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Multilevel Analysis on the Risk Factors of Post Partum Hemorrhage in Bondowoso, Central Java Saadah, Miftahus; Respati, Supriyadi Hari; Aristin, Okid Parama
Journal of Maternal and Child Health Vol 1, No 4 (2016)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (154.753 KB)

Abstract

Background: The primary causes of maternal mortality in Indonesia are hemorrhage (32%), pre-eclampsia/ eclampsia (25%), infection (5%), prolonged labor (5%), abortus (1%), and other causal factors not related to pregnancy and birth delivery (32%). This study aimed to investigate risk factors of post partum hemorrhage in Bondowoso, East Java.Subjects and Method: This was an analytic observational study with case control design. This study was conducted in Bondowoso, East Java, from  May, 15 to June, 15, 2016. A total of 90 study subjects was selected by fixed disease sampling, consisting of 30 women with post-partum bleeding and 60 control women without post-partum bleeding. The dependent variable was post-partum hemorrhage. The independent variables were age, parity, hemoglobin, obstetric history, use of ANC, and type of birth attendant. The data were collected by questionnaire and medical record. The data were analyzed by mix-effect model.Results: Anemia (Hb <11 g%) (b=2.22; 95%CI=1.05 to 3.39; p=0.001) and obstetric history of bleeding (b=1.31; 95%CI= 0.15 to 2.47; p= 0.027) increased the risk logodd of postpartum hemorrhage, and it was statistically significant. ANC ≥ 4 times (b= -1.46; 95%CI=-2.95 to 0.02; p=0.052) decreased the risk logodd of postpartum hemorrhage, and it was marginally significant. Age <20 year or ≥ 35 year (b= 0.12; 95%CI= -1.01 to 1.26; p= 0.827) and parity = 1 or ≥4 (b= 0.18; 95%CI= -0.95 to 1.32; p=0.754) increased the risk logodd of postpartum hemorrhage, but it was not statistically significant. Multilevel analysis was not needed in this model because ICC <1%.Conclusion: Anemia and history of postpartum bleeding are important risk factors of postpartum hemorrhage. Use of ANC ≥4 times decreases the risk of postpartum bleeding.Keywords: Postpartum bleeding, risk factor.Journal of Maternal and Child Health (2016), 1(4): 205-213https://doi.org/10.26911/thejmch.2016.01.04.01
Pendidikan Kesehatan Pentingnya Zat Besi Bagi Remaja Untuk Mencegah Terjadinya Anemia di MA Atqia Kabupaten Bondowoso Saadah, Miftahus; Puspitasari, Ratna; Alfian, Linda
Journal of Health Innovation and Community Service Vol. 3 No. 1 (2024): Journal of Health Innovation and Community Services
Publisher : PPPM Stikes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/jhics.v3i1.316

Abstract

Latar Belakang :Kekurangan zat besi dalam tubuh atau yang disebut anemia merupakan masalah kesehatan yang sering ditemui di negara maju dan berkembang. Keadaan kesehatan dan gizi kelompok usia 10-24 tahun di Indonesia masih memprihatinkan. Prevalensi anemia pada remaja putri (rematri) usia 10-19 tahun sebesar 30 %. Tubuh membutuhkan zat besi untuk mempercepat pertumbuhan dan perkembangan,hal ini menyebabkan rematri yang menderita anemia juga berisiko mengalami anemia saat hamil. Tujuan : Kegiatan ini bertujuan memberikan edukasi, informasi serta meningkatkan kesadaran pada remaja bahwa zat besi sangat penting dalam tubuh. Metode : Metode dalam kegiatan ini menggunakan KIE (Pendidikan kesehatan) yang terdiri dari tahap persiapan, implementasi dan evaluasi. Hasil : Kegiatan ini dilakukan oleh dosen bersama mahasiswa Akademi Kebidanan Dharma Praja Bondowoso yang dihadiri oleh 32 orang siswa MA Atqia dengan pemberian materi, pre test dan post test. Hasil pre test 6 siswa (19%) mengetahui manfaat zat besi dalam tubuh dan hasil post test mengalami kenaikan signifikan sebanyak 28 siswa (87%) mampu menjawab pertanyaan seputar zat besi. Kesimpulan : Diharapkan kegiatan ini dapat dilakukan secara berkelanjutan untuk menambah pengetahuan, pemahaman serta kesadaran siswa dalam mengatur kebutuhan zat besi dalam tubuhnya.
Pendidikan Kesehatan tentang Dampak Negatif Pernikahan Dini di SMKN 1 Tamanan Puspitasari, Ratna; Saadah, Miftahus; Sulistyaningrum, Nourma
Journal of Health Innovation and Community Service Vol. 3 No. 1 (2024): Journal of Health Innovation and Community Services
Publisher : PPPM Stikes Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54832/jhics.v3i1.318

Abstract

Latar Belakang : Kurangnya pengetahuan remaja mengenai dampak pernikahan dini menjadi salah satu faktor penyebab pernikahan dini banyak terjadi di kalangan remaja. Bondowoso menjadi salah satu kota dengan angka perkawinan usia anak yang relatif tinggi, hal ini dapat dilihat dari banyaknya permohonan Dispensasi Kawin yang diajukan di Pengadilan Agama Bondowoso. Data pernikahan dini dari tahun 2019 hingga 2022 mengalami pasang surut. Tujuan : diharapkan akan meningkatkan pengetahuan dan kesadaran remaja SMK mengenai dampak pernikahan dini terhadap kesehatan serta berkontribusi tentang pencegahan pernikahan dini/ anak di Kabupaten Bondowoso. Metode : menggunakan KIE (Pendidikan kesehatan). Ada beberapa langkah dilakukan dalam kegiatan pengabdian kepada masyarakat ini dimulai dari persiapan, kegiatan sosilaisasi dan edukasi, dan evaluasi. Sebelum penyuluhan diberikan, siswi SMKN 1 Tamanan diberikan kuesioner pre- test dan post test Berdasarkan hasil kuisioner dapat disimpulkan bahwa pelaksanaan penyuluhan tentang dampak pernikahan dini di SMKN 1 Tamanan berpengaruh sangat signifikan terhadap peningkatan pengetahuan dan pemahaman para siswa mengenai resiko pernikahan dini. Hasil : pelaksanaan penyuluhan berpengaruh sangat signifikan terhadap peningkatan pengetahuan dan pemahaman para siswa mengenai resiko pernikahan dini ditunjukkan dengan hasil nilai test yang meningkat dari 50,06 menjadi 92,72. Kesimpulan: Kurangnya pengetahuan remaja tentang dampak pernikahan dini berkontribusi pada tingginya angka pernikahan dini di Bondowoso. Penyuluhan di SMKN 1 Tamanan berhasil meningkatkan pengetahuan siswa secara signifikan. Diharapkan kegiatan serupa dilakukan secara berkelanjutan oleh pemerintah Kabupaten Bondowoso dengan strategi pemberdayaan anak dan keluarga.
The Implementation of the Peer Tutor Method in the Learning Process of Islamic Religious Education to Increase Learning Motivation Saadah, Miftahus; Ehwanudin, Ehwanudin; Wijaya, Adi
International Journal on Advanced Science, Education, and Religion Vol 8 No 1 (2025): IJoASER (International Journal on Advanced Science, Education)
Publisher : Sekolah Tinggi Agama Islam Al-Furqan, Makassar - Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33648/ijoaser.v8i1.823

Abstract

This research aims to increase student learning motivation through the application of the peer tutoring method and to describe the extent to which this improvement occurs. This research is included in the type of classroom action research, which involved 32 students in class VIII-A from a junior high school located on Jl. Bison, 28 Purwosari Metro Utara Kota Metro as research subject. In the data collection process, researchers used two techniques, namely observation and questionnaires. The research results show that the application of the peer tutoring method has proven effective in increasing students' learning motivation, especially in Mathematics subjects with a focus on multiplication and division of fractions. The increase in student learning motivation is reflected in the data obtained, where students' initial motivation before implementing the action only reached 31% in the pre-cycle. After implementing the first cycle, student learning motivation increased significantly to 65%, and in the second cycle, student motivation reached 87%. Based on these results, it can be concluded that the level of student learning motivation is in the very good category. Therefore, it can be stated that the implementation of this research action was successful in achieving the stated objectives. The application of the peer tutoring method is not only effective in increasing understanding of the material, but also successful in encouraging students to be more motivated in learning.
The Implementation of the Peer Tutor Method in the Learning Process of Islamic Religious Education to Increase Learning Motivation Saadah, Miftahus; Ehwanudin, Ehwanudin; Wijaya, Adi
International Journal on Advanced Science, Education, and Religion Vol 8 No 1 (2025): IJoASER (International Journal on Advanced Science, Education)
Publisher : Sekolah Tinggi Agama Islam Al-Furqan, Makassar - Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33648/ijoaser.v8i1.823

Abstract

This research aims to increase student learning motivation through the application of the peer tutoring method and to describe the extent to which this improvement occurs. This research is included in the type of classroom action research, which involved 32 students in class VIII-A from a junior high school located on Jl. Bison, 28 Purwosari Metro Utara Kota Metro as research subject. In the data collection process, researchers used two techniques, namely observation and questionnaires. The research results show that the application of the peer tutoring method has proven effective in increasing students' learning motivation, especially in Mathematics subjects with a focus on multiplication and division of fractions. The increase in student learning motivation is reflected in the data obtained, where students' initial motivation before implementing the action only reached 31% in the pre-cycle. After implementing the first cycle, student learning motivation increased significantly to 65%, and in the second cycle, student motivation reached 87%. Based on these results, it can be concluded that the level of student learning motivation is in the very good category. Therefore, it can be stated that the implementation of this research action was successful in achieving the stated objectives. The application of the peer tutoring method is not only effective in increasing understanding of the material, but also successful in encouraging students to be more motivated in learning.
The Implementation of the Peer Tutor Method in the Learning Process of Islamic Religious Education to Increase Learning Motivation Saadah, Miftahus; Ehwanudin, Ehwanudin; Wijaya, Adi
International Journal on Advanced Science, Education, and Religion Vol 8 No 1 (2025): IJoASER (International Journal on Advanced Science, Education)
Publisher : Sekolah Tinggi Agama Islam Al-Furqan, Makassar - Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33648/ijoaser.v8i1.823

Abstract

This research aims to increase student learning motivation through the application of the peer tutoring method and to describe the extent to which this improvement occurs. This research is included in the type of classroom action research, which involved 32 students in class VIII-A from a junior high school located on Jl. Bison, 28 Purwosari Metro Utara Kota Metro as research subject. In the data collection process, researchers used two techniques, namely observation and questionnaires. The research results show that the application of the peer tutoring method has proven effective in increasing students' learning motivation, especially in Mathematics subjects with a focus on multiplication and division of fractions. The increase in student learning motivation is reflected in the data obtained, where students' initial motivation before implementing the action only reached 31% in the pre-cycle. After implementing the first cycle, student learning motivation increased significantly to 65%, and in the second cycle, student motivation reached 87%. Based on these results, it can be concluded that the level of student learning motivation is in the very good category. Therefore, it can be stated that the implementation of this research action was successful in achieving the stated objectives. The application of the peer tutoring method is not only effective in increasing understanding of the material, but also successful in encouraging students to be more motivated in learning.