scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENERAPAN METODE AMENOREA LAKTASI DI PUSKESMAS RASIMAH AHMAD

2019 ◽  
Vol 1 (1) ◽  
pp. 1
Author(s):  
Febriniwati Rifdi
Keyword(s):  
Public Health ◽  
Health Center ◽  
Employment Status ◽  
Health Workers ◽  
Univariate Analysis ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Public Health Center ◽  
Work Area

<p><em>Lactation Amenorrhoea Method (L</em><em>AM</em><em>) is one of the contraceptive methods recommended for breastfeeding mothers &lt;6 months. The low coverage of the use of </em><em>LAM </em><em> is one of the challenges for health workers, including in the work area of the Rasimah Ahmad Health Center. This study aims to determine the factors related to the application of the Lactation Amenorrhoea Method (L</em><em>AM</em><em>)</em><em> </em><em> in breastfeeding mothers in the working area of Rasimah Ahmad Public Health Center in Bukittinggi in 2018. This type of research is descriptive analytic with a cross sectional study approach. This research was carried out in the work area of Rasimah Ahmad Public Health Center in July - August 2018 with a population of 169 people. Sampling using purposive sampling technique with a sample size of 63 people. Data collection used a research questionnaire, data analysis included univariate analysis and bivariate analysis using chi-square test. The results showed that 55.6% of respondents had low knowledge, 61.9% did not work, 52.4% had poor husband support, 50.8% were active officers, 58.7% were not </em><em>LAM</em><em>. There is a relationship between knowledge (p = 0.009 and OR = 4.889), employment status (p = 0.02, OR = 4.433), husband's support (p = 0.009, OR = 4.688) and the role of health workers (p = 0.028, OR = 3,696) with the application of </em><em>LAM</em><em>. It can be concluded that knowledge, employment status, husband's support and the role of health workers with the application of </em><em>LAM</em><em>. It is expected that all parties, especially the health workers, should always improve the socialization efforts to improve the knowledge of breastfeeding mothers about </em><em>LAM </em><em>so that they can apply the </em><em>LAM </em><em>method in a special family planning program for nursing mothers.</em></p>

scholarly journals Hubungan Tingkat Pengetahuan dan Sikap tentang Kejadian Ikutan Pasca Imunisasi dengan Kepatuhan Ibu dalam Memberikan Imunisasi DPT-HB-Hib di Wilayah Kerja Puskesmas Lubuk Buaya Kota Padang

2020 ◽  
Vol 7 (1) ◽  
pp. 209-220
Author(s):  
Lisa Rahmawati ◽  
Mahdalena Prihatin Ningsih
Keyword(s):  
Public Health ◽  
Health Center ◽  
Health Workers ◽  
Univariate Analysis ◽  
Negative Attitude ◽  
Case Fatality ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Public Health Center ◽  
Level Of Knowledge

Based on the health profile of Indonesia in 2016, the number of cases of diphtheria in 2016 CFR (Case Fatality Rate) diphtheria, namely by 5.8%. Of all cases of diphtheria, amounting to 51% of them do not get vaccinated. Known from the annual report of Padang City Health Department 2017 Immunization coverage DPT-HB-Hib lows are in Lubuk Buaya Public Health Center (70.26%) of the 95% targets. The aim of research to determine the relationship level of knowledge and attitude about AEFI with Mother Compliance in giving immunization of DPT-HB-Hib in Lubuk Buaya Public Health Center. This research method is analytical survey with cross sectional study, data collection was done on January 22-March 12, 2019 in Lubuk Buaya Public Health Center. The population was mothers with babies aged 3-9 months, using a sampling technique purposive sampling with a sample of 66 respondents. Collecting data using questionnaires. Data were analyzed using a computerized with chi-square test. Results of univariate analysis obtained 60.6% of mothers do not obey the immunization of DPT-HB-Hib, 51.5% of mothers good knowledge, 56.1% of women have a negative attitude and 87.9% of infants with AEFI DPT-HB-Hib fever. The results of the bivariate analysis contained levels of knowledge about AEFI relationship with Compliance mother in immunization of DPT-HB-Hib (p = 0.002) and there is a relationship with Compliance AEFI Attitudes about Women in Giving Immunization DPT-HB-Hib (p = 0.039). It was concluded that there is a relationship between the level of knowledge and attitudes about AEFI maternal immunization compliance in providing the DPT-HB-Hib. For that is expected to increase outreach health workers about the DPT-HB-Hib and AEFI in order to minimize the perception and poor view of the DPT-HB-Hib and AEFI. Keywords        : Immunization DPT-HB-Hib, Level of Knowledge, Attitude, AEFI

scholarly journals RELATIONSHIP OF OBESITY AND STRESS WITH HYPERTENSION EVENTS IN WOMEN IN NADGALO PADANG HEALTH CENTER

2020 ◽  
Vol 3 (2) ◽  
pp. 109-121
Author(s):  
Fitria Alisa
Keyword(s):  
Public Health ◽  
Health Center ◽  
Health Workers ◽  
Univariate Analysis ◽  
Primary Data ◽  
Bivariate Analysis ◽  
Design Data ◽  
Cross Sectional ◽  
Public Health Center ◽  
The Relationship

This research uses descriptive analytic cross sectional design. Data collection was conducted at Nanggalo Public Health Center in Padang with a sample of 57 people, with accidental sampling technique. Retrieval of data using primary data collected through questionnaires and weighing BMI and secondary data obtained from the documentation study at Padang Nanggalo Public Health Center. Data were processed with SPSS using univariate analysis of frequency distribution and bivariate chi- square test.The results of the study are known from 57 respondents 66.7% who suffer from hypertension, 78.4%  respondents  who  are  obese,  80%  respondents  are  stressed  Bivariate analysis showed that there was a relationship between.  The relationship between obesity and hypertension (p= 0.024 ? 0.05). The relationship between stress and hypertension (p=0.030 ? 0.05). From the results of this study the incidence of hypertension in women is related to the use obesity and stress. Suggestions for health workers to further improve counseling about healthy eating and exercise to prevent hypertension.

scholarly journals The Relationship of Lifestyle with Hypertension Incidence in Antang Public Health Center of Makassar City

2020 ◽  
Vol 2020 ◽  
Author(s):  
Agussalim
Keyword(s):  
Public Health ◽  
Blood Pressure ◽  
Health Center ◽  
Health Workers ◽  
Circulatory System ◽  
Simple Random Sampling ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Public Health Center ◽  
The Relationship

Hypertension is a disease that usually occurs in the circulatory system which can cause an increase in blood pressure above the normal value, which exceeds 140/90 mmHg. The intention of this study aims to understand the relationship between lifestyle and the incidence of hypertension in Antang Makassar Public Health Center in 2018. This research method uses quantitative analytic motives using a cross sectional approach with a population of 46 people and a sample of 36 respondents. This research was conducted on July 14-16 June. The method used is simple random sampling and the tool used to obtain data is a questionnaire. The scale used is Liker and Guttmann scale with univariate, bivariate analysis and chi-square test with significant a = 0, 05. The results of this study indicate there is a relationship between lifestyle and the incidence of hypertension in the Makassar Antang Health Center with P = 0, 01 smaller than the value of a = 0.05. Suggestions are for hypertensive patients, namely the need to check their health routinely to health workers in order to know the development of blood pressure and obtain information from health workers.

scholarly journals Analysis of Factors that Influence the Stunting Event in Toddlers in Public Health Center Gandusari Blitar District

2020 ◽  
Vol 4 (1) ◽  
pp. 242-247
Author(s):  
Qurotul Aini ◽  
Byba Melda Suhita ◽  
Novita Ana Anggraini
Keyword(s):  
Public Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
P Value ◽  
Cross Sectional ◽  
Public Health Center

Nutritional problems, especially stunting in infants can inhibit a child's development, with negative impacts that will take place in the next life. The purpose of this study was to analyze the influence of parenting, breastfeeding, the role of health workers on the incidence of stunting in infants at the Gandusari  Public Health Center in Blitar Regency. This research design is correlational analytic with cross sectional approach. with the focus of his research directed to be analyzing some of the factors that influence the incidence of stunting in UPT Public Health Center Gandusari Blitar Regency with a population of 163 respondents and a sample of 115 respondents taken by the Simple Random Sampling technique. Data collection using a questionnaire, data analysis with logistic regression test at α = 0.05. The results showed that there was an influence of parenting on the incidence of stunting in infants (p-value = 0,000), there was an effect of breastfeeding on the incidence of stunting in infants (p-value = 0.008), there was an influence on the role of health workers on the incidence of stunting in infants (p -value = 0.003). It can be concluded that the incidence of stunting in infants at the Gandusari Community Health Center is influenced by parenting, breastfeeding, and the role of the health worker at 33% while the remaining 67% is influenced by other factors. parenting, breastfeeding, the role of health workers are factors that influence the incidence of stunting. Lack of knowledge leads to the formation of negative attitudes towards stunting prevention efforts by mothers and cadres due to lack of information.

Exclusive Breastfeeding Determinants of Non-working Mothers

2020 ◽  
Vol 2 (1) ◽  
pp. 1-11
Author(s):  
Katarina Maria Tjung ◽  
Intje Picauly ◽  
Rut Rosina Riwu
Keyword(s):  
Public Health ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
Working Mothers ◽  
Health Workers ◽  
Complete Information ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Public Health Center ◽  
Work Area

The nutritional status in the first 1000 days of life is very important. WHO and UNICEF recommend that newborn babies should only be breastfed for at least six months, so that babies can grow and develop optimally. The recommendation has been applied, but the failure of exclusive breastfeeding still occurs. This study aimed to analyze the determinants of exclusive breastfeeding of not working mothers in the work area of Oesapa Public Health Center, Kelapa Lima subdistrict in 2019. This is a quantitative study with cross-sectional study design. This research was conducted in the work area of Oesapa Public Health Center with a sample of 61 babies. Data analysis used the Chi-Square test and multiple logistic regression tests. The results showed that the variables of mother’s knowledge (ρ= 0,001), mother’s trust (ρ= 0,024), family’s support (ρ= 0,000), and health care provider’s support (ρ= 0,028) are related to exclusive breastfeeding, but mothers’ age (ρ= 0.257) and information exposure (ρ= 1,000) are not related to exclusive breastfeeding. The factor of family’s support (ρ= 0,001) and mother’s knowledge (ρ= 0,005) had the highest correlation with exclusive breastfeeding. The mothers' level of knowledge also had a major contribution to the success of exclusive breastfeeding. To achieve exclusive breastfeeding success, mothers need support from the family (especially husband) and complete information from health workers so the mothers’ knowledge can be improved. The health centers need to utilize various health promotion media to increase the coverage of exclusive breastfeeding.

scholarly journals Factors Associated With The Assessment Of Maternal Participant Satisfaction Of BPJS Health In The Working Area Of Public Health Center Lubuk Buaya Padang City 2017

2017 ◽  
Vol 2 (1) ◽  
pp. 18
Author(s):  
Rahmayani Afrah ◽  
Defrin Defrin ◽  
Ayu Nurdiyan
Keyword(s):  
Public Health ◽  
Health Center ◽  
Quantitative Research ◽  
Health Workers ◽  
Bivariate Analysis ◽  
Cross Sectional ◽  
Public Health Center ◽  
Maternity Services ◽  
Participant Satisfaction ◽  
Cross Sectional Design

Satisfaction is someone’s level of approval when comparing perceived performance or result with his or her expectation. Satisfaction assessment aims to determine the quality of a service. Based on the preliminary survey, Lubuk Buaya Public Health Center has the largest number of BPJS Health participants in Padang, but the scope of maternity gets decreased. This study seeks to investigate the relevant factors that influence the satisfaction assessment of BPJS Health participants with maternity services in the working area of Lubuk Buaya Public Health Center in Padang in 2017.This study was quantitative research with cross sectional design and was conducted in the working area of Lubuk Buaya Public Health Center from May to July 2017. Sample of this research were 75 puerperal mothers. Data were collected by using questionnaire. Data analysis was performed by using univariate and bivariate.The results showed that there are 26 dissatisfied respondents (34.7%) and 49 satisfied respondents (65.3%). Based on the analysis of maternal satisfaction level, the satisfaction of BPJS Health participants in the working area of Lubuk Buaya Public Health Center was 76.13%. The result of bivariate analysis showed that there was no correlation between participants’ age (p=0,198), membership of BPJS Health (p=0,961), and previous service (p = 0,673), but there was a correlation between education (p=0,001), employment (p=0,001) and parity (p=0,035) with assessment of BPJS Health participants in working area of Lubuk Buaya Public Health Center in Padang in 2017.There was a correlation between education, employment, and parity with the assessment of BPJS Health participants who got maternity services. Therefore, health workers have to do evaluation about  the maternity services in order to improve maternity satisfaction of BPJS Health participants.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KONSUMSI TABLET TAMBAH DARAH PADA IBU NIFAS DI WILAYAH KERJA PUSKESMAS MUTIARA BARAT TAHUN 2019

2020 ◽  
Vol 4 (2) ◽  
pp. 321
Author(s):  
Fatmini Fatmini ◽  
Heru Santoso ◽  
Kesaktian Manurung ◽  
Rosdiana Rosdiana
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Health Center ◽  
Health Workers ◽  
Post Partum ◽  
Dominant Factor ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Area

Anemia is still a problem in the world, especially in developing countries. This condition can have a detrimental impact on every age group including pregnant women. In pregnant women, anemia can cause complications for the mother and the baby she is carrying, such as life-threatening bleeding, miscarriage, low birth weight and premature birth. The purpose of this study was to determine the relationship between parity, anemia, ANC visits, nutritional status and the role of health workers with the consumption of blood-added tablets in post-partum mothers in the work area of the Mutiara Barat Health Center in 2019. This type of research is a correlation analytic study with cross-sectional method. The population in this study were all pregnant women in the third trimester who were recorded at the Mutiara Barat Health Center in January 2019 as many as 139 people and the sample was the total population of 139 respondents. Data were analyzed using the chi square statistical test which includes univariate, bivariate and multivariate analysis. The results obtained: there is a relationship between parity (p = 0.000), anemia (p = 0.016), ANC visits (p = 0.015), nutritional status (p = 0.021) and the role of officers (p = 0.000) with the consumption of tablets with blood added at postpartum mother. The dominant factor related to the consumption of blood-added tablets is the role of the officer. From the research results obtained, it is hoped that the Puskesmas can increase the knowledge of mothers about blood supplemented tablets through counseling so that it can influence the attitude of pregnant women to consume blood supplemented tablets. Keywords: ANC visit; anemia; consumption of blood added tablets; nutritional status; parity; role of officers ABSTRAKAnemia masih menjadi permasalahan di dunia terutama di negara-negara berkembang. Kondisi ini dapat memberikan dampak merugikan di setiap kelompok umur termasuk ibu hamil. Pada ibu hamil, kejadian anemia dapat menyebabkan penyulit pada ibu maupun bayi yang dikandungnya seperti perdarahan yang mengancam jiwa, keguguran, berat badan bayi lahir rendah dan kelahiran prematur. Tujuan dari penelitian ini adalah untuk mengetahui hubungan faktor paritas, anemia, kunjugan ANC, status gizi dan peran petugas kesehatan dengankonsumsi tablet tambah darah pada ibu nifas di wilayah kerja Puskesmas Mutiara Barat tahun 2019. Jenis penelitian ini adalah penelitian analitik korelasi dengan metode cross sectional. Populasi dalam penelitian ini adalah seluruh ibu hamil trimester III yang terdata di Puskesmas Mutiara Barat pada bulan Januari 2019 sebanyak 139 orang dan sampel merupakan total populasi yaitu 139 responden. Data dianalisis menggunakan uji statistik chi square yang meliputi analisis univariat, bivariat dan multivariat. Hasil penelitian diperoleh: ada hubungan antara paritas (p=0,000), anemia (p=0,016), kunjungan ANC (p=0,015), status gizi (p=0,021) dan peran petugas(p=0,000) dengan konsumsi tablet tambah darah pada ibu nifas. Faktor yang dominan berhubungan dengan konsumsi tablet tambah darah adalah peran petugas. Dari hasil penelitian yang diperoleh diharapkan Puskesmas dapat meningkatkan pengetahuan ibu tentang tablet tambah darah melalui penyuluhan sehingga dapat mempengaruhi sikap para ibu hamil untuk berperilaku mengkonsumsi tablet tambah darah. 

scholarly journals PENGARUH PROMOSI TENAGA KESEHATAN TERHADAP PENINGKATAN PEMBERIAN IMUNISASI CAMPAK RUBELLA DI PUSKEMAS BANDAR KHALIPAH TAHUN 2019

2019 ◽  
Vol 5 (2) ◽  
pp. 100-103
Author(s):  
Mestika Rija Helti ◽  
Suriani ◽  
Zakiah
Keyword(s):  
Public Health ◽  
Health Center ◽  
Health Workers ◽  
Negative Impact ◽  
Heart Defects ◽  
Vaccination Campaign ◽  
Univariate Analysis ◽  
Sampling Technique ◽  
Public Health Center ◽  
Total Coverage

Measles and rubella can have a negative impact on children's health in Indonesia, so the government has implemented an MR vaccination campaign (MMR VIS - Indonesia, 2012). The MR (Measles Rubella) vaccine provides benefits such as protecting children from disability and death due to complications of pneumonia, diarrhea , brain damage, deafness, blindness and congenital heart disease. There were 83 confirmed cases of CRS in 2015-2016 of which 77% suffered from heart defects, 67.5% suffered from cataracts and 47% suffered from deafness (Ditjen P2P, 2016). The research objective was the Effect of Promotion of Health Workers on the Improvement of Rubella Measles Immunization at the Bandar Khalipah Public Health Center in 2019. This type of research is descriptive analytic with a cross sectional approach with a sample size of 18, it is recommended to carry out promotions. The sampling technique is purposive sampling technique. The research instrument uses leaflet sheets. Univariate analysis using Microsoft Excel. The results showed that the total coverage of rubella measles immunization prior to promotion at the Bandar khalipah health center 2019 was 340 (7.8%) in the "decreased" category and after promotion the total coverage of rubella measles immunization at the Bandar khalipah puskesmas was 367 (8, 6%) are in the “increasing” category. So that there is an effect of promotion of health workers on increasing the provision of rubella measles immunization at the Bandar khalipah public health center in 2019. Conclusion in this study there is an effect of promotion of health workers on increasing rubella measles immunization, so that health workers can use promotion as an effort to support government programs, coverage of immunization rubella measles 95%.

Acceptance of Post-Placental Intrauterine Contraceptive Device in Denpasar

2016 ◽  
pp. 104
Author(s):  
N.M. Rai Widiastuti ◽  
N.L.P Suaryani ◽  
Mangku Karmaya
Keyword(s):  
Side Effects ◽  
Health Center ◽  
Contraceptive Use ◽  
Health Workers ◽  
Intrauterine Device ◽  
Bivariate Analysis ◽  
Contraceptive Device ◽  
Cross Sectional ◽  
Post Placental

Background and purpose: The Indonesian Demographic Health Survey of 2012 indicated that the prevalence of contraceptive use in Bali Province has decreased compared to 2007. In addition, the proportion of the use an intrauterine device (IUD) also continues to decline. To increase number of IUD acceptors is to promote post-placental intrauterine device (PPIUCD), however the acceptance remains low. This study aims to determine factors associated with acceptance of post-placental intrauterine device in Denpasar.Methods: Study was cross sectional with a total of 100 respondents selected by consecutive sampling. Respondents were mothers who had gave birth in January-February 2016 at Wangaya General Hospital and three health centers (Dauh Puri Sub Health Center, East Denpasar I and South Denpasar IV). Data were collected by interview in hospital and health center. Chi square test was conducted for bivariate analysis and multivariate using logistic regression.Results: Proportion of PPIUCD acceptance was 35%. Multivariate analysis indicated that PPIUCD acceptance was associated with perception of benefits (AOR=10.39; 95% CI: 2.792-38.56), perception of low side effects (AOR=5.288; 95%CI: 1.085-25.761), role of health workers (AOR=7.1; 95%CI: 1.781-28.60) and support of the husband (AOR=12.020; 95% CI=2.888-50.01).Conclusion: Variables associated with PPIUCD acceptance were perception of low side effects, perception of benefits, role of health workers and husband support.

scholarly journals TINGKAT KEPUASAN PENGGUNA RUJUKAN GAWAT DARURAT AMBULANS DESA DI WILAYAH KERJA PUSKESMAS MENGWI 1 TAHUN 2019

2020 ◽  
Vol 7 (1) ◽  
pp. 96
Author(s):  
I Putu Yoga Kusuma Widnyana ◽  
Ni Made Sri Nopiyani
Keyword(s):  
Public Health ◽  
Patient Satisfaction ◽  
Health Center ◽  
Univariate Analysis ◽  
Cross Sectional ◽  
Public Health Center ◽  
Satisfaction Index ◽  
Consecutive Sampling ◽  
Referral Service ◽  
The Village

ABSTRAK Layanan rujukan gawat darurat Ambulans Desa merupakan salah satu layanan yang cukup banyak dimanfaatkan oleh masyarakat di wilayah kerja Puskesmas Mengwi 1 Kabupaten Badung. Namun, hingga saat ini belum pernah dilakukan evaluasi terhadap kepuasan pasien layanan rujukan gawat darurat Ambulans Desa. Penelitian ini bertujuan untuk menilai kepuasan pasien terhadap rujukan gawat darurat Penelitian ini merupakan penelitian cross-sectional deskriptif kuantitatif dengan pengumpulan datanya menggunakan survei kuesioner yang diisi melalui wawancara responden. Sampel dipilih secara consecutive sampling dengan jumlah sampel 75 orang dari 6 desa di wilayah kerja Puskesmas Mengwi 1 Kabupaten Badung. Analisis data yang dilakukan adalah analisis univariat. Penghitungan indeks kepuasan yang dimodifikasi dari Peraturan Menteri Pendayagunaan Aparatur Negara Reformasi Birokrasi nomor 14 tahun 2017. Hasil penelitian ini menunjukkan bahwa secara keseluruhan layanan rujukan gawat darurat Ambulans Desa sudah memuaskan dengan memperoleh nilai Indeks Kepuasan Masyarakat mencapai 3,64 (konversi 91). Kepuasan dari dimensi bukti fisik 3,58 (konversi 89,50), dimensi kehandalan 3,65 (konversi 91,25), dimensi daya tanggap 3,70 (konversi 92,50), dimensi jaminan 3,67 (konversi 91,75), dan dimensi empati 3,64 (konversi 91). Secara umum layanan rujukan gawat Ambulans Desa dinilai sudah memuaskan. Namun, tetap perlu dilakukan monitoring evaluasi kualitas layanan secara berkesinambungan dan peningkatan pada komponen-komponen yang masih dinilai kurang memuaskan.. Kata kunci: Kepuasan pasien, rujukan gawat darurat, ambulans desa   ABSTRACT The Village Ambulance emergency referral service is one of the services that is quite widely utilized by the community in the working area of the Mengwi 1 Badung public health center. There has never been an evaluation of the patient satisfaction of the Village Ambulance emergency referral service. This study aims to assess patient satisfaction emergency referral services. This research is a quantitative descriptive cross-sectional study with data collection using a questionnaire survey filled with interview to respondents. A total of 75 service users was selected with consecutive sampling from 6 villages in the working area of the Mengwi 1 Badung public health center. Data analysis was performed by univariate analysis. The calculation of the satisfaction index refers to and is modified from the Regulation of the Minister of Administrative Reforms Bureaucracy Reform number 14 of 2017. The results of this study indicate that overall the emergency ambulance referral service for the Village has been satisfactory by obtaining a Community Satisfaction Index score 3,64 (convertion 91). Satisfaction from tangible dimension 3,58 (convertion 89.50), reliability dimension 3,65 (convertion 91.25), responsiveness dimension 3,70 (convertion 92.50), assurance dimension 3,67 (convertion 91.75), and empathy dimensions 3,64 (convertion 91). However, monitoring of service quality evaluations still needs to be carried out continuously and improvements to components that are still considered unsatisfactory should be conducted. Keywords: Patient satisfaction, emergency referral, village ambulance

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