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Pulmonary TB is an airborne infectious disease that mostly attacks the lungs. Knowledge is information that is captured by the five human senses, then developed through language and ways of thinking. Noncompliance and lack of understanding of the community in the use of drugs is one of the causes of therapy failure. Providing knowledge and understanding of patients in the use of drugs will have an impact on medication adherence and success in using drugs for therapy. The purpose of this study was to determine the relationship between knowledge and attitudes of pulmonary TB patients with adherence to taking anti-tuberculosis drugs at the Kombos Health Center Manado City. This study uses an analytical descriptive research design with a cross-sectional approach. The sampling technique in this study used a sampling technique using total sampling with a total of 42 respondents. The data collection technique was carried out using a questionnaire and using the Chi-Square test with a significance level of a = 0.05. The results of the study respondents had a low level of knowledge on medication adherence with a p value = 0.00, and had a low attitude towards medication adherence with a p value = 0.032. The conclusion of this study is that there is a relationship between knowledge and attitudes of pulmonary TB patients with adherence to taking anti-tuberculosis drugs at the Kombos Health Center Manado City.

This increase in the elderly population makes the government need to formulate policies and programs aimed at elderly population groups so that they can play a role in building public health. One of the government policies is that health services are provided at health centers, such as providing good and quality services, giving priority to elderly people and providing safe and easily accessible facilities, providing support or guidance to the elderly and their families on an ongoing basis. The purpose of this study was to determine the relationship between the role of health workers and the participation level of Posyandu for the elderly in Esandom one, Tombatu Timur District, Southeast Minahsa Regency. The study used a cross sectional analytic descriptive research method. The sample of respondents was 88 people using purposive sampling. Data collection using questionnaires and observation sheets. Analyzed with the chi square statistical test. The results of the study were 68 respondents (77.3%) with the highest age, 73 respondents (83.0%) had the highest education. Chi square test results obtained p value <? 0.05. The conclusion in this study is that there is a relationship between the role of health workers and the participation level of the Posyandu for the elderly in Esandom one, Tombatu Timur District, Southeast Minahsa Regency. Suggestions are expected that the Puskesmas can use this research as one of the bases in health promotion for the elderly.. Suggestions are expected that the Puskesmas can use this research as one of the bases in health promotion for the elderly. 

Disasters are events either natural or non-natural that cannot be predicted in advance. The impact of natural disasters can be in the form of comprehensive environmental damage that can cause mass human deaths. Fires can occur anywhere and at any time, fire management needs to be understood so that when a fire occurs there are no casualties. Thus, preparedness is needed to face disasters. Indonesia is one of the disaster-prone countries. The age groups that are vulnerable to this problem are babies and toddlers. Disaster management specifically for this age group includes the Infant and Child Feeding (IYCF) program. The aim of this service is to meet the nutritional needs of the infant and toddler age group in the Maccini Sawah Community Health Center Working Area, so that it can prevent nutritional problems due to disasters and can handle nutritional problems. The method used in service activities is demonstrating IYCF to the community and also providing IYCF counseling at disaster sites. The results achieved were that IYCF education ran smoothly so that feeding services for the infant and toddler groups were carried out well in phase one of the emergency. IYCF is mandatory in disaster situations to prevent and treat acute nutritional problems during disasters

The adherence with therapy in hypertensive patients is important to note because hypertension is a disease that cannot be cured but can only be controlled. The success of controlling blood pressure in hypertensive patients influenced by compliance factors in taking antihypertensive drugs. The purpose of this study is to evaluate the relationship between the level of adherence of antihypertensive drugsuse  in first and advanced health facilities. The study design was an observational cross sectional using subjects with hypertension patients older than or equal to 18 years old at Kotabunan Bolaang Mongondow Health Center (first level health facility) and outpatient installation of Robert Wolter Monginsidi Hospital in Manado (advanced health facilities) during the period from October to December 2019. The level of compliance with the use of antihypertensive drugs was assessed using the MMAS-8 questionnaire (Morisky 8-Item Medication Adherence Scale). The total patients in this study were 171 patients, as many as 73 patients in the first level health facilities and 98 patients in the advanced health facilities. The data of patient adherence in the use of antihypertensive drugs in the first level of health facilities showed 83.56% with low levels of adherence (MMAS score <6), and only 16.44% with moderate to high levels of adherence (MMAS score 6-8). In the advanced level of health facilities were 85.71% of patients with low adherence and 14.29% with moderate to high adherence. Comparative statistical of adherence on the two health facilities was not significantly different, with p = 0.767 (95% confidence interval). The data shows that the average patient has a routine history of control as much as 91.8% in health facilities. Based on these results, recommended that each hospital and health center must require its pharmacists to do pharmaceutical practices, and each pharmacy must not provide drug services without the presence of a pharmacist.    

Motivation is the driving factor to achieve a quality services, especially in health. Work motivation is desirable in order to improve public health, it also can be expected to produce socially optimal production in accordance with the goals and ideals of the organization in the future. Research Purposes to determine the influence of work motivation on employee performance at Puskesmas Kairatu Method. This type of research used in this study was cross sectional. This research was conducted at the health center Kairatu West Seram regency. The population in this study were all employees of the health center Kairatu totaling 84 people. While the sample is done purposive sampling amounted to 69 people. The survey results revealed that respondents are less intensive relationship with the motivation to work as much (100%). For quite intensive relationship with the motivation does not support as many (10.8%) and motivational support as many (89.2%). known relationship with the working conditions are less motivation to work as much support categories (100%). For good working conditions to do with the motivation that does not support as many (11.4%) and support as many (88.6%). it is known that the relationship is less motivated colleagues support as many categories (100%). For a good relationship with co-workers motivation does not support as many (11.1%) sedangan motivational support as many (88.9%). Chi-square test results note that there is no significant relationship between the variables relationships with colleagues with the motivation which means p = 1.000 p> 0.05.

Health efforts are carried out with an emphasis on the wider community in order to achieve optimal levels of health, without neglecting the quality of service to individuals. This study aims to determine the level of satisfaction felt by patients who come for treatment regarding comfort, staff service, service procedures and also service results at the Delitua Community Health Center, Deli Serdang Regency. This research used a cross sectional study test design with a sample size of 33 people determined through saturated sampling by conducting interviews using a questionnaire. The results of the study showed that all the variables studied showed a significant relationship with patient satisfaction at the Delitua health center, namely comfort p(0.009)<a(0.05), staff service p(0.023)<a(0.05), service procedures p (0.015)<a(0.05) and service results p(0.023)(0.05), the community health center must further improve the quality of health services which include comfort, staff service, service procedures and service results, in order to provide satisfaction for patients who use them. health services at the Delitua community health center.    

The purpose of this study was to determine the effect of health education on early detection of cervical cancer on the motivation of women of childbearing age to carry out VIA examinations in the working area of ​​the Antang Health Center in 2021. This type of research was an analytical survey method with a cross sectional study approach. With a population of 197 people and a sample of 30 people, the sampling technique used was purposive sampling. Data analysis was performed by Mc.Nemar test. The results of statistical tests on all respondents using the Mc.Nemar test obtained p value of 0.000 < p value of 0.05. HO is rejected It has been accepted, then there is an influence on women of childbearing age carrying out an IVA examination in the Antang Health Center Work Area in 2021.

Based on the data ofNabire District Health Office concerning findings of cases in 2009 which are recorded as TB type patients: Positive BTA Pulmonary TB 209, Positive BTA relapsed TB 3, Negative BTA but positive Rontgen about 625 cases, Extra Pulmonary Pediatric patients 72 and 175 with total number for all cases of each type of TB patients about 1083 persons. The aim of this study is to analyse the risk factors of home environment Pulmonary Tuberculosis related Prevention Practices in Nabire Regency. The research design was observasionally retrospective study with case control study design. All of the patients who had been diagnosed as Positive BTA Pulmonary TB through microscopic examination both in the hospitaJ or Community Health Center (Puskesmas) laboratory were taken as the sample of the study, in January - July 2010 periode. Matching separation that based on age and gender, the control group member is each person who more or less has the same characteristic with the case group, live at Nabire district and 15 years of aged, as part of the case group neighbours but does not suffer pulmonary TB. The results indicate a signicantly relationship between occupation density (p = 0,001); OR= 4,376), in room ventilation (p = 0,001; OR = 3,541), in house ventilation (p = 0,017; OR= 2,637), in room lighting intensity (p = 0,017; OR= 2,615), in house lighting intensity (p = 0,002; OR= 3,455), in room hwnidity (p = 0,037; OR = 2,406), in house humudity (p = 0,001 ; OR = 4,376), presence of window in room (p= 0,002; OR= 3,500), in room temperature (p = 0,131; OR= 2,143), in house temperature (p = 0,001; OR= 3,984) with incidence of Pulmonary Tuberculosis. There is no relationship between floor type (p = 0,001; OR = 4,376) and separation room (p = 0,851;OR = 0,869) with the incidence of Pulmonary Tuberculosis. It is suggested to attempt the increment of Pulmonary tuberculosis findings, improvement of house environtment condition with emphasized on sanitation aspect of healthy house at the time of build, and increase clean and healthy behaviours.

                Elderly is a population at high risk of experiencing hypertension due to the aging process. The treatment of hypertension in the elderly is not effective yet, because it only reduces hypertension by 8%, the disease often recurs and requires a long process. Dry cupping therapy is one of the non-pharmacological therapies that are safe and fast through the skin suctioning techniques to reduce blood pressure in the elderly. This study aims to determine the description of the application of dry cupping therapy in reducing blood pressure in the elderly with hypertension in the Rowosari Community Health Center Semarang. This type of research is descriptive research with a case study approach. Subjects used were 2 respondents with criteria of age > 60 years, had first-degree hypertension, and were able to self-care. Blood pressure measurement using a sphygmomanometer. Dry cupping therapy interventions carried out for ± 15-30 minutes once a day. The results of data analysis showed that subject I decreased blood pressure from 150/90 mmHg to 140/90 mmHg and subject II decreased blood pressure from 150/90 mmHg to 140/80 mmHg. The conclusion of this study is dry cupping therapy influences in reducing blood pressure in the elderly with hypertension and is recommended as a nursing intervention in the management of blood pressure in the elderly with hypertension.

Gestational diabetes mellitus (GDM) is a glucose tolerance disorder that was first discovered during pregnancy which had never been diagnosed with diabetes in the mother and then showed high glucose levels during pregnancy. Women with GDM almost never give complaints even though the incidence of GDM can be threatening and very dangerous because it can cause several complications during pregnancy, childbirth and after childbirth is also one of the causes in cases of maternal and infant mortality. Pregnancy accompanied by diabetes is also at risk of causing maternal death up to 4 times 2. One other prevention that can be done is more intensive counseling and counseling from officers to all pregnant women about the description of the incidence of DMG. This activity was carried out at the Tanralili Public Health Center with the method of individual counseling to pregnant women in turn with brochures distributed to each pregnant woman, after which they took blood/glucose checks while. This activity was attended by 2 lecturers and 2 midwifery students as well as 20 pregnant women. This community service provides good benefits, namely getting knowledge about Gestational Diabetes Mellitus and being able to know glucose levels in the blood as screening so that it can prevent and detect early complications that will occur.

Osteoarthritis is a group of rheumatic diseases that most often causes joint disorders, causes pain and disorders in the elderly which generally attacks weight-bearing joints, especially the knee joints. Being overweight can cause damage to joint cartilage. populations with overweight or obesity have greater risk factors for knee osteoarthritis than populations with normal negative weight. excess body weight can reach four to five times greater, thereby accelerating damage to joint cartilage structures. The purpose of this study was to find out the relationship between obesity and knee osteoarthritis in the Working Area of the Batu Aji Health Center, Batam City in 2020. The type of research was analytic with a cross-sectional design, using purposive sampling by looking at secondary data. There were 67 respondents in this study. The results of this study obtained the results of the statistical test chi suare p value = 0.001 (0.05), this indicates that there is a significant relationship between obesity and the incidence of knee osteoarthritis in the elderly in the Batu Aji Health Center Work Area, Batam City in 2020. It is recommended for the elderly to can do physical activities such as gymnastics, morning walks and consume foods and drinks rich in calcium such as milk and fruits in order to maintain bone health in the elderly

At the Health Center an electronic medical record information system (RME) is used in the department registration, poly general, poly elderly, poly tooth, poly MCH, room integrated, room mtbs, psychology, physiotherapy, laboratory and nutrition. Perceived use describes the extent to which they can accept A technology specifically system record medical electronic (RME). Objective study This For analyze how much the perception and use of the electronic medical record information system (RME), how simple and easy it is to implement an electronic medical record information system (RME). And how much big enhancement performance can achieved blessing exists system information That, so analysis with the Technology Acceptance Model method was used . The type of research that used is descriptive analytic. Collection And study with use, observation And questionnaire. The subject population in this study were 30 officers who use information systems RME. The object of this study is the implementation of the Electronic Medical Record Information System. Results between independent variables and dependent variables on system users RME information did not have a significant effect, namely 0.813 No according to decision. Simple linear regression test where Ho is greater than 0.05 then the hypothesis beginning rejected that No There is influence between variable free to variable bound in user RME information system.    

Cervical cancer is a malignancy in the cervix or cervical uterus. Efforts made to detect cervical cancer include cervical cancer screening with Inspection of Visual Acetate (IVA) method. The purpose of this study was to analyze the factors that influenced the interest in visiting the inspection of Visual Acetate (IVA) Inspection by Productive age women in Sipahutar Health Center in 2019. The type of this study was the Cross Sectional method. The population in the study was productive age women in Sipahutar Public Health Center. The eligible women were 4408 women and 96 women were taken as sample . The results of the study stated that there was a significant influence between age and interest in visiting; education; knowledge; access to information; health services; support of health and socio-cultural personnel with p value <0.05. The variable that most influenceing was the interest in IVA examination visits is access to information with a value of Rp. 95,615. It is hoped that productive age women will increase its knowledge about the dangers of cervical cancer and participate in the early detection of cervical cancer using the IVA method at the health care facility.

Fever can be interpreted as a body temperature that is higher (>37°C) than normal temperature because of the temperature control center in the hypothalamus, the temperature control center balances temperature during health or fever by regulating the formation and release of heat. For this reason, the purpose of this study was to determine the antipyretic effectiveness of various concentrations of extracts. In this study, 5% peptone was used to induce fever in 15 white rats which were divided into 5 treatment groups. Groups 1 was given 1% NaCMC as a negative control, groups 2 was given paracetamol 9 mg/200gBB) as a positive control, groups 3 was given 10% lire leaf extract (2 mg/200gBB), groups 4 was given 20% lire leaf extract (4 mg/200gBB), and groups 5 was given 40% lire leaf extract (8 mg/200gBB). This results of this study obtained extract levels of 7,44% and there was a weak antipyretic effect at concentrations of 10% and 20% lire leaf extract, while the greatest antipyretic effect was found in 40% lire leaf extract, almost comparable to 9 mg paracetamol.

The puerperal period is also called the post partum or puerperium period, which is the time between the birth of the baby and the placenta leaving the uterus until the return of the reproductive organs to a normal state as before childbirth. The puerperium lasts six weeks. The purpose of this study was to determine the effect of oxytocin massage on breastfeeding in post partum mothers in the post maternal partum (PMP) room at Bumiayu Health Center, Brebes Regency 2021. The research method used is pre-experiment (experimental activity that aims to determine an effect that arises as a result of certain treatments) using one-group pretest-post test design, namely an experimental design that uses one group of subjects and takes measurements before and after treatment. on the subject. This design is to determine the effects before and after treatment. The analysis in this study used the t-test. From the results of statistical testing using the T-test, the significance value was 0.000 (p <0.05). So it can be concluded statistically Ha is accepted and Ho is rejected, meaning that it can be concluded that there is an effect of oxytocin massage therapy on breastfeeding in post partum mothers at Bumiayu Health Center. In connection with the results of this study, it is hoped that post partum mothers with the help of their husbands or families at home can inform the surrounding community so that they can increase their knowledge and insight to apply oxytocin massage as a solution to overcome the problem of unsanitary breastfeeding.  

Hypertension is an increase in blood pressure above 140/90 mmHg. One of the causes of hypertension that is difficult to control is stress which can worsen the client's condition so that it is needed to handle through stress management. Zikir relaxation therapy is one of the relaxation therapies with an elemental approach to spirituality that is useful for reducing stress. The purpose of this case study is to illustrate the application of Zikir Relaxation Therapy to stress on clients with essential hypertension in the area assisted by the Rowosari Health Center Semarang. This type of research is descriptive using the case study approach method. The subjects used were two respondents with the criteria of clients with essential hypertension, level I-II hypertension, and moderate stress levels. The form of intervention is the application of Zikir relaxation therapy 4 times in 2 weeks (twice a week). The analysis is used to determine the stress level using the DSS (Distress Symptom Scale) measuring instrument. The results showed a decrease in stress levels before and after the administration of Zikir therapy from moderate stress to mild stress for subject I with a decrease of 36 scores and from moderate stress to normal for subject II with a decrease in 40 scores. The average reduction in stress levels of the two subjects after Zikir relaxation from an average score of 63 to 38. From the results of these studies, the provision of zikir therapy can be used as an intervention to reduce stress levels in clients with essential hypertension.

The health of pregnant women is one of the national health indicators. The Center for Indonesian Medical Students' Activities (CIMSA) considers that the health figures for pregnant women in Indonesia cannot be categorized as good. So early detection of pregnancy complications can be used as an effort to prevent complications in pregnancy. The still high maternal mortality rate (MMR) and infant mortality rate (IMR) can be caused by several factors, one of which is the lack of optimal antenatal care and low maternal knowledge about danger signs in pregnancy. Pregnant women's knowledge about danger signs in pregnancy is one of the factors that can influence pregnant women at high risk of experiencing danger signs in pregnancy. The main causes of maternal death, namely preeclampsia, bleeding and infection, can be prevented if the signs are recognized early. These signs are known as danger signs of pregnancy. Therefore, pregnant mothers should learn more about the danger signs of pregnancy. The aim of this activity is to increase mothers' knowledge about the danger signs of pregnancy. This activity was carried out at TBMB Hj. Mardiawati on September 5 2020. The target of this activity is pregnant women who are pregnant women who are at TBMB Hj. Mardiawati. The methods used in this community service activity include counseling, discussion, Javanese questions. After counseling, pregnant women understand and know about the danger signs in pregnancy.

Pregnancy is a physiological and normal process, not only related to biological aspects but also related to a woman's psychological, emotional and spiritual aspects in life. A woman has a duty to fulfill the role of a mother during her pregnancy. This service activity is carried out with the aim of providing information about pregnancy, various psychological changes during pregnancy and how to make psychological adaptations during pregnancy in achieving the role of mother at the Jumpandang Baru Community Health Center. The number of participants in this service activity was 20 people which was carried out on November 21 2020 at the Tallo District Office using the lecture and question and answer method as well as the sharing method. The results of this activity show changes in behavior in the form of successful adaptation, especially in psychological changes during pregnancy.

Background: Implementation of the family planning program still faces several obstacles. Factors that cause PUS to be reluctant to participate in family planning include: In terms of service, up to now, there is still a lack of quality, as evidenced by family planning participants who stopped using contraception. As well as in terms of delivery of counseling, it puts forward rational, effective and efficient contraceptive choices. Research Objectives: to determine the relationship between family planning services and counseling on obstacles to the implementation of family planning programs in the Bajeng Community Health Center, Gowa Regency. Methods: This study used a Cross Sectional Study method. The sample in this study was PUS who did not participate in family planning. The sampling technique was purposive sampling. Data were processed using SPSS and descriptive and bivariate analysis using the chi-square test and presented in the form of a frequency distribution table. Results: This study shows that there is a relationship between family planning services and obstacles in the implementation of the family planning program where the p value is obtained. There is a relationship providing counseling to obstacles in the implementation of the family planning program where the value of p =, 000. This means that the p value <? (0.05) because the p value is less than 0.05. Conclusion: There is a Relationship between Family Planning Services and Counseling Providing Against Barriers to Implementing Family Planning Programs in the Work Area of the Bajeng Community Health Center.  

Hypertension is nicknamed the silent killer because it is a disease without symptoms. This refers to a condition where blood pressure increases beyond normal limits, namely systolic pressure ≥140 mmHg and diastolic pressure <90 mmHg. Educational activities and detection of hypertension symptoms were carried out because the incidence rate was still high in the Maccini Sawah Health Center Working Area. This service is carried out with the target of people aged ≥ 40 years so that they can maintain a healthy lifestyle and have the knowledge, attitudes and skills to implement the principles of healthy living for every community. The aim of this service is to increase public awareness, understanding of prevention, lifestyle changes and increased participation in health decisions. The method for implementing this community service is education and blood pressure checks carried out simultaneously. There were 23 people who took part in this activity. The activity ran smoothly and well where the people who had been invited to take part in the education and detection of hypertension symptoms had followed it to completion with a total of 20 families participating. There are still many people who do not have their health checked at the health center. The community health center needs to carry out a door to door visit program to increase the coverage of the P2M program and reduce morbidity due to non-communicable diseases, especially hypertension.