Profile and Midwives Role in Early Breastfeeding Initiation, Practical. Public Health Journal 10, no. 1: 53–63.
[12] Ranisatuhu, M. n.d. Influence of Communication Quality of Maternal Care Educator and Mother’s Education Level towards Exclusive Breastfeeding Knowledge Level. Skripsi. Faculty of Communication. Semarang: Diponegoro University.
[13] Tunggal, T. H. 2011. Duration of Kangaroo Method with Successful Breastfeeding in LBW. Doctoral thesis. Jogjakarta: Gadjah Mada University.