Publication Search

Every day there are 830 women die from preventable causes related to pregnancy and childbirth. The preliminary study found 21 pregnant women with complications, there were 10 pregnant women who did not know how to overcome pregnancy complications and there were 11 pregnant women who did not understand what to do in the event of an obstetric emergency, even though it was all in the MCH book they had. The purpose of the study was to determine the use of maternal and child health books (MCH) by pregnant women in an effort to prevent pregnancy complications at the Murung Pudak Health Center in 2022. This research method is with descriptive-analytical methods. The design or design used in this study is a cross-sectional study research design. The results of the research in the category of Maternal Knowledge About the Utilization of MCH Books were obtained from 37 respondents, 34 respondents (91.9%) with the Good Category, 3 respondents (8.1%) with the Sufficient Category while the less category did not exist in terms of knowledge of the use of MCH books in efforts to prevent pregnancy complications.

Background: World Health Organization (WHO) stated that the number of reported cases of dengue fever has increased more than 8-fold over the last 4 years, from 505,000 cases increasing to 4.2 million in 2022. The number of reported deaths has also increased from 403 to 960. Not only is the number of cases increasing as the disease spread to new regions including Asia, but explosive outbreaks also occurred. The threat of a possible dengue fever outbreak now exists in Asia.Objective: Know the factors related to preventive measures for dengue fever dengue (DBD) in Pulau Panggang Village, Tanjung Agung Community Health Center, Muara Enim Regency in 2023 Method: This research has an analytical approach cross sectional use chi square. This research sample uses probability sampling totaling 91 respondents. This research uses univariate and bivariate analysis. Results: The results of bivariate analysis showed a significant relationship between knowledge and prevention of dengue fever range  p-value 0.003, there is a significant relationship between attitude and prevention of dengue fever range p-value 0.002, there is a significant relationship between education and the prevention of dengue fever range p-value 0.003, there is a significant relationship between knowledge and prevention of dengue fever range p-value 0,004. Conclusion: There is a significant relationship between knowledge, attitudes, education and family support and the prevention of dengue fever.

Infectious diseases in infants are one of the causes of high infant mortality. The infectious diseases are hepatitis B, polio, tuberculosis, diphtheria, pertussis, tetanus, and measles. Since 1991, pertussis cases have emerged as a frequently reported case in Indonesia, about 40% of pertussis cases affect toddlers. The purpose of the study was to analyze the factors that influence parental motivation in the implementation of the Bias Program at the Salam Babaris Health Center. Analytical survey research method with cross sectional approach. The sample in this study was 50 mothers. Primary data collection was analyzed using descriptive test and chi square test. The results of the study showed that most respondents had good knowledge as many as 30 people (60%), higher education (SMA / PT) as many as 35 people (70%), age not at risk (20-35 years) as many as 36 people (72%), good parental motivation as many as 21 people (42%). There is an influence of knowledge on parental motivation in the implementation of the Bias program (pvalue: 0.011<0.05). There is an influence of education on parental motivation in the implementation of the Bias program (pvalue: 0.000<0.05). There is an influence of age on parental motivation in the implementation of the Bias program (pvalue: 0.025<0.05).    

.Degenerative diseases in the elderly, if not handled properly, will add to the state’s financial burden, which is not small. This study’s general purpose was to determine ergonomic gymnastics’s effectiveness in lowering blood pressure in the elderly. This research method uses a pre-experiment with a group pre-test and post-test design. The sample in this study amounted to 20 people, using the purposive sampling technique. The results of this study indicate that respondents before being given the intervention had blood pressure in the Stage 1 hypertension category, as many as 12 respondents (60%), and in the Stage 2 hypertension category, as many as eight respondents (40%). After being given the intervention, blood pressure in the Stage 1 hypertension category, as many as two respondents (10%), and pre-hypertension, as many as 18 respondents (90%). The chi-square statistical test showed a p-value = 0.018 (p < 0.05). These results indicate that H0 is rejected Ha is accepted, so it can be concluded that ergonomic exercises effectively reduce blood pressure in the elderly. It is recommended that health center officers socialize with the elderly by providing ergonomic exercises to reduce changes in blood pressure in elderly patients.      

Data from the World Health Organization (WHO) estimates that currently the global prevalence of hypertension is 22% of the total world population. Based on data on hypertension in the elderly in the Tangan-Tangan Community Health Center, Southwest Aceh Regency in 2021, there were 517 people, in 2022 there were 668 people, while in 2023, starting from January-August, there were 712 people. The aim of the research is to determine the factors that influence the quality of life of elderly people with hypertension in the Tangan-Tangan Community Health Center Area, Southwest Aceh Regency. The research design uses the Analytical Survey method with a Cross Sectional approach. The population in this study were all elderly people who experienced hypertension in the Tangan-Tangan Health Center Working Area, Southwest Aceh Regency, totaling 712 people. The sample consisted of 88 people using Quota sampling technique. Data analysis uses univariate, bivariate and multivariate analysis. The results of the research show that there is an influence of physical activity, diet, medication adherence, motivation and family support on the quality of life of elderly people with hypertension in the Tangan-Tangan Health Center Area, Southwest Aceh Regency, while the dominant factor is family support. The conclusion of this research is that there is an influence of physical activity, diet, medication adherence, motivation and family support on the quality of life of elderly people with hypertension in the Tangan-Tangan Health Center Area, Southwest Aceh Regency. It is recommended that the Tangan-Tangan Health Center create a program as a forum for hypertensive patients to always carry out efforts to control blood pressure as a form of monitoring and maintaining the patient's quality of life.

Based on data from World Population Prospects (2020), it is clear that there are 871 million people aged 60 years or more, which consists of 15% of the world's population. The number of people aged 60 years or older is projected to grow by around 56% from 901 million to 1.4 billion. The aim of the research was to determine the factors related to the utilization of posyandu for the elderly at the Sibagindar Community Health Center, Pagindar District, Pakpak Bharat Regency. The research design uses an analytical survey research method using a cross sectional research design. The population in this study was all 716 elderly people. The sample was 88 with stratified random sampling. Data analysis uses univariate, bivariate and multivariate analysis. The results of the study showed that there was a relationship between knowledge p = 0.000, attitude p = 0.00, distance p = 0.000, family support p = 0.000 and support from health workers p = 0.005 with the utilization of posyandu for the elderly in the Sibagindar Health Center Working Area, Pagindar District, Pakpak Bharat Regency, whereas The dominant factor is family support, p = 0.002 < 0.025 and 95% CI = 3.154-214.028 with an OR value = 25.983. The conclusion of this research is that there is a relationship between elderly knowledge, elderly attitudes, distance, family support, support from health workers with the use of elderly posyandu in the Sibagindar Community Health Center Working Area, Pagindar District, Pakpak Bharat Regency. It is recommended that the Sibagindar Community Health Center increase its role in providing training to health workers and be able to promote the use of posbindu for the elderly and it would be better for door to door health workers to provide education on the use of posbindu for the elderly.

Indonesia's Health Profile in 2022, there were 845,000 cases of pulmonary TB and in 2021 there were 420,994 cases. There were 563,879 new confirmed cases of pulmonary TB and relapses. If this is not adhered to, it will cause drug resistance. The aim of the research was to determine the factors that influence the compliance of pulmonary TB sufferers in taking medication at the Batang Beruh Health Center UPT, Sidikalang District, Dairi Regency. The research design uses an analytical survey research method with a cross sectional research design. The population in this study was all 126 pulmonary TB patients. The sample was 56 people with a purposive sampling method. Data analysis uses univariate, bivariate and multivariate analysis. The results of the study showed that there was an influence of knowledge p = 0.010, attitude p = 0.006, family support p = 0.000 and drug side effects p = 0.000, while the variable that had no influence was gender, p = 0.057, on the compliance of pulmonary TB sufferers in taking medication. at UPT Batang Beruh Community Health Center, Sidikalang District, Dairi Regency, while the dominant factor was family support, p = 0.006 < 0.025, 95% CI = 2.715-519.110 and OR = 37.543. The conclusion is that there is an influence of knowledge, attitude, family support and side effects of drugs, while the variable that has no influence is gender on the compliance of pulmonary TB sufferers in taking drugs at UPT Puskesmas Batang Beruh, Sidikalang District, Dairi Regency. Recommended to UPT. Batang Beruh Community Health Center, Sidikalang District, increases public knowledge about pulmonary TB among sufferers and visiting residents by providing outreach and providing information on the SITB application. Targets at risk of contracting pulmonary TB are the sufferer's family and health workers. And as a Medicine Taking Supervisor are the families of pulmonary TB sufferers.

Hypertension is a chronic disease which is one of the causes of death. Based on data from the Indonesian Ministry of Health in 2022, the prevalence of hypertension in Indonesia was 32.7%, an increase compared to the prevalence of hypertension in 2021 which was 25.8%. Old age is the final stage of development in which humans experience various health problems and are at high risk of dangerous diseases, one of which is hypertension. The Batam City Health Service noted that hypertension occurs more often in elderly people aged 60-70 years. Meanwhile, the number of elderly people suffering from hypertension aged over 60 years at the Tiban Baru Community Health Center is 402 cases. Many non-pharmacological therapies are used to lower blood pressure, one of which is laughter therapy. Laughter lowers blood pressure by calming the body and reducing stress hormones. The aim of this community service activity is to increase knowledge about hypertension and treating hypertension with non-pharmacological methods using laughter therapy. The methods used are lectures, discussions, questions and answers and demonstrations. The results of 20 elderly people showed an average blood pressure of 159.75/92.55 mmHg before laughing therapy, while after therapy the average blood pressure was 123.55/80.25mmHg.

Exclusive breastfeeding is giving breast milk without other additional food and drinks to babies aged 0-6 months. Coverage of babies receiving exclusive breast milk in 2021 in Indonesia is 56.9%. At the Andongsari Jember Community Health Center in 2021 the coverage of exclusive breastfeeding was 9.2%. This coverage has decreased compared to 2020, amounting to 48.9%. The aim of this research is to determine the determinant factors for exclusive breastfeeding at the Andongsari Community Health Center. The research design used is descriptive. The population used by mothers breastfeeding babies aged 6-24 months was 100 people, the sample was 80 people. The technique used was simple random sampling with a questionnaire measuring instrument. The research results showed that knowledge was good 83.8%, fair 11.2%, less 5%, favorable attitude 55% unfavorable 45%, positive perception 50%, negative 50%, family income below UMK 82.5%, above UMK 17.5%, moderate husband support 68.8% high 31.2%, and the role of health workers supports 68.8%, does not support 31.2%. Almost all mothers have good knowledge about exclusive breastfeeding, most have a favorable attitude, half have positive perceptions, almost all have family incomes below the UMK, most have moderate husband support and most of the health workers' roles are supportive. It is recommended that breastfeeding mothers be able to increase and apply their knowledge in exclusive breastfeeding.

The government has carried out a TTD program but the prevalence of anemia still cannot be reduced. The red Dragon Fruit (Hylocereus polyrhizus) is effective for controlling iron deficiency and is almost entirely absorbable and helps increase iron absorption from food through the formation of ferrous ascorbate complexes. This study aims to determine the tendency of increasing hemoglobin (Hb) levels in anemic pregnant women before and after giving blood enhancer supplements and dragon fruit. This research method uses a quasy experiment research design. The population of this study is anemic pregnant women recorded in the Awayan Health Center area in December – January 2023. The final hemoglobin content of the intervention group was mostly not anemic amounted to 14 people (93.33%), while the hemoglobin content of the control group was mostly mild anemia amounted to 9 people (29.97%). Research shows that there is a significant increase in hemoglobin levels between before and after blood enhancer tablets and dragon fruit additives where p value = 0.000 and there is an effect of Hb levels after intervention from test results 1.1 times with a confidence level of 95%.    

Anxiety is a normal emotion that everyone has. Anxiety appears as a brain response to stress that warns of potential danger. Problems arise if the anxiety occurs continuously and even interferes with life. Anxiety like this can have a bad impact on body health and this is what is called an anxiety disorder. To reduce this anxiety problem, deep breathing relaxation and cognitive therapy can be done. The aim of community service is to find out about the application of the Si Mas Latif application (Overcoming Anxiety with Relaxation and Cognitive Therapy), in people who experience psychosocial anxiety problems at the Kertasemaya Health Center, Indramayu Regency.The method used is to create an application that can be used as a guide in overcoming anxiety using deep breathing therapy and cognitive behavioral therapy and outreach to program holders and the community using health services.Result: availability of the Si Mas Latif application (Overcoming Anxiety with Relaxation and Cognitive Therapy) and this application has been in HKI and socialization has been carried out to the Kertasemaya Community Health Center program holders.

. IUDs are one of the most effective and safe long-acting contraceptives, but the use of this method of contraception is still very low. The purpose of the study was to determine the influence of birth control acceptor culture on the use of IU birth control. The research method is a quantitative analytical survey with a cross sectional approach. The population is all family planning acceptors who visited the Paringin City Health Center, Balangan Regency, South Kalimantan from September to November 2022, totaling 111 people with an accidental sampling technique of 53 respondents. Chi square data analysis technique. The results showed that the majority used contraception as much as 32 (60.4%), good knowledge as much as 24 (45.3%), positive attitude as much as 26 (49.1%), positive confidence as much as 32 (60.4%), positive value as much as 35 (66%). There is an influence of attitude (pvalue 0.033), trust (pvalue 0.000) and value on IUD birth control use with value (pvalue 0.000). There was no effect of birth control acceptor knowledge on IUD KB Use (pvalue 0.379). The implication of the research results is that health workers through stakeholders can provide education or information about contraception.    

A medical record folder is a thick paper cover that unites all of a patient's sheets so that they become one complete history, protects the medical record files inside so that they are not easily damaged and makes it easier to store, search and transfer medical record files (Heltiani, 2020). Designing a medical record folder has physical aspects, anatomical aspects and content aspects. The physical aspect consists of materials: Ivory paper, the shape resembles a rectangular book, there are folds to increase the capacity to store medical record forms accompanied by color coding. Anatomical aspects include the Header, which contains the logo, name, address and telephone number, Introduction, Instructions, which contains confidential information from the medical record folder, Body contains the Name and Medical Record Number. Register Number and Year of Visit, Font using Time New Roman, form title size 40, patient identity and year of visit size 12, while Arial font size 14 is used for instructions, Ruler has a ruler on the medical record folder to limit the heading and body of the map, Border there is a border in the medical record folder. Content aspects include the identity of the health service facility, the identity of the name of the health service facility, the patient's name, the medical record number, the year of the last visit and the row available in the year of the last visit in the medical record folder. Socialization is given to medical record officers using discussion, lecture and question and answer methods. It is hoped that the results of this socialization will be for the Bestari Community Health Center to redesign the medical record folder which refers to three aspects, namely: anatomical aspects, physical aspects and content aspects so that the medical record forms are not damaged or scattered.

Puskesmas Banyuanyar is a health facility located in Banjarsari District which has dua target areas, namely Banyuanyar Village and Sumber Village. With the boundaries of the Banyuanyar Puskesmas target area, in the north it is bordered by the working area of Boyolali Regency, in the south it is bordered by the working area of the Manahan Health Center, in the east it is bordered by the working area of the Gambirsari Health Center, and in the west it is bordered by the working area of Karanganyar Regency. Based on data from visits to the Banyuanyar Health Center physiotherapy poly, the incidence of Low Back Pain cases is found annually as many as 122 cases from 468 physiotherapy cases, this is caused by age, injury, and work factors. Pain is the main complaint that is often felt by patients in the condition of low back pain. The purpose of this program is to provide education and understanding on how to maintain low back health, prevention of low back pain and exercises that can be done at home. The method used is by providing counseling in the form of health promotion about low back pain and using leaflets as a medium of counseling, targeting the community who attend the Seruni RW 08 Sumber Elderly Posyandu. The author uses pre test and post test to determine the level of understanding of the people present. The results of the questionnaire showed an increase in participants' understanding as seen from the average pre-test score of 1.52, while the post test score obtained an average value of 8.43. This means that there is an increase in understanding of 6.91 from the average score of the questionnaire filled out by the community who attended the Seruni RW 08 Sumber Elderly Posyandu.

The aim of this study was to analyze the results of Hb screening of pregnant women in the third trimester and birth weight. Cross sectional observational research. Population of third trimester pregnant women in the Labuhan Rasoki Health Center area, Southeast Padangsidimpuan District, Padangsidimpuan City. The total sample population was 30 respondents. Data were collected for Hb examination using the Easy Touch GHb tool and weighing newborns. Pearson correlation test data analysis.       Results: Relationship between age and birth weight. Pearson correlation coefficient value (r) -0.464, significance level (p) 0.007, significant between age and birth weight of the baby. Parity with an r value of -0.300, significance level (p) 0.007, is not significant between parity and birth weight. The r value of pregnancy spacing is -0.234. significance level (p) 0.198, there is a significant relationship between pregnancy distance and birth weight. LILA r value is -0.030, significance level (p) 0.869, there is no significant relationship between LILA measurements and birth weight of the baby. Hemoglobin, r value 0.751, significance level (p) 0.058. There is a significant relationship between third trimester Hb levels and baby birth weight.elationship between external factors which are significantly related to birth weight, age, gestational interval and the Hb level of pregnant women. Arm circumference and parity were not related to birth weight. Pregnant women's Hb is checked every trimester, the data supports care planning.

Setabelan is one of the sub-districts in Banjarsari District, Surakarta. Based on the recapitulation of disease distribution at the Setabelan Community Health Center during visits in the last 3 months, Diabetes Mellitus was in third place with 205 patients. Diabetes mellitus is a complaint that is often found, especially in the elderly. The outreach program aims to increase public knowledge and understanding regarding the management and prevention of diabetes mellitus through understanding the meaning, risk factors, prevention and management, so as to reduce cases of diabetes mellitus in the community. The method used was education in the form of counseling using leaflets as a medium for the Prolanis group of diabetes mellitus sufferers located at Monument Park 45 Banjarsari. Evaluation of activities uses pre-test and post-test methods to determine the level of understanding and knowledge regarding the material presented. The results show an average pre-test score of 3.80 and an average post-test score of 4.76 with a maximum score of 5.00.

UPT Karanganyar Health Center Karanganyar Regency is a type urban non-inpatient health centers, so they only serve outpatient care and emergency. Based on the results of the survey and introduction of researchers, at UPT Karanganyar Health Center found a medical record document missfile. The Missfile was due to a lack of non-RMIK officers in the filing department careful in returning medical record documents in place, and amount the medical record staff in the filing is inadequate. This research aims to find out the medical record document storage system at UPT Puskesmas Karanganyar.This type of research uses descriptive research methods, with approach. The subjects in this study were medical record filing officers. The object of this study is a medical record document storage system in UPT Karanganyar Health Center. This research instrument uses guidelines interviews and observations. Data processing by collecting, editing, and data presentation.The result of this research is based on record numbering system medical uses UNS (Unit Numbering System) with Family Numbering, for alignment using SNF (Straight Numerical Filling) and storage using centralization with personal folders. Factor the cause of the missfile is the inaccuracy of the clerk in returning the document medical records to the filing rack, the impact of the missfile is service delays and duplication of medical records efforts made namely socialization with color coding.The author suggests that a tracer should always be used when retrieval of medical record documents, so that they are stored again medical record documents faster, and avoid missfiles. It is necessary control by medical record officers when non medical record officers put DRM back on the shelf. Conduct HR recruitment with competence and qualifications from D3 Medical Records.  

The application of E-Kios as a form of population administration service innovation which aims to make it easier for the public to carry out population administration requests is still not optimal due to problems with internal and external factors, for internal factors this service is carried out directly on the service destination website, not through the E-Kios website and in the environment. External E-Kios communication is still not running well because it only relies on poster stand displays in sub-districts, sub-district health centers and RW halls. The implementation of E-Kiosks uses Edward III's Implementation theory, namely: communication, resources, disposition and bureaucratic structure so that services using E-kiosks can be easily noticed and used effectively.

STIKES Kesdam IV/Diponegoro as one of the health universities has great potential in the form of human resources (HR) to play a role in the development of the target area in the health sector. The results of an interview with the Head of the Sekaran Community Health Center revealed that of the 5 sub-districts managed by the Sekaran Community Health Center, Sukorejo Sub-District is an area that has complex health problems. Health problems related to the elderly need attention that is no less important. The health of the elderly under the management of the elderly posyandu in the Sukerejo Deliksari sub-district area has been going well. It's just that this area related to handling the cognitive health problems of the elderly still needs more attention. One of the cognitive function disorders in the elderly is dementia. There is no health care related to dementia in this area, this is because elderly posyandu cadres consider the problem of dementia or senile dementia to be natural and normal for the elderly. So promotive and preventive efforts are needed by holding community service related to cadre training in early detection of elderly people with dementia health problems.

Abstract.Hypertension is one of the main risk factors for heart problems. Apart from causing heart failure, hypertension can also result in kidney failure and cerebrovascular disease. This disease is often called the silent killer because there are no symptoms and without realizing it, sufferers experience complications in vital organs. This study aims to assess factors influencing adherence to taking anti-hypertensive medication in hypertensive patients at the Pekkae Community Health Center. This research presents the characteristics of respondents, Univariate data analysis of each variable to see the relationship between the Independent Variable and the Dependent Variable using the Chi-Square test. Based on the results of research conducted in the Pekkae Community Health Center working area, it was found that there was a relationship between predisposing factors including knowledge, beliefs, values ​​and attitudes towards compliance with taking antihypertensive medication for hypertension sufferers at the Pekkae Public Health Center, Barru Regency.