Improving Knowledge, Attitude, and Perception towards Childhood Diarrhea Using Interactive Discussion in Kulon Progo Community

https://doi.org/10.22146/jpkm.62861

Jarir At Thobari(1*), Wahyu Damayanti(2), Asal Wahyuni Erlin Mulyadi(3), Jonathan Hasian Haposan(4), Annisa Setiyaningrum(5), Shofya Indraguna(6), Sutarman S(7), Nailatul Arifah(8), Anggit Dewi Rahayu(9), Faridatun Khasanah(10), Al Razi Sena(11), Yati Soenaro(12)

(1) Center for Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia. Department of Pharmacology and Therapy, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia. Clinical Epidemiology and Biostatistics Unit, Faculty of Medicine, Public Health and Nursing / Dr. Sardjito General Hospital, Universitas Gadjah Mada.
(2) Center for Child Health, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada. Department of Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada / Dr. Sardjito General Hospital, Yogyakarta, Indonesia.
(3) Center for Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
(4) Center for Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(5) Center for Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(6) Center for Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(7) Center for Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(8) Center for Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(9) Center for Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
(10) Clinical Epidemiology and Biostatistics Unit, Faculty of Medicine, Public Health and Nursing / Dr. Sardjito General Hospital, Universitas Gadjah Mada
(11) Clinical Epidemiology and Biostatistics Unit, Faculty of Medicine, Public Health and Nursing / Dr. Sardjito General Hospital, Universitas Gadjah Mada
(12) Center for Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia. Department of Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada / Dr. Sardjito General Hospital, Yogyakarta, Indonesia.
(*) Corresponding Author

Abstract


Introduction: Diarrhea is still a leading cause of death in the world in children, especially in children under 5 years. Diarrhea is a contagious disease with relatively high morbidity and mortality rates. Rotavirus is a cause of diarrhea in children and is a very important public health problem in both developed and developing countries. Parents' knowledge is one of the causes of diarrhea due to parents' ignorance of the causes of diarrhea, how diarrhea is transmitted and how to prevent diarrhea.

Methods: This explanatory mixed qantitative-qualitative method with a quasi experimental design study to determine the effect of interactive discussion on changes in knowledge, attitudes, and perceptions towards the prevention and management of childhood diarrhea among mothers and children living in the area of The Ash-Shiddiqiyah Orphanage located in Central Sremo, Hargowilis, Kokap, Kulon Progo Regency, Yogyakarta.

Results: The activities were conducted on November 29th, 2020 with 67 participants consisting of 54 children and 13 mothers from the area. The questionnaire results showed that the posttest scores in all sections (knowledge, attitudes, and perceptions) were significantly higher compared to the the pretest scores. There were increment of 1.33 points in knowledge (p<0.001), 0.5 points in attitudes (p<0.001),  0.4 points in perception (p<0.05), and 0.76 points in overall scores (p<0.001). Interviewees agreed that the intervention has been properly conducted with clear delivery, easy to understand for both adults and children, and ability to two-way communication. Technology utilization might help the understanding of the audience. Besides, a small group discussion in the session may benefit the participants to ask more confidently compared to asking in the middle of large group due to shame.

Conclusion: Interactive discussion could be used to improve knowledge, atittude and perception towards childhood diarrhea. The delivery of interactive discussion using simple language for targetted population, adoption of small group discussion and technology utilization might help the effectiveness of the intervention. Further study is needed to identify effective ways to promote the childhood diarrhea management and prevention in community.


Keywords


Child; Diarrhea; Interactive Discussion; Knowledge Attitude Perception; Community Service

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References

Adane, M., Mengistie, B., Kloos, H., Medhin, G., & Mulat, W. (2017). Pone.0182783.Pdf. 1–18.

Al-Gallas, N., Bahri, O., Bouratbeen, A., Haasen, A. Ben, & Aissa, R. Ben. (2007). Etiology of acute diarrhea in children and adults in Tunis, Tunisia, with emphasis on diarrheagenic Escherichia coli: prevalence, phenotyping, and molecular epidemiology. The American Journal of Tropical Medicine and Hygiene, 77(3), 571–582.

Ansari, M., Ibrahim, M. I. M., & Shankar, P. R. (2012). Mothers’ knowledge, attitude and practice regarding diarrhea and its management in morang nepal: an interventional study. Tropical Journal of Pharmaceutical Research, 11(5), 847–854.

Benjamin, S., Dhew, E., & Bloom, B. S. (1968). Learning for Mastery. Instruction and Curriculum. Regional Education Laboratory for the Carolinas and Virginia, Topical Papers and Reprints, Number 1. In Encyclopedia of the Sciences of Learning (Issue 2). https://doi.org/10.1007/978-1-4419-1428-6_4645

BPS Kulon Progo. (2020). Ringkasan Eksekutif Kondisi Kemiskinan Kabupaten Kulon Progo Tahun 2019.

Dennehy, P. H. (2008). Rotavirus vaccines: An overview. Clinical Microbiology Reviews, 21(1), 198–208. https://doi.org/10.1128/CMR.00029-07

Dinkes DIY. (2019). Profil Kesehatan DIY Tahun 2019.

Grimwood, K., & Lambert, S. B. (2009). Rotavirus vaccines: Opportunities and challenges. Human Vaccines, 5(2), 57–69. https://doi.org/10.4161/hv.5.2.6924

Harris, T. E., & Sherblom, J. C. (2018). Small group and team communication. Waveland Press.

Irwanto. (2000). Ilmu Penyakit Anak Diagnosis dan Penatalaksanaan. Salemba Medika.

Ju, Y. C., Antonopoulos, D. A., Kalra, A., Tonelli, A., Khalife, W. T., Schmidt, T. M., & Young, V. B. (2008). Decreased diversity of the fecal microbiome in recurrent Clostridium difficile-associated diarrhea. Journal of Infectious Diseases, 197(3), 435–438. https://doi.org/10.1086/525047

Kemenkes RI. (2020). Data dan Informasi kesehatan indonesia 2019. Profil Kesehatan Indonesia, 8(9), 1–213.

Kim, J. S., Kang, J. O., Cho, S. C., Jang, Y. T., Min, S. A., Park, T. H., Nyambat, B., Jo, D. S., Gentsch, J., Bresee, J. S., Mast, T. C., & Kilgore, P. E. (2005). Epidemiological profile of rotavirus infection in the Republic of Korea: Results from prospective surveillance in the Jeongeub District, 1 July 2002 through 30 June 2004. Journal of Infectious Diseases, 192(SUPPL. 1), 2–7. https://doi.org/10.1086/431506

Mubarak. (2011). Promosi Kesehatan Untuk Kebidanan. Salemba Medika.

Rehan, H., Gautam, K., & Gurung, K. (2003). Mothers needs to know more regarding management of childhood acute diarrhea. Indian J Prev Soc Med, 34(1), 40–45.

Seid, M. A., & Hussen, M. S. (2018). Knowledge and attitude towards antimicrobial resistance among final year undergraduate paramedical students at University of Gondar, Ethiopia. BMC Infectious Diseases, 18(1), 1–8. https://doi.org/10.1186/s12879-018-3199-1

Soenarto, Y., Aman, A. T., Bakri, A., Waluya, H., Firmansyah, A., Kadim, M., Martiza, I., Prasetyo, D., Mulyani, N. S., Widowati, T., & others. (2009). Burden of severe rotavirus diarrhea in Indonesia. The Journal of Infectious Diseases, 200(Supplement_1), S188--S194.

WHO. (2007). Growth reference data for 5-19 years. https://www.who.int/tools/growth-reference-data-for-5to19-years

WHO. (2017). Diarrheal Diseases. https://www.who.int/en/news- room/fact-sheets/detail/diarrhoeal-disease

Wilopo, S. A., Kilgore, P., Kosen, S., Soenarto, Y., Aminah, S., Cahyono, A., Ulfa, M., & Tholib, A. (2009). Economic evaluation of a routine rotavirus vaccination programme in Indonesia. Vaccine, 27(SUPPL. 5), 67–74. https://doi.org/10.1016/j.vaccine.2009.09.040



DOI: https://doi.org/10.22146/jpkm.62861

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