Health Center Area Research Articles

The Relationship Between Macro-Nutrient Intake, Food Security, and Nutrition-Related Knowledge with The Incidence of Stunting in Toddlers

Stunting is a condition of impaired growth in toddlers due to prolonged nutritional deficiencies. This issue is a significant global nutritional problem, particularly in poor and developing countries, including Indonesia. This study aims to examine the relationship between macronutrient intake, food security at the household level, and nutrition-related knowledge on the incidence of stunting among toddlers in the working area of Cimarga Health Center. This study employed a cross-sectional design. The sample size consisted of 99 toddlers from 11 villages within the Cimarga Health Center's jurisdiction. Analysis was conducted using the Chi-Square test. The findings reveal a stunting prevalence of 34.3% among toddlers. There is a significant relationship between household food security (p=0.014) and the incidence of stunting (OR=1.630; 95% CI=1.381-1.923). However, no significant relationships were found between energy intake (p=0.140), carbohydrate intake (p=0.544), protein intake (p=0.607), fat intake (p=0.439), and maternal nutrition knowledge (p=0.411) with the incidence of stunting in toddlers in the Cimarga Health Center area. This study underscores the importance of enhancing household food security as a primary strategy to reduce stunting despite the lack of significant relationships between macro-nutrient intake and maternal nutrition knowledge

FAMILY NURSING CARE AT THE STAGE OF DEVELOPMENT OF SCHOOL-AGE CHILDREN: WITH COUNSELING INTERVENTION ON HAND WASHING

Families with school-age children are a stage of family development starting from the first child being 6 years old and ending at the age of 12 years. At this stage, the family reaches its maximum number of members. School-aged children often do not pay attention to hand washing habits, especially in the school environment, so diseases such as diarrhea can spread. School-aged children need to be given knowledge about clean and healthy living behavior, one of which is by providing hand washing education. This case study aimed to determine the description of family nursing care at the developmental stage of school-aged children in the Gondangrejo Community Health Center area. This type of research is descriptive using a case study approach method. Data collection was carried out through interviews, observation, and documentation studies. The counseling uses the lecture method and poster media which contains about hand washing and the 6 steps for good and correct hand washing, accompanied by practicing how to wash hands well and correctly directly. The results of the activities showed that after the counseling was held, the level of knowledge and level of behavior increased, and children were able to understand the importance of washing their hands and implementing clean and healthy living behavior of washing their hands properly and correctly. Recommendation: Handwashing outreach intervention is important to increase knowledge and behavior of clean and healthy living in school-aged children.

Upaya Edukasi Ibu Hamil Dalam Mengenali Kurang Energi Kronis (KEK) Melalui Faktor Risiko

Chronic Energy Deficiency is a condition of a person's nutritional status which is caused because the source of intake they receive does not meet their daily and sustainable needs. The nutritional needs of pregnant women have increased and if this is not met in the short and long term it can result in chronic energy deficiency. The aim of this research is to determine the mother's level of knowledge in detecting CED. Based on the results of the Chi Square test, it was found that the value of p = 0.000 < α (0.05) for the variables of pregnancy distance and income showed that there was a significant relationship that influenced the incidence of chronic energy deficiency (CED) in pregnant women, while the variables of parity, education and employment showed that there was none. significant relationship that influences the incidence of chronic energy deficiency (CED) in pregnant women. The results of the activity showed that the activity to increase knowledge of pregnant women in detecting chronic energy deficiency (KEK) through risk factors in the Saigon City Health Center area, Pontianak City, ran smoothly. There was an increase in knowledge of pregnant women between before and after being given counseling by 20 points.

Increasing the capacity of family planning cadres using ABPK in Puskesmas Lepasan, Bakumpai District

Indonesia is projected to experience a significant population increase by 2035. The Family Planning (KB) Program is a key control measure. KB cadre involvement is crucial for providing information and motivation to potential acceptors. However, enhancing cadre counseling capacity, particularly using Counseling Demonstration Tools (ABPK), remains essential. This community service aimed to improve KB cadre knowledge and skills in providing contraceptive counseling using ABPK. Methods included counseling, mentoring, and distributing ABPK pocketbooks to cadres. Evaluations measured pre- and post-activity cadre knowledge increases. Results showed a significant rise in cadre knowledge about contraception and ABPK use, with the percentage of cadres demonstrating good knowledge increasing from 33.3% to 87%. This improvement is expected to impact contraceptive use within the Lepasan Health Center's area.

Comparison of The Effectiveness of Mango And White Ambon Banana on Hemoglobin Levels In Trimester II Pregnant Women With Anemia

Background: Anemia is a condition in which circulating erythrocytes and/or hemoglobin (Hb) cannot fulfill their function of providing oxygen to body tissues. More than 50% of anemia cases spread throughout the world are directly caused by insufficient iron intake. Purpose: To determine the comparison of the effectiveness of Mango and White Ambon Banana on Hemoglobin Levels in Anemic Pregnant Women in the Second Trimester at the Ciater Community Health Center, South Tangerang. Method: This research is a quasi-experimental research design with a two group pre and posttest design, a sampling technique using cluster sampling, a total sample of 30 respondents divided into two treatment groups. This research was conducted in the Ciater Community Health Center area, South Tangerang City in October 2023. The instruments used were mango fruit and white Ambon banana, observation sheet, Easy Touch Blood Hemoglobin. Data analysis used paired sample t- test and Independent T-Test Results: There is an effect of giving mangoes and white Ambon banana on hemoglobin levels in pregnant women in the second trimester at the Ciater Health Center with a p-value of 0.000. The results of the study showed that there was no difference in the average hemoglobin levels in pregnant women in the second trimester between the consumption of mangoes and white Ambon banana with a p-value of 0.292. Conclusion: The results of the study show that there is no difference in the average effect of mangoes and white Ambon banana on the hemoglobin levels of pregnant women. Suggestion: The results of this research can be put into practice independently, especially for consuming mangoes and Ambon banana to increase Hemoglobin levels.

Utilization of the Guidebook to Prevent Anemia in the Anemia Alert Genre Group

BPCA (Guidebook for Preventing Anemia) in an effort to prevent anemia is one of the innovative health education activities which aims to add knowledge and create a positive attitude towards preventing anemia. The aim of the research is to determine the effectiveness of BPCA in increasing knowledge and attitudes towards anemia in adolescents in the North Singkawang I Community Health Center area. Method research is a quantitative research design quasi-experimental pre & post test with control group. The sample in this study consisted of 40 respondents. Sampling in used purposive sampling. The data taken is in the form of Identity and Knowledge and Attitude data in efforts to prevent Anemia using Questionnaire Instruments. This increase in Knowledge and attitudes is due to the fact that during the research, teenagers received information on an incentive basis assisted by media in the form of a Guidebook to Prevent Anemia to make it easier for teenagers to understand and absorb information. Anemia is a condition that causes stunting in teenagers. In its implementation, the learning process does not just provide one-way information, but involves teenagers as an audience to interact with questions and answers and discuss. The role of Health Workers is needed as a Companion in the Knowledge Transfer Process.

Factors Influencing Community Visits At Integrated Coaching Posts

Situ Health Center is a health center that has six Non-Communicable Disease Integrated Coaching Posts covering five villages and one sub-district. Based on the results of the preliminary study, interviews with the Integrated Coaching Post program holder and ten target communities of the Integrated Coaching Post showed several obstacles in the implementation of the Integrated Coaching Post, including the lack of facilities or equipment, irregular attendance of participants every month and inadequate coverage exceeding the target. Based on this background, researchers are interested in conducting research on the Integrated Coaching Post. This study aims to describe the factors that influence community visits to the Integrated Development post at the Situ Health Center, North Sumedang District, Sumedang Regency in 2023. This study uses a quantitative form with a cross sectional approach. The population in this study were all people in the Situ Health Center area aged 15-59 years, totaling 31,778 people. The sampling technique used Accidental Random Sampling technique so that a sample of 100 people was obtained. The results showed that there was a relationship between Cadre Support (p=0.000), Family Support (p=0.000) and there was no relationship between Education (p=0.838) with Community Visits at the Integrated Development Post. The results and suggestions of this study are expected to be input for the Situ Health Center in improving the service of Integrated Development post activities. It is also expected to provide experience and insight in developing research at the Health Center, especially regarding the activities of the Integrated Development post.

Effectiveness of Poedji Rochjati Score Card (PRSC) for Detecting High Risk in Pregnant Woman at Tegalwaru Community health Center Purwakarta

Pregnancy, childbirth, postpartum, and infant care are natural physiological processes. However, there is a potential for a life-threatening situation to arise during this period, which can pose a risk to both the mother and the baby and, in severe cases, even lead to death. If we can effectively detect them, we can prevent maternal deaths. One tool to detect high-risk pregnant women is the Poedji Rochjati Score Card (PRSC). The aim of this research is to determine the effectiveness of the Poedji Rochjati Score Card (PRSC) for detecting high risk in pregnant women in the Purwakarta Community Health Center area, Purwakarta Regency. The study's research design was a retrospective cohort with secondary data. The Tegalwaru Community Health Center, Tegalwaru District, Purwakarta Regency hosted the research from December 2023 to January 2023. In 2022, all 920 pregnant women were included in this study. This study used total population techniques to sample. There were 617 respondents (67.1%) of low-risk pregnant women, 279 respondents (30.3%) with high-risk pregnancies, and 24 respondents (2.6%) with very high-risk pregnancies. Pregnant women with a score of 2 had 617 respondents (67.1%), 6 had 235 respondents (25.5%), 10 had 44 respondents (4.8%), 14 had 20 respondents (2.2%), and 18 had 4 respondents (0.4%). The Poedji Rochjati Score Card (PRSC) is effective for detecting high-risk pregnant women. Based on the results of the Chi Square test, the p value was <0.001. The Poedji Rochjati Score Card (PRSC) effectively identifies high-risk pregnancies, comprehensive care is still necessary for pregnancies without risk, as the risk of pregnancy can fluctuate throughout pregnancy and delivery.

Hubungan Sikap, Sosial Budaya, Dan KIE (Komunikasi, Informasi, Edukasi) Terhadap Keikutsertaan Ibu Dalam Mengikuti Program KB IUD Di Wilayah Puskesmas Jatirahayu Bekasi Jawa Barat

Introduction: An Intra-Uterine Device (IUD) is a long-term non-hormonal contraceptive that is inserted in the uterus and is made of a plastic/copper-like material and has various shapes. Participation in IUD KB is the behavior of women in following all procedures for using IUD contraception, such as the initial examination before installation, the installation procedure, and the examination after installation. This study aims to determine the relationship between attitude, socio-culture, and KIE on the participation of mothers in the IUD family planning program in the Jatirahayu Health Center area. Methods: Using descriptive analytics with a cross-sectional approach. The sampling technique used was total sampling with a total of 33 respondents. Results: The results showed that there was a relationship between attitudes towards participation in the IUD family planning program, which obtained a p-value of 0,039; but there was no relationship between socio-culture and participation in the IUD family planning program p-value of 0,425; and KIE towards participation in the IUD family planning program p-value 1,000. Discussion: This study concludes that there is a relationship between attitudes towards participation in the IUD family planning program and no relationship between socio-culture and KIE towards participation in the IUD family planning program for mothers in the working area of the Jatirahayu Health Center in 2023. Suggestions for prospective family planning acceptors are expected to increase knowledge of the benefits and effectiveness of IUD family planning to foster trust and motivation to participate in the IUD family planning program.

Analysis of Mothers Participation in Bringing Their Toddlers to Posyandu in the Banda Raya Community Health Center Area, Banda Aceh City in 2023

Analysis of Mothers Participation in Bringing Their Toddlers to Posyandu in the Banda Raya Community Health Center Area, Banda Aceh City in 2023

The Relationship Of The Level Of Self-Awareness With The Quality Of Life In Diabetes Mellitus Patients In The Wonosari Health Center Area, Bondowoso District

Diabetes mellitus is a chronic or chronic disease characterized by increased blood glucose levels because the body is unable to produce insulin. Self-awareness is a person's ability to recognize feelings, be able to control themselves, and have a strong belief in their strengths and weaknesses. One's self-awareness is needed to improve the quality of life. Quality of life is a person's thoughts regarding satisfaction or well-being from various aspects of physical, psychological, social and environmental health. The aim of this research is to determine the relationship between the level of self-awareness and the quality of life in diabetes mellitus sufferers in the Wonosari Health Center area, Bondowoso Regency. This research uses a correlational design with a cross sectional approach. The sampling technique used was Quota Sampling with a total sample of 86 respondents. The results of this research showed that 61 respondents (70.9%) had a high level of self-awareness and the majority of 47 respondents (54.7%) had a high quality of life. Based on the results of statistical tests using the Spearman Rank (Rho) test with α=0.05, a p value of 0.001 was obtained, and an r value of 0.703 means that there is a strong relationship between the level of self-awareness and the quality of life in diabetes mellitus sufferers in the Wonosari Health Center area, Bondowoso Regency. Diabetes mellitus sufferers in the Wonosari Community Health Center area are expected to be able to increase self-awareness in order to maintain a high quality of life through participation in regular PROLANIS activities held by the Wonosari Community Health Center. Diabetes mellitus sufferers are also expected to be consistent in controlling diabetes mellitus, including monitoring blood sugar levels and implementing a healthy lifestyle.

The Effect of Giving “Semundu” Juice with a Combination of Probiotics on Blood Pressure in Pre-Hypertension Patients

Hypertension is a medical condition characterized by elevated blood pressure beyond normal limits. Management strategies for hypertension can be pharmacological or non-pharmacological. This study aims to evaluate the effect of administering "semundu" juice combined with yogurt on reducing blood pressure in individuals with hypertension in the Jembatan Kecil Health Center area, Bengkulu City, in 2024. A total of 28 participants with high blood pressure were randomly assigned to one of four groups: P0 (control group receiving educational leaflets), P1 (200g watermelon juice, 100g cucumber, and 20ml honey), P2 (100g Ambon banana, yogurt), and P3 (200g watermelon juice, 100g cucumber, 20ml honey, and yogurt). The Kruskal-Wallis test results indicated that the administration of "semundu" juice combined with probiotics significantly affected both systolic and diastolic blood pressure, as evidenced by a p-value of less than 0.05. All treatment groups demonstrated a reduction in blood pressure, with significant differences observed between the groups: P0 vs. P3 (p-value < 0.02), P1 vs. P3 (p-value < 0.034), and P2 vs. P3 (p-value < 0.01). These findings suggest that "semundu" juice combined with probiotics has a notable impact on lowering blood pressure in individuals with hypertension.

Edukasi Penerapan Terapi Uap Sederhana dengan Minyak Kayu Putih di Posyandu Desa Karang Malang Puskesmas Gribig Kudus

This community service activity aims to provide education about the application of simple steam therapy with eucalyptus oil at the Karang Malang Village Posyandu, which is located in the Gribig Health Center area, Kudus. Steam therapy is one of the effective traditional treatment methods in relieving symptoms of respiratory disorders such as flu, cough, and cold. Eucalyptus oil was chosen because of its eucalyptol content which functions as a natural decongestant. The methods used in this activity include counseling and direct demonstrations to mothers who have children under five at the Posyandu. The educational material covers the benefits of steam therapy, how to make and use it, and the safety measures that must be considered. The results of this activity showed that participants understood the benefits and how to apply simple steam therapy with eucalyptus oil, and were able to apply it at home. This activity also succeeded in raising awareness of the importance of safe and effective traditional medicine in family health care. The conclusion of this activity is that education and live demonstrations are effective methods in improving people's knowledge and skills about simple steam therapy. The recommendation for the next activity is to expand the scope of this education to other villages and involve more health cadres to ensure the sustainability of the program.

Factors affecting the nutritional status of toddlers between the ages of 12-59 months in the workplace of UPTD Puskemas Batu Kambing

Nutritional problems in children at this time are still high. Malnutrition will have an impact on the development and growth of children. The purpose of this study is to find out the Factors Related to the Nutritional Status of Toddlers Aged 12 – 59 Months in the Working Area of the UPTD Batu Kambing Health Center in 2023. The type of research used is quantitative with a crosssectional research design. The population is all mothers who have toddlers aged 12-59 months totaling 610 with a sample of 86 people. The sampling technique is purposive sampling. This research has been carried out in March – April 2023 at the UPTD Batu Kambing Health Center. The data used were primary data and secondary data, namely by conducting interviews with respondents, univariate and bivariate data analysis using the Chi-Square test. The results of the study were less than half, namely 21 respondents (24.4%) who experienced malnutrition, 36 respondents (41.9%) who had a low level of knowledge, 28 respondents (32.6%) with poor parenting and 37 respondents (43.0%) who had a history of infectious diseases. The results of the statistical test showed that the relationship between knowledge and nutritional status was obtained with a value of p = 0.005 (p < 0.05), parenting style with nutritional status was obtained with a value of p = 0.003 (p < 0.05) and the relationship between history of infectious diseases and nutritional status was obtained with a value of p = 0.007 (p < 0.05). It can be concluded that there is a relationship between the level of knowledge, parenting, eating and history of infectious diseases with the nutritional status of toddlers aged 12 – 59 months at the UPTD Batu Kambing Health Center in 2023. It is recommended to health workers to provide counseling on nutrition and the provision of PMT to undernourished children and to mothers to increase maternal knowledge about nutrition and improve maternal parenting by learning how to feed children.

Hubungan Tingkat Pengetahuan, Sikap dan Dukungan Tenaga Kesehatan pada Calon Pengantin (Catin) Tentang Penyakit Sifilis di Wilayah Kerja Puskesmas Kotabaru Kecamatan Keritang Kabupaten Inhil Riau Tahun 2023

Syfillis cases in Southeast Asia in 2015 amounted to 3 million. The areas that have the highest rates of syphilis transmission are Sub-Saharan Africa, the United States and Southeast Asia. Studies conducted in Africa show that there are 30% positive antenatal syphilis cases and 50% result in infant death in congenital syphilis. This research is a type of quantitative research with an analytical observational research design with a cross sectional study approach. The population in this study were all prospective brides and grooms in Keritang District, the working area of the Kotabaru Community Health Center in 2023, as of January, as many as 36 people who had bridal injections (catin) at the Community Health Center. The sampling technique used in the research was accidental sampling. Data was collected using a questionnaire and data processing using the SPSS program. Data analysis in this study was univariate and bivariate analysis using the chi-square test formula with a confidence level of 95% (0.05). The results of the study revealed that the level of knowledge of the prospective bride and groom (catin), the attitude of the prospective bride and groom (catin) and the support of health workers had a value of each variable less than 0.05 or a significance value of p<0.05, which indicated that there was a significant relationship of these three variables in prospective brides (catin) regarding syphilis in the working area of the Kotabaru health center, Keritang District, Inhil Regency, Riau in 2023.

Associations of Husband Support with the Incidence of Post Partum Blues In the Working Area of Development Health Center and Tarogong Health Center Garut district

Associations of Husband Support with the Incidence of Post Partum Blues In the Working Area of Development Health Center and Tarogong Health Center Garut district

Factors Relating to the Activity of Mother’s Visits to the Posyandu

A significant indicator that contributes to lessening efforts is the number of toddler trips to Posyandu. In the operational area of Tanjungpinang City's Mekarbaru Health Center, 36.40% of visitors are Posyandu visits in 2023. This coverage continues to fall well short of both national and provincial statistics, as well as the government's accomplishment goals. The purpose of this study is to determine the characteristics that influence toddler visits to Posyandu, Batu IX Village, Mekar Baru Health Center Working Area, Tanjungpinang City, in the province of the Riau Islands. With a cross-sectional methodology and a purposive sample strategy, 191 mothers of toddlers between the ages of 13 and 59 months make up the sample size for this kind of quantitative study. Surveys were used to collect measurements. The statistical test of chi-square was applied in data analysis. The findings of the study indicate that moms of toddlers who visit Posyandu have a relationship with perceptions of Posyandu services (p=0.001; OR=2.735) and family support (p = 0.000; OR=3.237). The mother's age, education, occupation, knowledge, and attitude have little bearing on how frequently she visits Posyandu. It was determined that the frequency of posyandu visits by mothers of toddlers at the Posyandu in the Mekar Baru Community Health Center Working Area was highly correlated with family support and perceptions of posyandu services.

Hubungan Inisiasi Menyusu Dini Terhadap Pemberian ASI Eksklusif

According to the World Health Organization, the gold standard for child nutrition is exclusive breastfeeding. WHO states that babies, mothers and families greatly benefit from exclusive breastfeeding. Even though breastfeeding has many benefits, only twenty percent of mothers in Indonesia exclusively breastfeed. The performance of the hormone prolactin, which produces breast milk, and the hormone oxytocin, which produces breast milk, can influence the success of exclusive breastfeeding. Early initiation of breastfeeding (IMD) is the first step for successful exclusive breastfeeding. The aim of this research is to analyze the relationship between IMD and exclusive breastfeeding in the Mojo Community Health Center Area. This research is observational analytic using a cross sectional research design. The research sample was mothers with babies aged 6 - 12 months who were selected using the purposive sampling method. Data collection through interviews using questionnaires. Data analysis using the Chi Square test and Fisher's Exact Test with α = 0.05. The results of statistical tests show that there is no relationship between IMD and exclusive breastfeeding (p = 0.094), which means that respondents with IMD and without IMD predominantly give exclusive breastfeeding.

Factors Associated with Blood Sugar Control Behavior on Patients with Diabetes Mellitus in Blang Kuta Community Health Center Area, Pidie Jaya District in 2023

Introduction: Diabetes mellitus has become one of the increasingly alarming global health challenges. As a chronic disease, diabetes results in various detrimental consequences, including high mortality rates and significant healthcare costs. Objective: This research aims to determine the factors associated with blood sugar control behavior among diabetes mellitus patients in the Blang Kuta Community Health Center's service area. Method: This study is a quantitative research with a cross-sectional approach. The population in this study consists of all DM patients in 4 villages in the Blang Kuta Community Health Center's service area, totaling 252 individuals. Sampling was conducted using proportional random sampling techniques, involving 72 DM patients. Data collection was performed through interviews using questionnaires and analyzed through univariate, bivariate analysis using chi-square test, and multivariate analysis using logistic regression test using the SPSS program. Result: The univariate analysis results revealed that the majority of respondents exhibited poor behavior (54.2%). Bivariate analysis results indicated a significant relationship between knowledge (p-value 0.000), level of education (p-value 0.002), gender (p-value 0.005), and self-efficacy (p-value 0.000) with blood sugar control behavior. However, variables such as family history (p-value 0.471) and duration of diabetes mellitus (p-value 0.277) did not show a significant relationship. Multivariate analysis results indicated that knowledge (p-value = 0.035, OR = 5.114) and self-efficacy (p-value = 0.000, OR = 13.278) are important determinants of blood sugar control among patients with diabetes mellitus. Conclusion: There is a significant relationship between knowledge, education, gender, and self-efficacy with blood sugar control behavior. However, variables such as family history of diabetes mellitus and duration of diabetes mellitus do not show a significant relationship. Nonetheless, factors strongly associated with blood sugar control behavior in diabetic patients are knowledge and self-efficacy.

Implementation of Specific Nutrition Interventions to Prevent Stunting in Pregnant Women in the Oesapa Community Health Center Area East Nusa Tenggara

Policies related to stunting prevention have been in place since 2013. However, the prevalence of stunting in East Nusa Tenggara Province is still the highest in Indonesia from 2013 to 2022. One of the areas in the province where the prevalence decreased from 2021 to 2022 is Kupang City. Oesapa Community Health Centre was appointed by the Indonesian Ministry of Health as a pilot health centre representing Kupang City. The purpose of this study is to describe the implementation of specific nutritional interventions for handling stunting based on the variables of communication, bureaucratic structure, resources, and disposition in the target group of pregnant women which will be associated with the target achievement of specific nutritional interventions based on Presidential Regulation No 72 of 2021. The research used qualitative methods with triangulation of informants totalling 5 people, data triangulation, and triangulation of methods, namely in-depth interviews and observations. The results showed that interventions in the form of providing additional food to pregnant women with chronic energy deficiency conditions and pregnant women who consume blood supplement tablets at least 90 tablets during pregnancy have successfully reached the target. Other Community Health Centres can make the Oesapa Community Health Centre a barometer in providing health services, especially in specific nutrition interventions aimed at target groups of pregnant women so that they work together in accelerating the reduction in stunting prevalence.