Effects of Access to Information on Health Literacy in Pregnant Women

AIM: This study aims to analyze the effect of access to information, the ability to understand, assess and practice the health literacy of pregnant women. METHODS: This study uses cross-sectional design for the population of pregnant women and uses a lameshow formula to find a sample of 399. Data collection uses questionnaires and the results are processed using the t-test to find the significance of correlation and test the effect of R2 to find out the effect magnitude. RESULTS: Correlation test results showed 3 of 4 variables correlated with health literacy with a value >1.96 yaitu understand (X1.2) (R2 = 0.65), assessment (X1.3) (R2 = 0.80), and application (X1.4) (R2 = 0.57). The ability to judge variable is proven to explain the practice of health literacy by 80%, and the rest is determined by other variables. CONCLUSIONS: Health literacy has been recognized as one of the determinants of health and has become one of the goals of public health development for prevention and efforts to overcome risks in pregnancy.

Formulation of city health development index using data mining

Every five years Public Health Research publishes a Public Health Development Index that describes public health in Indonesia. The Public Health Development Index is measured using data from the Public Health Research and the National Socio-Economic Survey, and the Village Potential Survey which is obtained by surveying from sampling data. In fact, the Provincial and City Health Offices have health profile data reports every year. For this reason, this study analyzes existing health profile data using data mining techniques to obtain indicator data that are very influential in formulating the City Health Development Index. This City Health Development Index was successfully formulated by adopting the Model of Public Health Development Index in 2013 and using indicators from annual health profile data which obtained from the data mining process, i.e., Random Forest algorithm. The proposed model can be used as the annual report of a city to describe the health condition of that city. For the future research, the model can be adopted to measure some specific aspects of city health condition.

APLIKASI PEMERIKSAAN KESEHATAN KONSUMEN HERBALIFE BERBASIS ANDROID

Health services are one type of public service that is the spearhead of public health development. People who care about health have started to establish health communities such as healthy homes or nutrition houses such as the Herbalife healthy home. Herbalife's healthy home uses a special scale, the tanita scale, as an indicator of consumer fitness and health. With technological developments, an application is needed that can help carry out consumer health checks. The methodology used in making this application is the prototype model. The programming language used is Kotlin. Meanwhile, the tools and editors used are Android Studio. The method used in data collection in this study is the method of literature, observation, and interviews. With this built application, it can help in determining the health of consumers from several parameters used in this study, including body fat, belly fat, cell age, and health. The output of these parameters is then used as input for the application being built. Layanan kesehatan menjadi salah satu jenis layanan publik yang merupakan ujung tombak dalam pembangunan kesehatan masyarakat. Komunitas masyarakat yang peduli kesehatan mulai mendirikan komunitas kesehatan seperti rumah sehat atau pun rumah nutrisi seperti rumah sehat Herbalife. Rumah sehat Herbalife menggunakan timbangan khusus yakni timbangan tanita sebagai alat indikator kebugaran dan kesehatan konsumen. Dengan perkembangan teknologi, maka dibutuhkan aplikasi yang bisa membantu melakukan pemeriksaan kesehatan konsumen. Metodologi yang digunakan dalam pembuatan aplikasi ini yakni model prototype. Bahasa pemrograman yang digunakan yaitu Kotlin. Sedangkan tools dan editor yang digunakan yakni Android Studio. Metode yang digunakan dalam pengumpulan data dalam penelitian ini yakni metode kepustakaan, observasi, dan wawancara. Dengan adanya pengembangan aplikasi ini, maka dapat membantu dalam menentukan kesehatan konsumen dari beberapa parameter yang digunakan antara lain yakni lemak tubuh, lemak perut, usia sel, dan kadar air. Output dari beberapa parameter tersebut kemudian dijadikan sebagai input untuk aplikasi yang dibangun.

Some features of the financial mechanism of budget institutions of Ukraine

The article is devoted to the peculiarities of construction and implementation of the financial mechanism of budgetary institutions, also substantiates the possible ways to improve financial security as a subsystem of the financial mechanism. In the conditions of transformation of the economic system of Ukraine, the actual direction of scientific researches is development of theoretical aspects of the financial mechanism of functioning of budgetary institutions, which is a component of the economic mechanism of the state. Today, the successful functioning of budgetary institutions is extremely important because they are created by the state to achieve social, cultural, educational, scientific and managerial goals for public health, development of physical culture and sports, spiritual and other intangible needs of citizens, protection of rights. Fulfillment of the set tasks is impossible without building an effective financial mechanism.

Real Time Child Infant Mortality Analysis for Efficient Public Health Development

The problem of child health management and development has been well studied. There are number of methods available for the problem of child health development but suffers to achieve higher performance. To improve the performance, an efficient real time child infant mortality analysis for improved health development using multi feature covariance measure (MFCM). The method maintains number of data records of various child and infants from the age of 1 month to 15 years. For each child or infant, the method maintains continuous records of their health diagnosis. Using the data maintained, the method identifies and groups them according to the cause of death. Using the cluster generated, the method estimates health factor influence (HFI) for different features. Based on the value of HFI, a set of features which has higher HFI are selected and used to generate analysis. Further the method generates a prediction result on the future mortality and the reasons. The method improves the performance of mortality prediction and increases the accuracy also.

Public Health Policy in Donggala Regency

This study aims to determine how the implementation of Village Fund policies in addressing the problems of community health development in Donggala Regency, Central Sulawesi Province. The technique for determining informants in this area was carried out after determining the sample area by referring to the Village Minister Regulation (Permendesa) Number 2 of 2016 concerning the Developing Village Index (IDM), which maps Villages into the Village category. Donggala Regency has three categories of villages, namely: very disadvantaged villages, underdeveloped villages, and developing villages. And for each Village Category, informants were determined purposively, as was the technique of determining informants at the Health Office and the Community Development and Village Government (DPMD) Office, informants were determined purposively. The results of the study concluded that the implementation of public health development policies in Donggala Regency was not well realized, however, in this study it was found that the Van Meter & Van Horn policy implementation model was very appropriate to be used in assessing the performance of complex policies.

The city as a healthy lifestyle cluster: connection of public health policy and health culture formation

Problem setting. The city is always a group identity, including a culture of health. Health is related to education, living conditions, work, leisure, and many other factors. Global megatrends confirm the relevance of public health development. At present, the public health structure in the field of domestic medicine is forming in Ukraine. A pandemic and a financial crisis are pushing the state and local communities more actively to build an appropriate system to protect the population.Recent research and publications analysis. Foreign authors focus on the effectiveness of community-based health care spending, especially for the poorest. At the same time, analysts argue that mortality among children under the age of five is significantly decreasing in urban areas and, on the contrary, and is increasing among adult men. Other studies provide a robust, flexible forecasting platform for community management systems. Therefore, foreign authors point to the need for active involvement of municipalities in the field of public health. This is necessary to preserve lives and to inculcate all levels of urban governance and citizens of the health culture. At the same time, the tools of this managerial influence in cities are not yet fully disclosed in researchers' publications.Highlighting previously unsettled parts of the general problem. Studying foreign experience of health care development in the context of forming a health culture in the city, as well as exploring the possibilities of implementing effective decision-making technologies in this field in Ukraine.Paper main body. The experience of World Health Organization projects in the context of urban public health development is considered. In particular, one of WHO's Healthy Cities initiatives is interesting. The following six theses of the Copenhagen Consensus of Mayors underpin the priority directions of Stage VII: investing in people; urban environment design, support for active participation and partnerships in the interests of health and well-being; promoting the development of local communities and access to public goods and services; promoting peace and security through the formation of inclusive communities; protecting the planet from degradation, including through sustainable consumption and production.Cities need to ensure that public policy, economic investment programs are interconnected, and make every effort to equitably distribute resources. In this way, public health policy tools will shape the city’s health culture as a multifaceted concept. The process of implementation of public health system in the regions of Ukraine, in particular in Sumy region is also considered on a specific example. So, Sumy Regional Center for Public Health was created as part of the All-Ukrainian Medical Reform in 2018. Regional program of public health support for 2020 – 2021 is approved.The total amount of indicative financing under this program for the years 2020 – 2021 is 63 mln. UAH. The main activities and activities of the program for two years are: improvement of the material and technical base of health-care establishments involved in the public health system and provision of services related to HIV/AIDS, tuberculosis, drug addiction. However, due to the lack of implementation of the regional budget and the deterioration of the socio-economic situation in the region, the Sumy Regional Public Health Center has been reorganized recently to optimize the structures of the region council. This fact points to the actual phasing-out in the area of public health health reform. Only the coronavirus pandemic, which began in 2020 both in the world and in Ukraine, has intensified the activities of the state and regional authorities to partially strengthen and restore the public health system.Conclusions of the research and prospects for further studies. Therefore, the impact of public policy in cities on the development of a health culture becomes an urgent task. Using this strategic thinking in European cities will give Ukraine the opportunity to develop its own public health policy. Therefore, further research in this area is extremely promising. Cities need to ensure that public policy, economic investment programs are interconnected, and make every effort to equitably distribute resources. In this way, public health policy tools will shape the city’s health culture as a multifaceted concept.

MASALAH GIZI BALITA DAN HUBUNGANNYA DENGAN INDEKS PEMBANGUNAN KESEHATAN MASYARAKAT

ABSTRACT The problem of undernutrition and overnutrition among underfive children is still a challenge in improving public health in Indonesia. Public Health Development Index (PHDI) has been developed based on the results of the Basic Health Research (Riskesdas) 2013. This analysis was carried out to determine the role of PHDI and its constituent components with the nutritional problems of children under five in Indonesia. The 2013 PHDI consists of 7 indexes, namely underfive children health, reproductive health, health services, health behavior, non-communicable diseases, communicable diseases, and environmental health. One-way ANOVA analysis was carried out to analyze the mean differences between the prevalence of undernutrition based on the category of PHDI values, while the analysis of overweight with the PHDI value category was analyzed by Kruskal-Wallis. Analysis of the association between the prevalence of undernutrition and overweight with the PHDI was done using linear regression. Mean analysis of the prevalence of undernutrition according to the PHDI group shows a tendency with the higher PHDI, the lower the prevalence of undernutrition. Linear regression analysis shows that there is a significant relationship between the indices in the PHDI and the prevalence of undernutrition, where the reproductive health index has the highest contribution to the decreament of the prevalence of child undernutrition. In contrary, the analysis of the prevalence of obesity according to the PHDI group shows no difference in the prevalence of obesity with the PHDI group. Linear regression analysis also shows a weak relationship between the PHDI indices and the prevalence of obesity. Keywords: malnutrition; public health development index; under five children ABSTRAK Masalah gizi kurang dan gizi lebih pada balita masih menjadi tantangan dalam perbaikan kesehatan masyarakat di Indonesia. Berdasarkan hasil Riset Kesehatan Dasar (Riskesdas) 2013 telah dikembangkan Indeks Pembangunan Kesehatan Masyarakat (IPKM) yang dapat menjadi arah dalam menentukan prioritas pembangunan di bidang kesehatan. Analisis ini dilakukan untuk mengetahui peran dari IPKM dan komponen-komponen penyusunnya dengan masalah gizi balita (gizi buruk-kurang, pendek dan gemuk) di Indonesia. IPKM 2013 terdiri dari 7 indeks, yaitu kesehatan balita, kesehatan reproduksi, pelayanan kesehatan, perilaku kesehatan, penyakit tidak menular, penyakit menular, serta kesehatan lingkungan. Analisis one way anova dilakukan untuk menganalisis perbedaan rerata antara prevalensi kurang gizi berdasarkan kategori nilai IPKM, sedangkan pada analisis kegemukan dengan kategori nilai IPKM dilakukan analisis Kruskal-Wallis. Analisis hubungan antara prevalensi gizi kurang dan gizi lebih dengan IPKM dilakukan dengan menggunakan analisis regresi linear. Analisis rerata prevalensi kurang gizi menurut kelompok IPKM menunjukkan kecenderungan semakin tinggi IPKM suatu daerah semakin rendah prevalensi kurang gizi pada balita. Analisis regresi linear menunjukkan bahwa terdapat hubungan yang siknifikan antara indeks-indeks dalam IPKM dengan prevalensi gizi kurang, dimana indeks kesehatan reproduksi memberikan kontribusi yang paling besar terhadap penurunan prevalensi gizi kurang balita. Sementara analisis prevalensi kegemukan menurut kelompok IPKM menunjukkan tidak adanya perbedaan prevalensi kegemukan dengan kelompok IPKM. Analisis regresi linear juga menunjukkan hubungan yang lemah antara indeks-indeks IPKM dengan prevalensi kegemukan pada balita. [Penel Gizi Makan 2019, 42(1):1-10] Kata kunci: masalah gizi; indeks pembangunan kesehatan masyarakat; bawah lima tahun