Quality of Care for Children Under Five with Malaria Using IMCI Approach at Public Health Centre: Literature Review

Integrated Management of Childhood Illness is one of the strategies in health care services for infants and children under five at primary health care facilities. Children with fever in high malaria endemic areas must have a blood test done to check whether the children have malaria or not. IMCI is one of the interventions recommended by WHO to screen and also ensure that children receive proper initial treatment at first-level health facilities. This article aims to discuss the quality of care for children under five with malaria using IMCI approach. This is a systematic review by searching 4 databases including Scopus, Web of Science, SAGE and Proquest. Health care services for children under five with an integrated management of childhood illness are intended to provide immediate and appropriate treatment. The guideline for treating children under five with malaria using IMCI approach is very helpful for nurses both in assessing, classifying, treating/curing and making decisions for pre-referral measures for severe cases. Several factors to support quality of care are trained officers, supervision and procurement of essential medicines, RDT and malaria microscopy. Enforcement of the right diagnosis will improve the quality of life of children and prevent death in children under five. Keywords: IMCI, Malaria, Children under five

The Effect of Quality Extension and Education on Clean and Healthy Behavior (PHBS) through Community Understanding in the Work Area of Public Health Centre

This research used an approach with a quantitative approach. The sample used was 107 patients at the Public Health Center, Bulukumba Regency. The research instrument used to obtain data is a questionnaire data analysis techniques to test hypotheses using path analysis with the SPSS for Windows program's help. The results of this study indicate that: (1) The quality of extension agents has a positive and significant direct effect on people's understanding of PHBS. (2) Education has a positive and significant immediate impact on people's knowledge of PHBS. (3) The quality of extension agents has a positive and significant direct effect on increasing PHBS. (4) Education has a positive and significant immediate impact on improving PHBS. (5) Public understanding has a positive and significant direct effect on increasing PHBS. (6) The quality of extension agents has an indirect positive but insignificant impact on improving PHBS through community understanding. (7) Education has a positive and significant indirect effect on improving PHBS through public awareness.

The Influence of Competence and Work Environment on Work Productivity through Work Motivation in Inpatient Rooms at Public Health Centre

This research was conducted at the Public Health center inpatient room in Bissapu District, Bantaeng Regency. The sample used a purposive sampling method, namely sampling based on specific considerations or criteria. All models were 79 respondents in the Public Health center inpatient room in Bissapu District, Bantaeng Regency, which consisted of 2 health centers, namely the Bissapu Community Health Center and the Campagaloe Community Health Center. The data collection method used is direct interviews with the parties involved with the problem being discussed and giving questionnaires to nurses following the research. Data analysis was performed using descriptive analysis and path analysis. The results of the study show that: (1) competence and work environment affect work motivation in the Public Health center inpatient room in Bissapu District, Bantaeng Regency; (2) competence and work environment affect work productivity in the Public Health center inpatient room in Bissapu District, Bantaeng Regency; (3) work motivation affects work productivity in the Public Health center inpatient room in Bissapu District, Bantaeng Regency; (4) competence and work environment affect work productivity through work motivation in the Public Health center inpatient room in Bissapu District, Bantaeng Regency.

SOSIALISASI PEMERIKSAAN METODE IVA PADA WANITA USIA SUBUR (WUS) UNTUK DETEKSI DINI KANKER SERVIKS

ABSTRAKAngka kejadian kanker serviks yang masih cukup tinggi dipengaruhi olehperilaku deteksi dini yang masih rendah. Menurut Riskesdas 2018 tumor/kanker di Indonesia menunjukkan adanya peningkatan dari 1,4 per 1000 pendudukdi tahun 2013 menjadi 1,79 per 1000 penduduk pada tahun 2018. Hasil studi pendahuluan yang dilakukan di dusun I Desa Bantarjaya pada tahun 2021 dari 30 wanita usia subur, terdapat 23 orang tidak tahu apa itu IVA dan belum melakukan pemeriksaan IVA dan 7 orang sudah melakukan IVA Test. Sehingga capaian masih rendah karena minat dan motivasi wanita usia subur untuk melakukan pemeriksaan IVA untuk mendeteksi secaradini kanker serviks masihkurang. Pendidikan kesehatan perlu dilakukan untuk meningkatkan pengetahuan dan minat ibu (WUS) tentang kanker serviks. Kegiatan pengabdian pada masyarakat ini memiliki tujuan untuk meningkatkan perilaku ibu diwilayah kerja Puskesmas Pebayuran dalam melakukan deteksi dini kanker serviks melalui pemeriksaan metode IVA. Metode pelaksanaan adalah dengan memberikan sosialisasi / penyuluhan tentang materi pemeriksaan metode IVA untuk mendeteksi secara dini kanker serviksdan dilanjutkan dengan tanya jawab dengan peserta. Hasil yang didapatkan dari kegiatan pengabdian masyarakat ini adalah mengalami peningkatan pengetahuan dan minat wanita usia subur (WUS) dalam melakukan deteksi dini kanker serviks. Dari 45 responden sebelum sosialisasi memiliki pengetahuan dalam kategori cukup 64,41 %, mengalami peningkatan pengetahuan dalam kategori baik 93,53 %. Dari hasil sosialisasi / penyuluhan dan evaluasi beberapa wanita usia subur bersediauntukmelakukanpemeriksaanIVA di Puskesmas Pebayuran , hal ini menunjukkan bahwa adanya peningkatan motivasi setelah pelaksanaan kegiatan sosialisasi/penyuluhan.Sosialisasi / penyuluhan pemeriksaan metode IVA pada wanita usia subur dapat meningkatkan kesadaran wanita usia subur dalam melakukan pemeriksaan IVA untuk mendeteksi secara dini dalam upaya mengendalikan kejadian kanke rserviks.Setelah pelaksanaan pengabdian masyarakat ini diharapkan ibu akan tetap rutin melakukan deteksi dini dengan didukung peran aktifkader dan tenaga kesehatan. KataKunci : sosialisasi; pemeriksaan IVA; wanita usia subur. ABSTRACTRecently, the high incident number of servics cancer was influenced by the low early detected behavior. According to Riskesdas 2018, it stated that tumor/cancer in Indonesia increased 1,4 per 1000 citizen in 2013 to 1,79 per 1000 citizen in 2018. The preliminary study result was conducted at Dusun 1, Bantarjaya Village in 2021 of 30 childbearing age women. There were 23 women who did not know what IVA test was, and there were 7 women who had done the IVA test. Therefore, the expected target of servics cancer test was still in low level. It all was because they did not have interest and motivation to do the IVA test for preventing action of servics cancer.The health education was required to increase the knowledge and interest of a mother (WUS) to servics cancer. This society study was dedicated to enhance the mother’s behavior at working area of Pabayuran Public Health Centre. It was in order to detect the early test of servics cancer through IVA method test.The result stated that the society dedication activity succeeded to increase the interest and motivation of the childbearing age women (WUS) to take the early detected test of servics cancer. Before doing the socialization, there were 45 respondents had the average category knowledge of servics cancer, and the score was 64, 41%. Moreover, after doing the socialization, it became 93, 53%. Based on the socialization / counseling, there were several childbearing age women who conducted the IVA test at Pabayuran Public Health Centre. It showed that there wassome enhancement of motivation after doing the socialization/ counseling.The socialization/counseling of IVA method test on childbearing age women increased the childbearing age women awareness to conduct the IVA test for controlling the servics cancer incident. The society dedication activity purposed to every mother to take the IVA test regularly for early detected test of service cancer which was supported by the active cadres and health workers. Key words : socialization; IVA test; childbearing age women

Spatial distribution of Infectious Disease Epidemic in The Soppeng Regency, 2016-2018

Diarrhea, typhoid fever and dengue hemorrhagic fever (DHF) are environmentalbased infectious diseases that contribute to the mortality rate of humans. This paper investigates the spatial distribution and the infectious disease epidemic that occurs based on environmental factors. The three primary diseases analyzed were diarrhea, typhoid fever, and dengue hemorrhagic fever. We abstracted data from several sources, including administrative maps, Regional Spatial Planning, BAPPEDA Soppeng Regency, the Central Statistics Agency (BPS), Public Health Centre, RBI Maps, and National DEM. The tool used in this research is a computer equipped with ArcGIS. The analysis documented that the trend of the three primary diseases did not represent a consistent decline in three consecutive years and even increased in certain subdistricts. Spatial data shows that the spread of infectious diseases based on the incidence rate is still dominated at low levels, although medium and high IR categories are also found in several areas in The Soppeng district. This paper proposes information for local government to implement health development planning and programs, particularly preventing and treating infectious diseases in Soppeng District.

Hubungan Pengetahuan Ibu, Sikap Ibu, dan Dukungan Petugas Kesehatan Terhadap Pemberian ASI Eksklusif di Kota Malang Tahun 2019

Exclusive breast-feeding is recommended for at least six months in order to suppress the mortality and morbidity rates of children. Among the factors that influenced exclusive breast-feeding were maternal knowledge, maternal attitude, and the support of health-care workers. According to data in Malang city of 2018, Cisadea Public Health Centre had the lowest rate of exclusive breast-feeding. Hence, the study was conducted to know the relationship between maternal knowledge, maternal attitude, and the support of health care workers to exclusive breast-feeding. Research was conducted by correlational analytic methods and used cross sectional approach with purposive sampling technique. The mother of six to twelve months-old children through July 2020 and recorded in Cisadea Public Health Centre were the subject of this study. After taking the data by disseminating the questionnaire using a Google form on 30 samples, a bivariate analysis was conducted with the Chi square test. The results showed that there was a correlation between maternal knowledge and exclusive breast-feeding (p equal 0.046) and between maternal attitude and exclusive breast-feeding (p equal 0.041). While a bivariate analysis between health care workers’ support and exclusive breast feeding was obtained p equal 1,000 so that there was no meaningful relationship was found. Abstrak: Pemberian Air Susu Ibu (ASI) eksklusif direkomendasikan selama paling sedikit enam bulan dengan tujuan untuk menekan angka mortalitas dan morbiditas anak. Beberapa faktor yang mempengaruhi pemberian ASI eksklusif antara lain adalah pengetahuan ibu, sikap ibu, dan dukungan petugas kesehatan. Berdasarkan data di Kota Malang tahun 2018, Puskesmas Cisadea adalah puskesmas yang paling rendah pemberian ASI eksklusif. Oleh karena itu, penelitian ini dilakukan dengan tujuan mengetahui hubungan antara pengetahuan ibu, sikap ibu, dan dukungan petugas kesehatan terhadap pemberian ASI eksklusif. Penelitian dilakukan dengan metode analitik korelasional dan pendekatan cross sectional ini dengan teknik sampling purposive. Ibu dengan balita umur 6-12 bulan sampai bulan Juli 2020 dan tercatat di Puskesmas Cisadea merupakan subjek penelitian ini. Setelah pengambilan data dengan menyebar kuesioner menggunakan google form kepada 30 sampel, dilakukan analisis bivariat dengan uji Chi square. Hasil penelitian didapatkan ada hubungan yang bermakna antara pengetahuan ibu dan pemberian ASI eksklusif (p sama dengan 0,046) dan antara sikap ibu dengan pemberian ASI eksklusif (p sama dengan 0,041). Sedangkan analisis bivariat antara dukungan petugas kesehatan dan pemberian ASI eksklusif didapatkan hasil p sama dengan 1,000 sehingga tidak ditemukan adanya hubungan yang bermakna.

Pengaruh Video Persalinan Normal terhadap Kecemasan Ibu Hamil Menghadapi Persalinan di Wilayah Kerja Puskesmas Pangaribuan Kecamatan Pangaribuan Kabupaten Tapanuli Utara

Primigravida mothers in facing delivery would experience anxiety. Anxiety in pregnant women increases in the third trimester which can lead to complications for both the mother and the fetus. 80% of primigravida mothers experience anxiety just before delivery. Efforts that can be made to reduce anxiety can be by watching videos of normal childbirth. The aim of the study was to determine whether there was an effect of video of normal delivery on anxiety of pregnant women in facing childbirth in the Pangaribuan Health Centre, Pangaribuan District, North Tapanuli Regency in 2020.This study used a Quasi-Experimental Research type with the design used was One Group Pretest-Postest Design. The sample of this study were 10 pregnant women who were measured before and after the intervention watching normal childbirth videos. Based on the results the data analysis used univariate and bivariate analysis. Bivariate analysis using the Wilcoxon Rank Test, obtained a p value (Sig.2-tailed) of .006 <α: 0 .05, it can be concluded that there is an effect of Normal Delivery Videos on Anxiety of Pregnant Women Facing Childbirth in the Pangaribuan Health Centre, Pangaribuan District, District North Tapanuli 2020. These results conclude that there is a significant effect between normal delivery videos on the anxiety of pregnant women facing childbirth in the Pangaribuan Public Health Centre, Pangaribuan District, North Tapanuli . Suggestions for health care workers to provide more information to primigravida mothers about labor preparation to reduce feelings anxiety of pregnant women facing childbirth.

HUBUNGAN DUKUNGAN KELUARGA DENGAN PERSONAL HYGIENE PASIEN JIWA DI WILAYAH KERJA PUSKESMAS WARA KOTA PALOPO TAHUN 2020

Background: Personal Hygiene includes all activities required to meet the needs of day-to-day, which is commonly known activity of daily life (ADLs). The issue of personal hygiene or self-care deficit is the most common problem occured in mental patients, because patients with mental disorders have the abnormalities in the ability to perform or complete activities of daily living independently. Objective: To determine the relationship between family support and personal hygiene of mental patients in Wara Public Health Centre, Palopo in 2020. Method: This study used the cross-sectional research method. The population in this research was all mental patients registered on Wara Public Health Centre. The samples was recruited using a total sampling technique obtaining 43 respondents. Data were collected using questionnaire sheet and observation. The data obtained were processed and analyzed by using Microsoft Excel program and statistical program (SPSS) version 20 for the Chi-square test. Result: The univariate analysis showed the frequency distribution, while bivariate analysis showed a relationship between family support and personal hygiene (? = .003). Conclusion: There is a relationship between family support and the personal hygiene of mental patient in Wara Public Health Centre, Palopo City in 2020

PENGALAMAN PENANGUNG JAWAB RUANGAN DALAM MENGELOLA RUANG KEPERAWATAN DI PUSKESMAS TEMBELANG JOMBANG

ABSTRAKPendahuluan : manejemen keperawatan adalah proses pengelolahan fungsi manajemen untuk memberikan asuhan keperawatan, ketidak efektifan peran kepala ruangan dalam menjalankan fungsi manajemen dengan baik akan berpengaruh terhadap kinerja perawat dalam menjalankan tanggung jawabnya termasuk proses pelayanan keperawatan. Peneliti menemukan ada masalah yang terjadi pada tenaga perawat diantaranya, ada tenaga perawat datang dinas terlambat, ada yang mengeluh tentang alat-alat kesehatan kurang berfungsi dengan baik, dan ada yang sulit untuk diajak menjadi sukarelawan. Tujuan dari penelitian ini adalah untuk mengetahui pengalaman penanggung jawab ruangan dalam menerapkan fungsi manajemen di Puskesmas Tembelang Jombang. Metodiologi : metode yang digunakan dalam penelitian ini yaitu penelitian kualitatif dengan pendekatan fenomenologi. Pengumpulan data dilakukan dengan metode wawancara mendalam. Sampel yang diambil dengan cara purposive sampling meliputi 5 informan. Hasil : penelitian ini memperoleh delapan tema, antara lain : 1) kegiatan yang mengatur dan mengawasi, 2) penyusunan rencana kegiatan diruangan 3) belum adanya visi misi yang spesifik 4) pengelompokkan tugas di ruangan 5) kegiatan pengorganisasian pasien dan perawat 6) motivasi kinerja 7) penerapan komunikasi keperawatan di ruangan 8) kegiatan pengawasan di ruangan. Berdasarkan hasil penelitian ini menunjukkan bahwa penangung jawab ruangan mengelola ruang keperawatan dengan makna-makna yang mereka pahami.Kata kunci : Pengalaman, Manajemen keperawatan, Penangung Jawab Ruangan Nursing management is an effort to provide nursing care as good as possible because the ineffective role of the head of the public health in carrying out management functions properly will affect the performance of nurses to do their responsibilities. Researchers found that there are some problems that occurred, such as; still some nurses come late, some nurses complained about the health equipment which is not functioning properly, and some of the nurses were difficult to be invited to volunteer. The purpose of this study was to determine the experience of the person in charge of the room in implementing management functions at Tembelang Public Health Centre, Jombang. The methodology that is used in this research is qualitative research with a phenomenological approach. Data collection using an in-depth interview method. Samples were taken using purposive sampling with 5 informants. The result shows; there are eight themes, they are: 1) managing and supervising activities, 2) preparation of work plan in the room, 3) there is no specific vision and mission, 4) develop the task groups in the room, 5) organizing activities for patients and nurses 6) performance motivation, 7) implementing nursing communication in the room, 8) monitoring activities in the room. Based on the results of this study, it shows that the person in charge of the room manages the medical ward with the meanings they understand. Keywords: The experience, Nursing management, head of the public health centre

Impact of COVID-19 on displaced populations and migrants around the world

My practicum placement was completed with the Dalla Lana School of Public Health Centre for Global Health. I have contributed to the work of a team of student and faculty members developing a review of the literature and environmental scan to explore the impact of the COVID-19 pandemic on migrant populations. I worked with colleagues to design and run a search strategy on the Medline (OVID) and Scopus bibliographic databases. The findings showed that crises including the COVID-19 pandemic act as magnifying lens and expose existing inequities within society as the impact of the pandemic is not equally felt by all population groups. Migrant populations are particularly impacted due to their intersectional identities that marginalize and disempower them and severely impact their health outcomes. Even though migration is the engine of the globalized economy and migrant workers make significant contribution to agricultural and economic prosperity, their precarious living conditions have worsened during the pandemic and they are being excluded from relief packages and income support. Furthermore, racism and xenophobia are fuelling hostility and prejudice towards migrants as governments are controlling the movement of migrants by closing their borders to asylum seekers and existing refugee camps are having outbreaks due to cramped and overcrowded living conditions and limited healthcare access. It is evident that migrant populations are very diverse groups that are facing unique challenges and thus, require distinct forms of protection particularly during this pandemic. The results of this work are currently being summarized in a manuscript that recognizes how determinants of health impact the health and well-being of migrants, the need to develop a road map for recovery using a health equity lens, and inform health policies. To eradicate COVID-19, it is imperative to leave no one behind including migrant populations and re-evaluate how inequities are addressed globally.