Community Health Center Work Area Research Articles

Risk Factors Associated with the Incident of Hypertension in Pregnant Women in the Gununghalu Community Health Center Working Area

Introduction: Hypertension or high blood pressure is a condition where blood pressure continuously increases in the blood vessels (WHO, 2018). Gestational hypertension is detrimental to the mother and fetus and carries a risk of developing other cardiovascular diseases in the future. Women with a history of pre-eclampsia or hypertension have a seven to eight times increased risk of morbidity and mortality from coronary heart disease (Subki et al, 2018). Objective: The aim of this research is to determine the relationship between factors that influence the occurrence of hypertension in pregnant women in the Gununghalu Community Health Center working area. Method: This research design used case control with a population of 1,473 and a sample of pregnant women and 63 women with hypertension. Research analysis uses Chi-Square and multivariate analysis using logistic regression analysis. Result: The results of this study show that there is a significant relationship between age and the incidence of hypertension (p=0.0001) OR value of 13,600 (95% CI = 5,782-31,989) which means that pregnant women aged <20 years and >35 years have a risk of hypertension of 13.6 compared to pregnant women aged 20-35 years, there is a significant relationship between gravidity and the incidence of hypertension in pregnant women (p=0.020) OR value obtained of 2,313 (95% CI = 1,132-4,724) which means that pregnant women with primigravida and grande multigravida have a risk of experiencing hypertension of 2.3 compared to pregnant women with multigravida, there is a significant relationship between a history of hypertension and the incidence of hypertension in pregnant women (p=0.000) The OR value obtained was 9.615 (95% CI = 4.238-21.815) which means that people with a history of hypertension in the family have a risk of 9.6 times compared to pregnant women who do not have a history of hypertension in the family, there is a significant relationship between obesity and the incidence of hypertension in pregnant women (p = 0.009) The OR value obtained was 3.949 (95% CI = 1.347-11.574) which means that people who are obese have a risk of suffering from hypertension of 3.9 times compared to pregnant women who are not obese. Conclusion: The conclusion is that all variables in this study have a significant relationship with the incidence of hypertension. It is hoped that all pregnant women will always carry out pregnancy checks with health workers to risks during pregnancy.

Analysis Of The Implementation Of The Healthy Living Community Movement (Germas) Program In The Work Area Of The Hutabaginda Community Health Center, North Tapanuli Regency

Background: GERMAS is an effort to increase awareness, will and ability for everyone to live healthily so that the highest level of public health can be achieved (Ministry of Health of the Republic of Indonesia, 2017). GERMAS prioritizes promotive and preventive efforts, without neglecting curative-rehabilitative efforts by involving all components of the nation in promoting a healthy paradigm.Objectives: to describe and analyze the implementation of the GERMAS program in the Hutabaginda Community Health Center Working Area, North Tapanuli Regency.Research method: This type of research uses descriptive qualitative.Results: that the process of conveying policy information from policy makers to policy implementors is carried out in a structured manner. That the implementation of the GERMAS program in the Working Area of the Hutabaginda Community Health Center, North Tapanuli Regency, the Working Area of the Hutabaginda Community Health Center, Tapanuli Regency has been supported by adequate facility resources and village fund resources but has not been supported optimally by human resources. That cross-program and cross-sector coordination and cooperation in implementing the GERMAS program in the Working Area of the Hutabaginda Community Health Center, North Tapanuli Regency has shown a high level of commitment to realizing, supporting and implementing the GERMAS program in the Working Area Hutabaginda Health Center, North Tapanuli Regency. That the implementation of the GERMAS program policy in the Hutabaginda Community Health Center Working Area, North Tapanuli Regency has been carried out based on a hierarchical organizational structure and has been equipped with Standard Operating Procedures (SOP).Conclusion: The main inhibiting factor in implementing the GERMAS program policy in the Working Area of the Hutabaginda Community Health Center, North Tapanuli Regency is that the entire community does not regularly participate in activities carried out by Germas because there are still those who live in areas that are difficult to reach.

The Impact of Prior Related Behavior on Stunting Incidents Abang I Health Center, Karangasem District, Bali, Indonesia

Background: Stunting is growth failure in children under 5 years due to chronic malnutrition, often occurring during the first 1000 days of life. Maternal behavior during pregnancy has a major impact on fetal development and the possibility of stunting. This study aims to analyze the relationship between prior related behavior, such as blood increasing tablets consumption, antenatal care checks, and animal protein consumption, with the incidence of stunting in the Abang I Community Health Center Work Area, Karangasem Regency. Methods: Using non-probability sampling technique with Purposive sampling, with a total of 70 respondents from a total population of 230 people who met the inclusion criteria, namely mothers aged 15-45 years, mothers who had stunted toddlers and were registered in the Abang I Community Health Center Working Area. Results: Based on non-probability statistical tests. Spearman Rank parametric, found a significant p-value for blood increasing tablets consumption behavior (p=0.002), Antenatal care examination (p=0.004), and animal protein consumption (p=0.002), showing a value <0.05 which means there is a relationship with stunting incident. The majority of respondents showed bad behavior in these three areas, namely consump blood increasing tabletstion behavior 55.7%, antenatal care examination 55.7% and animal protein consumption 52.9%. It is hoped that health workers at the Community Health Center will follow up with pregnant women and teenage girls in coordination with the village or Community Health Center for education about the importance of blood increasing tablets, antenatal care examinations, and animal protein intake to prevent stunting in toddlers. Conclusion: There is a relationship between maternal behavior in consuming blood supplement tablets, antenatal care and animal protein consumption with the incidence of stunting in the working area of Puskesmas Abang I, Karangasem district, Bali, Indonesia.

Coparenting Approach to Being Successful Exclusively Breastfeeding

Breast milk is the first nutrient for infants because it contains essential nutrients for growth and development, so exclusive breastfeeding can prevent the risk of stunting and wasting in children. The lack of breastfeeding in infants is a threat to the long-term growth and development of children. Effective coparenting strongly impacts breastfeeding success rates because of its positive energy. Developing effective coparenting during the transition to becoming a parent is very helpful in the process of carrying out the role of parent, resolving conflict and supporting one's partner in raising children. The study aimed to analyze the success of Coparenting Approach to Being Successful Exclusively Breastfeeding. This research method is an observational study with an analytic cross-sectional design using a quantitative approach; the population in this study was 393 people in the Glagahagung Community Health Center Working Area sampling with a purposive sampling technique, based on inclusion and exclusion criteria where a number of respondents were exclusively breastfeeding with a total of 78 respondents. The results showed family support p value = 0.000, technological advances p value = 0.000, and lifestyle p value = 0.000. Based on the results show that the regression coefficient for family support is .716, this shows that increasing the family support variable will increase the coparenting approach variable in the success of providing EBF by .716, the trends and lifestyle regression coefficient is -.452, so this shows that trend and lifestyle variables reduce the influence on the coparenting approach in the success of providing EBF.

Positive Deviance in Nutritional Practices for Two-Year-Olds in Poor Fisherman Families in the Belawan Health Center Area, 2022

The problem of malnutrition is still the main problem faced in human resource development. The problem of growth and development of Baduta is a serious problem because at this age the process of physical and intellectual growth and development is critical. Malnutrition problems mostly occur in poor families but are not caused by poor families who have well-nourished children. The Belawan Community Health Center working area is one of the community health centers with the highest number of cases of malnutrition in Medan City. To overcome this, a program is needed that is believed to be effective and sustainable. One of the existing programs to overcome the problem of malnutrition and malnutrition is positive deviation. This research aims to identify positive behavior in feeding (type of food, processing of food ingredients, mealtimes and method of feeding) of toddlers who are well-nourished in poor fishing families in the Belawan Community Health Center Working Area in 2022. This research method is qualitative research with a narrative approach. Researchers studied individual lives by asking one or several individuals to tell stories about their lives related to positive behavior in feeding well-nourished animals. This information is then retold by the researcher in a narrative chronology. The findings of this research indicate that addressing nutritional challenges in children can be effectively achieved by leveraging the potential and resources within the community. This is done through the identification of positive deviant behaviors, particularly those related to beneficial feeding practices. These practices encompass aspects such as the types of food provided, the methods of food preparation, the timing of meals, and the approach to food administration. Keep up the great work! The way you’re thinking about integrating community strengths is spot-on for creating sustainable solutions.

HUBUNGAN KETERATURAN PEMERIKSAAN ANC TERHADAP KEJADIAN ANEMIA DI WILAYAH KERJA PUSKESMAS TURIKALE KECAMATAN TURIKALE KABUPATEN MAROS

Regular pregnancy checks will determine the mother's health status during pregnancy because basically the cause of Fe deficiency anemia in pregnant women is caused by two factors, namely direct and indirect factors. Meanwhile, factors that do not directly influence a person's Hb levels by influencing the availability of Fe in food include the low economy.The aim of this research is to determine the relationship between the regularity of ANC examinations and the incidence of anemia in the Turikale Community Health Center Working Area, Turikale District, Maros Regency. The type and research method used is the Cross Sectional Study method. In this study, the samples taken were 36 third trimester pregnant women who had their pregnancies checked in the Turikale Community Health Center Working Area, Maros Regency, using purposive sampling. The research results showed that 29 people (80.6%) regularly made ANC visits and 7 people (19.4%) did not regularly. Six respondents (16.7%) experienced anemia and 30 respondents (83.3%) did not experience anemia. There is a relationship between the regularity of ANC visits and the incidence of anemia with a value of ρ=0.004<from α=0.05, this means that Ho is rejected and Ha is accepted. It is hoped that it can increase monitoring and screening of pregnant women who experience high levels of anemia through home visits, making class activities more effective for pregnant women and empowering families, especially husbands or parents, to be motivated to invite pregnant women to have their pregnancies checked regularly. The husband or closest family member can be given an understanding of the dangers and efforts to prevent anemia in pregnant women

HUBUNGAN PERAN BIDAN DAN DUKUNGAN SUAMI TERHADAP PENGGUNAAN IUD DI WILAYAH KERJA PUSKESMAS SRANDAKAN

Indonesia prioritizes the Family Planning (KB) program, especially Long Term Contraceptive Methods (MKJP) such as the Intrauterine Device (IUD). The use of IUDs in DI Yogyakarta is more popular even though injectable hormonal contraceptives are still dominant in Indonesia, the Srandakan Community Health Center in Bantul recorded the highest use of IUDs (44.5%). National development targets in the strategic plan and target setting for the 2020-2024 BKKBN program, as well as international agreements in the SDGs development goals to increase participation rates in the use of MKJP, this makes it an important issue for participation in the use of MKJP, especially the IUD, which is a contraceptive device that is considered effective. The availability of information and social support from midwives and husbands is key in increasing the acceptance and continued use of IUD contraception by WUS. This study aims to determine the relationship between the role of midwives and husband's support on the use of IUDs by WUS in the Srandakan Community Health Center Work Area, Bantul Yogyakarta. This research is a quantitative study with a correlational analytical design and a cross-sectional approach. The sampling technique used accidental sampling with a total population of 1,034 WUS and a sample of 92 respondents. The research instrument used a questionnaire. The research results were obtained from the Fisher's Exact Test which showed a significant relationship between the role of the midwife (p=0.019) and husband's support (p= <0.001) on IUD use. Based on these results, it can be concluded that the role of the midwife and the husband's support influence the decision to use IUD contraception.

ANALYSIS OF STUNTING INCIDENTS OGAN KOMERING ULU REGENCY IN 2024

Stunting represents a significant nutritional issue in Indonesia must be solved to achieve the health success indicators outlined in the Millennium Development Goals (MDGs). This research aims to determine the factors associated with the incidence of stunting in the Tanjung Lengkayap Community Health Center Working Area, Lengkiti District, Ogan Komering Ulu Regency in 2024. Quantitative research design with a cross-sectional approach. The population of this study were all parents of children under five who visited the Tanjung Lengkayap Community Health Center, Lengkiti District, Ogan Komering Ulu Regency in 2024. The sample in this study consisted of 99 respondents. The sampling method uses purposive sampling. This research was carried out from March 22 to April 25 2024. Data was collected using a research questionnaire. Bivariate data analysis using Chi-Square and multivariate tests with logistic regression. The research results showed that there was a relationship between giving MP-ASI (p value 0.04) and body mass index (p value 0.015). There is no relationship between mother's age (p value 0.35), comorbidities (p value 0.61) and smoking habits (p value 0.58) with the incidence of stunting in the Tanjung Community Health Center working area Lengkayap Lengkiti District, Ogan Komering Ulu Regency in 2024. The most dominant factor in the incidence of stunting is body mass index (BMI) (p value 0.032) OR (2.68). The conclusion of this study is the provision of MP-ASI feeding and body mass index significantly influence the incidence of stunting. Community health centers should screen children under five who are at risk of stunting, or have a history of being at risk of stunting

The Effect of Family Empowerment Based on Family-Centered Nursing on the Level of Family Independence in Preventing Stunting in Toddlers in the Simomulyo Community Health Center Working Area, Surabaya

Introduction: Stunting in toddlers is a major public health concern that impacts the next generation. It was suggested that the problems that occurred at the Simomulyo Health Center in Surabaya are mostly the result of parental and family circumstances. But at now, families and parents are unable to carry out their roles to the best of their abilities. The reason for this examination was to explore the relationship between family empowerment and family independence in preventing little child stunting, utilizing the family-centered nursing paradigm as a basis. Method: The research design employed a straightforward random sampling technique, and 154 respondents in total were sampled. Utilizing inclusion and exclusion criteria, 77 respondents were allocated to the intervention bunch and 77 respondents to the benchmark group. The instruments utilized in this experiment were questionnaires. 1) Demographic data; 2) Family assessment using the Family Centered Nursing Model of the Ministry of Health, developed from Friedman's research. This family examination will be conducted with the presence of a health provider. Assess the family's resources and strengths using the SCREEM (Social, Cultural, Religious, Economic, Educational, and Medical) framework. The statistical analysis used the Mann-Whitney test with p0.05 and the Wilcoxon signed rank test. Results: The outcomes showed that there was a significant distinction in the level of family independence between the intervention and control bunches following the intervention. The difference test between the treatment and control groups produced a value of p<0.001 when conducted using Mann Whitney. Conclusion: Family empowerment grounded in a family-centered nursing paradigm can increase the degree of family independence and ward off stunting in toddlers. A later study found that toddler stunting can be avoided with greater family independence. Further research included a sustained coaching program for stunting prevention that spans from the beginning of a marriage to the first 1000 days of life (HPK).

Determinants of Pneumonia Symptoms in Toddlers in the Paal V Health Center Working Area of Jambi City

ABSTRACT Pneumonia is a disease in children under five which causes the highest number of deaths at the global level. Pneumonia cases in toddlers continue to increase and Indonesia is ranked 8th in the world. The aim of this research is to determine the factors associated with pneumonia symptoms in toddlers in the working area of the Paal V Health Center, Jambi City. Cross sectional research design. The research was conducted in the Paal V Community Health Center Working Area, Jambi City. The total sample was 70 toddlers taken using Accidental Sampling. The independent variables are house temperature, house humidity, residential density, house ventilation, lighting, smoking habits, mother's knowledge and exclusive breastfeeding. Data were analyzed using the Chi Squar e or Fisher Exact test. Toddlers with Pneumonia Symptoms are 65.7%. Factors associated with pneumonia symptoms in toddlers are house humidity (PR=0.60; 95% CI=0.37-0.95), house lighting (PR=0.55; 95% CI=0.29-1, 04), smoking habits (PR=1.50; 95% CI=098-2.28) and maternal knowledge (PR=2.46; 95% CI=1.08-1.97). Meanwhile, those that are not related to pneumonia symptoms in toddlers are house temperature, house ventilation, residential density and exclusive breastfeeding. Risk factors for pneumonia symptoms in toddlers are house humidity that does not meet the requirements, house lighting that does not meet the requirements, the presence of smoking habits in the house, poor maternal knowledge. It is hoped that mothers who have toddlers will pay attention to the physical environment of the house and reduce smoking habits in the house Keywords: Pneumonia, Environment, Child, Mother

EFEKTIVITAS VIDEO KESEHATAN TERHADAP PENGETAHUAN DAN SIKAP IBU TENTANG STUNTING DI WILAYAH KERJA PUSKESMAS BANGEKO KANAN

Stunting is a major threat to human quality, as well as a threat to the nation's competitive ability (Ministry of Health, 2018). Because stunting will result in children's intelligence levels not being optimal, making children more vulnerable to disease and in the future could be at risk of decreasing productivity levels. Efforts to prevent stunting should start from the beginning of pregnancy to reduce the risk of stunting in children. The aim of this research is to determine the effectiveness of health videos on mothers' knowledge and attitudes about stunting in the Bangko Kanan Community Health Center Work Area. This research method uses a quasi experimental design. The population used in this research was pregnant women with a sample size of 82 people. The researchers' results were based on the Wilcoxon test with asymp values. The knowledge sig is 0.00 and the attitude is 0.01 (<0.05), meaning that the health video has an impact on increasing mothers' knowledge and attitudes about stunting in the Bangko Kanan Community Health Center working area. It is hoped that the research can become a reference for health workers in providing health promotion to increase knowledge and attitudes of pregnant women about stunting

Edukasi Pedoman Makan “Isi Piringku” untuk Gizi Seimbang pada Balita

Toddlers are very vulnerable to nutritional problems. Malnutrition or stunting in Banten in 2022 is 20%, not yet reaching the 2024 RPJMN target of 14%. One way to prevent malnutrition for toddlers is by increasing the knowledge of mothers or caregivers regarding balanced nutrition and eating guidelines. The aim of this community service is expected to provide education to mothers in providing food to toddlers with balanced nutrition in each portion of their meal. This community service method is through outreach by delivering material and direct interaction, using leaflets, posters and flip sheets. The activity was carried out at Posyandu Anggrek 2 in the Cipondoh Tangerang Community Health Center Working Area for 21 mothers who had toddlers. The results show that the majority of mothers of toddlers have attended nutritional guideline education but still need ongoing information to optimize the provision of balanced nutrition to their toddlers. Education is emphasized on the menu for each item on my plate according to the child's age. After the education was carried out, the knowledge of mothers of toddlers increased, marked by the ability to answer post-counseling evaluation questions

Effectiveness of Insecticide Treated Mosquito Nets on the Death of Anopheles subpictus Mosquitoes

The prevalence of malaria in East Nusa Tenggara based on positive diagnosis results containing malaria parasites and symptoms in the 2013 - 2015 period decreased but has not yet reached the National Strategic Plan target, namely in 2013 it was 21 per 1,000 population (o/oo), in 2014 it was 14 o/oo, and in 2015 it became 8 o/oo (NTT Health Office, 2016). In 2017 there was a spike in malaria cases to 211,409 cases (API = 44.96 o/oo). Kupang Regency with 1,108 cases (API = 24.87 o/oo). Malaria cases in the Tarus Community Health Center work area are the eighth highest, namely 7 cases. This study aims to analyze the effectiveness of insecticide-treated bed nets on the death of Anopheles subpictus mosquitoes. The variables observed were the length of time the mosquito net was used, the frequency of washing the mosquito net, the method of washing the mosquito net, and the percentage of Anopheles subpictus mosquito deaths. The effectiveness of insecticide-treated bed nets on the death of Anophles subpictus mosquitoes with usage time < 3 years (100%), usage time 3 – 5 years (70%) and usage time > 5 years (40%). The effectiveness of insecticide-treated bed nets that have never been washed reaches 100% mortality within 24 hours of observation. Meanwhile, mosquito nets with a washing frequency of 1 – 10 times (70%) kill mosquitoes, and a washing frequency of > 10 times (50%). The method of washing mosquito nets carried out by the community in the Puskesmas Working Area is 100% using detergent. In the control group that used mosquito nets that did not contain insecticide, no Anopheles subpictus mosquito deaths occurred (0%). Suggestions for health workers to increase education regarding the correct use of mosquito nets, so that a higher level of effectiveness of mosquito nets is obtained as a means of personal protection in avoiding mosquito bites.

Relationship between Mother's Knowledge and Status of Advanced Immunization Completeness in Children Under 2 Years in Karangpandan Community Health Center Working Area

Mother's knowledge about immunization influences the provision of immunization to babies. If the mother's knowledge about immunization is lacking and the mother feels that she does not need immunization, this will affect the schedule, administration and completeness of immunizations for babies, which will have an impact on the emergence of disease in babies. This research uses quantitative methods with a retrospective approach. The population of this research is all female orphans who are in the Karangpandan Health Center Working Area for the period March 2024, namely 44 toddler’s mom with the sampling technique used Total Sampling. The instruments used were a maternal knowledge questionnaire about advanced immunizations and a KIA book to see the completeness of immunization status. The statical test using Chi Square test results show the Asymp value. Sig. (2-sided) 0.001 < 0.05, meaning that Ha is accepted and Ho is rejected, so there is a relationship between the mother's level of knowledge about Advanced Immunization and the Completeness Status of Advanced Immunization for Children Under 2 Years in Karangpandan Community Health Center Working Area.

The Effect of Warm Water Compress on the Vagina on the Healing of Perinium Wounds in Post Partum Mothers

Background: Based on data from the World Health Organization (WHO) in 2017, around 830 women died every day due to complications during pregnancy or childbirth. In Indonesia, 75% of women who give birth vaginally experience perineal wounds and some of these wounds have the potential to become infected. In the Tanjung Emas Community Health Center working area, out of 23 post partum mothers, 4 people (27%) experienced slow wound healing. One cause of infection is poor perineal care. The cause of the high infection rate is due to a decrease in the body's resistance in mothers who are susceptible to infection. To reduce the risk of maternal death globally from 216.1 million live births in 2015 to 70 per 100,000 live births in 2030.Purpose:The purpose of this research is to determine the effect of warm water compresses on the vagina on healing perineal wounds in post-partum mothers. Methods: The design of this research is a two-group post test only control group design. The population in this study was all postpartum mothers (0-40 days) from December-March 2024 who gave birth in the Tanjung Emas Community Health Center Working Area, namely 23 people. The sampling technique used is a non-probability sample using the sampling technique method in this research using purposive sampling, namely 8 intervention groups and 8 control groups.Results: The results of this study were that the average wound healing was 5.5 and in the Control Group 6.5 days with a mean difference of 1 day and SD = 0.926. The results of calculations using the Paired T-Test showed p value = 0.039 (p 0.05), which means Ho is rejected and Ha is accepted, meaning there is a significant influence between the effect of warm water compresses on the vagina on healing perineal wounds.Conclusion: Further research may be carried out to develop research on other effective methods for healing perineal wounds in pregnant women.

Gambaran Perilaku Hidup Bersih dan Sehat dengan Kejadian ISPA pada Balita di Wilayah Kerja Puskesmas Malata Kecamatan Tana Righu Kabupaten Sumba Barat Tahun 2024

Clean and Healthy Living Behavior is a form of manifestation of healthy living orientation which aims to improve, maintain and protect health. A problem that often occurs in Indonesian society is clean and healthy living behavior which has an impact on physical health, one of which is acute respiratory infections. The aim of this research is to determine the description of clean and healthy living behavior with the incidence of ARI in toddlers in the Malata Community Health Center Work Area in 2024. This type of research is descriptive qualitative with a cross-sectional study approach. This research was conducted in February-March 2024 The sample used was 44 respondents, data collection used questionnaires and observations. The results showed that mothers' knowledge was in the sufficient category (63.3%), in the good category (22.7%) and in the poor category (13.6%), the smoking behavior of family members was in the frequent category (72.7%) and the rare category. as many as (27.3%), the physical condition of the house which meets the requirements is (40.9%) and which does not meet the requirements as much as (59.1%), the condition of the external environment of the house which meets the requirements is (25.0%) which does not 33 houses (75.0%) fulfilled the requirements. It is hoped that the community can implement clean and healthy living behavior by paying attention to standards of cleanliness and suitability of the house, as well as ventilation so that air exchange can occur, thereby helping to minimize or prevent acute respiratory infections in toddlers.

Mental Health in Families Caring for People with Mental Disorders

Caring for family members who suffer from mental disorders at home is not easy and causes various problems for other family members. Problems often experienced by families include physical, psychological, social, financial and family function problems that can disrupt mental health. This research aims to determine the description of mental health in families who care for people with mental disorders. The method in this research was descriptive. The population in this study were families who had family members with mental disorders in the Jatibarang Community Health Center Work Area. The research sampling technique used purposive sampling on 73 respondents. The instrument used the Self Reporting Questionnaire (SRQ) with 20 question items. Data analysis used univariate analysis. The research was found that 62% of respondents did not experience emotional mental disorders and 38% experienced emotional mental disorders. The conclusion of this research was that 38% of families experience mental health problems (emotional mental disorders). Suggestions for health workers are expected to provide appropriate interventions to families in an effort to prevent mental health problems and provide support to families to ease the burden of family care in caring for people with mental disorders.

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.

Pendidikan Kesehatan Tentang Bahaya Penyakit Demam Berdarah Dengue (DBD) Pada Masyarakat

Dengue Fever disease is a disease whose sufferers tend to increase. Dengue fever disease is an illness that is heard by Dengue virus. Increased cases of dengue high fever can be influenced by the population density factor. The population density factor affects the transmission or transfer of disease from one person to another associated with a vector of disease. This community service activity was carried out in the PB Selayang II Community Health Center Work Area on 18-19 June 2024. The health education media used were videos and leaflets. The implementation is carried out during the day for people who can come during the day. The average number of people attending is ten to twenty people. Health education about the dangers of dengue hemorrhagic fever was carried out in three sessions. After carrying out community service activities, it can be concluded that there has been an increase in public knowledge about the dangers of dengue hemorrhagic fever before and after this activity. After conducting health education, the public understands more about the dangers of dengue hemorrhagic fever.

The Relationship between Motivation and Incentives on the Performance of Integrated Service Post Cadres in Transmigration and Non-Transmigration Areas in the Lambale Community Health Center Work Area, North Buton Regency

Introduction: Initial observations carried out in the Lambale Community Health Center working area, North Buton Regency showed that from interviews with 10 posyandu cadres in transmigration and non-transmigration areas, the average result was that cadres who were inactive were caused by several things, including being busy with other jobs such as housewives and There are still cadres who do not understand their duties in integrated service posts. Method: This type of research is quantitative research with a cross sectional approach. Using a comparative study of transmigration and non-transmigration areas in the Lambale Health Center area, North Buton Regency, looking at the motivation and incentives principles of posyandu cadres. The population was 85 cadres and a sample of 39 used the Lemeshow formula with simple random sampling technique. Result: Based on the results of statistical tests using the Chi Square test, the results obtained were 0.005<α 0.05, H0 was rejected and Ha was accepted, indicating that there is a relationship between cadre motivation and the performance of Posyandu cadres in the Lambale Community Health Center working area, North Buton Regency. Based on the results of statistical tests using the Chi Square test, the results obtained were 0.000<α 0.05, H0 was rejected and Ha was accepted, indicating that there is a relationship between cadre incentives and the performance of Posyandu. Conclusion: There is a relationship between cadre motivation and incentives on the performance of posyandu cadres in the Lambale Health Center work area, North Buton Regency.