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Berlian Oktiani Sukma; Guspianto Guspianto; Andree Aulia Rahmat; Fajrina Hidayati; Ismi Nurwaqiah Ibnu

International Journal of Medicine and Health 2025 Lembaga Pengembangan Kinerja Dosen

Dengue Hemorrhagic Fever (DHF) remains a major public health issue in Indonesia, particularly in endemic areas like Simpang III Sipin Village. This disease is transmitted by Aedes sp mosquitoes, and the presence of their larvae is a key indicator of the potential spread of DHF. Environmental conditions, such as water reservoirs and humidity, alongside community behaviors, play significant roles in supporting the growth of these mosquito larvae. Therefore, research is needed to identify the factors influencing the presence of Aedes sp larvae. Methods: This study utilized a cross-sectional design with a quantitative approach. The sample consisted of 143 households, selected using purposive sampling techniques. Data were collected via questionnaires and direct observations. Additionally, measurements of environmental conditions such as air humidity and temperature were taken using a hygrothermometer. The variables under study included knowledge, attitudes, behavior regarding water reservoir drainage (TPA), number of TPAs, air humidity, and air temperature. Results: Data analysis was conducted using the Chi-Square statistical test to determine the relationships between the variables. The results indicated that factors like knowledge level (p = 0.008), attitude (p = 0.008), behavior related to draining water reservoirs (p = 0.001), number of water reservoirs (p = 0.013), and air humidity (p = 0.004) were significantly related to the presence of Aedes sp larvae. However, air temperature did not show a significant relationship (p = 0.675). Conclusion: High humidity environments encourage the growth of mosquito larvae, and insufficient knowledge and inadequate preventive behaviors contribute to increased mosquito populations, exacerbating the risk of DHF transmission.

Siti Fatimatus Shadiyah; Veni Inderawati

Jurnal Ilmu Kesehatan dan Gizi 2025 Pusat Riset dan Inovasi Nasional

Kersen and carrots are local fruits and vegetables that often found in Indonesia. Kersen contain antioxidant activity, and carrots contain vitamin A, that beneficial for body. The purpose of this study to determine effect of kersen puree substitution and addition of carrots on the acceptability of jelly candy. This study used a pure experimental method with a 3x2 factorial design, namely 3 levels of kersen puree (40%, 50%, and 60%) and 2 levels of carrots (25% and 50%). The panelists is school-age children at MI Tarbiyatush Shibyan, totaling 45 students. The hedonic test data were analyzed using two-way anova with Duncan's further test to determine the real difference. Interaction of kersen puree substitution and carrot addition affected the color, but not affect the aroma, taste, and elasticity of jelly candy. Jelly candy with F3G2 formula with 60% kersen puree substitution and 50% carrot addition was most preferred. In 100 grams of F3G2 formula, jelly candy contains 318 kcal energy, 62.10% glucose, 3.05% fiber, 88.60 mg beta-carotene, and 78.60% antioxidant activity. Based on these results, jelly candy with kersen puree substitution and carrot addition is beneficial for school-age children because contains high antioxidants and vitamin A.

Septina Dwi Monika; Indra Tri Astuti; Kurnia Wjiayanti

Jurnal Ilmu Kesehatan dan Gizi 2025 Pusat Riset dan Inovasi Nasional

Kids who don't know much about teeth and mouth health have problems, so it's important to help them learn more through the right sources and methods. The point of this study was to find out how playing Monopoly affected the kids' understanding of teeth and mouth health at SDN Bangetayu Wetan 02. A quasi-experiment non-equivalent control group strategy was used for this quantitative study. The intervention was given to the intervention group through a game of Monopoly, and to the control group through PowerPoint. The Wilcoxon test (paired) and the Mann-Whitney test (unpaired) were used to look at the data. The study's participants were kids between the ages of 8 and 9, with 19 kids from each group chosen through Purposive Sampling. A knowledge quiz about teeth and mouth health was used as the tool. The results of the comparison of the two groups' traits showed that most of the respondents were girls and most of them were 9 years old. The intervention group had a p-value of 0.001 (<0.05) for paired bivariate analysis using the Wilcoxon test. This means that there was a significant difference between what they knew about teeth and mouth health before and after the intervention. On the other hand, there was no significant change in the control group, where the p-value was 0.665 (>0.05). The training and control groups both got a p-value of 0.000, which is less than 0.05, on the Mann-Whitney test. There are differences between the two groups in how much they know about teeth and mouth health. It has been shown that learning about teeth and mouth health through monopoly games is more effective than learning through PowerPoint.

Luthfiah Mawar; M. Agung Rahmadi; Helsa Nasution; Nurzahara Sihombing

Journal of Educational Innovation and Public Health 2025 Pusat Riset dan Inovasi Nasional

This study analyzes the psychological impact of the armed conflict in Yemen by comparing urban and rural populations through a systematic review and meta-analysis of 47 published studies (N=28,463) from 2015 to 2024. The analysis reveals a significantly higher prevalence of PTSD in the urban population (42.8%, 95% CI [39.2-46.4]) compared to the rural population (31.5%, 95% CI [28.1-34.9], p<.001). In addition, multilevel regression analysis indicates a strong correlation between the level of exposure to conflict and the severity of depressive symptoms (r=.68, p<.001) and anxiety (r=.72, p<.001) in both populations. Additionally, when examining specific urban risk factors, calculations indicate that population density (OR=1.86, 95% CI [1.54-2.18]) and loss of infrastructure (OR=1.73, 95% CI [1.45-2.01]) are significant. Moreover, geographic isolation (OR=1.92, 95% CI [1.67-2.17]) and limited access to mental health services (OR=2.14, 95% CI [1.89-2.39]) also demonstrate prominent risk factors, thereby emphasizing the predominance of specific urban risk factors in rural areas. These findings contrast with the research conducted by Le & Nguyen (2023) and Carpiniello (2023), which focused solely on general impacts; thus, the novelty of this research lies in its success in identifying distinct patterns of psychological trauma based on geographic characteristics. In addition, this study successfully reveals the differing mediating mechanisms of social support between urban (β=-.42, p<.001) and rural (β=-.28, p<.01) populations in mitigating the impacts of the Yemeni war trauma.

Zamaluddin Sembiring; Mutawaqil Billah Tumanggor; Cynthia Syahni; Mhd Rasyid Siddiq; Muhammad Wahyu +2 more

International Journal of Management Science and Business 2025 International Forum of Researchers and Lecturers

The purpose of this research is to analyze the opinions and perceptions of the community around the Medan Area District regarding the role of Pegadaian Syariah as a non-usury practice in increasing public financial access. This research is quantitative research. Data analysis was carried out by distributing questionnaires to the community around the Medan Area District both via E-Form and in person.  This research was carried out at Sukaramai Market, Medan Area District. The data collection instrument consists of interview observation and documentation. Collecting data, researchers also used several measuring tools to determine the interests of Sukaramai market traders, Medan Area District, namely Knowledge, Information, Interest. To find out what the surrounding community thinks in this research, the researcher used interviews, namely by interviewing 3 people from the community around the Sukaramai market who are customers of the AR Hakim Branch Pegadaian Syariah.

Reza Aminullah; Fetty Tri Anggraeny; Fawwaz Ali Akbar

International Journal of Information Engineering and Science 2025 Asosiasi Riset Teknik Elektro dan Infomatika Indonesia

This research focuses on assessing the efficacy of a method that integrates Convolutional Neural Networks (CNN) with Decision Trees for the detection of phishing URLs. Phishing represents a major cyber threat, where cybercriminals attempt to deceive individuals into disclosing sensitive information via fraudulent websites. As the frequency of phishing attacks continues to rise, there is a pressing need for effective detection and prevention strategies. In this investigation, a dataset comprising both phishing and legitimate URLs was utilized to train a CNN-Decision Tree model. The training phase includes feature extraction from URLs using CNN, which excels at identifying intricate patterns within the data, followed by classification through Decision Trees, recognized for their capacity to deliver straightforward and comprehensible interpretations of classification outcomes. The model's performance was evaluated across nine distinct scenarios to assess its effectiveness under varying conditions. The results indicated that the hybrid CNN-Decision Tree model achieved a precision rate of 94%, a recall of 90%, and an F1-Score of 92%, with an overall accuracy of 93%. These findings suggest that the model is not only proficient in identifying phishing URLs but also maintains a commendable balance between precision and recall. This research highlights that the synergy of CNN and Decision Trees can serve as a potent solution for phishing URL detection, significantly contributing to the advancement of enhanced cybersecurity systems.

Raden Muhamad Abdul Rohman Gani; M. Tajuddin Noor; Exist Saraswati

Manfish: Jurnal Ilmiah Perikanan dan Peternakan 2025 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

Dragon trap is a passive trap that is operated by utilizing the ebb and flow of waters. The purpose of this study was to determine the level of environmental friendliness of the dragon trap fishing gear in Muara Village, Cilamaya Wetan District, Karawang Regency based on 9 criteria. The research method used a questionnaire based on 9 criteria in the CCRF (Code of Conduct for responsible fisheries).

Muhammad Galih Wijianto; M Tajuddin Noor; Exist Saraswati

Manfish: Jurnal Ilmiah Perikanan dan Peternakan 2025 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

Red snapper (Lutjanus sp) in Brondong waters, Lamongan Regency, is one of the main sources of livelihood for local fishermen. To increase the catch, optimizing the use of fishing gear, including setting time, is important. This study aims to determine the effect of differences in setting time on hand line fishing gear on red snapper catches. The study was conducted using the experimental fishing method, by dividing the setting time of hand line fishing gear into 2 treatments, namely morning 08.00-11.00 and afternoon 15.00-18.00. Based on the T test on paired samples, the average catch at 08.00-11.00 WIB was 2,131 with a total of 34.1 kg, while at 15.00-18.00 WIB, the average catch reached 6.4 with a total of 102.4 kg. The T-test results show that the t-count is greater than the t-table, so the null hypothesis is rejected and it can be concluded that there is a significant difference between the red snapper catches in the two time periods. Red snapper tends to be more active in foraging in the afternoon to evening, in line with its nocturnal nature. Several studies have stated that predatory fish such as red snapper hunt more when the light begins to dim. However, other factors such as food availability and physical conditions of the waters can also affect fish feeding activity. These findings provide additional insight into the feeding behavior of red snapper and the factors that influence its presence in the waters.

Lusi Analisa Apriliani; M. Tajuddin Noor; Exist Saraswati

Manfish: Jurnal Ilmiah Perikanan dan Peternakan 2025 Asosiasi Riset Ilmu Tanaman Dan Hewani Indonesia

Pasuruan waters are rich in biodiversity, but are under pressure due to environmentally unfriendly fishing. Purse seine fishing gear is a very productive and efficient fishing gear. This study aims to determine the level of environmental friendliness of purse seine fishing gear. This research will be conducted in the waters of Pasuruan city in November-December 2024. The research method that will be used is the survey method and data will be taken through field observation, interviews and questionnaires. The sample used was 30 respondents. Analysis of the level of environmental friendliness of fishing gear was carried out in accordance with the 9 criteria of the FAO 1995 Code of Conduct for Responsible Fisheries (CCRF). The results of the calculation of the environmental friendliness score, the score obtained was 31.2, which means that the fishing method using purse seine in the waters of Pasuruan City, East Java Province is very environmentally friendly.

Afdal Dinilhaq; Suryani Dasmilena; Pratama Benny Herlandy

Jurnal Pendidikan Kimia, Fisika dan Biologi 2025 Asosiasi Riset Ilmu Pendidikan Indonesia

This research is motivated by the importance of utilizing technology-based learning media to enhance the effectiveness of the learning process, particularly in Physics subjects that are often perceived as difficult by students. The purpose of this study is to describe the use of Quizizz as a learning media in Physics lessons on Kinetic Energy and Potential Energy material in class X.7 of SMA Negeri 1 Pekanbaru. This study employed a descriptive qualitative method with data collection techniques through observations and documentation of students' learning outcomes. The results showed that the use of Quizizz successfully created an enjoyable learning atmosphere, increased students' motivation, and encouraged active participation. The evaluation scores through Quizizz indicated an improvement in students’ understanding of the material, with the highest score reaching 5000 points. The implication of this research suggests that implementing game-based learning media such as Quizizz can serve as an innovative alternative to improve student learning outcomes and reduce boredom in Physics learning.

Ayub Bagus Setiawan; Siti Nurrochmah

Mutiara Pendidikan dan Olahraga 2025 Asosiasi Riset Ilmu Pendidikan Indonesia

Autobiography of Wrestler Ayub Bagus Setiawan: A Student at Malang State University, Faculty of Sports Science, Department of Physical Education, Health, and Recreation of the 2019 Batch. He won the Gold Medal at the National Student Sports Week (POMNAS) in South Kalimantan in 2023, narrates his life journey from childhood to achieving the highest achievements in wrestling. Ayub was born in Banyuwangi on August 2, 2001, as the second of three siblings. His wrestling career began while attending SMP Negeri 1 Tegaldlimo and continued at SMA Negeri Olahraga Sidoarjo. From a young age, Ayub has loved and devoted himself to wrestling. Motivation, enthusiasm, and support from family and the community have made him more diligent in training. Choosing to continue his education in the Department of Physical Education, Health, and Recreation at the Faculty of Sports Science at Malang State University is a step to deepen his knowledge of sports. Ayub's athletic career reached its peak when he won at POMNAS 2023, a remarkable achievement in his sports career. This autobiography serves as an inspirational record of the dedication, hard work, and spirit of an athlete who has achieved remarkable success in the sport of wrestlings.

Nurcholis Nurcholis; Feri Faila Sufa

Pentagon : Jurnal Matematika dan Ilmu Pengetahuan Alam 2025 Asosiasi Riset Ilmu Matematika dan Sains Indonesia

The objectives of the study are (1) to determine the critical thinking skills of 5th grade students of SD Negeri 03 Jumapolo, Karanganyar. (2) to determine the factors underlying the critical thinking skills of 5th grade students of SD Negeri 03 Jumapolo, Karanganyar. This study used qualitative research that lasted for 2 weeks. Data collection techniques in this study used observation, interviews, and documentation. The results of this study indicate that (1) the critical thinking skills of 5th grade students of SD Negeri 03 Jumapolo, Karanganyar in solving story problems on addition and subtraction material do not fully have critical thinking skills because there is one aspect that has not been fulfilled, namely not being able to conclude addition and subtraction material through story problems. (2) The factors that influence critical thinking skills in 5th grade students of SD Negeri 03 Jumapolo, Karanganyar are 2 factors, namely psychological factors and physiological factors.  

Dego Akbar Raimando; Perawati Perawati

Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia 2025 Fakultas Teknik Universitas Maritim AMNI Semarang

Students gain practical experience in the world of education through the Introduction to School Field Programme and gain a better understanding of the school environment. This service activity combines lecture theory with real educational practice. The methods used by students include observation, participation in teaching and learning activities, discussions with teachers and students, and documentation. The results of this service show that students have a better understanding of learning methods, classroom management, and problems faced by teachers in elementary schools. In addition, schools also benefit from the assistance provided by students in the learning process. SD Muhammadiyah 019 Bangkinang Kota is the place for this PLP activity. The principal is Mr Musta'in, S.Pd, located at Jalan Muhammadiyah Bangkinang District, Kampar Regency, Riau 28463. The implementation of PLP began on 13 January 2025 and ended on 23 February 2025.

Resi Fazri Alfala; Neng Sholihat; Ahmadi Ahmadi

Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia 2025 Fakultas Teknik Universitas Maritim AMNI Semarang

The development of information and communication technology has brought significant changes in the world of education, encouraging educational institutions to adopt more innovative and relevant learning methods. This article discusses the implementation of Canva graphic design application training at Madrasah Aliyah Muhammadiyah Pekanbaru, which aims to improve the creativity and digital skills of grade XII IPA students. This activity was carried out through an interactive theoretical and practical approach, allowing students to not only learn about graphic design, but also apply that knowledge in real projects. The results of the training showed high enthusiasm from students, as well as significant improvements in their technical abilities and creativity. Evaluation of student design work indicated that the hands-on learning method was effective in improving digital literacy. These findings provide important insights into the potential of technology in creating a dynamic and innovative learning environment, and can be a reference for other community service programs aimed at improving digital competence in education.

Joni Siagian; Khairunnisa Batubara; Amelia Dini Anggraini Silalahi

Karunia: Jurnal Hasil Pengabdian Masyarakat Indonesia 2025 Fakultas Teknik Universitas Maritim AMNI Semarang

This Community Service (PkM) activity is intended to solve problems that exist in certain community groups in adulthood. Hypertension can result in dangerous diseases such as heart disease and stroke if not treated in the long term. The PkM team provides education to provide solutions. The PkM activity implementation team collaborates with the local village government. The method used in this activity is counseling on hypertension from a team of nursing lecturers and nursing students during Field Learning Practice starting from anthropometric examination activities, blood pressure, blood sugar supplemented by interviews with the community. The respondents used in this educational activity were 35 people. The output of the PkM that has been implemented is in the form of reports and publications of articles so that they can be accessed by all parties who need related articles.

Natasya Violita Anggreani; Apriliani Yulianti Wuriningsih

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Stunting is a chronic nutritional problem that is influenced by various factors, such as socio-economic conditions, the mother's nutritional status during pregnancy, and lack of nutritional intake for babies. One of the main causes of stunting is inadequate nutrition. Health education related to stunting prevention (scoring) plays a significant role in increasing teenagers' knowledge and attitudes to prevent stunting, ensuring nutritious food intake, and promoting clean lifestyles by maintaining environmental sanitation and cleanliness to address the stunting issue. Purpose: The purpose of this study is to determine the effect of the stunting risk alert health education package (scoring) on adolescents' knowledge and attitudes in preventing stunting in SMA Negeri 1 Mranggen. Method: This research used a quasi-experimental method with a control group using a pre-test, intervention, post-test design. The sample consisted of teenagers from SMA Negeri 1 Mranggen, with a total of 48 respondents who were divided into a control group and an intervention group using simple random sampling. Data were obtained by having the respondents complete a questionnaire before and after the intervention, and then analyzed using bivariate and univariate sample tests. Results: The results showed a significant difference between the pre-test and post-test in the level of adolescent knowledge about stunting disease and adolescents' attitudes toward stunting before and after the intervention. There was also a noticeable difference between the intervention group and the control group. Conclusion: The stunting risk alert health education package (scoring) has a significant effect on adolescents' knowledge and attitudes in preventing stunting.

Shabrina Cahya Amalina; Indra Tri Astuti

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Whe.n it come.s to kids, ARI can stop the.m from le.arning ne.w things, and to le.arn ne.w things, you ne.e.d e.ffe.ctive. ways to le.arn. The. goal of this study is to find out how animate.d vide.o me.dia affe.ct what e.le.me.ntary school kids in Se.marang know about the. IRA. The. re.se.arch me.thod use.d was quantitative., with a quasi-e.xpe.rime.ntal de.sign and a control group that wasn't the. same.. All of the. stude.nts at SDN Bange.tayu We.tan 02 are. part of the. study's population. Te.e.nage.rs de. 10 años a 12 años forman parte. de. la inve.stigación. E.l núme.ro de. e.studiante.s e.s de. 38, y fue. e.le.ccionada utilizando la técnica de. mue.stre.o inte.ncionado. It was a knowle.dge.-base.d que.stionaire. that was use.d as a tool in this study. The. te.aching me.thod use.d with animate.d movie.s and Powe.rPoint. For paire.d data, the. Wilcoxon te.st was use.d, and the. U-te.st from Mann-Whitne.y was use.d to se.e. if the.re. was a diffe.re.nce. in the. point score.s be.twe.e.n the. inte.rve.ntion group and the. control group. The. study's re.sults show that the. Wilcoxon te.st adde.d a value. (p = 0.000) to the. group that re.ce.ive.d the. inte.rve.ntion, but not to the. group that re.ce.ive.d the. control. This me.ans that both groups, the. inte.rve.ntion and control, le.arne.d more.. The. Mann-Whitne.y te.st also showe.d a significant diffe.re.nce. be.twe.e.n the. inte.rve.ntion and control groups, with a value. of (p = 0.000). If you want to improve. your knowle.dge., e.ducational films with animations are. a be.tte.r way to do it than Powe.rPoint pre.se.ntations.    

Dwi Yanti Elok Palupi; Kemala Rita; Nofierni Nofierni; Rokiah Kusumapradja

Jurnal ilmu Kesehatan Umum 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

The implementation of patient safety standards is a major challenge in healthcare services, particularly in hospitals such as RSAU Soemitro. Data indicates that there were 25 patient safety incidents in the Inpatient Installation in 2023, with falls being the most common case (9), followed by nosocomial infections, medication errors (4), and the absence of patient identification bracelets during surgery (7). This study aims to analyze the influence of clinical skills and supervisory techniques on the implementation of patient safety standards at RSAU Soemitro, with caring behavior as an intervening variable. This quantitative research employs a cross-sectional study design, using a sample of 110 nurses in the inpatient installation. Data collection was conducted using questionnaires, and data analysis was performed using SEM-PLS techniques. The results show that the implementation of patient safety standards is simultaneously influenced by clinical skills, supervisory techniques, and caring behavior. Caring behavior can be significantly influenced by both clinical skills and supervisory techniques. Additionally, the implementation of patient safety standards is influenced by clinical skills and supervisory techniques both directly and indirectly through caring behavior. Furthermore, caring behavior has been proven to be the most significant factor, contributing 53.1%. These findings suggest that hospital management should focus on interpersonal skills training to support better implementation of patient safety standards.

Puput Rahmawati; Nutrisia Nu’im Haiya; Iwan Ardian; Intan Rizmatul Azizah

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Smokers in Indonesia are increasing every year, cigarettes are one of the bad effects on health that are not only detrimental to smokers but also have a bad impact on the people around them, some of the factors that can influence a person to quit smoking are the level of knowledge of the dangers of cigarettes and good family support. The purpose of this study is to determine the relationship between the level of knowledge and family support and the desire to quit smoking in students Quantitative research, independent variables of knowledge and family support, dependent variables of desire to quit smoking, using a cross-sectional study design, descriptive analytical approach, with a total sampling technique of 90 respondents using a valid and reliable questionnaire. The analysis uses the Somers'd test The level of knowledge showed a good category of 73.4%, medium family support of 75.6% while the desire to quit smoking was a high category of 49.2%. The relationship between the level of smoking knowledge and the desire to quit smoking of students was significant with a p value of 0.000, a correlation value of 0.602, a strong category correlation, a positive relationship direction while the relationship between family support and a significant desire to quit smoking was a p value of 0.000, a correlation value of 0.424, a moderate category correlation, a positive relationship Conclusion: There is a relationship between the level of knowledge and family support and the desire to quit smoking of students. The research has a positive impact on encouraging students' awareness to stay away from smoking habits so that they can implement a good lifestyle in the community. The researchers suggested that a larger number of samples could be involved with more than 1 observation and use other study designs in the study.

Diva Maulida Gunawati; Sri Wahyuni; Apriliani Yulianti Wuriningsih

Jurnal Ilmu Keperawatan dan Kebidanan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Knowledge of the reproductive system and organs greatly affects the health of adolescent girls. Adolescence is also called puberty. Preconception is the time when the egg unites with the sperm, which occurs in women before pregnancy. Methods: This study is a non-experimental study that applies a quantitative approach, where the information collected is in the form of numbers. It implements a descriptive analytic design with a cross-sectional correlational method. Data was collected by filling out a questionnaire. The number of respondents was 107 people who were taken by purposive sampling technique. The data obtained were then statistically analyzed using Somers'd Correlation. Results: The results obtained from the analysis showed that of the 107 respondents, most had characteristics of 17 years of age as much as 72.9%. The results also showed that 82.2% of respondents experienced good reproductive health knowledge and 3.7% of respondents experienced poor reproductive health knowledge. A total of 51.4% of respondents had good preconception management and 2.8% of respondents had poor preconception management. Conclusion: In this conclusion states that, there is a relationship between the knowledge of adolescent girls about reproductive health and preconception management with a value (p value = 0.001 <0.05) and the value of r (correlation) is 0.627 which indicates that the value of a strong correlation means, the better the reproductive health knowledge, the better the preconception management value.