Effectiveness of the combination training of lactation management and Kangaroo Mother Care (KMC) to midwives in Boyolali

Abstract

Low Birth Weight (LBW) in Boyolali still be serious problem. In 2013 LBW incidence was reached 15.3 per 1000 live births, exclusive breastfeeding coverage was 51.3% still below national target 80%. Therefore, midwives roles required to resolve these problems. Midwives were necessary to improve their capacity through a combination of lactation management and KMC training. The purpose of this study was to evaluate effectiveness of the combination training of lactation management and Kangaroo Mother Care (KMC) to midwives in Boyolali. Design of this study used qualitative approach with quasi experiment design study one group pretest and post-test with time series measurement. This study used two data sources, primary data obtained in combination training and secondary data from PERINASIA (Data Perinasia in 2010-2014). Primary data collection used knowledge questionnaire at pretest, 1st post-test, and 2nd post-test which filled by respondents independently. While secondary data was obtained from Perinasia training's data, it was pretest and post-test value in lactation management and KMC training in period 2010 - 2014. Secondary data was selected based on suitability characteristics in training participants that was similarity of education, age and residence. Data analysis involved univariate and bivariate analysis. Bivariate analysis used paired t-test, independent t-test and correlation analysis, because all data ware normally distributed. The learning evaluation result showed that overall knowledge score of lactation management and KMC were increased. Comparative result of secondary data showed there were signicant difference in knowledge score between the combination training and the lactation management training only. Overall this training succefully increased knowledge and midwives skill releated of lactation management and KMC.