Implementing a Comprehensive Value-based Healthcare System to Improve Pregnancy and Childbirth Outcomes in Urban and Rural Kenya.

Background: Maternal and neonatal mortality rates in many low- and middle-income countries (LMICs) are still far above the targets of Sustainable Development Goal (SDG) 3. Value-based healthcare (VBHC) could potentially surpass traditional input-oriented approaches to create a high-quality health system and to improve maternal, newborn and child health (MNCH) outcomes. This paper describes the implementation of VBHC in urban and rural Kenya with the aim to significantly improve MNCH outcomes.Methods: We developed a theory of change (ToC) and used an incremental cohort-based implementation approach to create short and long learning cycles along which different components of the VBHC framework were introduced and evaluated. We sought to leverage local resources and used a mobile phone-based platform to support pregnant women and MNCH providers throughout the patient journey, using the system for communication, payment and data collection. We created dashboards and used interviews and focus group discussions to gather feedback and to collect the data to describe the implementation process in this paper.Results: We implemented all elements of VBHC, starting small and expanding cohort by cohort. Short and long learning cycles between cohorts enabled implementation of the framework in a relatively short time frame. Data on outputs and outcomes show that the VBHC framework had impact on three levels: Mothers’ improved adherence to maternal healthcare, incentivizing providers to improve quality of care, and transparency of outcomes and costs. This paper describes the implementation process and while the evaluation of health outcomes is ongoing, first results show improved adherence to evidence-based care pathways at a low cost per enrolled person.Conclusion: This study has shown that implementation of the VBHC framework in an LMIC setting is possible with some adaptations to the local context. The incremental, cohort-based approach enabled an iterative learning process, which could support the restructuring of health systems in low resource settings going from a supply-driven model to a value-driven model.Trial registration: Not applicable

Meningkatkan Hasil Belajar Materi Bercerita Dengan Kalimat Efektif Dengan Menerapkan Pendekatan Communicative Language

This study aims to determine whether nor not there is an increase in learning outcomes in storytelling material with effective sentences through the application of the Communicative Language Approach to Grade 5 students of SD Negeri Airlangga I/198 Surabaya, and to find out how much improvement in learning outcomes in storytelling materials with effective sentences through the application of this approach. Communicative Language for Grade 5 students of SD Negeri Airlangga I/198 Surabaya. Teachers are required to be able to adapt, choose and integrate various types of approaches and learning approaches in delivering material. This aims to make it easier for students to accept the material presented and avoid student boredom, so it is hoped that using the Communicative Language Approach in this thematic learning can improve understanding of Storytelling Materials with effective sentences for Class 5 students of SD Negeri Airlangga I/198 Surabaya. Action research was carried out in two learning cycles by applying the Communicative Language Approach and student learning outcomes on storytelling material with effective sentences as the object of research. Based on the explanation of the results of the research and discussion, it can be concluded that there is an increase in learning outcomes of storytelling materials with effective sentences through the application of the Communicative Language Approach to the 5th Graders of SD Negeri Airlangga I/198 Surabaya.

Upaya Meningkatkan Daya Ingat Tentang Materi Keseimbangan Lingkungan Dengan Menerapkan Teknik Mind Mapping

This study aims to determine whether nor not there is an increase in the memory of the Environmental Balance material through the application of Mind Mapping techniques to students of Class 4-C SD Negeri Kendangsari I/276 Surabaya, and to determine how much the increase in the memory of the Environmental Balance material through the application of Mind Mapping techniques to students. Class 4-C SD Negeri Kendangsari I/276 Surabaya. This research was conducted to overcome the problem of low memory experienced by students of Class 4-C SD Negeri Kendangsari I/276 Surabaya. Therefore, the author as a teacher in the class tries to apply the Mind Mapping technique which focuses on student learning activities in order to get educational values, knowledge in learning and maximum memory. The action research was carried out in two learning cycles and, based on the exposure to the results of the research and discussion, it can be concluded that there is an increase in the memory of the Environmental Balance material through the application of Mind Mapping techniques in Class 4-C students of SD Negeri Kendangsari I/276 Surabaya. Improved memory of Environmental Balance material through the application of Mind Mapping techniques in Grade 4-C students of SD Negeri Kendangsari I/276 Surabaya an average of 25%

Upaya Meningkatkan Hasil Belajar Materi Menceritakan Sejarah Indonesia Melalui Penerapan Metode Pembelajaran Word Square dan Scramble

This study aims to determine whether there is an increase in Learning Outcomes of Indonesian History Telling Materials through the application of Word Square and Scramble learning methods to 6th Grade students of SDN Medokan Ayu II/615 Surabaya, and to find out how much increase in Learning Outcomes of Indonesian History Telling Materials through the application of learning methods. Word Square and Scramble for Class 6 students at SDN Medokan Ayu II/615 Surabaya. Action research was carried out in two learning cycles by applying the Word Square and Scramble learning methods in Indonesian Language Subjects as the object of research. In the study, it was found that the authentic value and learning outcomes of students' storytelling history of Indonesia increased. This can be seen from the increase in students' learning outcomes of Telling Indonesian History from before this learning method was applied which only had an average of 53.8 to 71.3 in the first cycle and 77.7 in the second cycle. In addition, it was also found an increase in the percentage of classical completeness from cycle to cycle. Classical completeness in the first cycle was 59% with a moderately increasing category in the second cycle of 82% with a very good category. Based on the explanation of the results of the research and discussion, it can be concluded that there is an increase in Learning Outcomes of Indonesian History Telling Materials through the application of the Word Square and Scramble learning methods to the 6th grade students of SDN Medokan Ayu II/615 Surabaya.

PENERAPAN GENRE BASED APPROACH (GBA) DALAM PEMBELAJARAN BAHASA INGGRIS SMPN 1 PANIMBANG

Bahasa Inggris sebagai sebuah keterampilan harus dipelajari melalui tahapan yang jelas antara pemodalan, pemodelan dan latihan secara bertahap. Diperlukan suatu model pembelajaran Bahasa Inggris yang mampu memberikan pengalaman belajar tersebut. Tulisan ini betujuan untuk merefleksikan pembelajaran Bahasa Inggris dalam tema Comparing Things and Animals dengan menerapkan Genre Based Approach dengan Model Teaching Learning Cycles (TLC). Penelitian dilaksanakan di Kelas VIII F SMP 1 Panimbang, Banten dengan melibatkan 32 orang peserta didik. Data dikumpulkan dengan berbagai teknik yaitu observasi dan refleksi, penugasan dan tes, focus group discussion (FGD), dan dokumentasi. Data tersebut kemudian dianalisis dengan teknik analisis deskriptif. Dari analisis data dan refleksi pembelajaran dapat disimpulkan bahwa (1) dengan penerapan GBA dengan Model TLC peserta didik memiliki pengalaman secara bertahap dari pemberian modal pengetahuan (concept building), model, dan serangkaian latihan baik secara berkelompok maupun individu; (2) penerapan GBA juga mampu mengakomodasi unsur 4C dalam Keterampilan Pembelajaran Abad 21; (3) terjadi peningkatan tingkat ketuntasan belajar dari 39,72% dengan rata-rata 60,28 sebelum pembelajaran menjadi 87,19% dengan rata-rata 81,67 sesudah pembelajaran; (4) kedua observer memberikan penilaian postif terhadap proses pembelajaran dengan penerapan GBA dengan Model TLC.

Pendampingan Perancangan Pembelajaran Bahasa Inggris SMK di Masa dan Pasca-Pandemi Covid 19: Integrasi TLC Model dalam Google Classroom

Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan kompetensi guru dalam perancangan pembelajaran di masa dan pasca pandemic COVID 19 dengan kegiatan pendampingan dan workshop pengembangan pembelajaran bauran (Blended Learning) menggunakan platform Google Classroom dipadukan dengan model pembelajaran Teaching Learning Cycles (TLC). Kegiatan dilaksanakan dalam dua tahap yaitu dengan daring (online) dengan mengembangkan bahan pelatihan melalui Google Classroom dan secara luring dengan tatap muka di sekolah. Khalayak sasaran strategis dari kegiatan ini adalah 15 orang guru Bahasa Inggris SMK yang tergabung dalam Musyawarah Guru Mata Pelajaran (MGMP) Bahasa Inggris SMK Kota Mataram dan 2 mahasiswa PS Pendidikan Bahasa Inggris FKIP UNRAM dan dipandu oleh tim pelakasana kegiatan PKM. Hasil dari kegiatan ini antara lain (1) khalayak sasaran telah mampu mengembangkan akun Google Classroom untuk mata pelajaran yang diampu dan mengembangkan Google Forms untuk kebutuhan tes online; (2) khalayak sasaran telah memiliki penegtahuan tentang teknik pembuatan video dengan menggunakan slideshow dan screen cast o matic, pengembangan game-game pembelajaran Bahasa Inggris, perancangan Bahasa Inggris dengan model Teaching Learning Cycles (TLC), dan cara mengintegrasikan Google Meet dan Google Forms ke dalam Google Classroom.kata kunci : Blended Learning, TLC, Google Classroom, Bahasa Inggris, SMK

Penerapan Model Pembelajaran Problem Solving untuk Meningkatkan Hasil Belajar Kimia Siswa Kelas XI SMA

This study aimed to determine the increase in student learning outcomes in the domain of knowledge, skills, and attitudes by using problem-solving learning models. The method used is classroom action research through two learning cycles consisting of the stages of planning, implementing, observing, and reflecting. There was an increase in learning outcomes and the number of students who met the minimum completeness in the domain of knowledge seen from the average value of students in cycle 1 to cycle 2. The learning outcomes of students in the domain of skills from the observation were included in the sufficient criteria in cycle 1 and increased to be good criteria in cycle 2. Classical completeness based on the number of students in cycle 1 to cycle 2 has increased. The learning outcomes of students in the domain of attitudes through the results of observation data were included in the sufficient criteria in cycle 1 and increased to be good criteria in cycle 2. As well as an increase in completeness seen from the number of students in cycle I to cycle II. Based on these findings, this model can be used to improve the chemistry learning outcomes of students in class XI.

5E Learning Cycle: Enhancing Student Active Learning in Strategy and Marketing Analysis Class

5E learning cycle is proposed to be a good choice for students’ learning and has brought a positive impact on students learning education theoretically and practically. This method of learning is a student’s centre oriented learning model which solely prioritize on students own experiences, creates active participation and built creative critical thinking skills. The elements of 5E learning cycle are engagement, exploration, explanation, elaboration, and evaluation. Research here intended to identify students’ perceptions of 5E learning cycles in their learning activity and to explore the impact of 5E learning cycles towards student’s active learning. The study was conducted at Universiti Utara Malaysia. This study uses qualitative approach with classroom action research. The discussion is based on the information gauged from 42 undergraduate students who enrolled in BPMM3043 Strategy and Marketing Analysis class in UUM. Data had been collected qualitatively from various sources such as students’ reflections, lecturer’s reflections, peer feedback, lecturer’s feedback, and focus group interview. The results showed that the 5E learning cycle mayenhanced students active learning in Strategy and Marketing Analysis class.

Swimming Exercise Model Policy Using Straps as Aid for Beginners

Introduction. Swimming is a sport much favored by many, and one needs to have the courage to be able to swim. In swimming lessons in schools, there are still many students who are afraid to swim for fear of drowning and other reasons. The key to be able to swim is being able to float. Purpose. This research is to improve the learning ability to swim through a learning model using rope as aid. Based on the results of research and discussion, we can conclude that there is an improvement in the swimming learning process with the aid of a rope. Improvement in the learning through the method of swimming using rope as aid performed by the students of the State University of Sriwijaya, Palembang can be seen from their improved learning process and participation. Method. The research using qualitative method. The total of the population is 82 students in this class, 23 students could not swim and are afraid to carry out activities such as gliding, dipping heads and diving in shallow areas. Conclusion. There is a significant improvement in the outcomes of three learning cycles that have been prepared, such as the students apply the learning method of floating with rope as aid; cycle two, in which they swim using rope as aid, and cycle three, in which they make swimming motions freely without any aid. Change takes place in the application of swimming method using rope as aid in which students who initially could not swim can eventually swim