scholarly journals Faktor Yang Berhubungan Dengan Stunting Pada Balita Di Wilayah Kerja Puskesmas Air Bangis Kabupaten Pasaman Barat

2019 ◽  
Vol 10 (2) ◽  
pp. 902-910
Author(s):  
Yuliza Anggraini ◽  
Haninda Nusantri Rusdy
Keyword(s):  
Health Center ◽  
Junior High School ◽  
Community Health Center ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
A Value ◽  
Work Area ◽  
West Sumatra

Latar Belakang : Data Riskesdas menunjukkan prevalensi stunting di Indonesia meningkat dari 35,6% pada tahun 2010 menjadi 37,2% pada 2013. Provinsi Sumatera Barat menempati urutan ke 17 dari 34 provinsi stunting di Indonesia dengan prevalensi anak balita (usia 24-59 bulan) stunting 36,2% lebih tinggi daripada prevalensi nasional 35,3%. Pasaman Barat adalah kabupaten kedua di Provinsi Sumatera Barat dengan prevalensi stunting adalah 51,54% dan jumlah anak stunting adalah 23.435. Nagari Air Bangis Kabupaten Pasaman Barat adalah salah satu Nagari di 100 Kabupaten / Kota di Sumatra Barat yang mendapat prioritas tahap pertama dalam menangani stunting di Indonesia pada tahun 2018.Tujuan : dari penelitian ini adalah untuk mengetahuai factor penyebab terjadinya stunting pada balita di silayah kerja Puskesmas Air Bangis Kabupaten Pasaman Barat.Metode : Jenis penelitian adalah cross-sectional dengan pendekatan kuantitatif. Sampel 200 dipilih secara purposive sampling. Hasil : Hasil penelitian menunjukkan rata-rata balita yang stunting di wilayah kerja Puskesmas Air Bangis memiliki jenis kelamin laki-laki (57,5%), sebagian besar ibu balita yang stunting memiliki pendidikan sekolah menengah pertama (48,5%) dan bekerja sebagai IRT (95,5%), dan jumlah anak 3-5 orang (67%). Uji chi-square didapatkan pola asuh ibu berhubungan dengan stunting pada balita di wilayah kerja puskesmas Air Bangis dengan nilai p 0,05, sedangkan sanitasi lingkungan dan  pemanfaatan layanan kesehatan tidak ada hubungan dengan kejadian stunting pada balita di wilayah kerja Puskesmas Air Bangis dengan nilai p 0,05. Kata kunci : Sanitasi; Pola asuh; pemanfaatan posyandu; Stunting; Balita  Background: Riskesdas data shows the prevalence of stunting in Indonesia increased from 35.6% in 2010 to 37.2% in 2013. West Sumatra Province ranks 17th out of 34 provinces of stunting in Indonesia with the prevalence of children under five (ages 24-59 months ) stunting 36.2% higher than the national prevalence of 35.3%. Pasaman Barat is the second regency in West Sumatra Province with the prevalence of stunting is 51.54% and the number of stunting children is 23,435. Nagari Air Bangis, West Pasaman Regency is one of the Nagari in 100 Regencies / Cities in West Sumatra which received the first stage priority in dealing with stunting in Indonesia in 2018.Objective: from this research is to find out the factors that cause stunting in children under five in the work area of Air Bangis Health Center, West Pasaman Regency.Method: This type of research is cross-sectional with a quantitative approach. Sample 200 was selected by purposive sampling.Results: The results showed that the average stunting toddler in the working area of the Air Bangis Community Health Center was male (57.5%), most of the stunting mothers who had a junior high school education (48.5%) and worked as IRT (95.5%), and the number of children 3-5 people (67%). Chi-square test found that maternal parenting was associated with stunting in infants in the work area of Air Bangis puskesmas with a value of p 0.05, while environmental sanitation and utilization of posyandu had no relationship with the incidence of stunting in infants in the work area of Air Bangis Puskesmas with a value of p 0.05. Keywords: Sanitation; Parenting; Utilization of posyandu; Stunting; Toddler

scholarly journals HUBUNGAN PENGETAHUAN DAN PERILAKU IBU TENTANG KELUARGA SADAR GIZI (KADARZI) DENGAN STATUS GIZI ANAK BALITA DI POSYANDU TERATAI, DUSUN SANANSARI, SRIMARTANI, PIYUNGAN, BANTUL,D.I. YOGYAKARTA TAHUN 2018

2020 ◽  
Vol 7 (1) ◽  
pp. 12-18
Author(s):  
Maylan Emilyani Dias Simon ◽  
Sarni Anggoro
Keyword(s):  
Nutritional Status ◽  
Community Health Center ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Work Area ◽  
Nutritional Status Of Children ◽  
And Behavior

Background: Malnutrition is one of the causes of morbidity and mortality in children under five years of age. Toddlers need nutrients in large quantities because of the rapid growth process. In 2017 there are 14% of children under five experiencing underweight. The national prevalence of nutritional problems among children under five in 2017 in the stunting category was 29.6% and underweight was 17.8% (Riskesdas, 2018). The malnourished sufferers of Piyungan Community Health Center work area are 3.8% and in Srimartani village there are 11.39% malnourished children under five. In addition, in the Sanansari Hamlet Posyandu in September there were 5.4% of children under five with underweight and stunting conditions. Research Objective: To find out the relationship between Knowledge and Behavior of Mother About Nutrition Conscious Family with Nutritional Status of Toddlers in Teratai Posyandu in Sanansari Village, Srimartani Village, Piyungan District, Bantul, D. I. Yogyakarta in 2018. Research Method: This research is a descriptive analytic research with cross sectional approach. The samples in this study were all toddlers in the Teratai Posyandu, which numbered 74 toddlers. The sampling technique is done by the Total Sampling technique. The statistical test used is to use Chi Square (x2). Results: Knowledge about Nutrition Conscious Family was partially in the good category (63.5%), the mother's behavior about Nutrition Conscious Family was partly in good category (90.5%), then there was a relationship between mother's knowledge and behavior about Nutrition Conscious Family at the Teratai Posyandu, Sanansari Hamlet, Srimartani, Piyungan, Bantul is characterized by a significant value of 0.050 and 0.00, respectively (P <0.05). Conclusion: There is a significant relationship between mother's knowledge and behavior about Nutrition Conscious Family and the nutritional status of children under five in Teratai Posyandu, Sanansari Hamlet, Srimartani, Piyungan, Bantul, Year 2018.  

scholarly journals RISK FACTORS OF STUNTING EVENTS IN CHILDREN IN THE WORKING AREA OF PANDAN PUBLIC HEALTH CENTER, SINTANG REGENCY

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Elvi Juliansyah Jamari ◽  
Agustini - Elisabet
Keyword(s):  
Risk Factors ◽  
Health Center ◽  
Statistical Tests ◽  
Community Health Center ◽  
Primary Data ◽  
Survey Method ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Work Area

Stunting is a nutritional problem seen from the inappropriate length or height according to age. Nutritional status was monitored through the TB / U index. From the data from the Puskesmas Pandanus, the prevalence of stunting is 31.71% in 2018 of the total 719 children under five. This research aims to determine the risk factors for stunting in the work area of the Pandan Community Health Center, Sintang District. This type of research is quantitative using a cross sectional approach with a population of mothers who have children under five as many as 719 and this sample is 257 mothers under five. The primary data collection tool used a questionnaire using a survey method for mothers of toddlers who were used as samples in this study to obtain primary data. The results of this study are based on statistical tests known that associated with the incidence of stunting in children under five is parenting (p = 0.011), tradition (p = 0.001), and access to information (p = 0.003). All parties related to the incidence of stunting in toddlers teach good parenting by reducing traditions that have an impact on the health of toddlers, and constantly convey the importance of toddler health for the future.

scholarly journals Correlation between Nutritional Status and Pneumonia among 6-59 Months Years Old in Tangerang, Banten

2020 ◽  
Author(s):  
Zico Permadi ◽  
◽  
Maria Ekawati ◽  
Citra Ayu Aprilia ◽  
◽  
...  
Keyword(s):  
Nutritional Status ◽  
Community Health Center ◽  
Cross Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Independent Variable ◽  
Weight For Age ◽  
Children Under 5

ABSTRACT Background: Pneumonia is still causing the most deaths among children in developing countries. This disesase often occurs in children under 5 years of age. Nutritional status is a factor that is closely related to infectious diseases such as pneumonia. This study aimed to examine the correlation between nutritional status and pneumonia among 6-59 months years old in Tangerang, Banten. Subject and Methods: A cross-sectional study was conducted at Pakuhaji Community Health Center, Tangerang, Banten, from January to February 2018. A total of 29 children under five were enrolled in this study. The dependent variable was pneumonia. The independent variable was nutritional status. The data were collected from direct measurement of the children under five and questtioner. The data were analyzed by Chi-square. Results: As many as 16 children under five (55.17%) had pneumonia, 7 children under five (24.13%) were malnutrition, 3 children under five (10.34%) were short, and 5 children under five (7.24%) were thin. Nutritional status based on weight for age and weight for height had differences in nutritional status with the incidence of pneumonia among children under five, and they were statistically significant (p< 0.001). Conclusion: Nutritional status is associate with the incidence of pneumonia among 6-59 months years old (children under five) in Tangerang, Banten. Keywords: pneumonia incidence rate, pneumonia, nutritional status, chidren under five Correspondence: Citra Ayu Aprilia. Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta. Email: [email protected]. Mobile: +628122090545. DOI: https://doi.org/10.26911/the7thicph.03.13

FAKTOR–FAKTOR YANG MEMPENGARUHI TUMBUH KEMBANG ANAK (USIA 4-6 TAHUN) DI 6 PAUD DESA KUALA DUA WILAYAH KERJA PUSKESMAS SUNGAI DURIAN

2021 ◽  
Vol 8 (1) ◽  
pp. 24-38
Author(s):  
Muhammad Arif Hendrawan ◽  
Andri Dwi Hernawan ◽  
Ismael Saleh
Keyword(s):  
Child Development ◽  
Health Center ◽  
Random Sampling ◽  
Developmental Disorders ◽  
Chi Square ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Child Development Disorders ◽  
Nutritional Status Of Children

Berdasarkan data situasi dan analisis gizi di Indonesia pada tahun 2017, status gizi balita diukur dengan indeks tinggi badan per umur (TB/U). Provinsi dengan persentasebalita pendek dan sangat pendek terbesar adalah Kalimantan Barat (32,5%) dan terendah adalah Sumatera Selatan (14,2%). Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor yang mempengaruhi tumbuh kembang anak usia 4-6 tahun di desa kuala 2 wilayah kerja Puskesmas Sungai Durian. Penelitian ini adalah penelitian observasional analitik dengan desain cross sectional. Populasi dalam penelitian ini berjumlah 242 orang. Sampel dalam penelitian ini berjumlah 69 orang anak usia 4-6 tahun, diambil menggunakan random sampling serta menggunakan uji statistik chi-square. Hasil penelitian menunjukan faktor yang berhubungan dengan pertumbuhan anak berdasarkan indikator TB/U, yaitu riwayat ASI eksklusif (p=0,004) berat badan lahir rendah (BBLR) (p=0,003), imunisasi dasar (p=0,000), penyakit infeksi (p=0,000). Sedangkan faktor yang tidak berhubungan dengan pertumbuhan anak berdasarkan indikator TB/U yaitu usia saat hamil (p=0,103). Serta terdapat hubungan yang signifikan antara pertumbuhan anak berdasarkan indikator TB/U dengan perkembangan anak (p=0,000).Saran kepada Puskesmas Sungai Durian untuk melakukan kegiatan sosialisasi di masyarakat serta membuat program khususnya tentang pentingnya deteksi dini gangguan tumbuh kembang anak, sehingga diharapkan dapat mengatasi gangguan tumbuh kembang anak di wilayah kerja puskesmas.   According to the Indonesian ministry of health, 2017 the nutritional status of children under five as measured by the height per age index, the province with the largest proportion of short and very short children under five is West Kalimantan (32.5% ) and the lowest was South Sumatra (14.2%). The purpose of this study was to determine the factors that influence the growth and development of children aged 4-6 years in Kuala Village 2, the working area of Sungai Durian Health Center. This study was an observational analytic study with a cross sectional design. The population in this study was probably 242 people. The sample in this study may be 69 children aged 4-6 years, taken using random sampling and using chi-square test statistics. The results showed the factors associated with growth based on the indicator of height / age, namely a history of exclusive breastfeeding (p = 0.004), low birth weight (LBW) (p=0.003), basic immunization (p=0.000), infectious diseases (p = 0.000). Meanwhile, the factor that was not related to children's growth based on the indicator of height / age was the age at pregnancy (p = 0.103). As well as the significant relationship variable between children's growth based on the indicator of height / age with child development (p=0.000) It is suggested to Sungai Durian Public Health Center to carry out socialization activities in the community and create a program specifically on the importance of early detection of child developmental disorders, so that it is hoped that it can overcome child development disorders in the working area of the puskesmas.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN PENGGUNAAN ANTIBIOTIKA UNTUK TERAPI PNEUMONIA

2020 ◽  
Vol 7 (1) ◽  
pp. 16
Author(s):  
Nita Pujianti ◽  
Lia Anggraini
Keyword(s):  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Sampling Technique ◽  
Dominant Factor ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Purposive Sampling ◽  
Under Five

ABSTRAKPneumonia merupakan penyebab banyak kematian balita di dunia. Selama tahun 2016 terdapat 568.146 (65,27%) jumlah kasus pneumonia pada balita yang ada di Indonesia. Berdasarkan data Dinas Kesehatan Provinsi Kalimantan Selatan tercatat kasus pneumonia tahun 2017 sebesar 66,52%, data tertinggi pada Puskesmas Beruntung Raya dengan angka 105 kasus (10,80%) di tahun 2017. Tujuan penelitian ini adalah untuk menganalisis faktor-faktor yang berhubungan dengan kepatuhan penggunaan antibiotika pada orang tua pasien anak yang terdiagnosa pneumonia di wilayah kerja Puskesmas Beruntung Raya serta menganalisa faktor yang paling dominan mempengaruhi. Penelitian ini menggunakan rancangan observasional analitik melalui pendekatan cross sectional. Populasi dalam penelitian ini adalah semua orang tua yang memeriksakan anaknya dalam satu tahun terakhir di Puskesmas Beruntung Raya. Sampel dalam penelitian ini berjumlah 77 responden ditentukan dengan teknik purposive sampling dan berlangsung selama 3 (tiga) bulan. Analisa data menggunakan uji chi square dan regresi logistik biner dan kuisioner sebagai Instrumen penelitian. Hasil penelitian menunjukkan bahwa terdapat hubungan antara kedisiplinan (p-value= 0,001), sugesti sembuh (p-value= 0,012), dan komunikasi (p-value= 0,025). Variabel kedisiplinan merupakan yang paling berpengaruh dominan terhadap kepatuhan penggunaan antibiotika, sehingga pasien yang disiplin lakan lebih patuh dalam meminum obat antibiotika daripada pasien yang tidak disiplin.Kata-kata kunci: Kepatuhan, pneumonia, kedisiplinan, sugesti sembuh, komunikasiABSTRACTPneumonia is the cause of many under-five deaths in the world. During 2016 there were 568,146 (65.27%) of the number of pneumonia cases in children under five in Indonesia. From the data of the South Kalimantan Provincial Health Office recorded pneumonia cases in 2017 amounted to 66.52%, the highest data in Beruntung Jaya Community Health Center with a number of 105 cases (10.80%) in 2017. The purpose of this study was to analyze the factors related by adhering to the use of antibiotics in the parents of pediatric patients with diagnosed with pneumonia in the work area of Beruntung Jaya Community Health Center and analysis the most dominant factor influencing. This study uses an observational analytic design through a cross sectional approach. The population in this study were all parents who had their children examined in the past year at Beruntung Raya Health Center. The sample in this study amounted to 77 respondents determined by purposive sampling technique and lasted for 3 (three) months. Data analysis using chi square test and binary logistic regression and questionnaires as research instruments. The results showed that there was a relationship between discipline (p-value= 0.001), recovery suggestions (p-value= 0.012), and communication (p-value= 0.025). Disciplinary variable is the most dominant influence on adherence to the use of antibiotics, so that disciplined patients are more obedient in taking antibiotic drugs than patients who are not disciplined.Key words: Compliance, pneumonia, discipline, healing suggestion, communication

scholarly journals Hubungan Riwayat Imunisasi dengan Status Gizi Balita

2020 ◽  
Vol 2 (3) ◽  
pp. 132-138
Author(s):  
Siti Nurhasiyah Jamil ◽  
Aning Subiyatin
Keyword(s):  
Nutritional Status ◽  
Health Center ◽  
Child Nutrition ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Under Five ◽  
Work Area ◽  
Nutritional Status Of Children ◽  
Relationship Of

The toddler period is a period that must be observed property, at this time the direction of child development will be determined for the next period. The purpose of this study was to study the immunization status of nutritional status in infants. The research design used was cross-sectional in the work area of Johar Baru Health Center, Jakarta Pusat, which was conducted from April–June 2019. The population of all children aged 6-59 months, while the study sample was infants with stunting of 105 respondents, which is data child nutrition in Health Center. Data processing and analysis using SPSS with Chi-Square statistical test, the confidence level of 95%. The results of variables related to the nutritional status of children under five are the relationship of immunization P value (0.004 OR and CI (0.173 (0.051-0.59). The conclusion of the variable related to the nutritional status of under-five children is immunization.

scholarly journals FAKTOR RISIKO STUNTING PADA BALITA

2021 ◽  
Vol 3 (1) ◽  
pp. 33-45
Author(s):  
Winarni Hamzah ◽  
Haniarti Haniarti ◽  
Rini Anggraeny
Keyword(s):  
Data Collection ◽  
Community Health ◽  
Health Center ◽  
Community Health Center ◽  
Sampling Technique ◽  
Survey Method ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
The World

Stunting is one of the nutritional problems experienced by toddlers in the world today. In 2017, 22.2% of children under five in the world were stunted. Indonesia is included in the third country with the highest prevalence in the Southeast Asia region, the prevalence of children under five with stunting in Indonesia in 2005-2017 was 36.4%. Aims to determine the risk factors for stunting in children under five in the working area of ​​the Baraka Community Health Center, Enrekang Regency. This study used the analytical survey method with the Cross Sectional Study approach using the simple random sampling technique, which means that the sample taken is where each element or member of the population has the same opportunity to be selected as the sample. The sample size in this study was taken using the Slovin formula. The location was carried out in the working area of ​​the Baraka Community Health Center, Enrekang Regency. The research time was 1 month. The sample in this study amounted to 94 people with the process of data collection and data collection was carried out by interview techniques. The results showed that exclusive breastfeeding (p = 0.002), complementary breastfeeding (p = 0.002) had a relationship with the incidence of stunting, while there was no relationship between LBW (p = 0.106), gestational age (p = 0.303), and maternal nutritional status ( KEK) (p = 0.229) with the incidence of stunting.

scholarly journals Hubungan Sanitasi Lingkungan dengan Stunting pada Anak Balita di Daerah Pesisir Pantai Puskesmas Tumalehu Tahun 2020

2021 ◽  
Vol 12 (2) ◽  
pp. 55-61
Author(s):  
Inamah Inamah ◽  
Rahwan Ahmad ◽  
Wahyuni Sammeng ◽  
Hairudin Rasako
Keyword(s):  
Health Center ◽  
Diarrheal Disease ◽  
Chi Square ◽  
Cross Sectional ◽  
Environmental Sanitation ◽  
Children Under Five ◽  
Under Five ◽  
Number Of Children ◽  
Poor Nutritional Status ◽  
Chi Square Test

Poor environmental sanitation will result in diarrheal disease which will later lead to infection and thus lead to malnutrition. In Indonesia, it is recorded that 7.8 million out of 23 million children under five are stunted or around 35.6%. Based on the Tumalehu Health Center report (November 2019), it shows that in 2019 the number of children under five was 1467 and those with poor nutritional status were 89 children (6.07%). The research objective was to analyze the relationship between environmental sanitation and stunting in children under five in the coastal area of Tumalehu Health Center. This research method is analytic observational with a cross-sectional approach, the number of samples is 313 toddlers. Data were analyzed using Chi Square Test. The results of the study using a bivariate test showed that there was a relationship between environmental sanitation, consisting of clean water facilities (p=0.014), SPAL (p=0.05) and waste disposal facilities (p=0.00) with the incidence of stunting (HAZ) in toddler. The conclusion from the research is that poor sanitation can contribute to nutritional problems, in this case a picture of past nutrition problems for children under five, which is indicated by stunting.

HUBUNGAN MOTIVASI IBU DAN PERAN KADER DENGAN KEAKTIFAN DALAM MENGIKUTI KEGIATAN POSYANDU BALITA DI WILAYAH KERJA PUSKESMAS ENAM LINGKUNG KABUPATEN PADANG PARIAMAN

2019 ◽  
Vol 8 (2) ◽  
pp. 183
Author(s):  
Renty Ahmalia ◽  
Rostri Zaelfi
Keyword(s):  
Health Center ◽  
Communication Networks ◽  
Sampling Technique ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Work Area ◽  
West Sumatra ◽  
Maternal Motivation ◽  
Cross Sectional Design

Coverage of visits to mothers of children under five in Indonesia in 2016 reached 80.01%, whereas in 2017 coverage of visits of mothers of toddlers to Posyandu declined to 79.34%. Provinces that were still relatively low in achievement were Gorontalo (57.6%), North Kalimantan (58.6%), South Kalimantan (59.4%), Papua (64.8%) and West Sumatra (76.8%). This research is a quantitative study with a cross sectional design or approach. The purpose of the study was to find out the relationship between maternal motivation and the role of cadres with activeness in participating in the activities of Posyandu toddlers in the work area of the Six Lingkung Health Center in Padang Pariaman District which was carried out in July 2019 with a sample of 62 respondents, a total sampling technique. The statistical test used is chi-square. The results of this study have a relationship between maternal motivation and activeness in participating in the Posyandu for toddlers in the area of the Six Lingkung Health Center in Padang Pariaman District (p value = 0.044). (p value = 0.023). It is hoped that the Puskesmas will remind cadres to increase their role, especially in disseminating information to mothers. Cadres need to create social networks or communication networks that can facilitate the delivery of information to mothers such as creating a special whattsapp group of mothers who have toddlers, so that with this group, cadres can easily convey information to all mothers who live in the Posyandu working area

scholarly journals HUBUNGAN MOTIVASI KADER POSYANDU DENGAN UPAYA PENINGKATAN KUNJUNGAN BALITA DI WILAYAH KERJA PUSKESMAS PAMATANG SILIMAHUTA

2019 ◽  
Vol 2 (1) ◽  
pp. 1-6
Author(s):  
Maria M U Girsang ◽  
Siti Marlina
Keyword(s):  
Community Health ◽  
Health Center ◽  
Health Workers ◽  
Community Health Center ◽  
P Value ◽  
Local Health ◽  
Children Under Five ◽  
Under Five ◽  
Work Area ◽  
Integrated Service

Motivation is defined as strength, encouragement, needs, enthusiasm, pressure, or psychological mechanisms that encourage someone or a group of people to achieve certain achievements in accordance with what people want. Integrated service post is one form of health services organized by the community for the community with technical support from local health workers. The purpose of this study was to determine the relationship between the motivation of integrated service postcadres and efforts to increase children under five year visits in the area in the Pamatang Silimahuta Community Health Center work area. The sample was 73 respondents using random sampling techniques. The design of this study used analytic survey research, using the Cross Sectional approach and data collected from respondents using questionnaire sheets. The results showed a relationship between integrated service post cadre motivation and efforts to increase children under five year visits in the Pamatang Silimahuta Community Health Center work area with p value = 0.007 smaller than 0.05. It was suggested to the relevant parties to give awards to cadres so that it could motivate integrated service postcadres to be more active so that it can increase children under five year visit to the integrated service post.

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