Support Of Health Workers Research Articles

Factors Influencing Delivery Achievement in Health Facilities in the Working Area of the Bungus Health Center 2020

Health efforts that can be given in reducing mortality such as normal childbirth care with a new paradigm. The purpose of the study was to determine the factors that influence the achievement of childbirth in health facilities in the Bungus Health Center work area in 2020. This type of research is analytical design using the Cross-sectional study approach. This study was conducted from January 2020 to December 2020 in the Bungus Health Center work area in 2020, with a population of 149 people, a research sample of 53 respondents, data collection techniques, namely primary data, sampling techniques, simple random sampling techniques. Data processing techniques with editing, coding, data entry, tabulating, cleaning. Data analysis with univariate analysis and bivariate analysis with Chi-Square test. This research was obtained by almost all respondents with good childbirth achievement with a percentage of 66%, as many as 52.8% of respondents with good education, 54.7% of respondents with good knowledge, 58.5% of respondents with good infrastructure, and 56.6% of respondents with the support of good health officers. Based on the results of data analysis, there is a relationship between education and childbirth achievement (p = 0.004), there is a relationship between knowledge and labor achievement (p = 0.011), there is a relationship between infrastructure and childbirth achievement (p = 0.018), and there is a relationship of health worker support with labor achievement (p = 0.031). It can be concluded that education, knowledge, infrastructure, support of health workers. The most ideal place for giving birth is a health facility with equipment and personnel who are ready to help if birth complications occur. At least in health facilities such as community health centers that are able to provide basic emergency obstetric and neonatal services. Keywords: Achievement of childbirth; health facilities; knowledge

Engagement of patients with advanced cancer (EPAC) randomized clinical trial: Long-term effects on survival and healthcare use.

76 Background: The Engagement of Patients with Advanced Cancer (EPAC) randomized Veterans with newly diagnosed stage 3 or 4 cancer or recurrent disease to usual care (control) or usual care with 6-month community health worker (CHW) support (intervention) to engage Veterans in end-of-life (EOL) goals of care discussions. At 6- and 15-months follow-up, the intervention tripled goals of care documentation (primary), doubled hospice (secondary), and reduced end-of-life (EOL) acute care use (secondary) and total costs (secondary). This post-hoc analysis after 10 years from study initiation evaluates effects on overall survival (OS) and EOL healthcare use and costs. Methods: We abstracted dates of death, emergency department (ED), hospitalization, palliative care (PC), hospice use, and costs within and outside Veterans Affairs (VA) using electronic health record and claims before data cut-off on February 1, 2023 for all EPAC participants. We compared OS using Kaplan Meier and log-rank, risk of death using Cox-proportional hazard models, ED, hospitalization, PC, hospice use and costs in the last 30 days of life using Logistic Regression, and incidence rate ratios of ED and hospitalizations using Poisson regression. Results: Among 213 participants, there were no imbalances in demographic or clinical characteristics. 165 (77.4%) were White, 211 (99%) males, 80 (37.6%) had lung cancer, and 118 (55.3%) had stage 4 disease. Median follow-up was 298 days (range 12-3438). Intervention group participants had greater OS (log rank p=0.03), 25% reduction in risk of death, lower acute care use, greater PC and hospice, and lower total costs (p<0.001) than control group participants. Conclusions: The CHW-led intervention significantly improved OS and maintained robust effects on EOL healthcare use and costs. Results support integration of CHWs into care to improve clinical outcomes. Clinical trial information: NCT02966509 .[Table: see text]

Evaluation of lay health workers on quality of care in the inpatient setting.

To evaluate the impact of a lay health worker support role in the inpatient setting. Healthcare systems are facing critical nursing and nurse assistant staffing shortages. These disciplines can be challenging to recruit and retain, leading healthcare leaders to identify innovative staffing models. Whereas lay health workers have been used in the community and low-income setting, there is scant evidence of their use in the inpatient setting. We implemented a lay health worker role, called Patient Attendant Service Aides (PASAs), on two medical/surgical units at a community hospital. A pre/post-implementation design was used for this study. An online survey was provided to nurses, nursing assistants, and PASAs on the two medical/surgical units to assess their satisfaction and perceptions of the role. Nursing quality metrics, patient satisfaction, and nursing and nursing assistant turnover were evaluated before and after implementing the role. The online survey showed that nurses and nursing assistants felt that PASAs helped offload their workload, allowing them to focus on nursing-related tasks. PASAs felt supported by the team and believed they were making a meaningful contribution to the unit. There were slight improvements in patient satisfaction, although not significant. There was a significant improvement in nursing turnover on Unit A, from 71.1% to 21.6% (p = 0.009). This is one of the first studies to evaluate the use of lay health workers in the inpatient setting; we found this role to be a feasible way to offload tasks from clinical staff. This role may serve as a pathway for workforce development, as several PASAs are now enrolled in nursing assistant training. Nurse managers may consider using lay health workers in the inpatient setting as they face severe clinical staff shortages.

Hubungan Jenis Persalinan dan Dukungan Tenaga Kesehatan dengan Keberhasilan ASI Eksklusif

The Ministry of Health of the Republic of Indonesia has set a target to increase exclusive breastfeeding up to 80%. However, this policy has not yet obtained optimal results. Based on data from the Indonesian Health Profile, the coverage of babies who receive exclusive breastfeeding in 2020 is only 66.1%. This is due to several obstacles in exclusive breastfeeding, namely: lack of socialization of the lack of exclusive breastfeeding and the support of health workers, especially midwives, is still considered lacking. This type of research is descriptive quantitative using a cross sectional approach. The population of this study were postpartum mothers in Jember Regency. The number of samples studied was 30 respondents using a purposive sampling technique that met the inclusive criteria, namely: postpartum mothers 1 to 6 weeks, and able to operate android mobile phones. For the exclusion criteria, namely; Postpartum mothers who experience breast problems/abnormalities; and mothers who live in difficult signal areas. The data obtained were analyzed using SPSS statistics and Fisher's Exact Test with an alpha value of 5%. The results obtained for the type of delivery were that there was no significant relationship between the type of delivery and the success of exclusive breastfeeding mothers with a value of p = 0.140 (OR = 3.5; 95% CI 0.43-28.13). While the results for the support of health workers who carried out the Fisher's exact test showed that there was a significant relationship between the support of health workers and the success of mothers in exclusive breastfeeding with a value of p = 0.007 (OR = 0.83; 95% CI 0.12 - 5.5). Based on the results of the study it can be concluded that the need for understanding for mothers regardless of the type of delivery does not affect the success of breastfeeding and the need for support from health workers, especially midwives in helping mothers to successfully breastfeed their babies.

Analysis of Factors Associated with the Behavior of Chronic Energy Deficiency Pregnant Women in Consuming Biscuit Supplementary Feeding in Pesisir Selatan District in 2023

Biscuit Supplementary Feeding is one intervention strategy for pregnant women with chronic energy deficiency to improve their nutritional status. This study aims to analyze factors that are thought to have a relationship with the behavior of pregnant women with chronic energy deficiency in consuming the Biscuit Supplementary Feeding), namely the knowledge, attitudes of pregnant women with chronic energy deficiency, availability of health services, support from health workers and husband support. This type of research is a Mixed Methods Study (explanatory-sequential case study). Quantitative research was conducted on 108 pregnant women with chronic energy deficiency who received Biscuit Supplementary Feeding. The qualitative research was conducted on pregnant women with chronic energy deficiency who wanted to consume Biscuit Supplementary Feeding regularly and who did not want to ruin it (the main informant) through in-depth interviews. At the same time, the supporting informants (triangulation) were the head of the health center, nutrition staff, and village midwife through in-depth interviews, document review and Focus Group Discussion (FGD). The results showed that 59.3% of respondents had high knowledge, 50.9% had a positive attitude, 82.4% provided health services, 56.5% supported health workers, 61.1% had husband's support and 51.9% of pregnant women with chronic energy deficiency had bad behavior in consuming Biscuit Supplementary Feeding. There was a significant relationship between knowledge, attitudes, support from health workers and the behavior of pregnant women with chronic energy deficiency in consuming Biscuit Supplementary Feeding. Suggestions for pregnant women with chronic energy deficiency to consume biscuits regularly every day as recommended, for the health center. It is hoped to improve the quality of education and home visits to the target and for the public health Office to carry out regular monitoring or monitoring related to program implementation. Keywords: Behavior, pregnant women with chronic energy deficiency, biscuit supplementary feeding

HUBUNGAN PENGETAHUAN, DUKUNGAN KELUARGA DAN DUKUNGAN PETUGAS KESEHATAN DENGAN KEPATUHAN IBU HAMIL MENGKONSUMSI TABLET FE DI PUSKESMAS LUBUK BATANG

Compliance with consuming Fe tablets is said if pregnant women consume all of the Fe tablets given during pregnancy. Adherence of pregnant women consuming Fe tablets is an important factor in ensuring an increase in hemoglobin levels of pregnant women. This type of research was an analytic observational study with a cross-sectional approach or design. sectional. The population in this study amounted to 103 people and the sample in this study were pregnant women at 36 weeks' gestation totaling 30 respondents. The results of bivariate research on the relationship between knowledge, family support and health worker support with adherence of pregnant women to consuming Fe tablets based on the chi square statistical test of knowledge p-value 0.007 <0.05 OR 13.500, family support p-value 0.024 <0.05 OR 11,000 and support Health workers p-value 0.007 < 0.05 OR 0.074 It can be concluded that there is a relationship between knowledge, family support and health worker support simultaneously with the compliance of pregnant women consuming Fe tablets in the working area of the UPTD Puskesmas Lubuk Batang, Ogan Komering Ulu Regency in 2023. Suggestions to respondents It is hoped that in this study pregnant women will get important information about pregnancy, especially regarding the need for Fe tablets during pregnancy and pregnant women are expected to consume Fe tablets together with vitamin C so that the absorption of Fe tablets can be optimal.

“Actually, the psychological wounds are more difficult than physical injuries:” a qualitative analysis of the impacts of attacks on health on the personal and professional lives of health workers in the Syrian conflict

IntroductionAttacks on healthcare in armed conflict have far-reaching impacts on the personal and professional lives of health workers, as well as the communities they serve. Despite this, even in protracted conflicts such as in Syria, health workers may choose to stay despite repeated attacks on health facilities, resulting in compounded traumas. This research explores the intermediate and long-term impacts of such attacks on healthcare on the local health professionals who have lived through them with the aim of strengthening the evidence base around such impacts and better supporting them.MethodsWe undertook purposive sampling of health workers in northwest and northeast Syria; we actively sought to interview non-physician and female health workers as these groups are often neglected in similar research. In-depth interviews (IDIs) were conducted in Arabic and transcribed into English for framework analysis. We used an a priori codebook to explore the short- and long-term impacts of attacks on the health workers and incorporated emergent themes as analysis progressed.ResultsA total of 40 health workers who had experienced attacks between 2013 and 2020 participated in IDIs. 13 were female (32.5%). Various health cadres including doctors, nurses, midwives, pharmacists, students in healthcare and technicians were represented. They were mainly based in Idlib (39.5%), and Aleppo (37.5%) governorates. Themes emerged related to personal and professional impacts as well as coping mechanisms. The key themes include firstly the psychological harms, second the impacts of the nature of the attacks e.g. anticipatory stress related to the ‘double tap’ nature of attacks as well as opportunities related to coping mechanisms among health workers.ConclusionViolence against healthcare in Syria has had profound and lasting impacts on the health workforce due to the relentless and intentional targeting of healthcare facilities. They not only face the challenges of providing care for a conflict-affected population but are also part of the community themselves. They also face ethical dilemmas in their work leading to moral distress and moral injury. Donors must support funding for psychosocial support for health workers in Syria and similar contexts; the focus must be on supporting and enhancing existing context-specific coping strategies.

Health System Considerations for Community-Based Implementation of Automated Respiratory Counters to Identify Childhood Pneumonia in 5 Regions of Ethiopia: A Qualitative Study.

In Ethiopia, childhood pneumonia is diagnosed in primary healthcare settings by measuring respiratory rate (RR) along with the presence of cough, chest indrawing, difficulty breathing, and fast breathing. Our aim was to identify health system-level lessons from implementing two automated RR counters, Children's Automated Respiration Monitor (ChARM) by Phillips® and Rad-G by Masimo®, to provide considerations for integrating such devices into child health programmes and health systems. This study was part of an initiative called the Acute Respiratory Infection Diagnostic Aids (ARIDA). Key informant interviews (KIIs) were conducted with 57 participants (health workers in communities and facilities, trainers of health workers, district management, and key decision-makers) in five regions of Ethiopia. Data were analyzed in ATLAS.ti using thematic content analysis and themes were categorized using the Tanahashi bottleneck analysis. All participants recommended scaling up the ARIDA initiative nationally as part of Integrated Management of Newborn and Childhood Illness (IMNCI) in primary healthcare. Health workers perceived the devices as: time saving, acceptable by parents and children, and facilitating diagnosis and referrals. Health workers perceived an increased demand for services and reduced numbers of sick children not seeking care. Participants recommended increasing the number of devices distributed and health workers trained. Strengthening drug supply chains, improving oxygen gas availability, and strengthening referral networks would maximize perceived benefits. While training improved knowledge, more supportive supervision, integration with current guidelines and more guidance related to community engagement was recommended. Automatic RR counters for the decentralized diagnosis of childhood pneumonia could have positive impact on improving the quality of diagnosis and management of pneumonia in children. However, the study has shown that a health system approach is required to ensure all steps along the pneumonia pathway are adequate, including drug and oxygen supply, community engagement, health worker training and support, and referral pathways.

Usability of Augmented Reality Technology in Situational Telementorship for Managing Clinical Scenarios: Quasi-Experimental Study.

Telementorship provides a way to maintain the professional skills of isolated rural health care workers. The incorporation of augmented reality (AR) technology into telementoring systems could be used to mentor health care professionals remotely under different clinical situations. This study aims to evaluate the usability of AR technology in telementorship for managing clinical scenarios in a simulation laboratory. This study used a quasi-experimental design. Experienced health professionals and novice health practitioners were recruited for the roles of mentors and mentees, respectively, and then trained in the use of the AR setup. In the experiment, each mentee wearing an AR headset was asked to respond to 4 different clinical scenarios: acute coronary syndrome (ACS), acute myocardial infarction (AMI), pneumonia severe reaction to antibiotics (PSRA), and hypoglycemic emergency (HE). Their mentor used a laptop to provide remote guidance, following the treatment protocols developed for each scenario. Rating scales were used to measure the AR's usability, mentorship effectiveness, and mentees' self-confidence and skill performance. A total of 4 mentors and 15 mentees participated in this study. Mentors and mentees were positive about using the AR technology, despite some technical issues and the time required to become familiar with the technology. The positive experience of telementorship was highlighted (mean 4.8, SD 0.414 for mentees and mean of 4.25, SD 0.5 for mentors on the 5-point Likert scale). Mentees' confidence in managing each of the 4 scenarios improved after telementoring (P=.001 for the ACS, AMI, and PSRA scenarios and P=.002 for the HE scenario). Mentees' individual skill performance rates ranged from 98% in the ACS scenario to 97% in the AMI, PSRA, and HE scenarios. This study provides evidence about the usability of AR technology in telementorship for managing clinical scenarios. The findings suggest the potential for this technology to be used to support health workers in real-world clinical environments and point to new directions of research.

Needs As The Dominant Factor of Generation Z in Telemental Health (TMH) Services Utilization

Nowadays, mental health is still an unfinished problem in Indonesia. Telemental health (TMH) exists as a form of adaptation toward technological developments that are expected to help address challenges in mental health services. There is a continuous increase in the number of Generation Z who suffer mental health problems. Meanwhile, the coverage of mental health services is still low even though the convenience of TMH has supported it. This study aims to analyse the factors that influence the utilisation of TMH among Generation Z based on Andersen's theory. This quantitative research collected 180 respondents and then analysed them using univariate, bivariate, and multivariate. Results showed a relationship between the needs factor, access to TMH, health worker support, and residence on the use of TMH. While the variables that aren't related are gender, education, occupation, marital status, and knowledge. The needs factor dominates the effect of using TMH among Generation Z in Indonesia, where a change in it can affect 15 times the utilisation of TMH. To develop TMH into sustainable services, providers can create the right strategy. It’s recommended to Generation Z to avoid self-diagnosis accompanied by enriching knowledge about maintaining mental health.

THE SITUATION OF IMPLEMENTATION OF THE NATIONAL IMMUNIZATION INFORMATION MANAGEMENT SYSTEM IN PHU YEN PROVINCE IN 2021

The National Immunization Information Management System is a technological innovation management tool that enhances the performance of managers and health professionals in the evaluation and monitoring of immunization activities. However, until now it still faces challenges regarding its operation and use, impacting on its results. To evaluate the current status of implementing the national immunization information management system in Phu Yen in 2021. Cross-sectional study. Most vaccination facilities have stable electricity and internet (98,3%). However, the number of facilities with barcode scanners is still low (34,2%). 91,7% of the staff are relatively good at using NIIS. 83,3% of medical facilities input data according to the right process after the vaccination session. There is a need to strengthen monitoring of support and training for health workers as well as proactively control data on their System on a regular basis.

Information Exposure as the Dominanat Variable Associated with Stunting in Adolescents

The 2018 Riskesdas report states that East Kalimantan ranks 23rd as the province with the highest prevalence of stunting in Indonesia, especially in Kutai Kartanegara Regency. The purpose of this study was to analyze the determinants of knowledge about stunting in students of SMK Muhammadiyah Loa Kulu. This study used a cross sectional design with proportional random sampling and simple random sampling techniques. The population of this study was 140 and the sample was 104 people. Data collection was done by filling out a questionnaire. The results showed a relationship between gender (ρ=0.002), information exposure (ρ=0.000), and health worker support (ρ=0.000) with respondents' knowledge about stunting. The results of multivariate analysis showed that the dominant variable associated was information exposure (PR 5.04). Based on the results of the study, the most dominant variable associated with the knowledge of SMK Muhammadiyah Loa Kulu students is information exposure.

Quality of Life in End-Stage Renal Disease Patients Undergoing Hemodialysis and Its Affecting Factors in a Hemodialysis Unit of General Hospital Denpasar

End-stage renal disease (ESRD) patients undergoing hemodialysis (HD) repeatedly can affect their quality of life (QOL). Its QOL value can vary according to the patient's characteristics amid health conditions that may make it difficult for them. This study aimed to analyze the QOL of ESRD patients undergoing HD and its affecting factors. This cross-sectional study was conducted in a Hemodialysis Outpatient Unit of General Hospital, Denpasar, Bali, from April to May 2021. A sample of 103 respondents was obtained by using the purposive sampling technique. Inclusion criteria were ESRD patients undergoing HD aged ≥8 years old, completing questionnaires thoroughly, and communicating well. Data was collected through the KDQOL-36 questionnaire to measure the QOL and medical records for completeness of patient identities. Data were analyzed using Spearman's ρ, η, Mann-Whitney, and an Independent sample t-test (CI 95%). Findings showed the majority of respondents were aged <60 years (75.7%), had secondary education (41.7%), were working (50.5%), were diagnosed with ESRD, and undergoing HD <3 Years (81.6%), the duration of each HD >4 hours (85.4%), three times a week (91.3%), having a BMI >29 kg/m2 (89.3%), and hypertension (42.7%). The respondents experienced major problems in their QOL on the burden of ESRD (33.50±24.64), physical (39.57±8.94), and mental component summary (52.62±10.39) dimensions. Respondent's characteristics, including education level, duration of each HD, and diagnosis with ESRD undergoing HD, contributed to their QOL (p <0.05). The patient's QOL needs to be improved through the family and health worker's support.

Survey on the psychosocial impact of COVID-19 on the Sri Lankan mental healthcare system and the needs of frontline healthcare workers in the post-covid era.

The COVID-19 pandemic severely strained the health care in Sri Lanka. The subsequent economic crisis compounded this issue. Priority was given to treating those afflicted with COVID-19 and preventing its spread, and healthcare staff faced immense difficulties dealing with the situation. The psychosocial impact of COVID on health care staff has not been properly assessed or addressed. A study was conducted to identify the psychosocial impact of COVID-19 among four different categories of health care workers, and perform a needs assessment among these groups. A convenient sample of frontline health workers, mental health teams, 1926 mental health helpline workers and 1990 Suwa Sariya emergency ambulance service staff were assessed via a self-administered questionnaire for mental health impact, work capacities and needs. Among frontline workers (n=188), 42.5% experienced anxiety symptoms, 12.8% depressive symptoms and 4.1% suicidal thoughts. Most (58.9%) lacked a psychological support system at the workplace. Only 20% have accessed specific programs or services at their workplace to obtain support for mental health issues, and all have benefitted from them. All categories of health workers lacked training and resources. The findings demonstrate that a significant amount of health care workers undergo psychological problems in the course of their work especially in the aftermath of the COVID-19 pandemic. The analysis reveals that Sri Lanka lacks structured psychological support systems for health workers and needs more resources and training. Psychological support for health workers through strengthening resources and training should be prioritised when planning service development.

Effect of Structured Yoga Program on Stress and Well-being Among Frontline Healthcare Workers During COVID-19 Pandemic.

Frontline healthcare workers are at risk of developing psychological distress during a pandemic. Yoga, a form of mind-body medicine can reduce body stress and increases well-being. To assess the effect of yoga on the stress and well-being of healthcare workers during the COVID-19 pandemic. This single-arm pre-post study was conducted among frontline health workers (support staff, paramedics, and medics) posted at a secondary care hospital in a North Indian district. Basic demographic details, blood pressure, anthropometric variables like height, weight, and biochemical variables like glycosylated hemoglobin (Hb1Ac), fasting and post-prandial blood sugar, lipid profile, serum cortisol, and C-reactive protein were measured. Stress levels were assessed using the depression anxiety and stress scale (DASS)-21 while well-being was assessed using the World Health Organization (WHO)-5 well-being scale.Twelve weeks of supervised yoga session was provided for 1 hour per session, 3 times per week. The mean value was compared from baseline to post-intervention with paired t-test/Wilcoxon signed rank test. A total of 89 participants were enrolled, 53 (59.5%) being male. Two-thirds of the participants were aged 20-39 years. During follow-up, 80 participants completed 12 weeks of yoga sessions. Post-intervention DASS-21 score decreased and WHO-5 increased significantly. The glycosylated hemoglobin (HbA1c) level and cholesterol-HDL ratio decreased significantly. Other variables didn't change significantly. No adverse effects were reported by the participants. Supervised structured yoga sessions helped decrease stress, depression, and anxiety and improved well-being. Therefore, it can be a feasible strategy to manage workplace-related stress and phycological morbidities.

Factors Related to Fe Tablet Consumption Compliance among Pregnant Women in The Work Area of Pasir Jaya Health Centre Tangerang District

Background: The prevalence of anemia in pregnant women in Indonesia is 70%, or 7 out of 10 pregnant women suffer from anemia. The low adherence of pregnant women in taking iron supplements is one of the reasons the prevalence rate of anemia is still high. Purpose: To determine the factors related to compliance with consumption of Fe tablets in pregnant women in the work area of ​​the Pasir Jaya Health Center, Tangerang Regency in 2022 Methods: The research design used is descriptive correlation. This research uses the Cross Sectional method. The number of samples or respondents is 77 respondents with the Simple Random Sampling technique. Result: The results of the study showed that of the 77 respondents used as the research sample, the results obtained were that 27 respondents had non-compliant compliance criteria with a percentage of 35.1%, and 50 respondents had compliance criteria with a percentage of 64.9%. There is a relationship between knowledge and non-compliance with the sig value. of 0.046, there is a relationship between perception and compliance with the sig value. of 0.018, there is a relationship between family/husband support and compliance with the sig. of 0.016, and there is no relationship between the support of health workers and adherence to the sig. of 0.836. Conclusions: It is recommended that pregnant women adhere to consuming iron tablets during pregnancy and know the consequences if they are not consumed properly. Iron tablets that have been given by health workers.

Faktor yang Memengaruhi Penerapan Protokol Kesehatan di Masa Pandemi Covid-19 pada Pengunjung RSUD Tanjung Pura

Health development in Indonesia generally aims to increase awareness, ability and willingness to live healthily for every resident in order to achieve the highest level of health, especially during the Covid-19 pandemic. The aim of this research is to determine the influence of knowledge, attitudes and support from health workers on the implementation of health protocols during the Covid-19 pandemic among visitors at Tanjung Pura Hospital, Langkat Regency. The method in this research uses an analytical survey with a cross-sectional approach. The research population was all visitors to Tanjung Pura Regional Hospital in October 2022 with a total sample of 96 people using the Accidental Sampling technique. The data collected was obtained by interviews using a questionnaire. Data analysis used univariate and bivariate analysis. The results of the study showed that knowledge was poor as much as 57.3%, positive attitude was 56.3%, support from health workers was poor as much as 53.1%. The results of bivariate analysis show that the knowledge variable is 0.000, attitude is 0.001, support from health workers is 0.001. So it can be concluded that there is an influence of the variables of knowledge, attitudes and support of health workers on the implementation of health protocols during the Covid-19 pandemic. It is recommended that hospitals implement strict health protocol checks, such as carrying out checks at hospital entrances, making regulations regarding health protocol raids, and imposing sanctions for those who do not comply with health protocols.

COMMUNITY SERVICE VILLAGE DEVELOPMENT PARTNER PKM- PDM WASTE INDEPENDENT VILLAGE IN KELING JEPARA VILLAGE

Background: Breast milk is also an important source of energy and nutrients during illness, and reduces mortality among malnourished children. Breastfeeding is a physiological process to provide nutrition to the baby optimally. To review evidence related to factors that influence the success of exclusive breastfeeding for working mothers. In Scoping review using the framework from Arksey and O'Malley, which focuses reviews with the PEOS framework, conducts literature searching using relevant databases and gray literature, selects relevant studies using inclusion and exclusion criteria, conducts critical appraisal for article quality assessment, conducts data extraction, analyzes and can report results. There were 8 articles selected and received Grade A. 8 articles were obtained research conducted in developing countries. There are 7 factors that affect the success of exclusive breastfeeding for working mothers, namely knowledge, educational status, breastfeeding facilities, employment status, husband support, family support, and health worker support.

IMPORTANCE OF SOCIAL SUPPORT AGAINST EXTERNAL PREGNANCY; A CASE REPORT

Background: Social Support is one of the things that is very necessary in pregnancy because of its very broad impact on the welfare of pregnant women and the fetus they contain. Assistance carried out by midwives and doctors on an ongoing basis or Continuity of Care for pregnant women, childbirth, postpartum, neonates is very necessary to do. Continuity of care in midwifery is a service that is achieved when there is a continuous relationship between a woman and a midwife. There needs to be an understanding that in providing midwifery services in Continuity of Care (COC) ways, it is hoped that mothers will be able to undergo pregnancy, childbirth, postpartum, neonates. Case report:. The importance of the support of husbands, family, relatives and health workers can have a huge impact on the condition of mothers and babies, especially during pregnancy. The role of companion is very important, especially for pregnant women who have lost support system during pregnancy by providing assistance both physically and psychologically because it will have an impact on pregnancy outcomes. Conclusion: The assistance that has been carried out through continuous care has been maximized. Even though mothers cannot directly monitor mothers, assistance has also been sought through telemedicine. It is hoped that midwives can maintain or improve quality service quality with Continuity of Care (COC) midwifery care during pregnancy, childbirth, postpartum and BBL.

ANALISIS FAKTOR YANG BERHUBUNGAN DENGAN TINGKAT KEPATUHAN MINUM OBAT PADA PASIEN TBC

Tuberculosis is an infectious disease that infects the body, especially the lungs caused by the Mycobacterium tuberculosis bacterium. Compliance with taking medication is very important in efforts to cure and reduce transmission. The prevalence of tuberculosis in Indonesia is a disease that causes a high number of morbidity and mortality. This study aims to determine the analysis of factors related to the level of medication adherence in TBC patients. The research methodology used in this study used cross-sectional. The sample of this research is 40 respondents using total sampling. The research instrument consisted of questionnaires about adherence to taking medication based on MMAS-8, patient knowledge, family support, support from health workers, and age. This questionnaire has been tested for validity and reliability with a cronbach's alpha coefficient of 0,468. Data analysis used Chi-square. The results of this study showed that out of 40 respondents there was no significant relationship between patient knowledge and the level of adherence to taking TB medication, p-value 0,869 (> 0,05), family support with a level of adherence to taking TB medication obtained p-value 0,119 (> 0,05), the support of health workers with the level of adherence to taking TB medication obtained p-value 0,234 (> 0,05) and age with a level of adherence to taking TB medication obtained p-value 0,112 (> 0,05).