JOURNAL MIDWIFERY (JM)
Jurnal Jurusan Kebidanan.
Poltekkes Kemenkes Gorontalo P-ISSN .
E-ISSN .
8-523X)
http://jurnal.
id/index.
php/JM/index DOI: http://dx.
org/10.
52365/jm.
Contraceptive 3 Month Injection Booklet to Increase Knowledge and Attitude of The Acceptor Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
Heni Suryani4 Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur.
Indonesia.
Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur.
Indonesia.
Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur.
Indonesia.
Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur.
Indonesia Email: rosalinariefah@poltekkes-kaltim.
id1, rahmangajali0712@gmail.
lidialushinta@poltekkes-kaltim.
id3, henisuryani@poltekkes-kaltim.
ABSTRACT
Contaceptive 3-month Injection Booklet is a type of printed media in book form to help health workers convey health messages.
This research aims to determine the effect of using booklets on the knowledge and attitudes of 3-month contraceptive injection acceptors at Clinic.
Samarinda.
This research uses a quantitative type of research with a Quasi-Experimental research design (One Group Pre-post test desig.
The clarity was carried out in April-May 2024, with a population of 19 3-month contraceptive injection acceptors who visited the clinic.
The sampling technique used accidental sampling due to the short research period and limited injectable contraceptive acceptors.
data was obtained through pre-test and post-test questionnaires.
The results of the analysis obtained a sig value 002, where the p value is 0.
05, which means that there is an influence of the use of booklets on the knowledge of 3-month contraceptive injection acceptors.
It is determined that there is no impact of utilizing the booklet on the knowledge of 3-month injectable birth control acceptors since the sig value of 0.
083 is more than >0.
05 in contrast to the attitude value.
The use of 3-month injectable contraceptive booklets is effective as a counseling tool to increase acceptor knowledge.
Keywords: Booklet.
Knowledge.
Attitude.
Contaceptive, 3-month Injection A2024 Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
Heni Suryani4 Under the licence CC BY-SA 4.
*Rosalin Ariefah Putri.
Politeknik Kesehatan Kementerian Kesehatan Kalimantan Timur.
Indonesia, and Email Corresponding rosalinariefah@poltekkes-kaltim.
Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
Heni Suryani4/ Journal Midwifery Vol.
No.
2, 2024
INTRODUCTION
Indonesia's family planning participants is 48,302 increased from time to time.
To control the Based (Munawarah.
Republic of Indonesia launched the Family Planning (KB) Program.
According to the contraceptive injections is still relatively World Health Organization (WHO, 2.
Family Planning can enable couples of attitudes towards health behavior.
childbearing age (PUS) to anticipate birth.
Knowledge is a continuation of the results regulate the desired number of children, of a person's "knowing" after carrying out and regulate the spacing and timing of certain sensing of an object.
Knowledge can be carried out using the 6 human This can be achieved through the use of senses, namely through the sense of sight, the sense of hearing, the sense of taste, the So, family planning is an effort sense of smell and the sense of touch.
The to space out or plan the number and knowledge that each person has is spacing of pregnancies using contraception different because the sensing of each with the aim of creating a small, happy, object is different (Notoatmodjo, 2.
and prosperous family.
Health workers have a role to improve the According to the Indonesian Ministry of knowledge and attitudes of acceptors in Health .
, in Indonesia, the most using injectable contraceptives, several widely used contraceptive method is injectable birth control, namely .
71%),
counseling and counseling.
In providing the pill is the second most used .
24%),
counseling and counseling, of course, and the IUD is one of the long-term requires media or tools that can be used to contraceptive methods, which is in third convey messages.
One of them is printed place, namely 7.
(Munawarah et al.
media in the form of booklets.
The According to the .
rofil kesehatan kaltim, methods and media or tools can be used to 2.
the number of active family achieve success in health promotion.
One
269,987
of the most effective print media for health Meanwhile, for the city of promotion is booklets.
Booklets are a Samarinda itself, the number of active medium for conveying health messages in This 3-month the form of writing and images.
Booklets Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
Heni Suryani4/ Journal Midwifery Vol.
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as channels, tools, facilities and supporting injection acceptors at the Enug Clinic, resources for conveying messages must Samarinda City.
adapt to the content of the material to be conveyed (Puspitasari, 2.
METHOD The presentation of the booklet using This research uses a quantitative type of pictures and colors provides an attractive Booklets are almost similar to research design .
ne group pre-post test books which are made in various forms of The samples used in this study attractive designs with information content presented briefly and clearly (Pralisaputri planning acceptors who met the inclusion et al.
, 2.
(Saputri et al.
, 2.
criteria, including women of childbearing Preliminary 3-month quasi-experimental age who are married and use injectable researchers show that at the Enug Clinic The sample used was 19 itself, apart from inaccurate repeat visits made by acceptors, insufficient knowledge This research design used one previously, a pre-test was carried advantages and disadvantages, and how out to measure the knowledge and 3-month 3-month acceptor behavior regarding motivation to injection acceptors, then intervention was use 3-month injection contraception.
given through booklet media to 3-month contraceptive injectable acceptors at the Based Enug Clinic.
Samarinda City, and then a researchers are interested in examining the post-test was carried out.
The data analysis effect of using booklets on the knowledge used is the Wilcoxon test.
and attitudes of 3-month contraceptive RESULTS AND DISCUSSION Results The results of this research are presented in the following table form :
Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
Heni Suryani4/ Journal Midwifery Vol.
No.
2, 2024
Table 1.
Characteristics of Respondents Based on Age.
Education.
Occupation and Parity Frequency Percentage Category (F) (%) Age
<20 Years 5,3% Education Jobs Parity 20-35 Years >35 Years elementary school
36,8%
57,9%
5,3%
Junior high school
Senior High School
Works Doesn't work
Primipara
Multipara
Grande multipara
21,1%
68,4%
5,3%
21,1%
78,9%
15,8%
78,9%
5,3%
Total Based on Table 1, it can be seen that the all respondents was not working, 15 majority of respondents were over 35 people .
9%), and parity for almost all years old, namely 11 people .
9%), most multiparous respondents was 15 people of them had high school education, 13 .
9%).
4%), the occupation of almost Table 2.
Frequency Distribution of Knowledge Results of Birth Control Injection Acceptors 3 Months Before and After Being Given Exposure to Booklet Media Pre-Test
Post- Test
Knowledge Good
84,2%
Enough 15,8% not enough Total Based on Table 2, it shows that the Meanwhile, there was an increase in the exposed to family planning using booklet media in the good category, namely 16 .
2%).
2%).
3-month 3-month Tabel 3.
Frequency Distribution of The Attitude Results of KB Injection Acceptors 3 Months Before and After Being Given Exposure to Booklet Media Pre-Test Post-Test Attitude Positif Negatif Total Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
Heni Suryani4/ Journal Midwifery Vol.
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Based on Table 3, it shows that there is a generally speaking, the more educated a difference before and after being given person is, the easier it is for him to absorb knowledge that influences his health injections using booklet media with the behavior (Munawarah, 2.
Meanwhile, pretest score before being given exposure regarding education, the majority of to positive attitudes, namely 84.
After respondents .
4%) were high school being exposed to booklet media, the graduates, respondents' knowledge can be respondent's positive attitude increased by influenced by education.
Education is needed to obtain information, for example So it can be concluded that there is an things that support health so that it can influence of using the booklet on the improve the quality of life.
In general, the higher a person's education, the easier it is injection acceptors at Clinic.
Inversely to receive information, so that it influences proportional to the attitude value, the sig their health behavior.
(Munawarah, 2.
value was obtained, namely 0.
083, which Based was >0.
05, so that H0 was accepted, so it respondents, almost all mothers do not was concluded that there was no effect of work .
9%), type of work can reflect the using the booklet on the attitude of level of access to information and daily activities that can influence participation in 3-month 3-month 3-month family planning programs as well as the ability to obtain and process information Discussion According (Wulandari However, work does not influence demographics, the majority of them were the desire of family planning acceptors to between the ages of 31 and 40, and the use 3-month injectable family planning, majority of them .
4%) had completed this is because they are housewives or do high school.
Education might have an not work but have sufficient economic impact on the respondents' knowledge.
status and have a positive attitude in Education looking at the future.
health-related 3-month of life.
Age will influence a person's contraceptive injection was quite cheap and affordable for them, using it for quite a decision-making, information that can enhance one's quality Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
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long time, namely once every 3 months so booklets can increase knowledge with a p- that it did not disrupt the family's value of 0.
Apart from that, this is also Based on the research results, it in accordance with research conducted by shows that the majority of 3-month (Nurrasyidah et al.
, 2.
entitled The Effect of Applying the Visit Booklet to 3- sufficient knowledge before being given Month exposure to family planning using booklet Knowledge.
Attitudes and Timeliness of .
2%).
Return Visits, which shows that there was Meanwhile, there was an increase in the an increase in the average knowledge in the treatment group by 33%.
and 25% in the control group.
(Cucu Supriatin et al.
3-month Injection Acceptors exposed to family planning using booklet Ratnaningsih & Galaupa, 2.
media in the good category, namely 16 Health education media is one of the people .
2%) The fact that booklet means that can be used to convey health media has experienced a greater increase information so that it can increase knowledge which can ultimately change statement that booklets have several behavior in a positive direction.
According advantages, including that they can be to Notoatmodjo .
knowledge is used by everyone, are easy to carry influenced by experience, socio-economic everywhere, can be used at any time, and environment, education, exposure to mass are not easily damaged.
(Munawarah, media or information.
(Munawarah, 2.
This increase in value is supported Health by (Notoatmodjo, 2.
who states that classified as health education based on knowledge is the result of knowing and occurs after people sense a particular because the instructor does not deal object and includes the main aim of health directly with the respondent, but through education, namely changing or increasing booklet media and is classified as health knowledge, where knowledge is a very education based on the sense of sight.
The important domain for the formation of a results of previous studies show the person's actions.
(Irawati et al.
, 2.
average value of maternal knowledge These results are in accordance with research conducted by Arista Apriani and injectable birth control before being given Mei Lina .
in Munawarah .
intervention with booklet media is 66.
which states that health education using then after being given intervention with 3-month Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
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booklet media 80.
The data results KB Injection Booklets, however This increased by 13.
87 with a standard change is not significant where the V- deviation before being given the booklet Palue result is 0.
083 which is > 0.
891 and after being given the According to Wawan and Dewi .
, intervention to 2.
(Anwar et al.
, 2.
attitude is a general evaluation that This is in accordance with Edgar Dale's humans make of themselves, other people, theory of the cone of experience which objects or issues.
This can happen because states that booklets are in the read and in theory it is often stated that attitude is a view images class, while lectures are in the determinant .
that gives rise hear class.
Respondents can remember to behavior that is in accordance with the 10% of what they read and can remember Attitudes grow, starting from 30% of what they see, whereas in the knowledge that is perceived as something good or bad, then internalized within remember 20% of what they hear.
oneself (Munawarah, 2.
This research (Munawarah, 2.
is in line with Lawrence Green's theory.
According to researchers' assumptions, namely that attitude is one of the health education media is very important predisposing factors that can influence because it is a means that can be used to convey health information so that it can (Nurrasyidah et al.
, 2.
increase knowledge and ultimately change According to Brunner, basically each attitudes in a positive direction.
individual's knowledge varies and will The effect of using the booklet before and after exposure on the attitudes of Newly obtained information acceptors of 3-month contraceptive information or as a complement to Enug Clinic.
Samarinda City previous information (Munawarah, 2.
Based on the research results, it shows that One strategy to convey information more there is a difference before and after being efficiently in increasing working memory given exposure to 3-month contraceptive capacity is repetition.
Repetition is the injections using Booklet media, namely that the positive attitude is 84.
2% before working memory repeatedly.
Repetition being given exposure using the 3-month plays an important role in learning.
The injectable KB Booklet and becomes 100% longer information remains in working after being given exposure using 3-month memory, the greater the likelihood that the Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
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information will be transferred to long- The results of the research show that there is an influence of the use of booklets on information can be stored in the listener's the knowledge of 3-month injection memory for a long time if it is repeated contraceptive acceptors.
This can be seen many times (Pralisaputri et al.
, 2.
from the research results before the This is in line with research conducted by intervention was carried out, the majority (Nurrasyidah et al.
, 2.
in his research of respondents had poor knowledge and on the comparison of acceptor attitude after the intervention using the booklet the scores, there was no significant difference respondents' knowledge increased to good.
where the p value was> 0.
05, this shows Initially, the respondents' knowledge was that the attitude of acceptors of 3-month contraception injections between the visit booklet and the Those who did not receive contraceptive injection acceptors, had a visit booklet were no different, however, never received information about marriage in the research, this visit booklet was able to increase the percentage of return visits counseling using the booklet, there was a very good increase seen from the increase 3-month Experts 3-month acceptors in carrying out repeat visits.
in knowledge from poor to sufficient and Researchers good, this shows that the booklet had an information can be more efficient in effect regarding knowledge of 3-month contraceptive injections, based on research Repetition experienced a change in knowledge.
working memory.
In addition, a person's Inversely proportional to the attitude attitude can be influenced by internal or value, the sig value was obtained, namely 1,000, greater than >0.
05, so H0 was personal or individual while external accepted, so it was concluded that there was no effect of using booklets on the environment, experience, social media knowledge of contraceptive acceptors.
(Aswanto.
et al.
, 2.
injection 3 months The effect of using the booklet on the The work environment can also provide knowledge and attitudes of 3-month knowledge or experience to a person, family planning injection acceptors at either directly or indirectly, which will the Enug Clinic.
Samarinda City also influence a person's process of Internal Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
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receiving knowledge so that it also has an menstrual cycle are the most commonly impact on behavior.
(Mubarak, 2.
experienced side effects, so acceptors who Apart from that, interactions with people have used it for more than 2 years have more positive behavior in dealing with influence the behavior of acceptors who these side effects due to long-standing 3-month (Kadir, 2.
Acceptors with housewife This research shows that efforts to realize status rarely do sports so there is a the handling of side effects of injectable possibility of a lack of physical activity contraceptives in injectable contraceptive because there is relatively little activity at acceptors require good participation from Some housewives help those who do their understanding regarding the explanation of needs, so the activities they do tend not to side effects by health workers can also expend much energy and the nutritional influence the behavior of mothers who intake that is put into the body is not balanced with the energy that is released contraceptive injections.
Apart from that, through physical activity or that is released the lack of activity or self-desire to seek through sweat or burning fat.
Thus, information such as reading newspapers, housewives should also need to exercise to maintain their health and maintain the especially about health, means that there weight of those who gain weight.
are still many mothers who use 3-month In terms of family income, it is one of the injectable birth control who have a factors that influences acceptance and negative attitude towards the side effects decision making regarding the health they experience.
(Rachmayani.
Good participation from local health The acceptor's low income will workers is carried out through promotive make it difficult to make decisions in activities, namely through counseling, dealing with the side effects experienced, counseling classes for mothers and couples such as seeking symptomatic treatment of childbearing age in health services.
ymptom relie.
for nausea or dizziness, preventive activities, the side effects of 3- and health maintenance in the form of month contraceptive injections can be meeting the dietary needs of the acceptor overcome by taking action according to with the side effect of increasing body the complaint felt.
In preventive activities.
With long-term use, changes in the the side effects of injectable birth control Lack 3-month television/news.
Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
Heni Suryani4/ Journal Midwifery Vol.
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Researchers assume that the use of the according to the complaint felt.
Booklet will increase the knowledge of If the patient experiences nausea and injectable contraceptive acceptors about vomiting, inform them that this is normal various aspects of contraception, including and will disappear in the near future.
how it works, side effects and benefits.
amenorrhoea occurs, stop the injection.
The booklet is designed to provide and explain that the hormones progestin comprehensive and easy to understand and estrogen have very little effect on the By increasing knowledge, it Curative action can be taken by is hoped that acceptors can make more administering Fe tablets to acceptors who informed decisions about choosing a experience blood contraceptive method that suits their needs as well as administering mefenamic acid for pain and preferences (Noftalina et al.
, 2.
Curative action can be carried out Researchers assume that there is no by local health workers, namely by giving significant change in the attitude of birth control pills to acceptors who injectable contraceptive acceptors after experience the side effects of amenorrhea using the Booklet to be more positive and spotting.
And rehabilitative actions towards the use of this contraception.
can be carried out by health workers to Because maintain or maintain the quality of health respondent's cognitive attitude, where services (Nurrasyidah et al.
, 2.
Azwar S .
in theory (Andini, 2.
Local health workers have a good role explains that the cognitive component is a because they are able to provide positive representation of what the individual believes, the cognitive component contains environment, this can be strengthened by the stereotyped beliefs that the individual the existence of supporting data such as has about something, especially regarding recording data, as well as changes that can issues or controversial issues.
be seen directly Quality health services However.
Azwar S also believes that there greatly influence people's health behavior, are several factors that influence a person's therefore the role of quality health workers in handling the side effects of 3-month personal experience and the influence of contraceptive injections can be measured and determined from the resolution of In the future, it is hoped that the complaints felt by acceptors (De Vatima information conveyed through the booklet Gudino et al.
, 2.
will influence the fear or uncertainty that Rosalin Ariefah Putri1.
Gazali Rahman2.
Lidia Lushinta3.
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acceptors may have regarding injectable by other factors including experience and external factors such as the environment.
This can influence their attitude to be more social media.
accepting and choose this method as a suitable choice.
Counseling that is given ACKNOWLEDGEMENT correctly and comprehensively to someone The author would like to thank all parties will have an impact on a positive attitude.
involved in this research process so that It can be seen from the theory that the this research was completed on time.
counseling process is basically a process
of changing individual behavior in the REFERENCE