Peningkatan status derajat kesehatan. Indikator derajat kesehatan masyara- kat terkait erat dengan Angka Kematian Ibu (AKI). Kabupaten Banyumas memiliki AKI di bawah standar pelayanan minimal (SPM), salah satunya adalah wilayah kerja Puskesmas I Ajibarang. Peningkatan status kesehatan ibu pada saat kehamilan merupakan salah satu langkah yang dapat dilakukan untuk menurunkan kasus kematian ibu. Status kesehatan ibu hamil dipengaruhi oleh perawatan kehamilan yang baik oleh ibu hamil untuk mencegah terjadinya komplikasi dan kematian ketika persalinan, di samping itu juga untuk pertumbuhan dan kesehatan janin. Penelitian ini bertujuan untuk mengetahui faktor-faktor apakah yang dominan mempengaruhi perilaku perawatan kehamilan. Penelitian ini adalah potong lintang. Populasi adalah seluruh ibu hamil di Puskesmas I Ajibarang. Metode sampel yang di- gunakan adalah metode proportional random sampling dengan jumlah sampel 81 ibu hamil. Analisis data yang digunakan adalah analisis univariat dengan statistik deskriptif, analisis bivariat dengan kai kuadrat, serta analisis multivariat dengan regresi logistik. Hasil penelitian menunjukkan pendidikan, jenis pekerjaan, pendapatan, paritas, pengetahuan, sikap, dan peran bidan tidak berpengaruh terhadap perilaku perawatan kehamilan. Sedangkan, usia kehamilan, waktu tempuh pelayanan kesehatan, dan peran suami berpengaruh terhadap perilaku perawatan kehamilan. Peran suami merupakan variabel yang paling dominan memengaruhi ibu hamil dalam melakukan perawatan kehamilan.National health strategy is to realize the increasing level of health status. Public health status indicators closely related to Maternal Mortality Rate (MMR). Banyumas have MMR that is still below the minimum service standards. One that contributes to that number is Puskesmas I Ajibarang. Improving the health status of the mother during pregnancy is one of steps taken to reduce maternal deaths. Health status of pregnant women are affected by good prenatal care, preventing the occurrence of complications, death when delivery, the growth and health of the fetus. This study aims to determine the dominant factors influence to behavior of prenatal care in Ajibarang I Primary Health Center, Banyumas District. It was a cross sectional survey. Data was taken by interviews, involved 81 pregnant women in Ajibarang I primary health care. Data analysis used univariate analysis with descriptive statistic, bivariate with chi square and multivariate with logistic regression. The results showed that age, education, family income, occupation, knowledge, attitude, parity, and role of midwives did not influence to prenatal care behaviour. Otherwise, age of pregnancy, time of access to heatlh care, and role of husbands influenced pregnant women in prenatal care behaviour. Study also found that role of husband was the most dominant factor influenced to mother’s prenatal care behaviour.
ABSTRAKKehamilan dengan anemia menyebabkan infeksi dan pendarahan, merupakan faktor utama kematian ibu. Pada tahun 2013, kabupaten Jawa Tengah mencatat peringkat 3 dari 35 dictricts, dengan tingkat 126 per 100.000 kelahiran hidup. Kasus anemia pada wanita hamil di Banyumas tercatat 68,99%, lebih tinggi dari angka nasional. Banyumas melakukan konseling anemia pada ibu hamil dengan menggunakan selebaran namun tidak efektif. Media dan materi promosi kesehatan berdasarkan konteks lokal masih terbatas. Kemampuan tenaga kesehatan masih berdasarkan kegiatan penyuluhan dengan ceramah, kompetensi promosi kesehatan audio visual masih terbatas. Penelitian ini bertujuan untuk mengetahui efektivitas pelatihan media audio visual terhadap anemia pada ibu hamil untuk meningkatkan kompetensi (pengetahuan dan keterampilan) petugas kesehatan di Banyumas. Penelitian ini merupakan rancangan eksperimen quasy-eksperimental dengan metode time series. Populasi adalah 58 pendidik kesehatan di Banyumas dan dipilih 33 sampel secara purposive. Data dikumpulkan dengan kuesioner untuk pengetahuan, dan digunakan daftar periksa untuk pengamatan keterampilan. Untuk menganalisis normalitas data, saya menggunakan Shapiro Wilk, dan menggunakan Wilcoxon untuk menganalisis perbedaan data. Ada perbedaan pengetahuan dan keterampilan yang signifikan pada pretest dan posttest I, namun tidak ada perbedaan yang signifikan pada posttest 1 dan posttest II. Pelatihan anemia terkait media audio visual pada ibu hamil meningkatkan kompetensi petugas kesehatan di Kabupaten Banyumas. Kata kunci: Pelatihan media audio visual, pengetahuan, ketrampilan, wanita hamil ABSTRACT Pregnant suffers anemia can lead to infection and bleeding, which is a major factor in maternal mortality. In 2013 Central Java district recorded 3rd rank of 35 dictricts, at rate 126 per 100,000 live births. Cases of anemia in pregnant women in Banyumas accounted as 68.99%, higher than the national number. Banyumas did anemia counseling in pregnant mothers using leaflets, but did not effective. Health promotion media and materials based on local context are still limited. The ability of health workers are still based on extension activities with lectures, competency to make audio-visual health promotion is still limited. This study aimed to determine the effectiveness of audio-visual media training related anemia in pregnant women to increase the competence (knowledge and skills) of health workers in Banyumas. The study was quasyexperimental design with time series method. Population were 58 health educators in Banyumas and it was selected 33 sample by purposively.
Online learning during the Covid-19 pandemic made elementary students even more difficult to master math material. The purpose of this study was to describe how online learning can increase the difficulty of learning mathematics for elementary school students. This research was conducted in a descriptive qualitative manner involving 31 students, 9 parents, and class IV teachers of MIN 4 East Lampung. Interviews and documentation are used to obtain primary and secondary data. Data analysis was carried out in three stages, namely reduction, display, and data verification. The findings of this study are 1) there has been a decrease in mathematics learning outcomes in elementary school students as a result of online learning, 2) an increase in mathematics learning difficulties experienced by students in online learning, and 3) aspects that cause an increase in mathematics learning difficulties in online learning. Thus online learning at the beginning of the Covid-19 epidemic had a negative impact on increasing math learning difficulties for elementary school students.
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