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HIV screening services are the main entry point for services aimed at prevention, treatment, support and treatment. The use of HIV screening services by key populations, including transgender women, is important so that HIV status is monitored. Many transgender women work as commercial sex workers, so the spread of HIV is a cause for concern, so the use of HIV screening is important. The causes of the underutilization of HIV screening services need to be investigated. This study aims to examine the relationship between transgender perceptions of HIV screening services in the health center laboratory. The method used in this research is cross sectional with interview method. 80 transgender women in PERWAKOS were interviewed fulfilling the inclusion and exclusion criteria. The data were analyzed using the bivariate test to determine the relationship, the multivariate test to determine the simultaneous relationship, and the binary multiple regressions test on the IBM SPSS Statistics 23.0 for Mac software. Result: The sample size was 80 and it became 73. As many as (78%) 57 chose no stigma, (79.5%) 58 chose fast waiting time, (84.9%) 62 chose the distance from home to a close laboratory, (60.3 %) 44 perceived complete, (53.4%) 39 chose less professional. There is a relationship between the perception of transgender women on stigma by the laboratory staff (p = 0.000), the distance from the house to the laboratory (p = 0.000) and HIV screening services in the health center laboratory. In conclusion, there is a relationship between transgender perceptions of stigma by laboratory assistants, the distance from the house to the laboratory and the use of its services.

Nutritional status is a state of balance between the intake of nutrients consumed and the nutrients needed by the body which can be measured and assessed by child anthropometry. One of the dominant factors and can affect the nutritional status of toddlers is the attitude and behavior of mothers who lack awareness of the importance of toddler nutrition. The relationship between maternal behavior in feeding with the nutritional status of toddlers in the working area of the Putri Ayu Health Center, Jambi City is known. This study included quantitative research using a cross sectional design. The number of samples was 105 samples. Using the Spearman Rho statistical test. The results showed good maternal behavior obtained (88.6%), poor maternal behavior obtained (11.4%). Nutritional status of toddlers with good nutrition was obtained (79.0%), overnutrition (5.7%), undernutrition (8.5%) and poor nutrition was obtained (6.7%). The results of the Spearman Rho statistical test obtained a correlation coefficient of 0.587. The results showed that there was a relationship between maternal behavior in feeding with the nutritional status of toddlers in the Working Area of the Putri Ayu Health Center in Jambi City because the majority of respondents had good education and economic levels. It is expected that the community will increase their literacy from various sources related to toddler nutrition, especially for mothers who have toddlers to increase knowledge. The more public knowledge of the nutritional status of toddlers increases, the better the behavior of mothers in toddlers will be and the nutritional status of toddlers will increase.        

Background: Arthritis, better known as rheumatism, is a disease that attacks the joints and surrounding structures. Society often perceives rheumatism as a trivial disease because it does not cause death, even though if it is not treated immediately, rheumatism can cause abnormal limb function, ranging from lumps, stiff joints, and walking difficulty, to lifelong disability. Based on data from the Tungoi Health Center in 2022 the number of patients affected by rheumatoid arthritis was 127 people which was among the 10 highest number of diseases in the Tungoi Health Center. The study aimed to analyze the relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Methods: This study used a cross-sectional study approach. The location of the research was the Tungoi Health Center in October 2022. The study population consisted of patients seeking treatment in the working area of Tungoi Health Center with the number of study samples obtained was 92 patients using total sampling. Data analysis was carried out using the chi-square test. Results: the study showed that there was a relationship between rheumatoid pain and the level of independence in the elderly with a value of ? = 0.000. Conclusion: There was a relationship between rheumatoid pain and the level of independence of the elderly in the working area of the Tungoi Health Center. Suggestion: Health workers who are responsible for the Integrated coaching unit (POSBINDU) are to provide support to elderly families so that they participate regularly in the elderly programs provided by the Integrated coaching unit (POSBINDU) and Integrated Healthcare Center (POSYANDU).

Antenatal care is care or care provided to pregnant women before birth, which is useful for facilitating healthy and positive outcomes for pregnant women. Perfect health services have an impact on the quality of service that gives satisfaction to everyone. This study aims to determine the relationship between the quality of health services (tangible, reliability) to the level of satisfaction of the visit of TM I pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency. This research is an analytical quantitative research using a cross sectional design. The population in this study were all TM I pregnant women who visited the Labuhan Deli Health Center, namely 56 respondents at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023. The sampling technique was accidental sampling. Data collection was analyzed by chi-square test. The results of this study indicate that there is a correlation between the satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on the tangible dimension (physical evidence), and there is no relationship between the level of satisfaction of pregnant women at the Labuhan Deli Health Center, Labuhan Deli District, Deli Serdang Regency in 2023 based on dimension of realibility (reliability).

The first stage process is accompanied by pain which is a physiological process, a subjective experience of physical sensations associated with uterine contractions, dilatation and effacement of the cervix. Primiparous mothers often worry because they don't understand how to deal with childbirth. Primiparas tend to experience more anxiety, causing tension and fear so that they cannot endure the pain. The aim of this study was to find out the effect of the upright position on pain during the first stage of the active phase of labor for primiparous mothers at the Jumpandang Baru Health Center, Makassar. This type of research is quantitative experimental with a Post Test Only One Group Design approach. The population in this study were all mothers giving birth at the Jumpandang Baru Makassar Community Health Center from April to June 2023. The sample in this study was part of the population of mothers giving birth at the Jumpandang Baru Makassar Community Health Center from April to June 2023, totaling 15 people. with Purposive Sampling sampling technique.

Background : Stunting is a problem because it can cause morbidity, death, slow down the process of motor development and hinder the mental growth process of sufferers. Stunting not only interferes with physical growth but also in other growth such as mental, cognitive and intellectual children. The purpose of this community service is to conduct socialization and counseling in an effort to prevent stunting in the Betungan Health Center work area, Bengkulu City. The implementation method is by counseling about stunting in children. This Community Service activity was carried out at the Betungan Bengkulu Health Center. The time for implementation is in November 2022. The participants in this community service activity are mothers who have toddlers at the Bentungan Health Center in Bengkulu City with a total of 20 people. Activities are carried out in stages (1) providing an explanation of the material to be provided and the purpose of the activity; (2) provide knowledge about child stunting and its prevention. The results of this activity show that there is an increase in public understanding of what stunting is, the causes of stunting, the dangers of stunting for the short and long term as well as growing awareness in overcoming the effects of stunting so as to minimize the occurrence of stunting in children.   Keywords: Children, Stunting, Health Education

A perineal tear is a tear that occurs at the time the baby is born either spontaneously or with a tool or action. The impact of perineal tears can result in continuous bleeding and infection of suture wounds in the birth canal, slow treatment can cause death in postpartum mothers to find out the relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. This study is a quantitative analytical research with a "cross sectional study" design. The population in this study is maternity mothers in the working area of the Wara Health Center, Palopo City. Sampling in this study uses a total sampling technique. Data collection uses questionnaires. The data that has been collected is then processed and analyzed using a laptop using Microsoft excel programs and statistical programs (SPSS). Data analysis includes univariate analysis by looking for frequency distribution and bivariate analysis with chi square test with significance level (.05). There was a relationship between the old partus and the incidence of perineal tears (p=0.020) and there was a relationship between the baby's birth weight and the incidence of perineal tears (p=0.007). There is a relationship between the old partus and the baby's birth weight with perineal tears in pregnant women at the Wara Health Center, Palopo City in 2021. for midwives in observing childbirth using a partograph is expected to be carried out well and be able to identify quickly and accurately to further increase vigilance in carrying out childbirth help so that perineal tears do not occur.

Background: Using antibiotics for self-medication increases the risk of developing resistance, which raises morbidity and mortality. Communities are crucial in stopping and limiting the spread of antibiotic resistance (AMR). 80% of the residents in Bengkel Village work as farmers. The agrarian community in Bengkel Village has highly magnificent natural potential as well as agricultural and cultural activities that are still well maintained. It also has the largest “subak” land in Kediri Regency. Purpose: This community service is to educate the general population about the importance of limiting the use of antibiotic self-medication, which is essential for combating AMR. Methods: The Clinical Pharmacy Study Program, the Indonesian Pharmacists Association Bali Province, and the One Health Collaborating Center collaborated on this community service. On July 17, 2022, in Bengkel Village-Tabanan, a health counseling intervention was done with housewives who are participants in the Family Welfare Empowerment. Results: Over 50 people from the Chairman, Management, and Family Welfare Empowerment cadres in Bengkel Village made up the community component of this health counseling. The participants' enthusiasm for watching the event and engaging with the resource people is proof that the activity went off without a hitch. By providing more counseling, activities are intended to be sustained (stage 2). Conclusion: Community service in Bengkel Village-Tabanan is expected to provide knowledge about health and the importance of AMR awareness. For the continuation of this activity, it is recommended to conduct outreach to other community groups such as farmers, breeders, and young age groups.

Employees are one of the resources in the company. The performance of employees in the company has an important role in selling the company's goals. This study aims to analyze the influence of components, individual characteristics, supervision and work discipline on employee performance. This research was conducted on employees of Tonjong Health Center and Kutamendala Health Center. The data used in this study are primary data obtained by distributing questionnaires to the respondents. The sample in this study were 94 respondents. The sampling technique uses probability sampling with simple random sampling method. Data analysis used multiple linear regression analysis with the help of SPSS v.29. Based on this study it is known that competence, individual characteristics, supervision and work discipline affect employee performance.

The aim of this research is to determine the relationship between knowledge about danger signs in pregnancy and the regularity of Antenatal Care at the Batua Community Health Center, Manggala District. The research design used in this study is observational with a "Cross Sectional Study" approach, where the dependent variable and independent variables are collected simultaneously at the same time to obtain information about the relationship between pregnant women's knowledge about danger signs in pregnancy and the regularity of Antenatal Care. The population in this study were all 45 mothers who had their pregnancy checked. The sampling technique in this research was purposive sampling so that the sample obtained was 35 people. Data collection was obtained through questionnaires given directly to respondents. The data analysis techniques used are bivariate analysis and univariate analysis. The research results showed that knowledge of pregnant women about danger signs in pregnancy was mostly in the good category, namely 25 people (80.6%), the regularity of Antenatal Care among pregnant women was mostly in the regular category, namely 21 people (67.7%), and knowledge about danger signs in pregnancy. with the regularity of Antenatal Care for pregnant women at the Batua Community Health Center, Manggala District, Makassar City for the period February 2022 (p=0.003).

The problem of drug misuse among teenagers considered a national issue and becomes the concern quite hard to deal with. Teenagers are at risk for drug usage as this period is a phase of transition between childhood and adulthood known as a searching or self-identity period. This study aims to know the underlying factors to prevent drug use among teenagers at MAN 6 Kuta Baro, Aceh Besar. This research method used analytical design with a cross sectional approach with population of 118 adolescents and total sample of 54 teenagers. The proportional random sampling was used for data collection technique. This research was conducted on March 10, 2023 with univariate and bivariate analysis using the chi square test. The findings indicated that out of 54 respondents, 29 people (53.7%) made fewer attempts to prevent drug use, 32 people (59.3%) had less awareness of the dangers of using drugs, 35 people (64.8%) had negative atititude towards drugs, and less involvement from peers as many as 34 people (63%). These findings indicates that there is a relation between knowledge (p=0.003), attitudes (p=0.007), and the role of peers (p=0.017) with drug prevention attempts. In conclusion, the prevention of drug use is affected by knowledge, attitude, information, and the involvement of peers. It expects the research area to provide health counseling regarding drugs and collaborate with cross-sectoral organizations - The Health Offices and Public Health Centers.

Pregnancy exercise is a movement therapy therapy given to pregnant women to prepare themselves both physically and mentally for childbirth. Pregnancy exercise is needed by every pregnant woman, because it can make the body fit and healthy, and able to carry out daily activities, so that stress due to anxiety before giving birth can be minimized. However, many pregnant women do not do pregnancy exercise because they are unsure and afraid of their pregnancy if they do pregnancy exercise. Pregnancy exercise exercises that are carried out regularly both at the gym and at home in their spare time can lead pregnant women towards a physiological delivery as long as there are no pathological conditions accompanying the pregnancy. The purpose of Community Service in the Work Area of the Caile Health Center is to increase the ability of pregnant women and cadres to practice pregnancy exercises, so that they will increase the knowledge and health of pregnant women and prepare for childbirth. This community service activity begins with training for existing Posyandu cadres, providing supporting facilities and infrastructure in the form of leaflets and modules for pregnant women exercise, and doing pregnancy exercises in home care. The results of this Community Service activity are the formation of pregnancy exercise cadres, pregnant women can practice pregnancy exercise at home, as well as the provision of facilities and infrastructure in the form of leaflets and pregnancy exercise modules  

One of the main factors affecting health performance is their motivation in working. Motivation is a factor that encouragwes a person to perform a certain activity that leads to the achievement of a particular goal. The purpose of this study to determine the relationship between motivation with the performance of health personnel at Puskesmas Ridge Biak Numfor District. This research is an analytic survey research with cross sectional study method population number 55 people. Sample is 55 with purposive sampling tecniue. Data collection and processing using computer program SPSS version 16,0 by using fisher’s exact test. The reault of this research is the reward p=0,038<0,005,it show there is no relation between reward with performance of health worker, kia peer relations p=0,004.<0,005 it there is a relationsip between the co-worker relationship with Perfoemance of health worker, enviromental condition of p=o,ooo<o,oo5it there is reltion between work environment condition with health worker performance. Conclusion in this research is there is there is relation between reward an c0-worker and condition of work environment with performance of health worker. It is suggested to the Ridge Comunity Health Center to furher improve the relationships of good colleagues and increase health facilities and infratructure in providing services so that health workers can improve their performance.

The prevalence of stunting in the world is still relatively high, including in Indonesia and the Thousand Islands where the prevalence of stunting under five in the Thousand Islands Region is 27.1%. The purpose of this study was to determine the effect of a history of exclusive breastfeeding, sanitation and parenting styles on stunting in toddlers at the Puskesmas in the Panggang Island Sub-District, Seribu Islands in 2023. The type of research used in this study was to use a quantitative analytical descriptive method. The research design used was a cross-sectional or cross-sectional study. This research was conducted in the Thousand Islands Region in 2023. The time of the research was January – February 2023. This research was focused on parents who had toddlers in the Working Area of ​​the Panggang Island Village District Health Center in Thousand Islands in 2023 as many as 559 people. The required sample is 85 respondents. The sampling technique for respondents used a simple random sampling technique. The research instrument used to collect data is by using a questionnaire or questionnaire and collecting data by observation. Based on the results of the study, the effect of history of exclusive breastfeeding (P value = 0.001), sanitation (P value = 0.000) and parenting style (P value = 0.000) on stunting. The conclusion is that there is an effect of a history of exclusive breastfeeding, sanitation and parenting styles on stunting in toddlers in the Working Area of ​​the Panggang Island Village Health Center Seribu Islands in 2023.

Patient An A was brought by her parents to the Children's polyclinic at the Lhoksukon Health Center with complaints of itching all over her body since the past 2 weeks. Complaints mainly in the area between the fingers, toes and in the groin area. The patient's mother said that her child complained of itching which felt worse at night. The patient's mother said that this complaint first appeared when her first child came home from the dayah during the school holidays. 3 weeks ago the patient brought his first child to the puskesmas with the same complaint before he returned to the dayah. And now the patient has just brought An A for treatment with the same complaint. From the examination results, HR: 87 x/I, RR: 18 x/I, temperature: 36.5 C. Primary data were obtained through alloanamnesa and physical examination by making home visits, filling out family folders, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process and end of the visit both quantitatively and qualitatively. Interventions carried out include education about the causes of scabies to their families, education on environmental sanitation and hygiene and management of the disease and explaining complications that may arise from the patient's disease so that the patient's family maintains personal hygiene and environmental cleanliness.

A 52 year old male patient with complaints of weakness in the body. Initially the patient was brought to the Health Center with complaints of weakness since 3 days. Weakness is felt suddenly throughout the body and feels continuously. Complaints of weakness are also accompanied by a feeling of dizziness in the head. The patient also complained of frequent urination at night, urinating more than 10 times in one night. The patient also constantly feels thirsty, but his appetite has decreased since the last 2 years or so. The patient feels a loss of weight. In addition, the patient also complained of a wound on his left leg which had not healed since 1 year ago. Primary data were obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment was carried out based on the initial holistic diagnosis, process and end of the visit both quantitatively and qualitatively. Patients and families are given education about diabetes mellitus including the symptoms and complications that will arise, education about the patient's motivation to take medication regularly as well as educating and teaching patients about foot care and diabetes exercise. An approach with family doctor intervention is able to improve habits that are influential in the treatment of diabetes mellitus.

Puskesmas as one of the most important health services infrastructure has a task for give health services to the whole of society. Puskesmas is accused to always keep patient’s trust and satisfaction by give quality services. Quality services in the context of the services at Puskesmas mean give services to the patient based on standard quality for fill up necessary and anxiety of the society, so that they can get satisfaction which finally can increase patient’s trust to Puskesmas. This study aims to determine the quality of health services, the causal factors, and the demands and needs of the community. Measurements from service quality using the SERQUAL method and data extraction is done either quantitatively or qualitatively.

Spinal pain in pregnancy is caused by hormonal, musculoskeletal, and stressful changes. Spinal pain in pregnancy if left untreated will have an impact on the quality of life and daily activities of pregnant women The management of spinal pain in pregnancy can include pharmacological and non-pharmacological. Non-pharmacological pain management is warm water therapy. Warm water therapy provides the effect of rirelaxation, vasodilation of blood vessels, removes metabolic waste that is no longer in use, and reduces muscle spasmsThe purpose of this study is to determine the effect of warm water therapy on reducing spinal pain in pregnant women at the Antang Health Center, Makassar City in 2022 This research is a quantitative study with a quasi-experimental design non-equivalent with one group pre-test post-test. The total population of 64 respondents with a sample of 30 respondents who met the inclusion criteria, the independent variable was warm water therapy and the dependent variable was the reduction of spinal pain in pregnant women. The results of the spinal pain scale study before warm water therapy were carried out on a moderate pain scale (4-6) there were 15 respondents with a percentage (50%). And after a warm compress was carried out, there were 18 respondents with a percentage (60%). The result of p value is 0.000 (<0.05), so Ha is accepted. There is an effect of providing warm water therapy on reducing spinal pain in pregnant women at the Rsu at the Antang Health Center, Makassar City in 2022The conclusion of this study is the effect of warm water therapy on reducing bone pain in pregnant women at the Antang Health Center, Makassar City in 2022. It is hoped that there will be further research on other non-pharmacological techniques against spinal pain in pregnancy.

This study aims to determine the effect of the implementation of the KIS Program policy on improving the quality of public health services at the UPTD Pammana Health Center, Pammana District, Wajo Regency. The type of research used in this research is survey research, namely a collection of information that is carried out by compiling a list of statements submitted to respondents in the form of a sample from a population, with the main data collection technique being a questionnaire with a quantitative approach method. The results showed that the Policy Implementation of the KIS program at UPTD Pammana Health Center, Pammana District, Wajo Regency, was at an ideal score of 1,089. This generally illustrates that the Policy Implementation of the KIS program at the UPTD Pammana Health Center is in a good category. Meanwhile, the quality of health services at the UPTD Pammana Health Center, Pammana District, Wajo Regency, is at an ideal score of 1,393 which generally illustrates that the quality of health services at the UPTD Pammana Health Center is in the very good category. Overall the implementation of the Healthy Indonesia Card program policy contributed strongly to improving the quality of public health services with a total of r = 0.637. There is a positive and significant influence between the implementation of KIS program policies on improving the quality of health services at the UPTD Pammana Health Center, Pammana District, Wajo Regency.

  Hypertension drugs can reduce the symptoms of hypertension, but there are still many elderly people with hypertension who do not comply with taking drugs, this can be influenced by various factors including family support. The purpose of the study was to determine family support in improving patient adherence to taking hypertension drugs in the West Limboto Health Center Working Area. Descriptive quantitative research design. The total population of hypertensive patients who participated in the prolanis in August 2022 was 77 people. The sample totaled 77 people with total sampling technique. The instrument used is a family support questionnaire. Test statistics using analyze descriptive statistics. The results obtained by the family support of the emotional aspect of the majority were good at 76.6%, the majority award aspect was good at 74%, the information aspect was majority good at 77.9% and the instrumental aspect was majority good at 75.3%. It is concluded that family support in the elderly with hypertension is mostly good in emotional, informational, rewarding and instrumental aspects