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One of the purposes of maternal and child health (MCH) program is the autonomy of the family in maintaining maternal and child health. Supposing every mother has a Maternal Child Health (MCH) Handbook and know how to use it, her child health will surely remain supervised. Some reasons for not using MCH Handbook optimally are by virtue of the insuficient knowledge of MCH Handbook utilization and the low educational level. This study aims to asses the effect of MCH Handbook utilization training on maternal capability in early detecting development and stimulating growth of children under the age of five years. Quasi experimental design was opted for this study and the population was 35 mothers of toddlers at the Early Childhood School (ECS) "Garuda" on Malang City. Of the 35 mothers 20 were finally selected as the samples based on the determined criteria. The data were gathered using the interviews and observations (pre and postintervention) and then analyzed using paired sample t-test. The analysis reveals that the maternal capability in early detecting child development at pre-intervention stage was 40% competent and 60% incompetent, on the contrary at post-intervention stage 85% was competent and 15% was not yet competent. For capability in stimulating child growth at pre-intervention stage, 35% of the respondents was competent, and 65% was incompetent, conversely 80% at post-intervention was competent and 20% was not yet competent. The analysis on capability in detecting child development reveal the p value of 0.007 mening the training on MCH Handbook utilization took effect on capability in detecting child development. In addition the analysis on respondents capability in stimulating child growth highlightes p value of 0,003 meaning the training on MCH Handbook utilization took effect on the respondents capability in stimulating child growth. It is obvious that MCH Handbbok utilization training is very essential to improve maternal knowledge and skills in order to optimize child growth and development.

iosr journal of nursing and health science

The Effect of "MCH Handbook" Utilization Training on Maternal Capability in Early Detecting Development and Stimulating Growth of Children Under the Age of Five Years