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Faktor-faktor yang Mendukung dan Menghambat Dilakukannya Versi Luar pada Kehamilan dengan Presentasi Bokong di Yogyakarta Pariartha, I Made; Siswishanto, Rukmono; Pangastuti, Nuring
JURNAL KESEHATAN REPRODUKSI Vol 7, No 2 (2020)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.59811

Background: Guidelines recommend that external cephalic version (ECV) should be offer to all women with fetus in breech presentation at term. Many literature show external cephalic version can lowering c-section rate caused by breech presentation.Objective: To explore the determinants (barriers and facilitators) affecting obstetricians and gynaecologists to do external cephalic version at Yogyakarta.Method: Explanatory mixed methods design with quantitative-qualitative model. Survey with validated questionnaire and in-depth interview with semi-structured question was done January 2019 until August 2019.Results and Discussion: 72 respondents (83.7%) was responded to questionnaire and in-depth interview was done to 12 respondents. Adherence to ECV guideline was varied: counselling (20.8%), advising for ECV (15.3%), and arranged for ECV to for (almost) all their clients (16.6%). Although 76.4% of respondents considered ECV to be an effective treatment for preventing caesarean childbirth, only 18.1% respondents agreed that every client with breech presentation should undergo ECV. Self-efficacy was the most important determinant influencing adherence. In-depth interview shows several determinants to performed or did not performed ECV: skill of clinicians, guideline for ECV, facility to emergency c-section, ECV characteristic, cost, other methods for breech presentation, perception about ECV in lowering c-section rate, perceived ECV risk and patient preferences.Conclusion: Most respondents agreed that ECV was effective intervention to reduce caesarean childbirth, but adherence to counselling, advising and arranging ECV for clients still very low. Several determinants influenced obstetrician and gynaecologists to perform or did not perform ECV.Keywords: External cephalic version; breech presentation; determinants.

Faktor-faktor yang Mendukung dan Menghambat Dilakukannya Versi Luar pada Kehamilan dengan Presentasi Bokong di Yogyakarta I Made Pariartha; Rukmono Siswishanto; Nuring Pangastuti
JURNAL KESEHATAN REPRODUKSI Vol 7, No 2 (2020)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.59811

Background: Guidelines recommend that external cephalic version (ECV) should be offer to all women with fetus in breech presentation at term. Many literature show external cephalic version can lowering c-section rate caused by breech presentation.Objective: To explore the determinants (barriers and facilitators) affecting obstetricians and gynaecologists to do external cephalic version at Yogyakarta.Method: Explanatory mixed methods design with quantitative-qualitative model. Survey with validated questionnaire and in-depth interview with semi-structured question was done January 2019 until August 2019.Results and Discussion: 72 respondents (83.7%) was responded to questionnaire and in-depth interview was done to 12 respondents. Adherence to ECV guideline was varied: counselling (20.8%), advising for ECV (15.3%), and arranged for ECV to for (almost) all their clients (16.6%). Although 76.4% of respondents considered ECV to be an effective treatment for preventing caesarean childbirth, only 18.1% respondents agreed that every client with breech presentation should undergo ECV. Self-efficacy was the most important determinant influencing adherence. In-depth interview shows several determinants to performed or did not performed ECV: skill of clinicians, guideline for ECV, facility to emergency c-section, ECV characteristic, cost, other methods for breech presentation, perception about ECV in lowering c-section rate, perceived ECV risk and patient preferences.Conclusion: Most respondents agreed that ECV was effective intervention to reduce caesarean childbirth, but adherence to counselling, advising and arranging ECV for clients still very low. Several determinants influenced obstetrician and gynaecologists to perform or did not perform ECV.Keywords: External cephalic version; breech presentation; determinants.

Perbedaan Efektivitas Diskusi Kelompok, Motivasi Intrinsik dan Nilai Modul dari Mahasiswa yang Difasilitasi Dosen dan Tutor Sebaya I Made Pariartha; Rossi Sanusi; Tridjoko Hadianto
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 3, No 2 (2014): JULI
Publisher : Asosiasi Institusi Pendidikan Kedokteran Indonesia

Background: Peer teaching is a teaching method that widely applied in many medical institutions. This research was designed to evaluate group discussion effectiveness, intrinsic motivation, and student achievement differences between peer tutor−facilitated students and faculty tutor−facilitated students.Method: This research is an experimental research using post−test only control group design during the implementation of third and fourth module of the Cardiovascular Block (consist of five modules). Fifty-nine third year students were randomly assigned into two groups. Three experimental groups (n= 30) was facilitated by peer tutors (PT) and three control groups (n= 29) was facilitated by faculty tutors (FT). Two students were randomly elected from each PT group as peer tutor. A six hour training was given to the peer tutors. In the end of the third and fourth module, group discussion effectiveness, intrinsic motivation, and student achievement in those modules were evaluated using Tutorial Group Effectivenes Instrument (TGEI) questionnaire, Intrinsic Motivation Inventory (IMI) questionnaire, and 20 multiple choice questions, respectively. Mean differences between groups were measured by Cohen's d with the practical significance at Cohen's d > 1.Results: There was no significant differences of group discussion effectiveness (Cohen’s d= -0.41) and intrinsic motivation (Cohen’s d= -0.83) between two groups. Significant difference in student achievement is found between those groups, peer tutor−facilitated students score higher than faculty tutor−facilitated students (Cohen’s d= 2.96). Peer tutors showed higher achievement than discussants (Cohen’s d= 1.86).Conclusion: The results showed that peer tutor can facilitated group discussion as well as faculty tutor in group discussion effectiveness, intrinsic motivation and student achievement paramaters. There was advantage for students who given role as peer tutor.

Pelatihan Deteksi Stunting dan Pengelolaan Keuangan Keluarga Pada Kader Posyandu Banjar Tanjung Desa Sanur Kauh, Denpasar Putu Arya Suryanditha; I Made Pariartha; I Nyoman Sutapa
I-Com: Indonesian Community Journal Vol 3 No 4 (2023): I-Com: Indonesian Community Journal (Desember 2023)
Publisher : Fakultas Sains Dan Teknologi, Universitas Raden Rahmat Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33379/icom.v3i4.3380

Banjar Tanjung merupakan salah satu Banjar di Desa Sanur Kauh, Kota Denpasar, Propinsi Bali. Salah satu kelompok masyarakat di Banjar Tanjung adalah kader posyandu. Salah satu kegiatan posyandu kader adalah pengukuran antropometri bayi dan anak untuk mendeteksi permasalahan pertumbuhan pada anak. Masalah pertumbuhan anak yang menjadi perhatian desa adalah stunting. Beberapa permasalahan dari diskusi yaitu masih bervariasinya pengetahuan kader terkait dengan stunting dan isu pengelolaan keuangan di keluarga Solusi dari masalah tersebut adalah kegiatan pelatihan deteksi dan pencegahan stunting serta pelatihan pengelolaan budgeting keuangan keluarga. Pelaksanaan pengabdian masyarakat secara umum berjalan lancar. Evaluasi pelaksanaan pada pelatihan deteksi dan pencegahan stunting didapatkan peningkatan rerata pretest-posttest (46,25 menjadi 73,75). Pada pelatihan pengelolaan budgeting keuangan keluarga. didapatkan peningkatan rerata pretest-posttest (60,00 menjadi 70,00). Kesimpulan dari pelaksanaan kegiatan ini antara lain didapatkan peningkatan pengetahuan mitra terkait deteksi dan pencegahan stunting meningkat serta pengelolaan budgeting keluarga.

Eksplorasi Keefektifan Pembelajaran Daring pada Masa Pandemi Covid-19 di FKIK Universitas Warmadewa I MADE PARIARTHA
Hang Tuah Medical Journal Vol 21 No 1 (2023): Hang Tuah Medical Journal
Publisher : Universitas Hang Tuah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30649/htmj.v21i1.476

Covid-19 pandemic has brought about a fundamental change in the field of Medical Education. Medical education due to the Covid-19 pandemic must be carried out online. FKIK Unwar applies online learning at the academic level. The aim of the study was to obtain data on the effectiveness of online group discussions, tutor behavior in facilitating online group discussions, student motivation, students' perception of the learning environment and knowing the factors that support and hinder the implementation of online learning at FKIK Unwar. This study is a mixed method. Quantitative research by distributing DREEM, TGEI, IMI, and TBQ questionnaires to students. Qualitative research to find out the factors that support and inhibit online learning is carried out with FGD to students and lecturers. Most respondents > 75% agreed and strongly agreed on each of the DREEM, IMI, TGEI, TBQ questionnaires. FGD results there are several factors that support online learning, among others: Facilitation of online skills learning through LMS and the ability of lecturers in facilitating online learning. Some of the factors that hinder include: The internet network is sometimes unstable, not optimal institutional assistance in supporting the implementation of online learning, and supporting online learning, especially in terms of clinical skills has not been optimal. Online learning at FKIK Unwar is already underway effectively. Intrinsic motivation of students in following online learning is quite good. Tutors are able to facilitate online learning well. Students perceive the online learning environment at FKIK Unwar going well.

BARRIERS TO STUNTING PRIMORDIAL PREVENTION THROUGH PROSPECTIVE BRIDE’S ADVISORY SERVICE: A QUALITATIVE STUDY USING SOCIAL ECOLOGICAL MODEL Wijaya, Made Indra; Komang Triyani Kartinawati; Luh Gede Pradnyawati; I Gusti Ngurah Made Bayuningrat; Tanjung Subrata; I Made Pariartha; A.A. Gede Indraningrat; Made Dharmesti Wijaya; Kartika Sari
Muhammadiyah International Public Health and Medicine Proceeding Vol. 3 No. 1 (2023): PROCEEDING MUHAMMADIYAH INTERNATIONAL PUBLIC HEALTH AND MEDICINE CONFERENCE - T
Publisher : Fakultas Kesehatan Masyarakat Universitas Muhammadiyah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61811/miphmp.v3i1.355

Since the Faculty of Medicine and Health Sciences, University of Warmadewa, launched community-oriented medical education (COME), the stunting prevalence in Gianyar Residence decreased from 12.1% (2018) to 11.1% (2019). In 2021, it decreased to 5.1% which was lower than Bali province (10.9% in 2021) and much less than the Republic of Indonesia (24.4%). The PentaCOME (Pentahelix Community-Based Medical Education) project, the modification of COME, was the collaboration of the Indonesian Ministry of Education, Culture, Research, and Higher Education, the Warmadewa University, as well as PT. Sido Muncul is implemented to further lower stunting prevalence via the “Stunting Primordial Prevention Through Prospective Brides Advisory Service” initiative in Payangan District. The present study was intended to figure out barriers to implementing such initiatives. This is a qualitative study using in-depth interviews and focus group discussions (FGDs) in obtaining data. Purposive sampling was used to select informants who represented academicians (3), businessmen (2), community (9), government (3), and media (3) (i.e., Penta helix components). Twenty in-depth interviews and two FGDs involving academician, community, government, and media were conducted during the 1 September 2022 – 15 October 2022 period. Two coders transcribed and coded independently. The social-ecological model was used to categorize the codes. Informants described that they never heard about the ELSIMIL application (ELSIMIL stands for Electronic Siap Nikah dan Hamil which means ‘prepared to get married and pregnant application’) at the personal level. The “No pregnancy, no marriage” motto (i.e., social pressure to get pregnant before marriage among Balinese) was found a barrier at the interpersonal level. At the institutional level, key informants stated the prospective bride’s advisory service and ELSIMIL application campaign were not adequate. At the community level, the family support team community has been established, however, they could not fulfill their function properly due to the “no pregnancy, no marriage” motto. At the policy level, the traditional village assembly (i.e., “Majelis Desa Adat”) has not issued regulations regarding the prospective bride’s advisory service. A lack of cross-sector collaboration was also reported as a barrier to this initiative. A well-planned promotion could socialize ELSIMIL application among prospective brides. Advocacy to the traditional village assembly might diminish the “no pregnancy, no marriage” motto. Pentahelix collaboration needs to be established to achieve the “zero stunting for golden generation” goal.

EFEKTIVITAS, FEASIBILITAS DAN AKSEPTABILITAS METODE PEMBELAJARAN FLIPPED CLASSROOM DI BIDANG KEDOKTERAN Pariartha, I Made; Putra, Adi Pratama; Ekayani, Ni Wayan Diana
PendIPA Journal of Science Education Vol 8 No 2 (2024): June
Publisher : UNIB Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33369/pendipa.8.2.342-348

Flipped classroom (FC) have advantages compared with traditional lectures. One of them is the occurrence of active learning. This study aims to assess the flipped classroom learning method's effectiveness, feasibility and acceptability. Research method with mixed method. Quantitative method with pre-test and post-test control group design. One with traditional lecture (TL) and another with the flipped classroom method. Effectiveness was assessed by pre-test and post-test. The post test was carried out on day 0, 3, 7 and 14. FGD assessed the feasibility and acceptability of FC. TL are in pregnancy physiology courses, while FC are in labor physiology courses. There were differences in pretest scores in the FC group compared to TL, 4.89 (± 0.85) vs 4.29 (±1.01) (p=0.000), respectively. There were differences in posttest scores d-0, d-3, d-7, d-14 between the FC group and TL group, 7.89 (± 0.85) vs 7.29 (±1.01) (p = 0.000); 6.82 (± 0.78) vs 6.14 (±0.81) (p= 0.000); 5.85 (± 0.80) vs 5.20 (±0.88) (p= 0.000); 5.81 (± 0.77) vs 4.78 (±0.82) (p= 0.000), respectively. FC are difficult, burdened students, stimulate more active learning, are not suitable for certain learning, and provide an overview of real situations. Flipped classroom is more effective than traditional lectures. Flipped classroom can be applied (feasible) in teaching medicine, but the acceptability of this method still varies.

Pelatihan Kepemimpinan dalam Pengembangan Kualitas Personal Mahasiswa Kedokteran: Penilaian Fasilitator Ekayani, Ni Wayan Diana; Ningrum, Rima Kusuma; Pariartha, I Made
eJournal Kedokteran Indonesia Vol. 12 No. 1 (2024): Vol 12, No. 1 - April 2024
Publisher : Faculty of Medicine Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23886/ejki.12.340.10

Mahasiswa kedokteran perlu mengembangkan kompetensi kepemimpinan untuk dapat berkontribusi dalam meningkatkan kualitas pelayanan kesehatan. Dampak pelatihan kepemimpinan sulit untuk dievaluasi karena lebih fokus pada peningkatan kemampuan secara kognitif. Penilaian beberapa perspektif merupakan salah satu cara untuk mengetahui dampak pelatihan kepemimpinan pada mahasiswa kedokteran. Penelitian ini bertujuan untuk mengeksplorasi pengaruh pelatihan kepemimpinan dalam mengembangkan kualitas personal mahasiswa kedokteran berdasarkan penilaian fasilitator. Penelitian deskriptif kualitatif ini berdasarkan penilaian empat fasilitator dalam pelatihan kepemimpinan daring. Pelatihan kepemimpinan didesain menggunakan domain demonstrasi kualitas personal dari Medical Leadership Competency Framework (mawas diri, manajemen diri, pengembangan diri berkelanjutan, dan integritas). Pelatihan dilaksanakan selama 15 hari yang terdiri atas sesi workshop dan student project. Setiap fasilitator memfasilitasi 8-10 orang mahasiswa dan mengisi tiga penilaian selama observasi pembuatan student project. Sebanyak 12 dokumen dianalisis menggunakan analisis tematik. Hasil penelitian mendapatkan 19 sub- tema berdasarkan elemen demonstrasi kualitas personal. Setiap subtema menggambarkan perkembangan kualitas personal mahasiswa saat mengikuti pelatihan kepemimpinan. Institusi perlu memfasilitasi pengembangan kepemimpinan mahasiswa secara berkelanjutan melalui aktivitas intrakurikuler maupun ekstrakurikuler.

KEMITRAAN PEMERIKSAAN ULTRASONOGRAFI BIOMETRI JANIN DAN SKRINING PENYAKIT GIGI DAN MULUT PADA IBU HAMIL I Gusti Ngurah Made Bayuningrat; I Made Pariartha; Tri Purnami Dewi R
J-ABDI: Jurnal Pengabdian kepada Masyarakat Vol. 5 No. 7 (2025): Desember 2025
Publisher : Bajang Institute

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Program kemitraan masyarakat ini bertujuan untuk memberdayakan bidan dan ibu hamil di Desa Pelaga, Badung, Bali, melalui integrasi pemeriksaan Ultrasonografi (USG) Biometri dan Skrining Kesehatan Gigi dan Mulut. Inisiatif ini ditujukan untuk mengatasi keterbatasan akses terhadap pelayanan antenatal spesialistik di daerah terpencil. Program ini melibatkan kegiatan Focus Group Discussion (FGD), sesi edukasi, pemeriksaan USG, serta skrining gigi dan mulut. Hasil kegiatan menunjukkan peningkatan pengetahuan dan kesadaran tentang kesehatan maternal, yang tercermin dari nilai post-test yang meningkat secara signifikan dibandingkan pre-test. Kolaborasi antara tenaga medis dan dokter gigi berhasil meningkatkan aksesibilitas layanan kesehatan lokal serta kesejahteraan ibu hamil.

STUDI DESKRIPTIF KASUS-KASUS OBSTETRI DAN GINEKOLOGI DI POLIKLINIK RUMAH SAKIT UMUM PREMAGANA TAHUN 2022–2024 Bayuningrat, I Gusti Ngurah Made; I Made Pariartha; I Gusti Ngurah Andika Manik Pradnyaningrat; Ida Bagus Bramantya Dwinanta Kartha
Journal of Innovation Research and Knowledge Vol. 5 No. 7 (2025): Desember 2025
Publisher : Bajang Institute

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Penelitian deskriptif retrospektif ini dilakukan di Rumah Sakit Umum Premagana, Gianyar, dengan fokus pada kasus obstetri dan ginekologi di poliklinik rawat jalan dari tahun 2022 hingga 2024. Penelitian ini dilatarbelakangi oleh kurangnya data epidemiologis mengenai distribusi kasus obstetri dan ginekologi di rumah sakit ini. Tujuan penelitian adalah untuk menetapkan data dasar yang dapat membantu dalam perencanaan infrastruktur, alokasi sumber daya, dan peningkatan layanan kesehatan wanita. Data dikumpulkan secara retrospektif dari rekam medis dan dianalisis secara deskriptif berdasarkan jenis dan frekuensi kasus. Hasil menunjukkan bahwa sebagian besar kasus terkait dengan pemeriksaan antenatal (ANC) dan perawatan luka pasca operasi sesar, diikuti oleh perdarahan uterus abnormal (AUB) dan keputihan. Prosedur yang paling jarang dilakukan adalah krioterapi. Temuan ini memberikan dasar yang berharga untuk meningkatkan kesiapan layanan dan memperkuat perawatan preventif di RSU Premagana.

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