The Effect of Steamed Tempeh on Hemoglobin Levels and Body Weight in Pregnant Women at the Kalar - Kalar Health Center, Aru Islands District

Background: Nutrition of pregnant women is very influential on fetal growth, one of which is iron deficiency anemia. Iron deficiency increases in pregnant women with increasing age in pregnancy. Significantly low intake of nutrients will make pregnant women experience Chronic Energy Deficiency. The nutritional content of tempeh can be used to meet the nutritional needs of pregnant women. Objective: The aim of this study was to analyze the effect of giving steamed tempeh to the increase in hemoglobin and Body Weight levels in pregnant women at the Kalar-kalar Health Center, Aru Islands Regency. Method: This type of research is a quasi-experimental with a pre-posttest control group design. The intervention was given to the respondents as many as 24 people with 12 people in the control group and 12 people in the treatment group. Sampling purposive sampling. Subjects were taken from two villages in the working area of ​​the Kalar-Kalar Public Health Center which have relatively the same geography and socioeconomic status and only pregnant women with Hb <11 G/dL were selected. The form of treatment was giving 100 G of steamed tempeh 2 times a week for 30 days while the control group was given biscuits for pregnant women 2 times per week 100 G. Data analysis used univariate and bivariate analysis with paired T test and Mann Whitney. Results: Mann Whitney test results of the effect of steamed tempeh on weight gain in the treatment group obtained a p-value of 0.050 (p=0.05). Differences in hemoglobin levels in anemic pregnant women with a p-value of 0.018 (<0.05) with a mean difference of 0.42 G/dL in the pre-posttest treatment group and the control group with a p-value of 0.217 (<0.05) with a mean difference of 0.21 G/d dL. Conclusion: There is an effect of giving steamed tempeh to increase hemoglobin and body weight in pregnant women. Keywords: Anemia, Pregnant women, Hemoglobin, Body Weight, Tempeh.

Exclusive Breastfeeding Related to Diarrhea Occurrence in Babies Aged 0-6 Months Old at Sudiang Community Health Center, Makassar

Exclusive breastfeeding is a condition in which infants are only given breast milk without the addition of other fluids and foods. until the baby reaches 6 months old. Breast milk strengthen the immune system in infants so they can avoid various diseases including diarrhea. This study aims to determine the relationship between exclusive breastfeeding and the incidence of diarrhea in infants aged 0-6 months in the Sudiang Community Health Center. This research is an analytical survey research with a cross-sectional design. This research was conducted at the Sudiang Health Center, Makassar City in the period November 1st to December 31st, 2019. The total respondents were 89 mothers with babies aged 0-6 months. The results showed that most of the respondents were mothers with male babies (61%), most of the mothers' education was high school graduates (46%), housewives (75%) with low economic background (56%). Exclusive breastfeeding related to the incidence of diarrhea in children aged 0-6 months in the Sudiang Community Health Center with a value of p <0.05 (p = 0.001). In addition, no significant relationship on maternal nipple hygiene to diarrhea in children aged 0-6 months p <0.05 (p = 0.075). In conclusion, this study showed there is a relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center. There is a relationship between hand hygiene and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center, Makassar.

1000HPK Training For Cadres and Pregnant Women To Prevent Stunting In The Bungursari Health Center Work Area Of Tasikmalaya City In 2020

Bungursari Health Center in 2018 had stunting toddlers as many as 219 out of 1140 toddlers (19%). In 2018 there were 28 stunted toddlers with chronic malnutrition conditions, as well as pregnant women who experienced KEK as many as 23 people, as many as 56% of mothers who breastfeed exclusively and mothers as much as 74% have provided complementary breast milk since the age of 4 months and many mothers provide breast milk companion food with a menu that does not meet the STANDARD 4 quadrant WHO. This community service aims to carry out 1000 HPK mentoring training for cadres so that there is an increase in the knowledge and skills of cadres in escorting 1000 HPK so as to prevent stunting. Community Service training of 1000 HPK followed by 30 cadres for 2 days involving expert sources in their fields, namely the Head of Health Center, Midwife Coordinator, Nutritionist and Promkes and Midwife with the expertise of breastfeeding counselors, training is carried out face-to-face question and answer discussion methods and practicums. The results of the activities obtained are in the improvement of the knowledge and skills of cadres in controlling 1000 HPK.

The Establisment of Caring Community Through TB Care Muhammadiyah at Puskesmas Tamansari Tasikmalaya City

Tuberculosis is an infectious disease whose number is still increasing in Indonesia, especially in Mulyasari Village, Tamansari District, Tasikmalaya City. TB incidence in Tamansari as of November 2020 reached 58 people, 3 people died and 1 person experienced drug resistance. Muhammadiyah is an Islamic da'wah movement for amar ma'ruf nahi munkar whose one of its da'wah movements is concerned with social humanitarian movements in the health sector. One of the health services that continues to be developed by Muhammadiyah is service and counseling to the community about TB disease and socialization of the use of TB Comprehensive PMO guidelines which can improve the cognitive, affective and psychomotor abilities of TB PMO which have an impact on increasing public awareness of TB disease. This program is implemented through counseling to cadres, religious leaders and PMOs in the work area of ??the Tamansari Health Center about TB disease and socialization of the use of TB Comprehensive PMO guidelines. Tamansari Health Center consists of 4 sub-districts, namely Mulyasari village, Sukahurip village, Setyawargi village and Setyamulya village. The results of this community service are an increase in the knowledge of cadres, PMOs and religious leaders about TB control and the formation of the TB Care Muhammadiyah management where in each disctrict there are 4 Muhammadiyah branch managers who collaborate with the village cadre coordinator to participate in monitoring the treatment of TB patients in the Tamansari area.

Implementation of Management of Pulmonary Tuberculosis with the Directly Observed Treatment Short course Strategy

The purpose of this study was to describe the implementation of pulmonary TB disease management with the DOTS strategy at the Jagong Health Center, Central Aceh Regency.The implementation of Pulmonary TB Management with the DOTS (Directly Observed Treatment Shortcourse) strategy in the working area of the Jagong Health Center, Central Aceh Regency has been maximized. by facilitating and providing motivation so that patients want treatment in a complete and integrated manner, case detection can be carried out by health workers or cadres who have been given training to recognize the symptoms of pulmonary TB. The distribution of drugs is distributed to each puskesmas in Central Aceh Regency, from the Puskesmas the drugs are arranged directly by P2TB officers then given directly to the PMO or the patient himself. PMO performance has never been given special training about treatment, PMO only received direction from P2TB Pulmonary officers. Recording and reporting carried out at the Jagong Health Center includes case finding, treatment, and recovery. Suspected pulmonary TB will be recorded and then monitored until the results of the examination have been obtained. Recording and reporting will be reported every month in a meeting at the Central Aceh District Health Office. For the Central Aceh Regency government to further enhance the development and improvement of infrastructure in the health sector so that health services are more easily accessible to people in remote areas.

Relationship of Knowledge and Attitude of Parents with The Provision of Basic Immunization in Baby in Puskesmas Alalak Selatan Kota Banjarmasin

The immunization program is carried out so that the baby gets all five types of immunizations in full, so that the baby is protected from diseases that can endanger the baby's health. Knowledge about immunization is very important for mothers, especially mothers who have just given birth to their babies. Immunization is giving vaccines to toddlers so that the immunity of the toddler's body can be increased and immune to disease. The research objective to be achieved based on the above problem formulation is to determine the relationship of knowledge and attitudes of parents with basic immunization for infants at the Alalak Selatan Health Center in Banjarmasin City in 2018. The research design used in this study is descriptive analytic research. using an accidental sampling technique approach by taking respondents who came to the South Alalak Health Center. The sample used in this study were 79 respondents, with data analysis using the Chi Square test. The results showed the relationship between knowledge and immunization based on chi square test data regarding the relationship of knowledge with basic immunization, obtained a significance of 0.004 < 0.05, this concludes that there is a relationship between knowledge and basic immunization. the relationship between parental attitudes with basic immunization based on the chi square test output data obtained significant by 0,000 < 0.05 meaning that there is a relationship between parental attitudes and basic immunization. Alalak Selatan Community Health Center should increase socialization on the importance of basic immunization for children through electronic media as well as health center staff and health networks under its auspices.

THE CORRELATION BETWEEN FAMILY SUPPORT AND ADOLESCENT'S COMPLIANCE IN JOINING THE INTEGRATED SERVICE POST PROGRAM FOR FAMILY (POSYANDU KELUARGA) AROUND THE WORK AREA OF PUBLIC HEALTH SERVICE OF AIKMEL

Adolescence is a transition period recognized from physical, emotional, and psychological changes happening between 10-19 years of age. Teenagers’ health problems certainly need comprehensive and integrated treatment given through IEC, counseling, peer counseling, clinical/medical services, and referrals, including the Integrated Service Post program as a form of community participation in health services. Therefore, the integrated-service-post program should be able to expand its service range; not only for toddlers, pregnant and breast-feeding women, but also other strategic targets such as teenagers and the elderly. The purpose of this study was to determine the correlation between family support and adolescent compliance in joining the family posyandu around the working area of the Public Health Center of Aikmel.This research was a descriptive correlation study using an observational approach. The population of this study was 399 teenagers and the samples were 134 drawn using systematic cluster sampling. A questionnaire was used to measure family support and observation sheets were used to find out adolescent compliance in joining the program. The data were then analyzed using the chi-square test.The results showed that the highest participation was shown by teenagers between 12-16 years of aged (70.1%) and the lowest participation was performed by adolescents aged 17-25 years (29.0%). Additionally, based on gender, girls participated more than boys (the participation of girls was 53%). Moreover, the result showed that the higher the education, the higher the family support. Finally, the levels of compliance were 53.7% (compliant) and 56.3% (non-compliant). The statistical test showed that ρ value = 0.009 (ρ < 0.05).Therefore, it can be concluded that there was a significant correlation between family support and adolescent compliance in joining the Integrated Service Post program for families around the working area of the Public Health Center of Aikmel. Hopefully, paramedics/cadres can provide counseling about the importance of family support to increase teenagers’ compliance in joining the program.