Working Area Of Puskesmas Research Articles

Factors Causing Low Coverage of Childbirth at Health Care Facilities in the Paramasan Health Center Working Area

Childbirth in health facilities is a government recommendation to reduce MMR/AKB. This is stated in the legal basis of Permenkes No. 21 of 2021. The reduction in MMR and IMR in remote areas has not been as expected, because many remote communities have not given birth in health facilities, the contributing factors are areas that are mountainous areas and difficult to reach, low educational background, weak socioeconomics, and poor access to health services, The largest contributor in Banjar Regency is Puskesmas Paramasan. Puskesmas Paramasan is a remote area. Based on data in 2023 the percentage of women giving birth at health facilities is 36%, giving birth at home is 64%. Objective to determine the factors causing the low coverage of childbirth in health care facilities in the working area of Puskesmas Paramasan. This study is a type of analytical survey with a cross sectional approach. the population in this study were mothers who had given birth, sampling using total sampling, the data used were quantitative with primary data sources. Mothers with low knowledge were 24 people (57.1%) high knowledge 18 people (42.9%). Low family support as many as 19 people (45.2%) high family support 23 people (54.8%). Maternity mothers who gave birth in health facilities were 24 people (57.1%) who did not give birth in health facilities 18 people (42.9%). The results of the analysis using the Fisher axact test found that there is a relationship between maternal knowledge and delivery in health facilities in the Paramasan Puskesmas Working Area, there is a relationship between family support and delivery in health facilities in the Paramasan Puskesmas Working Area.

ANALYSIS OF STUNTING INCIDENTS IN TODDLER CHILDREN

Children who experience malnutrition, repeated infections, and inadequate psychosocial stimulation can result in impaired growth and development or stunting. There are still findings of cases of stunting in children under five, followed by the presence of malnourished children under five, where in 2023 there will be 243 stunting. There are many factors that cause stunting in the Puskesmas work area which causes problems in children, both health and growth and development. This research aims to determine the factors which is related to the incidence of stunting in children under five at the Megang Sakti Community Health Center, Musi Rawas Regency in 2024. The design of this research is quantitative research with a cross-sectional approach. The population in this study is the target group of children under five in 2023, totaling 32,561 respondents. The sample in this study consisted of 100 respondents. The sampling method uses purposive sampling technique, using the Slovin formula. Inclusion criteria are willingness to become a respondent by filling out a consent form. This research was carried out on March 10 - April 30 2024 at the Megang Hospital Health Center. Collecting primary data by interviews using questionnaires. Bivariate data analysis used the Chi-Square test and multivariate logistic regression. The results of the study showed that there was a relationship between maternal age (p value 0.02) and birth weight (p value 0.002) with the incidence of stunting in children under five at the Megang Sakti Community Health Center, Musi Rawas Regency. in 2024. The conclusion is that there is a relationship between age and birth weight with the incidence of stunting in children under five at the Megang Sakti Community Health Center, Musi Rawas Regency in 2024. The community health center should carry out continuous screening of children under five who are at risk of stunting and provide education on efforts to prevent stunting children, such as risk factors for stunting.

ANALYSIS OF THE INCIDENCE OF STUNTING IN CHILDREN UNDER FIVE

Stunting is a condition of growth failure in toddlers which is characterized by a height-for-age figure of less than -2 (z-score value). The prevalence of stunting in children aged 6-59 months is 41.1%, factors related to stunting are the child's age, food source and children with stunting are more susceptible to disease. This study aims to determine factors related to the incidence of stunting in children under five in the Tanjung Batu Community Health Center UPT Working Area, Ogan Ilir Regency in 2024. The design of this research is quantitative with a cross-sectional approach. The population of this study is the target number of children under five who will be served/weighed at the Tanjung Batu Community Health Center, Ogan Ilir Regency in 2024. The sample in this study was 96 people. The sample collection method used purposive sampling with the inclusion criteria of children under five in the Puskesmas working area and bringing a KIA book. This research was carried out on March 1-30 2024. Data was collected using a questionnaire. Bivariate data analysis used the Chi-Square test and multivariate logistic regression. The results of the research show that there is a relationship between age (p value 0.003), nutritional status (p value 0.020), body weight (p value 0.009) and knowledge (p value 0.018) on the incidence of stunting in children under five in the working area of ​​the UPT Puskesmas Tanjung Batu, Ogan Ilir Regency In 2024. There is no relationship between exclusive breastfeeding (p value 0.11) and comorbidities (p value 0.20) on the incidence of stunting in children under five in the working area of ​​the UPT Puskesmas Tanjung Batu, Ogan Ilir Regency in 2024. The most dominant factor with The incidence of stunting in children under five in the working area of ​​the UPT Puskesmas Tanjung Batu, Ogan Ilir Regency in 2024 is knowledge (p value 0.012) OR (0.318). The community health center can increase public knowledge by providing health education about stunting through classes for mothers of toddlers, social media, leaflets and posters.

Analysis of Factors Affecting the Success of Pulmonary TB Treatment in the Working Area of Puskesmas Sukaramai, Pakpak Bharat District

Tuberculosis disease is still a global problem at this time, the WHO (World Health Organization) report in 2023, there were 9.6 million people in the world suffering from pulmonary tuberculosis and 1.5 million of them died. While the number of cases of pulmonary TB at the Sukaramai Health Center in 2023 was 321 total cases and 43 people recovered. The purpose of the study was to analyze the factors that influence the success of Pulmonary TB treatment in the Sukaramai Puskesmas Working Area, Royal District, Pakpak Bharat Regency. The research design used Analytical Survey method with Cross Sectional approach. The population in this study were all TB patients who sought treatment at the Sukaramai Health Center, namely 101 patients, all of whom were sampled using the total population technique. Data analysis used univariate analysis, bivariate with chi-square test and multivariate with logistic regression. The results of logistic regression research show that there is an influence of knowledge p = 0.000, family motivation p = 0.001 adherence to taking medicine p = 0.003 and side effects of drugs p = 0.010. While the dominant factor that influences the success of Lung TB treatment is knowledge p = 0.000 with an Exp(B) value of 60.141, meaning that knowledge has 60 times the risk compared to other variables. The conclusion of this study is that there is an influence of knowledge, family motivation, adherence to taking medication and side effects of drugs on the successful treatment of Pulmonary TB in the Working Area of ??the Sukaramai Health Center, Royal District, Pakpak Bharat Regency and variables that do not affect the distance of health services. It is recommended for patients with pulmonary tuberculosis to be more independent in undergoing pulmonary tuberculosis treatment, active in field counseling activities and using social media as a promotional medium, conducting home visits to patients' homes in an effort to monitor drug compliance in order to increase the acceleration of healing of pulmonary tuberculosis disease which is for their own health and the health of the family around them.

Effectiveness of Insecticide Treated Mosquito Nets on the Death of Anopheles subpictus Mosquitoes

The prevalence of malaria in East Nusa Tenggara based on positive diagnosis results containing malaria parasites and symptoms in the 2013 - 2015 period decreased but has not yet reached the National Strategic Plan target, namely in 2013 it was 21 per 1,000 population (o/oo), in 2014 it was 14 o/oo, and in 2015 it became 8 o/oo (NTT Health Office, 2016). In 2017 there was a spike in malaria cases to 211,409 cases (API = 44.96 o/oo). Kupang Regency with 1,108 cases (API = 24.87 o/oo). Malaria cases in the Tarus Community Health Center work area are the eighth highest, namely 7 cases. This study aims to analyze the effectiveness of insecticide-treated bed nets on the death of Anopheles subpictus mosquitoes. The variables observed were the length of time the mosquito net was used, the frequency of washing the mosquito net, the method of washing the mosquito net, and the percentage of Anopheles subpictus mosquito deaths. The effectiveness of insecticide-treated bed nets on the death of Anophles subpictus mosquitoes with usage time < 3 years (100%), usage time 3 – 5 years (70%) and usage time > 5 years (40%). The effectiveness of insecticide-treated bed nets that have never been washed reaches 100% mortality within 24 hours of observation. Meanwhile, mosquito nets with a washing frequency of 1 – 10 times (70%) kill mosquitoes, and a washing frequency of > 10 times (50%). The method of washing mosquito nets carried out by the community in the Puskesmas Working Area is 100% using detergent. In the control group that used mosquito nets that did not contain insecticide, no Anopheles subpictus mosquito deaths occurred (0%). Suggestions for health workers to increase education regarding the correct use of mosquito nets, so that a higher level of effectiveness of mosquito nets is obtained as a means of personal protection in avoiding mosquito bites.

Implementation Analysis of the Role of Promotional Media, Husband Support, and the Role of Health Professionals on Visual Inspection Acetate Test at Community Health Centres

Cancer is still one of the highest causes of death in the world, still not achieving the coverage of IV test examinations in women of childbearing age in the Puskesmas work area, where achievements are still below the achievement of national targets This study aims to determine the factors associated with the implementation of the IVA Test examination at the Kota Baru Health Center, East Ogan Komering Ulu Regency in 2024. This research design is quantitative with a crossectional approach. The population of this study were women of childbearing age (WUS) in 2024. The sample in this study amounted to 84 people. Inclusion criteria for women of childbearing age who are willing to become respondents, while the exclusion criteria are in a state of illness. The sampling method uses Purposive sampling. This study was conducted on 07-29 February 2024. Data collection using questionnaires. Bivariate data analysis using Chi-Square test and multivariate logistic regression. The results showed there was a relationship between knowledge (p value 0.016), husband support (p value 0.000), promotional media (p value 0.000) and the role of health workers (p value 0.015). There is no relationship between age (p value 0.50), age at first marriage (p value 0.42) and attitude (p value 0.18) with the implementation of the VIA test at the Kota Baru Health Centre, East Ogan Komering Ulu Regency in 2024. The most dominant factor with the implementation of VIA examination is husband support (p value 0.000). The conclusion is that there is a relationship between knowledge, husband support, promotional media and the role of health workers with the implementation of the VIA test at the Kota Baru Health Centre, East Ogan Komering Ulu Regency in 2024. Suggestions for the Puskesmas should be in the implementation of the IVA tets method, involve the husband, provide counseling to the family so that the implementation can run well.

HUBUNGAN TINGKAT PENGETAHUAN DAN MOTIVASI WANITA USIA SUBUR DENGAN PEMERIKSAAN INSPEKSI VISUAL ASAM ASETAT DI WILAYAH KERJA PUSKESMAS DELITUA

Hutabarat, Vitrilina. The Relationship Between Knowledge Level and Motivation of Women of Childbearing Age with Acetic Acid Visual Inspection Examination in the Puskesmas Work Area. skripsi, Department of Midwifery, Faculty of Midwifery, Deli Husada Health Institute, Old Deli. Based on a preliminary study conducted at the Deli Tua Health Center in 2023, there are 50 people who undergo IVA examination screening from a total of 100 women of childbearing age who visit the Deli Tua Health Center. The purpose of this study is to determine the relationship between the level of knowledge and motivation of WUS with IVA examination in the work area of the Old Deli Health Center. This type of research is an analytical survey with a cross sectional study design. The population is 100 women of childbearing age who visit the Deli Tua Health Center from January to June 2023. The sampling technique is 50 people. Data analysis using Chi-Square test with confidence level (α=0.05). There is a relationship between the level of knowledge and motivation of WUS with IVA examination in the working area of the Deli Tua Health Center in 2023 with a value of p=0.001 where p < α (0.05). Therefore, it is expected to be more active Women of childbearing age to increase Knowledge and Motivation carried out by Health workers and Women of childbearing age are expected to seek information about cervical health and early detection of cervical cancer in mass and print media.

Faktor-Faktor Yang Mempengaruhi Kesehatan Jiwa Pada Remaja di Wilayah Kerja UPT Puskesmas Sambau

Mental health issues in adolescents should also be a major concern for the government. Mental health issues that can occur in adolescent life phases include Napza/Gadget abuse, peer pressure, school demands, disorientation and sexuality, media influence, risky sexual relationships and violent behavior.The risk of having a mental health disorder will be higher for children who often experience conflicting families, violence experienced by family members, and negative experiences. Bad environmental factors such as the influence of the Internet, negative experiences at home or in the school environment experienced by children can have a negative impact on their cognitive and emotional development. This research aims to identify the factors that affect mental health in teenagers in the UPT Puskesmas Sambau Working Area. This research design is quantitative descriptive with crossectional. The sample in this study is 10 to 18 years old teenagers who are in the UPT Puskesmas work area that have been detected have mental health problems of a total of 80 people using purposive sampling techniques. Analysis of this research data using chi-square. The results revealed that there was a relationship between family factors and mental health in adolescents in UPT Puskesmas Sambau with a p-value of 0,013. There was a relation between environmental factors and psychological health in teenagers in the UPT Sambau working area with a value of 0,036. Advice to health care can be helpful for routine screening of the child's development. In addition, children who are suspected of mental health disorders are expected to be referred to for examination and therapy.

ANALISIS TINGKAT PENGETAHUAN DAN KEJADIAN INFEKSI MENULAR SEKSUAL PADA WANITA USIA

Sexually transmitted infections (STIs) are one type of infectious disease that is widespread and has serious risks. East Java ranks ninth as the province with the highest number of HIV/AIDS sufferers, with the highest cases concentrated in Kediri Regency and City. One of the health service centers that is active in handling STIs is the Campurejo Health Center Working Area. In the Campurejo Puskesmas Working Area, as many as 410 cases of STIs were detected in the Campurejo Puskesmas Working Area through a laboratory approach. This study aims to identify the relationship between the level of knowledge and the incidence of STIs in women of childbearing age who visit the STI clinic in the Campurejo Health Center Work Area. Analytical survey method with cross sectional design was used in this study. A total of 56 samples of women of childbearing age were taken using accidental sampling techniques. The results showed that most respondents had a good level of knowledge, which is around 50%. The majority of respondents, 54.6%, did not experience an STI. Bivariate analysis showed that there was a relationship between the level of knowledge and incidence of STIs in women of childbearing age in the Campurejo Health Center Work Area, with a p-value of 0.001 and a correlation coefficient r of 0.450, indicating moderate closeness. Thus, it can be concluded that there is a significant relationship between the level of knowledge and the incidence of STIs in women of childbearing age in the Campurejo Health Center Work Area

Factors Associated with Smoking Habits in Rt 11, 25 and 35 Paal Merah Village Paal Merah I Health Center Work Area Jambi City

Smoking habits are a fundamental health problem in various countries and the increasing number of people who smoke so that the negative impact is increasing. This type of research is quantitative analytic with a Cross Sectional study design using primary data PIS-PK questionnaire with a population of Rt 11, 25 and 35 Paal Merah Village, there is also a sample size of 100 people. Calculation of sample size using random sampling data analysis was carried out by frequency analysis, bivariate chi square analysis. Peeltiian results show the age variable there is no relationship between age and smoking habits. Education level has no relationship with smoking behavior with OR 0.575. Socioeconomic level has no relationship with smoking behavior with OR 0.383. Gender variable has no relationship with smoking behavior. In conclusion, there is no significant relationship between age, education level, socioeconomic level, and gender with smoking habits. for health workers in the Paal Merah 1 Puskesmas work area to increase educational and counseling efforts to the community regarding the dangers of smoking and the importance of maintaining health.

The Effect Of Health Education On The Level Of Family Knowledge About First Aid For Stage 1 Hypertension Patients In The Puskesmas Working Area

The Effect Of Health Education On The Level Of Family Knowledge About First Aid For Stage 1 Hypertension Patients In The Puskesmas Working Area

The Relationship between Anxiety and The Behaviour of Parents in Bringing Their Children to be Immunized During the COVID-19 Pandemic

Introduction: The Covid-19 pandemic causes fear and concern for parents to be infected with Covid-19 if they come to the Posyandu or health care facilities for immunization. The purpose of this study was to determine the relationship between anxiety and the behavior of parents in bringing their children immunized during the Covid-19 pandemic in the work area of Puskesmas III Denpasar Selatan. Methods: This study was a descriptive correlational study with a cross sectional approach. The sampling technique was used non-probability sampling with purposive sampling technique. The sample used 71 parents which have babies and toddlers with the age of 0-24 months. The data were collected in the work area of Puskesmas III Denpasar Selatan for one month from March to April 2022. The research instruments used were the Covid-19 Pandemic Anxiety Questionnaire and the Immunization Behavior Questionnaire During the Covid-19 Pandemic. Results: Spearman rank correlation test result showed that there was a significant relationship between anxiety and the behavior of parents in bringing their children immunized during the Covid-19 pandemic in the work area of Puskesmas III Denpasar Selatan (p value = 0.000; r = -0.858). Conclusion: Health workers are expected to be able to provide information to parents who have babies and toddlers about the importance of bringing their children immunized during the Covid-19 pandemic.

Asuhan Kebidanan Komprehensif Pada Ny. M Umur 35 Tahun Dengan Kekurangan Energi Kronis Di Wilayah Kerja Puskesmas Bantarkawung Kabupaten Brebes Tahun 2023

According to WHO (2021) MMR is about 395,000 cases of deaths worldwide due to pregnancy and childbirth. According to ASEAN (2021) MMR is 235,000. Per 100,000 live births, In Indonesia the number of MMR is 7,389, cases, Central Java Province contributes to MMR 199 per 100,000 live deaths Brebes Regency 105 cases of MMR, Data from Bantarkawun Health Center in 2021 MMR 5 cases and IMR 4 cases. To find out how Comprehensive Midwifery Care on Mrs. M Age 35 Years With Chronic Energy Deficiency at the Puskesmas Bantarkawung Research Methods In this study, researchers used a qualitative descriptive method. From the care given to Mrs.M, no significant gaps were found. From the care that has been given to Mrs. M comprehensively from pregnancy, childbirth, postpartum, LBW, and family planning in the Bantarkawung Puskesmas work area and at Mrs.M's home, using the Varnay approach flow, and SOAP documentation.

The impact of the environment and community habits on malaria knowlesi post-elimination of malaria in UPTD Puskesmas Jaboi's work area in Sabang City

Purpose: Malaria has spread to over 100 countries with tropical and subtropical climates globally. Around 35% of the population in Indonesia lives in areas at risk of malaria infection, and 38 thousand people die each year from severe malaria caused by Plasmodium falciparum. Malaria outbreaks occur almost annually in Indonesia's various endemic areas. The purpose of this study was to ascertain Malaria Knowledge following Malaria Elimination in the Jaboi Health Center's UPTD Work Area in Sabang City. 
 Methods: This research is descriptive by design Case-Control. The number of samples in this study was 7 people and 23 people as controls with chi-square test analysis. 
 Results: According to the study's findings, there was a relationship between four broods and malaria (P = 0.014), no relationship between the habit of going out at night (P = 0.190), and a relationship between the use of repellents (0.009) and malaria following malaria elimination in the work area of UPTD Puskesmas. Jaboi, post-elimination cases of malaria knowlesi continue to occur due to an environment that is still conducive to mosquito breeding sites and as a result of the population's geographical location in an area with a high concentration of wild animals. 
 Conclusion: There is a correlation between breeding sites and repellent use and malaria in the work area of the Jaboi Health Center UPTD Sabang City, but there is no correlation between the habit of going out at night and malaria in the work area of the Jaboi Health Center UPTD Sabang City.

Exclusive breastfeeding and smoking behavior as determinants of ARI in toddlers

Acute Respiratory Infections (ARI) are one of the leading causes of childhood morbidity and mortality worldwide, with ARI accounting for one-third of under-five deaths in low-income countries. One of the factors that influence the incidence of ARI in toddlers is the exclusive breastfeeding and smoking behavior of parents of toddlers and in the neighborhood. This study aims to determine the relationship between exclusive breastfeeding and smoking behavior with the incidence of ARI in toddlers in the working area of the Turikale Health Center, Maros Regency. This study used a type of quantitative research with a cross-sectional study design, with a population of 120 toddlers. Sampling was done using accidental sampling. The results showed that the variables of exclusive breastfeeding (p-value = 0.003) and smoking behavior (p-value = 0.000) were associated with the incidence of ARI in toddlers in the Turikale Puskesmas Working Area, Maros Regency. It is expected for health workers to increase counseling related to exclusive breastfeeding and parents to keep toddlers away from smokers so they are not exposed to cigarette smoke

Assistance for Pregnant Women in The III Trimester and Delivery Companion in Carrying Out Oxytocin Massage in Jati Perumnas Village, Kalumata Puskesmas Working Area

Jati Perumnas Village is one of the working areas of the Kalumata Community Health Center which is located in South Ternate District. Based on data in PMB Bd. The number of births in 2022 will be 14 people and 5 cases will be referred to due to prolonged labor. At the time of delivery, part of the mother's back was rubbed, but no assistance or counseling was given about the importance of oxytocin massage for pregnant women in the third trimester. To overcome this problem, the service provides assistance to pregnant women in the third trimester and the people closest to the pregnant mother who are birthing companions (husband, parents, in-laws, etc.) in carrying out oxytocin massage. The target partners for this service are third trimester pregnant women and birth companions. The results of the service are increased knowledge, the ability to perform oxytocin massage increases for the companion. The person who does the massage is the companion, but if the pregnant woman doesn't know, she will not ask for a massage so that there is synergy between the pregnant mother and her companion. Birth companions are prepared to be independent in massaging and also strengthen pregnant women's knowledge that massage is needed to facilitate the birth process later.

The Relationship of Waiting Time to Outpatient Satisfaction in the Work Area Puskesmas Popayato

One form of quality of service that patients often complain about is waiting times. Waiting time is the length of time patients wait for health services until they are examined by a doctor. The patient's time will affect the patient's assessment of service satisfaction at the Puskesmas.waiting time is divided into three, namely the patient's waiting time when registering at the counter to get a queue number, the patient's waiting time to get a doctor's examination, the patient's waiting time to get medicinepatient satisfaction is a person's feeling of pleasure derived from the comparison between pleasure in the activity of a product with his expectations. See from 5 aspects of quick response, reliability, assurance, empathy, physical evidence. The purpose of the study was to determine the relationship of waiting time to outpatient satisfaction. Quantitative research design with cross sectional approach. The population is 80 patients who visit the Popayato Health Center. The sample size is 80 outpatients or total sampling. The results showed that the waiting time in terms of waiting time for patient registration was the most fast waiting time which was 65 people (81.25%) and dissatisfied as many as 1 person (1.25%) while patients who said long waiting time with satisfaction category satisfied as many as 2 people (2.25%) and dissatisfied as many as 12 people (15%) with a value of pValue = 0.000<0.05. Suggestions are expected to Puskemas Popayato to be able to evaluate patient satisfaction and take actions to increase patient satisfaction and take actions to increase patient satisfaction specifically and improve service quality in general.

HAS INCLUSIVE HEALTH ACCESS IN JAKARTA'S PUBLIC HEALTH CENTER BEEN FULFILLED?

Background: Each individual, including persons with disabilities, has a guaranteed right to access healthcare services. Indonesia has ratified the United Nations Convention on the Rights of Persons with Disabilities (CRPD) through Law No. 19 of 2011. However, PWDs still experience difficulties and restrictions in accessing health services. Aims: Examine the fulfillment of inclusive health access for PWD in public health services as a form of inclusivity in health development in Jakarta. This research will finally analyze whether local regulations have accommodated the fulfillment of health rights for PWDs. Method: Using qualitative and descriptive methods by raising case studies that are used in-depth and thoroughly. This study was conducted in three public health centers in South Jakarta. The reason for choosing the location is because Jakarta is an area that has regional regulations on PWD, and the proportion of PWD is 22.1% nationally. The informants in this study were selected by purposive sampling techniques involving 15 informants who conducted in-depth interviews. Results: The mandate of local regulations has not realized inclusive health services for PWD. Marked by lack of information, the absence of health services specifically even though there has been social assistance in the form of KPDJ (Jakarta Disability Card), accessibility that is not yet disability-friendly, and commitment from local governments that are lacking because there is no evaluation, especially in the health sector so that the environment is not inclusive. Conclusion: Providing access to health services for PWD in South Jakarta public health centers is still not inclusive. Policy evaluation is needed, considering that local regulations on PWD have been revised in 2022. Data collection on the number of PWDs in the Puskesmas work area needs to be carried out to meet their health needs. Keywords: access, disability, health, inclusive, public health center

The Relationship Between Environmental Sanitation and the Incidence of Diarrhea in the Working Area of Puskesmas Sentosa Baru

In 2021, there was an increase in the incidence of diarrhea by 1,225 patients, starting from early January to December 2021. This study aims to determine the relationship between Environmental Sanitation and the incidence of diarrhea in the Puskesmas work area. This study used the cross-sectional method. The population of this study is people who live in the working area of Sentosa Baru Health Center. Sample selection using the Lameshow 1997 formula so that 96 samples were obtained. Statistical tests using chi-square with the help of computer software. The research site in the working area of Sentosa Baru Health Center was carried out in May-August 2022. Based on environmental sanitation, respondents who met the requirements for healthy latrines (16.7%) and did not meet the requirements (83.3%), good Clean Water Supply Facilities (11.5%) and poor Water Supply (88.5%), good Garbage Can Facilities (7.3%) and poor Garbage Can Facilities (92.7%), while Wastewater Management Facilities that met the requirements were as many (19.8%) and did not meet the requirements as much (80.2%). Research shows that there is a relationship between Environmental Sanitation including Healthy Latrines Provision Facilities (p-value = 0.00), there is a relationship between Clean Water Facilities and diarrhea events (p-value = 0.010), there is no relationship between Garbage Can Facilities and diarrhea events (p-value = 0.070), and there is a relationship between Wastewater Management Facilities and diarrhea events (p-value = 0.015).

Analysis of Macro Nutrient Intake in Toddlers at The Risk of Wasting (Case Study of Picky Eater in Toddlers in The Working Area Puskesmas Rawat Inap Cempaka)

Wasting is a form of malnutrition that reflects a child's weight being too thin for his height, marked by a BB/TB z-score less than -2 Standard Deviation (SD) for wasting and a BB/TB z-score less than -3 SD for severe wasting. Quantitative study with Case Control design. The sample consisted of 35 children in the case group and 35 children in the control group. Intake of macronutrient intake with recall 1 x 24 hours 3 times. The picky eater variable was measured using the Child Eating Behavior Questionnaire (CEBQ). Analysis used Descriptive Test Univariate analysis, Biavariate Chi-Square Analysis and multivariate analysis using Logistic Regression. There was relationships between nutritional status (0.001), intake of carbohydrates (0.001), protein (0.016), fat (0.014), and behavior (0.002) with the incidence of picky eaters. Logistic Regression Test with Exp (B) valued respectively carbohydrate intake and protein intake. Logistic Regression Test with Exp (B) values respectively carbohydrate intake and protein intake. The conclusion of this study shows the relationship between the nutritional status of toddlers, intake of carbohydrates, protein, fat and behavior with the incidence of picky eaters.