Health Center Work Area Research Articles

Factors Associated With The Incidence Of Diarrhea In ToddlersIn The Meureubo Health Center Working Area, Meureubo Sub-District, West Aceh District In 2023

Diarrhea in children under five is a significant public health problem, especially in developing countries, where the incidence and mortality rate due to diarrhea is still high. This phenomenon is further exacerbated by the lack of access to proper sanitation and health education among the community. This study aims to identify factors related to the incidence of diarrhea in toddlers in the working area of the Meureubo Health Center, Meureubo District, West Aceh Regency, in 2023. The method used is a literature study, with data and information obtained from various sources, including scientific journals, articles, and related reports. The analysis was carried out on factors that affect the incidence of diarrhea, such as environmental sanitation, diet, immunization status, and parental knowledge about health and diarrhea prevention. Although there has been previous research on diarrhoea in toddlers, there is still a lack of understanding the specific association between parental knowledge and the incidence of diarrhoea in this local context. The results of the study showed that drinking water quality, hygiene practices, and parental knowledge about diarrhea prevention had a significant influence on the incidence of diarrhea in toddlers. These findings emphasize the need for health interventions that focus on improving access to clean water, good sanitation, and education for parents. This research is expected to provide useful information for the development of more effective health intervention programs in the region as well as increase public awareness about the importance of diarrhoea prevention among toddlers.

Factors Associated With The Incidence Of Diarrhea In Toddlersin The Meureubo Health Center Working Area, Meureubo Sub-District, West Aceh District In 2023

Diarrhea is a potential endemic disease that can result in extraordinary outbreaks (KLB) and is often associated with mortality. According to data from the Meureubo Health Center in 2022, this center recorded the highest percentage of diarrhea cases among toddlers, reaching 67%. This study aims to examine the relationship between several factors clean water sources, latrine facilities, household waste management, wastewater disposal, maternal knowledge and education, nutritional status, personal hygiene, and environmental sanitation and the incidence of diarrhea in toddlers within the Meureubo Health Center working area, Meureubo District. This quantitative research utilizes a cross-sectional design and was conducted from May 13-29, 2023. The population includes all toddlers in the Meureubo Health Center working area, with a sample size of 97. Proportional random sampling was used to select the 97 respondents. Data were analyzed using the chi-square test with Stata 15, including univariate and bivariate analyses. The univariate results show that 43.30% of toddlers experienced diarrhea, 19.58% lacked access to clean water, 5.15% had inadequate latrine facilities, 57.73% faced insufficient household waste management, and 21.65% had improper wastewater disposal systems. Additionally, 30.93% of mothers had poor knowledge, 35.05% had a primary education level, 20.62% of toddlers were malnourished, and 39.18% had poor personal hygiene and environmental sanitation. Bivariate analysis reveals significant relationships between diarrhea incidence in toddlers and clean water sources (p-value: 0.0001), latrine facilities (p-value: 0.013), household waste management (p-value: 0.0001), wastewater disposal (p-value: 0.0001), maternal knowledge (p-value: 0.0001), maternal education (p-value: 0.036), nutritional status (p-value: 0.022), and personal hygiene and environmental sanitation (p-value: 0.0001). It is recommended that health workers, particularly those in health promotion, provide counseling on personal hygiene and environmental cleanliness

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.

Stabilizing Blood Sugar Levels in Type 2 DM Patients by Providing Benson Relaxation Therapy Combined with Dhikr Based on Self-Care Orem

Background: People with diabetes mellitus experience hyperglycemia, the higher the likelihood of complications if do not get the right treatment immediately. In addition, people with diabetes mellitus are prone to stress because the disease is difficult to cure and patients must take medications every day. Therefore, proper management is needed. Purpose: The purpose of this study is to determine the effect of self-care orem-based dhikr combination benson relaxation therapy on blood sugar levels in type 2 diabetes mellitus patients in the Ujungpangkah Gresik Health Center Working Area. Method: This type of research uses Quasy Experiment with Pretest Posttest Control Group Design. The sample in this study was 46 respondents, which were divided into 2 groups, namely 23 respondents for the control group and 23 respondents for the intervention group. The independent variable of this study was benson relaxation therapy combined with dhikr, while the dependent variable was blood sugar levels. The data were analyzed using paired T-Test and Independent T-test tests on blood sugar level variables with kemaknaan α=0,05. Results: The results of the independent t-test on the variable of blood sugar levels with a significant level of 0.000 < α = 0.05, showed that there was an effect of the administration of benson relaxation therapy combined with dhikr on blood sugar levels in type 2 DM patients. Conclusion: The conclusion of this study is that benson relaxation therapy combined with dhikr has an effect on blood sugar levels in patients with type 2 diabetes mellitus. In the future, it is hoped that health workers can increase the provision of information and education evenly to health service places.

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.

The Effectiveness of CATIN Class on Pregnancy Readiness of Prospective Brides in The Working Area of Citangkil 2 Health Center, Cilegon City

Prospective brides and grooms are a strategic target group in efforts to improve their health before pregnancy. Before the wedding, many prospective brides and grooms do not have enough knowledge and information about reproductive health in a family, so that after marriage pregnancies are often not planned well and are not supported by optimal health status. The number of marriages in Indonesia in 2023 will reach 1.58 million and 68,185 will come from Banten Province. Maternal mortality still reaches 127 cases of maternal death per 100,000 births and the incidence of anemia in pregnant women is 9.2% in 2023. The aim of this research is to determine the effectiveness of prospective brides and grooms or CATIN (Calon Pengantin) classes on the pregnancy readiness of prospective brides in the Industrial Area of ​​the Citangkil 2 Community Health Center, Cilegon City. Research methods is qualitative research. Population in this study were prospective brides and grooms who registered at KUA in July 2024 in the Citangkil 2 Health Center Working Area, Cilegon City, totaling 12 informants, consisting of 10 Catins and 2 expert informants from KUA and Health officers. There is an influence of information sources related to the socialization of the catin class program from KUA officers and Community Health Center Health Workers on the pregnancy readiness of the prospective bride and groom and knowing the attitude of the prospective bride and groom, the attitude of the KUA officers and the attitudes of health workers who take part in the catin class. There is a change in attitude after participating in the catin class service.

Pengaruh Pemberian Jus Buah Naga terhadap Perubahan Kadar Hemoglobin Ibu Hamil di Wilayah Kerja Puskesmas Kota Baru Kabupaten Indragiri Hilir

The prevalence of iron deficiency anemia in pregnancy is around 95% due to iron deficiency (iron deficiency anemia). Anemia is the second main cause of maternal death, accounting for around 12.8% of maternal deaths due to postpartum hemorrhage. One way to overcome anemia in pregnancy is to consume dragon fruit regularly, in addition to consuming Fe tablets that have been given by midwives or health workers. Giving dragon fruit juice is effective in increasing Hb levels in pregnant women. The research design used in this study was a pre-test and post-test with control group design in the Kota Baru Health Center Working Area, Indragiri Hilir Regency. A population of 230 pregnant women with a sampling technique using simple random sampling obtained 32 respondents (16 intervention groups and 16 control groups). Data analysis used the independent t-test. The results of this study indicate that there is an effect of giving dragon fruit juice on changes in hemoglobin levels of pregnant women in the Kota Baru Health Center Working Area, Indragiri Hilir Regency. Dragon fruit can be used as a supplement to increase hemoglobin levels in pregnant women to treat anemia.

Comparison of Video and Booklet Media to Improve Parents' Knowledge About Childhood Tuberculosis

Tuberculosis (TB) is a disease caused by the bacteria Mycobacterium tuberculosis. Indonesia is the country with the second largest number of TB cases in the world. Tuberculosis in children cases in Indonesia reached 110,881 and West Sumatra is in sixth place with 2,751 cases. Tuberculosis in children cases are often ignored for various reasons such as lack of parental knowledge about preventing TB in children. Health education through audio-visual media and booklets is one of the efforts made to provide health information about preventing TB in children. The purpose of this study was to see changes in parental knowledge before and after intervention with video and booklet media and to compare the effectiveness of each media. This study used the "Pretest-Posttest Two Group Design" design which was conducted in the Pegambiran Health Center Work Area. The sample consisted of 54 people consisting of 2 groups, namely 27 people in the audio-visual media group and 27 people in the booklet media group. Sampling used the Simple Random Sampling technique. Univariate analysis showed frequency distribution and bivariate analysis used the Wilcoxon rank test and the Mann Whitney test. The results of the study with the Wilcoxon test obtained knowledge before and after audio-visual intervention with a p-value of 0.000 <0.05 and booklet media showed a p-value of 0.000 <0.05. The results of the Mann Whitney test with a p-value of 0.284> 0.05. It can be concluded that there is no difference in the effectiveness of using audio-visual media compared to booklet media in increasing parental knowledge about preventing childhood tuberculosis. It is hoped that the Health Center and related agencies will use audio-visual media and booklets in providing health education about preventing TB in children.

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.

Perbedaan Perubahan Tekanan Darah Antara yang Diberikan Jus Mentimun (Cucumis Sativus Linn) dengan Jus Pepaya (Carica Papaya) Terhadap Penderita Hipertensi Primer di Wilayah Kerja Puskesmas Ampenan

Hypertension is the leading cause of death in Indonesia and has a high risk of heart failure, stroke, kidney failure and myocardial infarction. Management of hypertension includes lifestyle changes, diet, stress management and others. In addition, giving cucumber juice and papaya juice is also recommended as a nursing management to lower blood pressure because the content of potassium, magnesium, phosphorus can treat hypertension. The purpose of this study was to determine the difference in blood pressure changes between those given cucumber juice (cucumis sativus linn) and papaya juice (carica papaya) for patients with primary hypertension in the Ampenan Health Center work area. The research method used was a Quasy Experimental study with a pretest-posttest control group design with a quantitative approach in the cucumber juice group and the papaya juice group with a control group without treatment. Random sampling technique was used to obtain 30 respondents divided into 3 groups. The results of the study showed that the results of the dependent t test showed a p value = <0.05 so that there was a difference in blood pressure reduction between those given cucumber juice and those given papaya juice in patients with hypertension.

Analysis of the Effect of Hypertension Gymnastics on Lowering Blood Pressure in Hypertension Patients in the Tapunggaya Health Center Work Area

Introduction: WHO states that hypertension has attacked 22% of the world's population. While the number of hypertension in Southeast Sulawesi itself reached 26.53% or 314,454. One of the non-pharmacological treatments for hypertension is hypertension exercise and the DASH Diet (Dietary Approaches to Stop Hypertension) is a diet pattern aimed at lowering blood pressure by limiting salt intake, saturated fat, and increasing food intake that contains a lot of potassium, calcium, magnesium and high-fiber foods. This study is to analyze the Effect of Hypertension Exercise on Lowering Blood Pressure in Hypertension Patients in the Tapunggaya Health Center Work Area. Method: This type of research is quantitative with an experimental approach with a pretest-posttest design. The research sample was 284 people using a simple random sampling technique. The data collection tool used a blood measurement observation sheet. The statistical test used was the Paired Sample T-Test. Result: Obtained Results before hypertension exercise treatment on decreasing systolic blood pressure average 148 after treatment average blood pressure 134 mmHg. And the results before treatment diastolic blood pressure average 91 and 96 mmHg after treatment average mmHg. Based on the T-test obtained (P value = 0.00 with alpha <0.05). It can be concluded that there is a significant effect between hypertension exercise on decreasing blood pressure. Conclusion: There is an effect of hypertension exercise therapy to lower blood pressure in hypertension sufferers. It is expected that hypertension sufferers can continue hypertension exercise to lower blood pressure.

Study on Environmental and Health History Risk Factors for Pneumonia Cases in Toddlers at Motui Health Center

Introduction: Pneumonia case data in North Konawe Regency / 1000 Toddlers in 2017 found 121 cases, in 2018 found 175 cases, in 2019 increased found 162 cases for 2020 decreased by 158 cases and in 2021 found increased with a total of 240 cases from 888 toddlers handled by health workers. The purpose of this study was to analyze the Risk Factors of Toddler Health History and Environment on Pneumonia Cases in Toddlers in the Motui Health Center Work Area. Method: The study used a quantitative method with an observational approach using a Case Control Study design. This study was conducted from March 1 to May 1, 2023. The sample size for each group was at least 46 samples. The comparison of case and control samples is 1: 1. The total sample is 92 respondents with a simple random sampling technique, using the SPSS 26 statistical test. Result: The health history of toddlers has a risk of 8.67 times for the occurrence of pneumonia, environmental conditions have a risk of 8.91 times for the occurrence of pneumonia in toddlers in the Motui Health Center Work Area. Conclusion: The need for a North Konawe District Health Service specifically for handling infectious disease programs.

HUBUNGAN ANTARA DUKUNGAN SUAMI DENGAN PEMBERIAN ASI EKSKLUSIF DI WILAYAH KERJA PUSKESMAS MESIANG KABUPATEN KEPULAUAN ARU MALUKU

Exclusive breastfeeding during the first six months of life has been proven to bring many health benefits to the baby and mother. Breast milk provides essential nutrients, protects against infection and can increase the baby's antibodies. Husbands have an important role in supporting the practice of exclusive breastfeeding. Support from the husband can take the form of providing accurate information about the benefits of exclusive breastfeeding, providing emotional support to the wife, and helping to overcome obstacles that may arise during the breastfeeding process. The aim of this research is to determine the relationship between husband's support and exclusive breastfeeding in the Mesiang Health Center Working Area, Aru Islands Regency, Maluku. The research method is correlation analysis with a cross sectional approach. The population used were all mothers of toddlers aged 6-12 months, totaling 43 respondents. The sample used was 38 mothers who had babies aged 6 - 12 months who were selected using simple random sampling. The data collection instrument uses a questionnaire. Chi Square statistical test. The results of the research are that there is a relationship between husband's support and exclusive breastfeeding in the Mesiang Health Center Working Area, Aru Islands Regency, Maluku, with a value of p = 0.031, p < ?, ?=0.05. The conclusion is that the social support provided by the husband to the wife will increase the mother's motivation and enthusiasm in providing exclusive breastfeeding, so that the target of exclusive breastfeeding can be achieved, and health workers can also play an important role in achieving the success of exclusive breastfeeding. Keywords: Husband's support, exclusive breastfeeding.

Factors Causing Low Coverage of Childbirth at Health Care Facilities in the Paramasan Health Center Working Area

Childbirth in health facilities is a government recommendation to reduce MMR/AKB. This is stated in the legal basis of Permenkes No. 21 of 2021. The reduction in MMR and IMR in remote areas has not been as expected, because many remote communities have not given birth in health facilities, the contributing factors are areas that are mountainous areas and difficult to reach, low educational background, weak socioeconomics, and poor access to health services, The largest contributor in Banjar Regency is Puskesmas Paramasan. Puskesmas Paramasan is a remote area. Based on data in 2023 the percentage of women giving birth at health facilities is 36%, giving birth at home is 64%. Objective to determine the factors causing the low coverage of childbirth in health care facilities in the working area of Puskesmas Paramasan. This study is a type of analytical survey with a cross sectional approach. the population in this study were mothers who had given birth, sampling using total sampling, the data used were quantitative with primary data sources. Mothers with low knowledge were 24 people (57.1%) high knowledge 18 people (42.9%). Low family support as many as 19 people (45.2%) high family support 23 people (54.8%). Maternity mothers who gave birth in health facilities were 24 people (57.1%) who did not give birth in health facilities 18 people (42.9%). The results of the analysis using the Fisher axact test found that there is a relationship between maternal knowledge and delivery in health facilities in the Paramasan Puskesmas Working Area, there is a relationship between family support and delivery in health facilities in the Paramasan Puskesmas Working Area.

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

Effectiveness of Acupressure Therapy in Reducing Blood Pressure Hypertension sufferers

Hypertension is a disease that causes complications in sufferers, thereby reducing the sufferer's quality of life. Increased blood pressure in hypertension sufferers can be controlled with pharmacological and non-pharmacological therapy, one of which is using acupressure therapy. This study aims to determine the effectiveness of providing acupressure therapy in reducing blood pressure for hypertension sufferers in the Bukit Raya Village Sub-district Health Center Work Area, East Lampung. This research design is quantitative analytical with a Quasi-Experimental approach using a one group pretest and posttest design. The results of the research conducted showed that the average systolic blood pressure before acupuncture therapy was 168 with a standard deviation of 26.943. After therapy the average blood pressure value decreased to 122 with a standard deviation of 3.535. Meanwhile, the average diastolic blood pressure before acupressure therapy was 103 with a standard deviation of 11.18. After therapy the average blood pressure value decreased to 71 with a standard deviation of 2.204. Seeing the effectiveness of acupressure therapy in lowering blood pressure in hypertensive patients, this therapy can be applied as a non-pharmacological treatment for patients who experience high blood pressure. Keywords: Acupressure, blood pressure, hypertension

The Relationship between Physical Activity and Cholesterol Levels in the Community in the Kalibaru Kulon Health Center Working Area

The number of degenerative diseases is increasing, one of which is diseases related to cholesterol. Cholesterol levels in the blood are related to physical activity, the more physical activity you do every day, the greater your daily energy expenditure, resulting in a reduction in cholesterol levels in the body. So, it is important to know the relationship between physical activity and cholesterol levels in the body. Quantitative research with a cross-sectional approach. The population in this study were all people who had had their cholesterol checked in the Kalibaru Kulon Community Health Center working area. The total population in this research was 177 people. and a sample of 44 people was taken using simple random sampling techniques. The statistical test between physical activity and cholesterol levels measured using Spearman rho with α = 0.05 resulted in p value = 0.000, and r = -0.764, meaning there is a relationship between physical activity and cholesterol levels. The suggestion of this research is that health institutions are advised to provide education related to increasing physical activity in order to reduce cholesterol levels.

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.

FACTOR ANALYSIS OF HOUSEHOLD SEWERAGE OWNERSHIP

Wastewater or sewage can have major and important effects on the environment and humans, especially resulting in pollution and infectious diseases. In general, households in Indonesia dispose of their waste directly into the sewer and without shelter. This study aims to determine the factors associated with household SPAL ownership in the Trimoharjo Health Center Working Area. Quantitative research design with a cross-sectional approach. The sampling technique used purposive sampling. The sample obtained was 100 respondents. Data collection using questionnaires. Bivariate data analysis using chi-Square test and multivariate logistic regression. The results showed that there was a relationship between knowledge (p value 0.000), the role of officers (p value 0.001) and the role of community leaders (p value 0.021) on household SPAL ownership. There was no relationship between attitude (p value 0.93), socioeconomic status (p value 0.06) and home ownership status (p value 1.00) towards household SPAL ownership. The most dominant factor with household SPAL ownership was knowledge (OR 0.026). It can be concluded that there is a relationship between knowledge, the role of officials and the role of community leaders in household SPAL ownership

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).