Increase Health Knowledge Research Articles

Identification of Socio-Demographic Factors with the Incidence of Stunting in Elementary School Children in Rural Enrekang

Objective: Stunting is a major health emergency in most developing countries, including Indonesia. The total number of stunting children in 2019 in Enrekang Regency is quite high at 44.8%. Therefore, this study aims to determine the relationship between maternal knowledge, maternal education level, and the number of family members with the incidence of stunting in elementary school children in rural Enrekang, South Sulawesi. Method: An analytical observational study with a cross sectional approach. The subjects of the study were the mother and her child aged 6-12 years. Data collection using microtoa and questionnaires. 100 total samples were collected based on purposive sampling method. Data analysis using chi-square. Results: This study shows the proportion of stunted children 72.0%, maternal knowledge less 90.0%, low maternal education 66.0%, family size 95.0%. The results of statistical tests showed a significant relationship between maternal knowledge (p = 0.027) and the incidence of stunting. Meanwhile, the level of maternal education (p = 0.992) and the number of family members (p = 0.919) are not related to stunting events. Conclusion: There is a significant relationship between maternal knowledge and stunting events. Increasing health knowledge and nutritional awareness in mothers through health promotion, stunting education with posters and the distribution of leaflets on sustainable stunting is a toll road in tackling chronic nutrition in children in rural Enrekang

The role of community health workers in influencing social connectedness using the household model: a qualitative case study from Malawi

ABSTRACT Background Community health workers (CHWs) play a vital role in facilitating social connectedness, building trust, decrease stigma, and link communities to essential healthcare and social support services. More studies are needed to understand the factors facilitating these interactions among CHWs, clients, and community members. Objective This study examined the CHW role and relationships between CHWs, communities, and health facilities that promote trust, positive relationships, and social connectedness. Methods In 2016, the CHW program in Neno District, Malawi, was transitioned to a household-level assignment of CHWs to provide screening, linkage to care, and psychosocial and chronic disease support from a disease-based program. We employed an exploratory qualitative study with thematic analysis linked to Fredrickson’s broaden-and-build theory of positive emotions through focus group discussions (FGDs) and in-depth interviews (IDIs) to understand the impact of the household assignment. We purposively sampled community stakeholders, CHWs, health service providers, and clients (total N = 180) from October 2018 through March 2020. All interviews were audiotaped, transcribed verbatim, translated, coded, and analyzed. Results Participants reported decreased stigma and discrimination with increased trust and confidence in CHWs with household-level assignment. Positive relationships between CHWs in their households, community members, and health facility staff fostered health knowledge, individual agency, and personal resources for the community members to access health services. Community members’ personal resources of increased health knowledge, trust, gratitude, and social support improved social connectedness and subjective wellbeing. Areas to improve positive relationships include CHWs maintaining confidentiality and caring for pregnant women. Conclusion Our study findings demonstrate that by building solid relationships as a community chosen, well informed, and household-level workforce, CHWs can develop positive relationships with communities and the health-care facility staff through building knowledge, trust, gratitude, and hope. Further work is needed in maintaining CHW confidentiality and new ways to approach culturally sensitive health areas.

705-P: CGM Attitudes and Adoption among People with Type 2 Diabetes Using One Drop

Background: Despite research establishing the strong benefits of continuous glucose monitors (CGMs) in the management of diabetes, adoption remains low among people with type 2 diabetes (T2D) . The present mixed-method study describes CGM attitudes and use among people with T2D. Method: Members with T2D with a paid subscription to One Drop completed a survey about One Drop and their health. Qualitative reasons for and against CGM adoption were coded and reported with descriptive statistics. Results: Of the 171 respondents, 55% were male, 70% were White, 86% were non-Hispanic and average age was 55.4 (SD=11.7) . Approximately 92% of members reported logging their blood sugar daily or weekly, 96% of members found One Drop’s health logging features helpful, and 95% found the glucose analysis and reports helpful. Most members were familiar with CGM devices (90%) , and of that group, 83% had never tried one. Most of those familiar with CGMs were also open to CGM adoption (N=107; 79%) . Reasons for openness included valuing continuous feedback (28) , relief from fingersticks (15) , convenience (12) and improved diabetes management (12) , while a subset expressed concerns about insurance coverage and costs (12) . Those not open to CGM adoption (N=29) cited a lack of need (9) , lack of familiarity (4) , inconvenience (3) , pain/size of devices (3) and costs (2) . Conclusion: Despite their established benefit, CGM adoption among people with T2D is concerningly low. While awareness and interest in CGM adoption is high, costs are a concern, and there is a subset that would benefit from more education and exposure. Advancements in device technology, reimbursement policy as well as interventions to increase health knowledge and motivation are warranted to better meet the needs and preferences of people with T2D. Disclosure L.Sears: Employee; One Drop. S.D.Imrisek: Employee; One Drop. J.R.Hoy-rosas: None. L.M.Lavaysse: Employee; One Drop. M.Lee: Employee; One Drop. M.R.Chapman: Employee; One Drop. J.Dachis: Board Member; One Drop, Employee; One Drop, Stock/Shareholder; One Drop.

Determinants of institutional maternity services utilization in Myanmar.

Maternal mortality is a persistent public health problem worldwide. The maternal mortality ratio of Myanmar was 250 deaths per 100,000 live births in 2017 which was the second-highest among ASEAN member countries in that year. Myanmar's infant mortality rate was twice the average of ASEAN member countries in 2020. This study examined factors influencing institutional maternity service utilization and identified the need for improved maternal health outcomes. A cross-sectional study design was used to examine the experience of 3,642 women from the 2015-16 Myanmar Demographic and Health Survey by adapting Andersen's Behavioral Model. Both descriptive and inferential statistics were applied. Adjusted odds ratios and 95% confidence interval were reported in the logistic regression results. The findings illustrate that the proportion of women who delivered their last child in a health/clinical care facility was 39.7%. Women live in rural areas, states/regions with a high levels of poverty, poor households, experience with financial burden and the husband's occupation in agriculture or unskilled labor were negatively associated with institutional delivery. While a greater number of ANC visits and level of the couple's education had a positive association with institutional delivery. The determinants of institutional delivery utilization in this study related to the institutional facilities environment imply an improvement of the institutional availability and accessibility in rural areas, and different states/regions, particularly Chin, Kayah and Kachin States- the poorest states in Myanmar. The poverty reduction strategies are urgently implemented because problems on health care costs and household economic status played important roles in institutional delivery utilization. The ANC visits indicated a significant increase in institutional delivery. The government needs to motivate vulnerable population groups to seek ANC and institutional delivery. Moreover, education is crucial in increasing health knowledge, skills, and capabilities. Thus, improving access to quality, formal, and informal education is necessary.

Use of technology to prevent, detect, manage and control hypertension in sub-Saharan Africa: a systematic review

ObjectiveTo identify and assess the use of technologies, including mobile health technology, internet of things (IoT) devices and artificial intelligence (AI) in hypertension healthcare in sub-Saharan Africa (SSA).DesignSystematic review.Data sourcesMedline,...

Pendidikan Kesehatan Pencegahan Diabetes Melitus pada Masyarakat Tanjung Anom

Kejadian Diabetes Melitus pada masyarakat masih tinggi, dan perlu dilakukan pencegahan agar masyarakat dapat menghindarinya. Pengabdian masyarakat ini dilaksanakan dalam rangka pemberian pendidikan kesehatan sebagai upaya dalam meningkatkan pengetahuan kesehatan masyarakat tentang pencegahan diabetes melitus. Metode yang digunakan adalah ceramah dan penggunaan media audio visual, dan sebagai media evaluasi diguanakn kuesioner pra dan pascates. Sebanyak 30 peserta mengikuti pendidikan kesehatan, capaian rata-rata hasil isian kuesioner pascates dengan selisih 2,37 poin dari prates. Terdapat peningkatan pengetahuan masyarakat tentang pencegahan DM.

Improving the Compliance of Fluid Diet of Patients with Chronic Kidney Failure with Family Support-Based Health Education

Background: Failure of kidney function can lead to complications of other health problems, one of which is the condition of excess fluid volume caused by non-compliance with fluid dietary restrictions so that it triggers hypervolemia and results in excessive circulation burden, edema, cardiovascular disorders, impaired cognitive function and can lead to cause death. It is expected that patients with chronic renal failure undergoing hemodialysis therapy can comply with the prescribed fluid diet restrictions. Therefore, in increasing compliance, strong support is needed regarding the importance of fluid diet restriction management.
 Objective: The purpose of this study was to analyze the Effect of Family Support-Based Health Education on Fluid Diet Compliance in Chronic Kidney Failure Patients.
 Methods: The design of this study was a quasi-experimental with a pre and post design approach. The population of all patients with chronic kidney failure at Islamic Hospital Of Surabaya A. Yani was 82 patients. The sample size is 48 respondents. The sampling technique used simple random sampling. Patients are given family support-based health education in an effort to increase health knowledge in improving the health status of patients with chronic kidney failure with a family support approach to improve adherence to the fluid intake diet. The analysis used the Wilcoxon Signed Ranks test with p value < 0.05.
 Results: The results of this study indicate p = 0.000 which means that there is a significant effect of Fluid Diet Adherence before and after Family Support-Based Health Education.
 Conclusion: Family Support-Based Health Education is effective in improving Fluid Diet Adherence in patients with chronic renal failure and is highly recommended for patients undergoing hemodialysis therapy.

Evaluating the user-perceived benefit of a virtual patient education and support community: LVNG With Lung Cancer.

92 Background: The accessibility and quality of network support for people living with lung cancer (PLW) and their support partners (SP) can vary. Virtual platforms provide a unique opportunity for PLW/SP peer support and disease education; the challenge is to measure impact. Methods: Our aim was to determine user-perceived benefit of the Facebook-based virtual community LVNG With Lung Cancer ( https://www.facebook.com/LVNGWithLungCancerUS ). Qualitative interviews were conducted with community members aged ≥18 yrs and living with lung cancer or actively supporting someone who had lung cancer. Also, inbound community comments (Dec 2015–Oct 2016) were retrospectively analyzed and grouped by similarity of content. Results: 18 PLW and 2 SP were interviewed (N = 20, saturation of concept met within the first 10). Mean yrs since diagnosis was 2.75 (range 0.08–17). Of the total expressions of benefit (n = 513) made during the interviews, 32% focused on increased health knowledge, with most participants calling out cancer information, good health behaviors, and coping strategies as key community benefits. Social impacts of the community accounted for 28% of benefit expressions; having a forum to share experiences and having a supportive environment were most frequently cited. An additional 18% of benefit expressions revealed that the community gives members feelings of empowerment, including feeling less alone (55% of respondents) and feeling inspired to help others (40% of respondents). Benefits received from community membership led to behavioral change in many respondents: 55% asked their doctor more questions, 50% shared helpful experiences with other members, and 35% took a more active role in their healthcare. In a notable example, an SP member said the community provided her with the knowledge she needed to address her symptoms and fears with her doctor, who was hesitant to biopsy because she did not meet typical risk criteria. Her self-advocacy was successful and ultimately led to an early lung cancer diagnosis. Results from the retrospective analysis of actual postings (n = 24,336; all unique users during evaluation period: n = 12,187) reflected the themes patients offered during interviews as important reasons to participate: 63% of postings were asking for or sharing cancer information, 98% provided emotional support and/or understanding, and 84% were inspirational/optimistic. Conclusions: This dual approach of assessing real-world impact of a virtual Facebook community provided insight into the benefit that members derive and highlighted the integral role of support groups in patient-centric care. Importantly, once members’ emotional and educational needs were met, they were empowered and/or inspired to take positive actions leading to better health behaviors and increased quality of life – an outcome that may have wider applicability for diseases beyond lung cancer.

School-Based Mental Health Literacy Educational Interventions in Adolescents: A Systematic Review

Background and Objective: Poor health literacy is a major obstacle to seeking help for health problems in adolescents. The purpose of this study was to investigate the effect of school-based educational interventions on improving health literacy (MHL) in adolescents.  Materials and Methods: In this study, a search was conducted in Scopus, PubMed, Web of Science, Google Scholar, Irandoc, Magiran, and SID databases in both Persian and English language for studies published from 2011 to 2021. The keywords adolescent, mental health literacy, depression literacy, intervention, education, and high school were searched in both languages. Out of 191 articles extracted and finally, 6 articles were included in this study.  Results: The results of the study conducted in Norway showed that the individualâ��s health literacy who participated in the all Mental Health program was significantly increased compared to those in the control group; findings of a study conducted in Australia reported that MHL in the intervention group was significantly higher than the control group after intervention (P <0.05). But, attitudes toward seeking help did not change. A Canadian study indicated that the health curriculum significantly increased health knowledge and reduced tagging (P <0.001); furthermore, an Iranian study demonstrated that the mean score of MHL in the intervention group was significantly increased compared to the control group after the educational intervention (P <0.001). In the study, which was conducted in the US, depressive literacy in the intervention group was significantly increased 4 months after the intervention. However, results of one study showed that education intervention is more effective than contact based intervention with an ill person (P <0.001).  Conclusion: Evidence highlights that although studies have used a variety of methods for adolescent health literacy interventions in schools, all studies have had a positive effect on health literacy. Given that studies used self-report assessment to measure MHL outcomes. Thus, coni¬�rmation of these i¬�ndings with objective tools is still needed.

Health ambassadors in the workplace: a health promotion intervention mobilizing middle managers and RE-AIM evaluation of outcomes

BackgroundThe workplace provides an ideal setting for health promotion, as adults spend most of their day at work. Middle managers hold a strategic position to lead workplace health promotion. This study evaluates the outcomes of an intensive intervention training middle managers to promote health in the workplace.MethodsA workshop was designed and conducted to train female middle management employees to construct, implement, and evaluate a health promotion program in their workplace. Semi-structured interviews were carried out post-intervention to assess workplace health promotion outcomes according to the RE-AIM framework, and identify variables contributing to success. Additionally, questionnaires were distributed pre and post-program assessing personal health and self-efficacy changes.ResultsEighteen participants from 13 government offices, who serve 19,560 employees, completed the training course. Nine workplaces had workplace health promotion programs in progress 12 months after the course had ended, of which 8 made health promotion changes in organizational policy. Workplace RE-AIM scores showed that 8 workplaces were high or partial performers, and 5 were low or non-performers. Factors that increased the likelihood of successful interventions included management support, steering committee, comprehensive programming, conducting a needs assessment and flexibility in program implementation in the presence of challenges. Post course, participants reported increased health knowledge related to workplace health promotion (p < 0.001), and increased health promotion self-efficacy (p < 0.05).ConclusionsTraining and continued guidance of middle managers resulted in the design and successful implementation of workplace health promotion interventions. A RE-AIM based assessment was found to be an effective method for evaluating multi-content workplace health promotion programs.Registered at ClinicalTrials.gov, https://www.clinicaltrials.gov, registration number:NCT03295136, registration date: 24/09/2017.

Acceptability of a Mobile Phone Support Tool (Call for Life Uganda) for Promoting Adherence to Antiretroviral Therapy Among Young Adults in a Randomized Controlled Trial: Exploratory Qualitative Study.

BackgroundAdherence to treatment is critical for successful treatment outcomes. Although factors influencing antiretroviral therapy (ART) adherence vary, young adults are less likely to adhere owing to psychosocial issues such as stigma, ART-related side effects, and a lack of access to treatment. The Call for Life Uganda (CFLU) mobile health (mHealth) tool is a mobile phone–based technology that provides text messages or interactive voice response functionalities through a web interface and offers 4 modules of support.ObjectiveThis study aims to describe the acceptability and feasibility of a mobile phone support tool to promote adherence to ART among young adults in a randomized controlled trial.MethodsAn exploratory qualitative design with a phenomenological approach at 2 study sites was used. A total of 17 purposively selected young adults with HIV infection who had used the mHealth tool CFLU from 2 clinics were included. In total, 11 in-depth interviews and 1 focus group discussion were conducted to examine the following topics: experience with the CFLU tool (benefits and challenges), components of the tool, the efficiency of the system (level of comfort, ease, or difficulty in using the system), how CFLU resolved adherence challenges, and suggestions to improve CFLU. Participants belonged to 4 categories of interest: young adults on ART for the prevention of mother-to-child transmission, young adults switching to or on the second-line ART, positive partners in an HIV-discordant relationship, and young adults initiating the first-line ART. All young adults had 12 months of daily experience using the tool. Data were analyzed using NVivo version 11 software (QSR International Limited) based on a thematic approach.ResultsThe CFLU mHealth tool was perceived as an acceptable intervention; young adults reported improvement in medication adherence, strengthened clinician-patient relationships, and increased health knowledge from health tips. Appointment reminders and symptom reporting were singled out as beneficial and helped to address the problems of forgetfulness and stigma-related issues. HIV-related stigma was reported by a few young people. Participants requested extra support for scaling up CFLU to make it more youth friendly. Improving the tool to reduce technical issues, including network outages and a period of software failure, was suggested. They suggested that in addition to digital solutions, other support, including the promotion of peer support meetings and the establishment of a designated space and staff members for youth, was also important.ConclusionsThis mHealth tool was an acceptable and feasible strategy for improving ART adherence and retention among young adults in resource-limited settings.Trial RegistrationClinicalTrials.gov NCT02953080; https://clinicaltrials.gov/ct2/show/NCT02953080

Qualitative Process Evaluation of an Agricultural Livelihood Project in Bangladesh: Multi-Sectoral Nutrition Programming Through Implementation Science

Abstract Objectives We conducted a process evaluation to examine the perceptions of program implementers, community leaders, and beneficiaries to assess the intervention's acceptability and to document how multisectoral agricultural livelihood interventions were implemented. Methods Interventions were implemented from March 2019 to March 2020 in 30 unions of three Bangladeshi districts. Delivered by community partners, interventions aimed to improve health and nutrition service utilization, social and behavior change regarding infant and young child feeding (IYCF), and homestead food production (through community farmers or private sector agro-input retailers) among poor mothers of under-two children. Leveraging the RE-AIM framework, we evaluated implementation through in-depth interviews with service providers (n = 13), focus group discussions with beneficiaries (8 sessions), and process documentation (12 events). Results Most service providers, community leaders, and beneficiaries expressed satisfaction with interventions and a desire to continue participation. Beneficiaries especially appreciated the health and nutrition education provided through different formats, including mothers' group meetings, voice messages, home visits, counseling at health facilities, and education on food production by community farmers or retailers. Additionally, beneficiaries described increased health knowledge and highly valued material benefits offered through vegetable seeds and poultry rearing inputs. Beneficiaries appreciated retailers' support to grow vegetables and raise chickens and awareness efforts on the importance of good nutrition and IYCF practices. However, findings suggested community farmers offered more interpersonal support than retailers. Service providers noted the importance of sustained community engagement. Conclusions Findings suggest that tested interventions combining food production with health and nutrition education are a viable, acceptable approach to promoting improved IYCF practices. Existing community-based organizations can reach vulnerable households with multisectoral nutrition approaches. Funding Sources United States Agency for International Development (USAID).

Evaluating the user-perceived benefit of a virtual lung cancer patient education and support community: LVNG With Lung Cancer.

e24102 Background: The accessibility and quality of network support for people living with lung cancer (PLW) and their support partners (SP) can vary. Virtual platforms provide a unique opportunity for PLW/SP peer support and disease education; the challenge is to measure impact. Methods: Our aim was to determine user-perceived benefit of the Facebook based virtual community LVNG With Lung Cancer ( https://www.facebook.com/LVNGWithLungCancerUS ). Qualitative interviews were conducted with community members aged ≥18 yrs and living with lung cancer or actively supporting someone who had lung cancer. Also, inbound community comments (Dec 2015–Oct 2016) were retrospectively analyzed and grouped by similarity of content. Results: 18 PLW and 2 SP were interviewed (N = 20, saturation of concept met within the first 10). Mean yrs since diagnosis was 2.75 (range 0.08–17). Of the total expressions of benefit (n = 513) made during the interviews, 32% focused on increased health knowledge, with most participants calling out cancer information, good health behaviors, and coping strategies as key community benefits. Social impacts of the community accounted for 28% of benefit expressions; having a forum to share experiences and having a supportive environment were most frequently cited. An additional 18% of benefit expressions revealed that the community gives members feelings of empowerment, including feeling less alone (55% of respondents) and feeling inspired to help others (40% of respondents). Benefits received from community membership led to behavioral change in many respondents: 55% asked their doctor more questions, 50% shared helpful experiences with other members, and 35% took a more active role in their healthcare. In a notable example, an SP member said the community provided her with the knowledge she needed to address her symptoms and fears with her doctor, who was hesitant to biopsy because she did not meet typical risk criteria. Her self-advocacy was successful and ultimately led to an early lung cancer diagnosis. Results from the retrospective analysis of actual postings (n = 24,336; all unique users during evaluation period: n = 12,187) reflected the themes patients offered during interviews as important reasons to participate: 63% of postings were asking for or sharing cancer information, 98% provided emotional support and/or understanding, and 84% were inspirational/optimistic. Conclusions: This dual approach of assessing real-world impact of a virtual Facebook community provided insight into the benefit that members derive and highlighted the integral role of support groups in patient-centric care. Importantly, once members’ emotional and educational needs were met, they were empowered and/or inspired to take positive actions leading to better health behaviors and increased quality of life – an outcome that may have wider applicability for diseases beyond lung cancer.

Digital Health Intervention to Increase Health Knowledge Related to Diseases of High Public Health Concern in Iringa, Tanzania: Protocol for a Mixed Methods Study.

BackgroundTraditionally, health promotion and health education have been provided to communities in the global south in the form of leaflets or orally by health care workers. Digital health interventions (DHIs) such as digital health messages accessed by smartphones have the potential to reach more people at a lower cost and to contribute to strengthening of health care systems. The DHI in this study focuses on disseminating digital health education regarding 3 disease complexes of high public health concern: HIV/AIDS, tuberculosis, and Taenia solium (neuro)cysticercosis or taeniasis, a parasitic zoonotic disease that requires a One Health approach. The DHI presents the participants with animated health videos (animations) and provides access to information spots (InfoSpots) with a free-of-charge digital health platform containing messages about health to rural Tanzanian communities.ObjectiveThe objective of this study is to measure the effect of the DHI on health knowledge uptake and retention over time in the rural communities.MethodsThis is a mixed methods study including a nonrandomized controlled trial and qualitative interviews conducted in rural Tanzania. A health platform containing digital health messages for the communities was developed prior to the study. The health messages consist of text, pictures, quizzes, and animations of everyday stories, aimed at disease prevention and early treatment. The baseline and immediate postintervention assessments were completed in Iringa, Tanzania in May 2019. The participants were interviewed by enumerators and completed questionnaires regarding health knowledge. Participants in the intervention group were exposed to 3 different health animations once on a tablet device. The participants’ health knowledge was assessed again immediately after the exposure. The first follow-up survey was undertaken in August 2019. The InfoSpots with the digital health platform were thereafter launched in the intervention villages in November 2019. Qualitative interviews were undertaken in February 2020. The second follow-up was completed in June 2020.ResultsA total of 600 participants have been enrolled in the trial. We will assess (1) the difference in knowledge scores between baseline and the immediate postintervention assessments in the intervention group and (2) the difference in knowledge scores between the intervention and control groups at baseline, 3 and 6 months post-DHI rollout. Since a randomized design did not prove feasible, potential confounders (eg, age, gender, education, and time of exposure) may be introduced, and results will be adjusted. Data analysis for the 35 qualitative interviews is currently ongoing, and perspectives and experiences related to use and nonuse of the InfoSpots are being explored.ConclusionsThe data have been collected, and the analysis is ongoing in this digital health study, aimed at evaluating the effects of a DHI based on relevant health messages. The publications of results can be expected this year.Trial RegistrationClinicalTrials.gov NCT03808597; https://clinicaltrials.gov/ct2/show/NCT03808597International Registered Report Identifier (IRRID)RR1-10.2196/25128

Penyuluhan tentang Gambaran Diabetes Melitus pada Wanita Usia Subur di Desa Penyengat Olak Kecamatan Jambi Luar Kota Kabupaten Muaro Jambi Tahun 2019

The percentage of diabetes mellitus in women of reproductive age needs to be monitored and watched out for. Women with diabetes before pregnancy are more likely to have babies with congenital defects if their glycemic control is below optimal during the first trimester of pregnancy. Target and outcome: to increase knowledge and mindset on the health of women of childbearing age. The goal is to increase health knowledge about the picture of diabetes mellitus in women of childbearing age and changes in behavior from information provided through counseling and giving leaflets as reading material to get used to living healthy and away from things that aggravate health conditions, especially the picture of diabetes mellitus in women of childbearing age. Implementation methods: administrative preparation, socialization, presentation by providing counseling and distribution of leaflets about the description of diabetes mellitus to women of childbearing age in Penyegat Olak Village, Jambi Sub-district, Outer City, Muaro Jambi Regency in 2019, and finally a discussion. Results: Implementation of counseling and distribution of leaflets on the description of diabetes mellitus was given to 40 women of childbearing age. Evaluation carried out after the mother has been given counseling can explain an increase in health knowledge about the picture of diabetes mellitus in women of childbearing age. Behavior changes in women of childbearing age include implementing good things, getting used to living healthy and staying away from things that aggravate the condition of women with diabetes mellitus

EFEKTIVITAS PENINGKATAN PENGETAHUAN KESEHATAN GIGI DAN MULUT MENGGUNAKAN MEDIA VIDEO DAN PERMAINAN ULAR TANGGA PADA SISWA SEKOLAH DASAR NEGERI CANDI 01 SEMARANG

Background: Dental caries is one of the serious health problems in school children. This put children on high risk of school achievement decreasing and lack of nutrition. It is important to provide them a health education which could be done by play program. There were two play programs proven as effective for health education namely snake ladder and watching video. However, little is known which program is more effective. This study aimed to investigate differences of increasing dental and mouth health knowledge using snake lader media and video. Methods: This study employed Pretest-Posttest nonequivalent control group design and conducted in Candi 01 Elementary School, Semarang City. The sample of 74 people divided into 2 groups, 1 snake ladder group and 2 groups. Each group consisted of 37 people. Result: It was found that the snake ladder game was more effective in increasing health knowledge, in the Mann-Whitney alternative test the p value was 0.000 (p <0.005). Conclusion : There are differences in the benefits of health and oral knowledge using media videos and snake games on Candi 01 elementary school students in Semarang City .

Using the Reach, Effectiveness, Adoption, Implementation, Maintenance Framework in the Evaluation of Community-Based Adolescent Care Pilot Program

Posyandu Remaja (Posmaja) is a community-based adolescent care service in Indonesia that comprises a group of adolescents working as volunteers and healthcare workers under the guidance and responsibility of the Public Health Centre and City Health Office. The study aims to provide a formative evaluation program of Posmaja using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. This research used a qualitative approach and took place in South Tangerang City, Indonesia. The data were collected from July until December 2018. Nineteen people participated in the study. The study used in-depth interviews and focus group discussions that adopted the RE-AIM framework for data collection. Content analysis was used to analyze the collected data. The majority of Posmaja’s participants were male adolescents aged around 15 years old. Common themes generated were “adolescent empowerment,” “increasing health knowledge,” and “monitoring health and nutrition” as a result of doing the pilot program. Volunteers and healthcare workers recognized the benefits of Posmaja and thus encouraged the adoption of the program. This awareness, followed by the city Health Office’s willingness to fund and adopt the program, was viewed as highly necessary for the program’s continuation.

Prevalence of health problems among children and the role of health education in promotion of healthy habits

PurposeKindergarten children are more susceptible to diseases as they are still in the process of acquiring immunity. The purpose of this study was to assess kindergarten teachers’ and parents' perception of the prevalence of health problems among children in Kuwait and the role of health education in promotion of healthy habits.Design/methodology/approachThe methodological aim of this study was to assess the factors that affected kindergarten children's health as children suffered from health problems that affected their quality of life. Therefore, a questionnaire was administered to evaluate kindergarten teachers’ and parents' perception of the main factors that caused increased health problems among children at higher rates than before. A total of 164 teachers and parents were recruited for this study and the questionnaire was completed.FindingsThe results indicated that kindergarten children suffered from different health problems that affected their quality of life. Lack of health knowledge and education in the society was one of the main reasons for the prevalence of these health problems among young children in Kuwait. The findings offered insight about the importance of health education and promotion in prevention of diseases.Originality/valueThis study offers insights into how to increase health knowledge and education in the Kuwaiti community to prevent and decrease health problems that affect children's health.

26.E. Workshop: Context and practice of health literacy foundations

Abstract The Shanghai declaration (WHO 2016) stated the role that health literacy (HL) may play in the struggle for more equitable society. Moving from good intentions to social practices of HL reveals that the social context where HL is embedded is a key determinant of the establishment of social practices that may play a critical role in wellbeing and quality of life. Exploring how the translation of HL into a social context is achieved or how the social context may determine strategies to face the challenges that HL production need, is a relevant domain in the public health and health promotion agenda. The aim of this workshop is to share with the audience an opportunity to immerse in five social contexts and explore their HL practices. The first perspective is from Cameroon and the emphasis is on HL role in increasing health knowledge. The authors share the results of an ethnographic analysis of the role of school children in the development of HL in families. The second presentation will unveil one of the topics that is influencing health and well-being of children today when a large struggle to counter act sugar beverages is at the root of obesity. Therefore, a study case from Portugal will focus on HL impact on nutrition status and water intake in children showing the relevance of the social context considered a way forward in the struggle for health promotion. From Germany a third presentation will consider migrants and refugees children's role in promoting the family HL. Recent research on HL stresses the importance of the social context for children's HL, especially among vulnerable groups such as migrants and refugees. However, reaching migrants is difficult, so experts recommend adult second language courses (SLC) as promising settings to promote HL of migrants and their families. Yet, empirical evidence of promoting family health literacy (FHL) in SLC is scarce and therefore addressing such a topic is seminal towards improving the Shanghai HL vision above referred. In Switzerland, adolescent's mental health promotion is the focus of a psychoeducational tool in the pediatric primary care (PPC) that will be considered in the fourth presentation. The aim is to scrutinized this social context, increase mental health literacy of adolescents by implementing proactive mental health strategies and create an opportunity for open discussion with their pediatrician about mental health. Finally, the fifth presentation aims at illuminating (digital) HL practices using applied linguistics. HL is key to making well-informed health decision in analogous and virtual social situations and organizational contexts. Multiple models and instruments of HL exist, but an in-depth understanding of the various HL-related everyday life situations and their digital and linguistic requirements are scarce. Here, the expertise and necessary skills for everyday communication, including health, are the object of an ethnographic research to help fill this gap. Key messages The relevance of the social context and how changes of this context can lead to transformations that influence health literacy of children is a way forward in the struggle for health promotion. share with the audience an opportunity to immerse in five social contexts and explore their HL practices.

HUBUNGAN PENGETAHUAN ORANG TUA DENGAN KEPATUHAN PENGOBATAN PADA ANAK PENDERITA TUBERCULOSIS (TBC) DI PUSKESMAS PERAK TIMUR SURABAYA

Tuberculosis is a disease that is transmitted through the respiratory system that can attack at any age, especially at the age of children who experience decreased immune system and close contact with people with Tuberculosis caused by Mycobacterium tuberculosis. The purpose of this study was to determine the relationship of parental knowledge with treatment adherence in children with tuberculosis. The method used in this study is to use a cross-sectional method. The population in this study was 15 with the number of samples used as research respondents was 15 respondents (parents). Sampling is done by Total Sampling. The research instrument used was a questionnaire, observation and interview. The results showed that as many as 9 respondents (60%) had a sufficient level of knowledge with compliant behavior. Analysis of data using the Spearman test and obtained a significance value (p) of 0.620 where p &lt;0.05, which means there is no relationship between parental knowledge and medication adherence in children with tuberculosis. It can be concluded that there is no relationship between parental knowledge and treatment adherence in children with tuberculosis in Puskesmas Perak Timur Surabaya.With this research, it is expected to increase health knowledge, especially in children with tuberculosis in the Health Center in East Surabaya Surabaya by means of health education.