INFORMATION-MOTIVATION-BEHAVIORAL-SKILLS MODEL-BASED TRAINING TO IMPROVE COMMUNITY CADRES BEHAVIORAL PERFORMANCE FOR POST-PARTUM HEMORRHAGE AND PRE-ECLAMPSIA PREVENTION Rahmawati1,2, Bhisma Murti 3, Vitri Widyaningsih3
1 Doctoral Program in Public Health, Sebelas Maret University, Surakarta, Indonesia
2 Sekolah Tinggi Ilmu Kesehatan Rajekwesi Bojonegoro, Indonesia
3 Doctor of Public Health Program at Sebelas Maret University, Surakarta, Indonesia
Abstract
Background: Postpartum hemorrhage and preeclampsia are the biggest causes of maternal death throughout the world. The informational-motivation-behavioral-skills model (IMB) theory approach is applied based on training to increase cadres^ ability to develop preventive behavior against postpartum hemorrhage and preeclampsia.
Purpose: To analyze the direct and indirect effect of knowledge, skills and motivation of cadres on preventive behavior for preeclampsia and postpartum hemorrhage.
Methods: A quasi-experiment was conducted from October to December 2022 by taking an intervention group from a religious organization and a control group of existing cadres. A total of 97 cadres were given training in preventing preeclampsia and postpartum hemorrhage while 91 cadres from the control group carried out routine activities. Both groups provide assistance to pregnant women to assess preventive behavior. Knowledge questionnaires and skills observations were administered and measured before and after training, while behavioral observations were measured twice for three months. Data was tested using Path Analysis using Stata software version 16.00
Results: Skills have a direct effect on preventive behavior (b=0.43- 95% CI= 0.29 to 0.57- p<0.001). Knowledge has an indirect effect on preventive behavior through skills (b=0.47- 95% CI= 0.36 to 0.58- p<0.001) as well as motivation (b=0.14- 95% CI= 0.01 to 0.26- p=0.027).
Conclusion: The IMB theory is able to increase the ability of community cadres to carry out preventive behavior for preeclampsia and postpartum hemorrhage.
