Analisis partisipasi ibu balita dalam pemanfaatan Posyandu di wilayah Puskesmas Kota Banda Aceh

Background: Public participation generally seen as a form of health behavior is the participation of mothers of children under five in the of Maternal & Child Health Centre it program. Its is a form of integrated services organized for and by the community with work programs from related agencies to then obtain basic health services, decrease maternal and child mortality rates and for the achievement of Small Prosperous Happy Families (KKBS).Purpose: The study aims to analyze the coverage of weighing children under five to Maternal & Child Health Centre (D/S) in the area of the Banda Aceh City Health Center.Method: This research is a qualitative study with a descriptive approach conducted with a Focus Group Discussion (FGD) of 3 main informants, 4 implementing informants and 7 policy makers in the lowest D / S region (Lampaseh Puskesmas area) and 3 main informants, 4 implementing informants and 8 informants policy makers in the highest D/S region (Kopelma Darussalam Puskesmas area).Results: The results of this study found that the availability of facilities is still limited, the role of cadres is still low (not yet able to carry out development programs), the role of the gampong government is still lacking in supporting the implementation and improvement of posyandu visits, policy makers do not fully understand that the conditions in posyandu are a big responsibility from the village, and in practice in the field there has not been an effort to monitor and evaluate the extent of the implementation of the posyandu by the health department.Conclusion: The cadres' low knowledge of development programs in an effort to increase community motivation for posyandu visits. Suggestions for implementing of Maternal & Child Health Centre activities to provide an understanding of how to implement a Maternal & Child Health Centre, improve competence, provide suggestions for development programs and for policymakers.

The effect of two types of minimal acupuncture on stooling, sleeping and feeding in infants with colic: secondary analysis of a multicentre RCT in Sweden (ACU-COL)

Background Evidence for the effect of minimal acupuncture in infants with colic is limited. Aim To compare the effect of standardized minimal acupuncture, individualized acupuncture (where traditional acupuncture points were chosen according to the infant’s symptoms) and no acupuncture on objective measures of stooling, feeding and sleeping in infants with colic (based on diaries) and perceived changes in these parameters (based on parental questionnaires). Methods This was a secondary analysis of a multicentre randomized controlled three-armed trial conducted in four counties in Sweden between January 2013 and May 2015 (ACU-COL). The effect on crying has already been published and showed a decrease in crying time for the acupuncture groups. Infants, 2–8 weeks old, who cried and fussed for more than 3 h/day for more than 3 days/week, and thereby fulfilled the criteria for infantile colic, received four extra visits to their ordinary child health centre. The infants (n = 147) were randomly allocated via a computer-generated list to standardized minimal acupuncture at LI4 for 5 s (group A, n = 48), semi-standardized individual acupuncture with a maximum of five insertions for up to 30 s (group B, n = 49), or no acupuncture (group C, n = 48). The parents and the ordinary staff were blinded. Data were collected using: (1) diaries at baseline, during the two intervention weeks and 1-week follow-up; and (2) questionnaires with quantitative and qualitative components used at the second and fourth visits and during a follow-up telephone call. Outcomes were the changes in frequency of stooling and in hours of sleep per day. Results There were no differences between groups for stooling, feeding, or sleeping at any time point according to data from the diaries. At the follow-up phone call, more parents in groups A and B (compared to group C) perceived that feeding and sleep had changed and that the symptoms of colic had improved.