ABSTRAKPendahuluan: Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB) di Indonesia masih cukup tinggi dibandingkan dengan negara ASEAN lainnya.Untuk persoalan tersebut perlu pemecahan dalam mengatasi masalah kesehatan ibu dan bayi, salah satunya dengan membangun model edukasi postnatal yang difokuskan pada ibu postpartum dengan melibatkan keluarga sebagai dukungan sosial. Metode: Penelitian ini dilakukan dengan pendekatan penelitian partisipatif (kualitatif) dan Participatory Action Research (PRA), dengan tujuan uji coba model edukasi postnatal secara komprehensif sekaligus evaluasi dalam menyempurnakan model sehingga diperoleh model yang tepat. Tehnik pengumpulan data pada penelitian ini dilakukan dengan cara survei/observasi, wawancara, FGD, wawancara mendalam pada ibu postpartum dan keluarga sejumlah 100 responden, maupun petugas kesehatan. Hasil: Penelitian yang dilakukan telah berhasil merumuskan model edukasi postnatal melalui pendekatan FCMC sebagai strategi optimalisasi competent mothering dalam menurunkan Angka Kematian Ibu dan Bayi. Model tersebut telah dilakukan ujicoba secara komprehensif baik terhadap ibu postpartum dan keluarga serta terhadap petugas kesehatan dengan media modul dan booklet tentang perawatan diri ibu nifas dan perawatan bayi baru lahir yang disesuaikan dengan tahapan masa postpartum. Terdapat pengaruh model edukasi postnatal dengan pendekatan FCMC terhadap persepsi ibu nifas dan keluarga tentang perawatan diri pada masa immediately postpartum, perawatan diri dan bayi baru lahir pada fase early postpartum dan fase late postpartum dengan nilai p masing-masing adalah 0,00 (α≤0,05). Selain itu juga didapatkan ada pengaruh sosialisasi model edukasi postnatal dengan pendekatan FCMC terhadap persepsi petugas kesehatan dengan nilai p 0,00. Diskusi: Rekomendasi penelitian ini adalah model edukasi postnatal melalui pendekatan FCMC sebagai strategi optimalisasi competent mothering dapat diterapkan sebagai salah satu upaya dalam menurunkan Angka Kematian Ibu dan Bayi.Kata Kunci: Model Edukasi Postnatal, FCMC, Competent Mothering.ABSTRACT Introduction: Indonesia's rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support. Methods: This research employed participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research were survey/observation, interview, FGD, in-depth interview for postpartum mothers and family (100 respondents), as well as healthcare extension agents. Results: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mo...

Introduction: Indonesia’s rate of MMR and IMR remains high among other ASEAN countries. This issue needs to be seriously addressed, particularly in dealing the mother-and-infant related problems, through developing the postnatal education model which focuses on postpartum mother by involving family as the social support.Methods: This research is conducted at dr. Soebandi Regional Hospital Jember and the Kaliwates Primary Health Service Jember Regency. This research employs participative approach (qualitative) and Participatory Action Research (PRA), with the intention of conducting the try-out to the postnatal education model comprehensively, as well as evaluating the perfection attempts to the model in order to generate the fittest model. The data collection technique used in this research is survey/observation, interview, FGD, in-depth interview to postpartum mothers and family (100 respondents), as well as healthcare extension agents.Results: This research has successfully formulated the postnatal education model through FCMC approach as the optimization of competent mothering strategy in lowering the infant and maternal mortality rate. This model has undergone comprehensive trial to postpartum mothers and family as well as the healthcare extension agents by providing modules and booklet concerning the treatment of postpartum mother and newly born infants in accordance with the postpartum stages. The results of this research revealed that the effect of postnatal education model through the FCMC approach on the perception of postpartum mothers and their family regarding the self-care treatment during the immediately post partum period, the infant and self-care treatment at the early and late postpartum stages by using the α = 0,05 existed as shown by the p value of 0,00 each. Furthermore, there was also an impact of the extension attempt of postnatal education model through the FCMC towards the perception of the healthcare extension agents with the p value of 0,00.Conclusion:  This research recommended that the postnatal education model through family centered maternity care (FCMC) as the optimization of competent mothering is implemented as one of the attempts in lowering the Maternal and Infant Mortality Rates, respectively.

Latar Belakang dan Tujuan: Kehamilan merupakan peristiwa penting yang sangat ditunggu dalam keluarga. Keluarga sebagai pendukung utama pada ibu hamil, juga tidak terlepas dari budaya yang diyakininya. Petugas kesehatan memiliki peran dalam membantu ibu hamil dan keluarga agar adaptif dengan budaya yang dimiliki terutama dalam memenuhi kebutuhan nutrisi ibu hamil, termasuk perilaku ibu dalam monitoring kesejahteraan janin selama di rumah. Penelitian ini memiliki tujuan meningkatkan peran petugas kesehatan dalam optimalisasi nutrisi ibu hamil dan monitoring kesejahteraan janin melalui model Edukasi Maternal-Neonatal (EMN) berbasis family cultural. Metode: Desain penelitian yang digunakan adalah pra eksperiment dengan sampel ibu hamil di RS Kalisat dan Wilayah Puskesmas Sumbersari Jember sebanyak 100 responden yang diambil secara purposive sampling. Instrument yang digunakan adalah kuesioner dan skala likert. Hasil: Rerata peran petugas kesehatan dalam aplikasi Model EMN terhadap optimalisasi nutrisi ibu hamil pada pre test yaitu 60,51 dan hasil post test 78,30 sedangkan dalam monitoring kesejahteraan janin di rumah rerata peran petugas kesehatan pada pre test yaitu 61,50 dan nilai post test 75,65. Peran petugas kesehatan dalam optimalisasi nutrisi ibu hamil menggunakan analisis T-test didapatkan p-value sebesar 0,01 dan terhadap optimalisasi kemampuan ibu hamil dalam monitoring kesejahteraan janin di rumah  didapatkan p value 0,03. Simpulan dan Implikasi: Model EMN berbasis family cultural efektif terhadap peran petugas kesehatan dalam optimalisasi nutrisi ibu hamil dan monitoring kesejahteraan janin. Dengan demikian model ini dapat digunakan oleh petugas kesehatan sebagai upaya preventif terhadap kematian ibu maupun janin.

Introduction: Family perceptions on the role of parents and the growth of infants must be seriously considered by healthcare workers since they can affect the role of family development in taking care of the babies. A family that has optimally understood the role of their development as a parent will be able to give the appropriate care for the babies.Methods: The study aimed to find out the effects of a family-based Maternal Sensitivity Models (MSM) strategy for family perception optimization on the role of parents and the growth of infants. It used a quasi-experimental design with the samples of 50 families. The samples were obtained using purposive sampling technique. The data were analyzed using dependent t-test.Results: It confirmed that the Family-Based Maternal Sensitivity Models (MSM) strategy significantly affects family perceptions on the role of parents with t-value 5.915 and p-value 0.000. MSM also significantly affects family perceptions on the growth infants with the t-value -11.257 and p-value 0.000.Conclusions: Maternal Sensitivity Models (MSM) can be well applied as one of the health models provided by healthcare workers to optimize parents’ perceptions and infants’ growth as well as to develop a competent family in giving care for their babies.

Introduction: The health condition of  babies is the responsibility of mothers and the family. One effort to avoid a situation of pain in infants is by immunization. Early mothers with infant care experience is still lacking, need to support the family in order to have proper decision-making ability in the care of babies, one of which is immunization. Therefore, the right perception about immunization in infants is critical owned by the mother and the family. Objective: This study has the objective to explore the perceptions of early mothers and families about immunization approach to maternal sensitivity models. Methods: The research design was participatory research approaches (qualitative) and Participatory Action Reseacrh (PRA). The techniques of data collection was Focus Group Discussion (FGD)  with 50 early mothers as the participants in Regional Health Center of Sumbersari and Sukorambi Jember who had babies. The sampling was done by using purposive sampling in March-August 2016. The data werethen analyzed using descriptive and qualitative methods. Results: The result showed the general condition of pain often experienced by babies are acute respiratory infections, diarrhea and febrile, although some cases of pneumonia occur. Health official are already running a baby care related programs such as immunization, immunization coverage has been good and meet the target. Perceptions of early mothers about immunizations include: to schedule and type of immunization tend to succumb to the health and family perception about immunization is likely to depend wife and health official. Conclusion: It is concluded that immunization coverage has been on target, but the perception of early mothers and families about immunization still needs to be improved. Recommendations in this research that suggested that synergism cooperation among health official, early mothers and families in the optimization of the perception about immunization. Keywords: Early Mothers and Family, Infant Immunization, Maternal sensitivity Models, Perception.