Health Development Agency Research Articles

Modeling the Human Development Index Seen from the Aspect of Public Health in East Java

The country should invest in health development to raise the standard of its human resources. The human development index (HDI) of a state can be impacted by health development as determined by the public health development index. Finding a prediction model for HDI in terms of public health development indicators was the aim of this study. The method used here is that for each district and city in East Java Province in 2018, secondary data on HDI and public health development indicators were collected. The Statistics Indonesia and the Health Research and Development Agency provided secondary data. Multiple linear regression analysis was performed on the data using the SPSS 26 program. Results show that the variables of toddler health, reproductive health, health services, health behavior, non-communicable diseases, and environmental health are significantly related to HDI, while the prediction for HDI based on linear regression model of this study is HDI = 44.831 + 20.347* indicators of health service indicators + 42.511* indicators of health behavior – 12.208* indicators of non-communicable diseases. Based on this model, it is necessary to pay more attention to health services, health behavior, and trends in non-communicable diseases in the community in order to increase the HDI rate in East Java Province.

A COMPARISON OF ARTIFICIAL NEURAL NETWORK AND NAIVE BAYES CLASSIFICATION USING UNBALANCED DATA HANDLING

Classification is a supervised learning method that predicts the class of objects whose labels are unknown. Classification in machine learning will produce good performance if it has a balanced data class on the response variable. Therefore, unbalanced classification is a problem that must be taken seriously. This study will handle unbalanced data using the Synthetic Minority Over-Sampling Technique (SMOTE). The classification methods that are quite popular are the Naïve Bayes Classifier (NB) and the Resilient Backpropagation Artificial Neural Network (Rprop-ANN). The data used comes from the Health Nutrition Research and Development Agency (Balitbangkes) which consists of 2499 observations. This study examines the use of NB and ANN using the SMOTE method to classify the incidence of anemia in young women in Indonesia. Modeling is done on 80% of training data and predictions on 20% of test data. The analysis shows that SMOTE can perform better than not handling unbalanced data. Based on the results of the study, the best method for predicting the incidence of anemia is the Naïve Bayes method, with the sensitivity value of 82%.

Prevalence and Risk Factors of Inadequate Micronutrient Intake among Children Aged 6-23 Months in Indonesia

Background: Poor quality and quantity are the main factors that contribute to the increasing inadequacy of micronutrients intake such as Iron, Calcium, Zinc, Vitamins A, and C since the complementary food was introduced at 6 months of infant’s age. Objectives: To analyze the prevalence and risk factors of inadequate micronutrients intake among children aged 6-23 months in Indonesia. Methods: A cross-sectional study used Individual Food Consumption Survey 2014 data from Indonesian Health Study and Development Agency involving 1575 children aged 6-23 months as the total subjects. Minimum Dietary Diversity (MDD) was measured by eight food groups for children under two years old. The prevalence of inadequate micronutrients intake used the probability approach. Binary logistic regression was used as a multivariate test to determine the risk factors of inadequate micronutrients intake. Results: The highest prevalence of inadequate micronutrients intake was vitamin C, while the lowest was zinc, with overall inadequate multiple micronutrients intake being 61.9%. About 57.7% and 15.9% of subjects were low in energy intake and achieved the MDD, respectively. Lived in rural area [OR=1.37(95%CI:1.06-1.77)], low education mother [OR=1.71(95%CI:1.32-2.22)], low energy intake [OR=6.22(95%CI:4.84-7.99)] and not achieved MDD [OR=4.84(95%CI:3.47-6.75)] were more likely to have inadequate micronutrients intake, while not consuming breast milk were less likely to have inadequate micronutrients intake in children [OR=0.55(95%CI:0.43-0.71)]. Conclusions: Almost two-thirds of subjects were inadequate in overall multiple micronutrients. Low energy intake and not achieved MDD were the highest risk of inadequate micronutrients intake of subjects, instead of low mother education and living in rural areas.

Ethnomedicine Study of Areca Nut (Areca catechu L.) as Aphrodisiac by Traditional Indonesian Healers

<em>Areca nut (</em>Areca catechu<em> L.) is widely distributed in Indonesia, from the lowlands to an altitude of 1,000 m asl. Areca nut has been used traditionally by various ethnic groups to treat male sexual disorders (aphrodisiac). This paper aimed to determine the use of areca nut and other plants as a mixture of aphrodisiac ingredients by traditional healers in various ethnic groups in Indonesia. The Health Research and Development Agency obtained the data from exploring local knowledge of ethnomedicine and community-based medicinal plants in Indonesia in 2012, 2015, and 2017 (RISTOJA). The data were analyzed descriptively, and the use value of areca nut and other plants as aphrodisiacs was analyzed quantitatively. The study’s results noted that 22 aphrodisiac ingredients used by 15 ethnic groups contained the main ingredient of the areca nut. The root was the most widely used part of the areca nut in aphrodisiac ingredients (64%). Besides areca nut, 38 other types of plants were also found in traditional aphrodisiac ingredients. Most of these (33) plant species have been identified. Based on the use value (0.1-0.6), plants that had the highest aphrodisiac use values as areca nut mixture were </em>Imperata cylindrica<em> (Poaceae) (0.6), </em>Cocos nucifera<em> (Arecaceae) (0.47), </em>Carica papaya<em> (Caricaceae) (0.2), </em>Piper nigrum<em> (Piperaceae) (0.20) and </em>Zingiber officinale<em> (Zingiberaceae) (0.20). Further research was required to determine the best composition of traditional aphrodisiac ingredients that can provide health benefits for men’s erectile dysfunction.</em>

The association of depression and central obesity on hypertension in Indonesian provinces: a path analysis of the Indonesian baseline health research 2018 data

Purpose: This study aims to analyse the direct and indirect relationship between the prevalence of depression and hypertension through central obesity in the Indonesian population. Material and methods: This quantitative analytical observational study is based on secondary data with a cross-sectional design. The data is taken from the Indonesian Baseline Health Research of the Health Research and Development Agency in 2018, which is aggregated data from survey results on household members in 34 Indonesian provinces. We used path analysis and the Sobel test using AMOS 23.0 program to assess the direct and indirect relationship of depression and obesity to hypertension. Multiple linear regression analysis was used to determine the effect of confounding factors on hypertension. Results: The average prevalence (± SD) of depression, central obesity and hypertension in 2018 was 6.21% (± 2.30), 31.26% (± 4.80), and 31.07% (± 4.76). There was an indirect positive relationship between depression and hypertension through central obesity (p = 0.041). The direct effect of depression was associated with a 17% chance of being centrally obese (p = 0.009), and the direct effect of depression and central obesity was associated with a 32.7% chance of becoming hypertensive (p = 0.001). There is no significant direct relationship between depression and hypertension. The effect of confounding factors on hypertension was 21.9% (p = 0.007), lower than the effect of depression and central obesity. Conclusion: Central obesity might be an intermediate variable linking depression and hypertension.

Fabrication and characterization of hydroxyapatite-polycaprolactone-collagen bone scaffold by electrospun nanofiber

According to the Indonesian Ministry of Health Research and Development Agency's 2018 Basic Health Research (Riskesdas), bone defects, because of fracture cases in Indonesia, reached a prevalence of 5.5%. Bone tissue engineering is one of the most promising new approaches for accelerating the growth and healing of bone defects in patients. In this study, a bone scaffold electrospun nanofiber composed of hydroxyapatite (HA)-polycaprolactone (PCL)-collagen was fabricated to mimic the extracellular matrix (ECM) found in native bone tissue and to promote bone remodeling and healing. Through characterization of functional groups with Fourier transform infrared (FTIR), morphology scanning electron microscopy (SEM), tensile strength test, degradation test, and cytotoxicity MTT (3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide) assay, this study determines the optimal composition of electrospun nanofiber HA/PCL/collagen to obtain the best candidate of a bone scaffold with excellent characteristics. Electrospinning was used to fabricate bone scaffolds. The samples used in this study consisted of control samples, namely PCL-HA and PCL-Collagen, and three samples with a mass ratio composition of HA-PCL-collagen 50:40:10, 50:30:20, and 50:25:25 (w/v%). The FTIR analysis of the sample revealed that no chemical bond existed between the materials. The HA/PCL/collagen 50:25:25 (F3) sample exhibited the best characteristics as a bone scaffold candidate, with a fiber diameter of 365 ± 202 nm; a porous fraction area of 58.98%; an ultimate tensile strength, and an elasticity modulus of 0.60 ± 0.185 and 5.98 ± 0.82 MPa, respectively; a degradation rate of 1.93 × 10−6 g/h; and cell viability of 81.03%.

FAKTOR RISIKO BALITA STUNTING DI PROVINSI NUSA TENGGARA BARAT

Toddler age is a golden period for the development and growth of the baby's brain which is commonly referred to as the golden period, especially the first 1000 days. Behind the importance of maintaining the growth and development of infants, there is a failure to grow in the form of short height for age due to chronic malnutrition called stunting. The province of West Nusa Tenggara (NTB) has a higher prevalence of stunting than the province of Bali as the closest province to NTB, which is 33.5%, while the province of Bali is 21.9%. Stunting is caused by various factors including maternal education, sanitation, access to health care facilities, and infection. This study aims to determine the risk factors for stunting in the province of NTB. This study uses secondary data from Riskesdas for the province of NTB in 2018 obtained from the Health Research and Development Agency (Balitbangkes) of the Indonesian Ministry of Health with an analysis unit for children aged 0-59 months in the province of NTB. Data were analyzed by univariate, bivariate and multivariate with the help of SPSS 25.0 program. Bivariate test using Chi-square test and multivariate test using logistic regression. This study found that children under five in the province of NTB had a normal nutritional status of 71.2%. There were no differences in the nutritional status of the respondents according to the characteristics of the children, either history of illness or gender, there were significant differences in the nutritional status of the respondents according to the mother's education and the number of household members, and there were no differences in the nutritional status of the respondents according to the environment. It is hoped that the NTB provincial government, the NTB Provincial Health Office, the NTB provincial BKKBN, and the local district/city government can synergize with each other in implementing the stunting toddler intervention program, especially for mothers with low and middle education.

THE EFFECTIVENESS OF COUNSELING THROUGH AUDIO VISUAL MEDIA USING ANIMATION VIDEO ON COMPLIANCE OF IRON TABLETS (FE) CONSUMPTION IN PREGNANT WOMEN AT WORKING AREA OF TANJUNG MORAWA COMMUNITY HEALTH CENTER IN 2020

The results of Basic Health Research (Riskesdas) issued by the Health Research and Development Agency (Baritbankes) of the Indonesian Ministry of Health in 2018 stated that the prevalence of anemia in pregnant women in Indonesia was 48.9%. In North Sumatra, blood tests were carried out on pregnant women from 9,377 pregnant women in three cities, namely Medan, Pematang Siantar and Kisaran. 33% of them had anemia. One of the causes of anemia in pregnancy is iron deficiency.
 The type of research used was pre-experiment with One Group Pretest-Posttest Design. In this study, using purposive sampling technique, namely 34 pregnant women.
 Adherence is the level of patients carrying out the treatment and behavior suggested by their doctor or by others. Meanwhile, the compliance with taking blood-supplemented tablets is a behavior where pregnant women support the iron supplementation program carried out by the government to prevent anemia in pregnant women.
 Based on the results of the research discussion entitled "Effectiveness of Extension through Audio Visual Media Using Animation Videos on Compliance with the Consumption of Iron (Fe) Tablets in Pregnant Women in the Work Area of ??the Tanjung Morawa community Health Center in 2020, it can be concluded that the compliance of respondents before being given counseling was the majority as obedient as 22 respondents ( 35.3%) and the compliance of respondents after being given counseling was the majority obedient as many as 29 respondents (85.3%), and the effectiveness of counseling through audio-visual media using animation videos on compliance with consuming iron tablets (Fe) in pregnant women in the work area of ?? Tanjung Morawa community health center in 2020 after being given counseling with the results of the T test paired sample T-test, it was obtained that sig 2 tailed was 0.000 (p value) <0.05. And it is hoped that the next researchers will develop this research using other media

Knowledge and correlates of using a partograph for labour monitoring among primary healthcare workers in Ibadan, Nigeria

Background The partograph is a graphic record of labour progress, and maternal and fetal condition, which was introduced to detect preventable maternal complications during parturition. It is plotted against time for intrapartum monitoring. There is a difference in how widely the modified partograph is used to monitor labour among health workers in primary healthcare across different countries, according to the World Health Organization. This study assessed primary healthcare workers' knowledge of how to use the partograph for labour monitoring in Ibadan, Nigeria. Methods The study used a cross-sectional descriptive survey to recruit 136 purposively selected respondents. A semi-structured questionnaire was administered for data collection. Data were analysed using the Statistical Package for Social Sciences version 23. Hypotheses were tested using the Chi-square test and logistic regression at P<0.05 significance. Results The majority of respondents reportedly had good knowledge of how to use the partograph (72%) but did not use it when monitoring labour (82.4%). The odds of using a partograph was four times more likely in participants with good knowledge (odds ratio=3.61, P<0.000). Conclusions There is a need for collaboration across all tiers of government with the National Primary Health Development Agency to develop and implement health policies that will encourage the utilisation of a partograph for monitoring labour.

Hormonal Contraception Use and Risk of Breast Cancer Relationship Among 25-64 Years Old Women in Urban Areas of Indonesia

Background: In 2013 in Indonesia, breast cancer was the second highest type of cancer after cervicalcancer, with a prevalence of 0.5 ‰, or an estimated 61,682 patients. Hormonal contraception is one of thefactors that can increase the risk of breast cancer, as excessive exposure to sex hormones such as estrogenand progesterone interferes with physiological processes in the body, including breast tissue. One exampleof the use of estrogen and progesterone is in hormonal contraception.Methods: The study used NCD (non-communicable disease) research data from the Indonesian Ministry ofHealth Health Research and Development Agency, employing a cross-sectional study design. The data werecollected from 34 provinces, consisting of 76 districts and cities in Indonesia, and 35,444 respondents wereincluded in the study. Breast cancer was diagnosed by clinical breast examinations and confirmed by biopsy.Odds ratios and 95% CI derived from logistic regression were used to estimate the relationship betweenhormonal contraception and breast cancer.Results: The results show that the incidence of breast cancer among 25-64 years old women in urban areasin Indonesia in 2016 was 0.2%. The multivariate analysis showed that women who used a combination ofprogestin and estrogen for hormonal contraception had a 2.178 (95% CI: 1.090-4.348) times higher chanceof developing breast cancer than women who did not uses hormonal contraception, after controlling forcovariate variables. In line with this, women who had used hormonal contraception for ? 5 years had a1.928 (95% CI: 1.019-3.647) times higher risk of developing breast cancer than women who had used suchcontraception for < 5 years, after controlling for covariate variables.Conclusions: Hormonal contraception significantly increases the risk of breast cancer among 25-64 yearold women in urban areas of Indonesia. Women who are exposed to estrogen over a long period will facea higher risk of breast cancer. Moreover, to reduce the risk of breast cancer it is important to reduce theduration of hormonal contraception use, or choose non-hormonal contraception for birth control.

Characteristics of Hypertension Patients in Coastal District Percut Sei Tuan

Hypertension is a non-communicable disease that is a threat to people in developing countries. Hypertension is also called the silent killer which is the cause of death in Indonesia. The prevalence of hypertension in North Sumatra Province reaches 6.7% of the population in North Sumatra, based on data from the Ministry of Health's Health Research and Development Agency. This means that the population of North Sumatra suffering from hypertension reaches 12.42 million people spread across several districts (Ministry of Health, 2013). aro Regency is one of the highest numbers of hypertension, following Deli Serdang district. In 2016 the number of hypertensive patients in Karo Regency was 12,608 people, this prevalence was higher in female sex (52%) men (48%), the largest in the age group 55-59 years (Simbolon, 2016). This type of research is descriptive using the quantitative method with a cross sectional approach. Determination of the number of samples by simple random sampling, and obtained a sample of 30 people. Data analysis using univariate analysis to see the frequency distribution of each variable. The results of this study found that, 50% of respondents had high school education, 85% of respondents as housewives, respondents aged between 40-60 years, and 60% of respondents had a family history of hypertension.

Pengaruh Perencanaan Anggaran dan Pelaksanaan Anggaran terhadap Penyerapan Anggaran dengan Komitmen Organisasi sebagai Variabel Moderasi pada Badan Penelitian dan Pengembangan Kesehatan Republik Indonesia

The implementation of a performance budget that carries the spirit of state financial reform is not as expected. One of the indications is that budget absorption is not optimal and concentrated at the end of the fiscal year. This will result in delays in benefits to be received and enjoyed by the community. This study was conducted to examine the effect of budget planning and budget implementation on budget absorption with organizational commitment as a moderating variable in the Health Research and Development Agency. The data collection techniques used in this study are the Likert scale. Workable samples totalling 59 respondents consisted of KPA, PPK, PPSPM and the Treasurer of Expenditure within the work unit of the Health Research and Development Agency involved in budget implementation using the census method. The data were data processed using multiple linear regression analysis and residual test. The results of this study indicate that budget planning has a significant positive effect on budget absorption while budget execution does not affect budget absorption. Organizational commitment does not strengthen or weaken the relationship between budget planning and budget execution towards budget absorption at the Health Research and Development Agency.

KEJADIAN KATARAK PADA BAKSOS LPM UNIVERSITAS YARSI DAN PERDAMI DKI JAYA DI RUMAH SAKIT DEPOK

Results of the 2014-2016 Rapid Assessment of Avoidable Blindness (RAAB) Blindness Survey by the Association of Indonesian Ophthalmologists (PERDAMI) and the Ministry of Health Research and Development Agency in fifteen provinces (West Sumatra, North Sumatra, South Sumatra, DKI Jakarta, West Java, Java Central, East Java, South Kalimantan, Bali, NTB, NTT, North Sulawesi, South Sulawesi, Maluku and West Papua), it is known that the blindness rate reaches 3% and cataracts are the highest cause of blindness (81%). The survey was conducted with the target population aged 50 years and over.
 
 Life expectancy (UHH) in Indonesia continues to increase significantly. The average UHH increased from the age of 63 in 1990 to 69 in 2017, meaning that an increase in life expectancy will have an impact on increasing degenerative diseases.
 
 Cataract is a degenerative process that is strongly influenced by age, therefore this case will continue to increase in line with the increasing number of elderly people. Although cataracts can also occur in infants and children, which are caused by intrauterine processes such as infection and malnutrition during childhood, these cases are very rare.
 
 YARSI SAVE VISION, YARSI University Sevice Community has played a role in reducing the blindness rate by carrying out cataract surgery services. On March 24, 2018, cataract surgery was carried out on 50 patients at the Depok General Hospital, held in collaboration with PERDAMI JAYA and the Depok Regional General Hospital, with Operation Technique, ICCE (Intracapsular Cataract Extractio), SICS (Small Incision Cataract Surgery)/ ECCE (Extra Capsular Cataract Extraction) and Phacoemulsification

Association Between Hemoglobin and Elevation Among School-Aged Children: A Verification of Proposed Adjustments

Abstract Objectives Anemia is defined by hemoglobin (Hb) lower than normal based on cutoffs specific to age and sex. Hb increases with elevation as a response to lower blood oxygen, thus adjusting Hb for elevation is necessary before applying cutoffs. Recent evidence among preschool-aged children (PSC) and reproductive-aged women (WRA) suggests current World Health Organization (WHO) recommended Hb elevation adjustments need updating. We examined the Hb and elevation association among school-age children (SAC) to confirm these findings. Methods Biomarkers Reflecting Inflammation and Nutritional Determinants of Anemia (BRINDA) project data include SAC aged 5–14 years (n = 23,454; 53.5% female) with data on Hb and elevation (−6 to 3,834 meters, m) from 6 population-based surveys from 5 countries (Columbia, Ecuador, Malawi, Mexico, United Kingdom). Anemia was defined as Hb < 115 g/L for SAC < 12 years and < 120 g/L for SAC 12–14 years after elevation adjustments. Generalized linear models were used to assess the association between Hb and elevation, including controlling for inflammation-corrected iron and vitamin A deficiency. Hb adjustments for each 500 m increase in elevation from sea level are proposed and compared to current WHO recommendations and new proposed PSC and WRA adjustments. Results Hb was positively associated with elevation. There was no sex interaction, and the association was robust to model specification. The association among SAC and the resulting Hb adjustments were consistent with PSC and WRA findings, suggesting current WHO recommendations may under-adjust Hb at lower elevation (500–2500 m) and over-adjust Hb at higher elevation (>3000 m). Anemia prevalence in SAC using new elevation adjustments increased by 0.7 (UK) to 14.1 (Malawi) percentage points relative to current WHO elevation adjustments. Conclusions Results confirm current WHO recommended Hb elevation adjustments may need updating, and anemia prevalence in SAC may be higher than currently estimated. Findings will inform global guidelines on use of elevation-adjusted Hb for anemia assessment and possible need for intervention among SAC. Funding Sources Bill & Melinda Gates Foundation, Centers for Disease Control and Prevention, Eunice Kennedy Shriver National Institute of Child Health and Human Development, HarvestPlus, and United States Agency for International Development.

Risk Factors of Carbohydrate Consumption among Adult Women In Indonesia

The aims of study were to analyze risk factors of carbohydrate consumption among adult women aged 19-49 years in Indonesia such as Body Mass Indexs (BMI), ages, education level, tipe of occupation, house hold income and urban-rural settlement. The study used data of the Basic Health Research (Riskesdas) 2010 of the Health Reseach and Development Agency of the Ministry of Helath, which was designed as a cross sectional survey. Total sample woman age 19-49 years was 52044 were selected for analysis. A multiple logistic regression model was applied to analyze the risk factors. The prevalence of consumption carbohidrate below 60% of energy adequancy from carbohydrate among woman was 31,6%. The results showed that the significant risk factor of carbohydrate consumption among adult woman were education level (OR for low education= 0.830, CI: 0.776-0.887), household income (OR for low income= 0.905, CI: 0.870-0.942) and urban-rural settlement (OR for rural= 0.564, CI: 0.542-0.587). Normal BMI, high education level, woman with occupation, high household income and urban settlement are protective factors for carbohydrate consumption.Â

STRUKTUR BIROKRASI DAN DISPOSISI DALAM PELAKSANAAN KAWASAN SEHAT BEBAS ASAP ROKOK DI SEKOLAH

Based on the Health Research and Development Agency in 2013, the Special Province of Yogyakarta tended to be high at 21.2% for the proportion of the population aged over or equal to 10 years who smoked every day. One of the districts in the Yogyakarta Special Region that has a policy on non-smoking areas is Bantul Regency. The regulation regarding the non-smoking areas is regulated in the Bantul Regent's Regulation No. 18 of 2016 concerning Healthy Areas Non-Smoking (HANS). This study aims to determine the structure of the bureaucracy and disposition in the implementation of a Healthy Smoke Free Area in Schools. This research uses descriptive qualitative method. Data analysis using data reduction, data presentation, and drawing conclusions. The results of interviews about the bureaucratic structure in the implementation of the HANS found that there were no smoking procedures for smokers in schools. General rules are included in the school code of conduct in the form of a slogan / smoking ban. The disposition aspect possessed by the school could not be said to be good in the implementation of the HANS, it was evident that there were still school residents who still smoked in the school area and found cigarette putp in the school area. The conclusion of the research is that the bureaucratic structure does not yet exist and the disposition factor cannot be carried out properly so that it is expected that there will be a follow-up from the Government of Bantul Regency to be able to socialize Bantul Regent Regulation No. 18 of 2016 concerning Smoke-Free Healthy Areas in the school environment involving the role of the Health Office, BNNP and / or the Police and develop a culture of reporting and providing guarantees for reporters from the Principal, as well as making special regulations / SOPs for school residents who have a smoking habit.

The Role of Endorphin Stimulation, Oxytocin Massage and Suggestive Technique (SPEOS) in Improving Breast Milk Production among Breastfeeding Mother at Primary Health Center in Cimahi Tengah, West Java, Indonesia

Inadequatemilksupplyduringthefirstfewdays’after delivery become concern from most of the women. Indonesia Health Research and Development Agency in 2010 stated that the failure of exclusive breastfeeding commonly caused by insufficient milk production. The intervention of SPEOS (EndorphinStimulation, Oxytocin Massage, and Suggestive Technique) methods are offered to post-partum mothers in increasing breast milk supply. This study aimed to identify the influence of SPEOS on breast milk supply among post-partum mothers at Primary Health Care in Cimahi Tengah Indonesia. Quasi-experimental research with non-equivalent control group design was conducted. A total of 20 postpartum mothers were involved in this studyby using accidental sampling technique. The data were taken from March to April 2018 through observation on the amount of breast milk by pumping in two times observation including before and after the SPEOS method applied. The data were analyzed by t-independent test. Ethical approval was obtained from Health Research and Ethics Committee of Institute of Health Science Jenderal Achmad Yani Cimahi No. 005/KEPK/II/2018. The result shows that the intervention group produces more breast milkasmuchas3,74cconthethirddaysoftheexperimentthanthecontrolgroup(2,04 cc).Bivariateanalysisshowspvalue0,001.Therefore,SPEOS methods gives significant influences on breast milk supply among post partum mothers. Conclusions SPEOS methods are effective in increasing low breast milk supply amongpost-partummothers.

Pengembangan Sumber Daya Manusia Jabatan Fungsional Analis Kepegawaian di Badan Penelitian dan Pengembangan

Human resource planning is done to anticipate the demands or needs of the organization's workforce in the future, so that a person's performance in the organization is one of the factors that determine the success of an organization. Human resources that lack attention will lead to unrest, a decrease in enthusiasm and enthusiasm for work, a decline in loyalty and achievement in question. With the decline in enthusiasm and enthusiasm for work, it will result in a high level of absenteeism that can harm the organization. The functional position of the staff analyst is the spearhead of PNS management so that it must understand staffing management starting from recruitment, placement and promotion to dismissal, besides expecting Diklat participants to become agents of change towards the negative image of civil servants and also having to carry out the function of socializing regulatory staff in their work environment . The approach in this study is qualitative. A qualitative approach is used because the main purpose of this study seeks to provide an overview in the implementation of Human Resource Development in the Job Analyst Functional Position in the Health Research and Development Agency. In this study using three components that influence the success of human resource development functional positions of staff analysts, namely individual development, career development, performance management.

Use of Jerango (Acorus calamus) for Various Diseases Treatment in Eight Ethnics in Aceh Province

Medicinal plants in Indonesia, many varieties in use in various regions, according to the local wisdom of each ethnic group. Jerango (Acorus calamus) is one of medicinal plants used for treatment. At RISTOJA in Aceh Province, Jerango is used by hattra for treatment. The aim of the study was to identify and describe the use of jerango for treatment by various ethnic groups in Aceh Province. The data used were data from RISTOJA research results from the Laboratory of Health Research and Development Agency Data Management. The variables analyzed were various types of diseases that could be treated using jerango potions and the ingredients parts of jerango used by hattra in 8 ethnic groups in Aceh province. The result is that there are 29 jerango herbs used for the treatment like cough, fever / heat, vitality disorders, HIV / AIDS, poisoning, ulcers, magic, diarrhea, childhood illness, venereal disease, pre / postpartum care, headaches, tumors / cancer, and hemorrhoids. Jerango is most widely used for the treatment of pre / postpartum care, cancer / tumors and childhood diseases and for the purposes of things related to magic. While the most widely used part of the jerango plant for treatment is the rhizome. Keywords: A. calamus, Aceh, Ristoja, ethnic

Kondisi Sosial Ekonomi Rumah Tangga dan Masalah Stunting Balita di Indonesia

Stunting has become a global issue. Indonesia is the fifth country with the highest prevalence of stunted children. This study aims to analyze the effect of household socio-economic conditions on stunting in Indonesia. The study is using cross section data. Data resources are obtained from The Health Research and Health Development Agency by the 2010 Ministry of Health Data Center. Study’s metode is using the logistic regression analyze. The result shows household socio-economic, food consumption expenditure, mother’s education level, mother status, family size, breas milk, immunization, childbirth assistant, sanitation and enviromental health have affected the possibility of a simultaneous and partial stunting. The result of the study can be a reference to the government in preventing childhood stunting.