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ABSTRACT
CBIA-PREGNANCY PREGNANCY TO IMPROVE SKILLS OF PREGNANT MOTHERS IN SELECTING OTC COMMON COLD PREPARATION Hidayati, S.1, Hartayu, TS.2, Munawaroh S.3, Suryawati S.1 1Centre for Clinical Pharmacology and Medicine Policy Studies, Gadjah Mada University, Yogyakarta, Indonesia 2School of Pharmacy, Sanata Darma University, Yogyakarta, Indonesia 3Agency for Women and Community Empowerment, Yogyakarta province, Indonesia Problem Statement: Pregnantwomenmayhavecommoncoldepisodesduringpregnancyandneedmedicinetosoothe thesymptoms.Skills in selecting medicines for common cold in pregnancy are important. Mothers active learning method (known as CBIA) is one of the strategies which is not only improving knowledge but also changes behavior (EDM No.32,pp 22-23, 2003). Since information on the use of medicine in pregnancy also available in the medicines package, it is expected that CBIA-Pregnancy be focused on the medicines use in pregnancy. pregnancy Objective: To pilot test CBIA-Pregnancy in improving knowledge and skills of pregnant women to select common cold medicines Design: An intervention study with pre and post quasi experimental design. Data were collected at baseline, one-day (Post I), 2 weeks (Post II), and 4 weeks (Post III) after intervention Setting: The study was conducted in 2 hospitals in Yogyakarta, Indonesia., i.e., Sakina Idaman and Panti Rapih. Women visiting ANC i Sakina in S ki Idaman Id were assigned i d as iintervention t ti group and d those th visiting i iti Panti P ti Rapih R ih were assigned i d as control. t l Study Population: Pregnant women who visited ANC program in Sakina Idaman and Panti Rapih hospital on regular basis. Intervention: CBIA-Pregnancy is a 2-hour small group discussion using information in the medicines package as training material and CBIA-Pregnancy module as activity guide. There were 5 groups of 56 participants with midwives in the study hospital as facilitators. Participants searched information on active compound, indication, dosage, side effects, and contra-indications and also specific information on the use of the medicine during pregnancy. Policies: This strategy will provide hospitals with tools for hospital-based community empowerment and promoting self-learning behavior among the community Outcome Measures: score of knowledge on the most familiar medicine, % of subjects who could select the correct medicine, and y assessment. feasibility Results: Score of knowledge increased significantly (p<0.05) from 4.08 + SD 2.42 at baseline to 6.88 + SD 2.41 at post I, to 6.92 + SD 2.31 at Post II, and to 6.65 + SD 1.72 at Post III in the intervention group. % of subjects who could select the correct medicine increased significantly after CBIA-Pregnancy training from 46% at baseline to 92% at post I (x2 test p<0.05), to 85% at post II, and to 90% at post III. (x2- test, p<0.05 compared to baseline). Feasibility assessment showed that CBIAPregnancy needed less time to conduct and cost less than seminar seminar, was supported by legal statements on medicine and law of consumers consumers protection. protection Conclusions: CBIA-Pregnancy improved knowledge and skills of pregnant women on selecting OTC common cold preparations. This strategy is considered easy to follow and feasible to implement in hospitals. Keywords: CBIA-pregnancy, common cold, Ante Natal Care, pregnancy, hospital-based community, self-medication Funding source:: WHO-SEARO
BACKGROUND
In Indonesia..
Common cold is the most prominent illness in the community
Pregnant women may also experience common cold and need medicine to soothe the symptoms. However, many OTC medicines are not safe for pregnancy
More than 200 brand names of OTC medicines for common cold are available in the market
A good strategy to improve medicine use in the community should have: Specific purpose specific ifi target audience di Replicable, feasible CBIA uses C Community it b based d medicine Interactive Approach complete (CBIA) is effective in package as improving skills in training material selecting OTC Including medicines information for use during pregnancy An adaptation from the original CBIA strategy, focused on how to select OTC medicine which is safe for pregnancy was then developed and named:
CBIA - Pregnancy
STUDYOBJECTIVES
General Objective
To pilot test CBIA-Pregnancy in improving knowledge and skills of pregnant women to select OTC medicines for common cold
Specific Objectives
To measure the score of knowledge of pregnant mothers in how to select OTC medicine for common cold in pregnancy before and after CBIA - pregnancy training. To measure practice of pregnant mothers in how to select OTC medicine for ld in i pregnancy b f and d after ft CBIA pregnancy training t i i common cold before To evaluate in general, the effectiveness of an educational module targeted to hospital based community in improving skill to select OTC medicine for common cold in pregnancy.
METHODS
STUDY DESIGN: A pilot implementation study, applying a pre and post quasiexperimental design.
STUDY SETTING: The study was conducted in Sakina Idaman Private Maternity Hospital and Panti Rapih Hospital. Both are in Yogyakarta province, Indonesia. Women visiting ANC in Sakina Idaman were assigned as intervention group and those visiting Panti Rapih were assigned as control.