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Effectiveness of the Problem-Based Learning (PBL) Method to Increase Students' Knowledge and Attitudes About Early Marriage Sri Ayomi; Ayesha Hendriana Ngestiningrum; Tutiek Herlina
Health Dynamics Vol 1, No 1 (2024): January 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10103

Abstract

Background: High number of teenage marriages is a very worrying phenomenon because it causes various negative impacts on both reproductive health and social life. Indonesia is ranked second in ASEAN and eighth in the world for cases of early marriage. In the Mlarak sub-district, Ponorogo Regency, 8% of marriages were under 19 years of age. The purpose of the study was to determine the effectiveness of the Problem Based Learning (PBL) method to increased students' knowledge and attitudes about early marriage. Method: Research design was pre- experimental with a pretest - post test one group design. The sample was class VIII SMP Negeri 1 Mlarak, Ponorogo Regency, taken by proportional random sampling technique followed by Simple Random Sampling as many as 60 students. Collecting data using a questionnaire instrument. The independent variable is the PBL method while the dependent variable is knowledge and attitudes about early marriage. Data analysis used Paired Sample T Test with 0.05. Results: The results showed there is increase in the average knowledge of student by 14.08 and student attitudes by 12.2 after using the Problem Based Learning method. The results of the Paired Sample T Test 0.000 for the knowledge variable and 0.000 for the attitude variable, which means Ho is rejected and Ha is accepted. Conclusion: PBL method is effective in increasing knowledge about early marriage. The PBL method is effective in increasing attitudes about early marriage. Suggestions for teenagers to increase their knowledge about early marriage so that students' attitudes about early marriage can increase.
The Influence of HIV/AIDS Literacy in Pregnant Women on Willingness to Undergo PMTCT Examination in Pematangsiantar City, North Sumatra, Indonesia Safrina Safrina; Sri Hernawati Sirait; Tinuk Esti Handayani; Ayesha Hendriana Ngestiningrum
Health Dynamics Vol 1, No 8 (2024): August 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10801

Abstract

Background: In 2019, 2,370,473 pregnant women in Indonesia were tested for HIV, with 6,439 (0.27%) testing positive. Despite the importance of HIV testing during pregnancy to prevent mother-to-child transmission of HIV (PMTCT), not all pregnant women are willing to undergo testing. This study aims to evaluate the impact of health literacy about HIV/AIDS on pregnant women’s willingness to participate in PMTCT examinations in Pematangsiantar City. Methods: A quasi-experimental design with pretest and posttest, including a control group, was employed. The study population comprised pregnant women in Pematangsiantar City who had not undergone voluntary counseling and testing (VCT). A total of 102 participants (51 in the experimental group and 51 in the control group) were selected based on specific inclusion and exclusion criteria through consecutive sampling. Health literacy was measured using the Indonesian version of the health literacy questionnaire (HLS-EU-SQ10-IND). Data were analyzed using the McNemar test with a significance level set at p < 0.05. Results: In the HIV/AIDS literacy group, 32 participants (62.7%) were willing to undergo PMTCT, whereas in the control group, 32 participants (62.7%) were not willing. The literacy group showed significant improvements in willingness to undergo PMTCT after receiving information, with p-values of 0.012 (overall), 0.003 (understanding), 0.021 (assessing), and 0.007 (implementing). Conversely, the control group did not show significant changes, with p-values of 0.375, 0.210, 0.063, and 0.227, respectively. Conclusion: Health literacy about HIV/AIDS significantly enhances pregnant women’s willingness to participate in PMTCT. Increased counseling and information from health workers are crucial for improving PMTCT coverage.
Effectiveness of Couple Classes in Increasing Breastfeeding Rates and Preventing Breast Engorgement Ayesha Hendriana Ngestiningrum; Nuryani Nuryani
Health Dynamics Vol 2, No 2s (2025): February 2025 (Special Issue)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd202s05

Abstract

Background: Exclusive breastfeeding (EBF) faces significant barriers, particularly in the first 7 days postpartum, primarily due to a lack of knowledge and skills about lactation among mothers and their partners. Couple classes have been proposed as a potential solution, as they provide lactation education to both mothers and their partners from pregnancy onward. This study aimed to evaluate the effectiveness of couple classes in enhancing breastfeeding rates and preventing breast milk stagnation during the early postpartum period. Methods: A quasi-experimental design with a posttest control group was used, targeting third-trimester pregnant women. The sample consisted of pregnant women who met the inclusion criteria, along with their husbands, who lived together and consented to participate. Exclusion criteria included husbands who worked out of town, those who did not attend all sessions, and those who experienced emergencies during pregnancy, childbirth, or postpartum. A total of 25 participants were assigned to each group through simple random sampling. The intervention group received couple class education, which was delivered online via WhatsApp Groups, along with direct assistance within the first 7 days postpartum. This support lasted for one month. The control group received standard care according to the PMB’s (Praktik Mandiri Bidan or Independent Midwife Practices) SOP (Standard operational procedure). Posttests were conducted on the seventh day postpartum. Breastfeeding rates and the occurrence of breast milk engorgement were assessed using a checklist. Statistical analysis was performed using the chi-square test to compare differences between the groups. Results: A significant difference in breastfeeding rates during the first 7 days was observed between the two groups (p = 0.034). Additionally, there was a significant difference in the prevention of breast milk engorgement (p = 0.017). Conclusions: Couple classes effectively increase breastfeeding rates and prevent breast engorgement, with online materials providing an efficient and impactful method of support.
Survey Kualitas Pelayanan Posyandu Balita di Desa Majasem, Kecamatan Kendal, Kabupaten Ngawi: Quality Survey of Posyandu Services for Toddlers in Majasem Village, Kendal District, Ngawi Regency Mufida Aziza Baroroh; Heru Santoso Wahito Nugroho; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 10 No. 2 (2021): September
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i1.2

Abstract

Posyandu is the role of the community, which organizes a system services to fulfill basic needs, improve human quality, empirically has been able to equalize services in the health sector. The utilization rate of posyandu services by the community especially to maternal is still not running optimally. This is show by the number of Posyandu visits that have not reach 70% target of Ngawi Regency. Therefore, researcher wanted to conduct a Quality Survey for child Posyandu Services. This research type is descriptive. The sample was 220 maternal. This research used Simple Random Sampling techniques. The instrument of this research closed questionnaire filled by respondents. The research only uses a single variable that’s Quality of child Posyandu Services. The results of the study shown that almost every attribute Quality of child posyandu services based on the leve l of importance and performance in relatively encouraging posyandu patients. Priority attributes include posyandu places, availability of toilets, consultation with officers (cadres or midwivery), officers in measuring height quickly and precisely and subsequent posyandu schedule information. Keywords: quality; attributes; posyandu.
Determinan Gangguan Hipertensi dalam Kehamilan (HDK) di Wilayah Kerja Puskesmas Maospati Kabupaten Magetan: Determinants of Hypertension Disorders in Pregnancy (HDK) in the Working Area of the Maospati Health Center, Magetan Regency Elly Marliana; Agung Suharto; Ayesha Hendriana Ngestiningrum
Gema Bidan Indonesia Vol. 11 No. 1 (2022): Maret
Publisher : Jurusan Kebidanan Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gebindo.v10i2.9

Abstract

Penyakit hipertensi dalam kehamilan (HDK) merupakan kelainan vaskular yang terjadi pada kehamilan atau timbul dalam kehamilan atau pada masa nifas. Tujuan penelitian untuk mengetahui pengaruh determinan riwayat hipertensi, obesitas, penggunaan KB hormonal terhadap kejadian hipertensi dalam kehamilan (HDK). Penelitian observasi analitik, dengan rancangan cross sectional. Populasi penelitian ibu hamil yang berkunjung dan tercatat Puskesmas Maospati Kabupaten Magetan pada 2018 sebanyak 332. Teknik pengambilan sample dengan teknik Simpel Random Sampling, besar sampel 183. Variabel bebas dalam penelitian ini adalah riwayat hipertensi, obesitas dan riwayat penggunaan KB hormonal. Variabel terikat dalam penelitian ini adalah kejadian HDK. Pengumbulan data dengan pendekatan studi dokumentasi, dengan lembar observasi. Analisis data mengunakan uji statistic Regresi Logistic, dengan penetapan tingkat kesalahan α 0,05. Hasil penelitian ibu hamil yang mengalami HDK tersebut yang terpapar hipertensi sebanyak 11%, yang ada riwayat atau terpapar obesitas 45,6%, terpapar KB Hormon sebesar 36.3%. Hasil analisis bivariat variabel Riwayat hipertensi dengan HDK ρ 0,01< α 0,05 , hasil Riwayat obesitas dengan HDK dρ 0,024< α 0,05 , Riwayat KB Hormon dengan HDK ρ 0,21< α 0,05. Hasil analisis multivariat menunjukkan hanya variabel riwayat hipertensi yang memenuhi syarat uji Regresi logistic dengan hasil ρ < α 0,05 (0,002<0,05), OR sebesar 0,099. Kesimpulan: faktor riwayat hipertensi dan riwayat obesitas saja yang berpengaruh sangat signifikan. Riwayat hipertensi menyumbang 9,9% dalam kejadian HDK. Saran: pendampingan ibu hamil resiko tinggi oleh masyarakat, peningkatan pemanfaatan Buku KIA, Penguatan ANC Terpadu: peningkatan peran bidan dan dokter umum dalam melakukan skreening bumil risti. Kata Kunci : Riwayat Hipertensi, Obesitas, HDK.
The Efficacy Of Couples’ Classes In Increasing Breastmilk Expression And In Preventing Breast Engorgement Amid The Pandemic Ayesha Hendriana Ngestiningrum; Nuryani Nuryani
Health Notions Vol 9, No 9 (2025): September
Publisher : Humanistic Network for Science and Technology (HNST)

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

There are still obstacles to practicing exclusive breastfeeding. Issues often arise due to a lack of couples’ knowledge. A couple’s class during pregnancy can be a solution to this. This research aims to analyze the effectiveness of a couple’s class in increasing breastmilk expression and in preventing breast engorgement. This was a quasi-experiment with post-tests and a control group design. The population consists of pregnant women in the third trimester and their husbands who live in one house and who are willing to be examined. The number of samples of each group is 25 people that were chosen through the simple random sampling technique. Intervention groups participated in an online couple class and direct guidance once in the first week of giving birth and twice more during the neonatal period. Breastmilk expression and breast engorgement prevention were measured using a checklist. The exclusive breastfeeding in the first month was analyzed using a chi-square examination. The researcher analyzed the difference in breast engorgement between the control group and the treated group using chi-square. There were differences in exclusive breastfeeding between the two groups in the first month with a significance value of  0.034. There was a difference in breast engorgement prevention between the two groups with a significance value of 0.017. The couple’s classes were effective in increasing breastmilk expression and in preventing breast engorgement. The online classes were quite effective and efficient during the Covid-19 pandemic.