Empowerment of Family in Early Detection of Total Growth at Puskesmas Karangrejo Metro

The target number of children in early detection of child development and development in the working area of ??Puskesmas Karangrejo is 1,037 children, with details of 133 infants from 0 - 11 months and 904 children aged 12 - 72 months. Of these, the coverage for early detection until February 2020 is still low, namely at 6.7%. The purpose of the Community Service is to empower families in conducting early detection of toddler growth and development in the Karangrejo Health Center area. The method of activity is health education and empowerment of “active participation” of mothers toddler in stimulating and detecting the growth and development of their children. The result of mentoring was that there was progress in the developmental ability of 1 child who had not been able to walk at the age of 19 months, showing an increase in walking ability after 2 weeks of assistance. There was an increase in the knowledge of mothers / families about growth and development by 12.68 points. There was an increase in the frequency of implementing stimulation for child growth and development by mothers of under-five from 88.2% of mothers who had stimulated to 98.6% after mentoring. Continuity of family empowerment is needed regarding early detection of growth and development and not only involving mothers / families but also involving cadres.

Pembentukan Kelompok Centing (Cegah Stunting ) Melalui Kegiatan Pemberdayaan Masyarakat di Puskesmas Wilayah Rangkah

ABSTRAKKekurangan gizi pada masa Balita akan dapat menyebabkan gangguan serius bagi perkembangan otak yang mengakibatkan tingkat kecerdasan anak terhambat. Di Puskesmas Rangkah masih ditemukan 37 Balita Gizi Buruk dan belum adanya kelompok masyarakat yang memperhatikan pada pencegahan stunting pada Balita. Metode dalam kegiatan pengabdian masyarakat ini adalah dengan pembentukan kelompok cegah stunting, Pemberian materi dan pendampingan dalam melakukan pengukuran TB/PB terhadap umur. Hasil Pengabdian Masyarakat telah terbentuk Kader Cegah Stuting (CENTING) sebanyak 40 orang, Ada peningkatan nilai terendah, tertinggi, dan rata-rata pengetahuan peserta pelatihan serta sebagian besar (77,5%) memiliki nilai 79-100, Nilai rata-rata keterampilan peserta dalam Pengukuran TB/PB dibanding umur untuk deteksi stunting adalah 42,5 % (Baik). Pembentukan kelompok CENTING (Cegah Stunting) merupakan salah satu upaya untuk mencegah stunting di wilayah Puskesmas rangkah. Dengn adanya pelatihan bagi masyarakat yang menjadi kelompok CENTING (Cegah stunting), maka diharapkan adanya pemberdayaan masyarakat dalam menurunkan angka stunting di Surabaya, khususnya di wilayah Puskesmas Rangkah, Kecamatan Tambaksari, Surabaya. Kata Kunci: Cegah Stunting, Pemberdayaan masyarakat, Rangkah ABSTRACTMalnutrition in toddlers can cause serious disturbances in brain development which results in stunted children's intelligence levels. At the Rangkah Health Center, 37 Malnourished Toddlers were still found and there were no community groups that paid attention to stunting prevention in Toddlers. The method in this community service activity is the formation of a stunting prevention group, providing materials and assistance in measuring TB/PB for age. the average knowledge of the trainees and most of them (77.5%) had a score of 79-100. The average value of participants' skills in measuring TB/PB compared to age for stunting detection was 42.5% (Good). The formation of the CENTING (Prevent Stunting) group is one of the efforts to prevent stunting in the framework of the health center. With training for people who are members of the CENTING (Prevent stunting) group, it is hoped that there will be community empowerment in reducing stunting rates in Surabaya, especially in the Rangkah Health Center area, Tambaksari District, Surabaya. Keywords: Stunting Prevention, Community Empowerment, Rangkah

Upaya Mempercepat Penyembuhan Diare pada Balita dengan Pemberian Makanan Tambahan Puding Madu

ABSTRAKDiare adalah salah satu penyakit yang masih menjadi masalah kesehatan masyarakat di negara-negara berkembang. Penyakit diare sebagai penyebab kedua angka kesakitan dan angka kematian pada balita di Indonesia. Sebagian orang menganggap diare sering terjadi karena keracunan makanan. Status nutrisi bisa menjadi faktor perancu karena status nutrisi mempengaruhi durasi diare dan juga efektifitas prebiotik dalam meningkatkan respon imunitas. Studi pendahulan yang dilakukan di BPM Rusmiati Wilayah Puskesmas Winong terdapat data balita Pada bulan Maret-Mei 2020 yang mengalami diare pada usia 3-5 tahun sebanyak 57 balita. Tujuan penelitian ini untuk menganalisis pengaruh Pemberian Makanan Tambahan puding madu terhadap lama penyembuhan diare pada Balita Usia 3-5 . Jenis penelitian ini adalah penelitian kuantitatif dengan desain Quasi Eksperiment dan purposive sampling didapatkan 20 responden. Instrumen penelitian menggunakan kuesioner dan analisis yang digunakan adalah mann whitney. Hasil penelitian menujukkan lama penyembuhan diare pada balita usia 3-5 tahun yang diberikan puding madu dan zinc didapatkan nilai median sebesar 4 hari sedangkan responden yang diberikan zinc dan oralit dengan nilai median adalah 5 hari. Kesimpulan penelitian ini adalah ada pengaruh pemberian makanan tambahan puding madu terhadap lama penyembuhan balita diare pada balita usia 3-5 tahun di PMB RusmiyatiKata kunci : balita; diare; puding madu; pemberian makanan tambahanABSTRACT Diarrhea is a disease that is still a public health problem in developing countries. Diarrhea is the second cause of mortality in under-five children in Indonesia. some people think diarrhea is often caused by food poisoning. Nutritional status can be a confounding faktor because nutritional status affects the duration and also the effectiveness of prebiotics in enhancing the immune response. The preliminary study conducted at Rusmiati Private Maternal Clinic in the Winong Health Center area contained data on toddlers In March-May 2020 who experienced diarrhea at the age of 3-5 years as many as 57 toddlers. The purpose of this study was to analyze the effect of honey puding supplementary food on Diarrhea Recovery Time in Toddlers Aged 3-5. The type of research used was a quantitative study with a Quasi Experimental design with purposive sampling obtained 20 respondents. The research instrument was a questionnaire. The analysis was Mann Whitney. The results showed that the duration of diarrhea healing for toddlers aged 3-5 years who was given honey puding obtained a median value of 4 days while respondents who were given zinc and ORS alone with a median value of healing duration of diarrhea was 5 days. The conclusion of this study is that there is an effect of giving supplementary feeding honey puding on the duration of healing for toddlers with diarrhea in toddlers aged 3-5 years at Rusmiati Private Maternal Clinic Keywords : diarrhea; honey puding; toddler; supplementary food

Relationship of the Physical Environment with the Incidence of ARI in Toddlers

Factors that are closely related to the occurrence of ARI is the physical environment that does not meet health requirements. The group that has a high risk of being exposed to Acute Respiratory Infection (ARI) is toddlers as a vulnerable group because they have more time at home and their immune system is quite weak than adults. This study is aim to at studying the correlation between physical environment with the incidence of ARI toddlers in Kandai Health Center Area, Kendari City. This type of study is analytic with a Cross-Sectional Study plan. The study population was 1.576 people and the sample was 94, using Accidental Sampling. Data testing utilizes the Chi-Square test. Chi-Square test results obtained ventilation (p-value=0.001 and phi value=0.359), population density (p-value=0.002 and phi value=0.348), smoke holes (p-value=0.025 and phi value=0.255), floor types (p-value=0.040 and phi value=0.236) and wall types (p-value=0.012 and phi value=0.282). It means that there is a correlation between ventilation area, population density, smoke holes, wall type and floor type with the occurrence of ARI in toddlers in the Kandai Health Center area, Kendari City. It is expected that the relevant health agencies to play a more role in increasing public knowledge through counseling to reduce the number of cases of ARI disease in toddlers.

Pelatihan Terapi Relaksasi Hypnobirthing Untuk Tenaga Kesehatan Dalam Rangka Meningkatkan Pelayanan Kesehatan Ibu Dan

Background: labor pain is a real problem for maternity mothers, as many as 90% of women experience pain during childbirth. Mothers who are about to give birth expect to be able to give birth with a sense of comfort, but in reality many health workers, especially midwives, do not understand how to accompany mothers in labor and teach the correct relaxation techniques to reduce labor pain. The hypnobirthing relaxation technique is a natural pain reduction program by utilizing the subconscious mind to believe that childbirth is a natural, comfortable, and normal process that pregnant women can learn during their pregnancy. Methods: Method this study is used relaxation hypnobirthing intervention. The sample of this study were all midwives in the South Klaten Public Health Center area. The researcher demonstrated hypnobirthing relaxation and then the respondents practiced it in pairs. Results: the average value of the knowledge of the midwives before the training on hypnobirthing relaxation was only 50, after the training the knowledge increased by 90. Hypnobirthing relaxation training can increase knowledge and skills of midwives to in assisting pregnant women during their pregnancy and lead pregnant women to a comfortable, smooth, natural, and normal labor. Conclusion: Hypnobirthing relaxation training for midwives can increase their knowledge in assisting mothers in childbirth so that they can relax in the face of childbirth.

PENGABDIAN MASYARAKAT STIKES WIDYAGAMA HUSADA MALANG DALAM PERCEPATAN VAKSINASI COVID-19 DENGAN KUNJUNGAN RUMAH DI WILAYAH KERJA PUSKESMAS KARANGPLOSO KABUPATEN MALANG

ABSTRAKVirus Corona atau severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) adalah virus yang menyerang sistem pernapasan. Penyakit karena infeksi virus ini disebut COVID-19. Virus Corona bisa menyebabkan gangguan ringan pada sistem pernapasan, infeksi paru-paru yang berat, hingga kematian. Pandemi COVID-19 telah berdampak merugikan masyarakat, tidak hanya kesakitan dan kematian tetapi juga pada berbagai bidang sosial dan ekonomi. Vaksinasi atau imunisasi bertujuan untuk membuat sistem kekebalan tubuh seseorang mampu mengenali dan dengan cepat melawan bakteri atau virus penyebab infeksi. Tujuan yang ingin dicapai dengan pemberian vaksin COVID-19 adalah menurunnya angka kesakitan dan angka kematian akibat virus ini. Pengabdian masyarakat yang dilakukan oleh relawan Pengabdian Masyarakat STIKES Widyagama Husada ini memiliki tujuan yaitu untuk membantu percepatan vaksinasi di seluruh wilayah di Kabupaten Malang khususnya vaksinasi pada masyarakat cakupan wilayah Puskesmas Karangploso. Kegiatan Pengabdian Masyarakat ini dilakukan dengan pemberian dosis pertama dan dosis kedua. Pemberian vaksinasi dilakukan dengan kunjungan rumah dan sasarannya adalah lansia. Kolaborasi Abdimas STIKES Widyagama Husada Malang dengan tenaga medis di Puskesmas dan kader terjalin dengan baik, dengan indikator pelaksanaan kegiatan berjalan lancar dan tertib. Rangkaian prosedur kegiatan vaksinasi sebagai upaya percepatan vaksin covid-19 berjalan sesuai prosedur. Kata kunci: covid 19; vaksinasi; pengabdian masyarakat. ABSTRACTCorona virus or severe acute respiratory syndrome coronavirus 2 (SARS CoV-2) is a virus that attacks the respiratory system. The disease caused by this viral infection is called COVID-19. Corona virus can cause mild disorders of the respiratory system, severe lung infections, and even death. The COVID-19 pandemic has had a detrimental impact on society, not only in illness and death but also in various social and economic fields. Vaccination or immunization aims to make a person's immune system able to recognize and quickly fight bacteria or viruses that cause infection. The goal to be achieved by giving the COVID-19 vaccine is to reduce morbidity and mortality due to this virus. This community service carried out by the STIKES Widyagama Husada Community Service volunteer has a goal, namely to help accelerate vaccination in all areas in Malang Regency, especially vaccinations in the community coverage of the Karangploso Health Center area. This Community Service activity is carried out by giving the first dose and the second dose. Vaccination is carried out by home visits and the target is the elderly. The collaboration of Abdimas STIKES Widyagama Husada Malang with medical personnel at the Puskesmas and cadres is well established, with indicators that the implementation of activities runs smoothly and in an orderly manner. The series of procedures for vaccination activities as an effort to accelerate the Covid-19 vaccine run according to the procedure. Keywords: covid 19; vaccination; community service

Measurement of Adherence Level of Pulmonary Tuberculosis Drugs use in Patients in the Primary Health Centers in Karawang Regency, West Java, Indonesia, using MMAS Instrument

Aims: This study aims to determine the level of drug adherence in patients with pulmonary tuberculosis at the Cilamaya Kulon Primary Health Center area, Karawang Regency, West Java, Indonesia. Study Design: The measurement of adherence level was carried out using the MMAS (Morisky Medication Adherence Scale) instrument. Place and Duration of Study: This study was conducted at Cilamaya Kulon Primary Health Center area, specifically in Bayur Lor and Pasirukem Primary Health Centers, Karawang Regency, West Java, Indonesia, from July to September 2021. Methodology: A cross-sectional design with a purposive sampling data collection method was used. Furthermore, the subjects were pulmonary TB patients from the Bayur Lor and Pasirukem Primary Health Centers, Karawang Regency. The instrument used was the MMAS questionnaire sheet, and data analysis was performed using SPSS (version 22.0) and continued with statistical tests using the chi-square test. Results: The results showed there was no significant relationship (p>0.05) between age, gender, educational status, employment status, income level, smoking status, duration of treatment, drugs side effects, medication supervision, and patient motivation for drugs adherence in the Cilamaya Kulon Primary Health Center area. Furthermore, the level of medication adherence of pulmonary TB patients at this Primary Health Center area was high with a value of 84.13%. Conclusion: Adherence to medication in pulmonary TB patients was not influenced by age, gender, educational status, employment status, income level, smoking status, duration of treatment, drug side effects, medication supervision, and patient motivation. Therefore, the adherence level is included in the high category.

PEMBERDAYAAN KADER KESEHATAN TENTANG DIABETES MELITUS DAN SENAM DIABETES DI TENGAH PANDEMI COVID 19

ABSTRAKTingkat pengetahuan kader kesehatan mengenai senam diabetes melitus adalah hal yang penting untukmelaksanakan manajemen diri penderita diabetes melitus. Namun, masih banyak kader kesehatan yang tidak tahu tentang hal tersebut sehingga kader kesehatan belum dapat melakukan pembinaan mengenai senam diabetes melitus. Tujuan dari penelitian ini yaitu untuk mengidentifikasi peningkatan pengetahuan kader kesehatan tentang senam diabetes melitus di wilayah Puskesmas Candipuro. Kegiatan ini merupakan quasi experiment one group pretest and postest design. Populasinya adalah kader kesehatan dengan jumlah 350 dan jumlah sample 78 kader kesehatan melalui teknik pengambilan sampel incidental sampling. Alat pengumpul data adalah kuesioner yang dikembangkan peneliti. Analisa data yang dilakukan secara univariat dan uji paired t test dimana sebelum sudah diuji normalitas dengan menggunakan kolmogorov smirnov. Uji normalitas pada variabel pengetahuan menunjukan dstribusi normal. Hasil penelitian menunjukan rata-rata nilai pengetahuan kader kesehatan pretest sebesar 31,58 dan postest 72,26 dengan nilai signifkasi 0,00 < 0,05. Simpulan dari kegiatan ini adalah terdapat peningkatan pengetahuan kader kesehatan tentang senam diabetes mellitus di wilayah Puskesmas Candipuro. Diharapkan kader kesehatan dapat memberikan informasi tentang senam diabetes kepada masyarakat, khusunya penderita diabetes melitus dalam upaya pelaksanakan manajemen dirinya. Kata kunci: kader Kesehatan; pendidikan Kesehatan; senam diabetes melitus. ABSTRACTThe level of knowledge of health cadres about diabetes mellitus exercise is important for carry out self-management of people with diabetes mellitus. However, there are still many health cadres who do not know about this so that health cadres have not been able to provide guidance on diabetes mellitus exercise. The purpose of this study was to identify an increase in the knowledge of health cadres about diabetes mellitus exercise in the Candipuro Health Center area. This activity is a quasi-experimental one group pretest and posttest design. The population is health cadres with a total of 350 and a sample of 78 health cadres through incidental sampling. The data collection tool is a questionnaire developed by the researcher. Data analysis was carried out univariately and paired t test where before it had been tested for normality using Kolmogorov Smirnov. The normality test on the knowledge variable shows a normal distribution. The results showed that the average knowledge value of pretest health cadres was 31.58 and posttest was 72.26 with a significance value of 0.00 <0.05. The conclusion of this activity is that there is an increase in the knowledge of health cadres about diabetes mellitus exercise in the Candipuro Health Center area. It is hoped that health cadres can provide information about diabetes exercise to the public, especially people with diabetes mellitus in an effort to implement self-management. Keywords: health cadres; health education; diabetes mellitus exercise.

Hubungan Antara Pengetahuan dan Tindakan dengan Pola Pengobatan Mandiri yang Dilakukan Pasien Untuk Mengatasi Keluhan Sakit Gigi pada Ibu-Ibu Balita

Dental and oral health is often the umpteenth priority for some people. The problem of cavities is still a lot of complaints both children and adults and this cannot be allowed because it will get worse and will affect the quality of life where they will experience pain. However, with the complaint of toothache, many people end up doing self-medication about dental and oral health where it is found that there are still many people who do self-medication. This study aims to determine the relationship between knowledge, action, and self-medication patterns carried out by patients to overcome complaints of toothache in mothers of children under five at the Posyandu in the Penfui Health Center area. This type of analytical research with a Cross-Sectional approach. The sample of this study used accidental sampling, namely mothers of children under five in the Posyandu in the Penfui Health Center area who had experienced a toothache and did self-medication with a sample of 60 respondents. The results obtained for knowledge included in the good criteria, namely 71.70%, the action including the fewer criteria, namely 51.70%, while the self-medication pattern was included in the fewer criteria, namely 65.00%. The results of statistical analysis showed that there was a relationship between knowledge and self-medication pattern with a p-value of 0.014, while for action there was no relationship because the p-value was 0.998. Although the results of the level of knowledge are good, this self-medication pattern must be supported by good and correct actions and self-medication patterns for toothache complaints. It was concluded that there was a relationship between knowledge and self-medication patterns for toothache complaints carried out by mothers of children under five in the Penfui Health Center area. Kesehatan gigi dan mulut sering menjadi prioritas yang kesekian bagi sebagian orang. Masalah gigi berlubang masih banyak dikeluhkan baik anak-anak maupun dewasa dan hal ini tidak bisa dibiarkan karena akan bertambah parah dan akan mempengaruhi kualitas hidup dimana mereka akan mengalami rasa sakit. Akan tetapi dengan adanya keluhan sakit gigi tersebut maka banyak masyarakat yang pada akhirnya melakukan pengobatan sendiri tentang kesehatan gigi dan mulut dimana ditemukan masih banyak masyarakat yang melakukan pengobatan sendiri. Penelitian ini bertujuan untuk mengetahui adanya hubungan antara pengetahuan, tindakan dengan pola pengobatan mandiri yang dilakukan pasien untuk mengatasi keluhan sakit gigi pada ibu-ibu balita di Posyandu wilayah Puskesmas Penfui. Jenis penelitian analitik dengan pendekatan Cross-Sectional. Sampel penelitian ini dengan menggunakan accidental sampling, yaitu ibu-ibu balita di Posyandu wilayah Puskesmas Penfui yang pernah mengalami sakit gigi dan melakukan pengobatan sendiri dengan jumlah sampel 60 responden. Hasil penelitian didapatkan untuk pengetahuan termasuk dalam kriteria baik yaitu 71,70%, tindakan termasuk kriteria kurang yaitu 51,70%, sedangkan pola pengobatan mandiri termasuk dalam kriteria kurang yaitu 65,00%. Hasil analisa statistik terdapat hubungan antara pengetahuan dengan pola pengobatan mandiri dengan p value 0,014 sedangkan untuk tindakan tidak didapatkan hubungan karena p value 0,998. Meskipun hasil tingkat pengetahuan sudah baik, akan tetapi pola pengobatan mandiri ini harus didukung dengan tindakan dan pola pengobatan mandiri terhadap keluhan sakit gigi yang baik dan benar. Disimpulkan bahwa terdapat hubungan antara pengetahuan dengan pola pengobatan mandiri terhadap keluhan sakit gigi yang dilakukan oleh ibu-ibu balita di wilayah Puskesmas Penfui.

Hubungan Antara Pengetahuan dan Tindakan dengan Pola Pengobatan Mandiri yang Dilakukan Pasien Untuk Mengatasi Keluhan Sakit Gigi pada Ibu-Ibu Balita

Dental and oral health is often the umpteenth priority for some people. The problem of cavities is still a lot of complaints both children and adults and this cannot be allowed because it will get worse and will affect the quality of life where they will experience pain. However, with the complaint of toothache, many people end up doing self-medication about dental and oral health where it is found that there are still many people who do self-medication. This study aims to determine the relationship between knowledge, action, and self-medication patterns carried out by patients to overcome complaints of toothache in mothers of children under five at the Posyandu in the Penfui Health Center area. This type of analytical research with a Cross-Sectional approach. The sample of this study used accidental sampling, namely mothers of children under five in the Posyandu in the Penfui Health Center area who had experienced a toothache and did self-medication with a sample of 60 respondents. The results obtained for knowledge included in the good criteria, namely 71.70%, the action including the fewer criteria, namely 51.70%, while the self-medication pattern was included in the fewer criteria, namely 65.00%. The results of statistical analysis showed that there was a relationship between knowledge and self-medication pattern with a p-value of 0.014, while for action there was no relationship because the p-value was 0.998. Although the results of the level of knowledge are good, this self-medication pattern must be supported by good and correct actions and self-medication patterns for toothache complaints. It was concluded that there was a relationship between knowledge and self-medication patterns for toothache complaints carried out by mothers of children under five in the Penfui Health Center area. Kesehatan gigi dan mulut sering menjadi prioritas yang kesekian bagi sebagian orang. Masalah gigi berlubang masih banyak dikeluhkan baik anak-anak maupun dewasa dan hal ini tidak bisa dibiarkan karena akan bertambah parah dan akan mempengaruhi kualitas hidup dimana mereka akan mengalami rasa sakit. Akan tetapi dengan adanya keluhan sakit gigi tersebut maka banyak masyarakat yang pada akhirnya melakukan pengobatan sendiri tentang kesehatan gigi dan mulut dimana ditemukan masih banyak masyarakat yang melakukan pengobatan sendiri. Penelitian ini bertujuan untuk mengetahui adanya hubungan antara pengetahuan, tindakan dengan pola pengobatan mandiri yang dilakukan pasien untuk mengatasi keluhan sakit gigi pada ibu-ibu balita di Posyandu wilayah Puskesmas Penfui. Jenis penelitian analitik dengan pendekatan Cross-Sectional. Sampel penelitian ini dengan menggunakan accidental sampling, yaitu ibu-ibu balita di Posyandu wilayah Puskesmas Penfui yang pernah mengalami sakit gigi dan melakukan pengobatan sendiri dengan jumlah sampel 60 responden. Hasil penelitian didapatkan untuk pengetahuan termasuk dalam kriteria baik yaitu 71,70%, tindakan termasuk kriteria kurang yaitu 51,70%, sedangkan pola pengobatan mandiri termasuk dalam kriteria kurang yaitu 65,00%. Hasil analisa statistik terdapat hubungan antara pengetahuan dengan pola pengobatan mandiri dengan p value 0,014 sedangkan untuk tindakan tidak didapatkan hubungan karena p value 0,998. Meskipun hasil tingkat pengetahuan sudah baik, akan tetapi pola pengobatan mandiri ini harus didukung dengan tindakan dan pola pengobatan mandiri terhadap keluhan sakit gigi yang baik dan benar. Disimpulkan bahwa terdapat hubungan antara pengetahuan dengan pola pengobatan mandiri terhadap keluhan sakit gigi yang dilakukan oleh ibu-ibu balita di wilayah Puskesmas Penfui.