Local Health Centers Research Articles

Perbedaan Angka Kebersihan Gigi dan Mulut (HI) Anak Umur 12 Tahun yang Menyikat Gigi dengan Teknik Kombinasi Fone’s Horizontal dan Roll Horizontal di SDN 06 dan 21 Taluak IV Suku

Dental caries is the most common oral health problem experienced by the public, with plaque being the main cause. Brushing teeth is an effective method for removing plaque, where the brushing technique plays a crucial role in oral hygiene. Elementary Schools (SDN) 06 and 21 Taluak IV Suku regularly receive visits from the local health center every six months for dental check-ups. SDN 06 has never conducted a mass tooth brushing activity, while SDN 21 does it routinely every Wednesday, guided by trained student health officers. Preliminary studies showed that 60% of the children from both schools brush their teeth once a day using a horizontal technique. This study aims to compare the oral hygiene of 12-year-old children who use the combination of Fone’s-horizontal technique and the combination of roll-horizontal technique. The research design is a quasi-experimental study with pretest and posttest. The population consisted of 50 children, with 48 samples taken using the saturated sampling technique. Dental hygiene was measured using the Hygiene Index, and data were analyzed using the independent t-test (α < 0.05). The results showed an average improvement of 16% for the Fone’s-horizontal technique and 36% for the roll-horizontal technique, with a p-value of 0.000 (< 0.05). In conclusion, the roll-horizontal combination technique is more effective, and children are advised to brush their teeth using this technique twice a day to prevent dental and oral diseases.

IMPACT OF GROUP-BASED DIGITAL GAMING INTERVENTION AMONG INDIVIDUALS LIVING WITH EARLY TO MODERATE DEMENTIA

Abstract Slowing the progression of dementia and maintaining good behavioral and psychological symptoms are important aspects of life for individuals living with dementia and their caregivers. This study involved a group-based digital gaming system called Obie Technology as an interactive intervention for individuals living with dementia at a local adult day health center for 20 weeks, from mid-November 2023 to mid-April 2024. This gaming system promotes movement, stimulates cognitive activity, and encourages socialization. For example, colorful balloons float around the board or floor as clients try to hit as many as they can. A mixed methods approach with a pre-post design was employed to examine the effects of the intervention on cognitive function, mood, and behaviors in 24 individuals with early or moderate-level dementia. The average scores of the Montreal Cognitive Assessment (MoCA) at the baseline and midpoint (after 10 weeks) were 15.65 and 15.60, respectively, indicating no significant progression of dementia between these time periods. Participants’ depression level and neuropsychiatric symptoms presentation assessed by standardized instruments also showed no significant changes. The results from qualitative observations demonstrate that the group of people living with early-stage dementia in this study were more engaged and enjoyed the intervention compared to a group with moderate-stage dementia. They often comment that the intervention was fun, interesting, and enjoyable while actively engaging in the game with enhanced movement. In this presentation, we will present the findings based on the completed data, including the post-assessments.

Exploring Molecular Genetics Research on Obesity in Malaysia: Protocol for a Scoping Review.

Obesity presents a growing challenge to public health, and its intricate association with genetics continues to be a compelling field of study. In countries such as Malaysia, where diverse genetic backgrounds converge, exploring the molecular genetics of obesity is even more imperative. This scoping review aimed to explore the literature on molecular genetics of obesity in Malaysia. Specifically, we sought to characterize existing studies, identify the genetic determinants of obesity, and assess their association with obesity predisposition in the population. This scoping review followed the methodology of the Joanna Briggs Institute and used the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) checklist as its guiding framework. Searches were conducted using electronic databases such as PubMed, ScienceDirect, and Scopus, filtering for human studies published until March 2024. Eligible studies included peer-reviewed articles on the Malaysian population irrespective of age or sex. This review excluded review articles, book chapters, non-peer-reviewed conference proceedings, gray literature, and preclinical studies, and the reference lists of the retrieved studies were manually examined to ensure thorough inclusion. The articles were subjected to a 2-stage screening process (title/abstract and full text) conducted by 2 reviewers to assess eligibility. Eligible articles were then extracted following a data extraction framework and organized into a charting table. Only studies investigating the genetics of obesity in Malaysian populations were included. As of March 2024, our extensive search strategy has yielded 572 records. After removing 153 duplicates, 419 records were screened by title and abstract, resulting in 47 selected for full-text review. Of these, 34 were chosen for data extraction and detailed analysis. These studies predominantly involved participants from major ethnic groups (Malay, Chinese, and Indian) recruited from local health centers and university communities. The articles primarily explored the relationship between specific gene variants and obesity or obesity-related health parameters. This ongoing research is expected to be completed with a comprehensive scoping review by April 2025. This review provides valuable insights into the genetic determinants of obesity in Malaysia, despite limitations such as no quality appraisal being conducted for the included studies and the search strategy being restricted to selected databases, potentially omitting relevant studies. However, this review ensured reliability and reproducibility by adhering to the Joanna Briggs Institute and PRISMA-ScR guidelines. Ultimately, this study advances the understanding of local research and sets the foundation for future molecular genetic studies to improve obesity risk prediction and management in Malaysia's multiethnic population. DERR1-10.2196/60838.

Culture “NIRMENIRAN” (Herbal Medicine) on Improving The Nutritional Status Of Toddlers

Background: The region is known for its high prevalence of malnutrition cases, making it a significant concern for public health. The local health center has noted instances of malnutrition in certain areas, prompting efforts to investigate potential contributing factors and solutions. This study aims to explore the relationship between the culture of consuming local food, "Nirmeniran," and its potential impact on improving the nutritional status of toddlers in the community. Methods: Quantitative with correlation or association research type. The respondents of this study were mothers of toddlers in Longos Village. The sampling technique used the Random Sampling technique, with a sample of 63 mothers of toddlers. Data collection used questionnaires and BB/TB observations. Statistical tests used Spearman's Rho Correlation test. Results: Part Big mother toddlers in Village Longos often give drinks or herbal medicine containing local food, “Nirmeniran,” to their children, and most toddlers have good nutritional status. The results of statistical tests show ρ value = 0,000 with mark α = 0.05, So ρ (0,000) < α (0.05), which means There is a connection between culture consumption food local “Nirmeniran” towards improving the nutritional status of toddlers in Longos Village. Conclusion: The cultural consumption of "Nirmeniran" is linked to improved nutritional status in toddlers. Most mothers in the area frequently provide drinks or herbal medicine containing this local ingredient, showing its potential benefits.

Environmental Benefits of Reducing Patient Mobility and Hospitalization

New healthcare management strategies aim to reduce in-person visits and patient hospitalization while ensuring patient safety. These strategies optimize resources, alleviate pressure on healthcare services, and decrease travel and mobility within healthcare environments. This research analyzes the environmental impact and sustainability associated with transportation and mobility in traditional hospital-based healthcare services, which have been relocated to bring healthcare closer to patients. This retrospective study utilizes data from two hospital centers spanning the years 2021 to 2023. The objective is to highlight the environmental benefits and sustainability of providing healthcare in the patient’s environment. The methodology employs life cycle analysis to compare three scenarios: traditional healthcare in hospitals, healthcare provided at the patient’s location through home hospitalization and medical consultations at nearby health centers, and healthcare professionals’ travel using electric vehicles. The results demonstrate that healthcare professionals traveling to the patient’s home or nearby health centers reduce environmental impact across all analyzed impact categories. Promoting home hospitalization, specialized consultations at local health centers, and primary care can effectively reduce unnecessary patient travel and minimize environmental impact, enhancing sustainability. Health policies should prioritize actions to reduce hospital visits, emphasizing prevention over disease treatment. Such practices would not only benefit patients but further promote sustainability and environmental protection.

Knowledge, Attitude and Practices towards Cervical Cancer and its Screening Among Women from Tribal Population of Anuppur District.

Cervical cancer poses a significant public health challenge, especially among tribal women who face barriers in accessing healthcare. This study aimed to evaluate the knowledge, attitudes, and practices of tribal women regarding cervical cancer and HPV screening in Anuppur, a rural district in Madhya Pradesh, India. Conducted between December 2020 and December 2022, the cross-sectional study included one tribal block (Pushprajgarh) and one urban block (Jaithari). The study involved females aged 10-59 years from randomly selected households, excluding those with a history of cancer and those not consenting. Healthcare professionals from local health centres were also included, except those on leave. The sample size was 384, determined using a 95% confidence interval and a 5% margin of error. Data were collected through a structured questionnaire covering sociodemographic characteristics, knowledge, attitudes, and practices related to cervical cancer screening. Knowledge was assessed with questions about risk factors, symptoms, and preventive measures, while attitudes were measured using a 7-point Likert scale. Practice-related questions focused on experiences with Pap smear testing. The study revealed a significant lack of awareness among tribal women about cervical cancer and its link to HPV infection. Many participants had limited understanding of the risk factors, symptoms, and preventive measures, leading to negative attitudes towards screening. Barriers such as financial constraints, cultural beliefs, and limited healthcare access further hindered screening practices. As a result, many women had never undergone cervical cancer screening. These findings highlight the urgent need for targeted interventions and educational programs to improve awareness and promote positive attitudes towards cervical cancer screening among tribal women. Emphasizing the importance of regular screening and addressing misconceptions can help bridge the knowledge gap and enhance preventive measures.

Epidemiology of invasive meningococcal disease, Japan, 2013 to 2023.

BackgroundThe National Surveillance for Invasive Meningococcal Disease (IMD) initiative started in Japan in April 2013. Multiple international mass gathering events have since been held in Japan, and the COVID-19 pandemic has occurred.AimWe summarised 10 years of national surveillance data for IMD in Japan to describe epidemiological characteristics of IMD and evaluate the influence of mass gatherings and the COVID-19 pandemic on IMD.MethodsUpon diagnosis of IMD, patient information and specimens were collected and reported to local health centres. We analysed the epidemiology of IMD cases reported between 1 April 2013 and 31 March 2023.ResultsAmong 274 cases reported (median age: 55 years; 55% male), no outbreaks related to mass gathering events were identified. The annual reported incidence of IMD was 0.001-0.039 cases per 100,000 individuals between 2014 and 2022, with a notable decrease after 2020. The overall case fatality rate was 12% (33/274). The most frequent serogroups were Y and B (46 and 17%). Multilocus sequence typing revealed a predominance of clonal complex (cc) 23, followed by cc2057, while cc11 was detected in eight cases.ConclusionThe reported incidence of IMD in Japan is low compared with high-endemic countries and decreased further during the COVID-19 pandemic. This unique epidemiology of IMD in Japan lacks a clear explanation. However, distribution of meningococcal strains, such as predominance of serogroup Y, could be a contributing factor. Maintaining high-quality surveillance, including of serogroups and sequence types, is crucial to manage and prevent future IMD cases in Japan effectively.

Supplementary Feeding as A Remedy For Stunted Toddlers and Pregnant Women With Chronic Energy Deficiency (CED) In Imbi Urban Village, Jayapura City, Papua

Stunting is a condition characterized by impaired growth in children, leading to insufficient height and weight compared to established standards, which also affects motor development. Children with stunting have lower immunity, increasing their vulnerability to non-communicable diseases such as diabetes, obesity, stroke, and heart disease. In Jayapura, the stunting rate reaches 20%, which is considered high in Indonesia. In response, PT Pertamina Patra Niaga has partnered with the Posyandu Cadre of Imbi Village and the local Health Center to provide Supplementary Feeding (PMT) containing animal protein, vegetable protein, fruits, and vegetables. The aim of this study is to evaluate the effectiveness of the PMT program in reducing the rate of stunting and improving the nutritional status of toddlers and pregnant women in Jayapura. The feeding program lasted for two weeks and targeted stunted children and pregnant women with nutritional deficiencies. This descriptive qualitative study examines the processes and outcomes of this intervention. The results indicate that 39% of participants successfully improved their nutritional status, moving out of the stunting and SEZ categories. This program is set to continue for four years to ensure sustainable support for toddlers and pregnant women in meeting their nutritional needs.

Antibiotic Use Characteristics and Patterns in Humans and Poultry in Wakiso District, Uganda.

Antibiotic use in animals has been identified as a major contributing factor for antibiotic resistance. Given the limited access to veterinary services, the choice of antibiotic and the dosage are determined by the farmers. By analyzing prescription practices and their appropriateness, we can compare performance in antibiotic stewardship across regions to drive change toward national goals and to guide policy interventions. This study used an integrated approach to assess antibiotic use at the grassroots in a rural poultry-keeping community in Wakiso District, Uganda. Medical prescriptions of 347 outpatients were captured between September 2021 and November 2021 via systematic random sampling of patients attending a local health center and were reviewed to decode antibiotic use characteristics and patterns. In the same period, structured questionnaires were issued to 36 poultry farmers in the same area to obtain information on their antibiotic use practices. Of the 347 human outpatient prescriptions reviewed, 250 (72%) recommended at least one antibiotic at a mean of 1.7 antibiotics per prescription. Conversely, all the poultry farms reported antibiotic use. There was significantly more use of macrolides and tetracyclines on poultry farms than at the local health centers and more use of penicillins, nitroimidazoles, and cephalosporins in humans than in poultry. There is unregulated use of critically important antibiotics in poultry and a misuse of antibiotics in the health center due to the lack of adequate diagnostic services. There is a need to improve point-of-care diagnostics of both human and poultry diseases in this community to guide antibiotic use.

Prediction of borderline personality disorder based on childhood trauma with the mediating role of experiential avoidance.

Traits of borderline personality disorder are important for the determination of the prognosis of mental illnesses and in evaluating risks of negativity as well as impulsivity. But, there is a lack of information about the distribution characteristics of borderline personality disorder traits and symptoms within clinical groups. The goal of the current study was to predict borderline personality disorder based on childhood trauma, using experiential avoidance as a mediator. All male patients hospitalized in local psychiatric health centers with a diagnosis of borderline personality disorder comprised the statistical population of the current study. The number of 60 patients were selected by the purposeful sampling method. The questionnaire included the Childhood Trauma Questionnaire (CTQ), the Experiential Avoidance Questionnaire (AAQ-II), and the Borderline Personality Disorder Symptoms (BSL-23). The results demonstrated that there is a considerable and positive relationship between childhood trauma and experiential avoidance (r = 0.711, p< 0.01). In the mediating model, childhood trauma had significant direct predictive effects on borderline personality disorder (β = 0.546, p< 0.01). Also, between childhood trauma and BPD, experienced avoidance acts as a moderating factor. (β = 0.304, p< 0.01).

Epidural anesthesia as a sole anesthetic for a parturient with cardiac disease and low ejection fraction – a case report in resource limited setup

Introduction and importance: The effective care of pregnant women with cardiac conditions relies on collaboration among the obstetrician, cardiologist, and anesthesiologist throughout the peripartum period. Limited research exists regarding the safety of specific anesthetic approaches for patients with congestive heart failure (CHF), particularly in the context of pregnancy. Case presentation: This was a 28-year-old woman who was pregnant with her third child (gravida III, para II) and has not had a menstrual period for the past 8 months. She had been receiving antenatal care at a local health center. Currently, she was experiencing symptoms including coughing, difficulty breathing, epigastric pain, and chest pain, which had been present for 1 week. Upon examination, she was diagnosed with New York Heart Association class IV CHF with pulmonary edema, and preeclampsia with severe features, and she was in the third trimester of pregnancy. Clinical discussion: Pre-existing medical conditions can adversely affect pregnancy outcomes for women and their offspring, especially in resource-poor settings in Africa. The goals of anesthetic management are avoidance of myocardial depression, maintaining normovolemia, avoiding an overdose of drugs during induction as the circulation time is slow, and avoiding sudden hypotension when regional anesthesia is the choice. Conclusion: We believe that successful management of anesthesia for this critical case depends on a thorough understanding of the pathophysiology of the disease condition, the selection of anesthetic techniques, and the decision-making of our team. We showed epidural anesthesia could be safely used to manage high-risk cardiac patients, however, further interventional study is needed to prove safety.

Differences in Knowledge of Women of Fertilizing Age Before and After Education About Breast Self Examination Using Video in The Selabih Village Tabanan

The high number of cases of non-communicable diseases is the main cause of death in Indonesia in 2020, one of which is breast cancer. The problem of breast cancer in Indonesia can be overcome through breast self-examination. The aim of this research was to determine the difference in knowledge of women of childbearing age before and after education about breast self-examination using video in Selabih Village Tabanan. This research includes research Quasi Experimental by design One Group Pretest-Posttest. The number of samples used was 53 women of childbearing age. Data collection includes filling out a knowledge questionnaire pretest and posttest. Before being given education, the median score was 85 with score range of 65-100 and after being given education the median score increased to 90 with score range of 80-100. Analysis results used tests wilcoxon show p-value of 0.000 which can be concluded that there is a difference in knowledge of women of childbearing age before and after education about breast self-examination using video. The use of this educational video should be continued by midwives at local health centers as a medium of education for women of childbearing age so that they are able to do BSE regularly.

An Overview of Knowledge and Attitude About Premenstrual Syndrome on 9th Grade Students at Junior High School Number 1 West Selemadeg

Adolescent health efforts are activities that aim to help adolscents become healthy adults. The change towards adolescence is marked by puberty, such as the occurrence of menstruation in teenage girls. Before expriencing the menstrual phase, woman will experience symptoms such as stomach ache, difficulty concentrating and sharp emotional changes called premenstrual syndrome. The aim of this research is to determine the description of knowledge and attitudes about premenstrual syndrome in class IX students at SMP Negeri 1 Selemadeg Barat. This research wa conducted from March to April 2024 at SMP Negeri 1 Selemadeg Barat. This type of research is descriptive research with design cross sectional. The number of respondents used was 64 female students. Data collection includes filling out knowledge and attitudequestionnaires. The results of the study showed that the majority of respondents ages 15 years, began to experience menarche at the age of 12, has no sisters and the majority obtains information from the surrounding environment. The assessment regarding female students’ knowledge obtained results, only a few got good marks, namely 10 female students (15,6%) and the majority of female students showed a positive attitude, namely 36 female students (56,25%). Female students are advised to learn more about premenstrual syndrome and local health center staff are advised to provide edication to female students to from an attitude of students who are ready to face the problem menarche and premenstrual syndrome.

THE RELATIONSHIP BETWEEN BODY MASS INDEX AND ORTHOSTATIC HYPOTENSION AMONG ADULTS

Background: Orthostatic hypotension (OH) is a condition characterized by a significant drop in blood pressure upon standing, potentially leading to dizziness and falls. Body Mass Index (BMI) has been identified as a potential risk factor for OH, yet the relationship remains underexplored, particularly in specific populations. Objective: This study investigates the association between BMI and the prevalence of OH among adults in Ndola City, Copperbelt Province, Zambia, while also examining the influence of gender on this relationship. Methods: A descriptive cross-sectional study was conducted involving adults aged 16 to 60 years, selected through simple random sampling from local health centers. Data on BMI, blood pressure measurements, and demographic information were collected. Chi-square tests were employed to assess associations between BMI and OH, as well as between gender and OH. Results: The analysis revealed a statistically significant association between BMI and the occurrence of OH (Pearson Chi-Square: 63.8815, p &amp;lt; 0.001). In contrast, no significant association was found between gender and OH (Pearson Chi-Square: 1.8646, p = 0.172). These findings suggest that variations in BMI are related to the prevalence of OH among adults in Ndola City, while gender differences appear to have minimal impact. Conclusion: The study highlights the importance of monitoring BMI as a potential risk factor for orthostatic hypotension in adults. While gender does not significantly influence the occurrence of OH, further research is warranted to explore additional contributing factors and develop targeted interventions for the local population. These insights can inform public health strategies aimed at managing OH related to BMI.&lt;p&gt; &lt;/p&gt;&lt;p&gt;&lt;strong&gt; Article visualizations:&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;&lt;img src="/-counters-/soc/0798/a.php" alt="Hit counter" /&gt;&lt;/p&gt;

Cumulative incidence of vancomycin-resistant Enterococcus faecium detection by patient characteristics or possible exposures: prioritization of patients for active screening culture

The target population for active surveillance culture (ASC) of vancomycin-resistant Enterococcus species (VRE) by stool or rectal swabs has not been fully determined during VRE outbreaks in healthcare settings in non-VRE endemic situation. To evaluate cumulative incidences of VRE detection during a vancomycin-resistant Enterococcus faecium outbreak to determine reasonable target populations for ASC. Cases included inpatients whose first VRE-positive sample was obtained at Shizuoka General Hospital between February 2022 and January 2023, during which we conducted admission screening for possible high-risk patients, bi-weekly screening of all inpatients, admission and discharge screening in the high-care unit, and screening of contacts in each ward using stool or rectal samples. We calculated cumulative incidences of VRE detection for those screened by patient characteristics or possible exposure. Among 60 cases identified, 55 (92%) were by ASC. Cumulative incidence was higher for contacts (6.4%, 15/234) than for those identified by other screening methods (0.5%, 40/8565). Among the patients identified through admission screening, those previously hospitalized in areas of reported VRE outbreaks had the highest cumulative incidence (6.6%, 5/78) followed by patients requiring toilet assistance (3.7%, 6/161). A bundle approach including ASC and prompt contact precautions by the hospital infection control team, local public health centre, and local and national infection control experts helped terminate the outbreak in seven months. Patients with contacts, prior hospitalization in areas with known VRE outbreaks, and who need toilet assistance appear to be high-risk populations for VRE detection and are candidates for ASC.

Increasing Community Health Knowledge in Karangrejo Village, Wungu District, Madiun Regency through Socialization, Mentoring, Cultivation and Utilization of Sambiloto Medicinal Plants.

Health is still an important topic in Karangrejo Village, Wungu District, Madiun Regency. Quoted from the local health center, the level of infectious diseases such as flu and skin diseases is still high. This activity aims to increase knowledge about the cultivation and benefits of the bitter medicinal plant (Andrographis paniculata) for health in Karangrejo Village. The methods used include land surveys, education about the health benefits of these plants, land cleaning, fertilization, as well as planting and cultivation training. The results of the activity showed an increase in public knowledge about the cultivation of the bitter medicinal plant and its benefits for health. In conclusion, the socialization, mentoring, cultivation and use of Sambiloto activities are useful for increasing knowledge about the cultivation and health benefits of the bitter medicinal plant in Karangrejo Village, Wungu District, Madiun Regency.

Utilizing intricate care networks: An ethnography of patients and families navigating palliative care in a resource-limited setting

Background: The increase in non-communicable disease burdens and aging populations has led to a rise in the need for palliative care across settings. In resource-limited settings such as Indonesia, however, notably in rural areas, there is a lack of professional palliative care. Little is known about specific palliative care navigation, as previous studies have mostly focused on cancer care navigation. A locally tailored approach is crucial. Aim: To explore how patients and families navigate palliative care and the problems they experience. Design: An ethnographic study using in-depth interviews and observations, analyzed using reflexive thematic analysis. Setting/participants: Interviews with 49 participants (patients, family caregivers, and health professionals) and 12 patient-family unit observations in Banyumas, Indonesia. The analysis: Patients and families navigated palliative care through different strategies: (1) helping themselves, (2) utilizing complementary and alternative medicine, (3) avoiding discussing psychological issues, (4) mobilizing a compassionate and advocating community, and (5) seeking spiritual care through religious practices. Conclusions: Our participants used intricate care networks despite limited resources in navigating palliative care. Several problems were rooted in barriers in the healthcare system and a lack of palliative care awareness among the general public. Local primary health centers could be potential palliative care leaders by building upon pre-existing programs and involving community health volunteers. Cultivating a shared philosophy within the community could strengthen care collaboration and support.

Assessment of Knowledge and Practices Related to Non-Surgical Management of Osteoarthritis Among Patients in the Rural Community of Sri Ganganagar, Rajasthan.

Introduction: Osteoarthritis (OA) is a degenerative joint disease that represents a major public health challenge, especially in rural communities where access to advanced healthcare is limited. This study aims to assess the knowledge, attitudes, and practices (KAP) related to the non-surgical management of osteoarthritis among patients in the rural district of Sri Ganganagar, Rajasthan, India. Method: A cross-sectional descriptive study was conducted among 234 adult OA patients aged 45 and above, residing in selected rural areas of Sri Ganganagar. Participants were recruited using convenience sampling from local health centers and community clinics. The data were analyzed using descriptive statistics, Chi-square tests, and correlation analyses to explore associations between demographic variables and KAP levels. Results: The study revealed that 29.9% of participants had adequate knowledge about OA, while 18.8% had inadequate knowledge. Regarding practices, 21.4% of participants demonstrated good practices in managing their OA symptoms, whereas 20.9% exhibited poor practices. Significant associations were found between age and education level with both knowledge and practice levels (p &lt; 0.05). A moderate positive correlation was observed between age and knowledge score (r = 0.45, p = 0.002), and a strong positive correlation was found between knowledge and practice scores (ρ = 0.60, p &lt; 0.001). Conclusion: The findings underscore the need for targeted health education programs in rural communities like Sri Ganganagar to bridge knowledge gaps and improve adherence to non-surgical OA management practices. Enhancing patient education and integrating healthcare providers in the patient education process could significantly improve OA management and patient outcomes in rural settings.

The Analysis of Risk Factors in Toddlers on The Occurrence of Stunting In Pidie

Nutritional issues in toddlers continue to be a primary concern in population settings. Among these issues are stunting, wasting, and overweight (World Health Organization, 2020). Stunting remains a major nutritional problem in developing countries such as Indonesia. Stunting, or chronic malnutrition, is a nutritional issue resulting from prolonged inadequate nutrient intake from food (Andriani et al., 2017). Short stature in toddlers (stunting) is determined by body length or height that is less than -2 SD according to WHO global references for children compared to other children of the same age (World Health Organization, 2013). The global prevalence of stunted toddlers, according to WHO, is 21.9%. According to the Indonesian Nutrition Status Survey (SSGI) by the Ministry of Health, the prevalence of stunted toddlers in this province was 31.2% last year. The highest incidence of stunting in Aceh is in Kota Subulussalam, which had the highest prevalence of stunted toddlers in Aceh in 2022, reaching 47.9%. This number jumped 6.1 points from 41.8% in 2021. Pidie Regency, with 27.8%, ranks fifth highest in Aceh. This study used a cross-sectional design with a sample of 334 toddlers chosen using the Slovin formula. Sampling was conducted randomly among mothers of underweight toddlers in local health center in Pidie Regency, which has a toddler population of 1,979. Statistical software SPSS 23 with Chi-square was used for data analysis. The findings from this study, derived from bivariate statistical analysis using the Chi-square test at a 95% confidence level, yielded a p-value of 0.268 (p &gt; 0.05). This indicates that the Antenatal Care variable does not affect the risk of stunting. For the immunization variable, the test results showed a p-value of 0.515 (p &gt; 0.05), indicating no relationship between immunization and the risk of stunting. For the exclusive breastfeeding variable, a p-value of 0.038 (p &lt; 0.05) was obtained, indicating that exclusive breastfeeding affects the risk of stunting. The maternal nutrition during pregnancy variable resulted in a p-value of 0.037 (p &lt; 0.05), indicating that maternal nutrition affects the risk of stunting. As for the parenting pattern variable, the test resulted in a p-value of 0.007 (p &lt; 0.05), indicating that parenting patterns greatly influence the risk of stunting.

Community service initiative: Empowering Mothers in Wongsorejo, Banyuwangi, East Java to Prevent Stunting Through Education and Complementary Feeding Circle Demonstrations

The challenge of stunting in Indonesia remains critical, with the National Basic Health Research of 2018 indicating a high prevalence rate of 30.8%. Addressing stunting effectively requires targeted interventions and behavior change strategies. This community service project aimed to tackle stunting in Wongsorejo, Banyuwangi, East Java, through a comprehensive approach focused on nutrition and complementary feeding practices. The initiative was structured around three main activities: a seminar on stunting, counseling on complementary feeding, and a cooking demonstration. The seminar aimed to enhance understanding of stunting, including its causes, consequences, and preventive measures, with a specific focus on the role of mothers. The counseling sessions were designed to educate mothers about the implementation of complementary feeding circles to ensure their infants receive adequate nutrition. The cooking demonstration provided practical guidance on preparing nutritious complementary foods using local ingredients. This community service project targeted mothers in the Wongsorejo area, along with representatives from local health centers and community leaders. The objective was to improve knowledge and practices related to stunting prevention, nutrition, and healthy feeding habits. Methods included educational seminars, interactive counseling, and practical demonstrations. Overall, this project seeks to empower mothers with the necessary knowledge and skills to combat stunting, thereby contributing to improved child health and nutrition in the Wongsorejo community. The effectiveness of these activities was evaluated through pre- and post-intervention assessments.