scholarly journals Kebersihan makanan dan hand hygiene sebagai faktor resiko demam tifoid di Bandar Jaya, Lampung

2020 ◽  
Vol 14 (3) ◽  
pp. 470-478
Author(s):  
Eka Trismiyana ◽  
Leni Yulinda Agung

Kebersihan makanan dan hand hygiene sebagai faktor resiko demam tifoid di Bandar Jaya, LampungBackground: Typhoid fever is still a public health problem with as many as 22 million cases per year in the world and causes 216,000–600,000 deaths. Typhoid fever in Indonesia increases from year to year with an average illness of 500/100,000 populations and a mortality rate of 0.6–5%. The incidence of typhoid fever in Lampung Province in 2018 was 37,708 people, an increase compared to 2017 which was 32,896 patients. Data from the Central Lampung Health authority in 2018, typhoid fever in Public health centre reached 3,415 people. While the highest prevalence of 37 public health centre in Central Lampung was in Bandar Jaya Health Center as many as 133 people. One of the things that can trigger this disease is food and hand hygiene factors.Purpose: Knowing of poor food hygiene and hand hygiene as risk factors for typhoid fever in Bandar Jaya, LampungMethod: A quantitative study with a design by case control. The research subjects were patients who had a fever at Bandar Jaya Health Centre in Central Lampung, with 80 respondents divided by 2 groups; 40 respondents (cases) and 40 respondents as control. Data analysis in this study used the chi-square test.Results: Most of the respondents never washed their hands before eating, as much as 72.5% and taking food from outside (unhygienic) 72.5%. There have not a relationship between unhygienic food and hand hygiene as a risk factor for typhoid fever in Bandar Jaya, Lampung (p-value = 0.639, OR = 1.23 14,286); hand hygiene and typhoid fever (p-value = 0.809, OR = 1.24).Conclusion: There have not a relationship between unhygienic food and hand hygiene as a risk factor for typhoid fever. It needs to further improve health promotion about good eating habits and good hand hygiene in the community.Keywords: Poor food hygiene; Hand hygiene; Risk factors; Typhoid feverPendahuluan: Demam tifoid masih merupakan masalah kesehatan masyarakat dengan jumlah kasus sebanyak 22 juta per tahun di dunia dan menyebabkan 216.000–600.000 kematian. Demam tifoid di Indonesia menunjukkan kecenderungan meningkat dari tahun ke tahun dengan rata-rata kesakitan 500/100.000 penduduk dan angka kematian antara 0,6–5%. Angka kejadian demam tifoid di Provinsi Lampung tahun 2018 adalah 37.708 orang, meningkat dibandingkan pada tahun 2017 yaitu sebanyak 32.896 pasien. Data Dinas Kesehatan Lampung Tengah tahun 2018, demam tifoid di Puskesmas mencapai 3.415 orang. Sedangkan prevalensi tertinggi dari 37 Puskesmas di Lampung Tengah terdapat di Puskesmas Bandar Jaya sebanyak 133 orang. Salah satu hal yang dapat memicu timbulnya penyakit ini adalah dari makanan dan hand hygiene yang kurang baik.Tujuan: Diketahui hubungan kebersihan makanan dan hand hygiene sebagai faktor resiko demam tifoid di Bandar Jaya, LampungMetode: Penelitian kuantitatif dengan desain case control. Subjek penelitian adalah pasien demam di Puskesmas Bandar Jaya Lampung Tengah sebanyak 80 responden yang terbagi dalam 2 kelompok; 40 responden (kasus) dan 40 responden sebagai kontrol. Analisis data dalam penelitian ini menggunakan uji chi-square.Hasil: Sebagian besar responden tidak pernah mencuci tangan sebelum makan, sebanyak 72,5% dan jajan makanan dari luar (tidak higienis) 72,5%. Tidak ada hubungan antara makanan tidak higienis dengan kebersihan tangan sebagai faktor risiko terjadinya demam tifoid di Bandar Jaya Lampung (p-value = 0.639, OR = 1.23); kebersihan tangan dan demam tifoid (p-value = 0.809, OR = 1.24).Simpulan: Tidak ada hubungan antara makanan yang tidak higienis dan kebersihan tangan sebagai faktor risiko terjadinya demam tifoid. Perlu lebih meningkatkan promosi kesehatan tentang kebiasaan makan yang baik dan kebersihan tangan yang baik di masyarakat. 

2019 ◽  
Vol 2 (2) ◽  
pp. 67
Author(s):  
Ayu Astari Puspitasari

Background & Objective: Hypertension is a serious public health problem that closes to a high prevalence. It has already killed 1.5 million people every year in South East Asia. Public health centre Kawatuna is public health centre which has the highest prevalence in 2006 from 13 public health centers in Palu. The study aims at finding out the habit of consuming fruits and vegetables, habit of consuming coffee, habit of smoking and BMI (Body Mass Index) as a risk factor of hypertension occurrence in the age of 20-44 years old in Public Health Centre Kawatuna Palu.  Material and Methods:  This was a case control study. Sample drawn for case group used total sampling whereas for control group used purposive sampling. Results: Consumption of fruits and vegetables was a risk factor for hypertension (OR = 3,381 (1,840-6,214)), coffee consumption was a risk factor for hypertension (OR = 2,234 (1,102-4,532)), BMI was a risk factor for hypertension (OR = 3,474 (1,820-6,629)) and smoking habits are risk factors for hypertension but not significant (OR = 1,725 (0,680-4,380)) . Conclusion: Habit of lack of consuming fruit and vegetable, habit of over consuming coffee and IMT >25 kg/m2 are the risk factors of hypertension occurrence


2020 ◽  
Vol 14 (3) ◽  
pp. 486-493
Author(s):  
Triyoso Triyoso ◽  
Martina Sari

Nurse caring behaviors and patient satisfaction: The impact of patients experience at Bukit Kemuning inpatient public health centreBackground: The results of the pre-survey conducted on January - 2019 based on the medical records of the Bukit Kemuning Inpatient Health Center in North Lampung recorded in 2018 had of 279 inpatients. Base on evaluation in Bukit Kemuning Inpatient Health Center, the Minimum Service Standards (MSS) achievement scored of 67.29% describes the service quality is still suboptimal.Purpose: Knowing relationship between nurses' caring behavior towards patient satisfaction in Bukit Kemuning Inpatient Health Centre North Lampung RegencyMethod: A quantitative cross-sectional approach, the population of all outpatient who had experienced hospitalization at Bukit Kemuning Inpatient Health Center, with a sample of 282 respondent. The variables of this study were nurse caring behavior and patient satisfaction. The research conducted at the Bukit Kemuning Inpatient Health Center UPT North Lampung Regency. data collection using a questionnaire. Data analysis was univariate and bivariate (chi square).Results: Knowing the respondents' statement that nurses' shown caring behavior in a poor category of 162 (57.4%), patients unsatisfied of 140 (49.4%), There is a relationship between Nurse caring behaviors and patient satisfaction at Bukit Kemuning inpatient public health centre North Lampung Regency (p-value = 0.000 OR = 4.659)Conclusion: There is a correlation between Nurse caring behaviors and patient satisfaction: The impact of patients experience at Bukit Kemuning inpatient public health centre, for the Health Center management to consider for nurses' staff for conducting caring behavior training and improve health services.Keywords: Nurses; Caring behavior; Patient; SatisfactionPendahuluan: Standar kepuasan pasien di pelayanan kesehatan ditetapkan secara nasional oleh Departemen Kesehatan. Hasil pra survey yang dilakukan tanggal 5 – 9 Januari 2019  berdasarkan data rekam medis Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tercatat tahun 2018 jumlah pasien yang melakukan kunjungan rawat jalan sebesar 11.169 orang dan rawat inap sebanyak 279 orang. Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  Standar SPM > 90 % dengan hasil capaian hanya 67, 29% sehingga dapat menggambarkan mutu pelayanan masih belum optimal.Tujuan : Diketahui  hubungan perilaku caring perawat terhadap kepuasan pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019Metode: Penelitian kuantitatif pendekatan Cross Sectional, populasi seluruh pengunjung Puskesmas, dengan sampel berjumlah 282 orang Objek dalam penelitian ini adalah perilaku caring perawat dan kepuasan pasien. Penelitian dilakukan di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara. bulan Januari – Juni  2019 . pengumpulan data menggunakan kuesioner. Analisis data secara univariat dan bivariat (chi square).Hasil: Diketahui pernyataan responden tentang perawat yang menunjukkan perilaku caring kategori buruk, sebesar 162 (57,4%) responden, kepuasan keluarga pasien kurang puas, sebesar 140 (49,4%) responden, Ada  hubungan antara perilaku caring perawat terhadap tingkat kepuasan keluarga pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019 (p-value=0,000,0,05, OR=4,659)Simpulan: Ada  hubungan antara perilaku caring perawat terhadap tingkat kepuasan keluarga pasien di UPT Puskesmas Rawat Inap Bukit Kemuning  Kabupaten Lampung Utara  tahun 2019, bagi pihak manajemen Puskesmas sebagai bahan pertimbangan untuk mengadakan pelatihan perilaku caring perawat guna meningkatkan pelayanan pasien.


2008 ◽  
Vol 23 (2) ◽  
pp. 150-155 ◽  
Author(s):  
Antoine Guedeney ◽  
Christophe Foucault ◽  
Eva Bougen ◽  
Beatrice Larroque ◽  
France Mentré

AbstractObjectivesThe objectives of this study were (1) to evaluate the prevalence of relational withdrawal behaviour in infants aged 14–18 months attending a public health centre in Paris, (2) to check some identified risk factors for relational withdrawal behaviour in this population.MethodsA cross-sectional study was conducted in infants aged 14–18 months attending a child health screening centre during the year 2005.ResultsA total of 640 children were included in the study. Thirteen percent of the 640 infants (n = 83, 95% CI [10.4%; 15.6%]) had an ADBB score at 5 and over 5 on the ADBB. There was a clear relationship between withdrawal behavior and having psychological difficulties as reported by parents, and between withdrawal and developmental delay. Withdrawal was also significantly associated with being a boy, with living in risk conditions (e.g. child being in joint custody, or with living in a foster family), with being adopted, or with being a twin. More withdrawn infants were taken care of at home.ConclusionSustained relational withdrawal behaviour was linked with developmental disorders and psychopathology and not with SES, ethnical origin or rank of birth. The scale could be used in screening early psychopathology in infants aged 2–24 months of age.


Author(s):  
Ethi Yudiastuti Kadek ◽  
Dewianti Ni Made

Background: The death of toddler due to pneumonia is still high because its risk factor still exist and has not been managed properly. United Nations International Children’s Emergency Fund (UNICEF) states that in 2011 there was 1.3 million deaths of children below five years old (toddler) and 14% of the number was caused by pneumonia.Methods: The design for this research was case control with 27 cases and 27 controls. The case was toddlers who were diagnosed with pneumonia by doctor of public health center (hereafter Puskesmas), aged 0-59 months and were recorded in the ill toddler register from January 1, 2016 until December 31, 2016, meanwhile control was healthy toddlers who were invited to Puskesmas during the research. Data was collected through interview, observation and measurement using questionnaire. Univariate, bivariate, multivariate analyses were performed using Stata SE 12.1.Results: Bivariate analysis showed that two years of breastfeeding and ARI frequency, as the risk factors of pneumonia on toddler. From bivariate analysis, it was found that the risk factor which was proven to be significant and increased pneumonia on toddler was OR ARI with the value of 5.67 (95% CI:1.16-27.82).Conclusions: ARI frequency as the risk factor of pneumonia on toddler at Puskesmas I South Denpasar.


2021 ◽  
Vol 9 (E) ◽  
pp. 373-377
Author(s):  
Rina Tampake ◽  
Ros Arianty ◽  
Selvi A . Mangundap ◽  
Baiq Emy ◽  
Hanum Sasmita

AIM: This study aimed to determine the effectiveness of training in improving health cadres’ ability in early detection and risk factors of stunting in toddlers. METHODS: The research method used was a quasi-experimental non-randomized pre- and post-test only control design. The independent variable was cadre training. The training was conducted through learning activities on health cadres using lecture method, question and answer method, and brainstorming accompanied by training booklets/modules and demonstrations. The dependent variable was knowledge, attitudes, and skills in detecting stunting and risk factors for stunting in children under-five. There were 53 health cadres as samples scattered in the Tomini Community Health Center with the purposive sampling technique. The data analysis technique used was a parametric statistical paired sample t-test. RESULTS: Training of health cadres effectively increased health cadres’ ability to detect stunting and risk factors for stunting in children under-five. The different test results for each variable that showed the pre-post-test p-value for knowledge, attitudes, and health cadres’ skills were 0.000, smaller than the significance level of 0.05 (p < 0.05). Besides, the mean score of each variable obtained after training for health cadres was more significant than before training, including knowledge 17.392 >12.264, attitudes 33.603 >27.226, and skills 90.019 >62113. Those are means that cadres’ training effectively increased the knowledge, attitudes, and skills of health cadres in detecting stunting and risk factors for stunting in children under-five. CONCLUSION: Training of health cadres effectively increases the knowledge, attitudes, and skills of health cadres about early detection and risk factors of stunting in the working area of Tomini Public Health Centre, Parigi Moutong Regency.


2021 ◽  
Vol 14 (4) ◽  
pp. 556-563
Author(s):  
Rilyani Rilyani ◽  
Lelly Sugiyati

Maternal nutritional status during pregnancy and effects on growth among infants 9-12 monthsBackground: Maternal nutritional status during pregnancy needs attention because it affects the development of the fetus they are carrying. During pregnancy are at risk of experiencing of chronic energy deficiency (CED) in adults if they have LILA <23.5 cm are at risk of maternal death, preterm delivery/low birth weight (LBW), death and impaired growth and development of infant. Base on data in Way Panji Public Health Centre reported that among maternal during pregnancy were of 43 (29.05%) who has LILA <23.5 cm.Purpose: To determine the relationship between maternal nutritional status during pregnancy and infant growth at the Way Panji Community Health Centre coverage area.Method: A quantitative by cross-sectional research, the population in this study were of 143 respondent as all maternal who had an infant aged 9-12 months in May 2020. Both of them observed such as a history of maternal nutritional status during pregnancy and infant growth when aged 9-12 months and bivariate analysis (Chi-Square).Results: Showing that the frequency distribution of maternal nutritional status during pregnancy, mostly with has sufficient in nutrition of 113 (79.0%) respondents and they have an infant with a normal growth of 107 (74.8%). There is a relationship between maternal nutritional status during pregnancy and infant growth (p-value 0.000: OR 5,314).Conclusion: There is a relationship between maternal nutritional status during pregnancy and infant growth in Way Panji Public Health Center coverage area Lampung-Indonesia. Suggestions to public health centre management to increase the promotion programme of maternal nutritional status during pregnancy and preventing poor growing of the infant by providing leaflets or posters also supplement nutritions for maternal during pregnancy.Keywords: Maternal; Nutritional status; Pregnancy; Infant; GrowthPendahuluan: Gizi ibu hamil perlu mendapat perhatian karena sangat berpengaruh pada perkembangan janin yang dikandungnya, Wanita hamil berisiko mengalami KEK jika memiliki LILA < 23,5 cm. ibu hamil dengan KEK berisiko melahirkan bayi berat lahir rendah (BBLR). BBLR akan membawa risiko kematian, dan gangguan pertumbuhan dan perkembangan anak. KEK juga dapat menjadi penyebab tidak langsung kematian ibu. Data dari Puskesmas Way Panji mengatakan bahwa terdapat 43 orang (29,05%) yang berisiko KEK dengan LILA < 23,5 cm.Tujuan: Diketahui Hubungan Status Gizi Ibu Masa Kehamilan Dengan Pertumbuhan Bayi Di Puskesmas Way Panji Kecamatan Way Panji Kabupaten Lampung Selatan Metode: Jenis penelitian kuantitatif dengan menggunakan metode penelitian crossectional , Subyek dalam penelitian ini adalah Ibu Masa Kehamilan, Variabel dependen : Pertumbuhan bayi, variabel independent : gizi ibu saat hamil,   populasinya paraibu yang telah melahirkan dan bayinya usia 9-12 bulan dengan total sampel berjumlah 143 responden/bayi, dilakukan pada bulan Juli-Agustus 2020, dengan analisa univariat dan bivariat (Chi-Square).Hasil: Didapatkan Distribusi frekuensi status gizi ibu masa kehamilan, sebagian besar dengan gizi baik yaitu sebanyak 113 (79,0%)  responden. pertumbuhan bayi kategori normal yaitu sebanyak 107 (74,8%). Ada hubungan status gizi ibu masa kehamilan dengan pertumbuhan bayi  (p-value 0.000 :  OR 5,314).Simpulan: Ada hubungan status gizi ibu masa kehamilan dengan pertumbuhan bayi di Puskesmas Way Panji, Disarankan kepadapihak manajemen Puskesmas setempat supaya dapat meningkatan upaya promosi guna penurunan kejadian pertumbuhan bayi yang abnormal dan membantu terpenuhinya kebutuhan gizi atau nutrisi pada saat ibu dalam masa kehamilan dengan cara pemberian leaflet atau poster.


2020 ◽  
Vol 13 (4) ◽  
pp. 340-347
Author(s):  
Rika Yulendasari ◽  
Muhammad Firdaus

Maternal factors relating to milk formula feeding on infants aged 0-6 months in Lampung-IndonesiaBackground: Many parents assume that breastmilk only would not be sufficient to fulfil baby’s nutrition need, so that baby need to feed with complementary feeding. The administration of complementary feeding like formula milk has been a common practice for some parents with reasons including less breastmilk production, maternal busy activities, less maternal knowledge concerning breastmilk feeding, saving time, being attracted by offered formula milk. Most parents administer formula milk with amount almost similar to breastmilk to fulfil the baby’s need.  Purpose: Knowing factors of formula feeding for infants 0-6 months.Methods: This was a quantitative analytic research by using cross sectional approach. Population was 220 babies of 0-6 months old in Waykandis public health centre working area from January to April 2019. 142 respondent samples were taken by using proportional random sampling.Results: The statistic test result showed that there were correlations of maternal occupation (p-value 0.016; OR 2.485), maternal education (p-value 0.004; OR 2.886), maternal knowledge (p-value 0.000; OR 0.089) to formula milk administration.Conclusion: There were factors of formula feeding for infants 0-6 months. The researcher expects the public health centre to create a schedule list for complementary feeding besides breast milk administration according to the children fewer than five needs, and to be always active in providing health education especially concerning the importance of formula milk knowledge.Keywords: Maternal; Formula Feeding; Infants 0-6 MonthsPendahuluan : Banyak orang tua menganggap bahwa kebutuhan nutrisi bayi tidak cukup hanya dengan ASI, sehingga bayi perlu dibantu dengan memberikan makanan pendamping ASI. Pemberian makanan pendamping ASI berupa susu formula sudah menjadi hal yang biasa, dengan berbagai alasan yang diberikan seperti ASI yang keluar sedikit, kesibukan ibu, kurangnya pengetahuan ibu tentang pemberian ASI, hemat waktu, tergiur dengan kandungan susu formula yang ditawarkan. Kebanyakan orang tua menilai pemberian susu formula hampir setara dengan ASI dan dapat mencukupi kebutuhan gizi bayinya. Tujuan  : Diketahui faktor-faktor yang berhubungan dengan pemberian susu formula pada bayi usia 0-6 bulan.Metode : Jenis penelitian kuantitatif. Rancangan menggunakan analitik, dengan pendekatan cross sectional. Populasi dalam penelitian seluruh bayi usia 0-6 bulan di wilayah kerja Puskesmas Waykandis dari bulan Januari sampai dengan bulan April 2019 yaitu sebanyak 220 orang. Sampel berjumlah 142 responden dengan teknik Proportional Random Sampling.Hasil : Berdasarkan hasil uji statistik, terdapat hubungan antara faktor pekerjaan dengan pemberian susu formula (p-value 0,016) nilai OR 2,485, terdapat hubungan antara faktor pendidikan dengan pemberian susu formula (p-value 0,004) nilai OR 2,886, terdapat hubungan antara faktor pengetahuan dengan pemberian susu formula (p-value 0,000) nilai OR 0,089.Simpulan : Ada hubungan antara faktor pekerjaan, pendidikan dan pengetahuan terhadap pemberian susu formula pada bayi 0-6 bulan. Diharapkan tenaga kesehatan dapat membuat daftar menu pemberian MP-ASI sesuai dengan kebutuhan balita, selalu aktif memberikan penyuluhan kesehatan pentingnya pengetahuan tentang susu formula. 


2018 ◽  
Vol 5 (1) ◽  
pp. 17-24
Author(s):  
Eva Putriningrum ◽  
Nurul Khasanah

The exclusive breast milk is feed baby only with the breast milk until the age of six months without any additional liquid or food. The scope of exclusive breast milk in Yogyakarta does not reach the expected rate amount 80%,  one of them was in Public Health Centre of Kota Gede I. Low rate success of exclusive breast milk feeding was affected by many factors, such as lack of information regarding breast milk and misunderstanding of information about breast milk.  This research aims to analyze the correlation between education and age, with knowledge of pregnant women at third trimester about exclusive breast milk in Public Health Centre of Kota Gede I, Yogyakarta. The design of this research used analytic survey with a Cross-Sectional design and 30 pregnant women at third trimester as samples, with the saturated sampling technique. The statistical test used Chi-Square Test. This research showed that there is a correlation between education and knowledge with p-value of 0,019 and odd ratio value of 9,33; there is a correlation between age and knowledge with p-value of 0,004 and odd ratio value of 20,0. It can be concluded that there is a correlation between education and age, with knowledge about exclusive breast milk.  Keywords: Education, Age, Knowledge, Exclusive Breast Milk ABSTRAK  ASI eksklusif merupakan pemberian ASI saja pada bayi sampai usia enam bulan tanpa tambahan cairan ataupun makanan lainnya. Cakupan ASI eksklusif di Kota Yogyakarta belum mencapai angka yang diharapkan yaitu 80%, salah satunya adalah di Puskesmas Kotagede I. Rendahnya cakupan keberhasilan pemberian ASI eksklusif dipengaruhi banyak hal, salah satunya adalah kurangnya informasi mengenai ASI atau salah dalam memahami informasi mengenai ASI. Tujuan penelitian ini adalah untuk menganalisis korelasi antara pendidikan dan umur, dengan pengetahuan ibu hamil trimester III tentang ASI eksklusif di Puskesmas Kota Gede I Yogyakarta. Desain penelitian ini menggunakan survey analitik dengan rancangan Cross Sectional, dengan sampel 30 ibu hamil Trimester III dan menggunakan teknik sampling jenuh. Uji statistik yang digunakan adalah Chi Square. Hasil penelitian menunjukkan terdapat korelasi antara pendidikan dengan pengetahuan dengan nilai p sebesar 0,019 dan nilai odd ratio sebesar 9,33, dan terdapat korelasi antara umur dengan pengetahuan dengan nilai p sebesar 0,004 dan nilai odd ratio sebesar 20,0. Dapat disimpulkan bahwa terdapat korelasi antara pendidikan dan umur, dengan pengetahuan tentang ASI eksklusif.  Kata Kunci : Pendidikan, Umur, Pengetahuan, ASI Eksklusif.


Author(s):  
Achmad Farich ◽  
Dewi Kusumaningsih ◽  
Sosya Mona Seprianti

Background: Integrated Service Post (Posyandu) is one form of community based health efforts which is managed and implemented by volunteer community health workers. That performance is very important to monitor the toddlers. The coverage of toddlers weighed at Ngaras at public health Service has decreased by 2014 reached of 87.0% in 2015 reached of 100.4% in 2016 reached of 64.0% but in 2017 it only reached of 68,2%.Purpose: To know the correlation of knowledge, motivation, training among volunteer community health workers at public health services West Pesisir Province of Lampung  2018.Methods: Quantitative research type with cross sectional design and population recruited  all of volunteer community health workers. Data collected by using questionnaire sheets. Analysis of data used univariate and bivariate (Chi Square).Results: The results showed that the volunteer community health workers have best performance with number of 45 volunteers (69,2%) comparing with who has a poor performance with number of 20 volunteer (30,8%). Based on bivariate analysis following in several parts of the volunteer such as knowledge with  p-value of 0,001 OR 4,889 (1,5 to 15,3 95% CI), motivation with p-value 0,034 OR 3,778 (1,2 to 11,4 95% CI), and the training with p-value 0,009 OR 5,429 (1,6 to 17,8 95% CI).Conclusion: There is a relation of knowledge, motivation and training for the performance of volunteer community health workers. It is suggested to management of public health centre on Ngaras to conduct more intensive training related to volunteer training which includes knowledge sharing which will improve on volunteer community health workers performance on task, and motivation to intensify duty of passion of volunteer community health workers


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