An Intervention Study in Healthy Booklet of Child Under Five Years in Baubau City

Utilization healthy booklet the provision of information to mothers of child under 5 years of age who have Maternal Child Healthy Booklet with additional information of nutritional intake or local supplementary feeding, health care, stimulation and visit to posyandu (center of integrated health services) through the lecture questioning method with using modules and leaflets. This study aims to determine the intervention utilization healthy booklet against growth and development of child under 5 years of age. The type of research used in this study is quasi experiment with non-randomized pre-test-post-test control group design. Sampling technique is exhaustive sampling amounted to 100 respondents. Where there are 2 groups (intervention and control), each amounted to 50 respondents. The result showed that there was a significant difference of knowledge (p=0.000), attitude (p=0.000) and practice (p=0.000) of before and after obtaining intervention. Conclution in this study is utilization maternal child Healthy Booklet more effective to improve linear retradation and cognition of child under 5 years of age at Baubau City.

Denmark

This chapter offers an in-depth look at health politics and the tax-financed, universal health system in Denmark. It traces the development of the Danish healthcare system, characterized by an evolving division of labor between central authorities and decentralized municipal and regional governments. Since the late 1980s, Danish health policy has seen a number of gradual changes and a major structural reform passed in 2005 that amalgamated municipalities and regions and changed healthcare financing rules, thus shifting the balance of shared power toward the center. Other healthcare issues have been cost containment, patient rights, and promotion of local integrated health services. A negotiated policy style contributes to efficient implementation of reforms once a decision has been made.

The Affordable Care Act: policy predictors of integrated care between Hispanic-serving and mainstream mental health organizations

Background The Patient Protection and Affordable Care Act increased funding for integrated care to improve access to quality health care among underserved populations. There is evidence that integrated care decreases inequities in access and quality of mental health care among Hispanic clients. Increasing integrated care at Hispanic-Serving Organizations may help to eliminate mental health service disparities among Hispanic clients. Method Using organizational responses from the 2014 and 2016 waves of the National Mental Health Service survey, this study conducted multivariate logistic analyses to assess whether the ACA policies related to integrated care increased the provision of integrated addictions treatment and primary care at mental health Hispanic-Serving Organizations, relative to Mainstream Organizations. Results Findings showed that Hispanic-Serving Organizations (54.4%) were less likely to provide integrated health services than Mainstream Organizations (59.1%) after the ACA. However, federal funding to help organizations transition into integrated care services (AOR = 1.74, p = 0.01) and accepting Medicaid payments (AOR = 1.59, p = 0.01) increased the provision of integrated care services at Hispanic-Serving Organizations over time. Conclusions Health care policies that increase funding to adopt integrated health services at community Hispanic-Serving Organizations may help decrease inequities in mental health access for Hispanics in the United States.

Puppet theatre: A way to tell what cannot be told and to face pain

Processes of artistic reparation and memory recovery are spaces created for victims of state terrorism and family members of the disappeared in the context of the military dictatorship in Chile (1973‐90). Puppet therapy was utilized as a methodology by the company Puppets in Transit with participants drawn from Integrated Health Services in Chile in relation to reparation projects. This process of intervention with puppets seeks to restore social bonds, to enable an intergenerational dialogue and to transmit fragmented memory. The puppet, an expressive, symbolic and mediating object, stimulates a collective dialogue to create collective performance related to participants’ memories. All those mentioned in this article have given permission for their stories to be mentioned; we use only first names.

Knowledge, Behaviour and Utilization of Integrated Health Services Post in Working Area Ratu Agung Community Health Center Bengkulu

Good utilization of Integrated Health Services Post was very influential on monitoring the growth and development of under five children under five. This study aimed to determine the relationship between knowledge and attitude of mother with the utilization of Integrated Health Services Post by mothers of under five children in working area Ratu Agung Community Health Center Bengkulu. The type of this research was Analytical Survey and used Cross Sectional design. The population of this study were all mothers who had 7-23 months children amounted 512 mothers. Sampling technique was Proportional Random Sampling. The total samples were 84 samples. Data used in this study are primary data through the distribution of questionnaires given to mothers. Data analiysed by using Chi-Square (χ2) and Contingency Coefficient (C) statistics test. The result of the research were 44 mothers (52,4%) had enough knowledge, 56 mothers (66,7%) had favorable behavior, 53 mothers (63,1%) utilized Integrated Health Services Post, and there was significant relationship between knowledge and attitude of mothers with the usage of Integrated Health Services Post in the working area of Ratu Agung Community Health Center Bengkulu with medium category. Ratu Agung Community Health Center can increase the knowledge of the community by doing education about the importance of Integrated Health Services Post so that community, especially mothers with under five children can understand the importance of Integrated Health Services Post and can visit regularly every month. Keywords : attitude, knowledge, utilization of integrated health services post

HUBUNGAN USIA MELAHIRKAN DAN PEMAKAIAN KONTRASEPSI HORMONAL DENGAN USIA MENOPAUSE DI POSYANDU LANSIA AL-HIDAYAH KELURAHAN 1 ULU DARAT PALEMBANG TAHUN 2016

ABSTRAK Menopause adalah peristiwa kehidupan yang normal bukan suatu penyakit. Menopause terjadi secara bertahap biasanya antara usia 45 sampai dengan 55 tahun, menopause alamiah terjadi pada wanita yang masih mempunyai indung telur. Menopause yang normal terjadi akibat penurunan produksi hormon estrogen karena proses penuaan, namun penyebab lain yang mendukung menopause itu terjadi dan kapan menopause itu terjadi diantaranya ialah usia saat haid pertama kali (menarche), faktor psikis, jumlah anak, usia melahirkan, pemakaian kontrasepsi hormonal, merokok, sosial ekonomi, perubah pola makan sehat, terlalu diet ketat dan diabetes melitus. Tujuan penelitian ini adalah mengetahui hubungan usia melahirkan dan pemakaian kontrasepsi hormonal dengan usia menopause di Posyandu Lanjut Usia Al-Hidayah Kelurahan 1 Ulu Darat Palembang. Penelitian ini adalah penelitian kuantitatif dengan menggunakan metode survei analitik dengan pendekatan cross sectional. populasi diambil dari keseluruhan wanita yang berumur ≥ 55 tahun anggota Posyandu lanjut usia Al-hidayah Kelurahan 1 Ulu Darat Palembang berjumlah 70 orang dan sampel adalah total populasi. Hasil yang diperoleh dari hasil uji statistik Chi Square didapatkan (p value = 0,003 < α 0,05), ada hubungan usia melahirkan dengan usia menopause dan didapatkan (p value = 0,009 < α 0,05), ada hubungan pemakaian kontrasepsi hormonal dengan usia menopause. Disarankan kepada kader posyandu dapat memberikan penyuluhan kepada semua wanita khususnya yang ada Posyandu Lansia Lansia Al-Hidayah Kelurahan 1 Ulu Palembang mengenai faktor-faktor yang dapat mempengaruhi usia menopause sehingga para wanita khususnya yang memasuki usia 45 tahun dapat lebih nyaman menghadapi usia menopause. ABSTRACT Menopause is a normal life event and it is not a disease. Menopause usually occurs gradually between the ages of 45 to 55 years. The natural menopause occurs in women who still have ovaries. A normal menopause occurs due to the decreased estrogen production due to the aging process, however there are other factors which cause menopause to occur and when it occurs, among them are: the age when a woman first gets menstruation (menarche), psych ological factors, number of children, childbearing age, use of hormonal contraceptives, smoking, socioeconomic factors, change in patterns of healthy eating, overly strict diet and diabetes mellitus. The objective of this study was to reveal the relationship between childbearing age and the use of hormonal contraceptives and menopausal age at the Integrated Health Services for Elderly of Al-Hidayah in 1 Ulu Darat Village Palembang. This is a quantitative study using analytical survey method with cross sectional approach. The population of the study was all the women aged ≥ 55 years older who were members of the Integrated Health Services for Elderly of Al-Hidayah in 1 Ulu Darat Village Palembang totaling 70 people in which the samples were all members of the population. The results of the statistical test using Chi Square showed that there was a relationship between childbearing age and menopausal age with ρ value = 0.003 < α 0.05, and there is an association of hormonal contraceptive use and menopausal age with ρ value = 0.009 < α 0.05. It is suggested that the cadres of the Integrated Health Services for Elderly of Al-Hidayah in 1 Ulu Darat Village Palembang provide counseling to all women especially those elderly in their working area about the factors that can affect the age of menopause, so that women entering the age of 45 years may be more comfortable in facing menopausal age.