Health Efforts Research Articles

Mother’s Knowledge Regarding Local-Based Complementary Feeding for Supporting Healthy Indonesia Program with Family Method

Undernutrition among children under five years is still the main problem in many developing countries. Healthy Indonesia program has been implemented across Indonesia by the government to improve health status and nutritional status of community through health effort and community empowerment. Growth monitoring of children is one of its indicators. The present study aimed at exploring the mother’s knowledge regarding local-based complementary feeding practice for supporting healthy Indonesia program in selected communities at Banyuasin regency in Indonesia. It was a descriptive study with a qualitative approach. Using a semi-structured questionnaire, data was collected and thematic analysis was applied to analysis the data. Twenty four mothers of children aged 6-24 months were interviewed. Four main themes were identified including: (1) child growth, (2) balanced nutrition, (3) picky eating behavior, and (4) local-based complementary feeding recipes. Although willingness to provide a local-based complementary feeding was good among the mothers, this was not always reflected in its practices. This study provides information essential to enhanced health program management and has policy implications for the improvement of nutrition program for children aged 6-24 months in Banyuasin. It is suggested to encourage mothers to practice a healthy complementary feeding made of local foods to children aged 6–24 months.

Safety culture analysis based on safety climate factors at production unit of PT. Bakrie Sumatera Plantations, TBK Indonesia

Background: PT. Bakrie Sumatera Plantations Tbk (PT. BSP) was one of the largest rubber factories with environmental concern and a rubber exporter in Indonesia. This study aimed to analyse the assessment and influence of safety culture toward safety climate and company management at the Production Area of PT. BSP. Method: The data were collected by distributing questionnaires referring to Safety Climate Questionnaire to all workers in the production area (159 respondents). The questionnaire consisted of 41 questions/ statements in seven safety climate variables: communications and procedures, work pressure, management commitment, work relationships, training, safety rules, and safety behaviour. Result: Based on the results of the questionnaire showed 93% of all statements in the questionnaire, get a good response from respondents. This result indicates that the safety culture in PT. BSP was good. The correlation analysis showed that safety culture at PT. BSP was influenced by work pressure (r = 0.758), management commitment (r = 0.717) and training (r = 0.617). Balanced work pressure allowed workers to complete their work without haste. This condition was undoubtedly supported by the commitment of proper management that raises workers' confidence in their safety. Besides, through the implementation of training, workers could raise awareness of safety. This situation affected the safety habits that exist in PT. BSP. Nevertheless, the communication and procedures; work relationship; and safety rules variables were not yet compatible with the safety climate. Conclusions: PT. BSP should make improvements by allowing all employees to discuss and advises on occupational health and safety improvement efforts at the factory as well as provide training to their employees equally.

Effect of the veterinary ionophore monensin on the structure and activity of a tropical soil bacterial community

Monensin (MON) is a coccidiostat used as a growth promoter that can reach the environment through fertilization with manure from farm animals. To verify whether field-relevant concentrations of this drug negatively influence the structure and activity of tropical soil bacteria, plate counts, CO2 efflux measurements, phospholipid fatty acids (PLFA) and community-level physiological profiling (CLPP) profiles were obtained for soil microcosms exposed to 1 or 10 mg kg−1 of MON across 11 days. Although 53% (1 mg kg−1) to 40% (10 mg kg−1) of the MON concentrations added to the microcosms dissipated within 5 days, a subtle concentration-dependent decrease in the number of culturable bacteria (<1 log CFU g−1), reduced (−20 to −30%) or exacerbated (+25%) soil CO2 effluxes, a marked shift of non-bacterial fatty acids, and altered respiration of amines (1.22-fold decrease) and polymers (1.70-fold increase) were noted in some of the treatments. These results suggest that MON quickly killed some microorganisms and that the surviving populations were selected and metabolically stimulated. Consequently, MON should be monitored in agronomic and environmental systems as part of One Health efforts.

THE PREVENTION OF OBESITY AT THE AGE OF YOUTH AND THE ASSISTANCE OF DETECTION OF OBESITY IN PERSPECTIVE LAWS OF HEALTH

Slowly, the Indonesian people may be used to being free from the problem of nutritional deficiencies. What happened actually entered a transition from malnutrition to excess nutrition. In fact, the problem of excess nutrition began to afflict low economic class society. That is, those with low economic levels, are not likely to suffer from chronic degenerative diseases such as the heart. Although energy and nutrient requirements are greater in adolescents than adults, there are some teenagers who eat too much more than they need to be fat. Adolescent age (10-18 years) is a period of nutritional susceptibility due to various reasons, namely first teenagers need higher nutrition because of increased physical growth. Second, there are changes in lifestyle and eating habits. Third, adolescents have special nutritional needs, for example the needs of athletes. Changing eating habits one of them occurs due to widespread globalization. Teenagers are one of the target groups who are at risk of experiencing more nutrition. More nutrition in adolescents is characterized by relatively excessive body weight when compared to the age or height of adolescent age, as a result of excessive accumulation of fat in body fat tissue. According to Law No. 36 of 2009 concerning Health explained that health efforts are any activities and / or a series of activities carried out in an integrated, integrated and sustainable manner to maintain and improve public health degrees in the form of disease prevention, health improvement, disease treatment, and health recovery by the government and / or community. Therefore it is necessary to strive to prevent obesity by means of counseling and giving obesity detection devices. The method used in this extension activity is in the form of focused discussion which begins with a lecture and then is carried out by asking questions directly. Through lectures instructors can deliver material that is important to be known and understood by students while through question and answer can complement unclear material and to help provide input on the problems faced by students about obesity. The provision of obesity detection devices is expected to help students to pay more attention to their health problems.

Personalizing the Kidney Transplant Decision: Who Doesn't Benefit from a Kidney Transplant?

The transplant community has succeeded in clearly communicating the survival benefit generally associated with kidney transplantation in comparison to maintenance dialysis. However, although kidney transplantation is associated with survival gains on a population level, this is not universally true

Development of an Integrated Platform Using Multidisciplinary Real-World Data to Facilitate Biomarker Discovery for Medical Products.

Translational multidisciplinary research is important for the Center for Devices and Radiological Health's efforts for utilizing real‐world data (RWD) to enhance predictive evaluation of medical device performance in patient subpopulations. As part of our efforts for developing new RWD‐based evidentiary approaches, including in silico discovery of device‐related risk predictors and biomarkers, this study aims to characterize the sex/race‐related trends in hip replacement outcomes and identify corresponding candidate single nucleotide polymorphisms (SNPs). Adverse outcomes were assessed by deriving RWD from a retrospective analysis of hip replacement hospital discharge data from the National Inpatient Sample (NIS). Candidate SNPs were explored using pre‐existing data from the Personalized Medicine Research Project (PMRP). High‐Performance Integrated Virtual Environment was used for analyzing and visualizing putative associations between SNPs and adverse outcomes. Ingenuity Pathway Analysis (IPA) was used for exploring plausibility of the sex‐related candidate SNPs and characterizing gene networks associated with the variants of interest. The NIS‐based epidemiologic evidence showed that periprosthetic osteolysis (PO) was most prevalent among white men. The PMRP‐based genetic evidence associated the PO‐related male predominance with rs7121 (odds ratio = 4.89; 95% confidence interval = 1.41−17.05) and other candidate SNPs. SNP‐based IPA analysis of the expected gene expression alterations and corresponding signaling pathways suggested possible role of sex‐related metabolic factors in development of PO, which was substantiated by ad hoc epidemiologic analysis identifying the sex‐related differences in metabolic comorbidities in men vs. women with hip replacement‐related PO. Thus, our in silico study illustrates RWD‐based evidentiary approaches that may facilitate cost/time‐efficient discovery of biomarkers for informing use of medical products.

Gambaran Upaya Keselamatan Dan Kesehatan Kerja Dalam Penggunaan Pestisida

Potencial hazards that the threaten safety and health agricultural sector one of them is the use of pesticides. The pesticides are not controlled can make some trobles of health and environment pollution. The purpose of this study is to know description of occupational safety and health efforts in the use of pesticides of farmer group “Kube Amerta Abadi” In Candikuning Baturiti, Tabanan regency. This study is descriptive study. The sampling using a saturated sampling technique, in wich all members of the population are sampled. The data obtained through by interview and check up the cholinesterase of 15 members of farmer groups. The result of study are indicated that from 15 farmers, 14 farmers have a good effort of OHS planning phase. The effort of OHS implementation phase of 15 farmers all have a good effort of OHS. From 15 farmers, 9 of the farmers have the effort of OHS the bad post implementation phase, and 6 farmers have the effort of OHS the good post implementation phase. The effort of OHS in the use of pesticides 15 farmers, 8 farmers have the effort of OHS is good and 7 farmers have the effort of OHS moderate ability. From the check of cholinesterase, 4 farmers have a mild toxic and 11 farmers have suffered moderate toxic.

Child Blood Pressure Profile in Bali, Indonesia.

BACKGROUND:Mortality and morbidity in an adult will be reduced by controlling hypertension from an early age. Uncontrolled blood pressure since children can contribute to diseases such as heart disease, organ damage, and decreased quality of life. As changes in lifestyle, it is estimated that hypertension in children will continue to increase. Until now, data regarding the profile of blood pressure in children in Indonesia is still lacking.AIM:The purpose of this study was to determine the prevalence of increased blood pressure and hypertension in children in Bali.METHODS:This study was a cross-sectional study. The sampling technique in this study was multistage random sampling, that is, from 9 regencies in Bali, the selection of 3 regencies to be sampled according to socio-economic stratification based on regional economic growth and regional per capita income in Bali Province.RESULTS:From 1257, samples examined the prevalence of increased blood pressure, and hypertension was 689 children (54.8%). From the age group, the prevalence of an increase in blood pressure and hypertension in the age group ≤ , 12 years was 47.3%, and in the age group > 12 years was 62.2%. Increased blood pressure in nutritional status including Obesity 51.4%, Nutrition More 52.9%, Good Nutrition 42.2%, Nutrition Less 43.9%, Malnutrition 50.0%. In families with a history of hypertension, the prevalence of increased blood pressure and hypertension in subjects was 60.3% and in families without a history of hypertension was 43.4%.CONCLUSION:It can be concluded that there is still a prevalence of hypertension in children in Bali. Health efforts are needed so that they can minimise the further health impact that might occur. It should also be noted that various factors can influence the prevalence of increased blood pressure and hypertension in children.

Comparing outcomes data from dedicated oncology-subspecialist hospitalists to those from a traditional care model on an inpatient oncology service.

11538 Background: Changes in the complexity and delivery of health care and efforts to contain rising costs gave rise to the hospitalist model of care delivery in the 1990s. More recently some hospitals have begun using the hospitalist model on inpatient oncology floors. Oncology patients are a unique population who require high rates of hospitalization for problems arising from their progressive disease burden and side effects of cancer-directed therapy and have high rates of 30 day readmissions (30DR), an important quality metric. The majority of studies in this area have shown similar outcomes comparing care given by internal medicine hospitalists working full time on an inpatient oncology service compared to multiple oncologists working in rotating shifts on the same inpatient oncology service (Traditional). A new care model using dedicated hematology/oncology subspecialist hospitalists (H-O) to care for patients admitted to the oncology service has been implemented at our academic medical center. Methods: We conducted a retrospective chart review to identify patients with a cancer diagnosis admitted to the oncology service over a six year period. 7/1/2012-6/30/2015 marked the Traditional care model and 7/1/2015-7/1/2018 the H-O model. We compared 30DR, discharge to hospice, length of stay (LOS), and inpatient mortality between these two groups. Results: We identified a total of 3778 patients admitted to the oncology service over this six year period—1932 patients admitted to the Traditional service and 1846 patients admitted to the H-O service. There was a significant difference in 30DR between the Traditional v. H-O service (36.7% v. 29.5%, χ2= 21.1, p &lt; 0.00001) and discharge to hospice (7.6% v. 12.9%, χ2= 29.0, p &lt; 0.0000001). There was no significant difference in LOS between the Traditional and H-O services (6.40 days v. 6.03 days, p = 0.122) or in-hospital mortality (2.6% v. 1.9%, χ2= 2.16, p = 0.14). Conclusions: The shift to dedicated hospitalist-oncologists caring for patients on the inpatient oncology service significantly decreased 30DR at our institution. There were also significantly more patients transferred to hospice care. We found no significant difference between the two groups in LOS or inpatient mortality. This care model may help reduce the cost of caring for oncology patients by decreasing 30DR.

Empowerment of Kader Kesehatan Jiwa (KKJ) through RW Siaga Sehat Jiwa (RW SSJ) in Bandarharjo Semarang

Health is an investment to improve the quality of human resources. Both physically and psychologically healthy. The mental nursing area includes giving care to healthy mental, client and mental disorders clients. Mental health services are no longer focused on healing clients of mental disorders, but also on efforts to promote mental health or prevention efforts. This effort can be carried out by health workers and community participation through community empowerment. Community empowerment of mental health can be achieved with a health service management especially community-based mental health services. This form of health care management approach is known as Community Mental Health Nursing (CMHN). The purpose of this community service is to realize the formation of RW Siaga Sehat Jiwa (RW SSJ) with the participation of the Mental Health Cadre (KKJ). RW SSJ is a forum for the KKJ to carry out activities and apply the abilities obtained through training. With the increasing ability of the KKJ in overcoming health problems, it is hoped that the community can play an active role in realizing health status in their environment. The method used is the nursing process approach. It is expected that the KKJ has the ability to carry out early detection, determine family status and care for family risks and disorders, refer cases to health centers and or hospitals.

KORELASI REGISTRASI TENAGA KESEHATAN TERHADAP KOMPENTENSI TENAGA KESEHATAN DALAM PELAYANAN KESEHATAN MASYARAKAT

Health as one of the elements of general welfare must be realized through various health efforts in the context of comprehensive and integrated health development supported by a national health system. Health workers who will carry out health services to the community must have a STR (Surat Tanda Registrasi/Registration Certificate) issued by the government as the person in charge of public health services. Physicians as one of the health workers are responsible for providing health services in accordance with applicable legislation namely Law Medical Practice and Doctor's Code of Ethics. Doctors who practice health services to the community at the hospital are bound by the Doctor's Code of Ethics and are also bound by the Hospital By Laws as an internal provision of the hospital.

The importance of a One Health approach for prioritising zoonotic diseases to focus on capacity-building efforts in Uganda.

Zoonotic diseases constitute a significant threat to the health of humans, livestock and wildlife, as well as to livestock production, and can also have a negative impact on our shared environment and on livelihoods. Uganda is a hotspot for emerging and re-emerging zoonotic disease threats, with the main drivers of this phenomenon being identified as agricultural intensification, proximity to wildlife reservoirs and climate change. The threat of zoonotic disease outbreaks affects not only human healthcare systems but also livestock production, food security, human capital development, wildlife health, environmental health and privatesector growth. Firstly, to prevent, control and mitigate the threat from zoonotic diseases, in March 2017, Uganda prioritised zoonotic diseases using a One Health approach that focuses the limited resources available on those diseases that have the greatest impact at the national level. The prioritised zoonotic diseases in question are anthrax, zoonotic influenza viruses, viral haemorrhagic fevers, brucellosis, trypanosomiosis (African sleeping sickness), plague and rabies. Secondly, in January 2018, Uganda published a National One Health Strategic Plan, which was developed after these zoonotic diseases had been prioritised. In addition, the Ugandan Government and its partners are currently collaboratively addressing several of these previously neglected, endemic zoonotic diseases, such as anthrax, brucellosis and rabies. As a result of these One Health efforts, capacity has increased for early detection of, reporting on and response to zoonotic diseases at all levels. To consolidate the achievements of the One Health approach, the Ugandan Government and its partners should continue to support capacity building for the prevention and control of zoonotic diseases.

Assessing health systems in Guinea for prevention and control of priority zoonotic diseases: A One Health approach

To guide One Health capacity building efforts in the Republic of Guinea in the wake of the 2014–2016 Ebola virus disease (EVD) outbreak, we sought to identify and assess the existing systems and structures for zoonotic disease detection and control. We partnered with the government ministries responsible for human, animal, and environmental health to identify a list of zoonotic diseases – rabies, anthrax, brucellosis, viral hemorrhagic fevers, trypanosomiasis and highly pathogenic avian influenza – as the country's top priorities. We used each priority disease as a case study to identify existing processes for prevention, surveillance, diagnosis, laboratory confirmation, reporting and response across the three ministries. Results were used to produce disease-specific systems “maps” emphasizing linkages across the systems, as well as opportunities for improvement. We identified brucellosis as a particularly neglected condition. Past efforts to build avian influenza capabilities, which had degraded substantially in less than a decade, highlighted the challenge of sustainability. We observed a keen interest across sectors to reinvigorate national rabies control, and given the regional and global support for One Health approaches to rabies elimination, rabies could serve as an ideal disease to test incipient One Health coordination mechanisms and procedures. Overall, we identified five major categories of gaps and challenges: (1) Coordination; (2) Training; (3) Infrastructure; (4) Public Awareness; and (5) Research. We developed and prioritized recommendations to address the gaps, estimated the level of resource investment needed, and estimated a timeline for implementation. These prioritized recommendations can be used by the Government of Guinea to plan strategically for future One Health efforts, ideally under the auspices of the national One Health Platform. This work demonstrates an effective methodology for mapping systems and structures for zoonotic diseases, and the benefit of conducting a baseline review of systemic capabilities prior to embarking on capacity building efforts.

Effort to Prevent Anaemia during Menstruation among Female Adolescent in Islamic Boarding School

Introduction: Female adolescents are generally prone to be infected by anaemiadue to the growing menstruation cycle which causes the loss of bloods insignificant amount every month and the needs of ferrum substance can bedoubled. The aimed of the research was to analyse factors related to the effort ofanaemia prevention during menstruation among female adolescents in Islamicboarding school.Methods: This research applied correlational descriptive design through theapproach of cross-sectional study. Total samples were 214 female students in 3Islamic boarding schools with criteria of female students aged 11-20 years oldand had experienced menstruation. Sample obtained by random sampling.Independent variables were knowledge, attitude, friends support, health facility,health efforts, and dependent variables was the efforts to prevention anaemia.Data obtained by questionnaire and analyzed by Spearman Rho with significancelevel α,0.005Results: The result showed significant correlation between knowledge (p=0.000;r=0.318). attitude (p=0.001; r=0.232). friends support (p=0.003; r=0.203). health facility (p=0.000; r=0.260). and health efforts (p=0.001; r=0.227) on prevention effort of anaemia on adolescents female menstruation in Islamic boarding school.Conclusion: Level of knowledge, posstive attitude, friends support, health facility,and health efforts can prevent anemia during menstruation.

Effort to Prevent Anaemia during Menstruation among Female Adolescent in Islamic Boarding School

Introduction: Female adolescents are generally prone to be infected by anaemiadue to the growing menstruation cycle which causes the loss of bloods insignificant amount every month and the needs of ferrum substance can bedoubled. The aimed of the research was to analyse factors related to the effort ofanaemia prevention during menstruation among female adolescents in Islamicboarding school.Methods: This research applied correlational descriptive design through theapproach of cross-sectional study. Total samples were 214 female students in 3Islamic boarding schools with criteria of female students aged 11-20 years oldand had experienced menstruation. Sample obtained by random sampling.Independent variables were knowledge, attitude, friends support, health facility,health efforts, and dependent variables was the efforts to prevention anaemia.Data obtained by questionnaire and analyzed by Spearman Rho with significancelevel α,0.005Results: The result showed significant correlation between knowledge (p=0.000;r=0.318). attitude (p=0.001; r=0.232). friends support (p=0.003; r=0.203). health facility (p=0.000; r=0.260). and health efforts (p=0.001; r=0.227) on prevention effort of anaemia on adolescents female menstruation in Islamic boarding school.Conclusion: Level of knowledge, posstive attitude, friends support, health facility,and health efforts can prevent anemia during menstruation.

Human Performance Optimization: An Operational and Operator-Centric Approach.

USSOCOM invests millions of dollars in the assessment, selection, and training of its Operators. Handpicked and forged to defend their nation, each Operator emerges from initial and career field training with unique skills and honed talents integral to their unit's effectiveness, sustainability, and mission success. The need for SOF unit commanders to optimize and preserve the talents of their Operators was highlighted as a top priority in the 2018 National Defense Strategy. Human performance optimization (HPO) offers a paradigm shift to support that priority by grounding health and performance services in the unique needs, cultures, skills, and missions of SOF Operators at the career field and unit level. Currently, HPO efforts continue to inform Military Health System (MHS) realignment efforts towards this paradigm shift; however, significant gaps still exist due to a lack of definitional clarity around HPO as a conceptual framework and to the unequal operationalization of HPO across the Department of Defense (DoD). To synergize health and performance efforts through HPO and provide SOF unit commanders with the tools they need to sustain the optimal performance of their operational forces over a career lifespan, this review builds upon previous work in HPO and highlights the operationalization of HPO on a tactical level to support units' Mission Essential Task List (METL) and Operator's Core Tasks (CT). Through returning to HPO's tenets, this review discusses how performance and health priorities of an Operational community can be identified in order to enhance the targeting of performance and health efforts. Last, we present a community-based model for mapping these priorities.

RELATIONSHIP BETWEEN THE ROLE OF FAMILIES IN DIET SUPERVISION AND THE LEVEL OF COMPLIANCE OF DIETARY MANAGEMENT AMONG TYPE 2 DIABETES MELLITUS PATIENTS IN KEBONSARI VILLAGE, CANDI SUB-DISTRICT, SIDOARJO DISTRICT

Background: The Indonesia Sehat Program is a program to improve the quality of life of the Indonesian people. The target of this program is to improve the health and nutritional status of the community through health and community empowerment efforts supported by financial protection and equitable distribution of health services. The latest estimate of the International Diabetes Federation, there are 382 million people living with Diabetes in the world in 2013. By 2035 this number is expected to increase to 592 million people.Objectives: This study aimed to determine the relationship between the role of families in diet monitoring with the level of compliance with Type II Diabetes Mellitus patients in carrying out the Diabetes Mellitus diet at Kebonsari Candi Sidoarjo.Method: This study used correlational design with a sample of 25 people. Samples were obtained using total sampling method. The instrument used to obtain data in this study is a questionnaire. The data obtained were then analyzed by using the Spearman test with p ≤ 0,01.Results: Families who play an active role in the supervision of diabetic patients with diabetes mellitus are related to the level of patient compliance in the obedient category of 44%. Based on the Spearman Rank test with p &lt;0.01, the correlation level is 0.600. It can be concluded that there is a relationship between the role of families in diet monitoring and the level of adherence to type 2 diabetes mellitus patients in carrying out a diabetes mellitus diet has a strong level of correlation.Conclusion: Families are required to play an active role in supervising diabetics in carrying out the diabetes mellitus diet so that it can prevent complications of the disease and the quality of life of the sufferer. Key words: The Role of Families, Diet Compliance, Type 2 Diabetes Mellitus

Pengaruh Partisipasi Karyawan Terhadap Kinerja Keselamatan dan Kesehatan Kerja Rumah Sakit (K3RS) Santo Borromeus

Occupational safety and health is an effort to provide safety assurance and improve the health of workers by prevention of occupational accidents and diseases, hazards in the workplace, health promotion, treatment and rehabilitation. Hospitals have a variety of potential hazards, therefore Hospital is required to implement safety and health efforts through the implementation of safety and health management work carried out in an integrated and comprehensive. Employee participation is an important factor in improving safety and health performance.This study aims to determine and analyze the extent of the influence of employee participation on the performance of occupational safety and health of Hospital Santo Borromeus. This type of research is a survey study, supported by the spread of questionnaires as a means of data collection. The research method used is a mix method with descriptive analysis technique. Other research data were obtained from interviews, observations, and document studies. This study was restricted to the Laboratory unit and the Central Sterilization Supply Department (CSSD) unit of Santo Borromeus Hospital. The results showed that employee participation has a significant influence on the performance of occupational safety and health of Santo Borromeus Hospital with total influence of 31.2%. And based on the result of correlation analysis, the type of work accident has a significant influence on job position, this is proved by significance value &lt;0,05. Keywords:Employee Participation, Occupational Health and Safety Hospital, Occupational Types

Pelatihan Bagi Kader Posyandu Penyakit Tidak Menular (PTM)

The Healthy Indonesia Program aims to improve health status through health efforts and equitable health services. The positive side of the success of health development is the increasing life expectancy. But it has a negative impact, namely the increasing incidence of degenerative diseases, one of which is hypertension. Hypertension is often called the "silent killer" because it can appear without symptoms or warning signs, so many do not realize it so that the prevalence of hypertension increases. The breadth of the work area and the lack of health workers, can lead to a lack of public access to health services, so the elderly who have hypertension are less able to control the condition of the disease. Cadres of Non-Communicable Diseases Posyandu (PTM) can be the first line in reaching the community, when health workers are not available. Posyand cadres can also be an extension of their hands in increasing people's knowledge and understanding of hypertension, even cadres can carry out blood pressure checks independently. The purpose of community service is IbM activities for Posyandu cadres of PTM, especially in Kelurahan Bantarsari in the form of counseling about hypertension and training in blood pressure measurement. The population and sample in this service were 24 cadres in Bantarsari village. Data was collected using a questionnaire in the form of questions to find out the knowledge of participants before and after training and a checklist to measure skills. Data analysis using the Paired-Samples T Test. The material used is a blood pressure measuring device, the OMRON brand digital sphygmomanometer using a new battery. The results of this activity are all female cadres, with a age range of 21-45 years. Educational background for cadres is 79.16% of high school graduates and 20.84% ​​of junior high school graduates. The results of the Paired-Samples T Test analysis obtained p value 0,000 which means that there is an influence of counseling and training conducted on cadre knowledge about blood pressure measurement. In conclusion, counseling and training for cadres has a good influence in increasing their knowledge, so it is expected to reduce the incidence of hypertension in their target areas.

Upaya Promotif Petugas Kesehatan dalam Pelaksanaan Posyandu Lansia di Puskesmas Mangli Kabupaten Jember

One of the health programs which is implemented for the elderly in Indonesia is Elderly Posyandu. Elderly Posyandu emphasizes health services on promotive and preventive efforts. The Health Officer is any person who devotes himself / herself to the health sector as well as has knowledge and or skills through education in the field of health which for a certain type requires authority to do health efforts. The role of Health Officers of Elderly Posyandu is very important to realize the optimum promotive and preventive efforts in the implementation of posyandu elderly. This study aims to analyze the role of health officers in carrying out promotive efforts at elderly posyandu of Mangli Public Health Centre Jember by using qualitative method with case study design.There are 2 main informants in this research, health officer and 2 additional informants of elderly from elderly posyandu in working area of Mangli Public Health are chosen by purposive technique. The data are collected through indepth interview with main informant then verified data with triangulation of source by matching result of interview with additional informant and triangulation technique by doing observation. The results showed that the role of health officers in the implementation of promotive efforts is still less optimum.Keywords: Elderly Posyandu, Health Officer, Promotive