Health Department Data Research Articles

Neighborhood Deprivation and Breast Cancer Mortality Among Black and White Women

Neighborhood deprivation has been associated with increased breast cancer mortality among White women, but findings are inconsistent among Black women, who experience different neighborhood contexts. Accounting for interactions among neighborhood deprivation, race, and other neighborhood characteristics may enhance understanding of the association. To investigate whether neighborhood deprivation is associated with breast cancer mortality among Black and White women and whether interactions with rurality, residential mobility, and racial composition, which are markers of access, social cohesion, and segregation, respectively, modify the association. This population-based cohort study used Georgia Cancer Registry (GCR) data on women with breast cancer diagnosed in 2010 to 2017 and followed-up until December 31, 2022. Data were analyzed between January 2023 and October 2023. The study included non-Hispanic Black and White women with invasive early-stage (I-IIIA) breast cancer diagnosed between 2010 and 2017 and identified through the GCR. The Neighborhood Deprivation Index (NDI), assessed in quintiles, was derived through principal component analysis of 2011 to 2015 block group-level American Community Survey (ACS) data. Rurality, neighborhood residential mobility, and racial composition were measured using Georgia Public Health Department or ACS data. The primary outcome was breast cancer-specific mortality identified by the GCR through linkage to the Georgia vital statistics registry and National Death Index. Cox proportional hazards regression was used to estimate age-adjusted and multivariable-adjusted hazard ratios (HRs) and 95% CIs for the association between neighborhood deprivation and breast cancer mortality. Among the 36 795 patients with breast cancer (mean [SD] age at diagnosis, 60.3 [13.1] years), 11 044 (30.0%) were non-Hispanic Black, and 25 751 (70.0%) were non-Hispanic White. During follow-up, 2942 breast cancer deaths occurred (1214 [41.3%] non-Hispanic Black women; 1728 [58.7%] non-Hispanic White women). NDI was associated with an increase in breast cancer mortality (quintile 5 vs 1, HR, 1.36; 95% CI, 1.19-1.55) in Cox proportional hazards models. The association was present only among non-Hispanic White women (quintile 5 vs 1, HR, 1.47; 95% CI, 1.21-1.79). Similar race-specific patterns were observed in jointly stratified analyses, such that NDI was associated with increased breast cancer mortality among non-Hispanic White women, but not non-Hispanic Black women, irrespective of the additional neighborhood characteristics considered. In this cohort study, neighborhood deprivation was associated with increased breast cancer mortality among non-Hispanic White women. Neighborhood racial composition, residential mobility, and rurality did not explain the lack of association among non-Hispanic Black women, suggesting that factors beyond those explored here may contribute to breast cancer mortality in this racial group.

On alert for Ebola: public health risk assessment of travellers from Uganda to the USA during the 2022 outbreak.

On 20 September 2022, the Ugandan Ministry of Health declared an outbreak of Ebola disease caused by Sudan ebolavirus. From 6 October 2022 to 10 January 2023, Centers for Disease Control and Prevention (CDC) staff conducted public health assessments at five US ports of entry for travellers identified as having been in Uganda in the past 21days. CDC also recommended that state, local and territorial health departments ('health departments') conduct post-arrival monitoring of these travellers. CDC provided traveller contact information, daily to 58 health departments, and collected health department data regarding monitoring outcomes. Among 11 583 travellers screened, 132 (1%) required additional assessment due to potential exposures or symptoms of concern. Fifty-three (91%) health departments reported receiving traveller data from CDC for 10 114 (87%) travellers, of whom 8499 (84%) were contacted for monitoring, 1547 (15%) could not be contacted and 68 (1%) had no reported outcomes. No travellers with high-risk exposures or Ebola disease were identified. Entry risk assessment and post-arrival monitoring of travellers are resource-intensive activities that had low demonstrated yield during this and previous outbreaks. The efficiency of future responses could be improved by incorporating an assessment of risk of importation of disease, accounting for individual travellers' potential for exposure, and expanded use of methods that reduce burden to federal agencies, health departments, and travellers.

Engaging Antiracist And Decolonial Praxis To Advance Equity In Oregon Public Health Surveillance Practices.

Public health surveillance and data systems in the US remain an unnamed facet of structural racism. What gets measured, which data get collected and analyzed, and how and by whom are not matters of happenstance. Rather, surveillance and data systems are productions and reproductions of political priority, epistemic privilege, and racialized state power. This has consequences for how communities of color are represented or misrepresented, viewed, and valued and for what is prioritized and viewed as legitimate cause for action. Surveillance and data systems accordingly must be understood as both an instrument of structural racism and an opportunity to dismantle it. Here, we outline a critique of standard surveillance systems and practice, drawing from the social epidemiology, critical theory, and decolonial theory literatures to illuminate matters of power germane to epistemic and procedural justice in the surveillance of communities of color. We then summarize how community partners, academics, and state health department data scientists collaborated to reimagine survey practices in Oregon, engaging public health critical race praxis and decolonial theory to reorient toward antiracist surveillance systems. We close with a brief discussion of implications for practice and areas for continued consideration and reflection.

Asuhan Kebidanan Komprehensif Pada Ny.E Umur 39 Tahun G3P1A1 Dengan Faktor Resiko Umur, Kek Dan Anemia di BPM Ny.R Wilayah Kerja Puskesmas Bumiayu Tahun 2023

According to WHO (2019), the maternal mortality rate (MMR) in the world is 303,000 people. The Maternal Mortality Rate (MMR) in ASEAN (2020) is 235/100,000 live births. Based on data from the Ministry of Health, the Maternal Mortality Rate (MMR) in Indonesia in 2020 was 4,627 deaths. Health Department data (2021) MMR 62 cases. Data from Bumiayu Community Health Center (2022) AKI 2 cases. The aim of this research is to reduce maternal and infant morbidity and mortality rates in Brebes Regency, especially the Bumiayu Community Health Center area. This research method uses descriptive research with a qualitative descriptive approach. The results of this research show that in the results of Comprehensive Care there was a gap between theory and practice after comprehensive midwifery care was carried out on Mrs. E is 39 years old with risk factors for CED age and anemia in Mrs. BPM. R working area of Bumiayu Health Center from third trimester pregnancy, childbirth, newborns, postpartum and family planning using Varney midwifery and SOAP approaches.

Pima County COVID-19 vaccine solutions dashboard project: lessons learned.

Recent improvements in the accessibility of mapping tools and an increased recognition of the importance of leveraging data to inform public health operations has led to enthusiasm among public health departments to rapidly evolve their ability to analyze and apply data to programs. As the COVID-19 pandemic made evident, many health department data systems have been neglected for decades and data literacy among staff low. Significant federal dollars have been allocated to local health departments to modernize health systems. This case study recounts the effort to equip the Pima County Health Department with a highly sophisticated "COVID-19 Vaccines Solutions Dashboard" in 2021-2022, quantifying community vulnerability in the midst of the COVID-19 pandemic and shares key successes and challenges in process and outcomes that can guide other such dashboard initiatives. The experience informed the development of Pima' County Health Department's Data & Informatics Team as well as efforts to cultivate a more robust data culture throughout the department. Many health departments around the United States are in a similar position, and these lessons learned are widely applicable.

PENGARUH PEMBERIAN JUS DAUN TORBANGUN DENGAN PENINGKATAN PRODUKSI ASI PADA IBU NIFAS DI PMB Ny. N KOTA BEKASI TAHUN 2023

Background: In exclusive breastfeeding, 349,968 infants aged 0-6 months out of 754,438 infants aged 0-6 months (46.4%) this figure is still below the National coverage of 52.3%, especially the National target of 80%. This problem can be reduced by giving torbangun leaf juice so that nursing mothers give breast milk to their babies at least until the age of 6 months. The mechanism of torbangun leaves in increasing milk production is by increasing the proliferation of breast glandular cells in secreting milk. West Java Health Department Data 2020.
 Objective: This research aims to find out the analysis of the effect of giving Torbangun leaf juice by increasing breast milk expenditure in breastfeeding mothers at the PMB in Bekasi city..
 Methodology: The type and method of this research is quantitative research using quasy experimental designs. The sample in this study amounted to 20 nursing mothers. Research instrument with checklist sheet about increasing breastmilk expenditure in infants 0-3 days and breastmilk pump. This checklist sheet has been tested for validity. Data were analyzed using paired T-Test, obtained p-value of 0,000.
 Research Results: The results showed the average volume of breast milk before being given torbangun leaf juice was 3.35 cc, the average volume of breast milk after being given torbangun leaf juice post test one day was 36.50 cc, the average volume of breast milk after being given juice torbangun leaf post test the second day was 71.00 cc, and the average volume of breast milk after being given juice the third day post torbangun leaf was 108.25 cc which means an increase in breast milk expenditure. Paired T-Test test results obtained p-value of 0,000.
 Conclusions and suggestions: torbangun leaf juice can increase milk production in nursing mothers 0-3 days. The results of this study can be used as an alternative to increase milk production and as a reference for further research.

Equitable Response in Crisis: Methodology and Application for COVID-19

Abstract Equitable allocation and distribution of the COVID-19 vaccine have proven to be a major policy challenge exacerbated by incomplete pandemic risk data. To rectify this shortcoming, a three-step data visualization methodology was developed to assess COVID-19 vaccination equity in the United States using state health department, U.S. Census, and CDC data. Part one establishes an equitable pathway deviation index to identify populations with limited vaccination. Part two measures perceived access and public intentions to vaccinate over time. Part three synthesizes these data with the social vulnerability index to identify areas and communities at particular risk. Results demonstrate significant equity differences at a census-tract level, and across demographic and socioeconomic population characteristics. Results were used by various federal agencies to improve coordinated pandemic risk response and implement a commitment to equity as defined by the Executive Order regarding COVID-19 vaccination and booster policy. This methodology can be utilized in other fields where addressing the difficulties of promoting health equity in public policy is essential.

Identifikasi Density Figure dan Pengendalian Vektor Demam Berdarah pada Kelurahan Karanganyar Gunung

Dengue Hemorrhagic Fever (DHF) is a disease that has a main vector of the Aedes aegypti mosquito by transmitting the disease through its bite. Based on 2018 Health Department data, Semarang Larva Free Index (LFI) in 2018 was 91.7%. To find out the population density of Aedes aegypti larvae in the densely populated Karanganyar Gunung Village, a study was conducted. Based on the analysis of research data, the value of Larva Free Index (LFI) = 94.77%, House Index (HI) = 5.22%, Container Index (CI) = 2.86% and Breteau Index (BI) = 5.72%. So that from value of HI, CI and BI, value of Density Figure (DF) obtained is two. This shows that the larvae density is moderate. So that action is needed to control mosquitoes as a vector of dengue fever. From the results of the questionnaire, physical vector control was 92% of the total 105 respondents. While chemical control (such as using mosquito coils) was carried out by 90%, biology (such as keeping fish in water reservoirs for mosquito larva predators) by 61% and self-protection (such as using of anti-mosquito lotions) by 46% of a total of 105 respondents. However, there are still 2% of the total 105 respondents who did not control the vector at all.

SARS-CoV-2 pandemic in New York metropolitan area: the view from a major urgent care provider

PurposeTracking severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing and positivity trends is crucial for understanding the trajectory of the pandemic. We describe demographic and clinical characteristics, testing, and positivity rates for SARS-CoV-2 among 2.8 million patients evaluated at an urgent care provider. MethodsWe conducted a retrospective study of patients receiving a diagnostic or serologic test for SARS-CoV-2 between March 1, 2020 and July 20, 2021 at 115 CityMD locations in the New York metropolitan area. Temporal trends in SARS-CoV-2 positivity by diagnostic and serologic tests stratified by age, sex, race/ethnicity, and borough of residence were assessed. ResultsDuring the study period, 6.1 million COVID diagnostic and serological tests were performed on 2.8 million individuals. Testing levels were higher among 20–29-year-old, non-Hispanic White, and female patients compared with other groups. About 35% were repeat testers. Reverse transcriptase polymerase chain reaction positivity was higher in non-Hispanic Black (7.9%), Hispanic (8.2%), and Native American (8.2%) compared to non-Hispanic White (5.7%) patients. Overall seropositivity was estimated to be 22.1% (95% confidence interval: 22.0–22.2) and was highest among 10–14 year olds (27.9%), and non-Hispanic Black (26.0%) and Hispanic (31.0%) testers. ConclusionUrgent care centers can provide broad access to diagnostic testing and critical evaluation for ambulatory patients during pandemics, especially in population-dense, urban epicenters. Urgent care center electronic medical records data can provide in-depth surveillance during pandemics complementary to citywide health department data sources.

Impact of a pharmacist-run refill and prior authorization program on physician workload

BackgroundPharmacist-led programs centralizing prescription renewals and prior authorization processing have been implemented within health care systems; however, their impact on physician efficiency and the perception of impact on workload are unknown. ObjectivesThe primary objective of this study was to measure the change in physician efficiency score after implementation of the refill and prior authorization pilot program (RPAPP). Secondary objectives included changes in physician and staff perception of workload, changes in Center for Medicare and Medicaid Services (CMS) Star Measures, and program productivity. MethodsThis was a retrospective cohort study comparing patient and physician data 12 months before and after RPAPP implementation at an academic medical center. Physician efficiency was an average of 5 metrics that measure performance utilizing the electronic health record. Physician and staff perceptions were measured at baseline and 12 months via a pre- and postsurvey. Changes in CMS Star Measures were captured using the institution’s Population Health Department data. RPAPP productivity was defined as the number of refills/prior authorizations processed and laboratory parameters ordered. ResultsOn implementation, positive results were seen in average physician efficiency scores for 1 of 2 clinics (P < 0.05). Survey results indicated significantly positive changes in physician and staff perception of workload and satisfaction. The RPAPP appeared to help improve institutional performance for 2 of the 3 CMS Star measures evaluated (P < 0.05). ConclusionEvaluation of primary care physician workload is complex. Although external variables may have impacted consistent results, the RPAPP appears to have positive effects on physician efficiency and satisfaction. These results may assist other health care institutions interested in initiating an RPAPP.

Targeting community-based naloxone distribution using opioid overdose death rates: A descriptive analysis of naloxone rescue kits and opioid overdose deaths in Massachusetts and Rhode Island.

Rates of fatal opioid overdose in Massachusetts (MA) and Rhode Island (RI) far exceed the national average. Community-based opioid education and naloxone distribution (OEND) programs are effective public health interventions to prevent overdose deaths. We compared naloxone distribution and opioid overdose death rates in MA and RI to identify priority communities for expanded OEND. We compared spatial patterns of opioid overdose fatalities and naloxone distribution through OEND programs in MA and RI during 2016 to 2019 using public health department data. The county-level ratio of naloxone kits distributed through OEND programs per opioid overdose death was estimated and mapped to identify potential gaps in naloxone availability across geographic regions and over time. From 2016 to 2019, the statewide community-based naloxone distribution to opioid overdose death ratio improved in both states, although more rapidly in RI (from 11.8 in 2016 to 35.6 in 2019) than in MA (from 12.3 to 17.2), driven primarily by elevated and increasing rates of naloxone distribution in RI. We identified some urban/non-urban differences, with higher naloxone distribution relative to opioid overdose deaths in more urban counties, and we observed some counties with high rates of overdose deaths but low rates of naloxone kits distributed through OEND programs. We identified variations in spatial patterns of opioid overdose fatalities and naloxone availability, and these disparities appeared to be widening in some areas over time. Data on the spatial distribution of naloxone distribution and opioid overdose deaths can inform targeted, community-based naloxone distribution strategies that optimize resources to prevent opioid overdose fatalities.

The challenging of HIV care 1 year after of coronavirus disease 2019 pandemic: results from a Brazilian cohort.

The challenging of HIV care 1 year after of coronavirus disease 2019 pandemic: results from a Brazilian cohort.

Pediatric SARS-CoV-2 seroprevalence during mitigation procedures in Southwestern Pennsylvania

BackgroundChildren infected with SARS-CoV-2 are often asymptomatic or have only mild symptoms, leading to underestimation of disease prevalence in symptom-based testing strategies. ObjectivesThis study sought to determine pediatric SARS-CoV-2 disease burden during local mitigation efforts by using antibody testing to compare seroprevalence estimates to cumulative PCR prevalence estimates. Study designIn this cross-sectional study, we collected 1142 strict phase and 1196 relaxed phase remnant blood specimens from patients less than 19-years-old in southwestern Pennsylvania (SWPA). Patients were excluded if their residential zip code was outside the region of interest, if they were under 6-months-old, or they had recently received antibody-modifying treatments. Demographic, encounter, and laboratory electronic medical record information was extracted. Samples were tested for SARS-CoV-2 spike protein IgG using an EUA ELISA, and PCR results were recorded from county health department data. Seroprevalence and Clopper-Pearson exact 95% confidence intervals were calculated. ResultsThe observed seroprevalence of SARS-CoV-2 spike protein antibodies in children during strictest mitigation was 0.53% (95% CI 0.19, 1.14) and 0.92% (95% CI 0.46,1.64) during moderately relaxed. Strict and relaxed phase PCR-based prevalence were significantly higher, 2.87% (95% CI 1.95, 4.08) and 3.64 (95% CI 3.01, 4.38), respectively. ConclusionsEstimates of pediatric seroprevalence were significantly lower than cumulative PCR prevalence estimates, and less than adult seroprevalence estimates, potentially due to biological, population, or sampling differences. Biological differences in pediatric immune responses to SARS-CoV-2 may make serosurvey interpretation challenging and these differences warrant further study.

Application of Poskestren as Health Promotion Strategy for Improving Clean and Healthy Behavior of Pesantren in East Java Province

Islamic boarding schools (Pesantren) are Islamic educational institutions in Indonesia. The Ministry ofHealth of the Republic of Indonesia has launched a concept to encourage people to care about their health,namely the Clean and Healthy Behavior (PHBS). Islamic boarding schools also have health problems sothey need attention in efforts to improve public health. The health effort undertaken at the Pesantren isPoskestren (Pesantren Health Care). Based on the Health Department Data of East Java Provincial (2019),there are 3,965 islamic boarding schools with 1,284 Poskestren in East Java province. Poskestren can be asolution in solving health problems in Pesantren. Therefore the Poskestren must be arranged properly. Inhealth promotion there are health promotion strategies which consist of advocacy, community development,community empowerment and partnerships. This health promotion strategy can be a reference in theimplementation of the Poskestren in Pesantren.

SARS-CoV-2 Pandemic in New York Metropolitan Area: The View from a Major Urgent Care Provider

Purpose: Tracking SARS-CoV-2 testing and positivity trends is crucial for understanding the trajectory of the pandemic. We describe demographic and clinical characteristics, testing, and positivity rates for SARS-CoV-2 among 2.8 million patients evaluated at an urgent care provider.Methods: We conducted a retrospective study of patients receiving a diagnostic or serologic test for SARS-CoV-2 between March 1, 2020 and July 20, 2021 at 115 CityMD locations in the New York metropolitan area. Temporal trends in SARS-CoV-2 positivity by diagnostic and serologic tests stratified by age, sex, race/ethnicity, and borough of residence were assessed.Results: During the study period, 6.1 million COVID diagnostic and serological tests were performed on 2.8 million individuals. Testing levels were higher among 20-29 year old, non-Hispanic White, and female patients compared with other groups. About 35% were repeat testers. RT-PCR positivity was higher in non-Hispanic Black (7.9%), Hispanic (8.2%), and Native American (8.2%) compared to non-Hispanic White (5.7%) patients. Overall seropositivity was estimated to be 22.1% (95% Confidence Interval [CI]: 22.0, 22.2) and was highest among 10–14-year-olds (27.9%), and non-Hispanic Black (26.0%) and Hispanic (31.0%) testers.Conclusion: Urgent care centers can provide broad access to diagnostic testing and critical evaluation for ambulatory patients during pandemics, especially in population-dense, urban epicenters. Urgent care center EMR data can provide in-depth surveillance during pandemics complementary to citywide health department data sources.

Knowledge Enhancement on Lung Cancer and the Disease Prevention for People of Selokaton, Gondangrejo, Karanganyar

Degenerative Disease contributes 63% of dead worldwide. It counts for 36 million people’s death every year. The prevalence number of the disease in Indonesia increases constantly. Lifestyle and food consumption habit are identified as two reasons why the disease takes place. One type of the diseases is cancer, where according to the data of World Health Organization, this is the second highest reason of death after cardiovascular disease. Type of cancer with the highest incidence and the top reason of death is lung cancer. In Karanganyar, according to the Health Department data, the occurrence of lung cancer increased from 1 case in 2016 to 5 cases in 2017. This increment alerts the urgent need for prevention and treatment of the disease. The lack of knowledge about lung cancer is the main reason leading to a possible high prevalence number. Based on the situation, the people knowledge about the lung cancer needs to be enhanced. This community development program was set up to achieve that objective through activity of presentation, discussion, and consultation. It involved 36 people in the age of 30-65 year old selected by the local government of Selokaton. The knowledge improvement of the attendees was assessed using pre-test and post-test. It was measured that the knowledge of participants increases from 4.58 at pre-test to 8.53 at post-test. This may indicate their interest on the program. It is expected that their knowledge will motivate then changing lifestyle in order to prevent the disease.

National Trends of Cases of COVID-19 in Children Based on US State Health Department Data.

* Abbreviations: CDC — : Centers for Disease Control and Prevention COVID-19 — : coronavirus disease 2019 NYC — : New York City Although there are several accessible sources providing data on coronavirus disease 2019 (COVID-19) cases, hospitalizations, and deaths in the United States,1,2 little information has been reported on pediatric cases. However, information on COVID-19, categorized by age group, is publicly accessible on nearly all state health department Web sites. In a Centers for Disease Control and Prevention (CDC) report in April, it was reported that only 1.7% of confirmed COVID-19 cases were in children <18 years of age,3 whereas more recent CDC data indicate 8.2% of cases were in children.4 Although there are reports of serious illness in children from COVID-19 (including multisystem inflammatory syndrome in children), available data indicate children are far less … Address correspondence to William Cull, PhD, Research, American Academy of Pediatrics, 345 Park Blvd, Itasca, IL 60143. Email: wcull@aap.org

The Challenge of Clearly Counting COVID-19 Cases in Children.

* Abbreviation: COVID-19 — : coronavirus disease 2019 In this issue of Pediatrics , Sisk et al1 used state and territory health department data to describe temporal and geographic trends in coronavirus disease 2019 (COVID-19) among children over a 4-month period. The authors found that in the latter half of the study period, the proportion of cases identified in children increased threefold to fourfold from the start of the study period. We were struck by several features of this report, which we feel have implications for COVID-19 surveillance. First, there was substantial heterogeneity across the data sources aggregated regarding definitions (including the chronological definition of a child) and the data reported. There was also variation across surveillance methods regarding which tests were used and reported. For example, Texas only reports confirmed cases, defined by polymerase chain reaction, and does not report rapid antigen tests, which define a probable case,2 … Address correspondence to Andrea T. Cruz, MD, MPH, Department of Pediatrics, Baylor College of Medicine, 6621 Fannin St, Suite A2210, Houston, TX 77030. E-mail: acruz{at}bcm.edu

Persepsi Kesehatan Dan Status Kesehatan Mental Penderita Rematik Di Ambon

Abstract Background: Health Department data shows an increasing amount of prevalence of rheumatic diseases significantly in Maluku Province, starting from the year 2012 there are 8,549 cases, in 2013 as many as 12,761 cases, and in 2014 there were 28,279 cases. These figures certainly show a decline in health status especially when the disease can have an impact on the physical health of the individual Objective: know the perception of health and mental health status of patients with rheumatoid arthritis in Ambon. Method: qualitative with phenomenology approach using purposive sampling technique. Data collection with structured interviews and using interview guides as a data gathering tool, as well as a validity test using source triangulation. Results: there are four major themes: healthy-sick perception, participant health status, mental health status including self-concept, emotional and cognitive aspects, and pain management patterns in cultural view. Conclusion: rheumatic sufferers perceive the healthy that can move and socialize, while the pain is when not able to move. Participants' mental health is not affected by the pain they experience, and when they get sick, participants take their own medication. Keywords: Mental Health, Perception, Rheumatism

PENGARUH MEDIA PENYULUHAN TERHADAP PENGETAHUAN DAN SIKAP IBU TENTANG DIARE PADA ANAK DI PUSKESMAS BATU AJI KOTA BATAM 2018

According to data from the Indonesian Ministry of Health diarrhea is still one of the main public health problems. This is caused by the high rate of illness and causes many deaths, especially in infants and toddlers often and often causes extraordinary events. according to the Batam City Health Department Data Report states that the incidence of diarrhea in 2011 was 60,670 cases and those receiving treatment in health services were 30,556 cases. Diarrhea is an environmental disease. There are two dominant factors, namely clean water facilities and faeces disposal. Both of these factors affect the knowledge and attitudes of mothers with the incidence of diarrhea in children. The mother's knowledge and the mother's attitude are very influential in the occurrence of diarrhea. If your knowledge is good, then you will know how to treat sick diarrhea at home and you will also know about the signs to bring your child to seek treatment or to refer to a health facility. Some health services carried out at the community one of them conduct counseling to cope with the incidence of diarrhea and change the behavior of people who still do not understand the importance of a clean environment to be free from disease. This research is a type of quantitative research. With a quasi-experimental research design. This research was conducted at Batu Aji Public Health Center in Batam City in July 2018. The population in this study was mothers who had children and went to Batu Aji Health Center in 2018. The population of this study consisted of 80 respondents with a sample of 40 in the experimental group and 40 in the group control. data processing using computerization. Then the data were analyzed by Univariate and Bivariate with paired T-Tests. The results of this study were obtained in the experimental group who were given counseling with an average value higher than the control group while the paired T-Test results showed a P-Value of 0,000 for the level of knowledge and attitude so that we can state that there is an influence counseling on the level of knowledge and attitudes. There is an influence of counseling media on the level of knowledge and attitudes of mothers about diarrhea in children in the Batam Aji Puskesmas