Efforts to Improve Integrated Services Post (POSYANDU) Cadre Skills in Stunting Detection Through Cadre Training

The Integrated Services Post (Posyandu) program is good enough to monitor children's growth and development, but with the Covid-19 pandemic, Posyandu activities have been temporarily suspended face-to-face, thus monitoring the development and growth of toddlers, which is usually carried out by cadres at Posyandu, is also hampered. Therefore, efforts are needed to improve the skills of Posyandu cadres to detect stunting within the scope of the Dasawisma as assistance to mothers of toddlers both online and in face-to-face meetings while still paying attention to health protocols to prevent the spread of the Covid-19 virus. The purpose of this activity is to improve the skills of Posyandu cadres in stunting detection through cadre training. The method of this activity is the preparation of coordination with partners, coordination with village midwives and cadres, determining a joint schedule, making media booklets and questionnaires, then continuing with the implementation of activities starting with pretest, training, and evaluation with posttest, and assistance for stunting detection activities. The results of this community service are that after training Posyandu cadres experienced an increase in knowledge and skills on stunting detection, as many as 26 Posyandu in Karangkelsem Village received a grant for stamping scales and height measuring devices, and the skills of Posyandu cadres in detecting stunting increased. This community service concludes that training can improve the knowledge and skills of Posyandu cadres in detecting stunting during the Covid-19 pandemic.

Transmission of Q-signaling by the tunneling procedure in the automatic telephone network of integrated services of the Serbian Armed Forces

Introduction/purpose: To specify the practical application of ECMA355 and ECMA-336 Standards for Q-SIG tunneling and the implementation of mapping functions via the existing IP (Internet Protocol) network of the Serbian Armed Forces (Intranet SAF), in the Private Automatic Telephone Network SAF (PATN SAF), as the main part of the Private telecommunication-information networks of integrated services SAF (PISN SAF). Methods: Description of the implemented solution and analysis of the software parameters of the established transmission SIP route, with the display of the results obtained in the fight with jitter and echo in the network. Results: With such a solution, it was achieved that participants from the peripheral parts of the PISN SAF, which operate on the principle of transmission and circuit switching by TDM (Time Division Multiplexing), can connect with each other via the newly established central IP network SAF (Core network) which operates on the principle of transmission and switching packets with the SIP (Session Initiation Protocol), without losing the functionality of QSIG from the framework of the digital telecommunication network of integrated services ISDN (Integrated Services Digital Network). Conclusion: The article deals with the modern IP PINX (Private Integrated Services Network Exchange) manufactured by Mitel, type MX-ONE Service Node 6.0, which is implemented at the transit level PATN SAF and which successfully implements the process of tunneling Q-SIG through the IP network and the necessary functions for mapping the transmission of tunneled QSIG messages and mapping voice (and other audio) information to VoIP (Voice over IP) communication media streams through that network. Also, the basic elements for its software preparation during the introduction of a new SIP route, with a capacity of 30 IP trunks in a transmission beam realized with 100 Mb/s-T Ethernet, are given, and the fight with the present jitter and echo in the network is described. Finally, the paper presents the experience-based values of the parameters for reducing the influence of jitter and suppressing echo.

Impact of Auditory–Oral Education on Device Use in Children With Hearing Loss

Purpose: This study examined changes in datalogging for children attending an auditory–oral educational program with integrated audiology services versus children attending a mainstream or nonspecialized program. Method: Eighty children participated in this study, half of which were enrolled in an auditory–oral educational program versus the nonspecialized or mainstream setting. Datalogging for cochlear implant and hearing aid users was obtained via retrospective medical and educational chart review from 2016 to 2019. Results: Results demonstrated that at post-enrollment, children attending the auditory–oral educational program significantly increased device wear time (as measured by average hours/day) when compared to the control group. Children using hearing aids enrolled in the specialized educational program obtained the largest improvement in overall wear time, averaging an increase of 5 hr/day of device use from pre- to post-enrollment. Conclusions: This is the first study to document the association of specialized educational programs on device use. Clinical and educational programs should collaborate to provide integrated services to lessen family burden and increase a child's device use and retention.

Implementasi Kebijakan Tanda Daftar Usaha Pariwisata melalui Sicantik pada Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kota Medan

The objectives of the study were to provide an overview of appIication steps of Tourism Business Registration Iicense (TDUP) through Sicantik and the factors that infIuenced the poIicy impIementation of Tourism Business Registration Iicense through Sicantik as weII as to find out what obstacIes to poIicy impIementation of Tourism Business Registration Iicense (TDUP) through Sicantik at the Department of Investment and One Stop Integrated Services (DPMPTSP) Medan City. This study was conducted by using descriptive quaIitative method. The instrument for coIIecting data were observation, interview, and documentation. AII the data were anaIyzed based on the theory by MiIIes & Huberman, nameIy an interactive modeI that cIassifies data anaIysis in three steps, they are: data reduction, data dispIay and drawing concIusions (verification). The findings of the study refer to four indicators that took effect to the service poIicy impIementation of the TDUP through Si Cantik at DPMPTSP in Medan City based on George C. Edward III's theory, nameIy communication, resources, disposition, and bureaucratic structure. In generaI, it showed that its impIementation is guided by the appIicabIe reguIations.

Public Service Innovation in Issuance of Building Permits in Sidoarjo Regency

The innovation of public services provided by the Investment and One Stop Service Office provides many benefits for people who use the services and services of the relevant agencies. This innovation also helps a lot in terms of issuing building permits which are one of the most needed public services by the community, where in its implementation requires accuracy and speed in managing and issuing building permits so that buildings used for business get legal. The purpose of the launch of SIPPADU has been stated in the Regulation of the Regent of Sidoarjo Number 8 of 2017 concerning the Application of Information Technology in Integrated Services. The type of research used is descriptive research with a qualitative approach. The focus in this research is how public service innovations in overcoming delays in the issuance of IMB files through the Integrated Licensing Service Information System program by the Investment Office and One Stop Integrated Service of Sidoarjo Regency which includes forms of innovation, processes and cycles of innovation as well as the diffusion of innovations at the Investment Office. and One Stop Services in Sidoarjo Regency. Based on the results of the research above, it can be concluded that technology-based innovations made by the Office of Investment and One Stop Integrated Services, namely the SIPPADU application, have helped the operation of licensing services at the agency. the service is to upgrade this SIPPADU innovation in the future so that things don't happen such as unstable networks, applications or websites that can't be accessed because the server is down. As well as providing more direction to existing Human Resources to understand more about SIPPADU. Suggestions for the public is to add more information about the SIPPADU application which can be accessed through the website of the Sidoarjo Regency Investment and One Stop Integrated Service website.

Integrating HIV services and other health services: A systematic review and meta-analysis

Background Integration of HIV services with other health services has been proposed as an important strategy to boost the sustainability of the global HIV response. We conducted a systematic and comprehensive synthesis of the existing scientific evidence on the impact of service integration on the HIV care cascade, health outcomes, and cost-effectiveness. Methods and findings We reviewed the global quantitative empirical evidence on integration published between 1 January 2010 and 10 September 2021. We included experimental and observational studies that featured both an integration intervention and a comparator in our review. Of the 7,118 unique peer-reviewed English-language studies that our search algorithm identified, 114 met all of our selection criteria for data extraction. Most of the studies (90) were conducted in sub-Saharan Africa, primarily in East Africa (55) and Southern Africa (24). The most common forms of integration were (i) HIV testing and counselling added to non-HIV services and (ii) non-HIV services added to antiretroviral therapy (ART). The most commonly integrated non-HIV services were maternal and child healthcare, tuberculosis testing and treatment, primary healthcare, family planning, and sexual and reproductive health services. Values for HIV care cascade outcomes tended to be better in integrated services: uptake of HIV testing and counselling (pooled risk ratio [RR] across 37 studies: 1.67 [95% CI 1.41–1.99], p < 0.001), ART initiation coverage (pooled RR across 19 studies: 1.42 [95% CI 1.16–1.75], p = 0.002), time until ART initiation (pooled RR across 5 studies: 0.45 [95% CI 0.20–1.00], p = 0.050), retention in HIV care (pooled RR across 19 studies: 1.68 [95% CI 1.05–2.69], p = 0.031), and viral suppression (pooled RR across 9 studies: 1.19 [95% CI 1.03–1.37], p = 0.025). Also, treatment success for non-HIV-related diseases and conditions and the uptake of non-HIV services were commonly higher in integrated services. We did not find any significant differences for the following outcomes in our meta-analyses: HIV testing yield, ART adherence, HIV-free survival among infants, and HIV and non-HIV mortality. We could not conduct meta-analyses for several outcomes (HIV infections averted, costs, and cost-effectiveness), because our systematic review did not identify sufficient poolable studies. Study limitations included possible publication bias of studies with significant or favourable findings and comparatively weak evidence from some world regions and on integration of services for key populations in the HIV response. Conclusions Integration of HIV services and other health services tends to improve health and health systems outcomes. Despite some scientific limitations, the global evidence shows that service integration can be a valuable strategy to boost the sustainability of the HIV response and contribute to the goal of ‘ending AIDS by 2030’, while simultaneously supporting progress towards universal health coverage.

Pelayanan izin usaha secara one single submission di Aceh Barat

T The article talks about the electronic business license service provided by the One Single Submission (OSS) application, which has been implemented at the West Aceh Regency's Office of Investment and One Stop Integrated Services (DPMPTSP). One Single Submission (OSS) One form of public service implementation that implements E-Government. This paper applied qualitative research methods to investigate the phenomena that occur in electronic services. The study's findings show that licensing services try to use the One Single Submission (OSS) application, as evidenced by several research indicators, including OSS's ease of use, trust in business actors' privacy security, service officers' assistance, the OSS website, and the service's content and appearance. OSS that is comprehensive and simple to comprehend. It may be stated that electronic services implementing OSS have been running properly at the West Aceh Regency Investment and One-Stop Service Office.

Applying Importance–Satisfaction Model to Evaluate Customer Satisfaction: An Empirical Study of Foodpanda

Because of improving mobile platforms and faster 4G speed, the annual growth of mobile devices has exceeded 50%, and many catering enterprises have integrated services to make ordering and delivery more convenient for smartphone users. Thus, user satisfaction with new online food-delivery platforms and services needs to be explored and evaluated. Using an Importance–Satisfaction Model (I–S Model), this study applied 12 service elements obtained from previous studies and an in-depth discussion of experts and scholars to evaluate user satisfaction towards Foodpanda, the first online food delivery service provider in Taiwan. Questionnaires were distributed from June to July 2020 and 256 samples were collected. This study found that eight items fell within the “Excellent Area”, one within the “Improvement Area” and three within the “Careless Area”.

IMPLEMENTASI PELAYANAN TERPADU SATU PINTU DALAM MEWUJUDKAN PELAYANAN PRIMA DI KABUPATEN TRENGGALEK

Abstrak Penelitian ini menggunakan metode kualitatif, penelitian ini digambarkan secara jelas dan mendetail terkait implementasi (PTSP) dalam mewujudkan pelayanan prima di Dinas Penanaman Modal Dan Pelayanan Terpadu Satu Pintu Kabupaten Trenggalek. Data diperoleh dari sumber primer dan sekunder. Informan dalam penelitian ini terdiri dari empat (4) informan kunci, tiga (3) informan pendukung, dan adapun teknik pengumpulan data dalam penelitian ini dengan observasi, wawancara, dokumentasi. Hasil penelitian menunjukan secara keseluruhan Implementasi PTSP di Dinas Penanaman Modal Dan Pelayanan Terpadu Satu Pintu untuk kepengurusan pelayanan perizinan sudah dilakukan sesuai dengan SOP dan regulasi yang ada. Komunikasi yang dilakukan antar atasan dan bawahan tentang implementasi juga sudah sesuai dengan aturan, dan komukasi yang dilakukan dengan masyarkat pun juga sudah menyeluruh. Serta untuk waktu penyelesaian, dan biaya terkait pelayanan perizinan juga sudah diatur sesuai dengan SOP yang sudah berlaku. Dilengkapi juga berbagai fasilitas yang lengkap yang ada di Dinas Penanaman Modal Dan Pelayanan Terpadu Satu Pintu sebagai penunjang kepuasan dan kenyamanan masyarakat. Kata Kunci: Implementasi Progam, PTSP, Pelayanan Prima. Abstract This study uses a qualitative method, this research is described clearly and in detail related to the implementation (PTSP) in realizing excellent service at the Office of Investment and One Stop Integrated Services, Trenggalek Regency. Data obtained from primary and secondary sources. The informants in this study consisted of four (4) key informants, three (3) supporting informants, and the data collection techniques in this study were observation, interviews, and documentation. The results of the study show that the overall implementation of PTSP in the Office of Investment and One Stop Integrated Services for the management of licensing services has been carried out in accordance with existing SOPs and regulations. Communication between superiors and subordinates regarding implementation is also in accordance with the rules, and communication with the community is also comprehensive. As well as for the completion time, and costs related to licensing services have also been regulated in accordance with the SOP that is already in effect. It is also equipped with various complete facilities available at the Investment Service and One-Stop Integrated Service as a support for community satisfaction and comfort. Keywords: Program Implementation, PTSP, Excellent Service.

The Effectiveness of Booklets in Stimulation, Detection and Early Intervention of Growth and Development (SDEIGD) for Health Cadres in Implementing the Growth and Development Screenings of Toddlers

The importance of monitoring the growth and development of early childhood is helpful for all parties involved, especially for Health Integrated Service (HIS), teachers, parents, and the children themselves. HIS is expected to determine what steps or efforts can be taken in helping children's development because from the family, in this case, the parents, the beginning of growth and development begins. The purpose of this study was to develop a Booklet of Stimulation, Detection and Early Intervention on Growth and Development (SDEIGD) for health cadres in the implementation of screening for growth and development of toddlers. This study involved 32 health cadres in the Aur Duri Public Health Center Jambi City working area as the intervention group and the Penyengat Olak Jambi Health Center as many as 32 people as controls. This research will be conducted in August 2019 at the Putri Ayu Public Health Center, Jambi City. There are two stages in this study, consisting of the instrument preparation stage and administrative preparation. The next stage is the implementation which consists of making booklets for Health integrated services cadres, enriching and developing the skills of Health integrated services cadres, small group discussions, practicum and simulation of the implementation of growth and development stimulation, early detection and screening of growth and development, early intervention on growth and development in children aged 0-6 years, and knowledge measurement. Data were analyzed using the Shapiro-Wilk test at a 95% confidence level (α ≤ 0.05). The results of the validation of materials experts and linguists, it is known that the SDEIGD booklet media meets the criteria and is worthy of being a guide for health cadres in understanding Stimulation, Detection, and Early Intervention of Toddler Development. The media trial starting from small groups, large groups and understanding tests of SDEIGD material indicate that the SDEIGD Media Booklet is worthy of being a handbook for health cadres for the implementation of screening for toddlers growth and development.