scholarly journals Contenção física por bombeiros na agitação psicomotora ou agressividade

2021 ◽  
Vol 11 (33) ◽  
pp. 212-221
Author(s):  
Heubert De Lima Guimarães ◽  
Yanna Cristina Moraes Lira Nascimento ◽  
Mércia Zeviani Brêda ◽  
Jorgina Sales Jorge ◽  
Valfrido Leão de Melo Neto ◽  
...  

Contenção física em quadros de agitação/agressão psicomotora exige habilidades técnicas e emocionais em bombeiros. Verificar frequência e indicações de contenção física em agitação psicomotora ou agressividade pelo Corpo de Bombeiros Militar de Alagoas. Pesquisa quantitativa e descritiva. 427 fichas de atendimentos pré-hospitalares foram analisadas entre dezembro de 2015 e fevereiro de 2016. Análise estatística pelo Statistical Package for Social Science v.23.0, p ≤ 0,05, testes de Qui-quadrado e t de Student para análise de associação entre variáveis. Foram encontrados 52 casos de suspeita ou confirmação de traumas cranioencefálicos ou quadros de emergência psiquiátrica (46,2% destes tiveram agitação psicomotora/agressividade, dos quais 29,2% com contenção física). Contenção física pré-hospitalar está especialmente associada ao atendimento de agitação por quadros psiquiátricos de homens jovens, suporte da polícia, número reduzido de socorristas, e vítimas atendidas conduzidas ao hospital psiquiátrico.Descritores: Agitação Psicomotora, Serviços Médicos de Emergência, Bombeiros. Physical containment by firemen in psychomotor agitation or aggressivenessAbstract: Physical restraint in agitation/psychomotor aggression cases requires technical and emotional skills in firefighters. To verify frequency and indications of physical restraint in psychomotor agitation or aggression by the Military Fire Department of Alagoas. Quantitative and descriptive research. 427 pre-hospital care records were analyzed between December 2015 and February 2016. Statistical analysis using the Statistical Package for Social Science v.23.0, p-value ≤ 0.05, Chi-square, and Student t-tests to analyze the association between variables. 52 cases of suspicion or confirmation of traumatic brain injury or psychiatric emergency cases were found (46.2% of these had psychomotor agitation/aggression, of which 29.2% had physical restraint). Prehospital physical restraint is especially associated with the treatment of agitation by the psychiatric staff of young men, police support, a reduced number of rescuers and victims attended at the psychiatric hospital.Descriptors: Psychomotor Agitation, Emergency Medical Services, Firefighters. Contención física por parte de los bomberos en caso de agitación psicomotriz o agresividadResumen: Restricción física en casos de agitación/agresión psicomotora requiere habilidades técnicas y emocionales en los bomberos. Verificar frecuencia y indicaciones de restricción física en agitación psicomotora o agresión por parte del Cuerpo de Bomberos Militares de Alagoas. Investigación cuantitativa y descriptiva. Se analizaron 427 registros de atención prehospitalaria entre diciembre de 2015 y febrero de 2016. Análisis estadístico utilizando el Paquete Estadístico para Ciencias Sociales v.23.0, p ≤ 0.05, Chi-cuadrado y pruebas de t de Student para analizar asociación entre variables. 52 casos de sospecha o confirmación de lesión cerebral traumática o casos de emergencia psiquiátrica (46,2% de estos tenían agitación/agresión psicomotora, de los cuales 29,2% tenían restricción física). Restricción física prehospitalaria se asocia especialmente con tratamiento de la agitación por parte del personal psiquiátrico de hombres jóvenes, el apoyo policial, número reducido de rescatistas y las víctimas conducido a hospital psiquiátrico.Descriptores: Agitación Psicomotora, Servicios Médicos de Emergencia, Bomberos.

2018 ◽  
Vol 3 (1) ◽  
Author(s):  
Idha Suparwati ◽  
Murwati Murwati ◽  
Endang Suwanti

Abstract: The smoothness of Breastfeeding, Post Partum Blues Occurrence. The incompleteness of breast milk (ASI) is one of the problems when the mother begins to breastfeed her baby. If not addressed immediately will result in anxiety and anxiety about the mother's ability to breastfeed. If this condition is left it will continue to be post partum blues and even postpartum depression. The purpose of this study was to determine the relationship between the smoothness of breastfeeding expenditure and postpartum blues incidence in the Trucuk II Klaten district. This research design is analytical descriptive research with cross sectional approach. The sample is normal postpartum day 3-10 at Trucuk II Klaten Health Center in May 2017 as many as 48 people, by purposive sampling. Analysis of univariate and bivariate data with chi square test correlation. Maternal breastfeeding expenditure was 93.8% in the current category. Post partum blues events were 44.2%. Statistic test results obtained p value = 0.001. There is a relationship between the smooth expenditure of breast milk with Postpartum Blues Occurrence in Trucuk II Klaten District Health Center.


2020 ◽  
Vol 6 (1) ◽  
pp. 624-630
Author(s):  
Citra Amelia Oktaviani ◽  
Mokh Firman Ismana ◽  
Suzana Indragiri

Keefektifan  adalah melakukan pekerjaan yang benar dan sesuai dengan cara yang tepat untuk mencapai suatu tujuan yang telah direncanakan, sedangkan keefisienan adalah hasil dari usaha yang telah dicapai lebih besar dari usaha yang dilakukan. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan keefektifan dan keefisienan administrasi pelayanan pada pasien di instalasi rawat jalan rumah sakit sumber kasih kota Cirebon tahun 2014. Metode yang digunakan pada penelitian ini adalah deskriptif analitik dengan menggunakan desain penelitian cross sectional. Hal yang ingin di teliti adalah faktor-faktor yang berhubungan dengan keefektifan dan keefisienan administrasi pelayanan diantaranya ketepatan waktu, sarana dan prasarana, sistem komputerisasi, dan sumber daya manusia terhadap keefektifan dan keefisienan administrasi pelayanan pada pasien di instalasi rawat jalan rumah sakit sumber kasih kota Cirebon tahun 2014. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Pengolahan dan analisa data dilakukan dengan menggunakan program SPSS (Statistic Package For Social Science). Populasi penelitian ini adalah pasien rawat jalan yang berkunjung ke rumah sakit sumber kasih pada bulan januari sampai desember tahun 2013, yaitu sebanyak  947 pasien, dengan pengambilan  sampel ditentukan dengan cara Consecutive Sampling yaitu pengambilan sampel ditentukan berdasarkan urutan datangnya pasien, sebanyak  90 pasien. Didapatkan dari hasil penelitian, pasien yang mempuyai keefektifan dan  keefisienan yang efektif dan efisien  sebanyak 34,4% dan 65,6% pasien yang  mempunyai keefektifan dan keefisienan yang  tidak efektif dan efisien. Hasil uji statistic (uji chi square) diperoleh bahwa ada hubungan yeng bermakna antara ketepatan waktu dengan keefektifan dan keefisienan administrasi pelayanan (p- value = 0,002), ada hubungan yeng bermakna antara sarana dan prasarana dengan keefektifan dan keefisienan administrasi pelayanan (p- value = 0,017), ada hubungan yeng bermakna antara sistem komputerisasi dengan keefektifan dan keefisienan  administrasi pelayanan (p- value = 0,011), ada hubungan yeng bermakna antara sumber daya manusia dengan keefektifan dan keefisienan administrasi pelayanan (p- value = 0,000). Kata Kunci          : Keefektifan dan keefisienan administrasi pelayanan. ABSTRACTEffectiveness is doing the job properly and in accordance with the proper way to achieve a goal that has been planned, while efficiency is the result of the effort that has been achieved is greater than the work done.This study to determine the factors related to the effectiveness and efficiency of administrative services to patients in hospital outpatient installation source love Cirebon city in 2014. The method used in this research is descriptive analytical cross-sectional research design. Things to be investigated are the factors related to the effectiveness and efficiency of administrative services including timeliness, facilities and infrastructure, computerized systems, and human resources administration of the effectiveness and efficiency of care for patients in hospital outpatient installation source Cirebon city of love year 2014.The data was collected using a questionnaire interview. Processing and data analysis were performed using the SPSS (Statistics Package For Social Science ) version 18. The study population was patients who visited the outpatient hospital source of love in the month of January to December in 2013, as many as 947 patients, with a sampling determined by sampling Consecutive sampling is determined by the order of arrival of the patient, as many as 90 patients. Obtained from the results of the study , patients who mempuyai effectiveness and efficiency of effective and efficient as much as 34.4 % and 65.6 % of patients who have the effectiveness and efficiency are not effective and efficient . The results of statistical tests (chi square test) found that there is a significant relationship between timeliness GCC with administrative effectiveness and efficiency of care (p - value = 0.002), there was a significant relationship between the GCC infrastructure to the effectiveness and efficiency of administrative services (p - value = 0.017), there was a significant relationship between the GCC with a computerized system effectiveness and efficiency of administrative services (p - value = 0.011 ), no significant relationship between the GCC human resources administration with the effectiveness and efficiency of care (p - value = 0.000).Keywords : Administrative effectiveness and efficiency of service


2021 ◽  
Vol 4 (2) ◽  
pp. 86-93
Author(s):  
Sion Gloria Pardede ◽  
Justina Purwarini ◽  
Sada Rasmada

Pre-eclampsia is a collection of symptoms such as hypertension, edema and proteinuria in pregnant, childbirth and postpartum women that occur at 20 weeks of gestation until the end of the first week after delivery. Pre-eclampsia can adversely affect the mother and fetus, such as fetal distress and even death due to lack of oxygenation. Maternal mortality rate (MMR) which occurs where one of the causes is pre-eclampsia. This study aims to determine the relationship between the characteristics of pregnant women (maternal age, parity, education, occupation and history of hypertension) to the classification of pre-eclampsia. Quantitative descriptive research design, with a total sampling of 73 pregnant women patient respondents at the East Bekasi Private Hospital in 2018-2019 who experienced pre-eclampsia. It was found that the results of the classification of respondents were mostly mild pre-eclampsia. The analysis used chi square with the conclusion that there is a relationship between the age of pregnant women and the classification of pre-eclampsia (P value 0.000), parity (P value 0.023), history of hypertension (P value 0.000). There is no relationship between education (P value 0.667) and work (P value 0.624). This research is expected to be a reference in order to improve service to patients, especially in conducting assessments on pregnant women. Where maternal age, parity and history of hypertension have a relationship with the classification of preeclmasia in pregnant women.  


2020 ◽  
Vol 3 (2) ◽  
pp. 11-14
Author(s):  
Kadek Primadewi

Injectable contraception (Cyclofem) is a hormonal contraceptive method containing only progesterone, an injection of medroxyprogesterone acetate and an estrogen component that works in 4 weeks and is available as a contraceptive for women. The results of an interview study on 10 acceptors at Bidan Praktik Mandiri "IW" using cyclofem injectable contraception with 5 people resulted from irregular menstrual disorder, 4 menstruating men, and 1 person weight gain. Objective to know the Old Relation of Contraceptive Use Cyclofem Injection With Menstrual Disorder On Acceptor. Quantitative descriptive research type with correlation study method. In this study describes the relationship of variables about the Old Use of Cyclofem Injectable Contraception with Menstrual Disorders on Acceptors. Data collection with documentation and questionnaires, the number of respondents as many as 26 people. The result of analysis that have been done by using Chi Square formula is got p-value value (Asymp Sig. (2 sided)) at Pearson Chi Square value is 0.000, so χ2 <α or 0,000 <0,05. Conclusion there is a relationship between the duration of the injection against menstrual disorders. Suggestion for contraceptive acceptor combination harmato get information and understand about side effect that can be caused.  


2020 ◽  
Vol 11 (1) ◽  
pp. 99-106
Author(s):  
Bunga Bunga Oktora

Hand washing is the process of removing dirt and dust mechanically from the skin of both hands using soap and water. Hand washing is often considered a trivial thing in the community, even though hand washing can contribute to improving public health status.Based on the phenomenon, it can be seen that school-age children have a habit of not paying attention to the need for handwashing in daily life, especially when in the school environment.National hand washing behaviorproblems in 2013 were only 47.0% who behaved properly in hand washing.Data in Indonesiareports that in DKI Jakarta the highest place for good hand washing behavior is as much (59.2%),in Central Java as much (49.5%), East Java as much (48.1%) and in West Java (45.7%). Knowingthe relationship between levels of knowledge with behavior of proper hand-washing in the fifthgrade students at SDN Mardiyuana, Bogor 2017. This research type is analytic descriptive research with cross sectional research design. The sampling method uses total sampling with thepopulation of fifth grade students. The Data collection was obtained from distributingquestionnaires to the students by observing handwashing behavior, and the data were analyzedusing chi square test. From the statement above, the research results showed that a good level ofknowledge with proper hand washing behavior reached 19 respondents (55.9%), then 11respondents reached (32.4%) and less as many as 4 respondents (11.8%). So that, The results ofbivariate analysis with the chi square test showed p value 0.037 ≤ 0.05. There is a relationshipbetween the level of knowledge and proper handwashing behavior in fifth grade students at SDNMardiyuana, Bogor in 2017. In conclusion, Based on the results of the research, fifth gradestudents need to increase their knowledge about hand washing and improve their habit of washing hands properly and correctly.


2020 ◽  
Vol 3 (1) ◽  
pp. 51-56
Author(s):  
Darmanto Ginting ◽  
Rio Ferdi Yuandra ◽  
Cerya Maya Sari Surbakti

Waste is something that is, not used, disliked, or something that is disposed of that originates from human activities and does not happen by itself. The purpose of this study  to find out what factors influence the people of LantasanBaruVillage so that they dispose of any trash. The type of research used is descriptive research with a cross sectional approach, namely an analytic (survey) researcher. The sample of this researcher was 64 respondents using total sampling. The Data Analysis Conducted univariate and bivariate with chi square test between knowledge shows p value of 0.027 which means there is a relationship between knowledge and waste management. Based on the attitude of p value of 0.025 which means there is a relationship between attitude and handling of waste. Based on the action of p value of 0.049 which means there is a relationship between action and handling of waste. Based on education p value is 1,000 which means there is no relationship between education and waste management.Based on the work p value of 0.305 which means there is no relationship between work and waste handling. Based on participation p value of 0.031, which means that there is a relationship between participation and waste management. Based on the trash facility p value is 0.23 which means there is a relationship between the trash facility and waste handling. Handling household waste in order to prevent the occurrence of variouskinds of diseases from improper garbage handling, separating organic and inorganic household waste, adding self support and participation and providing garbage facilities in handling waste.


2020 ◽  
Vol 8 (2) ◽  
pp. 105-114
Author(s):  
Ainul Mardhiah ◽  
Nova Hasbani Prima Dewi ◽  
Aminy Aminy

The family planning program also aims to improve the quality of the family in order to generate a sense of security, peace and hope of a better future in realizing the prosperity of birth and inner happiness. Allegedly the factor causing EFA participation in the family planning program is characteristic. The purpose of this research is to know the relationship of attitude and characteristic of Elderly Age Couple (PUS) with participation in family planning program at UPT Puskesmas Sungai Raya Sungai Raya District, East Aceh regency 2018. The research design used was analytic survey with cross sectional design. The population of this study is all Pairs Age of Fertile located in Work Area UPT Sungai Raya Public Health Service Center in January to December 2017 which amounted to 1897 people. Sampling using Slovin formula, obtained as many as 95 samples. The study was conducted from 7-17 July 2018 using questionnaires by interview. Statistical test using chi-square test. Result of research indicate that majority of fertile couple couples (PUS) participate in family planning program as much as 67 respondents (70,5%). Statistically there is relationship of attitude and characteristic of Elderly Age Couple (EFA) with non participation in family planning program in Working Area of UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh Regency 2018 with p value <0,1. It is recommended that the family planning program holders in UPT Puskesmas Sungai Raya Sungai Raya District of East Aceh District to invite cross-sectoral figures to hold meetings to create mini workshop plans at least once a month to increase the participation of the Elderly Age Couple (PUS) in family planning programs. Keyword : Family Planning Program, Attitudes, CharacteristicsABSTRAKProgram KB juga bertujuan untuk meningkatkan kualitas keluarga agar dapat timbul rasa aman, tentram, dan harapan masa depan yang lebih baik dalam mewujudkan kesejahteraan lahir dan kebahagiaan batin. Diduga faktor yang menyebabkan ketidakikutsertaan PUS dalam program KB adalah karakteristik. Tujuan penelitian ini untuk mengetahui hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan keikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018. Desain penelitian yang digunakan adalah survei analitik dengan rancangan bedah lintang. Populasi dari penelitian ini adalah seluruh Pasangan Usia Subur yang berada di Wilayah Kerja UPT Puskesmas Sungai Raya pada bulan Januari sampai dengan Desember tahun 2017 yang berjumlah 1.897 orang. Pengambilan sampel menggunakan rumus Slovin, didapatkan sebanyak 95 sampel. Penelitian dilaksanakan dari tanggal 7-17 Juli tahun 2018 menggunakan kuesioner dengan cara wawancara. Uji statistik menggunakan uji chi-square. Hasil penelitian menunjukkan bahwa mayoritas Pasangan Usia Subur (PUS) ikut serta dalam program KB yaitu sebanyak 67 responden (70,5%). Secara statistik ada hubungan sikap dan karakteristik Pasangan Usia Subur (PUS) dengan ketidakikutsertaan dalam program KB di Wilayah Kerja UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur tahun 2018 dengan p value < 0,1. Sebaiknya pemegang program KB di UPT Puskesmas Sungai Raya Kecamatan Sungai Raya Kabupaten Aceh Timur agar mengajak tokoh lintas sektor agar mengadakan pertemuan untuk membuat rencana loka karya mini setidaknya satu bulan sekali untuk meningkatkan keikutsertaan Pasangan Usia Subur (PUS) dalam program KB.Kata Kunci : Program KB, Sikap, Karakteristik


2020 ◽  
Vol 1 (2) ◽  
pp. 9
Author(s):  
Yunita Mansyah Lestari ◽  
Suzy Yusna Dewi ◽  
Aulia Chairani

ABSTRAK   Alexithymia ditandai dengan ketidakmampuan dalam mengenali dan mengekpresikan emosi serta pemikiran yang berorientasi eksternal sehingga mereka memiliki hubungan interpersonal yang buruk. Remaja dengan alexithymia cenderung menjadi kecanduan media sosial.Penelitian ini bertujuan untuk mengetahui hubungan antara Alexithymia terhadap kecanduan media sosial pada remaja di Jakarta Selatan. Subjek penelitian adalah remaja yang berusia 13-19 tahun dan tinggal di Jakarta selatan. Pengambilan data menggunakan metode consecutive sampling dan snowball sampling dengan menyebar kuesioner menggunakan link googleform. Jumlah subjek penelitian sebanyak 207 orang (41 = laki-laki, 166 = perempuan). Skala yang digunakan adalah Toronto Alexithymia Scale (TAS-20) dan Social Media Disorder (SMD). Analisa data menggunakan metode chi-square pada SPSS 25. Hasil penelitian didapatkan 85 orang mengalami alexithymia, 88 mengalami kecanduan dan 62 orang mengalami alexithymia dan kecanduan media sosial. p-value didapatkan 0,000. Hal ini berarti terdapat hubungan antara Alexithymia dengan Kecanduan Media Sosial pada remaja di Jakarta Selatan. Kata Kunci :Alexithymia, Kecanduan Media Sosial, Remaja     ABSTRACT   Alexithymia is characterized by an inability to recognize and express emotions and have external oriented thoughts so that they have poor interpersonal relationships. Teenagers with alexithymial tend to become addicted to social media. This study aims to determine the relationship between Alexithymia towards social media addiction in adolescents in South Jakarta. The research subjects were adolescents aged 13-19 years and lived in south Jakarta. Retrieval of the data was using consecutive sampling and snowball sampling method by distributing questionnaires using the googleform link. The number of research subjects was 207 people (41 = men, 166 = women). The scale was used is the Toronto Alexithymia Scale (TAS-20) and Social Media Disorder (SMD). Data analysis using the chi-square method in SPSS 25. The results showed that 85 people had alexithymia, 88 were addicted and 62 people had alexithymia and were addicted to social media. p-value obtained is 0,000. This means that there is a relationship between Alexithymia and Social Media Addiction in adolescents in South Jakarta. Keyword : Adolescents, Alexithymia, Social Media Addiction


2019 ◽  
Vol 6 (1) ◽  
pp. 19-28
Author(s):  
Rakhmie Rafie ◽  
Yusmaidi Yusmaidi ◽  
Mira Fitriyani

Berdasarkan Permenkes 585/1989 dikatakan bahwa informed consent adalah persetujuan yang diberikan oleh pasien atau keluarganya atas dasar penjelasan mengenai tindakan medis yang akan dilakukan terhadap pasien tersebut. Peran dan tanggung jawab dokter terhadap pelaksanaan tindakan medis berdasarkan imformed consent sangat penting untuk mencegah kemungkinan yang akan terjadi kepada pasien nantinya. Pemahaman terhadap informasi yang diberikan dipengaruhi oleh beberapa faktor, diantaranya karakteristik orang tersebut. Survey analitik dengan desain cross sectional dengan wawancara terpimpin menggunakan kuesioner terhadap 100 responden, dan diolah menggunakan analisa univariat dan bivariat dengan uji Chi-Square. Hasil penelitian menunjukkan bahwa: yang berusia dewasa 84 responden (84%) dan yang berusia muda sebanyak 16 responden (16%), laki- laki 63 responden (63%) dan perempuan 37 responden (37%), yang berpendidikan rendah 41 responden (41%) dan yang berpendidikan tinggi 59 responden, yang tidak bekerja 24 responden (24%) sedangkan yang bekerja 76 responden (76%), yang mempunyai pemahaman baik 58 responden (58%) dan yang tidak baik sebanyak 42 responden (42%). Variabel yang terdapat hubungan bermakna dengan pemahaman terhadap persetujuan tindakan medis pada tindakan bedah di RSPBA pada bulan Maret 2015 adalah umur (nilai p value = 0,037) OR = 3.761 dengan nilai Confidence Interval (1.195-11.835)dan pendidikan (nilai p value = 0,00) OR = 8.551 dengan Confidence Interval (3.436-21.285). Sedangkan variabel yang tidak terdapat hubungan bermakna dengan pemahaman persetujuan tindakan medispada tindakan bedah di RSPBA pada bulan Maret 2015 adalah jenis kelamin (nilai p value = 0,987) dan pekerjaan (p value = 0,251). Terdapat hubungan bermakna antara umur dan pendidikan dengan pemahaman terhadap persetujuan tindakan medis pada tindakan bedah di RS Pertamina Bintang Aamin (RSPBA) pada bulan Maret 2015.  


2019 ◽  
Vol 7 (04) ◽  
pp. 215-224
Author(s):  
Kristin Yuliati Sayori ◽  
Astrid Novita
Keyword(s):  
P Value ◽  

Wanita hamil termasuk golongan yang rentan untuk terkena malaria karena berhubungan dengan penurunan imunitas di masa kehamilan. Tujuan penelitian ini adalah untuk mengetahui hubungan usia kehamilan, kebiasaan keluarga, lingkungan tempat tinggal, dan penggunaan kelambu dengan kejadian malaria pada ibu hamil. Jenis penelitian ini adalah observasional analitik dengan desain Cross sectional. Populasi pada penelitian ini adalah semua ibu hamil trimester 1 dan 2 di wilayah kerja Puskesmas Masni dari bulan Juli-Desember Tahun 2017 dengan teknik pengambilan sampel secara Total Sampling yaitu sebanyak 112 orang. Penelitian ini dilakukan pada bulan Januari tahun 2018. Penelitian ini menggunakan data primer dan sekunder yaitu kuesioner dan data status pasien sebagai alat ukur. Teknik pengolahan dan analisis data mengunakan uji Chi-square. Hasil penelitian menunjukan ada hubungan usia kehamilan dengan kejadian malaria (p-value=0,025), ada hubungan kebiasaan keluarga dengan kejadian malaria (p-value=0,011), ada hubungan lingkungan tempat tinggal dengan kejadian malaria (p-value=0,022), dan ada hubungan penggunaan kelambu dengan kejadian malaria (p-value=0,030). Kesimpulannya ada hubungan usia kehamilan, kebiasaan keluarga, lingkungan tempat tinggal, dan penggunaan kelambu dengan kejadian malaria. Saran bagi tenaga kesehatan agar dapat melakukan perbaikan prosedur distribusi kelambu berinsektisida gratis bagi masyarakat sehingga lebih tepat sasaran, dan perlu memaksimalkan sosialisasi cara penggunaan dan pemeliharaan kelambu berinsektisida.


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