Public Health Center Working Area Research Articles

Factors Associated with Providing Complete Basic Immunization in Toddlers

Complete basic immunization (CBI) in toddlers is a crucial aspect of public health. It can protect children from infections that can kill or disable them. Nevertheless, the CBI is still low in the working area of Lubuk Buaya Public Health Center, standing at 49.7%, while the national target achievement is 95%, indicating a disparity of 45.3%. The purpose of this study was to determine the factors associated with the provision of complete basic immunization to toddlers in Pasia Nan Tigo Village, Lubuk Buaya Public Health Center Working Area. The type of research was quantitative with a cross-sectional design. The researchers conducted the study from March to August 2023. The population of this study were mothers who had toddlers who were residing in Pasia Nan Tigo Village, as many as 105 people. Accidental sampling was used to collect 51 respondents. We obtained data by questionnaire and interview. We analyzed the data using the chi-square test. The result found that 58.8% of respondents did not provide complete basic immunization to toddlers, 64.7% of respondents had a low level of knowledge, 60.8% of respondents did not have available facilities and infrastructure, 62.7% of respondents stated that the role of health workers was not satisfying, and 62.7% of respondents did not get family support. The level of knowledge, availability of facilities and infrastructure, the role of health workers, and family support were associated with the provision of complete basic immunization in toddlers. Knowledge, facilities and infrastructure, health workers, and family support are factors that can influence the provision of complete basic immunization for toddlers. It is expected for the head of the Lubuk Buaya Public Health Center to complete Integrated Healthcare Center tools such as reading materials, brochures, and leaflets so that Integrated Healthcare Center services can motivate cadres to change the mother’s behavior. Keywords: CBI, Knowledge, Facilities and Infrastructure, Health Worker, Family Support ,

Relationship of psychosocial stimulation by mother to development children age 3th-5 th years in Gamping 1st Public Health Center Working Area

<p><strong><em>Background</em></strong><em>: According to World The Health Organization (WHO) states that around 95% of children with developmental disorders live in the country income low and intermediate. Several studies show that stunting and being underweight are related to child development, especially motoric, cognitive, and language development on child. Psychosocial stimulation is external or environmental stimulation that is important for child development. Children who receive targeted and regular stimulation develop faster than children who receive less or no stimulation. If developmental deviations are not treated early and adequately, they tend to result in disability. </em></p><p><strong><em>Objectives</em></strong><em>: To determine the relationship between maternal psychosocial stimulation and children development age 3<sup>th</sup>– 5<sup>th</sup> years in Gamping 1<sup>st</sup> Public Health Center Working Area.</em></p><p><strong><em>Methods</em></strong><em>: The quantitative analytical research with design cross sectional. The sampling technique used is probability sampling with a type of cluster random sampling technique design with a total sample of 103 children from 1,421 in population at posyandu in Gamping 1<sup>st</sup> Public Health Center Working Area. Child development is measured using a Questionnaire Pre-Screening Development (KPSP). Psychosocial stimulation mothers were measured using the HOME instrument</em><em> </em><em>which has been tested by CVI Expert</em><em>. The bivariate analysis used is the test chi square .</em></p><p><strong><em>Results</em></strong><em>: Based on the research results after carrying out the Chi Square Test, the p value was 0.002 (p-value was <0.05). </em></p><strong><em>Conclusions</em></strong><em>: That psychosocial stimulation has an relationship on children's development aged 3-5 years this is also one of the nurturing patterns that mothers can do at home. The need for further research is to control the amount or how much influence from outside regarding the information obtained by the mother which can influence the level or model of stimulation that the mother develops when providing stimulation</em>

Association between Comorbidities and COVID-19 Mortality: a Cross-Sectional Study in a Community Health Center in Indonesia

Objective: To analyze the risk factors for mortality and comorbidity of COVID-19 patients in a public health center work area in Indonesia.Methods: This was a cross-sectional observational analytic quantitative study using secondary data of 820 confirmed COVID-19 cases in Brebes Public Health Center work area during the period of June 2020–December 2021. Univariate and bivariate analyses were used to analyze the obtained data statistically with a p-value of <0.005 considered significant.Results: Of the 820 confirmed COVID-19 patients, 85.1% recovered and 15.0% died. Analysis on the characteristics of these cases showed that 51.2% females and 48.8 % males were included in this study, with 77.6% of them were <60 years old. No history of comorbidities was identified in 92.1% of the cases. In remaining cases with comorbidities, Diabetes Mellitus was recognized as the most prevalent (n=39, 4.8%). Results of the Chi-Square test demonstrated that comorbidity status (p-value = 0.001), place of quarantine (p p=0.000 p>0.05), and diabetes (p=0.000, OR=2.87, 95% CI 19 1.24-0280) were significantly associated with mortality.Conclusion: Comorbidity status, diabetes, and the place quarantine are risk factors for mortality among COVID-19 confirmed cases, especially in Brebes Public Health Center work area. Thus, it is important to increase knowledge about COVID-19 prevention and risks to prevent transmission among those with higher risks for mortality. Further studies on factors related to sustainable supports for COVID-19 patients are also necessary.

Risk Factors for Stunting in Toddlers in the Public Health Center Working Area Embo Jeneponto, South Sulawesi

Stunting is still a nutritional problem in Indonesia, including in South Sulawesi. The impact of stunting is very broad, starting from the individual, family, community, and country levels. This study aims to analyze the risk factors for stunting incidents in the Embo District Health Center Work Area, Jeneponto. The type of research used in this research is observational with a "Case-Control Study" (case-control) approach, namely the status of the research design carried out by identifying subjects in the form of cases, using primary data through interviews with questionnaires. The variables studied included maternal education, birth weight, birth length, and exclusive breastfeeding. The sampling technique uses simple random sampling. The number of samples in this study was 136 samples which included 68 case groups and 68 control groups. The results of the study showed that the variables that were risk factors for stunting were maternal education (OR= 9.758), birth weight (OR= 5.590), body length (OR= 8.065), and exclusive breastfeeding (OR= 4.286). Therefore, efforts are needed to increase the knowledge of every prospective mother by providing education on nutritional requirements for pregnant women so that they can prevent low birth weight and short birth length as well as postpartum education for exclusive breastfeeding.

Relation between Hypertension Knowledge and Behavior with Blood Pressure on Hypertensive Farm Workers in Mumbulsari Public Health Center Working Area

The prevalence of hypertension in Indonesia is still relatively high. One of them is hypertension experienced by people who work as farm workers. The high prevalence of hypertension can be caused by the lack of knowledge and behavior of farm workers regarding hypertension. Knowledge about hypertension affects the formation of hypertension control behavior so that it has an impact on blood pressure values. The purpose of this study was to determine the relationship between knowledge and behavior about hypertension with the blood pressure of hypertensive farm workers in the work area of the Mumbulsari Jember Health Center. This study used subjects of agricultural workers who had hypertension in the working area of the Mumbulsari Jember Health Center. The study was conducted by measuring the subject's knowledge about hypertension using the Hypertension Knowledge-Level Scale (HK-LS) questionnaire, the subject's behavior regarding hypertension using the High Blood Pressure – Self Care Profile – Behavior Scale (HBP-SCP-BS) questionnaire, and blood pressure using a digital sphygmomanometer. The results of the study obtained included the majority of subjects had knowledge with sufficient category of 61.90%, behavior with sufficient category of 57.14%, and blood pressure with stage 1 hypertension category of 47.61%. Bivariate analysis with the Mann-Whitney test did not show a significant association between knowledge and blood pressure, but there was a significant relationship between behavior and blood pressure.

Effect of Supplementary Feeding on Weight Gain for Malnourished Toddlers Aged 6-59 Months

One of the factors that affect a person's level of health is good nutritional status. Providing additional food or nutritional supplementation to malnourished toddlers is one of the treatments to overcome the problem of malnutrition. The purpose of this study was to determine the effect of supplementary feeding on weight gain in malnourished toddlers aged 6-59 months. This study used a pre-experimental design. Data was taken from direct observation sheets on respondents in the Pasirian Public Health Center work area which was carried out from July to August 2022 with a population of 32 respondents and a sample of 21 respondents using purposive sampling. technique. Data collection includes coding, editing, and tabulating. Then the data were analyzed by computer with the help of SPSS. The results showed that in malnourished toddlers who were given additional food, there were 17 respondents who experienced weight gain (81%) and 4 respondents who did not gain weight (19%). Statistical results using the T-test showed a p-value of 0.001. There is an effect of supplementary feeding on weight gain in malnourished toddlers aged 6-59 months at the Pasirian Public Health Center.

Analysis of Factors Affecting Coverage Immunization Hepatitis B in the Regionwork Panga Health Center Aceh Jaya District

<p><em><span>Immunization coverage in the Panga Publich Health Center only reaches 40.56%. This study aims to identify and analyze the factors that influence the low coverage of Hepatitis B immunization. This research was a mix method research design explanatory research. The study was conducted at Panga Publich Health Center, Aceh Jaya Regency from July to August 2022. The number of samples was 66 mothers who had toddlers obtained by purposive sampling. The number of informants is 11 people. Analysis of quantitative data was carried out by using univariate analysis test, bivariate analysis using Chi-square test and multivariate using logistic regression test. Qualitative data analysis using interactive analysis. The results of the quantitative research show that in the univariate analysis of 66 respondents, most of them aged 36-45 years (56.1%), high school education, (53.0%), having a job as self-employed (37.9%). The results of the bivariate analysis showed that knowledge, attitudes, beliefs, facilities, husband's support, support of health workers affected by the coverage of Hepatitis B immunization in the Panga public Health Center Work Area Aceh Jaya Regency. The results of the multivariate analysis showed that the variable that had the most influence on the coverage of Hepatitis B immunization was the trust variable. The results of the qualitative analysis showed that most of the children in the Panga public Health Center Work AreaAceh Jaya Regency was not immunized against hepatitis B, the community believed that the raw material for hepatitis B immunization was not halal. Based on the results of this study, it was recommended that the results of this study be used as reading material and evidence based for students who are working on college assignments and final projects, especially those related to factors that affect immunization coverage.</span></em></p><p><em><span><strong><em><span lang="IN">Keywords: Factors, Hepatitis B, Immunization Coverage</span></em></strong></span></em></p><p><em><span><br /></span></em></p>

Performance of village midwives in detecting neonatal emergency through self efficacy and work engagement as mediation: Cross-sectional study in Pamekasan Regency, Indonesia.

The government's strategy in reducing the high infant mortality rate (IMR) in Indonesia is to place midwives in the village and use the Integrated Management of Young Infants (MTBM) guidelines that integrate all steps through early detection and effective treatment. Midwives have not shown maximum performance in neonatal coverage and neonatal complications, each of which has not reached the target. This study aims to analyze the effect of self-efficacy and work engagement on task performance in the Pamekasan Public Health Center Work Area. This research was conducted as an analytic study with a cross-sectional study. A sample of 151 village midwives in each Puskesmas' working area, was then analyzed and interpreted to test the model with SEMPLS. Directly self-efficacy has no effect on performance (t statistic 0.315 < 1.96; p-value 0.753 > 0.05), self-efficacy affects work engagement (t statistic 13.98 > 1.96; p-value 0.000 < 0.05), while work engagement has an effect on performance (t statistic 11.426 > 1.96; p-value 0.000 > 0.05). Indirectly, self-efficacy will affect performance if it is through work engagement (t statistic 7.392 > 1.96; p-value 0.000 > 0.05). The findings show that self-efficacy and work engagement can help improve the performance of village midwives in detecting neonatal emergencies.

The knowledge and anxiety toward the implementation of COVID-19 vaccination.

The aim of the study was to analyze the relationship between the level of knowledge and anxiety regarding the implementation of the COVID-19 vaccination in the community. The research was conducted in the Dulupi Health Center work area from March to April 2022, with an analytical observational research design using a cross-sectional approach. The research population is the Dulupi Public Health Center work area community, with a total sample of 297 people taken using the cluster random sampling technique and calculated by Slovin's formula. Data were collected through a questionnaire which were then analyzed by univariate and bivariate. The knowledge variable, most of them had less knowledge (91.9%), and in the anxiety variable, most of the respondents experienced mild anxiety (55.2%). In the implementation variable, most of the respondents were not vaccinated, 245 people (82.5%), while those who were vaccinated were 52 people (17.5%). The level of knowledge and anxiety is primarily related to the implementation of COVID-19 vaccination, with P-values of (0.047) and (0.000) <P (0.05). There is a significant correlation between knowledge and anxiety regarding implementing COVID-19 vaccination in the Dulupi Health Center work area, Boalemo Regency.

Determinan Stunting pada Anak Usia 0-24 Bulan di Wilayah Kerja Puskesmas Indrajaya Kabupaten Pidie Tahun 2022

Stunting or short is a condition where children experience failure to grow and develop so that children have a shorter height than the standard age. The prevalence of stunting at the Indrajaya Public Health Center was 240 cases. The purpose of this study was to find out what factors were associated with the incidence of stunting in children aged 0-24 months in the Indrajaya Public Health Center, Pidie Regency in 2022. This type of research was observational analytic with a case control approach. The population is all mothers of infants aged 0-24 months as many as 70 mothers of infants in the Caleue settlement. Sampling in this study was conducted in the Caleue settlement, which consisted of 26 mothers of infants who experienced stunting as cases and as many as 26 mothers of infants who did not experience stunting as controls (control). Data collection from February 27 to March 04 using a questionnaire through interviews. Data analysis using Chi-Square test SPSS program. The results of the study there was a relationship between energy and protein intake p = 0.003, there was a relationship between Low Birth Weight p = 0.005, there was a relationship between exclusive breastfeeding p = 0.012, there was a relationship between Early Breastfeeding Initiation p = 0.023, there was a relationship between history of infectious diseases p = 0.023 = 0.011, there is a relationship between family income p = 0.048 and there is a relationship between mother's knowledge p = 0.025 with stunting. Based on the research conducted, it can be concluded that the seven variables have a stunting relationship in the Indrajaya Public Health Center Work Area, Pidie Regency in 2022. It is expected that health workers can provide counseling regarding stunting prevention in children under two, such as providing adequate energy and protein intake.

Hypertension Risk Factors in Batu Ampar Public Health Center West Borneo

Many people do not know that they have been diagnosed with hypertension until complications arise. Hypertension is a non-communicable disease caused by many factors. The risk factors that influence the incidence of hypertension are divided into two: modifiable and non-modifiable risk factors. Thus far, there is no data on risk factors for hypertension in the Batu Ampar Public Health Center work area. The objective of research is knowing the risk factors for hypertension in the working area of Batu Ampar Public Health Center. An observational study with a cross sectional design conducted at the Batu Ampar Public Health Center from April to June 2022. The variable data collected were age, gender, education level, occupation, obesity, smoking habits, exercise habits, alcohol consumption, salt consumption and fruit consumption. and vegetables. Of the 150 respondents (75 with hypertension and 75 without hypertension) it was found that age, occupation, alcohol consumption and salt consumption were risk factors. The probability of hypertension having these four risk factors is 97%. Risk factors for hypertension in the working area of Batu Ampar Public Health Center are age, occupation, alcohol consumption and salt consumption.

OVERVIEW OF PUBLIC KNOWLEDGE ABOUT STROKE IN THE WORK AREA OF KAWAL PUBLIC HEALTH CENTER

Stroke is a disorder of the central nervous system that is most often found and is the main cause of impaired functional activity in adults. The prevalence of stroke incidence based on RISKESDAS tajun 2018 is increasing from 7% to 10.9% at the age of ≥ 15 years. Stroke attacks can cause weakness and paralysis in one or even both sides of the patient's body, this weakness can cause difficulties when walking and doing activities. The degree of disability experienced by stroke patients depends on the severity of hemiparesis, 30-60% of patients who experience hemiparesis will experience a complete loss of body functions within 6 months after the stroke. The purpose of this study is to provide an overview of public knowledge about stroke in the work area of the Kawal public Health Center.. The method in the study was a descriptive survey of the knowledge of the community in the working area of the Kawal Public Health Center, Riau Islands Province, about stroke. The study was carried out in July 2020 with a total sample of 39 respondents. The results of the study were obtained where the picture of public knowledge about stroke with good knowledge was 16 people (41.02%) and sufficient knowledge as many as 7 people (17.94%). Suggestions need to improve health promotion about stroke through print or electronic media and further research on the identification of stroke risk factors in the community of the Kawal Public Health Center work area.

Hubungan Pengetahuan, Sikap Ibu dan Dukungan Suami dengan Kelengkapan Pemberian Imunisasi Tetanus Toxoid (TT) Pada Ibu Hamil

Tetanus Toxoid Immunization (TT) is an attenuated and purified tetanus germ toxin that is given to infants, children and mothers in an effort to provide protection against tetanus. This study aims to determine the relationship between knowledge, mother's attitude and husband's support with the completeness of giving Tetanus Toxoid (TT) immunization to pregnant women in the Tanjung Baru Public Health Center Work Area, OKU Regency in 2021. The design of this study is an analytical survey using a cross sectional research design. The population in this study were all third trimester pregnant women who had their pregnancy checked in January-July 2021, namely 38 respondents and the number of samples was 38 respondents. The sampling technique used is purposive sampling. Data analysis used Chi Square statistical test with Pvalue (0.05). The results of this study were from 20 respondents who had good knowledge with the completeness of TT immunization as many as 17 people (85.0%) with Pvalue = 0.02, from 21 respondents who had a positive attitude with completeness of TT immunization as many as 18 people (85.7%). with P-value = 0.01, and of the 21 respondents who had a positive attitude with completeness of TT immunization as many as 18 people (85.7%) with P-value = 0.01. Midwives are expected to increase knowledge to mothers about giving Tetanus Toxoid (TT) immunization so that they can improve the quality of service.

Faktor-Faktor yang Berhubungan dengan Kejadian Kurang Energi Kronis pada Ibu Hamil

Chronic Energy Deficiency is a condition in which the mother is malnourished due to a chronic deficiency of one or more dietary nutrients which results in relatively or absolute health problems for the mother. This study aims to determine knowledge, maternal age, gestational age and income with chronic energy deficiency in pregnant women in the Muara Enim Public Health Center Work Area, Muara Enim Regency in 2021. The method used in this study is an analytical survey with a cross sectional approach. The statistical test used was the Chi-Square test. The population in this study were all multigravida pregnant women, with a sample of 54. Through data analysis with statistical tests using the Chi-Square test, it was found that there was a significant relationship (P-value 0.001), gestational distance (P-value 0.011), and income (P-value = 0.005). with chronic energy deficiency, and there is no relationship between maternal age and chronic energy deficiency in pregnant women with a Pvalue of 0.275. The results of this study can be used as input for the preparation of health programs to reduce the incidence of chronic energy deficiency in pregnant women and as input for improving the quality of health services.

The Influence Of Health Education On Safe Delivery On The Motivation Of Membership In The Health Facility

Background: The high rate of MMR and AKN in Bangkunat District is one of the causes of deliveries not in health facilities. The low coverage of deliveries in health facilities is 64.66% of the 100% target in 2020, one of which is caused by the lack of knowledge of pregnant women about the importance of giving birth in health facilities. This study aimed to determine the effect of health education on safe delivery on motivation to give birth in health facilities in the Public Health Center working area. Bengkunat Belimbing Health Center in 2021. Method: The design in this study was pre-experimental (the one group pretest-posttest without control group design). The population in this study were all pregnant women in the third trimester in Pekon Pendingan, Pekon Jawa City, Pekon Pemerihan, Pekon Sumberejo, and Pekon Sukanegeri, totaling 31 pregnant women in the third trimester. The sample was taken from as many as 31 third-trimester pregnant women given counseling about safe delivery. Bivariate analysis in this study used a Parametric, namely the Paired Sample T-Test. Result: Test Parametric (Paired Sample T-Test) obtained a p-value of 0.000 (&lt;0.01), which means that there is an effect of health education on safe delivery on motivation to give birth in health facilities in the Public Health Center work area. Bengkunat Belimbing Public Health Center in 2021. Conclusion: Based on the results of the study, the researchers suggest that it is necessary to strengthen the implementation of health education regarding safe delivery to pregnant women both in quantity and quality, which is carried out in Posyandu, maternal classes, or in health facilities by ensuring that all pregnant women have been given education health, monitoring the implementation of health education activities as well as the implementation of technical guidance activities on an ongoing basis.

Relationship of Competency of Community Health Nurse Coordinator (Perkesmas) and Level of Implementation of Perkesmas Activities at Public Health Center Work Area of Indramayu District Health Office

Community Health Nursing Service (Perkesmas) is one of the efforts of the puskesmas that supports the improvement of public health status by combining nursing knowledge/practice with public health through the support of active community participation. Perkesmas service activities can be carried out inside and outside the Puskesmas building. Inside the building, nurses provide nursing care for individuals who come to the puskesmas; in contrast, outside the building, nurses can give family nursing care and nursing care for special/health-prone groups in the Perkesmas target area. The purpose of this study was to determine the relationship between the competence of the Community Health Coordinator at the Public Health Center and the implementation of Community Health Activities in the work area of the Indramayu District Health Office. This research used a quantitative and analytical correlation approach with a cross-sectional design. The analysis was carried out in Public Health Centers throughout Indramayu Regency. The sample is 49 nurses appointed as health care coordinators at the Puskesmas. Data was collected through questionnaires, observation, and field supervision. The analysis results showed no relationship between the competence of puskesmas nurses and the level of implementation of health care activities. However, from the effects of partial hypothesis testing, it is known that there is a relationship between knowledge and training with the level of implementation of community health activities.This study recommends increasing the competence of nurses through increasing knowledge and training in hato optimize the implementation of the health care program.

Hubungan Persepsi Ibu, Dukungan Suami, dan Dukungan Tenaga Kesehatan terhadap Pemberian Asi Ekslusif pada Ibu Menyusui di Wilayah Kerja Puskesmas Cahya Maju Lempuing Oki Tahun 2021

Exclusive breastfeeding is breast milk that is given to babies from birth for 6 months, without adding and or replacing with other food or drinks. WHO reports globally that the average rate of exclusive breastfeeding in the world in 2017 is only 38%. The purpose of the study was to determine the relationship between mother's perception, husband's support, and support from health workers on exclusive breastfeeding in the Cahya Maju Lememburu PublicHealth Center Work Area OKI. Data from the Cahya Maju Lemrubuk Public Health Center OKI in 2018, from 157 mothers who had babies 0-6 months, 85.35% (134 mothers) gave exclusive breastfeeding and 14.65% (23 people). In 2019, out of 235 mothers, only 49.79% (117 mothers) gave exclusive breastfeeding and 50.21% (118 mothers). In the initial study at the Cahya Maju Public Health Center, Lemrubuk OKI, data was obtained from 240 mothers who had babies 0-6 months, only 17.5% (42 mothers) exclusively breastfed and 82.5% (198 mothers). The population in this study were 240 mothers who had babies aged 6 months. The sampling technique used simple random sampling with 71 mothers. Analysis using chi-square test. The results show that there is a relationship between mother's perception and P-value = 0.003, husband's support P-value = 0.004, health worker support P-value = 0.000. It can be concluded that there is a relationship between mother's perception, husband's support and support from health workers with exclusive breastfeeding for breastfeeding mothers in the Cahya Maju Lemembur Public Health Center Work Area OKI 2021. The results of this study are expected to be input for providing input to improve health worker services to the community, especially in providing information about exclusive breastfeeding.

Self Management Pasien Hipertensi dalam Mengontrol Tekanan Darah

This study aims to explore the self-management of hypertensive patients during treatment in the Mamboro Public Health Center Work Area. The research method in this study is a qualitative study with a phenomenological approach. The results of the study consisted of six themes, namely diet, physical activity, smoking, antihypertensive medication, blood pressure checks, and social support. Participants have tried to be able to maintain self-management in controlling blood pressure through a healthy lifestyle and adhere to antihypertensive medication but there are some obstacles that caused the participants to not comply with the advice given by health workers such as side effects, long-term treatment. Participants know that Moringa leaves have properties to lower blood pressure but the processing is still not appropriate. In conclusion, increasing understanding to improve self-management of hypertensive patients is appropriate to control blood pressure through the development of self-management improvement modules.&#x0D; &#x0D; Keywords: Hypertension, Self Management, Qualitative Study

Hubungan Pengetahuan, Frekuensi ANC, dan Usia Ibu dengan Deteksi Dini Bahaya Kehamilan Pada Ibu Hamil Trimester III

World Health Organization (WHO) estimates 800 women die every day due to complication in pregnancy and birth process, around 99% from all maternal deaths happened in developing countries. Around 80% maternal deaths caused because of the increasing of complication during pregnancy, labor, and after labor. The method used in this study was analytic survey with cross sectional approach. The statistical test was chi-square test. The population of this study was all third trimester pregnant women in Keramasan Public Health Center Working Area Palembang from January to June 2021 which was estimated to be 116 pregnant women and the sample was 54 respondents. The univariate analysis showed that of 54 respondents studied, there was 29 respondents (53,7%) did early detections of the dangers of pregnancy, whose with good knowledge was 28 respondents (51,9%), whose with standards ANC frequency was 24 respondents (44,4%), and whose with low-risk maternal age was 18 respondents (33,3%). The result showed that there was significant relationship between knowledge and early detections of the dangers of pregnancy p.value 0,015 &lt; α = 0,05, there was significant relationship between ANC frequency and early detections of the dangers of pregnancy p.value = 0,047 &lt; α = 0,05, and there was significant relationship between maternal age and early detections of the dangers of pregnancy p.value = 0,026 &lt; α = 0,05. The results of this study are expected to be useful as references for increasing the number of pregnant women want to do routine pregnancy check-ups as an effort to detect early pregnancy complications that exist in pregnant women.

The effect of balanced counseling strategy family planning against attitude, subjective norm, and intentions on the use of modern contraception behavior in the Singgani Public Health Center work area of Palu city

ObjectiveThere is a declining trend in the use of modern contraception in the community. The stagnation of family planning services is due to the lack of optimal family planning counseling. Family Planning Balanced Counseling Strategy (FP-BCS) is a family planning counseling that is practical, interactive, and encourages client participation. This study aimed to analyze the influence of the FP–BCS on attitudes, subjective norms, and intentions on modern contraception in the working area of Singgani Health Center, Palu, Indonesia. MethodThis research was a quasi-experimental with non-randomized pretest-posttest along to control group design. The sample of the study was third-trimester pregnant women who did antenatal care in the working area of the Singgani Community Health Center. The total sample was 17 respondents for each group; intervention group (treated by Maternal and Child Health (MCH) book and FP-BCS) and control group (treated by MCH Book without FP-BCS). The influence of FP-BCS toward attitudes, subjective norms, and intentions on modern contraception was statistically analyzed using the Wilcoxon Signed Rank Test, McNemar, Mann–Whitney, and Chi-Square. ResultThe Wilcoxon Signed Rank Test and McNemar analysis on the intervention group showed an increase in attitude (p=0.000), subjective norms (p=0.000), and intention (p=0.000). The control group showed an increase in intention (0.031), subjective norms (p=0.005), but there was no increase in attitude (p=0.081). The Mann-Whitney and Chi-Square analysis showed differences in attitudes (p=0.000), subjective norms (p=0.021), and intentions (p=0.010) between groups, which were given an FP-BSC and those not given an FP-BCS. ConclusionAll in all, it is expected that Family Planning-Balanced Counseling Strategy will be an option in providing family planning counseling.