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Background: Lower back pain is one of the complaints felt by almost all pregnant women, especially in the third trimester due to stretching, especially in the spine due to the enlargement of the uterus. Efforts to reduce back pain in pregnant women non-pharmacologically include warm compresses. The aim of the research was to determine the effect of warm compresses on the level of lower back pain in third trimester pregnant women. Method: This research uses a pre-experiment method with a research design using one group pre test post test. The sampling technique used total sampling, totaling 40 pregnant women in the Kutamendala Community Health Center Working Area, Brebes Regency. Results: Of the 40 respondents before the warm compress was applied, it was found that 30 respondents (75%) experienced mild levels of lower back pain, while 10 respondents (25%) experienced moderate levels of lower back pain, and after doing this Warm compresses showed that 32 respondents (80%) did not complain of lower back pain, while 8 respondents (20%) experienced low back pain at a mild level. The results of the analysis using the Wilcoxon test showed p value = 0.000 < 0.05. Conclusion: There is an influence of warm compresses on the level of lower back pain in third trimester pregnant women

One effort that can be done to control breast cancer is to carry out primary prevention such as controlling risk factors and increasing communication, information and education. Secondary prevention is carried out through early detection of breast cancer, namely breast self-examination (BSE). This study aims to determine the level of knowledge and attitudes of young women about early detection of breast cancer through self-examination (breast self-examination) in the working area of ​​the Ujung Kubu Health Center, Batubara Regency in 2022. This study used a collaborative research design with a cross-sectional approach. With a total population of all young women in the Working Area of ​​the Ujung Kubu Health Center, Batubara Regency, namely 130 pure women with a sample of 58 using the simple random sampling method. Data collection in March-June 2022. This analysis was carried out to test the hypothesis using the Chi Square test at significant and if the p-value < 0.05. Based on the results of the study between knowledge and BSE actions, the Chi Square statistical test obtained a p value = 0.010 so that p <0.05. And the attitude with the BSE action that the Chi Square statistical test obtained a p value = 0.038 so that p <0.05 then H0 is rejected and Ha is accepted. There is a Relationship between Knowledge and Attitudes of Young Women About Early Detection of Breast Cancer Through Self-Examination (Breast Self-Examination) in the Working Area of ​​the Ujung Kubu Health Center, Batubara Regency in 2022. It is hoped that this can be one of the therapies given to young women to prevent breast cancer from being carried out as early as possible.    

Hypertension or high blood pressure is a non-communicable disease that is one of the main causes of premature death worldwide. Generally, hypertension is found in people with old age, but in its development, hypertension also affects people of reproductive age, such as women of childbearing age. This study aimed to analyze the risk factors for hypertension in WUS in the working area of ​​the Naibonat Health Center. The type of research used is quantitative, with a case-control study approach. The case population in this study was 511 WUS, then 55 case samples were taken using a simple random sampling technique, and 55 control samples were taken from the respondent's closest neighbors. The data obtained were analyzed using the chi-square statistical test. The dependent variable in this study was hypertension, while the independent variables were age, family history, use of hormonal contraception, obesity, and stress. The results showed that three variables had a relationship with hypertension in women of childbearing age, namely age (p=0.000, OR=7.111), family history (p=0.002, OR=3.710), and physical activity (p=0.000, OR=4.495). in comparison, the use of hormonal contraception, obesity and stress did not have a relationship with the incidence of hypertension in women of childbearing age. The Puskesmas is expected to increase efforts to prevent hypertension by optimally improving services, especially in increasing public knowledge about hypertension so that people can maintain normal blood pressure and can avoid risk factors that can cause hypertension.

The activity of cadres is very important in posyandu activities because if the cadres are not active, the provision of health services and posyandu activity programs cannot run properly. The purpose of this study was to determine the factors related to the activeness of cadres in posyandu activities in the working area of ​​the Kenarilang Health Center, Alor Regency. This type of quantitative research uses a cross sectional study approach. The study population consisted of 210 cadres, with a total sample of 68 cadres using convenience sampling/accidental sampling. Data were analyzed using chi-square statistical test. The results showed that the variables of knowledge (ρ = 0.023), occupation (ρ = 0.022), incentives (ρ = 0.002), and support from community leaders (ρ = 0.043) had a relationship with the activeness of cadres in posyandu activities. Meanwhile, the attitude variable (ρ=0.492) had no relationship with the activeness of cadres in posyandu activities. Puskesmas Kenarilang should improve training on promotive efforts when providing cadres in increasing knowledge about the duties and functions of posyandu. Village and sub-district governments should always provide appropriate incentives as motivation in increasing the activity of cadres in posyandu activities, and it is hoped that community involvement will always support cadres in posyandu activities.

Breast milk production can be increased, one way is by consuming vegetables. The types of vegetables that can increase breast milk production include katuk leaves, young papaya leaves, moringa leaves and lembayung leaves. Consumption of young papaya leaves is still rarely done by breastfeeding mothers. Young papaya leaves are a natural plant that acts as a lactogogum because it can increase and facilitate breast milk. Research objective: The effect of giving boiled papaya leaves on breast milk production in postpartum mothers in the working area of the Tinondo District Health Center. East Kolaka in 2021. The type of research used was a quasi-experimental method. The sample in the research was all postpartum mothers who were not breastfeeding smoothly at the Tinondo District Health Center. East Kolaka, namely 21 people using a purposive sampling technique. There is an effect of giving boiled papaya leaves on breast milk production in postpartum mothers in the working area of ​​the Tinondo District Health Center. East Kolaka in 2021 where the results of measuring breast milk production before being given treatment obtained an average value of 3271.43 to an average value of measuring breast milk production of 3590.48 after being given boiled papaya leaves with a sig value (2-tailed) 0.000 < 0.05. Suggestions for health workers should be used as information about the smoothness and production of breast milk for postpartum mothers.

This study aims to describe the improvement of elderly health that has been carried out at the Jawa Jawa Kramas Christian Church, Semarang City. Most of the elderly in the church are elderly women who are still active in domestic activities and micro/small economic businesses. Based on the action plan to improve the health of the elderly, it is carried out with integrated data on the elderly, the establishment of elderly institutions, capacity building for health cadres and the implementation of health checks as a promotive step and basic services to the Tembalang Community Health Center. In its development, efforts have brought results and have received appreciation from the church and the surrounding community.

ABSTRACT Background: Cancer is a disease that arises due to abnormal growth of body tissue cells that turn into cancer cells. Breast cancer is one type of cancer with the highest percentage among other cancers. The number of breast cancer in adolescents aged 15-24 years as many as 16 people was recorded in the records of the Riau Provincial Health Office in 2015. The results of medical research at the Johns Hopkins Research Center in America stated that 40% of cancer patients who were detected early through regular home self-examinations were successful. healed. Purpose: This study aims to determine the relationship between knowledge and action on early detection of breast cancer. Methods: This research is quantitative with an analytical design that uses primary data. The research sample was 84 young women using the Proportionate Stratified Random Sampling technique. Data for knowledge and action for early detection of breast cancer were obtained by using a questionnaire and analyzed by univariate and bivariate using chi square test with SPSS. Results: The results of the univariate analysis were 50 (60%) young women with sufficient knowledge, and 69 (82%) young women did not do early detection of breast cancer. The results of the chi square test show that there is no relationship between knowledge and action on early detection of breast cancer. Every young woman is expected to increase knowledge related to early detection of breast cancer so as to raise awareness to carry out breast self-examination.   Keywords: Knowledge, Action, Early Detection of Breast Cancer   ABSTRAK Latar Belakang: Penyakit kanker adalah penyakit yang timbul akibat pertumbuhan tidak normal sel jaringan tubuh yang berubah menjadi sel kanker. Kanker payudara merupakan salah satu jenis kanker dengan persentase tertinggi diantara penyakit kanker lainnya. Jumlah kanker payudara pada remaja berusia 15-24 tahun sebanyak 16 orang tercatat dalam catatan Dinas Kesehatan Provinsi Riau Tahun 2015. Hasil penelitian medis John Hopkins Research Centre di Amerika menyebutkan bahwa 40% penderita kanker yang terdeteksi sejak dini melalui pemeriksaan sendiri di rumah secara teratur berhasil sembuh. Tujuan:Penelitian ini bertujuan untuk mengetahui hubungan pengetahuan dengan tindakan terhadap deteksi dini kanker payudara. Metode: Penelitian ini bersifat kuantitatif dengan desain analitik yang menggunakan data primer. Sampel penelitian sebanyak 84 orang remaja putri dengan menggunakan teknik Proportionate Stratified Random Sampling. Data untuk pengetahuan dan tindakan deteksi dini kanker payudara diperoleh dengan menggunakan kuisioner dan dianalisis secara univariat dan bivariat menggunakan uji chi square dengan SPSS. Hasil: Hasil analisis univariat terdapat 50 orang (60%) remaja putri dengan pengetahuan cukup, serta 69 orang (82%) remaja putri tidak melakukan deteksi dini kanker payudara. Hasil uji chi square menunjukkan tidak ada hubungan antara pengetahuan dengan tindakan terhadap deteksi dini kanker payudara. Setiap remaja putri diharapkan meningkatkan pengetahuan terkait deteksi dini kanker payudara sehingga menimbulkan kesadaran untuk melakukan pemeriksaan payudara sendiri.   Kata Kunci :Pengetahuan, Tindakan, Deteksi Dini Kanker Payudara

Indonesia is currently facing various health and nutrition problems. Indonesia experiences a triple burden of nutritional problems, namely malnutrition, excess nutrition (obesity) and micronutrient deficiencies. To overcome this nutritional problem, it can be done by implementing balanced nutrition. Balanced nutrition is a daily food composition that contains nutrients in types and quantities that suit the body's needs, taking into account the principles of food diversity or variety, physical activity, cleanliness and ideal body weight.Objective: Service activities are carried out to increase knowledge about balanced nutrition, determine nutritional status, and as a training tool for nutrition students in providing nutrition and health education to the community. This activity is expected to increase knowledge of balanced nutrition for children and adolescents at the Qurrotu A'yun Batam Center Orphanage.Conclusion: This counseling activity was carried out at the Qurrotu A'yun Batam Center Orphanage, Batam City, which was attended by children and teenagers. The activity consisted of an opening led by a team of lecturers and continued by reading material presented by a team of lecturers and students. Then the moderator returned to the event for a question and answer session and continued with measuring nutritional status and providing snacks to posyandu participants.

Lactation management is needed to support the successful management of breastfeeding. Failure of the breastfeeding process is often caused by some mothers who do not understand the correct way to breastfeed. Based on UNICEF data, only 30% of post partum primiparous mothers provide exclusive breast milk, this shows that babies in Indonesia still receive non-exclusive breast milk. The aim of this service is to increase knowledge about lactation management which consists of how to breastfeed, the benefits of breastfeeding, the correct breastfeeding position. The activity was carried out at the Bara Baraya Community Health Center, Makassar City on December 9 2022. The method used in this service was lecture and question and answer which began with a pre-test then providing information and then a post-test with a total of 7 participants. The results of the activity showed that those who had good knowledge before the counseling were carried out were 3 people (42.85%) and after the counseling it increased to 7 people (100%), this shows that the counseling was effective in lactation management for Primiparous Postpartum Mothers..

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. 

Background: One of the factors of the high MMR in Indonesia is due to the relatively low coverage of help by health workers. Puprose: The purpose of this study was to determine the relationship of family and socioeconomic support with the choice of delivery place in Puskesmas Tebing Tinggi. Methods: This study is analytic survey with cross sectional design. The research population in this study was trimester III pregnant women in Puskesmas Tebing Tinggi in July 2019, amounting to 52 people. The sample in this study was third trimester pregnant women who are in Tebing Tinggi Health Center taken in total sampling. Data collection is done using primary data. Results: The results of the study of 52 pregnant women respondents who chose non-health service facilities were 31 respondents and those who chose health service facilities were 21 respondents. From 52 family respondents who support as many as 30 respondents and do not support as many as 22 respondents, from 52 respondents with socioeconomic <UMR as many as 35 respondents and ? UMR as many as 17 respondents. Chi-square test results obtained value ?2 = 4.278 with p value = 0.05 meaning that there is a relationship of family support with the choice of delivery place in Tebing Tinggi Health Center with a moderate category. Chi-square test results (Pearson chi-square) obtained value ?2 = 8.27 with p value = 0.05 means that there is family support by choosing the place of delivery at Tebing Tinggi Health Center with a moderate category. Conclusion: It was concluded that there was a significant relationship between family support and socio-economics with the choice of delivery place in the Tebing Tinggi Health Center with a moderate category.Keywords: Family Support; Economic Sociology; Selection of Childbirth

Background: Hypertension has now become a global problem because its prevalence continues to increase along with lifestyle changes that include unhealthy habits. the aim is to find out a description of lifestyle in hypertensive patients in West Denpasar Health Center II. Method: The study design was descriptive with the Cross Sectional approach. The sample in this study were all hypertensive patients who were treated at the Denpasar Public Health Center II. The sampling technique is Acidental sampling with a sample of 46 respondents. The research instrument used was a questionnaire sheet. The results of data processing are presented in narrative form, frequency distribution tables are accompanied by interpretations. Results: Hypertension sufferers in West Denpasar Health Center II were 27 respondents (58.7%) who did not have the habit of consuming excess salt; 26 respondents (56.5%) who did not have coffee consumption habits; 34 respondents (73.9%) who did not have the habit of consuming liquor; 32 respondents (69.6) did not have smoking habits; 26 respondents (56.5%) respondents did not have enough hours of rest / sleep; respondents who do sufficient activities / sports; 46 respondents as many as 25 respondents (54.3%) obeyed taking drugs; 25 respondents (54.3%) did not routinely carry out tension control; 30 respondents (65.2%) faced maladaptive stressors. Conclusion: To reduce the incidence of hypertension in patients with hypertension, health promotion programs to the public regarding hypertension factors need to be optimized.Keywords: Hypertension; Lifestyle

Background: The prevalence of hypertension in Indonesia continues to increase, especially in women. The incidence rate reached 28.8% higher than the incidence of hypertension in men which is 22.8%. There are factors that make women more at risk of hypertension than men. Namely the use of hormonal contraception in women whose users reach 47.54%. Purpose: to analysis Correlational hormonal contraceptive use and hypertension. Methods: This research is an observational survey research, case-control design. Held in the Work Area of the Medan City Primary Health Center. Conducted from March-June 2019. The population were all women of productive age (15-49 years) totaling 572 people. The size of the case sample was 35 people and 35 controls. Case samples were taken by means of consecutive sampling, control samples were taken by convenient sampling. Data analysis was performed univariately and bivariately using the Chi Square statistical test (?2) with a significance level of 0.05. Results: In the hypertension group, 77.1% used hormonal contraception and 22.9% did not use hormonal contraception. Whereas in the non hypertensive group 62.9% did not use hormonal contraception only 37.1% used hormonal contraception. There is a relationship between hormonal contraceptive use and hypertension in women of reproductive age. A value (OR = 5.7; 95% CI 2,008-16,244) means that women of reproductive age are at risk of experiencing hypertension 5.7 times greater if women of reproductive age use hormonal contraception than those who do not use hormonal contraception. Conclusion: Women of reproductive age are at risk of developing hypertension when using hormonal contraception. Therefore, it is recommended that women of reproductive age prefer non-hormonal contraception or natural contraception. If using hormonal contraception to keep monitoring blood pressure regularly at least 3 months after using hormonal contraception and immediately stop using hormonal contraception if there is a hypertensionKeyword: Hormonal contraception; Hypertension; Women at Reproductive age

Background: Tuberculosis is a major public health problem and Indonesia's future threat. The World Health Organization (WHO) states that Asia is one of the regions with the highest spread of TB in the world. And Indonesia is the third largest contributor in the world with 539,000 cases and 101,000 deaths per year. This study aims to describe the level of knowledge of tuberculosis patients about preventing tuberculosis transmission. Methods: This study uses descriptive analytical design with Cross Sectional approach. The sample in this study were patients who underwent tuberculosis examination and treatment at the Blahbatuh Health Center II in Gianyar Regency, amounting to 30 people, using the Nonprobability sampling sampling technique namely Total sampling. Data collection was carried out by interview using questionnaire guidelines which included prevention of tuberculosis transmission. The data obtained then carried out descriptive statistical analysis using the SPSS program. Results: Based on the analysis of the characteristics of respondents obtained that of the 30 respondents studied, as many as 12 people (40%) respondents aged 41-50 years, 15 people (50%) respondents attended education up to high school (SMA), and as many as 11 people (37%) respondents work in the private sector. Descriptive analysis on the level of knowledge about prevention of tuberculosis transmission found that, as many as 16 people (54%) had a good level of knowledge, 10 people (33%) respondents had sufficient level of knowledge, and 4 people (13%) had less knowledge. Conclusion: Most respondents (54%) had a good level of knowledge, 33% had sufficient level of knowledge and only 13% of respondents had insufficient knowledge about preventing tuberculosis transmission. It is expected that the related parties will be more aggressive in promoting tuberculosis, especially for sufferers and their family members.Keywords: Level of Knowledge; Tuberculosis; Prevention of Transmission   ABSTRAKLatar belakang: Penyakit tuberkulosis merupakan masalah utama kesehatan masyarakat dan ancaman masa depan Indonesia. World Health Organization (WHO), menyatakan Asia termasuk kawasan dengan penyebaran TBC tertinggi di dunia. Dan Indonesia merupakan penyumbang terbesar ke-3 di dunia dengan 539.000 kasus dan 101.000 kematian pertahun. Penelitian ini bertujuan untuk mengetahui gambaran tingkat pengetahuan pasien tuberkulosis tentang pencegahan penularan tuberculosis. Metode: Penelitian ini menggunakan desain Deskriptif analitik dengan pendekatan Cross Sectional. Sampel pada penelitian ini adalah pasien yang menjalani pemeriksaan dan pengobatan TBC di Puskesmas II Blahbatuh Kabupaten Gianyar yang berjumlah 30 orang, dengan menggunakan teknik sampling Nonprobability sampling yaitu Total sampling. Pengumpulan data dilakukan dengan cara wawancara menggunakan pedoman kuesioner yang meliputi tentang pencegahan penularan tuberkulosis. Data yang diperoleh kemudian dilakukan analisis statistic deskriptif menggunakan program spss. Hasil: Berdasarkan analisis pada karakteristik responden diperoleh bahwa dari 30 responden yang diteliti, sebanyak 12 orang (40%) responden berumur 41-50 tahun, 15 orang (50%) responden mengenyam pendidikan hingga sekolah menengah atas (SMA), dan sebanyak 11 orang (37%) responden bekerja di bidang swasta. Analisis deskriptif pada tingkat pengetahuan tentang pencegahan penularan tuberculosis diperoleh bahwa, sebanyak 16 orang (54%) memiliki tingkat pengetahuan baik, 10 orang (33%) responden memiliki tingkat pengetahuan cukup, dan 4 orang (13%) memiliki pengetahuan kurang. Simpulan: Sebagian besar responden (54%) memiliki tingkat pengetahuan baik, 33% memiliki tingkat pengetahuan cukup dan hanya 13% responden yang memiliki pengetahuan kurang tentang pencegahan penularan tuberkulosis. Diharapkan pihak terkait lebih gencar dalam mempromosikan tentang penyakit tuberculosis khususnya pada penderita dan anggota keluarganya.Kata kunci: Tingkat Pengetahuan; Tuberkulosis; Pencegahan Penularan

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

Background: Hypertension is the highest cause of death in Indonesia. Non-pharmacological therapy that could reduce blood pressure was decoction of avocado leaves. This study aims to determine effectiveness decoction of avocado leaves to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Methods: This research used Quasy experimental one groups pre test-posttest with control design with a quantitative approach. Sampling techniques used was probability sampling with simple random sampling which obtained sample of 30 respondents aged 26-45 years old.15 respondents in the avocado leaves decoction intervention groups and 15 respondents in the control groups. Data analysis was carried out with the help of computer programs by using Paired T-Test. Result: result of the Paired T-Test of systolic and dyastolic blood pressure obtained p = 0,000 with a significance level (p<0,05), meaning that there was an influence between before and after giving treatment of avocado leaves decoction to blood pressure of hypertensive patients in Siwalankerto Health Center Surabaya. Conclusion: The research implication showed that complementary therapies provided by nurses could be a motivation to achieve the goals of hypertension self care.  

Background: The main cause that resulted in the emergence of many victims due to the earthquake disaster was the lack of knowledge of community preparedness about disasters and the lack of community preparedness in anticipating the disaster. Purpose: This Community Service aims to increase knowledge about the preparedness of pregnant women in dealing with the earthquake and tsunami disaster in the work area of the Pasar Ikan Health Center in Bengkulu City. Methods: This activity was carried out by distributing leaflets, conducting counseling and evaluating activities, the implementation of this activity was carried out in the work area of the Bengkulu City Fish Market Health Center from November 25 to November 28, 2021 with a total of 24 pregnant women participating. Results: In the implementation of the activities that we carried out, there was an increase in the knowledge of pregnant women after the Preparedness education was carried out in the event of an earthquake and Tsunami. Where the average before the counseling was done was 45 percent, it increased to 80 percent after the counseling was done. In addition, pregnant women also seemed enthusiastic during the counseling session, this can be seen from the response of pregnant women in the question and answer session Conclusion: From the results of this service activity, there was an increase in knowledge of pregnant women about preparedness during disasters, especially earthquakes and tsunamis.    

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.