Upaya Peningkatan Pembelajaran Matematika di Sekolah Dasar pada Kelompok Kkg Gugus I Pontianak Barat

Kualitas pendidikan, khususnya pendidikan matematika di Sekolah Dasar, sangat penting. Hasil penelitian menunjukkan bahwa pada umumnya siswa-siswa tidak senang dengan pembelajaran matematika, Hal ini juga disebabkan gaya pembelajaran dari guruguru mereka yang kaku sehingga mereka merasa tegang sewaktu proses pembelajaran matematika berlangsung. Pendekatan Berlajar Sambil Bermain diterapkan ini adalah pengembangan dari Problem posing (pengajuan soal) yaitu soal diolah menjadi suatu teka-teki yang mengandung operasi pecahan. Obyek atau sasaran penelitian pada siswa kelas dua dan kelas satu. Pembelajaran dimulai dengan sebuah teka teki atau suatu permainan menyembunyikan angka, digunakan pengantar sebagai soal cerita sehingga siswa-siswa telibat di dalamnya membuat mereka gembira sehingga mereka lebih aktif dan kreatif sehingga hasil yang diperoleh lebih baik dari yang pembelajaran biasa

Adherence to Antiretroviral Therapy by Medication Possession Ratio and Virological Suppression among Adolescents and Young Adults Living with HIV in Dar es Salaam, Tanzania

Background: Adherence to antiretroviral therapy (ART) is a strong determinant of virological suppression. We aimed to determine the magnitude of adherence as measured by medication possession ratio (MPR) and virological suppression with its predictors among adolescents and young adults (AYA) living with HIV on ART in Tanzania. Methods: This retrospective cohort study was conducted using archived data from HIV care and treatment centers in Dar es Salaam, Tanzania between 2015 and 2019. The logistic regression model assessed predictors for adherence and virological suppression. Results: Data of 5750 AYA living with HIV were analysed. The majority were females: 4748 (82.6%). About 63% had good adherence with MPR ≥ 85% at one year post ART initiation. Independent predictors of ART adherence were male sex (aOR = 1.3, 95% CI 1.1–1.5), CD4 > 500 cells/mm3 (aOR = 0.7, 95% CI: 0.6–0.9), WHO stage III (aOR = 1.6, 95% CI 1.3–1.9), enrollment in 2019 (aOR = 1.5, 95% CI 1.2–1.9), and virological suppression (aOR = 2.0, 95% CI 1.6–2.9). Using an Efavirenz- and a Nevirapine-based combination was associated with reduced odds of ART adherence (aOR = 0.3, 95% CI 0.1–0.8) and (aOR = 0.2, 95% CI 0.1–0.6), respectively. Predictors of virological suppression were MPR ≥ 85% (aOR = 2.0, 95% CI 1.6–2.4); CD4 > 500 cells/mm3 (aOR = 2.4, 95% CI 1.7–3.4), and once-daily dosing (aOR = 2.0, 95% CI 1.3–2.5). Conclusion: Adherence to ART among AYA living with HIV is suboptimal. Sex, year of enrollment, ART drug combination used, and immunological status at ART initiation are important predictors of adherence to ART and virological suppression

Adherence to Antiretroviral Therapy by Medication Possession Ratio and Virological Suppression among Adolescents and Young Adults Living with HIV in Dar es Salaam, Tanzania

Background: Adherence to antiretroviral therapy (ART) is a strong determinant of virological suppression. We aimed to determine the magnitude of adherence as measured by medication possession ratio (MPR) and virological suppression with its predictors among adolescents and young adults (AYA) living with HIV on ART in Tanzania. Methods: This retrospective cohort study was conducted using archived data from HIV care and treatment centers in Dar es Salaam, Tanzania between 2015 and 2019. The logistic regression model assessed predictors for adherence and virological suppression. Results: Data of 5750 AYA living with HIV were analysed. The majority were females: 4748 (82.6%). About 63% had good adherence with MPR ≥ 85% at one year post ART initiation. Independent predictors of ART adherence were male sex (aOR = 1.3, 95% CI 1.1–1.5), CD4 > 500 cells/mm3 (aOR = 0.7, 95% CI: 0.6–0.9), WHO stage III (aOR = 1.6, 95% CI 1.3–1.9), enrollment in 2019 (aOR = 1.5, 95% CI 1.2–1.9), and virological suppression (aOR = 2.0, 95% CI 1.6–2.9). Using an Efavirenz- and a Nevirapine-based combination was associated with reduced odds of ART adherence (aOR = 0.3, 95% CI 0.1–0.8) and (aOR = 0.2, 95% CI 0.1–0.6), respectively. Predictors of virological suppression were MPR ≥ 85% (aOR = 2.0, 95% CI 1.6–2.4); CD4 > 500 cells/mm3 (aOR = 2.4, 95% CI 1.7–3.4), and once-daily dosing (aOR = 2.0, 95% CI 1.3–2.5). Conclusion: Adherence to ART among AYA living with HIV is suboptimal. Sex, year of enrollment, ART drug combination used, and immunological status at ART initiation are important predictors of adherence to ART and virological suppression