EFFECT OF THE USE OF SIMULATION METHOD TO INCREASE THE KNOWLEDGE AND BEHAVIOR OF TRADITIONAL BIRTH CAREGIVERS IN MATERNITY CARE SERVICES IN THE JEMBER DISTRICT, EAST JAVA PROVINCES, INDONESIA

Abstract

Background: The role of the traditional birth caregiver in the assistance delivery is very significant in the rural area of Jember District. This particular tradition is strongly influenced by socio-economic factors and local culture.
Objective: The purpose of this research work is to analyze the effectiveness of training traditional birth caregivers through simulation game method is to increase the knowledge of the traditional birth attendants to improve their performance in maternity services.
Methods: The method of this study was “the random pretest-posttest design with intervention and control group”. The research samples were categorized into four groups. The first group was provided with a method of simulation, the second group is given a lecture, while the third and fourth groups were not given any treatment. This study was done in community health center of Jember District.
Result: The result of this study showed that there is a significant difference in the behavior of traditional birth caregiver before and after the understanding of simulation methods; there is also a significant difference of knowledge after lecture method; and there is also a significant difference of knowledge between the groups given treatment and the control groups before and after simulation and lectures method. But there was no significant difference between groups given simulation methods and the group provided with lecture method. Moreover from the observations it was evident that the groups as a whole showed a higher increase in knowledge and enhancement of behaviors with simulation methods than the group provided with lecture method.
Conclusion: It was found that the intervention of simulation method was more effective to improve knowledge and behavior of the traditional birth caregiver in health care system of maternity and community health nursing services and should be strongly referred in high risk cases.