THE CORRELATION OF MOTHER’S KNOWLEDGE AND ATTITUDE WITH BREASTFEEDING PRACTICES IN TULANG BAWANG BARAT DISTRICT AT 2021

Introduction:Breast milk is a liquid formed from a mixture of two substances, namely fat and water contained in a solution of protein, lactose and inorganic salts produced by the mother's breast glands, and is useful as baby food. Mother's knowledge and attitude in exclusive breastfeeding plays an important role in increasing the growth and development of children. The purpose of this study was to determine the relationship between the level of knowledge (cognitive factors) and attitudes (affective factors) of mothers in the practice of exclusive breastfeeding in Tulang Bawang Barat District in 2021. Method: This research is a quantitative research, with a cross sectional approach. The population in this study were all mothers who had babies > 6 months-12 months as many as 2285 with samples taken as many as 93 respondents. The object of this research is exclusive breastfeeding, knowledge and attitude. The research was conducted in June 2021 in the District of Tulang Bawang Barat. Collecting data using a questionnaire, data analysis is univariate, bivariate and multivariate. Results: The results showed that there was a relationship between knowledge (p value = 0.016, OR = 3.264), and attitudes (p value = 0.001, OR = 7.848) towards exclusive breastfeeding in Tulang Bawang Barat District in 2021. Dominant factors related to exclusive breastfeeding in Tulang Bawang Barat District in 2021, namely the attitude with a p-value of 0.000 OR 10.197. Conclusion: The dominant factor related to the practice of exclusive breastfeeding in Tulang Bawang Barat is the attitude of the mother. To improve the attitude of mothers in the Practice of Exclusive Breastfeeding, the Health Office needs to carry out health promotions with a more frequent frequency by using more attractive health promotion media in collaboration with the health promoter team at the puskesmas.

Menstimulus Tumbuh Kembang Balita Dengan Gizi Seimbang Pada Masa Pandemi Covid-19

ABSTRAK Pertumbuhan dan perkembangan anak distimulus oleh pemenuhan gizi seimbang. Masalah gizi seimbang disebabkan karena asupan nutrisi yang kurang dan tingginya penyakit infeksi. Gugus Penanganan Covid-19 di Indonesia merilis bahwa kasus anak terkonfirmasi positif Covid-19 semakin meningkat bahkan menduduki peringkat pertama di Asia Tenggara. Provinsi Jawa Barat (31%) sebagai penyumbang tertinggi di Bogor (28%), masalah gizi khususnya stunting terjadi di Kecamatan Caringin sebanyak 30%. Berdasarkan survey berat badan balita menggunakan KMS (Kartu Menuju Sehat) didapatkan berat badan balita 45% berada di garis hijau tua (gizi baik), 35% berada di garis hijau muda bawah (premalnutrisi), dan 20% berada digaris hijau muda atas (preobesitas), selain itu ditemukan juga balita yang memiliki kebiasaan sering jajan makanan di warung. Tujuan kegiatan ini untuk meningkatkan pengetahuan ibu-ibu tentang cara menstimulus tumbuh kembang balita dengan memenuhi kebutuhan gizi seimbang pada balita. Promosi kesehatan yang diberikan menggunakan power point, video, leaflet serta tanya jawab. Terdapat 80% peningkatan pengetahuan ibu-ibu yang memiliki anak balita tentang cara menstimulus tumbuh kembang balita dengan gizi seimbang dan cara mengolah makanan sehat serta memodifikasi makanan balita di masa pandemic covid-19. Kata kunci : Gizi Seimbang, Menstimulasi, Tumbuh Kembang. ABSTRACT The growth and development of children are stimulated by the fulfillment of balanced nutrition. Balanced nutrition problems are caused by inadequate nutritional intake and highly infectious diseases. The Covid-19 Handling Group in Indonesia released that cases of children who were confirmed positive for Covid-19 were increasing and even ranked first in Southeast Asia. West Java Province (31%) as the highest contributor in Bogor (28%), nutritional problems, especially stunting, occurred in Caringin District as much as 30%. Based on a survey of toddlers' weight using the KMS (Card Towards Healthy) it was found that 45% of toddlers' weight was in the dark green line (good nutrition), 35% was in the lower light green line (premalnutrition), and 20% was in the upper light green line (pre obesity). besides that, it was also found that toddlers had a habit of often snacking at food stalls. The purpose of this activity is to increase the knowledge of mothers on how to stimulate the growth and development of toddlers by meeting the needs of balanced nutrition in toddlers. Health promotions are provided using power points, videos, leaflets, and questions and answers. There is an 80% increase in knowledge of mothers who have toddlers about how to stimulate toddler growth and development with balanced nutrition and how to process healthy food and modify toddler food during the covid-19 pandemic. Keywords: Balanced Nutrition, Stimulating, Growth.

Community Perception on Covid-19 Vaccination in Sidomukti Village Tuban Indonesia

Introduction: Covid-19 vaccine will be given to all people in Indonesia. Covid-19 vaccination process in community reaps pros and cons. Many perceptions arise in minds of public. on the one hand, people who get enough information tend to accept Covid-19 vaccine. However, people who are uninformed tend to refuse given Covid-19 vaccine. Therefore, it is necessary to study public's perception of Covid-19 vaccination. The aim of this study was to dig deeper into perceived susceptibility, perceived severity, perceived benefits, and perceived barriers about Covid-19 vaccine in community.Method: This study used qualitative method. Subjects in this study were people of Sidomukti Village, Kenduruan District, Tuban Regency with consecutive sampling. Instrument in this study used a structured interview sheet with data analysis covering period of data collection, data reduction, data categorization, data display and verification.Results: Based on the results of interviews conducted by researchers with informants, it was found that participants were classified as having good perceptions, although their opinions were different and varied. It is necessary to socialize about Covid-19 vaccination in order to reduce bad perceptions.Conclusion: It is recommended that local health workers carry out health promotions that provide information about Covid-19 vaccination to the public.

PERILAKU MAKAN DAN STATUS GIZI REMAJA : STUDI KASUS SMAN 9 PAUH

Background: Eating behavior is one of the factors that affect the nutritional status of adolescents. Adolescents are at risk of experiencing malnutrition, overnutrition, and micronutrient deficiencies. This study aims to describe adolescents' eating behavior and nutritional status at SMA Negeri 9 Pauh District. Method: The study was conducted at SMAN 9 Pauh District, Padang City. The population of this study was all students of SMAN 9 with a sample of 52 people who were selected using a simple random sampling method. The variables in this study were eating knowledge, eating attitudes, and body image, which was collected using a questionnaire and the act of eating variables using the SQ-FFQ. Determination of nutritional status is obtained from BMI/U. Result: A small proportion of adolescents experience overnutrition (25.0%), most of the knowledge of eating balanced nutrition for adolescents is low (82.7%), most of the attitudes of eating balanced nutrition for adolescents are positive (59.6%), most of the actions of eating nutrition-balanced adolescent is unbalanced (90.4%), most of the adolescent body image is positive (86.5%). Conclusion: A small proportion of adolescents experience overnutrition. Most of them have low knowledge of balanced nutrition, positive eating attitudes, unbalanced eating actions, and have a positive adolescent body image. For schools, it is necessary to cooperate with health workers in conducting health promotions regarding balanced nutrition guidelines, especially on the vegetable and fruit menu and body image. In addition, schools, teachers, and parents also need support in implementing balanced nutrition in children's diets.

Developing Resources for Staff and Adapting Programing During COVID-19 at Fred Victor

Fred Victor is an organization that supports those experiencing poverty and homelessness in Toronto. As a practicum student in the Health Promotions department at Fred Victor, I gained experience working on health promotion projects and was able to work directly with the community. Throughout the practicum, I worked on several projects to adapt Fred Victor’s services during COVID-19. First, I worked to develop a resilience toolkit for Fred Victor staff. COVID-19 has led to higher levels of stress. This prompted Fred Victor to develop tools to support their staff. I designed a toolkit that instructs managers on how to promote resilience in their supervision sessions and team meetings. This toolkit provided information on what resilience is, as well as practical actions that managers can take to promote resilience in staff. This project involved knowledge translation to convey the research on resilience to Fred Victor staff in an accessible way. Additionally, I worked to support the development of online peer support groups. Typically, Fred Victor runs weekly in-person peer support groups for community members. However, due to COVID-19, these groups had to move to an online format. I helped facilitate this transition by developing a guide for facilitating online group programming. This guide included information on the best platforms to run online programming, how to create a safety agreement, and best practices for facilitating the group. I then conducted outreach to community members to ask for their input on the format and content of the groups. These projects are important to public health as they work to meet the public health goal to improve quality of life by promoting and encouraging healthy behaviours. These projects played an important role in promoting the health of Fred Victor staff and clients during COVID-19 by providing them with support and tools to manage their mental health.

Health Promotion Planning and an Interview With Dr. Lawrence Green

“If we are to have more evidence-based practice, we need more practice-based evidence.” This quote has become something of a mantra for the health promotions profession’s most pre-eminent scholar, Dr. Lawrence W. Green. This editorial features an interview with Dr. Green and previews the forthcoming 5th edition of Green and Kreuter’s seminal health promotion planning textbook. The new title will be Health Program Planning, Implementation and Evaluation: Creating Behavioral, Environmental and Policy Change, with the Johns Hopkins University Press as the new publisher. Co-Editors for this new edition are Larry Green, Andrea Gielen, Judith Ottoson Darleen Peterson, and Marshall Kreuter. This edition shows the vital progression from planning and implementation to evaluation and has further refined and simplified the visual representation of the planning model. The “enabling factors” that will spawn more practice based evidence are discussed. To enable practice-based research will mean that end users of a service or intervention must be taught to be leaders and advocates for approaches that are responsive to their needs, preferences and values.

The Prevalence of COVID-19 in Jizan Region-Saudi Arabia: A Demographic Analysis

BACKGROUND The unrelenting pandemic of the SARS CoV2 (COVID-19) pleads for re-examining predictors of infection and containment measures, once again. AIMS The researchers aim to investigate the prevalence of COVID-19 in Jizan region to analyse the demographic details of the population, to examine the quarantine predictors and the prescription of zinc and azithromycin. METHODS The researcher reviewed the Jizan region data obtained from the Ministry of Health of Saudi Arabia and performed a cross-sectional study from September 1st, 2020 - September 29th, 2020. The researchers surveyed people from the same region to collect and analyse demographic and quarantine data. RESULTS The total number of positive cases was 11,752 patients in the Jizan region since the start of the pandemic. The prevalence of infection is 0.84% with a mortality rate of 1.73% (n=257). Out of 328 participants, 46.4% (n=148) acquired the infection with an admission rate of 1.6% (n=5). We noted two predictors for infection in the region: female gender and being married. Furthermore, males were more likely to be admitted than females and irrespective of age and chronic diseases. The quarantine after contact with a probable case or after travel showed an inverse relationship with the age; and in particular young females stratum, p <0.05. One third received zinc supplementation, whereas the majority 82.4% was not pre- scribed azithromycin. CONCLUSION Overall, the researchers provide a region-specific analysis that uncovers important infection determinants for COVID-19 infection, which should be taken into consideration when designing and implementing health promotions programs.

Bystanders’ Views on the Use of Automated External Defibrillators for Out-of-Hospital Cardiac Arrest: Implications for Health Promotions

Despite the widespread availability of automated external defibrillators, not everyone is enthusiastic about using them. The aim of this study was to examine the reasons for not using an automated external defibrillator (AED) and predictors of the reasons. The study had a cross-sectional design using an online survey. Data were collected in eighteen districts in Hong Kong to be representative of the city. The questionnaire consisted of questions on demographics, knowledge and attitude towards AED use, reasons for not using AED, and whether the kind of victim could affect the decision of the bystanders. There was a high significant correlation between knowledge and attitude, with r = 0.782 and p < 0.001. Of the respondents, 53.3% agreed that the kind of victim would affect their willingness to operate an AED. A binary logistic regression model revealed that a higher education (OR 6.242, 95% CI: 1.827–21.331), concern about the kind of victim involved (OR 2.822, 95% CI: 1.316–6.052), and a younger age were significant predictors of worrying about taking on responsibility in using AED. Other than knowledge, other barriers included a desire to avoid legal liability, and the kind of victim they encountered. Life experiences in adulthood could possibly affect the social responsibility and influence the behaviors of adults to operate AEDs.