scholarly journals EFEKTIFITAS PENDIDIKAN KESEHATAN METODE DEMONSTRASI DAN MEDIA VIDEO TERHADAP PRAKTIK SADARI DI PONDOK PESANTREN DARUL HIJRAH PUTRI MARTAPURA

2020 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Ruslinawati Ruslinawati

Early detection of breast cancer with BSE can be done alone to recognize abnormalities in the breast, carried out periodically every month, on the 7th to 10th day after menstruation, the actions include: position, inspection, palpation and patterns. However, there are still many who do not know about BSE and the high number of breast cancer cases in 2018 reaching 542 cases in Indonesia. To reduce the high cases of breast cancer, health education about BSE needs to be done. Analyze the effectiveness of health education demonstration methods and video media on BSE practices. The Quasy Experimental research design, the Posttest Only Control Group Design, the total population of class XI is 216 students were taken by the Proportional Stratified Random Sampling Method with 68 people divided into demonstration with video groups and video groups, the statistical test results using the Mann Whitney test. There is a significant difference in effectiveness between health education demonstration methods with video media and video media only, where the p value is 0.033 <0.05. Demonstration health education with video media is more effective against BSE practices than health education with video media only.

2018 ◽  
Vol 4 (2) ◽  
pp. 161-167
Author(s):  
Syaukia Adini ◽  
Bedjo Santoso ◽  
Sarkum Sarkum ◽  
Sudirman Sudirman

Background: Ventilator Associated Pneumonia (VAP) is one of the causes of infection in the hospital and the main cause of death due to nosocomial infection. The strategy to prevent VAP is by oral hygiene. Honey may be a good solution for oral hygiene.Objective: This study aims to compare the effect of the use of 20% honey solution and 0.2% chlorhexidine as oral hygiene on VAP prevention in patients on mechanical ventilation.Methods: This was a quasi-experimental study with posttest only control group design in an incentive care unit of a general hospital in Indonesia. Thirty respondents were selected using consecutive sampling, which 15 respondents assigned in a 20% honey group and 0.2% chlorhexidine group. Clinical Pulmonary Infection Score (CPIS) was used to measure Ventilator Associated Pneumonia. Data were analyzed using Independent t-test.Results: The mean of CPIS in the honey group was 3.33 and the chlorhexidine group was 3.53. Independent t-test showed p-value 0.618 (>0.05), which indicated that there was no significant difference of the effect of honey and chlorhexidine on VAP event.Conclusions: The 20% honey solution has the same effect with 0.2% chlorhexidine in preventing VAP events in patients on mechanical ventilation.


2015 ◽  
Vol 1 (2) ◽  
pp. 84 ◽  
Author(s):  
Akhmad Muntaha ◽  
Haitami Haitami ◽  
Nurul Hayati

Tofu is a food with high protein content and the moisture content reaches 85%, so that it knows can not last long. Manufacturers know still use formaldehyde as a preservative. Handling to reduce formaldehyde levels in the know are soaked in hot water and boiled in boiling water. The purpose of this study was to determine the ratio decreased levels of formaldehyde in the know are boiled and soaked in hot water out. This type of research is True Experiment with posttest study design Only Control Group Design. The population in this study is tofu containing formalin. Then examined by spectrophotometry of formaldehyde levels in most groups as a pretest sample, others are given treatment and formalin levels checked by spectrophotometry. Data were analyzed using the Mann-Whitney test. Results of this study the average levels of formaldehyde in the know before the treatment is 68.668 ppm. Decreased levels of formaldehyde in formalin know after boiling for 10 minutes was 64.77%. Decreased levels of formaldehyde in formalin know with the treatment of immersion in hot water for 10 minutes is 33.1%. Based on statistical tests that have been conducted, it was found a significant difference between the reduced levels of formaldehyde in formalin boiled out and the know formalin soaked in hot water with sig. 0,000. Boiling know formalin reduce levels of formaldehyde greater than soaking out in hot water.


2019 ◽  
Vol 2 (3) ◽  
pp. 84
Author(s):  
Rina Septiadiningsih ◽  
Euis Rohaety ◽  
Lenny Nuraeni

Sensitive period is the right time to instill the basis of the importance of counting. In addition to counting skills that must be developed also pay attention to the application of learning used. However, in the learning process, teachers often forget the importance of playing methods. If too often with giving assignments the child will feel bored, therefore what is used is the method of playing. Play method is one method that can be used by teachers to teach the ability to count children in the beginning. Based on this background, the purpose of this study was to determine the effect of the use of playing methods on initial numeracy skills. This study used the Quasi Experiment method with the Nonequevalent Control Group Design research design. The results of the pre test showed that there were no significant differences in the experimental group and the control group with p-value> 0.05, which was 0.135> 0.05 which was tested by the two average test results. While the post-test results showed that the initial numeracy ability after the application of the playing method experienced a significant difference with the p-value <0.05, that is with the results of 0.0001 with the Mann-Whitney test. This method of playing can be used as a learning suggestion for educators to improve their ability to have an early start.


2021 ◽  
Vol 7 (3) ◽  
pp. 533-543
Author(s):  
Holidah Holidah ◽  
Fenita Purnama Sari Indah

Background: The total infant mortality rate (IMR) in Indonesia shows that the infant mortality rate in Indonesia is still relatively high when compared to ASEAN member countries, which is 4.6 times higher than Malaysia, 1.3 times more. Purpose: Analyzing the causative factors and indications for high-risk events and to analyze the increased understanding of mothers about high-risk neonates. Methods: The research was conducted in 2 stages, with quantitative research methods. In the first phase, a survey was conducted of 100 mothers who have babies and toddlers in the Pamulang Puskesmas working area. In the second phase of research, with a participatory approach, namely the provision of health education about High Risk neonates. The research design was a quasi experiment with non-equivalent control group design with pre test and post test design. A total of 27 samples were taken using purposive sampling technique. The data were processed using the Willcoxon test. Results: In this study, the results obtained were p value 0.011 (<0.05), which means that there is a difference in understanding between the pretest and posttest, there has been an increase in the average value of respondents' knowledge about high-risk neonates after health education. The mean value of maternal knowledge increased from 25.8 when the pre-test was conducted to 27.4 at the post-test. Conclusion: There are changes when after health education is carried out, the community can understand well the material providedSuggestion: health institution to increase understanding of pregnant women and mothers who have babies and toddlers in a more innovative and participatory way about the factors that cause high risk neonates and indications of high risk neonates in mothers. For the community, it can increase knowledge and insight as a reference in order to prevent the occurrence of high risk neonates in pregnant women and mothers who have babies and toddlers. Keywords: Participatory Approaches, High-Risk Neonates, Mother's Understanding ABSTRAK                                                                                                                                                        Latar Belakang: Jumlah Angka Kematian Bayi (AKB) di Indonesia menunjukan bahwa tingkat kematian bayi di Indonesia masih tergolong tinggi jika dibandingkan dengan negara-negara anggota ASEAN, yaitu 4,6 kali lebih tinggi dari Malaysia, 1,3 kali lebih.Tujuan: Penelitian bertujuan untuk menganalisis faktor penyebab serta indikasi kejadian berisiko tinggi serta menganalisis peningkatan pemahaman ibu mengenai neonatus berisiko tinggi.Metode: Penelitian dilakukan dengan 2 tahap, dengan metode penelitian kuantitatif. Pada tahap pertama dilakukan survey terhadap ibu yang memiliki bayi dan balita di wilayah kerja Puskesmas Pamulang, berjumlah 100 ibu. Pada penelitian tahap kedua, dengan pendekatan partisipatif yaitu pemberian pendidikan kesehatan mengenai neonatus Risiko Tinggi. Rancangan penelitian adalah quasi experiment dengan desain Non-equivalent Control Group Design with pre test dan post test design. Sampel diambil sebanyak 27 sampel dengan menggunakan teknik purposive sampling data diolah menggunakan Uji Willcoxon. Hasil: Pada penelitian ini diperoleh hasil bahwa diperoleh p value 0,011 (<0,05) yang berarti bahwa terdapat perbedaan pemahaman antara pretest dan posttest, telah terjadi peningkatan nilai rata-rata pengetahuan responden mengenai neonatal risiko tinggi setelah dilakukan pendidikan kesehatan. Nilai rata-rata pengetahuan ibu mengalami kenaikan dari 25,8 saat pre-test dilakukan menjadi 27,4 saat post-test.Kesimpulan:Terdapat perubahan pada saat setelah dilakukan pendidikan kesehatan, masyarakat dapat memahami dengan baik dari materi yang diberikan.Saran : bagi instansi kesehatan agar dapat meningkatkan pemahaman ibu hamil serta ibu yang memiliki bayi dan balita dengan cara yang lebih inovatif dan partisipatif tentang faktor penyebab kejadian neonatus risiko tinggi maupun indikasi kejadian neonatus risiko tinggi pada ibu. Bagi Masyarakat dapat meningkatkan pengetahuan dan wawasan sebagai acuan agar dapat mencegah terjadinya kejadian neonatus risiko tinggi pada ibu hamil serta ibu yang memiliki bayi dan balita. Kata Kunci : Pendekatan Partisipatif, Pemahaman Ibu, Neonatus Risiko Tinggi 


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Nuriah Arma ◽  
Yanwirasti Ariadi ◽  
Lisma Evareny

AbstrakBayi baru lahir memiliki 80 ml darah dari plasenta pada 1 menit setelah kelahiran dan 100 ml pada 3 menit setelah lahir, volume ini akan memasok 40-50 mg/kg ekstra besi untuk memiliki 75 mg/kg besi tubuh bayi yang cukup bulan yang dapat mencegah kekurangan zat besi pada tahun pertama kehidupan. Oleh karena itu pemotongan tali pusat yang terlalu cepat setelah persalinan akan mengurangi kandungan besi sekitar 15-30%, sedangkan bila ditunda 3 menit dapat menambah volume sel darah merah sekitar 58%. Tujuan penelitian ini adalah untuk membuktikan adanya perbedaan kadar Hb (hemoglobin) dan Ht (hematokrit) akibat perbedaan waktu penjepitan tali pusat. Penelitian ini dilakukan di tempat Bidan Praktek Mandiri Kota Padang. Jenis penelitian eksperimental dengan post-test only controll group design. Pengambilan sampel secara consecutive sampling sampai tercapai jumlah 36 bayi yang terbagi atas 18 bayi baru lahir pada tiap kelompok. Data dianalisis dengan uji t. Hasil penelitian didapatkan rerata kadar Hb dan Ht pada kelompok penjepitan 3 menit setelah lahir lebih tinggi daripada penjepitan 1 menit. Terdapat perbedaan kadar Hb yang bermakna antara kelompok penjepitan 3 menit setelah lahir daripada 1 menit dengan nilai P=0,004.  Ada terdapat perbedaan Ht yang bermakna antara kelompok penjepitan 3 menit dan 1 menit dengan nilai P=0,001. Kesimpulan penelitian ini ialah kadar Hb dan Ht lebih baik pada penjepitan tali pusat ditunda 3 menit setelah lahir dibandingkan dengan penjepitan 1 menit setelah lahir.Kata kunci: hemoglobin, hematokrit, penjepitan tali pusat AbstractThe newborns contain 80 ml of blood from the placenta in 1 minute after birth and 100 ml in 3 minute after birth. This volume supply 40 to 50 mg/kg of extra iron to have 75 mg/kg of body iron baby full-term that can prevent iron deficiency in the first year of life. Therefore, cutting the umbilical cord too soon after birth will reduce the iron of content about 15 to 30%, whereas when delayed 3 minute its can increase the volume red blood cells about 58%. The objective of this study was to prove the difference of hemoglobin and hematocrit level between 3 minutes and 1 minute cord clamping.  Experimental research was conducted with post-test only control group design of 36 newborns. Data were analyzed by t-test. The result of this study showed that the mean of hemoglobin and hematocrit level in 3 minutes of clamp are higher  than 1 minute of clamp.There was a significant difference of hemoglobin level between 3 minutes cord clamping group and 1 minute cord clamping group with p value is 0.004. There was also a significant difference of hematocrit level between 3 minutes cord clamping group and 1 minute cord clamping group with p value is 0.001. The conclusion is the hemoglobin and hematocrit level are better in cord clamping delayed in 3 minutes after birth than clamping in 1 minute after birth. Keywords: hemoglobin, hematocrit, cord clamping


2013 ◽  
Vol 8 (2) ◽  
pp. 56
Author(s):  
Rufaida Nurjanah ◽  
Dwiana Estiwidani ◽  
Yuliasti Eka Purnamaningrum

Pada tahun 2010-2012, di Kabupaten Gunungkidul, terjadi kenaikan dua kali lipat kasus pernikahan di bawah umur. Kasus tertinggi terdapat di Kecamatan Patuk, yaitu sebanyak 18 kasus. Kehamilan di usia muda berkorelasi dengan angka kematian ibu. Peningkatan pengetahuan kesehatan reproduksi dapat dilakukan dengan penyuluhan. Tujuan penelitian ini  untuk mengetahui pengaruh penyuluhan terhadap peningkatan pengetahuan tentang pernikahan usia muda. Jenis penelitian yang digunakan adalah kuasi eksperimen dengan pretest-posttest terhadap kelompok kontrol. Penelitian dilakukan di SMPN 1 Patuk. Subjek penelitian adalah siswa kelas VIII. Jumlah sampel sebanyak 25 responden, baik pada kelompok eksperimen maupun kontrol. Instrumen penelitian adalah kuesioner. Hasil pretest menunjukkan nilai rata-rata kelompok eksperimen adalah 70,40 dan kelompok kontrol adalah 71,20. Hasil posttest menunjukkan nilai rata-rata kelompok eksperimen adalah 90,88 dan kelompok kontrol adalah 78,40. Terdapat perbedaan yang signifikan antara nilai pretest dengan posttest. Peningkatan pengetahuan pada kelompok eksperimen sebesar 20,48, sedangkan kelompok kontrol sebesar 7,20. Hasil uji independen sampel uji t menghasilkan nilai p 0,000 (< 0,05). Penelitian ini menyimpulkan bahwa ada pengaruh penyuluhan terhadap peningkatan pengetahuan tentang pernikahan usia muda pada siswa kelas VIII di SMPN 1 Patuk tahun 2013.In 2010-2012, the amount of underage marriage had doubled in Gunung Kidul. Moreover, the highest case was in Patuk which had 18 cases. However, there was correlation between early pregnancy and maternal mortality. Improving the knowledge of reproductive health can be done by counseling. The research was aimed to find out about the effect of counseling on the improvement of the knowledge of young age marriage. The research was categorized into quasi experimental research which has pre-posttest with control group design. The research was conducted at SMPN 1 Patuk. The subject of the research was VIII grade students. There were 25 respondents both the experiment group and control group as well. The instrument used was questioner. The result of pretest was the average score of experiment group was 70.40 while control group’s average score is 71.20. The result of the posttest was the average score of experiment group was 90.88 while the control group’s average score was 78.40. So, it could be concluded that there were a significant difference between pretest and posttest. The knowledge of experiment group increased by 20.48 whiles the control group’s knowledge increased by 7.20. The result of independent sample t-test was the score of p-value is 0.000 (< 0.05). This research concludes that there is effect of counseling on the improvement of the knowledge about young age marriage of VIII grade students of SMPN 1 Patuk in 2013.


2020 ◽  
Vol 6 (4) ◽  
pp. 435-441
Author(s):  
Nora Veri ◽  
Nila Suci Ramadhani ◽  
Alchalidi Alchalidi

ABSTRACT Background: Emesis gravidarum can get worse into hyperemesis gravidarum which causes the body to become weaker, paler, and the frequency of urination decreases. As a result, decreased body fluids and hemoconcentration of blood can cause tissue damage. Non pharmacological treatment is very important because it reduces the pharmacological effects that appear in pregnant women. The herbal therapy that has been proven to be beneficial is the administration of peppermint, but research on the effects of Pamelo fruit related to nausea and vomiting in pregnant women is still rare.Objective: To determine the comparison of the effectiveness of peppermint and Pomelo orange on the intensity of nausea and vomiting in pregnant womenMethods: The research design was a quasi experimental study with a pretest posttest control group design approach. The number of samples was 24 pregnant women who were grouped into 3 groups.Results: The average intensity of nausea and vomiting in the peppermint group at pretest was 2.38 and decreased at posttest to 1 with P-value 0.004. The intensity of nausea and vomiting in the Pomelo group at pretest was 6.38, falling to 1.75 at posttest with P-value 0.000. The result of further test showed that there was no significant difference in the intensity of nausea and vomiting between the two groups with Sig. 0.428.Conclusion: Peppermint and pomelo are effective in reducing the intensity of nausea and vomiting in trimester I pregnant women.Suggestion : This research needs to be refined by enlarging the research sample and measuring the intensity of nausea and vomiting can be done every day during the study considering that this study only measured twice the number of 24 respondents. Keywords : Nausea, Vomiting, Pregnancy, Peppermint, Pomelo ABSTRAK Latar Belakang : Emesis gravidarum dapat bertambah berat menjadi hiperemesis gravidarum yang mengakibatkan tubuh semakin lemah, pucat, dan frekuensi buang air kecil menurun. Akibatnya cairan tubuh berkurang dan hemokonsentrasi darah yang dapat menimbulkan kerusakan jaringan. Pengobatan non farmakolgis sangat penting karena mengurangi efek farmakologis yang muncul pada ibu hamil. Terapi herbal yang sudah terbukti bermanfaat adalah pemberian peppermint, namun penelitian efek buah Pamelo yang berkaitan dengan mual muntah pada ibu hamil masih jarang.Tujuan Penelitian : Untuk mengetahui  perbandingan efektifitas pemberian peppermint dan Jeruk Pomelo terhadap intensitas  mual dan  muntah pada ibu hamilMetode Penelitian : Rancangan penelitian ini adalah quasi experimental dengan pendekatan pretest posttest control group design. Jumlah sampel  adalah sebanyak 24 orang ibu hamil yang dikelompokkan kedalam 3 kelompok.Hasil Penelitian : Rata-rata intensitas mual muntah pada kelompok peppermint saat pretest adalah 2,38 dan menurun pada saat posttest menjadi 1 dengan P-value 0,004. Intensitas mual muntah kelompok Pomelo pada pretest adalah 6.38 turun menjadi 1,75 pada saat posttest dengan P-value 0,000. Hasil uji lanjut didapatkan tidak ada perbedaan bermakna intensitas mual muntah antara kedua kelompok dengan Sig. 0,428.Kesimpulan : Pemberian Peppermint dan pomelo efektif dalam menurunkan intensitas mual dan muntah pada ibu hamil trimester I.Saran : Penelitian ini perlu disempurnakan dengan memperbesar sampel penelitian dan pengukuran intensitas mual muntah dapat dilakukan setiap hari selama penelitian mengingat penelitian ini hanya mengukur sebanyak dua kali pada 24 responden. Kata kunci : Mual, Muntah, Kehamilan, Peppermint, Pomelo 


2018 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Neila Sulung ◽  
Nice Foresa

<p><em>Psychoeducation is one form of intervention, both for families and clients who are part of the psychosocial therapy. Psychoeducation aims to increase knowledge about schizophrenia patients and families and to improve treatment compliance</em><em>. </em><em>This study aims to determine the effectiveness of psychoeducation intervention </em><em>for </em><em>treatment compliance</em><em> of </em><em>schizophrenia patient. </em><em>The kind of this research is q</em><em>uasiexperimen</em><em>tal</em><em>with control group design with </em><em>16 samples that was</em><em> selected by pusposive sampling</em><em>,</em><em> consist of </em><em>8</em><em> people</em><em> was the </em><em>experimental group </em><em>that was given </em><em>psychoeducation intervention and </em><em>8 people was the </em><em>control group </em><em>that was </em><em>given health education. </em><em>The d</em><em>ata</em><em>was </em><em>collected by </em><em>filled the </em><em>observation sheet as much as 12 statement</em><em>s</em><em>. </em><em> The </em><em>Test </em><em>that </em><em>used was T-Test Independent with p </em><em>value </em><em><span style="text-decoration: underline;">&lt;</span></em><em>0.05. </em><em>The result of this research is the mean of treatment compliance on experimental group is 11,00 and control group 6,88. In statistic test showed that there is the significant difference between treatment compliance of schizopheria patient on experimental group and control group with p value 0,0005 (p &lt; 0,05).Based of the result above can be concluded than psychoeducation intervention more effective to increase the treatment compliance of schizophrenia patients than health education. It is recomended to the nurse in health center to implements this psychoeducation regularly in gives nursing care to schizophrenia patients.</em></p><p><em> </em></p><p><em>Keyword</em><em>s         : </em><em>psychoeducation, treatment compliance, schizophrenia</em><em></em></p>


2018 ◽  
Vol 4 (1) ◽  
pp. 1
Author(s):  
Nurul Huda ◽  
Eka Febriyanti ◽  
Diva De Laura

ABSTRAKPenelitian ini bertujuan untuk mengetahui pengaruh pendidikan kesehatan terhadap pengetahuan dan sikap responden terhadap nutrisi pada luka kronik menggunakan desain penelitian quasy experiment dengan rancangan non-equivalent control group design. Sampel penelitian adalah 30 responden yangdibagi menjadi 15 responden kelompok eksperimen dan 15 responden kelompok kontrol yang diambil berdasarkan kriteria inklusi menggunakan purposive sampling. Kelompok eksperimen diberikan pendidikan kesehatan berupa edukasi tentang nutrisi pada luka kronik. Alat ukur yang digunakan untuk variabel pengetahuan dan sikap adalah kuesioner tentang pengetahuan dan sikap. Analisa yang digunakan adalah analisa univariat untuk mengetahui distribusi frekuensi dan analisa bivariat menggunakan Independent sample T-test dan dependent sample T-test. Hasil penelitian menunjukkan rata-rata pengetahuan responden setelah diberikan pendidikan kesehatan pada kelompok eksperimen adalah 84.67 dan pada kelompok kontrol yang tidak diberikan pendidikan kesehatan adalah 60.00.sedangkan rata-rata sikap responden setelah diberikan pendidikan kesehatan pada kelompok eksperimen adalah 47.07 dan pada kelompok kontrol yang tidak diberikan pendidikan kesehatan adalah 42.33.Hasil statistik diperoleh p value untuk variabel pengetahuan (0.000) &lt; alpha (0.05), dan p value untuk variabel sikap (0.001) &lt; alpha (0.05) sehingga dapat disimpulkan pendidikan kesehatanberpengaruh terhadap pengetahuan dan sikap responden dan dapat direkomendasikan sebagai intervensi keperawatan untuk meningkatkan pengetahuan dan sikap responden tentang nutrisi pada luka kronik berdasarkan perspektif budaya.ABSTRACT The aim of this research was to identify the effect of health education on respondent knowledge and attitude. Design of this study was a quasy experiment with non-equivalent control group design. The data was conducted by 30 samples which divided into 15 as the experimental group and 15 as a control group based on inclusions criteria using purposive sampling. The experimental group was given health education meanwhile control group was not. Knowledge and attitude were measured by questionnaire. The univariate analysis was conducted to show frequency distribution and bivariate analysis was conducted by an independent sample T-test and dependent sample T-test. The result showed that mean of knowledge after given health education in experiment group was 84.67 and in control group was 60.00, and mean of attitude after given health education in the experimental group was 47.07 and in control group was 42.33. The statistic showed p-value in knowledge variable (0.000) < alpha (0.05) and p-value in attitude variable (0.001) < alpha (0.05) which means that health education effective for respondent knowledge and attitude and recommended to be applied in nursing intervention to increase knowledge and attitude about nutrition in chronic wound based on cultural perspective.


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Veronica Silalahi

Objective: to identify the effectiveness of health education about menarche using audiovisual media and leaflets on the attitudes of teenage girls Methods: This article used a quasi-experimental non-equivalent control group design. This study divided the subjects into two groups, the intervention group and the control group with 31 respondents each, that is class III and IV in Sawunggaling 1 primary school, Surabaya. This article used a simple random sampling. Data processing was carried out by pretest and posttest and health education interventions using audiovisuals and leaflets for the intervention group, and for the control group using leaflet. Data analysis used the Mann Whitney test to assess the mean increase in attitudes in both groups, and the Wilcoxon test to see an increase in attitudes after the intervention in both groups.Results: The results showed p-value = 0.000 (p <0.05) in the intervention groups. This means that there is a significant increase in the attitude of teenage girls before and after being given health education which shows the effectiveness of health education about menarche using audiovisual media and leaflets. Whereas in the control group data obtained that 0.754 (p> 0.005), this means that there is no significant difference from the attitudes of teenage girls before and after being given health education about menarche with media leafletsConclusion : health education using audiovisuals and leaflets that are effective in improving the attitudes of teenage girls in facing menarche 


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