PENGARUH MODUL TERHADAP PENINGKATAN PENGETAHUAN, SIKAP DAN PRAKTEK KADER DALAM UPAYA PEMBERIAN ASI EKSKLUSIF

Abstract

ABSTRAK Rendahnya cakupan ASI eksklusif dipengaruhi oleh terbatasnya tenaga konselor ASI, belum maksimalnya kegiatan edukasi, sosialisasi dan belum optimalnya membina kelompok pendukung ASI. Kelompok pendukung ASI di masyarakat dapat melibatkan peran kader dengan cara menambah pengetahuan, sikap dan praktek kader. Penelitian bertujuan untuk menganalisis pengaruh modul terhadap peningkatan pengetahuan, sikap dan praktek kader dalam upaya pemberian ASI eksklusif. Desain quasi experimen dengan rancangan non randomized control group pre test-post test design. Sampel penelitian 60 kader (30 kelompok perlakuan dan 30 kontrol). Perilaku kader diukur 4 kali yaitu pada kondisi awal, setelah pelatihan, satu bulan, dan dua bulan setelah pelatihan. Dilakukan uji beda rata-rata. Kelompok perlakuan terjadi peningkatan skor pengetahuan 9,63 poin, post-test bulan pertama 8,94 poin dan post-test bulan kedua 1,55; sikap meningkat 6,35 poin, post tes bulan pertama 7,5 poin dan post-test bulan kedua tidak terjadi peningkatan; praktek meningkat 4,55 poin, post-test bulan pertama 11,8 poin dan post-test bulan kedua 0,39 poin. Kelompok kontrol terjadi peningkatan pengetahuan 3,25 poin, sikap meningkat 2,03 poin dan praktek meningkat 2 poin. Pelatihan dengan menggunakan modul dapat meningkatkan pengetahuan, sikap dan praktek kader dibandingkan kelompok kontrol. Kata kunci: modul pelatihan, pengetahuan, sikap dan praktek kader, ASI eksklusif ABSTRACT The low coverage of exclusive breastfeeding was influenced by shortage of breastfeeding counselor, limited educational and socialtization activities, and lack of involvement of breastfeeding support groups. Support groups in the community could involve health service provider participation in improving knowledge, attitude and their practice. The objective of this study was to analyze impact of the module toward the increase of knowledge, attitude and practice of health cadres to promote breastfeeding practices. The design of the study used a quasi experiment with the design of non-randomized control group pre test-post test design. The sample was 60 health cadres (30 as treatment group and 30 as control group). Cadres behavior was measured 4 times on the initial conditions, after training, one month, and two months after training.. The result showed that there was an increased of knowldge in treatment group by 9.63 points, the first month post-test by 8.94 points and at the second post-test by 1.55, the attitude score increased 6.35 points, the first month post-test by 7,5 points and at the second month test showed no improvement, the practice increased by 4.55 points, the first month post-test by 11.8 points and second month post-test by 0.39 points. In control group, there was an increased of knowledge by 3.25 points, for attitude increased by 2,03 points and practice increased by 2 point. Training using the module could improve knowledge, attitude and practice of health cadres compared to those in the control group.