scholarly journals The Analysis of Stunting Incidence Factors in Toddlers Aged 23-59 Months in the Work Area of the Padang Tiji Community Health Center, Pidie Regency, 2020

2021 ◽  
Vol 2 (3) ◽  
pp. 642-649
Author(s):  
Fauziah Andika

Aceh is ranked third nationally for child stunting, behind East Nusa Tenggara (NTT) and West Sulawesi (Sulbar). Currently, he explained, the government is aggressively campaigning for the prevention and handling of stunting. This is because the prevalence of stunting for infants under five years of age (toddlers) in Indonesia in 2018 was 30.8%. Based on a report from Puskesmas Padang Tiji in 2018, there were 114 (18.4%) toddlers aged 23-59 months who experienced stunting, while in 2019 it increased to 138 (20.9%) toddlers with stunting. The purpose of this study was to analyze the incidence of stunting in children aged 23-59 months in the Padangtiji Community Health Center in 2020. This research method uses a case control approach. In the study, the control samples were toddlers who came to Posyandu who were randomly selected. The research sample was 50 cases and 50 controls, namely 1: 1. This research was conducted on December 10, 2020 to December 21, 2020. The statistical test used is the chi-square test by looking at the OR value and data analysis using univariate and bivariate analysis. The results of this study were the relationship between the incidence of stunting with exclusive breastfeeding (P = 0.016) (OR = 3.071), birth weight (P = 0.678), infectious diseases (P = 0.523) and birth spacing (P = 0.043) (OR = 2,421). The conclusion of this study is that there is a relationship between exclusive breastfeeding and birth spacing with the incidence of stunting in toddlers aged 23-59 months in the working area of Puskesmas Padang Tiji in 2020. The suggestions are expected to further improve health promotion in the form of counseling related to the causes and prevention of stunting in order to increase knowledge mothers regarding stunting and prevention related to infectious diseases in reducing morbidity that can lead to stunting.

2017 ◽  
Vol 13 (1) ◽  
pp. 7-12
Author(s):  
Fahrini Yulidasari ◽  
Fauzie Rahman ◽  
Puspa Rani

Exclusive breastfeeding is the most important nutrition for baby until 6 months old without any food or drinks addition. Based on Basic Health Research (Riskesdas) 2013, in Indonesia mother who exclusively breastfeeding her baby was still low only 38% while the government policy is targeting 80% in 2010. Furthermore, there was only 13,46% breastfeeding coverage in Sungai Ulin community health center in August 2015. The main factors that cause low exclusive breastfeeding coverage such as health worker support and culture of breastfeeding provision. The objective of this research is to determine correlation between health workers support and culture of breastfeeding with status of exclusive breastfeeding in the area of Sungai Ulin Community Health Center. This research used observational analytic method with case-control design, conducted in 2016. The sample in this study were mothers who have baby aged 6-12 months with 23 as cases (non-exclusive breastfeeding) and 46 as controls (exclusive breastfeeding) or the ratio of 1:2 was determined using the hypothesis test 2 proportion formula. The research used simple random samping technique using univariate and bivariate analysis with Chi-square test with 95% confidence level. The results showed there was correlation between health workers support (p-value = 0,013, OR = 6,271) and culture of exclusive breastfeeding provision (p-value = 0,0001, OR = 8,906) with status of exclusive breastfeeding.


2020 ◽  
Vol 7 (3) ◽  
pp. 161
Author(s):  
Dintya Ivantarina ◽  
Lina Ratnawati

<p><em>The utilization of postpartum maternal services in a complete manner in several regions still has not reached the target that has set by the government. Some factors that affect the coverage of comprehensive postpartum service is mother characteristics. The purpose of this research is to determine the characteristics of mothers who affect the low coverage of comprehensive postpartum service in the working area of Community Health Center of Kayen Kidul in Kediri Regency from January to August year 2019. This research was conducted in September 2019 in the working area of Kayen Kidul Community Health Center of in Kediri Regency. The design of the research used is analytical observational with a case control approach. The sampling techniques used are random sampling clusters. The samples in this study were mothers who had finished their postpartum period (more than 6 weeks to 9 months after giving birth). Independent variables are characteristic of mothers while dependent variables are coverage of the comprehensive postpartum service. Collection of data using data collection sheets with structured interview techniques and medical records in the form of maternal and child health books. Then the data is processed and analyzed univariate, bivariate and multivariate. Statistical results of bivariate statistics showed that the work (P = 0.023), pregnancy complications (P = 0.026), labor complications (P = 0.03) and the type of childbirth (P = 0.01) have an influence on the low coverage of comprehensive postpartum service. Multivariate statistical test results using binomial logistic regression obtained results in the omnibus table having P = 0.006 (P&lt;0.05) which means the model is worth analysed. The significance value in the Hosmer and Lemeshow Test table of 0.074 (p&gt;0.05) has the meaning of acceptable models and hypothesis testing can be performed. The value of Nagelkerke R Square 0.278 means the characteristic mother of age (P = 0.047) and the type of childbirth (P = 0.037) has an effect of 27.8% on the low coverage of the comprehensive postpartum service. The public health policy program should aim to improve the coverage of the comprehensive postpartum service by observing the characteristics of mothers in the region, namely the characteristics of maternal age and type of delivery</em></p><p> </p>


2018 ◽  
Vol 3 (1) ◽  
pp. 9
Author(s):  
Innana Mardhatillah ◽  
Yaslis Ilyas

Data and information on the health profile of Indonesia in 2016 showed only 29.5% of infants receive exclusive breastfeeding until 6 months, the low level of exclusive breastfeeding made the government issue a regulation on exclusive breastfeeding in Government Regulation Number 33 of 2012. The study aimed to analyze the policy implementation of exclusive breastfeeding at Cicalengka Community Health Center. The study used qualitative analysis with in-depth interview method, focus group discussion and literature study. The result of this study shows that breastfeeding policy implementation in health centers is not optimal, as seen from the low coverage of exclusive breastfeeding. Socialization of the policy has not been done as a whole, the time and task division is unclear and has no special budget and the standard operating procedures is not really used in carrying out the policy. Communication is the most influential factor in the implementation of the policy. There is no support and commitment from all employees in the implementation of exclusive breastfeeding policy. The suggestion is to consistently socialize to employees and the public, carry out supervision in an effort to secure the policy, run the Standard Operating Procedure (SOP), allocate budget activities in 2018, create a memorandum of understanding with other agencies, and Self-assessment and program evaluation absolutely must do continuously.


2019 ◽  
Vol 4 (2) ◽  
pp. 359
Author(s):  
Vina Novela ◽  
Listiani Kartika

<p><em>Malnutrition in pre-school childrenstill found in Guguk Panjang Community Health Center. This data can be found from Bukittinggi Health Office in 2017 which stated that 800 under-fives children had less nutrition. In Guguk Panjang Community Health Centerin 2017, malnutrition cases were found in 162 people. This study aims to find out some factors related to malnutrition in the Guguk Panjang Community Health Center in 2018. The type of this research was descriptive analytic with a cross sectional study design.. </em><em>The population in this reseacrh as many 1.106 population and 92 samples preschool-aged mothers</em><em>. Then, the samples were taken from purposive sampling technique. The data were analyzed by univariate and bivariate by using Chi-Square statistical test. The results of this research showed that 54.3% of them had high level of knowledge. Then, 52.2% of themhad poor parenting. Next, the mothers did not provide exclusive breastfeeding were around 63.0%. Moreover, based on bivariate analysis there was a relationship between knowledge p value 0.008), parenting (p value 0.001) history of exclusive breastfeeding with malnutrition (p value 0.021). In short, it can be concluded that there were some factors related to malnutrition in preschool children. They were knowledge, parenting, and exclusive breastfeeding history. Then, it is expected that the health workers provide more information about nutrition and education about good parenting for children and also provide brochures or leaflets about nutrition.</em></p><p><em><br /></em></p><p><em><em>Kasus gizi kurang pada anak pra sekolah masih ditemukan diwilayah kerja puskemas guguk panjang. Hal ini terlihat data dari dinas kesehatan kota bukittinggi mencatat bahwa pada tahun 2017 balita dengan gizi kurang sebanyak 800 orang. Puskesmas guguk panjang pada tahun 2017 mempunyai gizi kurang sebanyak 162 orang. Tujuan penelitian, untuk mengetahui faktor-faktor yang berhubungan dengan gizi kurang pada anak prasekolah. Jenis penelitian ini adalah deskriptif analitik dengan desain cross sectional study. Populasi dalam penelitian sebanyak 1.106 orang dengan sampel 92 orang ibu anak prasekolah. Teknik pengambilan sampel porposive sampling. Pengolahan data dengan analisisunivariat dan bivariat  menggunakan uji statistik Chi - Square.Hasil penelitian menunjukkan terdapat 54,3% tingkat pengetahuan tinggi. Ibu yang pola asuh kurang baik sebanyak 52,2% . Ibu yang tidak memberikan ASI Ekslusif sebanyak 63,0%. Dari uji statistik didapatkan ada hubungan bermakna antara pengetahuan dengan gizi kurang (p value 0,008). Ada hubungan antara pola asuh dengan gizi kurang (p value 0,001) dan ada hubungan antara riwayat pemberian ASI Eksklusif dengan gizi kurang (p value,021).Disimpulkan bahwa faktor yang berhubungan dengan gizi kurang pada anak prasekolah adalah pengetahuan, pola asuh, dan riwayat pemberian ASI Eksklusif</em></em></p><p><strong> </strong></p>


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Novita Andayani ◽  
Iflan Nauval ◽  
Trinita Sukma Zega

Abstrak. Infeksi Saluran Pernapasan Atas (ISPA) merupakan penyakit infeksi yang masih menjadi masalah kesehatan utama di Indonesia yang dapat disebabkan oleh berbagai macam virus yang menginfeksi tubuh balita dengan kekebalan tubuh yang masih lemah. Salah satu faktor yang dapat menyebabkan ISPA pada balita ialah pemberian ASI ekslusif. ASI ekslusif memiliki kandungan gizi dan sistem kekebalan yang melindungi balita dari infeksi. Tujuan penelitian ini adalah untuk mengetahui pengaruh pemberian ASI eksklusif terhadap kejadian ISPA pada balita di Wilayah Kerja Puskesmas Kopelma Darussalam.  Variabel dalam penelitian ini diukur dengan menggunakan kuisioner pemberian ASI ekslusif pada balita. Metode penelitian ini adalah analitik observasional dengan rancangan cross sectional. Jumlah sampel sebanyak 63 balita diambil dengan teknik Non Random (Non Probability) Sampling dengan metode Accidental sampling. Analisis statistik yang digunakan adalah uji Chi-Square. Data penelitian menunjukkan balita yang diberikan ASI ekslusif sebesar 30,2% dan balita yang mengalami kejadian ISPA sebesar 82,5%. Hasil penelitian ini didapatkan bahwa p-value =0,008 yang menunjukkan adanya pengaruh pemberian ASI eksklusif terhadap kejadian ISPA pada balita di Wilayah Kerja Puskesmas Kopelma Darussalam. Balita yang tidak mendapatkan ASI ekslusif lebih banyak mengalami kejadian ISPA.Kata kunci: Air Susu Ibu (ASI) esklusif, ISPA, balitaAbsrtact. Acute Respiratory Infections (ARI) is an infectious disease that still a major health problem in Indonesia which can be caused by various viruses that infect the bodies of infants with weak immune bodies. One factor that can cause ARI in infants is exclusive breastfeeding. Exclusive breastfeeding has nutritional and immune systems that protect infants from infection. This research aims to determine the effect of exclusive breastfeeding on the incidence of ARI in infants in the Community Health Center Kopelma Darussalam. These variables measured by exclusive breastfeeding questionnaire in infants respectively . The type of the research is analytical observational study with cross sectional  design. The samples is 63 infants who are taken by Accidental sampling. The statistical analysis of the research were analyzed using Chi-Square test. The result of the research showed that 30.2% infants who were given exclusive breastfeeding and 82,5% infants who experienced ARI events. The conclusion of this study shows p-value=0,008 that the influence of exclusive breastfeeding on the incidence of ARI in infants in the Community Health Center Kopelma Darussalam . The Infants who do not get exclusive ASI experience more ARI events. Key words: exclusive breastfeeding, ARI, infants


2019 ◽  
Vol 7 (1) ◽  
pp. 13-18
Author(s):  
Avilia Chandrawita ◽  
Kuswardani Susari P ◽  
Hidayati Hidayati

Background of the study: Exclusive breastfeeding is only receives breastmilk without any addition of other liquids or foods before reaching 6 months of age, where exclusive breastfeeding is the best source of nutrition and contains important nutrients that affect on the growth and the development of teeth eruption in infants. Objective: This study intended to find out the relationship of giving exclusive breastfeeding with the eruption of deciduous teeth in infants age 6-36 months at Integrated Service Post (Posyandu) in the working area of Tanah Garam Community Health Center. Method: This study used observational anaysis method with cross-sectional design. The sample taken by using Random Sampling technique in infants age 6-36 months at Integrated Service Post (Posyandu) in the working area of Tanah Garam Community Health Center as many as 95 infants. Data retrieval was carried out by interview using a questionnaire and then performed dental eruption examination. Data analysis used Chi-Square test. Result: The result of univariate analysis obtained that most of infants age6-36 months at Integrated Service Post (Posyandu) in the working area of Tanah Garam Community Health Center receive exclusive breastmilk and timing of teeth eruption on time. The result of bivariate analysis obtained p value < 0,05. Conclusion: There is significant relationship between the giving of exclusive breastfeeding with the eruption of deciduous teeth in infants age 6-36 months at Integrated Service Post (Posyandu) in the working area of Tanah Garam Community Health Center.


2020 ◽  
Vol 4 (2) ◽  
pp. 157-168
Author(s):  
Nur Afrinis ◽  
Indrawati Indrawati ◽  
Noni Haspriyanti

ABSTRACT Exclusive breastfeeding for infants aged 0-6 months has a major contribution to optimal growth and development and immunity of infants. Mother and family play an important role in exclusive breastfeeding. The purpose of this study was to analyze the relationship between maternal knowledge about lactation management and family support with exclusive breastfeeding for infants aged 0-6 months in the work area of the Senapelan Community Health Center in 2020. This type of research is a quantitative study with a cross sectional design. The study was conducted on April - June 2020 with a total sample of 38 primiparous mothers who had babies aged 6-12 months which were obtained using purposive sampling technique. Data collection using a questionnaire. The data analysis used was univariate and bivariate analysis with the Chi Square test. The results of univariate analysis showed that 20 respondents (52.6%) had less knowledge about lactation management, 24 respondents (63.2%) did not get support from their families and 21 respondents (55.3%) did not exclusively breastfeed babies aged 0- 6 months. The results of the Chi Square test showed a relationship between maternal knowledge about lactation management (p value = 0.024) and family support (p value = 0.029) with exclusive breastfeeding for infants aged 0-6 months. There is a significant relationship between maternal knowledge about lactation management and family support with exclusive breastfeeding for infants aged 0-6 months in the working area of the Senapelan Community Health Center in 2020. Pregnant women and breastfeeding mothers should actively participate in counseling activities and practices in increasing knowledge about lactation management. and health workers actively socialize to the community so that families can support exclusive breastfeeding, especially for primiparous mothers. Kata kunci: Exclusive breastfeeding, family support, lactation management, maternal knowledge ABSTRAK Pemberian ASI eksklusif pada bayi usia 0-6 bulan memiliki kontribusi yang besar terhadap tumbuh kembang optimal dan daya tahan tubuh bayi. Ibu dan keluarga berperan penting dalam pemberian ASI eksklusif. Tujuan penelitian ini untuk menganalisis hubungan pengetahuan ibu tentang manajemen laktasi dan dukungan keluarga dengan pemberian ASI eksklusif pada bayi usia 0-6 bulan di wilayah kerja Puskesmas Senapelan tahun 2020. Jenis penelitian adalah penelitian kuantitatif dengan desain cross sectional. Penelitian dilakukan pada tanggal 29 Mei-9 Juni 2020 dengan jumlah sampel 38 orang ibu primipara yang memiliki bayi usia 6-12 bulan diperoleh menggunakan teknik purposive sampling. Pengumpulan data menggunakan kuesioner. Analisa data yang digunakan adalah analisa univariat dan bivariat dengan uji Chi Square. Hasil analisa univariat diperoleh 20 responden (52,6%) memiliki pengetahuan kurang tentang manajemen laktasi, 24 responden (63,2%) tidak mendapat dukungan dari keluarga dan 21 responden (55,3%) tidak memberikan ASI eksklusif pada bayi usia 0-6 bulan. Hasil uji Chi Square ada hubungan antara pengetahuan ibu tentang manajemen laktasi (p value = 0,024) dan dukungan keluarga (p value = 0,029) dengan pemberian ASI eksklusif pada bayi usia 0-6 bulan. Terdapat hubungan yang signifikan antara pengetahuan ibu tentang manajemen laktasi dan dukungan keluarga dengan pemberian ASI eksklusif pada bayi usia 0-6 bulan di wilayah kerja Puskesmas Senapelan tahun 2020. Ibu hamil dan ibu menyusui agar aktif mengikuti kegiatan penyuluhan dan praktik dalam meningkatkan pengetahuan tentang manajemen laktasi dan petugas kesehatan aktif melakukan sosialisasi kepada masyarakat sehingga keluarga dapat mendukung pemberian ASI eksklusif khususnya pada ibu primipara


2020 ◽  
Vol 8 (E) ◽  
pp. 601-605
Author(s):  
Lia Lajuna ◽  
Maharani Maharani ◽  
Kartinazahri Kartinazahri ◽  
Noviyanti Noviyanti ◽  
Yusnaini Yusnaini ◽  
...  

BACKGROUND: Exclusive breastfeeding for babies from birth to 6 months is still not in accordance with the expected target. This happens because there are many factors that influence and are the background of the success of exclusive breastfeeding in the working area of the Samatiga Public Health Center in West Aceh Regency, Indonesia. AIM: Analyzing the non-efficacy factors of exclusive breastfeeding in the Community Health Center Work area in Samatiga, West Aceh District, Indonesia. METHODS: The study design used cross-sectional which was successfully carried out in September–December 2019 involving a population of breastfeeding mothers with infants aged between 7 and 12 months in the Samatiga Community Health Center, West Aceh District. The determination of the sample was chosen by purposive sampling technique to 98 breastfeeding mothers. The data analysis uses univariate and bivariate using Chi-square statistical test. RESULTS: Based on the Chi-square correlation test, there was a significant relationship between the knowledge of breastfeeding mothers and the failure of exclusive breastfeeding (0.000 < α _0.005, RP = 39.952), breast problems (0.000 < α _0.005), RP = 39.8000), and maternal occupation ([0.000 < α _0.005], RP = 3.878). The role of health workers (0.000 < α _0.005), RP = 2.18333, maternal health history (p = 0.000 < α _(0.05), RP = 33.000), infant health history (0.000 < α _0.005), RP = 92.400, and myths develop in the community (0.000 < α _0.005), RP = 252.000. CONCLUSION: Factors related to the failure of exclusive breastfeeding in the work area of the Samatiga Health Center, West Aceh Regency include knowledge of breastfeeding mothers, breast problems, maternal work, the role of health workers, maternal health history, child health history, and myths that was developed in the community.


2018 ◽  
Vol 6 (1) ◽  
Author(s):  
Erike Yunicha Viridula

ABSTRAKGangguan pertumbuhan bayi pada usia dini menyebabkan bayi diberikan MP-ASI terlalu dini dan ibunya tidak memberikan ASI eksklusif selama 6 bulan pada awal kehidupan bayi. Dari hasil studi pendahuluan pada bayi berusia 6-11 bulan yang mendapatkan ASI eksklusif hampir sepenuhnya meragukan perkembangan. Jika ini terus berlanjut, bayi tidak dapat berkembang dengan baik di usia berikutnya. Tujuan penelitian ini untuk mengetahui perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan kecamatan Durenan Trenggalek tahun 2017.Desain penelitian ini adalah studi inferensial dengan pendekatan cross sectional. Sampel yang diambil dalam penelitian ini adalah ibu dengan bayi 6-11 bulan pada bulan Oktober di Puskesmas kecamatan kecamatan Durenan Trenggalek pada tahun 2017 berjumlah 40 responden yang diambil menggunakan metode probability sampling dari jenis sistem simple random sampling. Data dianalisis dengan analisis univariat bahwa distribusi frekuensi variabel independen dan dependen dan analisis bivariat menggunakan Mann-Whitney U.Hasil penelitian menunjukkan bahwa dari 20 responden 95% yang mendapatkan ASI eksklusif memiliki perkembangan yang sesuai, 5% memiliki perkembangan yang meragukan, 0% mengalami gangguan perkembangan. Sementara 20 responden diberi 40% menyusui non eksklusif memiliki perkembangan yang sesuai, 60% memiliki perkembangan yang meragukan, dan 0% mengalami gangguan perkembangan. Hasil analisis statistik menunjukkan ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapat ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017.Jadi dapat disimpulkan bahwa ada perbedaan perkembangan pada bayi usia 6-11 bulan yang mendapatkan ASI eksklusif dan ASI non eksklusif di Puskesmas kecamatan Durenan Trenggalek tahun 2017. Sehingga diharapkan bayi mendapat ASI eksklusif selama 6 bulan pertama dan dilanjutkan hingga 2 tahun dengan makanan pendamping (MP-ASI).Kata kunci : ASI eksklusif, ASI tidak eksklusif, pengembangan ABSTRACTDisorder of Infant growth in early life caused baby are given Complementary feeding (MP-ASI) too early and the mother didn’t give exclusive breastfeeding for 6 months in early life of baby. From the results of preliminary studies in infants aged 6-11 months who get non exclusive breastfeeding had almost entirely dubious developments. If this continues, the baby can’t develop properly in the next age. The purpose of this study to determine development differences in infants aged 6-11 months who get exclusive breastfeeding  and non- exclusive breasfeeding in community health center sub district Durenan Trenggalek district in 2017. The design of this study is inferential study with cross sectional approach.  Samples which taken in this study were mothers with infants 6-11 months in October in community health center sub district Durenan Trenggalek district in 2017 amounted to 40 respondents drawn using probability sampling method of the type system simple random sampling.  Data were analyzed by univariate analysis that the frequency distribution of independent and dependent variables and bivariate analysis using Mann-Whitney U. The results showed that of the 20 respondents 95% who get exclusive breastfeding had appropriate development, 5% had dubious developments, 0% had disorder development. While 20 respondents were given 40% non exclusive breastfeeding had appropriate development, 60% have dubious development, and 0% had disorder development. Statistical analysis showed there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017. So can be concluded that there are differences development in infants aged 6-11 months who get exclusive breastfeeding and non-exclusive breasfeeding in community health center sub district Durenan Trenggalek in 2017.So expected the babies got exclusive breastfeeding for the first 6 months and continued to 2 years with complementary foods (MP-ASI).Key Words : exclusive breastfeding, non exclusive breastfeding, development


2022 ◽  
Vol 3 (1) ◽  
pp. 202-208
Author(s):  
Balqis Dwiyanti Haedar ◽  
Rauly Ramadhani ◽  
Andi Sitti Rahma

Exclusive breastfeeding is a condition in which infants are only given breast milk without the addition of other fluids and foods. until the baby reaches 6 months old. Breast milk strengthen the immune system in infants so they can avoid various diseases including diarrhea. This study aims to determine the relationship between exclusive breastfeeding and the incidence of diarrhea in infants aged 0-6 months in the Sudiang Community Health Center. This research is an analytical survey research with a cross-sectional design. This research was conducted at the Sudiang Health Center, Makassar City in the period November 1st to December 31st, 2019. The total respondents were 89 mothers with babies aged 0-6 months. The results showed that most of the respondents were mothers with male babies (61%), most of the mothers' education was high school graduates (46%), housewives (75%) with low economic background (56%). Exclusive breastfeeding related to the incidence of diarrhea in children aged 0-6 months in the Sudiang Community Health Center with a value of p <0.05 (p = 0.001). In addition, no significant relationship on maternal nipple hygiene to diarrhea in children aged 0-6 months p <0.05 (p = 0.075). In conclusion, this study showed there is a relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center. There is a relationship between hand hygiene and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center, Makassar.


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