Health Center Research Articles

The Effectiveness of Active Range of Motion Exercises on the Pain Scale of Gouty Arthritis in the Elderly in the Working Area of the Gedong Tataan Health Center

Background & Objective: Gouty arthritis is a condition that occurs when uric acid levels in the blood exceed normal limits, characterized by prolonged pain and impaired daily activities. Based on data at the Gedong Tataan Health Center, there were 26 elderly people with Gout Arthritis who experienced joint pain. Pain in patients with Gout Arthritis can be treated through pharmacological therapy, such as the administration of drugs, and non-pharmacological therapy, such as active range of motion exercises. This study aims to determine the effectiveness of active Range Of Motion exercises on the Gout Arthritis pain scale in the elderly in the Gedong Tataan Health Center Working Area. Method: Quantitative research method with quasy experiment type and pretest posttest control design approach. The population of this study was 26 elderly people while the sample used by the total sampling technique was divided into 2 groups, consisting of 13 intervention groups, and 13 control groups. The research instrument used SOP Range Of Motion and pain scale measurements, the data analysis test used in this study used Mann-Whitney. Result: The results of the study obtained a p-value of 0.004, meaning that there is an effectiveness of active Range Of Motion exercises on the Gout Arthritis pain scale in the elderly in the Gedong Tataan Health Center Working Area. Conclusion: It is hoped that this intervention can be applied at the health center in overcoming pain complaints in the elderly suffering from Gout Arthritis.

Pilot of a team-based quality improvement strategy to improve cardiovascular risk factors care in community mental health centers

Pilot of a team-based quality improvement strategy to improve cardiovascular risk factors care in community mental health centers

Decentralization of Mental Health Care as One of the Key Pillars of the Republic of Serbia Health Reform: The Importance of the Information Integration

Healthcare system reforms are ongoing and are considered globally. However, Serbia's social, political, and economic crises have slowed progress, which started in 2002. Decentralization is regarded as critical for improving healthcare services and ensuring financial sustainability. The development of Community Mental Health Centers is considered the cornerstone of the decentralization strategy. A comparative analysis of Big Data on national public health highlights critical issues. According to our findings, it is essential to rethink the models and procedures of a review of the existing healthcare facility network and examine the local population's mental health status and health service usage. One of the appropriate procedures may be the unification and centralization of data collection and storage processes for mental health centers in the national network, both private and public. However, the decentralization processes must be balanced with centralization principles, as they are sensitive to social, historical, political, and economic influences.

Assessing the effectiveness and the feasibility of a group-based treatment for self-stigma in people with mental disorders in routine mental health services in North-East Italy: study protocol for a pragmatic multisite randomized controlled trial

BackgroundSelf-stigma refers to the process whereby individuals with mental disorders internalize negative societal attitudes and misconceptions about mental health conditions, potentially affecting their sense of self-worth and identity. This internalization can significantly impact various aspects of life, including treatment engagement, personal relationships, and overall well-being. Narrative Enhancement and Cognitive Therapy (NECT) was developed in the United States to counteract self-stigma and has been supported by multiple randomized controlled trials. However, NECT has not yet been implemented in Italy or within a public mental health system grounded in community psychiatry. This study aims to evaluate the efficacy and feasibility of the Italian version of the NECT within the public mental health sector in a large part of North-East Italy.Methods and analysisThis pragmatic, multisite, superiority, randomized, wait-list controlled trial with two parallel arms will recruit over four hundred patients with severe mental disorders from 26 public community-based mental health centers in North-East Italy. The experimental intervention, NECT, consists of 20 group-based sessions to reduce self-stigma. The study will assess NECT’s impact on several psychological dimensions, including self-stigma levels (primary outcome), self-esteem, hope, empowerment, recovery perception, mental well-being, and stigma stress (secondary outcomes). Feasibility will be evaluated by collecting data on participant adherence and treatment implementation, including eligibility screening, participation rates, intervention completion, exposure levels, and reasons for dropout.DiscussionThe findings of this research are expected to contribute to the understanding of effective treatments for patients with mental disorders, particularly those burdened by high levels of self-stigma, and to improve their recovery outcomes.Trial registrationClinicalTrials.gov; Identifier: NCT06567145.

Factors Influencing Patient Delay in Pulmonary Tuberculosis in a Community Setting: A Cross-Sectional Study

Delays in the treatment of Tuberculosis (TB) result in the failure to achieve the TB program’s goals. The delay in TB treatment can be measured by patient delay and healthcare service delay.This study aims to analyze the factors influencing the occurrence of patient delay in pulmonary tuberculosis. The type of this research is quantitative with a cross-sectional approach. The research population consists of all suspected Pulmonary TB patients, totaling 182 patients, with a sample of 158 respondents using the proportional random sampling technique. This research was conducted in the Working Area of Maja Public Health Center, Marga Punduh District, Pesawaran Regency, Lampung, Indonesia, in September-October 2024. Data collection was conducted using a questionnaire. Data analysis was conducted univariately (frequency distribution), bivariately (chi-square), and multivariately (logistic regression). The research results indicate that there are factors associated with the occurrence of patient delay in this study, namely age factor (p-value <0.001), gender (p-value = 0.017), employment status (p-value <0.001), economic status (p-value <0.001), education level (p-value = 0.003), knowledge level (p-value = 0.023), smoking history (p-value = 0.022), distance from residence (p-value = 0.040), and cadre support (p-value <0.001). The dominant factor influencing the occurrence of patient delay in tuberculosis treatment is the employment factor (p-value = 0.019; OR (95% CI) = 21.5 (1.67-279.24). Advice for healthcare workers includes providing education about TB, particularly the cough symptoms suspected to be TB, especially in the smoking community, and efforts to change patients’ perceptions about TB are essential to reduce the level of delay in seeking early healthcare.

The Relationship Between Patient Satisfaction Levels and Patient Visit Interest at the Lower Paniki Health Center Based on BPJS Scoring

The Relationship Between Patient Satisfaction Levels and Patient Visit Interest at the Lower Paniki Health Center Based on BPJS Scoring

Clinicopathological comparison of benign eyelid tumours in tertiary care centers in Lima and Montreal from 2010 to 2019.

The eyelids are complex structures composed of various tissues. As such, a wide array of lesions exist that affect the eyelids. Clinical diagnosis of these lesions is essential to differentiate benign from malignant ones. Although accurate, some cases are misdiagnosed. Histopathology remains the crucial step in the final diagnosis of eyelid lesions. The objective of the study is to describe and compare the clinicopathological diagnosis of benign eyelid tumours between two tertiary care centers, one in South America and the other in North America, from 2010 to 2019. We reviewed 1 935 tumours at the McGill University Health Centre (MUHC)-McGill University Ocular Pathology and Translational Research Laboratory and 1 256 tumours collected at "Dr. Jose Antonio Avendaño Valdez" Ocular Pathology at the Instituto Nacional de Oftalmologia Peru (INO) (2010-2019). Demographic information and clinical and histopathological diagnoses were collected in an anonymized fashion. The average age was 61.04 years at MUHC and 47.44 years at INO, benign tumours accounted for 78.11 % and 79.84%, respectively. The three most frequent benign tumour were squamous cell papilloma, nevus, and seborrheic keratosis at both sites. Lesions most commonly affected the upper and lower eyelid. 2.32% at the MUHC and 1.35% at the INO of cases were clinically misdiagnosed as benign tumours but confirmed malignant by histopathology. The most common lesions were squamous cell papilloma, nevus, and seborrheic keratosis, although the most common diagnosis varied, likely due to environmental factors differing at each site. Histopathology is essential for the accurate diagnosis of eyelid tumours.

Essential newborn care practices in selected public health facilities using observation of 2603 normal deliveries in Uttar Pradesh, India

IntroductionEssential newborn care (ENBC) practices are recommended for all births to improve neonatal survival. This paper aims to understand the facility-level variations and factors associated with the essential newborn care...

Factors Influencing Fertile Age Couples in the Use of Long-Term Contraceptive Methods (MKJP)

The success of the National Family Planning (KB) Movement in encouraging increased community participation in building increasingly independent small families must be considered and even improved because this achievement is not evenly distributed. Likewise, what happened in the Patiluban Mudik Health Center work area where the number of Fertile Age Couples using KB was only a portion of the total number of Fertile Age Couples recorded up to May 2023, which was 514 PUS. The purpose of the study was to determine the factors that influence fertile age couples in terms of the use of Long-Term Contraceptive Methods (MKJP) in the Patiliuban Mudik Health Center Work Area, Natal District, Mandailing Natal Regency in 2023. The research method is quantitative research with a cross-sectional study design approach. The study was conducted in the working area of ​​Patiluban Mudik Health Center with a sample size of 92 people. The analysis used was Chi Square. The results showed a significant relationship between knowledge and the use of MKJP (P value = 0.018 <0.05), there was a significant relationship between family support and the use of MKJP (P value = 0.0033 > 0.05). There was a relationship between parity and the use of MKJP (P value = 0.011 <0.05), The results of this study recommend that Patiluban Mudik Health Center be more intensive in providing counseling about MKJP so that the number of KB users, especially MKJP, can be increased and to find factors that influence PUS not to be willing to use the MKJP method.

Bridging Work and Family Life: The Role of Work Engagement in Optimizing Job Crafting at Bringkoning Health Center

Research Aims: The aim of this research is to analyze the role of work engagement in mediating the relationship between job crafting and work family enrichment. The population selected in this study were employees of UPTD PUSKESMAS Bringkoning, Banyuates District, Sampang Regency. Design/methodology/approach: The sampling technique used is purposive sampling, namely taking sample members from the population by determining certain criteria. The sample from this research were employees of UPTD PUSKESMAS Bringkoning, Banyuates District, Sampang Regency, who were 36 permanent employees. The data analysis method uses partial least squares (PLS). Research Findings: The results of this research prove that there is a direct influence of job crafting , work engagement on work family enrichment and there is an indirect influence of job crafting on work family enrichment and work engagement is able to mediate the relationship between job crafting and work family enrichment for employees of UPTD PUSKESMAS Bringkoning, Banyuates District, Sampang Regency. However, the direct relationship is higher when compared to the indirect influence Theoretical Contribution/Originality: By bridging these concepts, this research explores a deeper understanding of how changes in an individual's work can have a positive impact on their family life. The integration of the concepts of job crafting and work-family enrichment, especially in the context of health services, provides new insights into the dynamics of the relationship between work and personal life. The findings of this research have significant implications for human resource management in developing policies and practices that support employee well-being and balance between work life and family life.

PENGARUH PENDIDIKAN KESEHATAN MELALUI METODE PEER GROUP TERHADAP KETERAMPILAN TENTANG PERAWATAN LUKA DAN BIDAI PADA SISWA

Literature studies show that the incidence of accidents and joint dislocations in students is still high, with 6 - 10 cases occurring at school. This continues to be a concern for schools so that the school health unit (UKS) has an important role in first aid for accidents (P3K). in schools. So efforts are needed to increase students' understanding with various educational and evaluation methods related to First Aid. The aim of the research is to look at differences in health education through the peer group method on skills regarding wound care and splints among students. This research uses a Quasy Experiment design. The sample in this study used a purposive sampling technique based on criteria with a sample size of 60 respondents divided into two groups, namely 30 intervention groups and 30 control groups. The measuring tools used are SOP Wound Care Splints and Observation Sheets. The time for conducting the research was September 10-13 2024. Data were analyzed using the Shapiro Wilk Test & Paired T Test. The results of the research in the intervention group were differences in skills regarding wound care and splints among students before and after being given health education through the peer group method at SMP N 2 Mesjid Raya with a value of p = 0.000, and in the control group there were differences in skills regarding wound care and splints. Students at PKPU Aceh Middle School with a value of p = 0.000. The conclusion in this study is that there is a comparison between the intervention group and the control group regarding skills regarding wound care and splints in students with a value of p = 0.043. It is hoped that the School Health Unit and Community Health Center can provide health education to students through collaboration on various first aid cases.

The Effect of Maternal Pre-Pregnancy Obesity on Breastfeeding: A Pilot Prosoective Cohort Study

Objective: This prospective cohort study was conducted to investigate the effect of mothers who have obesity according to body mass index (BMI) in the pre-pregnancy period on their infant’s exclusive breastfeeding status six months after delivery. Material and Methods: The study sample consisted of 44 obese and 44 non-obese mother-infant pairs registered to a Family Health Center in Izmir, Türkiye. The data were collected during the 1st week, 1st, 3rd, and 6th months after delivery using the Individual Identification Form, LaTCH Tool, and Breastfeeding Status Follow-up Form. Independent t-test, Chi-square and Cochran’s Q tests, and Cox’s regression analysis were used. Results: A significant difference was found between the exclusive breastfeeding status of the infants of obese and non-obese participants in all follow-up weeks. In the Cox regression model, the only significant explanatory variable on exclusive breastfeeding in all follow-ups was prepregnancy BMI of the participants. The infants of obese participants were exclusively breastfed by 2.25 times less in the 1st week, 4.50 times less in the 1st month, 2.20 times less in the 3rd month, and 1.69 times less in the 6th month than the infants of non-obese participants. Conclusion: It was determined that maternal obesity statistically decreased the exclusive breastfeeding status. It can be recommended to monitor women of the reproductive age for obesity during pre-pregnancy follow-ups and to implement nursing interventions such as health education and counselling to reduce obesity.

Association of periodontal disease and the prevalence of acute periapical abscesses.

Acute periapical abscesses (PAs) are a health risk to patients and require prompt and efficient treatment. The purpose of this cross-sectional study was to assess the prevalence of acute PAs in patients with periodontal disease (PD). Data aggregated from 1,799,122 patients visiting a large health center were recorded. Data from the corresponding diagnosis codes for PD and acute PAs were retrieved by searching the appropriate query in the database. The odds ratios (ORs) of acute PA and its association with PD were calculated and analyzed statistically. Patients with PD showed significantly more PAs than did patients without PD (P < .0001). The OR for acute PAs in patients with PD was 46.2, and the difference in prevalence compared with the total hospital patient population was statistically significant (P < .0001). After adjustment for diabetes mellitus comorbidity, the OR for acute PAs in patients with a history of PD was 12.19, and the difference was statistically significant (P < .0001). After adjustment for smoking comorbidity, the OR for acute PAs in patients with a history of PD was 10.13, and the difference was statistically significant (P < .0001). Under the conditions of this study, it appears that the odds for acute PAs are significantly higher in patients with PD seeking treatment for pain due to acute PAs. Oral health care professionals should be aware of the possible association between PD and increased occurrence of acute PAs.

The Relationship Between Age and Blood Sugar Levels in Patients with Type 2 Diabetes Mellitus Outpatient at Wonogiri Health Center, North Lampung in 2024

Background &amp; Objective: The purpose of this study was to determine the relationship between nutritional status, carbohydrate intake, and fiber intake on blood sugar levels of type 2 diabetes mellitus patients at Wonogiri Health Center. Method: This study was conducted in December 2024. This research design uses analytic observational quantitative research with a cross sectional approach. The sample of this study were patients diagnosed with type 2 diabetes mellitus in the Wonogiri Health Center work area as many as 57 respondents. Bivariate analysis of this study using the Spearman Rho test. Result: his study shows that there is no significant relationship between age and blood sugar levels of respondents (Sig. &gt; 0.05). This happens because each individual has differences regarding other risk factors such as lifestyle, physical activity that may affect the condition of type 2 diabetes mellitus patients. Conclusion: There is a significant relationship between age and blood sugar levels of respondents.

Impact of the family doctor system on medication adherence among type 2 diabetes patients in China: a difference-in-differences analysis

BackgroundNonadherence to medication is a prevalent issue among patients with type 2 diabetes mellitus (T2DM). The family doctor system promotes continuous, integrated, and personalized primary care, which may improve medication adherence. However, more evidence is needed regarding causal association between family doctor system and medication adherence. This study is to assess the impact of the family doctor system on medication adherence among T2DM patients.MethodsThis cohort study utilized data between 2014 and 2019 from three separate administrative databases of an eastern city in China. Adult patients with T2DM who continuously registered with family doctors from 2015 to 2019 (n = 18,841) were assigned to the intervention group, while those who never registered during this period (n = 1,429) were classified as the control group. A difference-in-differences design was employed to compare medication adherence between registered and unregistered T2DM patients after the first stage of family doctor system in 2015 and the second stage in 2018. Propensity score matching was applied to ensure the robustness. The mean proportion of days covered (PDC), and proportion of patients with good adherence (PDC ≥ 80%) were the outcomes of interest. All recommended T2DM medications were included to calculate PDC.ResultsCompared to the unregistered group, PDC across all institutions for registered patients increased by 5.0% (p < 0.001) after the first stage of family doctor system, and by 5.9% (p < 0.001) after the second stage. The proportion of patients with good adherence increased by 9.5% (p < 0.001) and by 11.8% (p < 0.001) after two stages, respectively. The adherence improvement was more pronounced in community health centers. However, the overall good adherence rate among registered patients in 2019 remained relatively low, reaching only 59.77%.ConclusionsThe family doctor system significantly improved medication adherence among T2DM patients by providing patient-centered, continuous, and integrated primary services, especially in community health centers. Nevertheless, further efforts should be made to enhance medication adherence.

Examining how support persons’ buprenorphine attitudes and their communication about substance use impacts patient well-being

ABSTRACT Background: While social support benefits those in treatment for opioid use disorder, it is unclear how social support impacts patient outcomes. Objectives: This study examines how support person attitudes toward buprenorphine and their communication about substance use are associated with the well-being of patients receiving buprenorphine treatment. Methods: We analyzed cross-sectional baseline data from 219 buprenorphine patients (40% female) and their support persons (72% female). Patients were recruited from five community health centers and asked to nominate a support person. Patient outcomes included symptoms of depression, anxiety, impairment due to substance use, and perceived social support. Support persons predictors included their attitudes toward buprenorphine from four statements (e.g. “Buprenorphine is just replacing one drug for another”) and communication using two items (e.g. comfort and effectiveness discussing substance use). Results: More stigmatizing attitudes, such as believing patients should quit on their own without medication, were associated with increased patient substance use-related impairment (F = 4.53, p = .01). Effective communication was associated with lower patient depression (F = 10.15, p < .001), anxiety (F = 4.73, p = .001), lower impairment (F = 6.46, p < .001), and higher perceived social support (F = 3.68, p = .007). Conclusions: This study highlights how support person attitudes and communication dynamics significantly affect the mental health and impairment of individuals receiving buprenorphine treatment. Interventions that reduce stigma and promote effective communication between patients and their loved ones could enhance treatment outcomes and overall well-being among patients with OUD.

Strategies for Implementing Integrated Behavioral Health into Health Centers.

Integrated behavioral health (IBH) is a promising approach which embeds behavioral health services into primary care. Yet, IBH has had limited implementation. Our objective was to identify strategies to successfully implement the "Cherokee" IBH model by examining a 2013 to 2019 IBH demonstration project in New Jersey that included Federally Qualified Health Centers (FQHCs) and Community Health Centers (CHCs). We conducted qualitative semistructured interviews of 18 primary care and behavioral health clinicians from 10 FQHCs/CHCs in 2022. Interview guide questions drew on the Proctor Implementation Outcomes Framework to capture strategies to optimize acceptability, appropriateness, feasibility, fidelity, penetration, and sustainability of IBH implementations. A template approach was used to code data and identify themes. All participating FQHCs/CHCs were still offering IBH services 3 years after the demonstration project, suggesting that strategies were successful in implementing and sustaining IBH. Strategies these FQHCs/CHCs employed included: (1) select champions with experience leading organizational change; (2) provide training that emphasizes how brief behavioral health interventions differ from traditional therapy; (3) develop on-going IBH training procedures for new staff; (4) create physical spaces for behavioral health consultants; (5) establish scheduling systems; and (6) identify local IBH billing codes, policies, and procedures. Change management approaches can help in the implementation of IBH; however, additional strategies unique to IBH may be needed to address the attitudinal, organizational, and financial challenges inherent to IBH. Future implementations should apply multi-faceted approaches that address persistent and seemingly intractable barriers that have inhibited IBH integration.

Challenges Faced by Community Health Officers and Beneficiary Satisfaction Related to Telemedicine Services at Health and Wellness Centers: A Mixed-Method Study from a Block of West Bengal

Abstract Telemedicine services by community health officers (CHOs) at health and wellness centers (HWCs) in West Bengal were introduced to provide specialist doctors’ consultation, faster diagnosis, free treatment, and universal health coverage in rural areas to reduce the burden of noncommunicable diseases. The challenges and beneficiary satisfaction related to these services are yet to be evaluated. This study was conducted to explore the challenges faced by the CHOs and find out the factors associated with beneficiary satisfaction related to telemedicine services. A mixed-method study with convergent parallel design was conducted among 6 CHOs and 101 beneficiaries attending the HWCs for telemedicine services at Budge Budge-II block, West Bengal, from June to July 2022. Quantitative data were collected using predesigned, pretested, prestructured schedules by face-to-face interview, while one focus-group discussion was conducted among CHOs for qualitative data. Out of 101 beneficiaries, 71.3% were 31–60 years of age, 53.5% were females, and 53.4% were educated at least to the secondary level. 71.3% beneficiaries stated that the average time taken for telemedicine consultation was up to 30 minutes. The challenges faced by the CHOs included doctors’ unavailability at a particular time of the day, technical issues with the service portal, time crunch, and meeting the daily fixed patient target. Beneficiary satisfaction was significantly associated with the availability of doctors and time taken for the consultation. The overall satisfaction index of the beneficiaries was 55.8%. Quality services along with beneficiary satisfaction can be improved by ensuring doctors’ availability, user-friendly service portals, and appropriate time for each consultation.

Towards person-centred maternal and newborn care in Ethiopia: a mixed method study of satisfaction and experiences of care.

Person-centred maternal care is associated with positive experiences in high-income countries. Little is known about the transferability of this concept to non-Western, low-income settings. We aimed to explore women's experiences of care and investigate satisfaction with antenatal care (ANC) in relation to person-centred care and unmet psychosocial needs in rural Ethiopia. Design: facility-based, convergent mixed-method study. A cross-sectional survey included 2079 consecutive women attending ANC at eight health centres. Service satisfaction was measured using a 21-item validated measure. [1] person-centred care (1A: receipt of information; 1B: perceived adequacy of health worker responses) and [2] unmet psychosocial needs (2A: Patient Health Questionnaire for depressive symptoms; 2B: screening questionnaire for intimate partner violence (IPV)). Linear mixed effect regression assessed hypothesized associations between person-centred care/unmet psychosocial needs and service satisfaction, accounting for clustering at the health centre level. A linked qualitative study comprised eight in-depth interviews with women accessing ANC. Structured observations of ANC consultations rated health worker competencies (n = 65) and adherence to guidance promoting person-centred care (n = 53). Qualitative data were analysed thematically and triangulated with quantitative and observational data. Women reported lowest satisfaction in relation to family involvement (71.5% dissatisfied) and continuity of care (65.7% dissatisfied). As hypothesised, satisfaction increased with more information received (adjusted regression coefficient (ARC) 0.96 95%CI 0.71,1.20) but reported adequacy of help from health workers did not show a dose-response relationship (test-for-trend p = 0.157). Undetected depressive symptoms (ARC - 0.21 95%CI -0.27,-0.15) and IPV (ARC - 1.52; 95%CI -2.43,-0.61) were associated with lower service satisfaction scores. Most observed consultations scored low on most indicators of person-centred care. In qualitative interviews, women valued respectful and responsive communication from health workers, which affected their willingness to disclose psychosocial problems. Triangulation of findings indicated a mismatch between what women valued about care, their reported satisfaction with care and the actual care they were observed to receive. Systems strengthening interventions to support person-centred maternal care appear contextually relevant but need to increase women's expectations of care and agency to demand change. Prioritization of person-centred care could improve women's experience of maternal care and better address psychosocial needs.

Analysis of Mothers' Knowledge About Postpartum Visits in the Work Area of Gunung Tua Community Health Center

The postpartum period is a fairly important period for health workers to always monitor because less than optimal implementation can cause the mother to experience various problems, and can even lead to postpartum complications. Among the causes of maternal death, infection is the second most common cause of death after bleeding. The type of research used was descriptive, namely, to determine the mother's knowledge about postpartum visits. The sampling technique used in this study was total sampling. The total population is a sampling technique in which the total number of samples is the same as the population (Sugiyono 2010). Thus, the sample in this study was the entire population of postpartum mothers-form January to August 2024 in the Gunung Tua Health Center work area, totaling 34 people. Based on the data analysis conducted, it is known that the majority of respondents' knowledge is in the lowers category, (38.2%). This is understandable, considering that the majority of respondents' education was in the basic education category, (44.1%). Education is a formal and non-formal activity in an effort to develop a person's mindset, personality, and abilities, both inside and outside of school, as well as life experiences that last a lifetime. The majority of the respondents' knowledge was in the sufficient category, (17.6%). This is understandable, considering the majority of respondents' ages in the 21-35 year category, namely (47.0%). Most respondents' knowledge was in the insufficient category, (20.6%). This is understandable, considering that the majority of respondents' jobs were in the unemployed/housewife category, (44.1%). Every health worker, especially midwives, should be able to provide counseling to mothers regarding the importance of visits during the postpartum period.