Health Literacy Essay

I. oscilloscope electric shaver wellness is an essential indicator of the quality of life in growth countries. Mothers literacy is often positively associated with improved tike wellness and nutritional status (Glewwe, 1999). The possession of literacy increases the ability of a fuck off or a family to acquire more companionship. Improvements in child wellness are considered as the consequences of enhanced of gets knowledge. In short, literacy affects wellness, and wellness affects groomingal act (Grosse, 1989).Because the correlation between literacy, wellness, wealth and well-being is becoming increasingly grave, it is life-and-death to include health literacy as skills required for an adult to function in a community (Kickbusch, 2001). wellness literacy has been recognized as a trace outcome measure of health promotion interventions (Nutbeam, 1996). It can be categorized as basic/ serviceable health literacy, communicative/interactive health literacy and critical literacy.Each level has different autonomy and personalized dominance. Individual attention is nidused on developing the skills and confidence to withstand choices that enhance individual health outcomes (Nutbeam, 2000). As the highschoolest level, critical literacy ideally ordain be achieved in which people have this capability to search for information, prise the reliability of that information and use that information to have a bump control over their health determinants (Nutbeam and Renkert, 2001).Following this health literacy concept, Nutbeam and Renkert (2001) define mothers health literacy as the cognitive and social skills which determine the indigence and ability of women to gain advance to, understand and use the information in ways that promote and maintain their health and that of their children. In terms of literacy, Indonesia has a comparatively high of literacy rate of 90% (UNICEF, 2007).However, people with adequate literacy for dealing withfamiliar concep ts and practices, such as household management can better a considerable difficulty to understand unfamiliar issues, such as health care information (Kalichman and Rompa, 2000). For mothers, health literacy skills are in-chief(postnominal) factors in predicting child health outcomes. Indonesia as a developing country unruffled faces many child health problems. Infant, neonatal and under-5 mortality rate was relatively high (26, 17 and 34 per 1000 live births, respectively) in 2006.Child immunization reporting is still considerably low with measles coverage of 66. 2%, MCV (80%), DPT (75%) and hepatitis (74%) among one-year-olds (WHO, 2009). Many studies show that low literacy is related with several obstinate health outcomes (DeWalt, 2004). One of the ways to improve child health is belike by improving mothers health literacy. Many young studies have examined the impact of mothers health literacy on child health (Sandiford, 1995). However, in that location are few studies fo cused on the barriers to mothers health literacy.This study throw in investigate barriers are there to improve mothers health literacy on child health and find solutions might smite the barriers. II. Objectives 1. To investigate the level of mothers health literacy in province of Aceh (functional, interactive or critical health literacy of mothers toward child health care, participation in child care computer program in villages or sub districts, health seeking behaviours, efforts to gain access to health service). 2. To explore what barriers are there to improve mothers health literacy on child health 3.To evaluate solutions that might overcome the barriers in order to enhance mothers health literacy. 4. To frame a model of intervention to improve maternal(p) health literacy III. methodology This research will be conducted in quantitative and qualitative methods. The quantitative methods will investigate the data about the mothers functional, interactive and critical health literacy toward the child health care, the utilisation of primary health care by mothers in terms of health seeking behaviour, child immunization coverage and monitoring of childrens nutritional status.The data will be lay in by employ coordinate questionnaires. The functional literacy will use the structured questionnaires of Test of Functional Health Literacy in heavy(p)s (TOFHLA) (Baker, 1999) and Rapid Estimate of Adult Literacy in Medicine (REALM) (Bass, 2003) while the interactive and critical health literacy questionnaires will be designed by modifying the existing researches that study of maternal health literacy. Then, the results will be categorized by scoring into Inadequate, Marginal and adapted health literacy.Before the questionnaire is used for the investigation, the validity and reliability tests will be performed. In the qualitative stage, I will conduct personal interviews and focus group discussions to find out the barriers and solutions to improve maternal h ealth literacy. Semi-structured personal interviews will be used for mothers and health care staff (physicians, nurses and midwifes) from villages and sub-district health services. Respondents will be interviewed individually and privacy will be keep during the interview.For focus group discussions, they will be purposively selected to ensure the maximum variation to ensure a diversity of views about barriers to improve mothers health literacy at heart the precedent. For each group, initial contact will be made by a gatekeeper such as co-ordinator of village mothers association, wife of head of village and village midwife. All groups will be facilitated by the researcher, recorded with the participants permission and will be fully transcribe. take in strategyParticipant will be recruited from women who have children (younger or old children) in disparate geographical areas (social/cultural/ethnic mix) to look for contextual difference and from different level of education (no education, basic, advanced and higher education). The sample will be recruited purposively from the population data of department of health in Aceh. Women who are willing to participate, intercommunicate either Indonesia or Acehnese, and are excogitate will be purposively selected for the qualitative study. For the quantitative study, respondents will be selected using the multi-stage random sampling method.All respondent selected will be aware that participation is voluntary. data analysis The recorded interviews will be transcribed word for word into the language of the interview (Bahasa Indonesia, but Acehnese will be used as many people in rural areas cannot speak bahasa) and then translated into English. Categories for analysis of data will be identified at the beginning. The transcripts will be analyzed and allocated from each subject to various categories. Data will then be analyzed according to these categories. The quantitative data will be analized using SPSS statistic al software version 19.0 (SPSS, Inc, Chicago, Ill). IV. Significance Indonesia is a developing country with a population of tight 250 million. Low literacy and high fertility coupled with poor economy translates into high morbidity and mortality. Women and children are the most vulnerable segments in terms of health. It is important to improve maternal health literacy and other factors related to health services in order to increase child health care. It is a multi sector program that involves many stake holders including health department, medical education and community.It is important for medical education institution to educate their graduations of health promotion and health education against the current trend of medical education that is more liable(predicate) to be a curative and specialist view. V. Others USA is a essential country and well known for its reputable universities especially for public health subjects. Health system in the US is different from Indonesia that will allow me to learn more about health education especially maternal health literacy in the US health system. The project will be conducted in three years. The detail of timeline can be found in the table below. Table 1.The timeline of research No eld Year 1 Year 2 MonthsTasks 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 discipline research question 2 Preparation of proposal 3 writings review and process the local and university ethical issues 4 Produce the questioners 5 Data collection 6 Data analysis .No Years Year 3 MonthsTasks 1 2 3 4 5 6 7 8 9 10 11 12 6 Data analysis (continued) 8 Writing initial write 9 Proof reading 10 Revision and hand in References Baker DW, Williams MV, Parker RM, Gazmararian JA, Nurss J. Development of a brief test to measure functional health l iteracy. Patient culture and Counseling. 1999, 3833-42. Bass PF, Wilson JF, and Griffith CH.A sawn-off Instrument for Literacy Screening. Journal of General midland Medicine. 2003,181036-1038. Glewwe. P. Why does mothers schooling raise child health in developing countries? test from Morocco. The Journal of Human Resources. 1999 34 (1) 124 159. Grosse R. N. Literacy and health status in developing counties. 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