Public Health Center Area Research Articles

Correlation between Health Locus of Control with Intention to Perform Cataract Surgery in the Area of Public Health Center of Tempurejo Jember

Correlation between Health Locus of Control with Intention to Perform Cataract Surgery in the Area of Public Health Center of Tempurejo Jember

Faktor Lingkungan Sosial, Lingkungan Fisik, dan Pengendalian Program DBD terhadap Kejadian Demam Berdarah Dengue (DBD)

<p><span>Dengue Bedarah Fever (DHF) one of the problem of the disease in Indonesia and including 30 countries in the world endemic for dengue disease, even though be second place disease in 2015 with a Case Fatality Rate (CFR) of 0.95%. Besides in Lampung in the last three years (2014-2016) tendency for Incidence Rate (IR) is increasing. In South Lampung Regency as the gateway to Sumatra Island in 2017 the Incidence Rate (IR) averaged 20.78% and one of the highest Incidence Rate (IR) reached 70.59% in the Hajimena Health Center Working Area, Natar District. The purpose of this study was to find out the relationship between the factors of the Social Environment, Physical Environment, and the Factors of Controlling the DHF Control Program, and factors were the most dominant relationships. The research method is quantitative with the Cross-Sectional approach, with the study population in the Hajimena Community Health Center Working Area, Natar District, which includes three villages namely Hajimena village, Sidosari village, and the Pemanggilan village. Primary data is taken using questionnaires and checklists, and secondary data is sourced from Puskesmas and Kecamatan. Processing data using data processing software by analyzing using univariate, and bivariate methods. The results of this study show that there is a meaningful relationship are the mobility of the population with the incidence of disease. To eradicate dengue in the Natar sub-district, especially the Hajimena Public Health Center area which is an endemic area, it also requires comprehensive and integrated activities, namely PSN-DBD with periodic larvae checks by cadres of the Larvas Monitoring.</span></p>

Relationship Between HIV/AIDS and Periodontal Health Status among Population at High Risk of HIV/AIDS

Background. In 2017, there were sixty people who identified themselves as lesbian, gay, bisexual and transgender/ transsexual (LGBT) people in Sememi Public Health Center, and seven of them were known to be people living with HIV/AIDS (PLWHA). People who are at high risk for HIV infection, especially the LGBT people and Female Sex Workers, are at even greater risk of developing a number of severe periodontal diseases. Periodontal problems, such as periodontitis, in HIV patients, are more severe and occur more frequently than uninfected patients. However, data on dental visit in Sememi Public Health Center as the primary health center in Sememi district is still limited, and there is still no data regarding periodontal health status among HIV patients.
 Objective. The aim of this study is to investigate the relationship between HIV/AIDS and periodontal health status among the population who are at high risk of HIV/AIDS in Sememi Public Health Center area.
 Method. This study was conducted with a cross-sectional design. The sample size was determined using a total sampling technique and came up with 30 participants.
 Conclusion. Population with a high risk of HIV/AIDS in Sememi Health Center area in Surabaya City has poor periodontal status, due to a large number of bleeding on probing (BOP), periodontal pocket depth, and loss of attachment (LOA). There is no significant difference between BOP results and pocket depth between the HIV and non-HIV groups. But a significant difference was found between LOA in the HIV and non-HIV groups. On the contrary, we found that there is no significant relationship between HIV/AIDS and xerostomia in this study.

Female reproductive factors and risk of external causes of death among women: The Japan Public Health Center-based Prospective Study (JPHC Study)

Although empirical data suggest a possible link between female reproductive events and risk of nonfatal accidents and suicidal behaviors, evidence to determine these effects on mortality is scarce. This study investigated the association between female reproductive factors and the risk of external causes of death among middle-aged Japanese women. We used a population-based cohort study consisting of 71 698 women residing in 11 public health center areas across Japan between 1990 and 1994. Multivariable-adjusted Cox proportional hazard regression models were used to estimate hazard ratios (HRs) of the risk of all external causes, suicide, and accidents according to female reproductive factors at the baseline survey. During 1 028 583 person-years of follow-up for 49 279 eligible subjects (average 20.9 years), we identified 328 deaths by all injuries. Among parous women, ever versus never breastfeeding [0.67 (95% CI: 0.49–0.92)] was associated with a decreased risk of all injuries. Risk of suicide was inversely associated with ever versus never parity [0.53 (95% CI: 0.32–0.88)]. A lower risk of death by accidents was seen in ever breastfeeding [0.63 (95% CI: 0.40–0.97)] compared to never breastfeeding. This study suggests that parity and breastfeeding are associated with reduced risk of death by all external causes, suicide and/or accidents among Japanese women.

Effect of Dates Consumption On Bleeding, Duration, And Types of Labor

Dates are a good source of nutrition for the body if consumed regularly both in the form of dried fruit, wet, as well as in the form of palm juice extracts, especially for pregnant and maternal mothers. Pregnant women who are going to give birth are in desperate need of drinks and foods that are rich in sugar, this is because of the many contractions of the uterine muscles when it comes to removing the baby, especially if it takes a long time. Dates contain potuchin hormone which functions to bind the uterus and muscles of the uterus so that it can help reduce postpartum bleeding. Besides, there is the hormone oxytocin which can help stimulate contractions in the muscles of the uterus so as to facilitate labor. The purpose of this study was to determine the effect of consumption of dates on bleeding, length of labor and type of labor. This type of research is a Pre experiment with a post-test Only Control Group Design research design. The population in this study were all pregnant women in the working area of South Klaten Public Health Center with estimated deliveries from July to September 2018. While the sample size was 60 samples consisting of 30 treatment group respondents and 30 control group respondents. The sampling technique used in this study was Quota sampling. Data analysis using Fisher Exact test and Mann-Whitney U test with p-value considered significant is p = 0.05. The results of the study of bleeding showed that there were no significant differences in the estimation of blood loss and during labor and type of delivery between the treatment group and the control group (p-value = 0.5). The results of the study about the length of labor showed that there was an effect of date consumption on the length of labor, with a value of p = 0,000

The Effect of Nutrition Counseling on Complementary Feeding Practice of Mothers Having Infant Aged 6-12 Month

Nutrition plays an important role in the human life cycle. Nutrition surveillance in the form of Nutritional Status Monitoring in 2016 showed that 38.9% of children under five in Indonesia experienced nutritional problems. One of the efforts to improve the health and nutrition status of the baby is by improving the knowledge and attitude of the mother in giving complimentary food. This study aim is to know the effect of nutrition counseling on feeding practice of mothers having infant aged 6-12 month in pakan rabaa public health center area solok selatan district in 2018.The design of the study was quasi-experimental with the design of the control group pretest-posttest. The sample of this study was 46 experiment group and 46 control group. Sampling was done by Purposive Sampling technique. Data analysis using the chi-square testThe results of the study were the absence of nutritional counseling on knowledge of mothers with p-value 0.361, there was an effect of nutritional counseling on changes in maternal attitudes with p-value of 0,000 and there was also the effect of nutritional counseling on complementary feeding practice with p-value 0.004.The presence of the influence of nutritional counseling on attitudes and practices of complementary feeding. Health workers are expected to be able to spend time giving counseling about complementary feeding practice regularly so that the goal of counseling at the public health center can be achieved.

THE DETERMINANTS OF CERVICAL CANCER EARLY DETECTION BEHAVIOUR WITH VIA TEST METHOD IN VISITORS OF POLI KIA-KB IN KASSI-KASSI PUBLIC HEALTH CENTER OF KOTA MAKASSAR

Background: Cervical cancer can be recognized at the pre-cancer stage by doing early detection test in married women. One of the cervical cancer early detection methods is Visual Inspection with Acetic Acid (VIA) test. The coverage of the early detection of cervical cancer through VIA test method in 2017 was still very low, i. e. 1.03% from the national target of 50%. The research aims to know the determinants of cervical cancer early detection behaviour by using IVA test method in visitors of Policlinic KIA-KB (Pediatric and Family Planning Polyclinic) in Kassi-Kassi Public Health Center.Methods: The research was observational analytical research with cross-sectional study design. The population of the study was all women of fertile couple that visited Policlinic KIA-KB in Kassi-Kassi Public Health Center and lived within the coverage area of Kassi-Kassi Public Health Center, which amounted to 135 women. The samples were 101 women that were collected by using the accidental sampling technique.Results: The results showed that there was a relation between knowledge (p=0.000), attitude (p=0.005), husband support (p=0.000), as well as health worker support (p=0.000) and early detection behaviour by using IVA test method. Conclusions: Meanwhile, there was no relation between education and early detection behaviour by using IVA test method. There should be proactive and creative actions from health workers in improving the knowledge of the targets and their husbands about early detection of cervical cancer.

The Analysis of Environmental Risk and the Use of Repellent on Dengue Hemorrhagic Fever in Kamonji Public Health Center

Dengue Hemorrhagic Fever is an infectious disease caused by dengue virus and transmitted by Aedes aegypti mosquitoes. The data of DHF patients of Public Health Department Palu of 2014 were 580 patients, in 2015 were 653 patients and 2016 were 637 patients. The data indicate that the incidence of DHF in Palu City in 2014-2016 fluctuates. This research aims to find out the Environmental Risk Analysis and the Use of insect repellent on Dengue Hemorrhagic Fever at Kamonji Public Health Center Palu. The type of research used in this research is observational research using case control method. The case subjects were DHF patients and the control group was people who did not suffer from DHF in the working area of Kamonji Public Health Center. Case samples were 93 and control 93 by matching sex, age and case location. Sampling was done with total sampling. The research analysis used odd ratio test. The results show that the use of mosquito repellent (OR=3.870 and CI=2.099-7.138), waste processing (OR=2.895 and CI=1.593-5.261), water reservoir (TPA) (OR=2.005 and CI=1.118-3.596), exposure (OR=3.018 and CI=1.660-5.486), and ventilation (OR=2.292 and CI=1.274-4.123) is a risk factor of DHF at Kamonji Public Health Center Area Palu City in 2016. To cope with the risk of DHF incidence should always behave healthy and clean the environment in around the home.

Behavior of Pregnant Women against Antenatal Care Visits in Tawaeli Public Health Center Area Palu City

Complications of pregnancy and childbirth as the highest cause of maternal death can be prevented through antenatal care regularly. The World Health Organization (WHO) estimates that 800 women die every day due to complications of pregnancy and childbirth. Based on data from the Central Sulawesi Provincial Health Office AKI in 2015 amounting to 208 per 100,000 live births the figure is still relatively high. The data from the Palu City Health Office in 2017 ANC service coverage from the 12 lowest health centers was in the Tawaeli Health Center, namely K1 94.0% and K2 85.7%. The purpose of this study was to determine the behavior of pregnant women on antenatal care visits in the working area of ​​Tawaeli Health Center, Tawaeli District, Palu City. This type of research is qualitative with the phenomenology approach. The research informants were 11 people who were determined by Purposive Sampling techniques. The results of this study indicate that knowledge is not good enough because pregnant women get less information about pregnancy and antenatal care examinations. negative attitude in conducting K1 visits and low K4 visits. Health facilities are sufficient. Family support is good but it has little effect on the regularity of pregnant women in conducting antenatal care visits. Midwives have less role in providing information to pregnant women about antenatal care examinations. It is expected that the Tawaeli Health Center can increase the role of midwives to provide information to pregnant women about pregnancy and antenatal care examinations.

PEMBERIAN SARI BENGKUANG TERHADAP KADAR GLUKOSA DARAH PUASA PADA PENDERITA DIABETES MELLITUS TIPE 2

Background : Diabetes mellitus is a condition in which blood levels in the body is high due to a disruption in the pancreas gland so the body can not produce or can not use insulin. Diabetes mellitus type 2 is a type of diabetes mellitus that does not depend on insulin or better known as non-insulin-dependent. Prevalence of Diabetes Mellitus in Central Java was ranked 2nd out of 8 new cases of PTM (Non Communicable Disease), with a percentage of 18.44%. Control efforts can be done by eating high-fiber foods, one of the foods that contain fiber is high enough and potentially lower blood glucose levels, namely bengkuang. Objective: To determine the effect of bengkuang juice on fasting blood glucose level in type 2 diabetes mellitus. Research Methods : Type of quasy experiment study with pretest-posttest control group design. The population is patients of type 2 diabetes mellitus aged 40-60 years in the work area of Kedungmundu Public Health Center in April as many as 60 people. Sampling using non randomized sampling technique. The sample size is 36 people divided into 18 treatment groups and 18 control groups. Intervention given in the form ofbengkuang juice for 14 days. Multivariate test using anova repeated measured.Results : The giving of bengkuang juice controlled by nutrient intake (energy, protein, fat, carbohydrate and fiber) showed no significant effect on decreasing fasting blood glucose level (p = 0.344). Conclusion: Bengkuang juice has no significant effect on decreasing fasting blood glucose level in type 2 diabetes mellitus.

Hubungan Dukungan Sosial Keluarga dengan Perilaku Perawatan Diri pada Klien Diabetes Melitus Tipe 2 di Wilayah Kerja Puskesmas Kaliwates, Jember

Type 2 diabetes mellitus (T2DM) is a metabolic disease that can cause various chronic complications and they can be minimized by self-care. One of the factors that affect self-care in diabetic clients is family social support. The aim of the research was to analyze the correlation between family social support and self care behavior client with T2DM)in the area of Kaliwates public health center, Jember. This research applied an observational analytic design with cross-sectional approach. A total of 84 respondents were enrolled in this study by using purposive sampling technique. The data collection method used the HDFSS (Hensarling Diabetes Family Support Scale) and SDSCA (Summary of Diabetes Self Care Activity) questionnaires, it conducted on January 7th-22nd 2019. The data analysis used Spearman correlation test with a significance level of 0.05.The result showed that median of the family social support was 86 with a minimum value of 69 and a maximum value of 106, whereas the mean value of self-care behaviour was 2,27 days with a standard deviation of 0.45 days. There was a significant positive correlation between family sosial support and self-care behaviour (p value: 0.001; r; +0.378), meaning that the higher the level of family social support the better the self-care behaviour. This study suggests the importance of assessing family social support to improve self-care in clients with type 2 diabetes mellitus.

HUBUNGAN KADAR ZINK DALAM ASI DENGAN BERAT BADAN DAN PANJANG BADAN BAYI USIA 4-6 BULAN DI KOTA PADANG SUMATERA BARAT

Zinc deficiency is public health problem. Almost two million people in developing country suffered zinc deficiency. Zinc deficiency in Indonesia, 25% in breastfeeding mothers and 17% in babies. The purpose of this study was to determine the correlation of zinc level in breastmilk with 4-6 months old baby weight and length in Padang City West Sumatera. This study was done in working area of Lubuk Buaya, Padang Pasir, and Nanggalo Public Health Center. This study was done from January 2016 until January 2017. The design of this study was cross sectional, number of sample were 108 people. Samples were selected by simple random sampling. Zinc level in breastmilk was checked by AAS (Atomic Absorption Spectrophotometer). Data were analyzed by using univariate and bivariate with pearson correlation test. The correlation test, correlation was positive and patterned between log zinc level in breastmilk with 4-6 months old baby weight (r=0,272), while the length (r=0,216), correlation was positive and weak with p value <0,05. That there were significant correlation between log zinc level in breastmilk and 4-6 months old baby weight and length.

Pelaksanaan Kelas Ibu Hamil Sebagai Upaya Peningkatan Pengetahuan Ibu, Keluarga Dan Kader Dalam Deteksi Dini Resiko Tinggi Ibu Hamil Di Wilayah Kerja Puskesmas Sambeng Kabupaten Lamongan

The introduction of high risk pregnant women is done through early detection of risk factors pro actively in all pregnant women by mother, family, and cadres. The program organized by the Ministry of Health to support the step is the Pregnant Women's Class. The purpose of this study is to improve knowledge of mother, family and cadres in early detection of high risk pregnant women in the working area of Sambeng Community Health Center of Lamongan. The design of this research is Quasi Experiment with Pre-Post Design approach. Its population is pregnant mother, family and cadres who attend class of pregnant mother in working area of UPT Sambeng Public Health Center. Sampling technique used was Purposive sampling, got 40 respondents of pregnant women, 40 families and 20 cadres. Data were analyzed with Wilcoxon Signed Ranks Test. Wilcoxon Signed Ranks Test results show that there is influence of maternal class implementation with knowledge of mother (Z value = -4,815), family (Z value = -4,315) and cadre (Z value = -3,162) in early detection of high risk pregnant women. The success of pregnant women's classes can be continued by using innovative and attractive media such as simulation and movie viewing to be more engaging for the community, and families to participate, thus encouraging people to do early detection.

Demonstration Method, its influence on Knowledge and Practice of Baby Massage among Traditional Birth Attendants

Background: The community still uses the power of a Traditional Birth Attendant (TBA) as infant massager because the TBA is considered to provide help with emotional security through prayers and is considered to be part of the social and cultural environment. Herbalists in villages typically show non-conforming massage methods and are even at risk for trauma injury to infants, the most dangerous of which TBA perform inappropriate massage on the abdomen and head. Purpose: The purpose of this research is to know the effect of health education by way of demonstration method for TBA in work area of Selopampang and Tembarak Public Health Center, Temanggung Regency Methods : This study used pre experimental studies with one group of pretest - posttest design and qualitative and quantitative types. Sampling technique is by total sampling. All samples were given a questionnaire to measure the level of education and practice for infant massage. Result : The results showed that demonstration is the effective method for improving knowledge and practice with the result of T-Test statistical analysis p-value 0.000. Conclusion : It is expected that health personnel need to update the concepts needed to train children and children can apply the skills in accordance with the theory, so as to produce maximum results to create the next generation of quality.

FAKTOR-FAKTOR DETEKSI DINI KANKER LEHER RAHIM PADA WANITA USIA SUBUR DALAM

Cervical cancer is a women's health problem in Indonesia, due to high incidence and mortality. The incidence of Cervical Cancer in Indonesia is 16 per 100,000 women. Not performing early detection of cervical cancer on a regular basis and on time is a factor in the spread of cervical cancer. The purpose of this study was to determine the factors that affect WUS in early detection of cervical cancer in Babatan Public Health Center. This research design uses a quantitative approach with cross sectional design. The population in this study is Women Age Fertile in Babatan Public Health Center area 2016. The sample used is 87 people with sampling technique using accidental sampling. Data collection techniques using questionnaires. Analysis of univariate data, bivariate using Chi Square test statistic and Independent sample T Test and multivariate using Logistic Regression. 87 WUS, 51.7% good knowledge, 55.2% negative attitude, 58.6% less information exposure, 51.7% higher education and average age of 33 years old. Bivariate analysis showed that there was a correlation between knowledge , attitude, exposure of information and education with early detection of cervical cancer at Babitis Public Health Center 2016. Factor for early detection of cervical cancer is exposure of information.It is suggested that health officers should work together with cadres to socialize and improve the extension to the community repeatedly in every activity, especially for people with low education, so that people want to do early detection of cervical cancer with IVA and papsmear.

The Knowledge of Midwife in Giving Vitamin A during Puerperium In Public Health Center

Vitamin A is an organic compound that the body needs from the outside because the body can not produce it. The coverage of of vitamin A in postpartum women in Sidoarjo regency was 95.01% nd the coverage of vitamin A in Public Health Center was about 72.98%. So that vitamin A is still less than the national target (100%). The aim of this study indentified the description of knowledge, by provision of vitamin A capsules to postpartum women. This study is an analytical study conducted on November 2017 until Jnuary 2018. Respondents are all midwives who are in the areaof Public Health Center, totaly 19 midwives. The research instrument using questionnaire the validity and reliabelitas already tested. The data processing by the frequency of table and cross taultion then performed Rhank Spearman test with the result P Value = 0,199 means >0.05 then H0 accepted it is means there is no significant relation between knowledge of midwife with vitamin A that is giving to postpartum women.

Edukasi Gizi dengan CAMIL Sama Efektif dengan Leaflet dalam Prilaku Pencegahan Anemia pada Ibu Hamil

Iron nutritional anemia is anemia caused by iron deficiency in the blood, meaning the concentration of hemoglobin in the blood is less than 11 gr / dl. According to WHO, the incidence of pregnancy anemia ranges between 20% and 89% by setting Hb 11 g% (g / dl). The pregnancy anemia rate occurred 3.8% in the first trimester, 13.6% trimester II, and 24.8% in the third trimester. To know the effectiveness of CAMIL media (iron anemia disc pregnant mother) to behavior of prevention of iron anemia in pregnant mother in work area of ​​Beringin Raya Public Health Center of Bengkulu City. This type of research uses Quasy Experimental Study with Pretest-Postest Control Group Design. The population in this study were pregnant women listed in the Register of Beringin Raya Public Health Center of Bengkulu Year 2018. total samples were 40 respondents.20 respondents of the intervention group and 20 control groups. Data analysis using T-test. The result of the research is the effect of CAMIL on knowledge, attitude and action where the sign value 0.000 <0.05. While the Leaflet of behavior (knowledge, attitude, and action) there is influence where the sign value is 0.000 <0.05. There is no difference of knowledge on CAMIL group and leaflet where sign value is 0.106> 0.05. For attitudes on the CAMIL group and the leaflet is the same where the sign value is 0.146> 0.05. Action on the CAMIL group and the same leaflet where the sign value is 0.064> 0.05. Conclusion From the results of this study it can be concluded that health education is important to improve knowledge, attitude, and action, using CAMIL media and leaflets, both media are equally efketif because it is written with the added pictures

The association between plasma C-peptide concentration and the risk of prostate cancer: a nested case-control study within a Japanese population-based prospective study.

The association between plasma C-peptide concentration and prostate cancer is unclear. Inconsistency of results from previous studies motivates this study. Using the Japan Public Health Center-based Prospective study, 201 prostate cancer cases and 402 controls were matched by age, public health center area, residence, date and time of blood collection, and fasting duration before blood collection. Odds ratios (OR) and 95% confidence intervals (CIs) were estimated by conditional logistic regression models. Out of 201 cases, 144 were localized and 48 were advanced. The overall association between median plasma C-peptide concentration and prostate cancer was not significant (OR for the highest tertile=0.81, 95% CI: 0.43-1.56, P-trend=0.54). Although stratification of prostate cancer by stage indicated different effects of plasma C-peptide on localized and advanced cases, there was no association between plasma C-peptide concentration and advanced prostate cancer (OR=2.82, 95% CI: 0.30-26.36 for the highest category, P-trend=0.37) and localized cases (OR=0.49, 95% CI: 0.23-1.04 for the highest category, P-trend=0.06) for patients fasting at the time of blood collection. The association between plasma C-peptide concentration and prostate cancer risk differed by cancer stage. Differentiation of localized and advanced prostate cancer cases is crucial when investigating the association between plasma C-peptide concentration and the risk of prostate cancer.

Factors related with Hb 0 Vaccine Administration to Infant Age 0-7 days at The Sukawening Public Health Centre

Background: Hepatitis is a public health problem in the world including Indonesia. Hepatitis B virus infected 2 billion people in the world, about 240 million of them become chronic hepatitis B sufferer, as many as 1,5 million world’s population died every year because of hepatitis. In 2013, immunization in Garut District accomplish (97,2%) HB 0 immunization, (106,7%) BCG, (97,8%) DPT/HB (3), (104,8%) Polio 4 and (102,9%) Measles. Although it exceeded above the determined target, HB 0 immunization still ranked the lowest compared to other immunization.Methods: This research aimed to analyzed factors related to HB 0 immunization including family income, attitudes, education level and knowledge on HB 0 immunization administration for infants aged 0-7 days at working area of Sukawening public health center. Number of sample in this research is 218 people. Data was obtained by interview using questionnaire, analyzed by multiple regression at α = 0,05.Result shows that there is a significant relationship between the mother's behavior of HB 0 immunization with family income variable (p-value 0,0320) attitude variable, education level and knowledge on HB 0 immunization has p-value < 0,000 for each at working area of Sukawening public health center. Variable that has the least influence is family income variable.Conclusion: Those factors influence mothers’ behavior on HB 0 immunization to their babies. Keywords: HB 0, Immunization, Infant

Management, Communication, Partnership, and Innovation Factors in Posbindu PTM Implementation Process in Gunung Batu Bogor City

By 2015 the deaths due to PTM are 68% and projected in 2030 to increase to 74%. Indonesia in 2013 based on Riskesdas data shows that 69.6% of diabetes mellitus and 63.2% of hypertension are still undiagnosed. The government's proactive efforts are through the implementation of Posbindu PTM which shows a very different number of visits in the target area of the Pasir Mulya Public Health Center. The purpose of this study is to know more in the description of management, communication, partnership and innovation in the implementation of Posbindu PTM and the factors that determine the results of the evaluation of the implementation of Posbindu PTM. This study is a qualitative study with in-depth interviews, focus group discussions (FGD), document review and observation at two Posbindu PTM with the highest and lowest visits to people with similar characteristics. The results of this study indicate that human resource management is a contributing factor in the implementation of Posbindu PTM, communication and innovation need to be supported by partnership. The implementation of Posbindu PTM is supported by the optimization of management, communication, partnership and innovation factors that are interrelated in improving the successful implementation.