Factors related to the exclusive breastfeeding in the working area of PHC Poasia, Kendari City

Introduction: Inadequate exclusive breastfeeding is responsible for more than 236,000 child deaths each year and significantly increases the risk of death in infancy and childhood. While the COVID-19 Pandemic continues, this should not be a barrier for breastfeeding mothers to breastfeed their babies. This study aims to analyze the factors related to exclusive breastfeeding during the COVID-19 pandemic in the working area of the Poasia Health Center, Kendari City. Methods: This cross-sectional study involves 100 participants in the working area of the Poasia Public Health Center, Kendari City. The dependent variable in this study was exclusive breastfeeding during the COVID-19 pandemic, while the independent variables were age, employment status, education level, parity, family support, and support from health workers. Data analysis was carried out in stages, including univariate, bivariate, and multivariate analysis. Results: The results showed a relationship between parity (p-value = 0.006), family support (p-value = 0.001), and support from health workers (p-value = 0.003) with exclusive breastfeeding in the working area of the Poasia Health Center, Kendari City. At the same time, age (p-value = 0.524), status, occupation (p-value = 0.452), and education level (p-value = 0.708) are not related. The results of multivariate analysis using logistic regression showed that family support was most associated with exclusive breastfeeding (Exponent (B) = 8.549). Conclusions: The lower the mother's parity, the more likely she is to give exclusive breastfeeding. Good and maximal family and staff support will stimulate the mother to give exclusive breastfeeding.

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DETERMINANTS OF BREASTFEEDING EXCLUSIVE IN THE WORKING AREA OF RUMBIA HEALTH CENTER, BOMBANA REGENCY: A CROSS SECTIONAL STUDY

NSC Nursing ◽

10.32549/opi-nsc-53 ◽

2021 ◽

pp. 1-19

Author(s):

Asnidawati Asnidawati ◽

Wa Ode Salma ◽

Adius Kusnan

Keyword(s):

Health Center ◽

Family Support ◽

Exclusive Breastfeeding ◽

Health Workers ◽

Cross Sectional Study ◽

World Health ◽

P Value ◽

Cross Sectional ◽

Significance Level ◽

Health Organization

Background: Breast’s milk is an excellent food for the growth and development of infants. The United Nations Children's Funds (UNICEF) and the World Health Organization (WHO) recommend that children only be exclusively breastfed for six months and continued until two years. This study analyzes the effect of family support, health workers, and socio-culture on exclusive breastfeeding in the working area of the Rumbia Health Center, Rumbia District, Bombana Regency. Methods: This study involved 86 mothers who had babies aged 0-6 months who were registered and domiciled in the working area of the Rumbia Health Center spread over 4 Kelurahan and 1 Village, which were selected by purposive sampling using a cross-sectional design from February to April 2021. Data analysis using odds ratio (OR) and logistic regression at significance level < 0.05. Results: The largest age group in the range of 20-35 years, as many as 68 people (79.1%), undergraduate as many as 32 people (37.2%), and income above Rp. 2.552.014, - / month as many as 60 people (69.8%). The results showed an effect of family support on exclusive breastfeeding (p = 0.002<0.05). There is no influence of socio-cultural factors on exclusive breastfeeding (p = 0.282>0.05) and the results of multivariate analysis of the most dominant variables associated with exclusive breastfeeding in the working area of Rumbia Health Center District Rumbia Bombana Regency is supported by health workers with an OR = 9.199 (p-value = 0.039<0.05). Conclusions: This study concludes that the support of health workers plays a very important role in exclusive breastfeeding to infants aged six months, which can impact improving the health of toddlers. Keywords: Determinant, breastfeeding exclusive, toddler, mother

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Analysis of Exclusive Breastfeeding Factors for Infants in Gogagoman Village

MIRACLE Journal Of Public Health ◽

10.36566/mjph/vol4.iss1/215 ◽

2021 ◽

Vol 4 (1) ◽

pp. 1-11

Author(s):

Strahmawati Hamzah

Keyword(s):

Family Support ◽

Exclusive Breastfeeding ◽

Health Workers ◽

Sampling Technique ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

P Value ◽

Maternal Knowledge ◽

Formula Milk ◽

Cross Sectional

WHO stated that 53% of cases were recorded as acute pneumonia, 55% of cases were recorded as deaths due to diarrhea, this was because the mother did not exclusively breastfeed. In Indonesia, the coverage rate of breastfeeding is still quite low, only 54,3%. The purpose of this study was to analyze the factors associated with exclusive breastfeeding in Gogagoman Village. This type of research is an analytic observational with a cross sectional study approach. The number of samples in this study were 122 mothers with simple random sampling technique, data were collected using a questionnaire through interviews and analyzed using the chi square test (α = 0,05). The results showed that there was a relationship between maternal knowledge p-value = 0.012, there was a relationship with maternal attitudes p-value = 0,000, there was a relationship with family support p-value = 0,005, there was a relationship between support for health workers, p-value = 0,000, and there was a relationship between promotion of formula milk p-value = 0,000 with exclusive breastfeeding for babies. In conclusion, the factors related to exclusive breastfeeding for babies in Gogagoman Village are knowledge, attitudes, family support, support for health workers and promotion of formula milk.

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Faktor-Faktor Status Gizi Kurang Pada Anak Usia Prasekolah di Wilayah Kerja Puskesmas Guguk Panjang Kota Bukittinggi

Jurnal Endurance ◽

10.22216/jen.v4i2.4021 ◽

2019 ◽

Vol 4 (2) ◽

pp. 359

Author(s):

Vina Novela ◽

Listiani Kartika

Keyword(s):

Community Health ◽

Health Center ◽

Exclusive Breastfeeding ◽

Health Workers ◽

Community Health Center ◽

Cross Sectional Study ◽

Bivariate Analysis ◽

P Value ◽

Sectional Study ◽

Cross Sectional

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.. The population in this reseacrh as many 1.106 population and 92 samples preschool-aged mothers. 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. 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

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Determinan Pelaksanaan Inisiasi Menyusu Dini

Kesmas National Public Health Journal ◽

10.21109/kesmas.v8i3.350 ◽

2013 ◽

Vol 8 (3) ◽

pp. 99 ◽

Cited By ~ 1

Author(s):

Saifuddin Sirajuddin ◽

Tahir Abdullah ◽

Sutriyani N Lumula

Keyword(s):

Multivariate Analysis ◽

Family Support ◽

Exclusive Breastfeeding ◽

Nutrient Deficiency ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

P Value ◽

Breastfeeding Initiation ◽

Chi Square ◽

Cross Sectional

Inisiasi Menyusu Dini (IMD) adalah salah satu program Departemen Kesehatan Republik Indonesia, yang memberikan rangsangan awal dimulai pemberian Air Susu Ibu (ASI) secara dini, dan diharapkan berkelanjutan selama enam bulan pertama. Kegagalan IMD dan pemberian ASI eksklusif pada periode tersebut, berpotensi menimbulkan defisiensi zat gizi pada bayi, serta memungkinkan terjadi status gizi kurang, yang berujung pada penurunan poin kecerdasan intelektual bayi, dan menjadi ancaman terhadap sumber daya manusia Indonesia peda masa mendatang. Penelitian ini bertujuan mengetahui pengaruh faktor determinan pendidikan, pengetahuan, sikap ibu, tindakan bidan dan dukungan keluarga) terhadap Pelaksanaan IMD. Desain penelitian yang digunakan adalah potong lintang, populasi adalah ibu yang bersalin di Puskesmas Tilamuta, Kabupaten Boalemo. Sampel sebanyak 215 orang ditentukan secara acak sederhana. Analisis data dilakukan secara univariat, bivariat dengan uji kai kuadrat dan analisis multivariat dengan regresi linier ganda. Hasil penelitian menunjukkan bahwa terdapat tiga variabel yang berkontribus meliputi dukungan keluarga, pendidikan, tindakan bidan (nilai p < 0,05). Variabel dukungan keluarga, pendidikan dan tindakan bidan adalah determinan penting, sedangkan variabel dukungan keluarga adalah determinan utama terhadap pelaksanaan IMD.Early Breastfeeding Initiation (IMD) is Indonesian’s Ministry of Health program, which is intended to provide early stimulation start of breastfeeding, and expected to sustained during the first six months (exclusive breastfeeding). IMD failure and exclusive breastfeeding during this period, potentially causing nutrient deficiency in infants, and allow the malnutrition status, which led to the decline of infant IQ points, and a threat to Indonesia’s human resource in the future. This study aims to determine the determinant factors (education, knowledge, attitude mother, midwife, and family support measures) of implementation of IMD. The study design was cross sectional study, population was mothers who delivered at health centers Tilamuta, Boalemo district. Sample as many as 215 drawn by simple random sampling. Data analysis was performed using univariate, bivariate by chi square test and multivariate analysis using multiple logistic regression. The results of the study showed that there were a relation between education, knowledge, mother attitude, midwife action, and family support with the implementation of IMD (p value < 0.05). Multivariate analysis showed that vari- able family support, education, and midwife action contribute to the implementation of the IMD (p value < 0.05), and family support give the highest contribution. Family support, education and midwife action are an important determinant, whereas family support is the main determinants of the implementation of IMD.

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Determinants of Exclusive Breastfeeding: A Cross Sectional Study in the Work Area of Bulili Public Health Center in South Palu, Palu City

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2021.6181 ◽

2021 ◽

Vol 9 (E) ◽

pp. 566-573

Author(s):

Muhammad Rizki Ashari ◽

Nur Asri Zuhria ◽

Bambang Dwicahya

Keyword(s):

Health Center ◽

Family Support ◽

Exclusive Breastfeeding ◽

Government Regulation ◽

Health Workers ◽

Cross Sectional Study ◽

Sectional Study ◽

Formula Milk ◽

Cross Sectional ◽

Work Area

BACKGROUND: Breastfeeding has an important role in maintaining the health and survival of babies because when they are exclusively breastfed, they will have a good immune system compared to babies who are not exclusively breastfed. Exclusive breastfeeding in Indonesia is regulated in Government Regulation Number 33 of 2012 concerning Exclusive Breastfeeding which explains that breast milk is given to babies from birth for 6 months, without being added or replaced with other foods/drinks. This is emphasized in Article 6 of Government Regulation Number 33 of 2012 concerning Exclusive Breastfeeding, that every mother who gives birth is obliged to provide Exclusive Breastfeeding for her baby unless there is a medical indication that makes it impossible for a mother to breastfeed, or the mother is separate from the baby. Data from the Palu City Health Office shows that the lowest amount of exclusive breastfeeding is in the Bulili Community Health Center with a proportion of 37.17%. AIM: The aim of this study is to find out the Determinants of Exclusive Breastfeeding in the work area of Bulili Public Health Center. MATERIALS AND METHODS: This research used a quantitative method with cross-sectional study approach, and simple random sampling method. The population in this study was all mothers who had babies aged 0–6 months with a total sample of 103 respondents. Data collection was carried out using a questionnaire using a Likert scale for the variables of exclusive breastfeeding and the Guttman scale for the variables of maternal employment status, family support, health workers support, and policy. RESULTS: Data were analyzed using univariate and bivariate analysis. Chi-square test results summarizes the following: maternal work (p = 0.434), formula milk promotion (p = 0.029), family support (p = 0.019), health workers support (p = 0.572), and policy (p = 0.001). Mothers who have babies aged 0–6 months are obliged to fulfill the children’s rights, which is to provide exclusive breastfeeding for 6 months without providing any other foods/drinks such as water, bananas, honey, or formula milk. CONCLUSION: Mother’s occupation and formula milk promotion are not related to exclusive breastfeeding, while variables such as supports from families, health workers, and policy are related to exclusive breastfeeding.

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THE CHILDBIRTH UTILIZATION IN HEALTH FACILITIES IN THE WORKING AREA OF SUNGAI LOKAN PHC TANJUNG JABUNG TIMUR REGENCY: A CROSS SECTIONAL STUDY

NSC Nursing ◽

10.32549/opi-nsc-54 ◽

2021 ◽

pp. 20-33

Author(s):

Lia Artika Sari ◽

Yuli Suryanti ◽

Enny Susilawati

Keyword(s):

Health Center ◽

Family Support ◽

Health Workers ◽

Community Health Center ◽

Cross Sectional Study ◽

Health Facilities ◽

Service Access ◽

Cross Sectional ◽

Family Culture ◽

Work Area

Introduction: The low number of deliveries assisted by midwives or health workers is an indicator of the low utilization of health facilities by mothers in labor. This study analyzes the factors related to the utilization of childbirth in health facilities in the Sungai Lokan Community Health Center Work Area, Tanjung Jabung Timur Regency. Materials and Methods: This research is an analytic observational using a cross-sectional approach involving 74 participants. The research was conducted from January to July 2019 in the Sungai Lokan Health Center Work Area, Tanjung Jabung Timur Regency. Results: The results showed that the factor of the utilization of childbirth in health facilities was related to family culture (p = 0.0001) and family support (p = 0.003), while the service access factor was not related (p = 0.364). Conclusion: The role of health workers in socializing the importance of utilizing health facilities as a place of delivery is significant in reducing maternal mortality Keywords: Health Facilities; Family Culture; Family Support; Access To Services

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Determinan Kepatuhan Minum Obat Pasien Tuberkulosis Paru

Jurnal Kesmas Asclepius ◽

10.31539/jka.v1i2.919 ◽

2019 ◽

Vol 1 (2) ◽

pp. 176-185

Author(s):

Christine Vita Gloria ◽

Zulmeliza Rasyid ◽

Sherly Vermita W ◽

Elmia Kursani ◽

Bizanti Umayyah

Keyword(s):

Pulmonary Tuberculosis ◽

Health Center ◽

Family Support ◽

Health Workers ◽

Treatment Compliance ◽

P Value ◽

Cross Sectional ◽

Tuberculosis Patients ◽

Lung Tuberculosis

This study aims to see whether the determinants are related to treatment compliance for pulmonary tuberculosis patients at the 2019 health center. This type of research is a quantitative observational cross-sectional design. The results showed that with a P value of 0.05, there was a significant relationship between knowledge (P value = 0.005 and POR = 14.276), attitudes (P value = 0.506 and POR = 1.615), family support (P value = 0.038 and POR = 1,961), the role of health workers (P values = 0.026 and POR = 4.440), with medication adherence for pulmonary tuberculosis patients. Conclusions, of the 4 variables there are 3 variables related to adherence to taking pulmonary TB drugs in the Work Area of the Siak Hulu II Health Center, namely knowledge, family support, and the role of health workers and 1 unrelated variable, attitude. Keywords: Obedience, Medicine, Lung Tuberculosis

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Analisis Perilaku Pemberian ASI Eksklusif Di Puskesmas Bekasi

Gorontalo Journal of Public Health ◽

10.32662/gjph.v3i1.850 ◽

2020 ◽

Vol 3 (1) ◽

pp. 23

Author(s):

Erlina Puspitaloka Mahadewi ◽

Ade Heryana

Keyword(s):

Health Center ◽

Family Support ◽

Exclusive Breastfeeding ◽

Random Sampling ◽

Health Workers ◽

Knowledge Work ◽

Sampling Technique ◽

Simple Random Sampling ◽

Work And Family ◽

Cross Sectional

UNICEF and WHO data showed that exclusive breastfeeding can reduce infant morbidity and mortality by 88%. The coverage of exclusively breastfeeding infants was 61.33%, the highest percentage was in West Nusa Tenggara (87.35%) and the lowest percentage was in Papua (15.32%). Exclusive breastfeeding is given when the baby is born until the age of 6 months. In Indonesia there are 31.36% of 37.94% of children sick because they do not receive exclusive breastfeeding. Aim of this study to determine the relationship of knowledge, work, and family support with the behavior of exclusive breastfeeding health center working area Bekasi City. This study was a cross sectional approach with a sample of 130 respondents. The sampling in this study using simple random sampling technique, analyzed by the chi square test conducted in July 2019 to April 2020. Results of this study there were 96 respondents (73.8%) mothers who did not provide exclusive breastfeeding and 34 resondents (26.2%) mothers who give exclusive breastfeeding to their babies. There was a significant relationship between knowledge (p = 0,000 and PR = 1,588), employment (p = 0,000 and PR = 1,995), family support (p = 0,001 and PR = 1,514) with exclusive breastfeeding health center working area Bekasi. It was concluded that knowledge, employment, and family support were related to exclusive breastfeeding. It was recommended for health workers to create innovations and new programs to increase exclusive breastfeeding, and in the family level should provide support for exclusive breastfeeding practices.Berdasarkan data UNICEF dan juga data WHO pemberian ASI eksklusif dapat menurunkan angka kesakitan dan kematian bayi lebih dari 88%. Cakupan bayi yang mendapat ASI eksklusif sebesar 61,33%, persentase tertinggi terdapat pada Nusa Tenggara Barat (87,35%) dan persentase terendah terdapat di Papua (15,32%). ASI eksklusif diberikan saat bayi mulai dilahirkan sampai pada usia 6 bulan. Di Indonesia terdapat 31,36% dari 37,94% anak yang sakit dikarenakan tidak dapat menerima ASI eksklusif. Penelitian ini bertujuan mengetahui hubungan pengetahuan, pekerjaan dan dukungan keluarga dengan perilaku pemberian ASI eksklusif di wilayah kerja Puskesmas Bekasi. Penelitian menggunakan pendekatan cross sectional, dengan besar sampel sebanyak 130 responden. Pengambilan sampel pada penelitian ini menggunakan teknik simple random sampling, dan analisis data menggunakan uji chis-quare yang dilakukan pada bulan Juli 2019 sampai April 2020. Hasil penelitian terdapat 96 (73,8%) ibu yang tidak memberikan ASI eksklusif dan 34 responden (26,2%) yang telah memberikan ASI eksklusif kepada bayinya. Terdapat hubungan yang signifikan antara pengetahuan (p = 0,000 dan PR = 1,588), pekerjaan (p = 0,000 dan PR = 1,995) dan dukungan keluarga (p = 0,001 dan PR = 1,514) dengan perilaku pemberian ASI eksklusif di wilayah kerja Puskesmas Kota Bekasi. Disimpulkan bahwa pengetahuan, pekerjaan, dan dukungan keluarga berhubungan dengan pemberian ASI eksklusif. Disarankan untuk petugas kesehatan membuat inovasi dan program baru untuk meningkatkan pemberian ASI eksklusif, dan pada tingkat keluarga kiranya memberikan dukungan terhadap pemberian ASI eksklusif.

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Peran Tenaga Kesehatan, Promosi Kesehatan dan Dukungan Keluarga Terhadap Pencegahan Anemia pada Ibu Hamil

SIMFISIS Jurnal Kebidanan Indonesia ◽

10.53801/sjki.v1i2.34 ◽

2021 ◽

Vol 1 (2) ◽

Author(s):

Madinah Munawaroh ◽

Pinna PN Situmorang

Keyword(s):

Health Promotion ◽

Pregnant Women ◽

Health Center ◽

Family Support ◽

Health Workers ◽

Sampling Technique ◽

P Value ◽

Chi Square ◽

Cross Sectional

Introduction: Anemia is one of the most common nutritional disorders during pregnancy, this anemia can be achieved with iron supplementation. Pregnant women who suffer from severe anemia can increase the risk of maternal and infant morbidity and mortality, the possibility of giving birth to babies with low birth weight. Objectives: The purpose of the study was to determine the relationship between health promotion, the role of health workers, and family support with the prevention of anemia in pregnant women in the working area of the Bondongan Health Center, Bogor City in 2019. Method: This type of research, quantitative and analytical descriptive approach using the cross-sectional method. The study population was all pregnant women as many as 128 people and a sample of 56 respondents. The sampling technique is purposive sampling. The measuring instrument uses a questionnaire. Data analysis using chi-square with 0.05. Result: The results showed that the prevention of anemia in pregnant women was in the poor category (57%), the role of health workers was not good (55%), health promotion was not good (63%), low family support (54%) in preventing anemia in pregnant women working area of Bondongan Health Center, Bogor City in 2019. Conclution: There is a significant relationship between the role of health workers (P-value 0.04), Health Promotion (P-value 0.012), and Family Support (P-value 0.02) on the prevention of anemia in pregnant mothers.

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Determinan Keputusan Pekerja Mandiri menjadi Peserta Jaminan Kesehatan Nasional

Disease Prevention and Public Health Journal ◽

10.12928/dpphj.v14i1.1804 ◽

2020 ◽

Vol 14 (1) ◽

pp. 21

Author(s):

Jumatra Laila ◽

Asmaripa Ainy ◽

Dian Safriantini

Keyword(s):

Health Insurance ◽

Family Support ◽

National Health Insurance ◽

National Health ◽

Health Workers ◽

Cross Sectional Study ◽

Health Facilities ◽

P Value ◽

Cluster Sampling ◽

Cross Sectional

Background: National health insurance is mandatory for all Indonesians. In Ogan Ilir Regency, the lowest percentage (24,14%) of its participants in December 2016 was found in Indralaya Utara Sub-district, and self-employed participants in this sub-district were only 6,99%. This study aimed to analyze the determinants of the self-employed’s decision to become national health insurance participants in Indralaya Utara Sub-district. Method: This was a cross-sectional study. The population was self-employed in Indralaya Utara Sub-district. The sample was 108 respondents who were selected using cluster sampling and consecutive sampling techniques. Data analysis was conducted by univariate and bivariate with chi-square statistical test. Results: The results illustrated that 18,52% of respondents decided to become national health insurance participants. Variables with p-value<0,005 were: knowledge about national health insurance (p-value=0,011), trust (p-value=0.000), perception about national health insurance (p-value=0,000), attitude (p-value=0,000), income (p-value=0,002), family support (p-value=0,005). Variables with p-value≥0,005 were: education (p-value=0,234), perception about health facilities (p-value=0,162), distance to health facilities (p-value=0,355), health workers support (p-value=0,112). Conclusion: In conclusion, percentage of self-employed who decided become national health insurance participants was still small. Associated factors to the decision of self-employed as participants were: knowledge about national health insurance, trust, perception about national health insurance, attitude, income and family support. It is suggested that the Social Security Administrative Body for Health should routinely conduct socialization on national health insurance to improve the percentage of its participation for self-employed and the benefits of national health insurance could be felt by the entire community.

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