Sub-district Health Centers Research Articles

The Effect of Health Promotion of Animation Videos on Behavior of Prevention of Dengue Heavenly Fever In the Work Area of Health Center, Sunday Market District South Jakarta City Year 2021

Dengue hemorrhagic fever is one of the leading causes of morbidity and mortality in the community. One of the efforts made in preventing DHF is through various health promotions by providing information and communication. Such as counseling and campaigns, electronic media, print media, and so on to increase knowledge, attitudes, and practices in the community to have awareness in changing and improving their health status. This study aims to determine the effect of health promotion through animated videos on knowledge, attitudes, and practices towards preventing dengue fever in the working area of ​​the Pasar Minggu Subdistrict Health Center. The sample of this study was 56 families, and the sampling was done using the purposive sampling technique. The results showed an increase in knowledge, attitudes, and the practice of preventive measures against dengue fever in the community after being given health promotion in the form of animated videos (P-value < 0.05). Therefore, the importance of health promotion media in changing a person's knowledge, attitudes, behavior, or actions to undergo better health behavior.

Analisis Pengetahuan, Dukungan Keluarga terhadap Praktik Kader Posbindu PTM dalam Melakukan Kie Sadari di Wilayah Kerja Puskesmas Kecamatan Bogor Bara

One of the health problems in Indonesia is cancer. Among all types of cancer, cervical cancer and breast cancer are the most common types of cancer suffered by women in the world. The purpose of this study is to find out the relationship of knowledge, family support with the practice of KIE SADAR in the working area of west Bogor sub-district health center. This research is descriptive research with a quantitative approach and cross sectional research design that aims to find out the picture of knowledge and support of the family of PTM posbindu cadres in the working area of west Bogor sub-district health center. Research subjects as many as 92 ptm posbindu cadres divided into 5 working areas of West Bogor sub-district health center. The results of the chi square test obtained a value of p = 0.008 then it can be concluded that there is a significant relationship between knowledge and the practice of KIE SADAR obtained value OR = 3.46 means that good knowledge cadres have the opportunity to practice KIE SADAR 3.4 times compared to low knowledge cadres. There is a significant relationship between family support and KIE SADAR Practice with a value of p = 0.017 with an OR value = 4,248 means that cadres who get family support have the opportunity to do KIE SADAR Practice 4.2 times compared to cadres not getting family support.

Efektivitas Pemberian Tablet Fe dan Jus Tomat terhadap Peningkatan Kadar Hb pada Ibu Hamil

Introduction: Pregnant women are anemic. No one has ever consumed tomato juice during pregnancy because they do not know the benefits of tomato juice. There has never been any counseling regarding the handling of increased Hb levels using tomato juice. The aim this research is to determine the effectiveness of giving Fe tablets and tomato juice to increase hemoglobin levels in pregnant women in the working area of ​​the West Delitua Sub-district Health Center. Methods: Quasi experiment one group design with pre and post-design. The total population is 30 respondents, and the sample using purposive sampling is as many as 20 respondents. The data used are primary and secondary. Data analysis using univariate and bivariate using non-parametric with Wilcoxon test. Results: A total of 20 pregnant women (100%) experienced mild anemia before giving Fe tablets and tomato juice, and after being given Fe tablets and tomato juice, 15 people (75%) experienced mild anemia from the Wilcoxon test that has carried out, it knows that Asym.Sig, (2-tailed) is 0.000. Conclusion: There is an effect of giving fe tablets and tomato juice on increasing hemoglobin levels in pregnant women in the Work Area of ​​the West Delitua Sub-district Health Center. I hope that pregnant women will increase their knowledge about the benefits of foods containing vitamin C, especially tomatoes, which are beneficial for anemia and can maintain health, especially during pregnancy.

Strategic Management of Early Childhood Caries in Thailand: A Critical Overview.

The aim of this report was to advocate early childhood caries (ECC) and share strategic management in Thailand, despite over two decades of free Universal Health Coverage including oral healthcare. The recent Thai national oral health survey in 2017 indicates the very high prevalence of ECC, with an average of three carious teeth affected in 53% of 3-year-old children. This is despite the efforts of the Ministry of Public Health that has launched several interventional programs ranging from an upstream policy that prohibits sugar additions in baby formula milk to downstream remediations such as advocating and encouraging toothbrushing with fluoride toothpastes. Nevertheless, ECC is strongly predicated by other key factors including the family and community commitment and participation, as embodied in the current World Health Organization guidelines. These encompass three different tiers of community-level prevention: primary, secondary, and tertiary. Accordingly, the following strategies for ECC management in Thailand should be based at primary care clusters (PCC) in sub-district health centers, with the assistance of inter-professional health teams. These include community education on the importance of deciduous teeth and effective toothbrushing with fluoride toothpaste (primary prevention), regular examination and detection of ECC lesions and early intervention (secondary prevention), insertion of non-invasive preventive restorations using cost-effective atraumatic restorative treatment (ART) or simplified and modified ART (SMART) (tertiary prevention), and, finally, effective follow-up and monitoring systems. It is anticipated that this triple tier approach to ECC management will improve not only the oral health but also the overall children's health.

PENGARUH KUALITAS PELAYANAN KESEHATAN TERHADAP KEPUASAN PASIEN PUSKESMAS KECAMATAN PANCA RIJANG KABUPATEN SIDENRENG RAPPANG

This study aims to determine the Health Service Quality of Panca Rijang Health Center, Sidenreng Rappang and to out the Patient Statisfaction of Panca Rijang Health Center in Sidenreng Rappang and the Effect of Quality of Health Service on Patient Satisfaction in Panca Rijang Health Center, Sidenreng Rappang. The population of this study was all outpatient referral patients and outpatient visit at the Panca Rijang District Public Health Center, namely 2114 people. The sample used by researchers was 95.48 or 95 respondents, taken based on insedental sampling techniques. This type of research is descriptive qualitative. Data collection techniques used in this study are observation, questionnaire, interview and library study. The collected data is then used by means of data analysis techniques, using SPSS 16.0 for Windows and the Likert Scale. The results of this study indicate that the quality of health service at the subdistrict health center in the five district of Panca Rijang district Sidenreng Rappang with a recapitulation of 58,12% categorized as not good. Satisfaction of patiens in the district health center Panca Rijang regency Sidenreng Rappang with a recapitulation of 63,2% categorized as good, however, it is know that there is a problem with the location indicator 60,4% facility 57%, image 60%. Effect of Quality of Health Service on Patienst Satisfaction in Panca Rijang District Health Center, Sidenreng Rappang Districtwith a value of thitung ≥ ttabel 1.740 ≥ 1.661, then Ho is rejected and Ha is accepted, meaning that it is significant.

PENGARUH KUALITAS PELAYANAN KESEHATAN TERHADAP KEPUASAN PASIEN PUSKESMAS KECAMATAN PANCA RIJANG KABUPATEN SIDENRENG RAPPANG

This study aims to determine the Health Service Quality of Panca Rijang Health Center, Sidenreng Rappang and to out the Patient Statisfaction of Panca Rijang Health Center in Sidenreng Rappang and the Effect of Quality of Health Service on Patient Satisfaction in Panca Rijang Health Center, Sidenreng Rappang. The population of this study was all outpatient referral patients and outpatient visit at the Panca Rijang District Public Health Center, namely 2114 people. The sample used by researchers was 95.48 or 95 respondents, taken based on insedental sampling techniques. This type of research is descriptive qualitative. Data collection techniques used in this study are observation, questionnaire, interview and library study. The collected data is then used by means of data analysis techniques, using SPSS 16.0 for Windows and the Likert Scale. The results of this study indicate that the quality of health service at the subdistrict health center in the five district of Panca Rijang district Sidenreng Rappang with a recapitulation of 58,12% categorized as not good. Satisfaction of patiens in the district health center Panca Rijang regency Sidenreng Rappang with a recapitulation of 63,2% categorized as good, however, it is know that there is a problem with the location indicator 60,4% facility 57%, image 60%. Effect of Quality of Health Service on Patienst Satisfaction in Panca Rijang District Health Center, Sidenreng Rappang Districtwith a value of thitung ≥ ttabel 1.740 ≥ 1.661, then Ho is rejected and Ha is accepted, meaning that it is significant.

The Correlation of Family Support and Dietary Compliance of The Eldery With Hypertension at Sub-District Health Center Klurahan, Ngronggot District Nganjuk Regency

Introduction: Current lifestyle triggers an increase in the incidence of hypertension, especially diet. Hypertension sufferers are expexcted to obey the predetermined diet. Family support should be a reinforcing factor that can influence the patient decision to adopt a hypertension diet. The purpose of this study was to determine the correlation of Behavior of Family Support with Dietary Compliance of The Elderly With Hypertension at Sub-District Health Center Klurahan, Ngronggot District, Nganjuk Regency. Methods: Design of the study was a correlation with a cross sectional approach. This study was conducted on February 23-24 July 2020. The population of this study was all elderly patient with hypertension at Sub-District Health Center Klurahan as many as 38 patients. The sample was 32 respondents taken by purposive sampling technique. The independent variables was The Family Support. The dependent variables was dietary compliance of The Elderly With Hypertension. The Data Collecction used a questionnaire. The data analysis used the Spearman Rank with α = (0,05). Results: The results of the study showed almost half of them were 15 respondents (46, 2%) had good family support. Dietary compliance of the elderly most of the were respondents (51, 3%) Compliance to the hypertension diet. The test results obtained p-value = 0,000 ≤ α = (0,05) so Ha was accepted with r value was 0, 851 which meant had a very strong level of correlation. Conclusions: Family support is one of the important roles that can help improve care for people with hypertension, support make sufferers more motivated to a compliance hypertension diet.

Strengthening the Role of Cadres and Village Midwives to Support the Cervical Cancer Awareness Movement in Puhu Payangan Village, Gianyar, Bali, Indonesia

Cervical cancer is the most common type of cancer in Balinese women, and most of the cervical cancer patients came in advanced condition. The health survey conducted in the village of Puhu, Payangan, Gianyar, found that the coverage of cervical cancer screening is 12%, which is considered as low. Payangan’s sub-district health centers (Puskesmas) have made an effort to give free PAP smear screenings to the local community, but it still has not received a good response. This is related to the community’s lack of knowledge on cervical cancer, low awareness of cancer screening, and false stigma about PAP smear examination. To overcome this problem, an effort is needed to increase awareness about the need for PAP smear screening by shaping it into a cervix cancer awareness movement "Gardavi", involving village midwives and housewife members of Empowerment and Family Welfare Group (PKK) in Puhu Village as cadres. Methods that are used in this community service include training for midwives, activation of tiered information system involving midwives-cadres and the community, knowledge provision as well as motivating cadres. This event is done to increase the role of village midwives and cadres to actively participate in PAP smear screenings in their region, therefore, it may increase screening outcomes and lower mother morbidity and mortality numbers due to cervical cancer. This event results in increased midwives’ knowledge and skill on the technique of sampling PAP smear independently, increased visits to the Community Health Sub-Center (Pustu) for PAP smear examination, creation of a midwives-cadres-community coordination system, cadres independently playing an active role in motivating the village community to do screening, as well as increased cadres’ optimism.

Analysis of Risk Factors affecting Stunting at Sub-District Health Center Galesong Takalar Regency

Stunting (short) is a linear growth disorder caused by malnutrition of chronic nutrient intake or chronicor recurrent infectious diseases indicated by a z-score of height by age (TB/U) of less than -2 elementaryschool. The purpose of this study is to find out the analysis of risk factors that affect stunting in Sub-DistrictHealth Center Galesong Takalar Regency. The types of research used in this study are stunting case studiesin toddlers as dependent variables whereas the independent variables studied are birth weight, energy intake,protein intake, age and gender of toddlers, maternal education, number of household members, residentialareas and family economic status. The sample is a baby that has complete data according to the researchvariables (nothing is missing). As recorded in Sub-District Health Center Galesong Takalar Regency 2019using Lemesshow formula N = 298. The results showed that psychosocial stimulation affects stuntingproblems with a risk of 33.84 times. These results showed that the four free variables tested found nocorrelation with each other, so they were declared free of multicollinearity.

FAKTOR-FAKTOR YANG MEMPENGARUHI IBU HAMIL TERHADAP PERILAKU VOLUNTARY COUNCELLING TEST (VCT)

HIV cases from 390,000 young children less than 15 years were newly infected with HIV, 90% was a result of contracting through the mother to the baby. Distribution of HIV cases in 2011-2013 the highest in the district of North Semarang. The sub-district health centers Bandarharjo active by doing VCT, but pregnant women who do VCT only about 10% of from total pregnant women. The purpose of this study was to determine the factors that influence the behavior of pregnant women Voluntary Counseling And Test (VCT) in the sub-district health centers Bandarharjo North Semarang, Semarang. This research is an explanatory research with cross sectional method. Data collection techniques with interviews using a structured questionnaire. The population of this study were pregnant women in health centers Bandarharjo which is 45 pregnant woman. Sampling method with total sampling technique. The results showed 82.2% of pregnant women in the sub-district health centers Bandarhardjo not VCT. Variables that are not related is Pregnancy Awareness Level of HIV / AIDS and VCT (p = 0.272 0.05) and Maternal attitudes about HIV / AIDS and VCT (p = 1.000 0.05). Characteristics of pregnant women were age 80.0 % of healthy reproductive age ( 20-35 years ) , 48.9 % secondary education , occupation housewife 46.7 % , 62.2 % husbands job working as an employee. Suggestion: For health professionals, especially midwives should do counseling asks respondents to disseminate to other friends about HIV /AIDS and VCT. For the Department of Health: Designing and implementing promotional execution prevention of transmission of HIV/ AIDS from mother to child transmission (PMTCT) and VCT counseling training.

Pengaruh Customer Relationship Manajemen dan Kualitas PelayananTerhadap Kepuasan Pasien serta Dampaknya kepada Loyalitas Pasien Non BPJS

Puskesmas as a First Level Health Facility that provides individual health services and community health services, is responsible for its working area. Public health efforts are made to increase public knowledge of the quality of health services it receives. This study aims to determine the activities of Customer Relationship Management and service quality that can affect patient satisfaction and its impact on patient loyalty of non-Social Security Administering Bodies (BPJS) at the Pasar Rebo District Health Center and the Kramat Jati District Health Center. This research method is a survey method. The selection of respondents was carried out using random sampling techniques on non-BPJS patients at the Kramat Jati Subdistrict Health Center and Pasar Rebo District Health Center and primary data was collected using a validated questionnaire. The research approach is quantitative descriptive and statistical data analysis of research results using Structural Equation Modeling. Data analysis from 200 completed questionnaires that meet the inclusion criteria. Based on the results of the study, the path coefficient value on patient satisfaction is Customer Relationship Management of 0.266, service quality of 0.773, while the results of research on patient loyalty are Customer Relationship Management of 0.270, service quality of 0.191 and patient satisfaction of 0.421. Effective Customer Relationship Management, good service quality and high patient satisfaction can increase patient loyalty.

Pengaruh Sistem Informasi Keuangan dan Manajemen Terhadap Peningkatan Tunjangan Kinerja Pegawai Non PNS di Puskesmas Kecamatan Kramat Jati

Every organization has to improve their performance. This condition encourage companies to use information system to carry out its daily task. The implementation of information system in an organization will accelerate and simplify the completion of the task by every employee. This condition is expected to improve the performance of employees in the company.The purpose of this research is to examine the influence of Financial Information System and Management to the improvement of performance allowance of non PNS employees at sub-district health center of Kramat Jati. This research is a quantitative research. The data analysis technique has been done by using simple refression analysis. It can be concluded from the result of the research that the implementation of accounting information system has significant and positive influence to the performance of the employees has been applied in the company properly, the performance of the employees in the company will be improved as well. The implementation of accounting information system is strongly influenced by the human resources who are owned by the company. The company should always conduct the competency of the human resource about information and technology. Competency and knowledge of the human resources is needed by the company in maximizing the use information technology.Keywords: Performance allowances, financial information systems, simple linear regression.Â

Optimizing Real-Time PCR methods for detection of ssaN gene Salmonella enterica subsp.enterica in the blood specimen

Background Typhoid fever caused by Salmonella typhi is a common acute infection of the reticuloendothelial system, intestinal lymphoid tissue, and gall bladder. Detection of Salmonella spp. is still based on cultures and serological methods.Widal test is one of the serological tests that is still widely used, especially in developing countries including Indonesia.Widal tests have low sensitivity and specificity. They often produce false positive or false negative results.ObjectiveThe aim of this study were i) real time PCR optimization to develop a Salmonella enterica detection system. ii) molecular detection of new target gene (ssaN gene) from blood specimens in typhoid fever patients.Methods An experimental laboratory study was performed from March to October 2016. Extraction of Salmonella typhi DNA is used as templates for the optimization of real time PCR reaction.The blood sample was from patients suspected with typhoid fever obtained from the Menteng Sub-district Health Center according to the inclusion criteria.ResultsSpecificity test of real time PCR showed that the primers and probes used are not cross-react against other microorganisms. Sensitivity test obtained minimal detection is at least 10 cfu/ml of blood specimen. In blood clinical specimens, real time PCR could detect 19 (38%) positive samples of 50 blood specimen from suspected typhoid fever patients. Eleven samples with negative Widal serology gives positive results in real time PCR.ConclusionReal time PCR used in this study can increase the level of rate of positive testing by 22% of the total specimens.Keywords : Salmonella enterica subsp.enterica, typhoid fever, ssaN gene, real time PCR

FAKTOR-FAKTOR YANG MEMPENGARUHI PENGETAHUAN IBU MENYUSUI TENTANG CARA MENINGKATKAN PRODUKSI ASI

Mother's Knowledge of How to Increase Breast Milk Production is a mother's effort to increase milk production in order to be able to provide exclusive breastfeeding to her baby until the age of 6 months without intake of other foods or drinks. If a baby is not given breast milk and is replaced with other fluids / foods other than breast milk, the baby will not get immunity, and will be malnourished. In the absence of antibodies, the baby will be susceptible to various diseases and increase infant mortality. So that the knowledge of parents greatly affects the increase in breast milk production. The aim of this study is to determine the factors that affect the knowledge of breastfeeding mothers about how to increase breast milk production in the kramat teak sub-district health center, East Jakarta. Sampling using accidental sampling. The research instrument used a questionnaire. This research method uses umivariate analysis. The results of the study there is a significant or significant relationship between education and information owned by mothers, but there are two variables that have no significant or significant relationship, namely parity and family support.The importance of providing education or information on how to increase milk production.

Outlining Gay's Right to Health in Jember, Indonesia: Challenges and Opportunities

Increased HIV prevalence in gay populations is a warning that needs to get government attention. AIDS prevention programs in gay populations have been implementing various methods to change high-risk behavior. However, HIV prevalence in gay populations continues to rise. The Indonesian Constitution affirms human rights, including the right to life, the right against discrimination, and other fundamental rights protected by the state. The research results showed that the fulfillment of the right to health in gay is not going well or less effective. It was evidenced by the percentage of gay that reaches out to health services was still limited. Gays were reluctant to access health services because of the lack of confidentiality and privacy of the services of health workers, the general public, and the limited facilities. Besides, stigma and discrimination are still often received both from health workers and families and communities. They worried other gays would know the result of the test of VCT. There is a need for standardization of services at all subdistrict health centers and hospitals providing VCT services for gay in Jember.
 KEYWORDS: Constitutional Rights, Human Rights, the Right to Health.

Pendidikan Kesehatan tentang Pre Eklamsi Penting untuk Pengetahuan Ibu Hamil dalam Persiapan Menghadapi Komplikasi

Preeclampsia is one of the direct causes of maternal death, the incidence of preeclampsia initially does not provide symptoms and signs, but at one time it can deteriorate rapidly, so it needs a series of examinations, detection, and identification of risk factors and controls so that it is possible to do complex primary prevention. This disease is closely related to the factors of age, parity and history of hypertension, so the alertness of pregnant women and their families in early detection of complications of pregnancy plays an important role. This study aims to determine the effect of health education about pre-eclampsia on knowledge, attitudes, and preparation for coping with labor complications in pregnant women in the health center of Tapos Depok sub-district in 2017. This study was a quasi-experimental study with a pre-test and posttest design. The sample in this study were pregnant women who examined their pregnancies at the Tapos Sub-District Health Center at the time of data collection as many as 60 respondents who were divided into two groups and taken by accidental sampling. Respondents were divided into 2 groups, namely those who were given health education with leaflet and multimedia media. Data analysis was done by univariate and bivariate with Wilcoxon and Mann Whitney tests. The results showed that there was an effect of health education about pre-eclampsia on the increase in knowledge and attitudes of pregnant women, but did not affect the preparation of pregnant women in preparation for complications of labor. Health education using multimedia is more able to increase respondents' knowledge and attitudes about pre-eclampsia compared to health education with leaflet media

KARAKTERISTIK KADER DAN EVALUASI PELAKSANAAN KEGIATAN POSYANDU DIWILAYAH KERJA PUSKESMAS PEMBANTU KURAO KECAMATAN NANGGALO KOTA PADANG TAHUN 2019

<p>Posyandu is a health service organized by, from, for and with the community. Padang DKK 2016 Puskesmas pembantu Kurao has a low Posyandu level. The purpose of this study was to find out the description of the implementation of the Kurao posyandu activity in the Working Area of Nanggalo Health Center in 2019.</p><p>The purpose of this study was to find out how the Posyandu Cadre Characteristics and Evaluation of Posyandu Activity Implementation in the Work Area of the Kurao Sub-District Health Center in Nanggalo. This research is a quantitative and qualitative study using primary and secondary data obtained from Health Officers, cadres and the community who come to posyandu</p><p>The results obtained were more than half of respondents (56.6%) with the age category 26-45 years. Most respondents (80%) were married or married. More than half of respondents (63.4%) with <5 years old category. Most respondents (83.4%) with a secondary education level category. More than half of respondents (76.6%) in the category of not working or housewives</p><p>A total of 11 posyandu are under the working area of the Kurao Preparation of information on Posyandu implementation is carried out 1 day before the implementation of Posyandu and preparation of facilities, the infrastructure has been completed. In the implementation of posyandu activities, there was an ineffectiveness in the implementation of the fourth table because not all cadres understood and were able to provide counseling materials related to health issues, because not all cadres received specific training. Cadres only get information through regular monthly meetings at cadre social gathering events. The Posyandu Information System has been arranged in detail. Policies, preparation, implementation and Posyandu Information System in the work area of the Kurao sub-pustu have not been prepared and implemented in full, there are still shortcomings. With this research, it is recommended that health workers in the Puskesmas be able to provide training and refreshment to cadres and be able to complete all the deficiencies that exist in the implementation of the posyandu activities</p><pre> </pre>

PENGARUH SENAM KAKI DIABETIK TERHADAP SENSITIVITAS KAKI PADA PENDERITA DIABETES MELITUS DI PUSKESMAS SUDIANG KECAMATAN BIRINGKANAYA KOTA MAKASSAR

Diabetes Mellitus is a chronic condition that is marked by an increase in blood glucose concentration with the appearance of typical main symptoms, namely urine that taste sweet in large numbers. One of the most common complications of diabetes mellitus is the diabetic foot, which has signs and symptoms such as injury, infection and gangrene. Handling efforts in diabetes mellitus patients as well as prevention of complications is the regularity of diabetes patients perform physical activities. One of the physical activities recommended regularly is foot gymnastic movement. Gymnastics itself is expected to reduce the incidence of complications that occur in the feet of people with diabetes mellitus such as wounds. The purpose of this study to determine the effect of foot gymnastics on foot sensitivity in people with diabetes melitus at the sub-district health center sudiang biringkanaya city of Makassar. This research uses quasi experimental design with one group pretest - posttest design. The sampling technique was done by purposive sampling with 22 respondents. This study uses Wilcoxon test with significance level (<α = 0,05). From the results of statistical tests can be concluded that there is influence of foot gym on foot sensitivity in patients with diabetes mellitus with p value = 0.000.Keywords: Diabetic foot gymnastics, foot sensitivity.

Utilization of the national cluster of district health information system for health service decision-making at the district, sub-district and community levels in selected districts of the Brong Ahafo region in Ghana

BackgroundThere is growing interest in the use of reliable evidence for health decision-making among low-and middle-income countries. Ghana has deployed DHIMS2 to replace the previously existing manual data harmonization processes.MethodsThis cross-sectional study was conducted in 12 districts comprising 12 district directorates, 10 district hospitals, 29 sub-district health centers, and 38 community health facilities in the Brong-Ahafo Region. Data collection tools were developed based on the Measure Evaluate assessment tools designed for evaluating the performance of routine information systems management tools. Utilization was assessed based on documented evidence and data was analyzed using STATA version 14.ResultsAlthough 93% of the health facilities studied submitted data unto the DHIMS2 platform, evidence suggested low use of this data in decision-making, particularly at the community level facilities where only 26% of the facilities used data from DHIMS2 to inform annual action plans and even less than 20% examined findings and issued directives for action. At the district level, 58% issued directives based on DHIMS2 information, 50% used DHIMS2 information for Advocacy purposes and 58% gave feedback reports based on DHIMS2 data for action. Functional computers were lacking across all facilities.ConclusionsActivities relating to the use of DHIMS2 information skew towards data quality checking with less focus on examining findings, making comparisons, and taking action-based decisions from findings and comparisons. Improving factors like internet access, availability of functional ICTs, frequency of supervisory visits, staff training and the provision of training manuals may facilitate the use of DHIMS2 in decision-making at all levels of the district health system.

KNOWLEDGE DESCRIPTION OF AMENORRHOEA LACTATION METHOD IN BREASTFEEDING MOTHERS IN THE SOKO SUB-DISTRICT HEALTH CENTER WORKING AREA IN TIKUNG DISTRICT LAMONGAN REGENCY

Introduction: The Lactation Amenorrhoea Method or MAL is contraception that relies exclusively on breastfeeding or breast milk. From the initial survey the study found 40% of those who had not participated in Family Planning or Family Planning, and 60% who had taken the Pill and Injections. The aim of the study was to describe the knowledge of MAL in nursing mothers in the Soko Sub-District Health Center Working Area, Tikung Subdistrict, Lamongan Regency. Methods: This study used a descriptive design, with a population of 40 people and a sample of 30 people. The sampling used was Consecutive Sampling. Data collection with questionnaire sheets, after the data collected is done Editing, Coding, Tabulating, Scoring, percentage of data then analyzed descriptively data. Results: Based on the results of research on knowledge of breastfeeding mothers about MAL, most (53.3%) had insufficient knowledge, and a small percentage (6.7%) had good knowledge. The conclusion of this study is that most nursing mothers have less knowledge about MAL. Conclusion: The conclusion of this study is that most breastfeeding mothers have less knowledge about the Lactation Amenorrhoea Method or MAL.