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Asthma is a chronic disease that interferes with the airway due to inflammation and swelling of the walls in the airways so that becomes very sensitive to the entry of foreign objects which cause an overreaction. Based on data from the Ministry of Health for 2020, the number of asthma sufferers in Indonesia is 4.5% of the total population of Indonesia or as many as 12 million more. Meanwhile, based on Aceh Health Service in 2022, it was noted that Asthma sufferers in the Banda Aceh area has reached 11,534 cases. This study is a case report study with data obtained through autoanamnesis, physical examination, home visit to complete family data, psychosocial, and environmental data. Patient Mrs. NS, 51 years old, came with complaints of coughing and a runny nose for 3 days before coming to the Ulee Kareng Health Center, occasionally the patient coughed to the point of causing chest pain. The patient already has a history of asthma since elementary school. The application of family doctor services to asthma patients is necessary to prevent acute exacerbations and prevent the occurrence of asthma in the patient's family.

One of the efforts to detect deviations in child development is by early detection, so that prevention, stimulation, healing and recovery efforts can be given correctly according to the indications. Detection for growth and development is an effort that needs to be supported, because it is one way to prepare quality future generations. Based on a preliminary survey conducted on mothers who had toddlers visiting Posyandu in Randusari village, it was found that mothers did not understand developmental stimulation in toddlers in order to detect early developmental delays.The prevalence of toddlers experiencing the greatest stunting at the beginning of 2022 in Tegal Regency is in Pagerbarang District (40%) exceeding the target set by the government which is no more than 20%. The technique of implementing community service is carried out by providing education on toddler development using KPSP.The results of the implementation of community service which was attended by 60 participants, namely education related to stimulation of development with KPSP, that most mothers of toddlers have understood the meaning of development, stages of development according to the age of their children, and stimulation of development that can be carried out by mothers and families. With the enthusiasm of the participants, local area stakeholders hope that similar activities can be carried out continuously in the working area of ​​the Pagerbarang Health Center. The output of the service also results in the publication of scientific articles related to the stimulation of growth and development of toddlers.

The Healthy Living Community Movement (GERMAS) is a program launched by the Ministry of Health to reduce the main risk of infectious and non-communicable diseases (NCDs), especially through nutritional interventions in the first 1000 days of life, improving balanced nutritional consumption patterns for the whole family, increasing regular and measurable physical activity. , improve healthy lifestyles, improve a healthy environment and reduce cigarette and alcohol consumption. Interview data showed that the majority of people, 48%, rarely had their health checked as early as possible, residents would go to the nearest health center if signs and symptoms of illness began to appear. Integrated counseling on prevention of emergency non-communicable diseases, Hypertension and Diabetes Mellitus, is carried out in one day, residents are gathered in the Mijen Village hall. The activity begins with simultaneous fitness exercises, then continues with a health check. The health checks carried out include anthropometric measurements in the form of height, weight, abdominal circumference, blood pressure measurements and random blood sugar measurements. Of the 50 residents who took part in the implementation of integrated counseling on the prevention of non-communicable disease emergencies. Hypertension and Diabetes Mellitus, as many as 24% of residents (12 people) just found out that they suffer from pre-diabetes mellitus, 16% (8 people) already know that they suffer from hypertension and diabetes mellitus, as many as 6% (3 people) have a stomach circumference of more than 100 cm, 54% (27 people) were in good health. Residents were quite enthusiastic about the activities carried out. The data obtained in the integrated counseling activity for preventing emergency non-communicable diseases, hypertension and diabetes mellitus, was submitted to the Mijen Community Health Center as a recap of data on the health status of the target area. The data obtained will be followed up by motivating residents to have their health checked at the Mijen Health Center.

Hypertension is a condition where systolic blood pressure is more than 120 mmHg and diastolic pressure is more than 80 mmHg which can be measured in millimeters of mercury (mmHg). In addition to pharmacological therapy, hypertension management can also use non-pharmacological therapies, one of which is foot soak therapy in warm water. The purpose of this research is to determine effect of warm water foot soak therapy on blood pressure in patients with hypertension at Bailang Health Center Manado City. This study uses a pre-experimental method with a one-group pretest-posttest design without a comparison group. The population with the result that 165 people patients diagnosed with hypertension. The sampling process used a probability sampling technique  with the result that 15 respondents. Data collection was observations. The data were analyzed using the Wilcoxon test with a significance value (?) of 0.05. From the results of the study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension at Bailang Health Center Manado City with a value of p = 0.008. This p value is smaller than the value of a = 0.05. The conclusion of this study was that there was an effect of warm water foot soak therapy on blood pressurein patients with hypertension. This p value is smaller than the value of a = 0.05. It is hoped that the respondents will be able to take advantage of warm water foot soak therapy as an alternative in lowering blood pressure and this can also be done regularly.

Anemia in pregnancy is anemia due to iron deficiency, iron deficiency anemia in pregnant women is a health problem experienced by women throughout the world, especially in developing countries. The purpose of this study was to describe the knowledge of pregnant women about anemia in the Working Area of ​​the Namrole Health Center. The design used in this study is an analytic research design with a descriptive approach. The population in this study were 80 people. The sampling technique in this study used total sampling. Which means that all populations were used as samples totaling 80 respondents. With data analysis, namely univariate, using a communization process and presented in the form of tables and narratives. It was found that pregnant women with good knowledge were 48 respondents, while 19 respondents had sufficient knowledge, and 13 respondents had less knowledge. It was concluded that almost all of the respondents' knowledge about anemia found in the study was in the good category.

One of the causes of MMR and AKB in Indonesia mostly occurs due to hypertension (25%). Prevention of preeclampsia is by screening pre-eclampsia in pregnant women at >20 weeks gestation. The role of cadres is very important in helping midwives to detect high-risk pregnant women. The purpose of the study was to determine the effectiveness of health education on the use of pre-eclampsia screening on cadre skills in detecting high-risk pregnant women in posyandu working areas of Tanta Health Center. This research method includes experimental research using pre-experimental designs type Pretes-Posttest Design. The population is posyandu cadres for pregnant women and toddlers in the Tanta Health Center work area as many as 80 people with sampling techniques with Quota Sampling as many as 40 respondents. The data analysis technique uses the Wilcoxon signed Rank test. The results showed that there was a difference between cadres' skills in detecting high-risk pregnant women before and after health education about the use of pre-eclampsia screening.

Anemia in pregnancy is a national problem because it reflects the value of the socio-economic welfare of the community and has a very large influence on the quality of human resources. where in this situation the patient does not go on a diet against anemia. The purpose of this study was to find out the description of the factors that cause anemia in pregnant women in the Kalodran Community Health Center, Serang City, Banten Province in 2022. Descriptive research and this study used primary data with measuring instruments, namely questionnaires that have been tested with instruments, in data analysis using the Chi Square statistical test with a sample of pregnant women as many as 44 respondents and researchers chose respondents with total sampling technique. The description of economic status is mostly low <UMR as much as 34 (77.3%), the knowledge of pregnant women about anemia is mostly lacking is as many as 31 (<70.5%), the education of pregnant women is mostly medium as much as 33 (75%), Compliance with consumption of Fe tablets was mostly disobedient as much as 34 (77.3%), parity was mostly multipara as many as 33 (75%), most pregnant women were <25 years old as many as 28 (63.6%), husband support was partially 28 (63.6%) did not get husband's support, there was a relationship between socio-economic, knowledge, education, adherence to consuming FE tablets, parity, age, and husband's support with the occurrence of anemia in pregnant women in the Kalodran Health Center area, Serang City, Banten Province. 2022. It is recommended for future researchers that the results of this study will add references to knowledge and insight regarding the incidence of anemia in pregnant women so that students can gain skills in handling cases of anemia in pregnant women. as well as being able to apply the science of research methodology that has been studied in the form of a thesis.

Hypertension is an increase in blood pressure above normal which has a very close relationship with the elderly, so it can cause complications and cardiovascular disease if not treated properly. In the treatment of hypertension, the elderly can control blood pressure by using the Benson relaxation technique. Benson relaxation is a non-pharmacological therapy that uses the breathing relaxation method by involving the patient's belief factor. This case study aims to describe the application of Benson relaxation therapy 10-15 minutes, 2 times a day, for 3 days can reduce blood pressure in the elderly with hypertension in the Pegandan Public Health Center Semarang. The type of case study used is descriptive. The subjects used were 2 people with criteria of age > 60 years, BP 140/90 mmHg – 159/99 mmHg. The instrument used is a digital sphygmomanometer and Benson relaxation SOP. The final result of the application of Benson relaxation showed that subject I experienced a decrease in blood pressure on the first day, namely 158/92 mmHg to 138/84 mmHg on the third day, subject II experienced a decrease in blood pressure on the first day, namely 158/86 mmHg to 130/76 mmHg on the third day. The level of family independence of the two subjects increased from the level of independence of III to IV. Benson relaxation is recommended to help lower blood pressure in the elderly with hypertension

Indonesia is one of the countries with a high stunting rate. In Indonesia, the strategy to accelerate the reduction of stunting is carried out by involving various figures from the government, academia, the private sector, the community, philanthropy and the mass media, and is coordinated by the Vice President. The aim of this research is to find out the implementation strategy for reducing stunting in Kosambironyok Village, Anyar District, Serang Regency in 2022. The type of research used is a qualitative method. The data sources used in this study are primary and secondary data. The informants who played a role in this study consisted of 2 groups, namely the group of informants and the group of key informants. The results of this study indicate that health workers at the Puskesmas, District officials and village officials understand their respective roles in working together to accelerate the reduction of stunting. It is hoped that all health workers will take an active role with the government in implementing the program to reduce stunting rates in toddlers. The stunting reduction program can be carried out by conducting socialization regarding the process of preventing stunting from an early age and how to overcome it.    

Child health issues are one of the government's priorities in creating a quality generation. One effort for this purpose, all children under five are immunized. The challenge of implementing the immunization program that causes the target of immunization coverage not to be achieved is the lack of knowledge. In an effort to increase knowledge, the role of health workers, especially midwives, is to provide information through health education using both the demonstration method and the discovery learning method. This study aims to determine the effectiveness of the demonstration method and the discovery method on mother's knowledge about the completeness of basic immunization in infants at the UPTD Inpatient Health Center Warunggunung - Lebak Banten 2023. This study used a pre-experimental design with one group pretest-posttest design. One-group pre-post test design to obtain knowledge data before and after the intervention. The number of samples in this study were 66 mothers who had babies who met the inclusion criteria. The instrument used for data collection used a questionnaire and then the data were analyzed using a paired test and an independent sample T test. The results of the research produced in this study were that the mother's knowledge before the intervention was included as lacking and after being given the intervention with demonstration and discovery was sufficient. There is an influence of health education demonstration and discovery methods on mother's knowledge about completeness of basic immunization (p value 0.000). There is no difference in the effectiveness of the demonstration method and the discovery method on mother's knowledge about the completeness of basic immunization in infants with a p value of 0.068.

Introduction: Indonesia is aggressively targeting reducing the maternal mortality rate to 70 deaths per 100 thousand live births by 2030. Currently, the proportion of maternal deaths is approximately 305 deaths per 100 thousand live births. Where the biggest deaths occur in hospitals around 77%. The mother could not be saved, for one thing, because the mother who was referred to the hospital was already in a state of severe complications. This happens because identification and examination during pregnancy are not optimal and must be strengthened (RI Ministry of Health, 2021). Purpose of Writing: The purpose of this writing is to find out cultural relations, affordability of facilities and infrastructure and mothers' perceptions of the behavior of choosing delivery assistance in the working area of the Cisimeut Health Center in 2022. The sample in the study was 42 mothers who had given birth in January-December 2022. Research Method : This research method is descriptive analytic, namely research that tries to explore how and why the phenomenon occurs, then analyzes the dynamics of the correlation between these phenomena. Research Results: there is no significant relationship between Culture or Customs and Choice of Birth Assistance Behavior in the Work Area of the Cisimeut Health Center in 2022 Continuity Correction value p = 0.478 means that p value ≥ 0.05, there is a relationship between affordability of facilities (Continuity Correction value p = 0.023) , knowledge (Continuity Correction value p = 0.001) on the behavior of choosing delivery assistance in the Work Area of the Cisimeut Health Center in 2022 Conclusions and Suggestions: There is no significant relationship between culture and behavior in choosing delivery assistance in the working area of the Cisimeut Health Center in 2022.

Background:Breast Milk is a perfect nutrient intended for babies with complete ingredients for baby intake and has antibodies against disease prevention. Even though breastfeeding has many benefits, it turns out that the achievements of exclusive breastfeeding are still lacking. Failure to give exclusive breastfeeding is influenced by many factors, one of which is knowledge. The knowledge possessed by the mother will greatly influence the success and failure of exclusive breastfeeding. Many mothers do not know that one day the baby will experience a phase of accelerated growth from normal conditions which is called a growth spurt. At this time a mother will be worried and think that her breast milk is lacking, so she finally gives formula milk or early solids so that her baby is calm. Writing purpose:The effect of the level of knowledge of a mother who has a baby aged 6-11 months regarding growth spurt on the provision of early complementary food (MPASI) at the Warunggunung Health Center, Lebak Regency, is known in 2022. Research methods:Research method analytic observational case control design. The study sample consisted of 74 mothers with babies aged 6-11 months who were divided into a case group (mothers with babies who were given early solids) and a control group (mothers with babies who were not given early solids) with a ratio of 1:1. Sampling technique with purposive sampling. The instrument used is a questionnaire. Bivariate analysis via Chi-Square test. Research result:In the case group (babies who were given early solids) the majority or as many as 87.5% of mothers had a low level of knowledge, while in the control group (babies who were not given early solids) the majority or 78.6% of mothers had a good level of knowledge. Mothers with a good level of knowledge, only 21.4% of mothers gave Early Solids to their babies and 78.6% of mothers did not give Early Solids. Whereas in mothers with a low level of knowledge, as many as 87.5% gave Early Solids and only 12.5% ​​did not give Early Solids to their babies. There is an influence on the level of knowledge of mothers with babies aged 6-11 months about growth spurts on early complementary feeding (p value = 0.000).

Background : Health is an indicator to measure the level of welfare of a society or nation. The current healthy paradigm being promoted requires a change in people's mindset from treating disease to maintaining or maintaining health so that you don't get sick, therefore an understanding of disease and how to prevent it needs to be disseminated to the community. One aspect of health at the end of the 20th century which was a disaster for humans was the emergence of a disease caused by a virus called HIV (Human Immunodeficiency Virus) which can cause AIDS (Acquired Immuno Deficiency Syndrome). Purpose of Writing : To find out the Effectiveness of Implementing the Android-Based HIV Care Tools Application for Lifestyle Changes in Mothers with HIV/AIDS at the Malingping Health Center in 2023. Research Methods : The type of research used was quantitative research. This research method is experimental with the type of Quasy Experimental (pseudo-experimental) with a one-group pretest-posttest design. This research was conducted at the Malingping Health Center in January-February 2023. The population in this study totaled 35 samples while the sample numbered 30 by means of sampling using purposive sampling. Research results : Output on the Chi Square Tests table, the calculated value of X2 = 38.830 with ap value = 0.000 <0.05 then Ho is rejected. So, it can be concluded that there is an effective relationship between the Implementation of the Android-Based HIV Care Tools Application on Lifestyle Changes in Mothers with HIV/AIDS. Conclusions and Suggestions: There is Application for Lifestyle Changes in Mothers with HIV/AIDS at the Malingping Health Center in 2023. It is hoped that the public will further increase their knowledge of the Care Tools program by actively participating in counseling given by related healthnworkes so that knowledge can be good and HIV transmission can be prevented.

Background : The period of breastfeeding in children aged 0-6 months is one part of the first 1,000 days of life (golden period). Exclusive breastfeeding aims to guarantee the right to exclusive breastfeeding up to the age of 6 months by taking into account the growth and development of the baby. Some mothers find it difficult to express breast milk because more and more mothers are influenced by myths. When a mother is concerned about her baby's ability to breastfeed, the hormone oxytocin decreases, causing her to stop producing and eventually breastfeed soon after birth. One way to stimulate the mother's prolactin and oxytocin hormones after giving birth is breastfeeding massage. Writing purpose : To determine the effectiveness of the combination of consumption of smoothy spinach and oketani massage to increase the amount of milk production in postpartum mothers in the UPT area dcomparison of giving snakehead fish extract and smoothy spinach to increasing hemoglobin levels in pregnant women in the UPT Puskesmas Kalri Karawang area in 2023. Research methods : This type of research used is quantitative research. This research method is experimental with the type of Quasy Experimental (pseudo-experimental) with a post test only design approach.This research was conducted in the UPT Kalri Health Center, Karawarang December 2022 to January 2023. The population in this study were all postpartum mothers at the Mukoyurli Buol Hospital with a total of 63 people. Samples were taken using non-probability sampling method with purposive sampling technique. The number of samples in this study were 32 research samples. Research result : The results of the independent statistical test sample T test obtained a value of p = 0.000 (p <0.05), which means that the combination of smoothy spinach and massage oketani has a significant effect on milk production. Conclusion : There is a significant relationship between the combination of smoothy spinach and oketani massage on milk production.It is hoped that health workers (doctors, midwives, nurses) can assist postpartum mothers in communicating providing information and education about the benefits of a combination of smoothy spinach and oketani massage in helping patient families to provide oxytocin reflex massage to postpartum mothers.

Backgrounds : The puerperium is the period after childbirth, which is counted from after the placenta has come out, the puerperium is also called the recovery period, where the uterine devices will recover as before. Providing information about breast massage techniques to the public, especially to postpartum mothers is very important. Therefore efforts to provide information about breast massage techniques can be done through health promotion efforts. The results of a preliminary study conducted by researchers at the Gempol Health Center on 5 postpartum mothers using a questionnaire, of the 5 questions asked, 5 postpartum mothers answered that they did not know how to increase milk with breast massage techniques. Research Objectives : To find out the effectiveness of video media and leaflets on knowledge about breast massage techniques for postpartum women at the Gempol Health Center in 2022 Research Methods:This type of research is quantitative with a quasi-experimental research design and a pretest-posttest group design. The pop ulation in this study was 117 postpartum mothers who were at the Gempol Health Center. The sample in this study were 54 respondents. Bivariate analysis using the Wilcoxon test. Research results : The description of postpartum mothers' knowledge about breast massage techniques after being given leaflet media was mostly lacking as many as 32 people (59.3%). Postpartum mothers' knowledge about breast massage techniques after being given video media was mostly as good as many as 44 people (81.5%). Conclusions and Suggestions : It can be concluded that video media is more effective for increasing knowledge about breast massage techniques in postpartum mothers than media leaflets. It is recommended that managing midwives facilitate mothers in receiving health counseling/education especially for postpartum mothers regarding breast massage techniques during the postpartum period.

This study aims to determine the effect of foot massage and soaking in warm water mixed with salt on reducing leg edema in third-trimester pregnant women. This type of research is Experimental design with the group Pre-Test and Post-test design approach model. The population in this study were all third-trimester pregnant women who experienced physiological leg edema at the Bangetayu Health Center, Genuk sub-district, Semarang City, totaling 32 people from June to July 2022. The sampling technique used a total sampling of 32 people. The data collection tools in this study were Standard Operating Procedures (SOP) for Foot Massage and Warm Water Soak mixed with salt, Observation Sheets, Questionnaires, and Metlin in Millimeter units. The results of the study obtained a Z value of 5.045 which means that every one time intervention of foot massage and soaking in warm water mixed with salt, which is given one time a day for five days, third-trimester pregnant women have the potential to be 5.045 times to be able to reduce the degree of edema. The Wilcoxon test results obtained a significance of ≤ 0.05, and it was found that there was an effect of foot massage and soaking in warm water mixed with salt on the reduction of leg edema in third-trimester pregnant women at the Bangetayu Health Center, Genuk District, Semarang City.   Keywords: Foot edema, Foot massage, Soak using warm water mixed with salt

Based on data from the Jepara District Health Office in 2021, the Tahunan area has the highest number of pregnancies, reaching 1204 pregnancies compared to other sub-districts in Jepara Regency, with 43.1% of them experiencing sleep disturbances. This study aims to determine the effect of back massage with lavender essential oil on the sleep quality of third-trimester pregnant women in the working area of the Annual Public Health Center, Jepara Regency. This type of research is a quasi-experimental one-group pretest-posttest design. The population taken in this study were 50 pregnant women in their third trimester in July – August 2022 in the working area of the Annual Health Center in Jepara Regency. The sampling technique was purposive, and a sample of 44 people was obtained. The data collection tool in this study used the Pittsburgh Sleep Quality Index (PSQI) questionnaire. Data analysis was performed using the Wilcoxon test. The results showed an effect of back massage with lavender essential oil on the sleep quality of third-trimester pregnant women in the working area of the Annual Public Health Center, Jepara Regency (p-value <0.05). The average PSQI score before a back massage with lavender essential oil was 8.95 and then decreased to 3.70 after giving a back massage with lavender essential oil. A decrease in PSQI scores indicates an improvement in sleep quality. Based on the Z value obtained, it was 5.811, which means that every one time back massage intervention with lavender essential oil given two times a week in the third trimester of pregnant women has the potential to improve sleep quality 5.811 times.   Keywords: Back massage, Lavender essential oil, Sleep quality

The problems faced in this study include (1) How does workload affect work stress in Puskesmas in Banjar City? (2) What is the effect of competence on work stress in Puskesmas in Banjar City? (3) How does workload and competence affect work stress in Puskesmas in Banjar City? This study aims to study, know, and analyze (1) The effect of workload on work stress in Puskesmas in Banjar City? (2) The effect of competence on work stress in Puskesmas in Banjar City? (3) The effect of workload and competence on work stress in Puskesmas throughout Banjar City. The method used in this study is an explanatory survey, while the data analysis technique is validity test, reliability test, descriptive statistics, Inductive Statistical Analysis with Multiple Regression. The results of the study inform that (1) The workload in the Banjar City Health Center is very high. With the highest score on the physical demand indicator and the lowest score on the task demand indicator. Workload has a positive effect on work stress in Puskesmas throughout Banjar City. This means that if the workload is increased, then the work stress at the Banjar City Health Center will also increase. (2) The competence in the Banjar City Health Center is very high. With the highest score on the individual characteristics indicator and the lowest score on the knowledge indicator. Competence has a positive effect on work stress in Puskesmas throughout Banjar City. This means that if Competence is improved, then work stress at the Banjar City Health Center will also increase. (3) Work stress in Puskesmas in Banjar City is high. With the highest score on the anxiety indicator and the lowest score on the indicator cannot relax. Workload and competence have a positive effect on work stress in Banjar City Health Centers. This means that if the workload and competence are increased, then the work stress at the Banjar City Health Center will also increase.

This research is motivated by several problems as follows: Employee work discipline is still not optimal, judging from the aspect of employee attendance is still lacking. There are still many employees who go home before the specified time. The level of employee discipline is still minimal because employees have double jobs such as having work practices at home, so they are required to come to another workplace before the end of work hours. The non-implementation of the sanctions made made employees of the Gandrungmangu II Health Center often come to work late, do not come to the health center without providing information, do not participate in morning and evening apples and abuse working hours for other purposes. Employee discipline in complying with work regulations has also not been maximized. Thus, the purpose of this study is to find out and analyze the influence of incentives and organizational commitment on the work discipline of employees of the Gandrungmangu 2 Health Center in Cilacap Regency. The method used is quantitative descriptive. The results of the study show that the provision of incentives has a positive and significant effect on employee work discipline. If the provision of incentives is carried out in accordance with the provisions, then work discipline will increase. Organizational commitment has a positive and significant effect on employee work discipline. If the organization's commitment increases, then work discipline will increase. The provision of incentives and organizational commitment has a positive and significant effect on employee work discipline. If the provision of incentives and organizational commitment increases, then work discipline will increase.

Diabetes Mellitus (DM) is a disorder in the processing of carbohydrates in the body, caused by a lack of hormone of insulin so that the carbohydrate cannot be used by the cell to be converted into energy. The purpose of this research was to find out the effect of the DM Gymnastic on fasting Blood Sugar Level in patients with type II DM at the Tuminting Public Health Center. The Research was conducted by using an analytic descriptive method that is cross sectional in characteristic. The sample was 17 respondents taken by using an Purposive Sampling. Instruments used in taking sample were pretest-posttest Blood Sugar Observating sheets and the SOP of DM Gymnasic. Data analysis used a statistic test of paired t-test. The result showed that from the paired t-test, it was obtained P=0,002. The average value of Blood Sugar level before performing DM Gymnastic was 145,41. Then, the average value after doing the DM Gymnastic was 129,71. The conclusion of this research that there is an effect of the DM Gymnastic on fasting Bloood Sugar Level in patients with type II DM at the Tuminting Public Health Centre.