Open Access Maced J Med Sci. 2021 Jun 01; 9(T3):481-484. 481
Scientifc Foundation SPIROSKI, Skopje, Republic of Macedonia
Open Access Macedonian Journal of Medical Sciences. 2021 Jun 01; 9(E):481-484.
https://doi.org/10.3889/oamjms.2021.5999
eISSN: 1857-9655
Category: E - Public Health
Section: Public Health Education and Training
The Efect of Peer Tutor Model on Antenatal Care Skill Competencies
in Learning Laboratory Skills for Students of Langsa Midwifery
Study Program
Meliani Sukmadewi Harahap
1
*, Alchalidi Alchalidi
1
, Baharuddin Baharuddin
2
, Nurlaili Ramli
3
1
Department of Midwifery, Ministry of Health Polytechnic of Langsa, Aceh, Indonesia;
2
Department of Nursing, Polytechnic of
Health, Ministry of Health, Aceh, Indonesia;
3
Department of Midwifery, Polytechnic of Health, Ministry of Health, Aceh, Indonesia
Abstract
BACKGROUND: Peer-assisted learning is a student-centered learning method that involves discussions between
friends or seniors as teachers and participants as being taught. Realize optimal education; it is necessary to choose
the peer tutorial method to increase antenatal care (ANC) skills in laboratory skills.
AIM: This study aims to determine the efect of the learning peer tutor model for laboratory skills on the competence
of ANC skills in the Langsa Midwifery Study Program’s frst-level students.
METHODS: This study used a pre-experimental approach with a one-group pretest-posttest design without a control
group. The population used in this study were all Level I Midwifery Students of Langsa City who occupied the
2
nd
semester. This study’s sample was taken by purposive sampling as many as 45 respondents – data analysis
using bivariate analysis.
RESULTS: The results showed an efect of the peer tutor method on ANC skills’ competence before and after
learning laboratory skills as evidenced by a statistical test with a value (p < 0.05), namely, 0.047 < 0.05. The results
also showed diferences in students’ competence before and after the peer tutoring method was carried out in
laboratory skills learning, as evidenced by the results of statistical tests with p < 0.05, namely, 0.000 < 0.05. Peer
tutor method learning efectively increases ANC skill competencies in learning laboratory skills for midwifery study
students.
CONCLUSION: Peer tutor model efective in improving ANC skills competency in skill learning for midwifery study
students.
Edited by: Sasho Stoleski
Citation: Harahap MS, Magfrah M, Alchalidi A,
Baharuddin B, Ramli N. The Efect of Peer Tutor Model on
Antenatal Care Skill Competencies in Learning Laboratory
Skills for Students of Langsa Midwifery Study Program.
Open Access Maced J Med Sci. 2021 Jun 01; 9(E):481-484.
https://doi.org/10.3889/oamjms.2021.5999
Keywords: Peer tutor model; Antenatal care; Skill
competencies
*Correspondence: Meliani Sukmadewi Harahap,
Department of Midwifery, Ministry of Health Polytechnic of
Langsa, Aceh, Indonesia.
E-mail: mellisukmadewi.h@poltekkesaceh.ac.id
Received: 10-Mar-2021
Revised: 24-Apr-2021
Accepted: 06-May-2021
Copyright: © 2021 Meliani Sukmadewi Harahap,
Alchalidi Alchalidi,
Baharuddin Baharuddin, Nurlaili Ramli
Funding: This research did not receive any fnancial
support
Competing Interest: The authors have declared that no
competing interest exists
Open Access: This is an open-access article distributed
under the terms of the Creative Commons Attribution-
NonCommercial 4.0 International License (CC BY-NC 4.0)
Introduction
Mortality and morbidity in pregnant and
childbirth women are a big problem in Indonesia. As
much as, 25–50% of deaths of women of childbearing
age are related to pregnancy. Data from the Ministry
of Health of the Republic of Indonesia (Kemenkes) in
2015 show that out of 100,000 live births in Indonesia,
305 of them ended in the mother’s death [1]. The
high maternal mortality rate (MMR) has prompted the
government to carry out structural interventions. One of
them is to include the target for MMR reduction in the
2014–2019 National Medium-Term Development Plan
(RPJMN). In the 2014–2019 RPJMN, the government
targets a reduction in MMR from 205/100,000 births to
276/100,000 live births. To reduce the MMR and infant
mortality rate, the World Health Organization (WHO)
launched the making pregnancy safer strategy and put
safe mother hood (SMH) as the top priority.
One of the SMH programs is the ante natal
care (ANC) service. ANC is a prenatal examination skill
that begins with preventing pregnancy complications,
and if complications occur, they must be detected early.
Pregnancy examination skills are skills that a general
practitioner must possess and are learned from when
students are at the academic or preclinical level.
The WHO has identifed that efective collaboration
between health professionals plays an essential role
in preparing and providing health workers with the
ability to respond to local health needs and provide
a strengthened health system [2]. Realize optimal
education and learning applied, it is necessary to
choose a better learning method. The implementation
of health education learning activities can improve
patient safety through increased skills, collaboration,
and communication between health teams [3], [4].
ANC skills are currently one of the laboratory skills in
the midwifery care course, which is used to evaluate
the professional competence of health workers such as
knowledge evaluation, communication skills, physical
examination, diagnostics, and behavioral assessment,
and interpersonal skills. ANC skills are expected to be
realized with peer tutor learning models. The peer tutor
learning model is an alternative that can be applied
in the teaching and learning process. In the past few