District Health Centers Research Articles

Hubungan antara Asupan Gizi dengan Kadar Hemoglobin Ibu Hamil

Nutritional intake during pregnancy has an effect on fulfilling iron needs because there is an increase in the mass expansion of red blood cells, the need for iron increases and this will have an impact on anemia. The incidence of anemia in pregnant women is still quite high, based on Riskesdas (2013) states that 37.1% of pregnant women have anemia due to malnutrition. The purpose of this study was to determine the relationship between nutritional intake and hemoglobin levels of pregnant women in the UPTD Ciawigebang District Health Center. This research method is quantitative, sampling with a total sampling technique with a total of 25 pregnant women. The instrument used was the observation sheet and the analysis used the Spearman Rank. Based on the results of the univariate analysis study, most pregnant women had moderate nutritional intake, namely around 68% (17 people), while most pregnant women had Hb levels <11gr% or mild anemia, namely around 56% (14 people). The results of the bivariate analysis showed a value (r = 0.411 p = 0.041), this indicated that there was a significant relationship between nutritional intake and hemoglobin levels of pregnant women. It was concluded that there was a significant relationship between nutritional intake and hemoglobin levels of pregnant women. It is expected for pregnant women to pay more attention to nutritional intake in each so that the fulfillment of mother and fetus nutrition is fulfille

A study to assess the knowledge and practice of female health worker (FHW), regarding identification of high risk pregnancy, working at selected sub centers under block primary health center, sirsi and amer in jaipur district, rajasthan

A study to assess the knowledge and practice of female health worker (FHW), regarding identification of high risk pregnancy, working at selected sub centers under block primary health center, sirsi and amer in jaipur district, rajasthan

THE EFFECT OF IMPLEMENTATION OF ONE STUDENT ONE CLIENT (OSOC) ASSISTANCE MATERNITY SERVICE MODEL TOWARD ANXIETY AMONG PRIMIPAROUS MOTHER IN THE POST PARTUM PERIOD

Background: Labor is an event and experience in a woman's life. After giving birth, a mother experiences a postpartum period or puerperal period that is a recovery period. Uncomfortable feeling can cause anxiety, especially in primiparous mothers. Therefore, not to have an impact rise in stress, even untill postpartum depression, a midwife as a spearhead of provider maternal health care must be able to reduce the anxiety which experiences of postpartum mothers, especially primiparous through assistance ‘OSOC’ methods.
 Objective: To determine the effect of the application of the OSOC assistance maternity service model toward anxiety among primiparous mothers in the postpartum period at Kendal District Health Center.
 Research Methods: Quantitative data analysis was used to assess the anxiety of postpartum primiparous mothers with the intervention group and the control group, a type of Quasi Experiment research with a non-equivalent control group design. The subjects of this research was divided into two groups, they were intervention groups and control groups. In the intervention group, it was given in the form of providing OSOC assistance in the postpartum period, while the control group was given conventional puerperal care. The research at Kendal District Health Center in May-October 2019.
 Results: There was a significant difference between anxiety in primiparous postpartum mothers with OSOC conventional assistance, and the magnitude of the effect of mentoring pregnant women with OSOC on anxiety by 7.804.
 Conclusions: There was a significant difference between anxiety in primiparous postpartum mothers with OSOC and conventional assistance.

The Effect of Slow Deep Breathing Exercise on Headache and Vital Sign in Hypertension Patients

Prevalence hypertension was estimated 1.13 billion people in the world and 2.027.006 (20.0%) people in DKI Jakarta. Headache was a common symptom related to high blood pressure levels. Slow Deep Breathing Exercise was non pharmacological therapy to reduce consumption of oxygen, metabolism, frequency of respiration, frequency of heart, muscle tension and blood pressure. This research was a pre-experimental one group pre-test post-test design and the respondents performed slow deep breathing exercise fourth time in one day during fourth days. Before and after intervention, the respondents measured vital sign and assessed headache scale with subjective and objective (a numerical scale 1-10). The number of samples in this study were 30 respondents who were selected by probability random sampling and were included in the inclusion and exclusion criteria. Research time December 2019-January 2020 at UKI General Hospital and Cawang District Health Center, East Jakarta. The results showed differences before and after Slow Deep Breathing Exercise on the decrease in headache scale with p-value = 0.000 and on the decrease in blood pressure with p-value = 0.000 and on the pulse rate of 0.014, breathing frequency 0.008 and temperature 0.000 (<0.001). Before intervension, patients feels headache on 7 scale and after intervention, respondents felt no headache on 0 scale. Conclusion are Slow Deep Breathing Exercise have an effect to reduce headache scale and vital sign for four days . The suggestion for the nurse teachs Slow Deep Breathing Exercise to hypertensive patients so that patients can do these exercises at home as an independent exercise.

Factors Influencing Recovery among Children with Moderate Acute Malnutrition Treated at Kirehe District Health Centers

Acute malnutrition affects nearly 52 million of under five years children globally, 75% of them live in low to middle income countries. The treatment of acute malnutrition using supplement foods could help children recovering and could reduce the risk of sickness. The present study investigated the factors associated with recovery among children with moderate acute malnutrition (MAM) under a follow-up program at health facilities. A prospective study was conducted in 16 health centers of Kirehe District of Rwanda and included 200 children from 6 to 59 months. A semi-structured questionnaire was used for data collection. All children enrolled in the study spent three months in nutrition program at health centers. The results show that after 3 months in the program 77.5% recovered from MAM. Children aged above 36 to 59 months were recovered at 90% whereas children aged from 24-35 months were recovered at 73.5%. Micronutrients and deworming provided at health facility were contributed to the recovery as children who received them were recovered at 89.1% and for those who didn’t were recovery at 72.1%. The findings demonstrated that boys were 16 times more likely to recover from MAM in three months of intervention than girls (AOR=16.19, p<0.001, 95% CI: 5.39- 48.63). Children from moderate income families were 3 more likely to recover than those from very low income families (AOR=2.8, p=0.029, 95% CI: 1.11-7.51). Male gender, receiving micronutrients and deworming from health facilities and family income status were factors associated with MAM recovery status

Prevalence of hookworm infection and associated factors among pregnant women attending antenatal care at governmental health centers in DEMBECHA district, north West Ethiopia, 2017

BackgroundHookworm infection is a major public health problem in developing countries. The main way people become infected with hookworm’s larva is through direct skin contact with contaminated soil when walking on barefoot. It is one of a major cause of anemia in pregnant women. The objective was to assess the prevalence and associated factors of hookworm infection among pregnant women who attended antenatal care at governmental health centers in Dembecha district, Ethiopia, 2017.MethodsInstitutional based cross sectional study was conducted on 306 pregnant women. Study participants were selected by systematic random sampling technique from February 1 to March 30, 2017. Data collectors and supervisors were trained. Semi-structured Amharic version questionnaire was used to collect data using face to face interview technique and stool sample was examined. Collected data were entered by using Epi data version 3.1 and exported to SPSS. The exported data was analyzed and presented by using descriptive summary statistics and tables. After bivariate logistic regression analysis, all variables with a p-value < 0.25 were entered into multivariate logistic regression and p value < 0.05 considered as significantly associated with the outcome variable.ResultsPrevalence of hookworm infection was 32.0%. There was a positive association of hookworm infection with living in single room [AOR =2.8; 95% CI; 1.32–5.81], living with domestic animals [AOR = 3.4; 95% CI; 1.35–8.76], monthly income ≤1500 Ethiopian birr [AOR = 3.7; 95% CI; 1.76–7.64], unavailability of latrine [AOR = 2.2; 95% CI; 1.03–4.55], habit of walking on barefoot [AOR = 4.3; 95% CI; 2.17–8.48] and not habit of hand washing before meal [AOR = 3.4; 95 CI; 1.14–10.12].ConclusionThis study showed high prevalence of hookworm infection among pregnant women in the study area. Living in single room, living with domestic animals, monthly income ≤1500 Ethiopian birr, unavailability of latrine, habit of walking on barefoot and not habit of hand washing before meal had positive association with hookworm infection. Public health measure should focus on availability latrine and separation of humans and domestic animals room to decrease prevalence of hookworm infection among pregnant women.

The effect of motivational interviewing on the change of breast cancer screening behaviors among rural Iranian women

ObjectiveThe study aimed to determine the effect of motivational interviewing on the change of breast cancer screening behaviors among rural Iranian women. MethodsThis Randomized controlled trial (RCT) was performed on 120 Iranian rural women selected through cluster random sampling method. Out of all 20 rural health centers of Abish Ahmad District, in the northwest of Iran, about one third (six clusters) were randomly selected; out of which three were randomly assigned to the control group and three to the intervention group. A list of women aged 40–69 years in the selective health centers was prepared and 60 participants were selected for each group through the convenience sampling method based on the inclusion and exclusion criteria. Then, six group sessions (two educational and four motivational interviewing sessions) were held for the intervention group. The data were collected using demographic and obstetric questionnaire, paper-based health records, and the stages of change checklist and analyzed in SPSS 24. The groups were compared through the chi square test, homogeneity test, and the sequential logistic regression with generalized estimating equations. ResultsTwo months after the intervention, a significant difference was found between the two groups in terms of the stages of change for clinical breast examination and mammography by taking into account the pre-intervention stages (p = 0.001). ConclusionMI-based counseling increased the Iranian rural women’s motivation for displaying breast cancer screening behaviors. Practice implicationsThe application of MI for enhancing cancer screening programs among Iranian women is suggested.

Surgical referrals in Northern Tanzania: a prospective assessment of rates, preventability, reasons and patterns

BackgroundAn effective referral system is essential for a high-quality health system that provides safe surgical care while optimizing patient outcomes and ensuring efficiency. The role of referral systems in countries with under-resourced health systems is poorly understood. The aim of this study was to examine the rates, preventability, reasons and patterns of outward referrals of surgical patients across three levels of the healthcare system in Northern Tanzania.MethodsReferrals from surgical and obstetric wards were assessed at 20 health facilities in five rural regions prospectively over 3 months. Trained physician data collectors used data collection forms to capture referral details daily from hospital referral letters and through discussions with clinicians and nurses. Referrals were deemed preventable if the presenting condition was one that should be managed at the referring facility level per the national surgical, obstetric and anaesthesia plan but was referred.ResultsSeven hundred forty-three total outward referrals were recorded during the study period. The referral rate was highest at regional hospitals (2.9%), followed by district hospitals (1.9%) and health centers (1.5%). About 35% of all referrals were preventable, with the highest rate from regional hospitals (70%). The most common reasons for referrals were staff-related (76%), followed by equipment (55%) and drugs or supplies (21%). Patient preference accounted for 1% of referrals. Three quarters of referrals (77%) were to the zonal hospital, followed by the regional hospitals (17%) and district hospitals (12%). The most common reason for referral to zonal (84%) and regional level (66%) hospitals was need for specialist care while the most common reason for referral to district level hospitals was non-functional imaging diagnostic equipment (28%).ConclusionsImproving the referral system in Tanzania, in order to improve quality and efficiency of patient care, will require significant investments in human resources and equipment to meet the recommended standards at each level of care. Specifically, improving access to specialists at regional referral and district hospitals is likely to reduce the number of preventable referrals to higher level hospitals, thereby reducing overcrowding at higher-level hospitals and improving the efficiency of the health system.

Evaluation Of Integrated Management Implementation In Hospital In The Health Center Of Sleman D.I Yogyakarta District

&lt;p&gt;Integrated Management of Sick Toddler (MTBS) is an integrated approach whose governance is carried out on sick toddlers with outpatient facilities. MTBS is used as a service standard for sick infants and toddlers as well as a guideline for nursing staff (midwives and nurses) especially in primary health care facilities. In 2006 the MTBS program socialization and training for puskesmas staff were conducted, where each puskesmas was represented by 1 medical staff and 2 paramedics. MTBS aims to reduce morbidity and mortality due to diarrhea, pneumonia, DHF and infections. IMR in Sleman Regency is better than the national target. In 2015 there were 14,134 live births and 51 (3.61%) stillbirths. This tends to decrease from 2014 when the number of live births was 14,406 with 67 infant deaths (4.65%). The death was caused by diarrhea, pneumonia, DHF and infections. This shows that there is still a need to increase the role of cross-program and cross-sectoral efforts to reduce infant mortality, which is to evaluate the implementation of IMCI or MTBM in the Sleman D.I Yogyakarta Public Health Center.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research Purpose &lt;/strong&gt;investigate the factors in the implementation of IMCI at the Sleman D.I Yogyakarta Public Health Center.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research Methods &lt;/strong&gt;is descriptive qualitative. The main Informantts were 25 MTBS officers, 25 Puskesmas heads, and 1 Kasie Kesga District Health Office, Sleman D.I Yogyakarta with in-depth interviews.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research result: &lt;/strong&gt;All puskesmas in Sleman Regency have implemented MTBS services according to service procedures with different achievements in each puskesmas. This is due to the disorderly officers in conducting data recapitulation. The achievement of the MTBS program in Sleman Regency was 65.39%.&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion&lt;/strong&gt;: The MTBS program at the Sleman district health center has been implemented well due to several factors, namely Human Resources, both the number of trained health workers and the quality of the competencies of health workers, leadership support in the form of facilities and infrastructure, as well as funding support in increasing competence.&lt;/p&gt;&lt;p&gt; &lt;/p&gt;&lt;p&gt; &lt;/p&gt;

Sistem Perencanaan Logistik Obat Di Puskesmas

Perencanaan merupakan tahap terpenting dalam pemenuhan kebutuhan obat-obatan di pelayanan kesehatan. Di puskesmas Cikulur ditemukan kekosongan dan kelebihan obat untuk beberapa item obat tertentu. Perencanaan kebutuhan obat yang baik di puskesmas terdiri dari proses pemilihan obat, kompilasi pemakaian obat, perhitungan kebutuhan obat, dan proyeksi kebutuhan obat. Perencanaan obat yang kurang baik menyebabkan terjadinya kelebihan dan kekurangan obat. Tujuan penelitian adalah mengetahui sistem perencanaan logistik obat di puskesmas Cikulur Tahun 2019. Jenis penelitian adalah deskriptif evaluation study dengan metode kualitatif yang dilaksanakan di puskesmas Cikulur. Subjek penelitian yaitu kepala puskesmas, penanggung jawab gudang obat, petugas farmasi, dan dokter. Pengumpulan data dengan wawancara mendalam, penelusuran dokumen dan observasi. Analisis data dengan proses analisis isi dan triangulasi data. Hasil penelitian menunjukan bahwa pemilihan obat di puskesmas Cikulur kabupaten Lebak berdasarkan data dari Laporan Pemakaian dan Lembar Permintaan Obat (LPLPO), rekapan resep obat, obat paling banyak dipakai, dan pola penyakit. Kompilasi pemakaian obat dapat dilihat dari data LPLPO, laporan obat, stok obat, kertas resep harian dari data ini dapat diketahui berapa jumlah sisa stok, jumlah pemakaian, dan jumlah pengeluaran. Metode perhitungan kebutuhan obat yang digunakan adalah metode konsumsi. Proyeksi kebutuhan obat belum tepat karena masih terdapat obat yang kosong dan berlebih. Diharapkan agar dapat meningkatkan proses perencanaan kebutuhan obat sehinggaapat mengevaluasi masalah pembagian kerja dalam pemilihan obat, meningkatkan kerja team, seminimal mungkin melengkapi data yang diperlukan untuk kegiatan proyeksi dan membuat laporan obat yang kurang, dengan menetapkan suatu kebijakan atau Standar Operasional Prosedur kerja, sehingga mudah dalam menentukan obat yang tepat jenis dan jumlahnya sesuai dengan kebutuhan.

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DYSPEPSIA PADA REMAJA DI WILAYAH KERJA PUSKESMAS KRUENG BARONA JAYA KABUPATEN ACEH BESAR TAHUN 2019

Krueng Barona Jaya Aceh Health Center after being interviewed there are some patients who have unhealthy eating habits such as late eating, like eating spicy food, which can cause dyspepsia. The results of interviews of 10 people there are 8 people who experience dyspepsia. Researchers chose adolescents because many at this age generally have stress levels as well as lifestyle conditions for consuming irritating food and drink. The purpose of this study was to determine the factors that influence the incidence of dyspepsia in adolescents in the working area of Krueng Barona Jaya Aceh Besar District Health Center in 2019. This research is descriptive analytic with cross-sectional study approach. The population in this study were 38 adolescents visiting the Krueng Barona Jaya Health Center in the Juni 2019 period, with a total sample of 38 people. The sample collection technique is accidentall sampling. Data analysis using univariate and bivariate, research was carried out in 17 s/d 24 June 2019. The results showed that there is a relationship between stress (p-value 0.033), regularity of food (p-value 0.004), irritative food and drinks (p-value 0.024) with the occurrence of dyspepsia in adolescents in the working area of Krueng Barona Jaya Aceh Besar Regency Health Center in 2019. It is recommended for adolescents, it is necessary to make a meal schedule and always maintain the availability of food when mealtime arrives or by always bringing snacks, pay attention to regular meal times (right) and types of food adequate and varied, which consists of carbohydrates, protein, and fat at every meal, and avoid the consumption of spicy foods, sour, soft drinks.

Analysis of Environmental Risk Factors and Treatment Efforts Malaria Import Patients in Puskesmas in the Work Area of District Health Center of Segeri, Pangkep Regency 2019

Malaria is transmitted by female Anopheles mosquito bites. Plasmodium carried by mosquito bites will live and multiply in human red blood cells. This study aims to determine the relationship between environmental risk factors and treatment efforts in patients with Imported Malaria in the work area of the District Health Center of Segeri, Pangkep Regency. This type of research is observational analytic using a case-control design. The sampling technique for case groups is exhaustive sampling. Control group sampling is adjusted based on the number of sample cases as many as 40 cases with a ratio of 1:1 with a total of 80 respondents. Data analysis was performed univariate, bivariate (Chi-square yielded Odds Ratio (OR), and multivariate (logistic regression). The results of the bivariate analysis showed an association between malaria sufferers in the migration area (p=0.017; OR=3.273), nighttime habits (p=0.025; OR= 2,786), wearing closed clothes (p=0.044; OR=2.500), using mosquito nets at night (p=0.043; OR=2.538), history of suffering from malaria (p=0.029; OR=9.750), knowledge about the causes of malaria (p=0.012; OR=6.333), knowledge about malaria transmission (p=0.027; OR=2.143), knowledge about the clinical symptoms of malara (p=0.029; OR=9.750), knowledge about the type of malaria treatment (p=0.025; OR=3.857), knowledge about malaria prevention (p=0.025; OR=3.857 ), and have attended/heard of malaria counseling (p=0.027; OR=2.143) with imported malaria. Multivariate analysis showed that the most dominant factor associated with imported malaria was the use of mosquito nets in the migration area (Wald = 6.604; Exp. (B) = 5.239; 95% CI 1.481-18.526). The solution provided is the need to increase awareness of protecting the environment specifically with the use of mosquito nets in the migration area, increasing knowledge of malaria and prevention by counseling and awareness to take chemoprophylaxis for people who want to migrate.

Analisis Kelayakan e-Rapor Kesehatan Siswa untuk Meningkatkan Peran Orang Tua, Sekolah dan Puskesmas dalam Pemantauan Status Kesehatan Siswa

ABSTRACT Background of Study: Student health records are routinely carried out in schools, but only a manual record in the form of a Health Report Book which has many weaknesses for monitoring student health status. Then an electronic student health record (e-Rapor Kesehatan) was developed at the Jagakarsa District Health Center. The aim of this study is to analyze the feasibility to develop an electronic student health record prototype to increase the role of parents, schools and health center in monitoring student health status to be implemented.  Methods: This study provides a complete TELOS  descriptive analysis (Technology Feasi-bility, Economic, Legal, Operational and Schedule Feasibility) of the electronic student health record prototype. Results: Based on the TELOS analysis conducted that Technology Feasibility, Economic, Operational and Schedule Feasibility was appropriate for the development of electronic student health records prototype. However, the legal aspect still needed to be strengthened, because it was not yet supported by the existence of regulations or standard guidelines for the use of electronic student health records. Conclusion: In conclusions, electronic student health records prototype is feasible to be developed. In the future, policy advocacy related to the legal aspects of using electronic student health records needs to be done so that electronic student health records can be implemented. Keywords: Feasibility analysis, student health record, student’s health

The implementation of health &lt;em&gt; istithaah &lt;/em&gt; to the pilgrims with tuberculosis: a cross-sectional study in Jakarta, Indonesia

BACKGROUND Based on the regulation of the Indonesian Ministry of Health No. 15 of 2016 about health istithaah for the Hajj, patients with tuberculosis (TB) can be categorized into ineligible or temporarily ineligible pilgrims. This study aimed to know the characteristics of pilgrims with TB and determined their level of fitness for fulfilling the health istithaah. METHODS A cross-sectional study of pilgrims from Jakarta who were receiving TB treatment during the Hajj in 2018 was conducted with consecutive sampling. The secondary data was collected from the Hajj Integrated Computer Health System 2018, TB registered form, and six-minute walk test (the fitness level data) conducted by the District Hajj Health Team at district health centers in DKI Jakarta and Pondok Gede before the Hajj embarkation in June–July 2018. The questionnaire to the Indonesian Hajj Health Team during pilgrimage was also included as additional data. RESULTS Thirty-one pilgrims received TB treatment and completed the intensive phase of TB treatment, but 29 pilgrims had no symptoms. Among them, 2 patients had MDR-TB. Most of them were male aged ≥40 years old. Twelve pilgrims with TB have a sufficient fitness. All pilgrims were able to run the pillars of the Hajj. CONCLUSIONS Pilgrims with TB, including MDR-TB, who had completed the intensive phase with a negative sputum smear test were declared eligible for the Hajj with assistance.

Implementation of e-Puskesmas in Badung District, Bali, Indonesia

Background and purpose: Development of e-Puskesmas information system is one of the government’s efforts to improve efficiency and effectiveness of primary healthcare services. A comprehensive evaluation of e-Puskesmas implementation has not been conducted. This study aims to explore the implementation of e-Puskesmas system in Badung District from health providers’perspectives.Methods: This study was an explorative qualitative study conducted in Badung District from July to August 2019. Data collection was carried out through in-depth interviews with 14 informants who were selected purposively, consisted of managers and operators of e-Puskesmas in Badung District, Health Office and Public Health Centre (puskesmas). Semi-structured interview guidelines were developed based on the Health Metrics Network (HMN) Framework. Data were analyzed by thematic analysis. Data validation was carried out through source triangulation, member checking and peer debriefing.Results: The input of e-Puskesmas is generally sufficient in terms of policies, financing and infrastructure, but it is necessary to improve the quality and quantity of human resources, the internet network, and availability of standard operating procedure. The e-Puskesmas indicators have not accommodated the overall minimum health service standards of puskesmas, data on promotive and preventive programs, and data from private health care facilities. Data management is non optimal due to poor data completeness, breach of confidentiality and also the existence of other disease specific information system that is not integrated into the e-Puskesmas system. The quality of information produced from the system should be improved since there is lack of validity and unable to provide comprehensive information regarding health status of the community. The use and dissemination of information is limited to reporting to the health office while dissemination to the public has not been optimal.Conclusion: The implementation of e-Puskesmas in Badung District has not been optimal. Concerted efforts should be undertaken to overcome the barriers in the implementation and to develop a more effective, efficient and integrated health information system.

Does mass drug administration affect Schistosoma mansoni infection trends in West Dembia district, Northwest Ethiopia?

Schistosomiasis is one of the Neglected Tropical Diseases in Ethiopia. Since 2015, yearly school-based mass drug administration (MDA) using praziquantel has become the major control strategy. This study aimed to assess trends of Schistosoma mansoni infection in a high-endemic area in Northwest Ethiopia. Data were extracted from routine laboratory logbooks at two health centers in West Dembia district, Amhara region, for the period 2013-2018. Wet-mount direct microscopy was used to diagnose intestinal parasites. Chi-square test was used to compare proportions of S. mansoni-positive results before and after the start of MDA with praziquantel, across sex, age groups, and seasons. Data of 8002 stool tests was extracted. The proportion of S. mansoni progressively decreased from 9.6% in 2013 to 4.1% in 2018 in the overall patient population and from 20.3% in 2013 to 8.8% in 2018 in school-aged children. However, a declining trend of S. mansoni was observed before the launch of MDA and remained constant after the start of the MDA. The positivity rate was significantly higher in males and in the 5-14 years age group. S .mansoni infection in school aged children showed significant seasonal variation. The declined trend of S. mansoni positivity rate is encouraging and may be related to the existence of intervention packages. Although the timing of MDA was related with low positivity rate of S. mansoni infection, it has not resulted in the expected beneficial effect. Therefore, the district health office should work on both MDA and other interventions.

Analisis Pengaruh Konsumsi Buah Bit Terhadap Peningkatan Kadar Hemoglobin Pada Ibu Hamil Trimester III

&#x0D; &#x0D; &#x0D; Buah bit mampu merangsang, membangun, membersihkan, dan memperkuat sistem peredaran darah dan sel darah merah sehingga dapat membawa zat tubuh dan dapat mencegah kurangnya sel darah merah dalam tubuh. Hemoglobin merupakan bagian dari darah yang mengandung protein kaya zat besi. Kehamilan trimester III yaitu periode 3 bulan terakhir kehamilan yang dimulai pada minggu ke- 28 sampai minggu ke-40. Hasil survei yang dilakukan terhadap 50 orang ibu hamil didapatkan hasil yang memeriksa hemoglobin yaitu 30 dari 50 ibu hamil didapatkan hasil Hb ≥11 gr/dL. Tujuan penelitian ini yaitu untuk menganalisis pengaruh faktor yang mempengaruhi kadar Hb ibu hamil trimester III di UPTD Puskesmas Jeumpa Kabupaten Bireuen Tahun 2019. Desain yang digunakan dalam penelitian ini adalah True Experimental Design dengan pendekatan Pretest-Posttest Control Group Desaign. Populasi dalam penelitian ini adalah 50 orang ibu hamil trimester III dengan jumpah sampel 24 orang, yaitu 12 responden untuk kelompok eksperimen dan 12 responden untuk kelompok kontrol. Berdasarkan analisis uji t-test berpasangan pada kelompok eksperimen menunjukkan bahwa nilai p value adalah 0,002 hal ini berarti p &lt; 0,05, maka terdapat perbedaan kadar hemoglobin yang signifikan antara kadar hemoglobin pre-test dan kadar hemoglobin post-test dengan mengkonsumsi buah bit. Bagi petugas kesehatan agar memberikan informasi kadar hemoglobin sebelum dan setelah pemberian buah bit pada ibu hamil agar dapat dijadikan dasar pengambilan keputusan dalam usaha meningkatkan kadar Hb dan mencegah kejadian anemia, referensi untuk membuat suatu produk ekstrak buah bit.&#x0D; &#x0D; &#x0D;

Peran Public Relations Dalam Pemanfaatan Instagram Sebagai Alat Publikasi Untuk Meningkatkan Layanan Masyarakat Di Puskesmas Kecamatan Cilincing (Studi Kasus Pada Akun Instagram @ puskesmascilincing)

Media are tools that are used to convey messages from communicators to the public. Public relations can not be separated from the media, because public relations needs media to publication the information about the company or organization. In the process of its performance, the Cilincing District Health Center certainly needs to convey information to its audience whether it is necessary to receive programs, services and so on. This does not include media information for programs and such information. This study aims to analyze the role of public relations in Instagram social media as a publication to improve community services in the Cilincing District Health Center. The research method in this study is qualitative, with descriptive research using case studies. Data collection techniques in this study by conducting in-depth interviews, observation, discipline and literature. The role of public relations is the role of expert advisors, the role of communication facilitators, the role of problem solving process facilitators, and the role of communication technicians. Public relations are active in utilizing Instagram as a publication tool in the Cilincing District Health Center, through the results related to the community relations role of the Cilincing District Health Center only.

The Effectiveness of a New Dispatcher-Assisted Basic Life Support Training Program on Quality in Cardiopulmonary Resuscitation Performance During Training and Willingness to Perform Bystander Cardiopulmonary Resuscitation: A Cluster Randomized Controlled Study.

A new dispatcher-assisted basic life support training program, called "Home Education and Resuscitation Outcome Study (HEROS)" was developed with a goal to provide high-quality dispatcher-assisted cardiopulmonary resuscitation (CPR) training, with a focus on untrained home bystanders. This study aimed to determine whether the HEROS program is associated with improved quality in CPR performance during training and willingness to provide bystander CPR compared with other basic life support programs without dispatcher-assisted CPR (non-HEROS). This clustered randomized trial was conducted in 3 district health centers in Seoul. Intervention group was trained with the HEROS program and control group was trained with non-HEROS program. The primary outcome was overall CPR quality, measured as total CPR score. Secondary outcomes were other CPR quality parameters including average compression depth and rate, percentages of adequate depth, and acceptable release. Tertiary outcomes were posttraining survey results. Difference in difference analysis was performed to analyze the outcomes. Among total 1929 trainees, 907 (47.0%) were trained with HEROS program. Compared with the non-HEROS group, the HEROS group showed higher-quality CPR performances and better maintenance of their CPR quality throughout the course (total scores of 84% vs. 80% for first session and 72% vs. 67% for last session; difference in difference of 12.2 vs. 13.2). Other individual CPR parameters also showed significantly higher quality in the HEROS group. The posttraining survey showed that both groups were highly willing to perform bystander CPR (91.4% in the HEROS vs. 92.3% in the non-HEROS) with only 3.4% of respondents in the HEROS group were not willing to volunteer compared with 6.2% in the non-HEROS group (P < 0.01). The HEROS training program helped trainees perform high-quality CPR throughout the course and enhanced their willingness to provide bystander CPR.

Maternal feeding practice and its relationship with stunting in children.

The incidence of stunting in children is a crucial problem that remains challenging to tackle and is caused by multiple factors. This study aimed to determine the relationship between maternal feeding practice and the incidence of stunting in children in Depok, Indonesia. The study design was a correlation analysis with a cross-sectional approach including applied height-for-age z-score tables from the World Health Organization (WHO) and a feeding practices and structure questionnaire (FPSQ- 28). The study involved 262 participants who were selected using a cluster random sampling technique in 11 district health centers in Depok. The results suggest that there was no significant relationship between maternal feeding practice and the incidence of stunting in children in Depok (P>0.05). In addition, feeding practice performed by mothers was rather non-responsive. The study results are expected to provide benefits for nurses and health professionals in order to improve health education and promotion programs related to stunting and responsive feeding practice.