INCREASING COMMUNITY PARTICIPATION IN MAINTAINING CLEANLINESS AND HEALTH TO REALIZE COMFORTABLE TOURISM VILLAGE IN THE VILLAGE OF RINDU HATI

A clean and healthy tourist village is the main attraction for visitors because the beautiful and clean environment makes visitors feel comfortable. Based on the results of the FGD conducted by the University of Bengkulu LPPM in the village of Rindu Hati, several problems were found, such as the cleanliness of the village, the absence of a garbage disposal site. This of course can cause various problems for visitors and the community, one of which can affect public health and the environment. Efforts that can be made are the Guidance of Clean and Healthy Life Behavior (PHBS). The purpose of this community service activity is to provide education to the Rindu Hati village community so that they can maintain environmental cleanliness and health through the proper and correct application of PHBS, increase community knowledge and skills in managing household waste and environmental waste, and improve community skills in disease management. environmental impacts and independently in preventing and overcoming the health problems it faces. The methods used are: health education about waste management, training to utilize waste. The participants who took part in this activity were 50 people consisting of environmental groups, PKK cadres, health cadres, village officials, and housewives. The results of this community service activity show an increase in community participation in maintaining environmental cleanliness and health, this can be seen from the community's ability to implement PHBS and utilize waste that has economic value.

OPTIMIZATION OF DISCHARGE PLANNING FOR COVID-19 PATIENTS THROUGH INTEGRATED EDUCATION SYSTEM COVID NURSE ASSISTANT (CNA) TO PREVENT TRANSMISSION AND IMPROVING PATIENT SELF-CARE ABILITY IN RSSA

The high number of COVID-19 cases was not balanced by the number of nurses assigned to the Covid isolation room with limited PPE availability. This causes many of the duties of nurses, especially health education, could not be performed completely. Thus, it is necessary to renew the Discharge Planning procedure for Covid 19 patients according to the characteristics of Covid-19 transmission. The purpose of this community service is to increase the effectiveness of the discharge planning for the COVID-19 patients to improve self-care and prevent infection transmission at home. This community service activity consists of 4 (four) stages, namely: 1) Preparation stage for coordination with the hospital; 2) Application development phase, consisting of application design, collection of educational media; 3) Implementation, launching and socialization of applications in the hospital environment; 4) Evaluation and monitoring stage. The results of the evaluation showed that as many as 58.7% of patients had used the CNA. About 62.7% patients experience an increase of their knowledge after accessing the CNA. There were 61.6% patients stated that the CNA had increased their knowledge on home care procedure post-Covid treatment. There are 62.3% of patients feel that the CNA supports patient care at home. The benefits of the CNA were expressed by 82 patients (87.2%) with increased self-care and as many as 76 patients (80.9%) stated that the CNA educational media was more attractive and easy to understand. The conclusion of this activity is that the CNA application can be implemented as a medium of health education for patients and families to improve their ability to take care of themselves.

ATOPIC DERMATITIS: IMPROVING EARLY DETECTION AND PREVENTION MEASURES IN THE COMMUNITY SETTING

Atopic dermatitis is a chronic inflammation of the skin characterized by disruption of the skin barrier and aberrations in the immune response. In general, atopic dermatitis can be affected by various complex interactions including genetics, diet, and stress. The lack of public attention to atopic dermatitis which often affects children is one of the factors for the increasing prevalence of atopic dermatitis. The purpose of this community service is to help the community understand the importance of early detection and allergy prevention efforts. Community service is carried out by holding online seminars that can be followed by the general public as well as direct consultations and discussions with pediatricians for allergy patients at the Department of Pediatrics at Dr. RSUD Dr. Saiful Anwar Malang. The total Immunoglobulin E level of the respondents was measured using the enzyme-linked immunosorbent assay method. The severity of the respondents was determined by calculating the SCORAD index. The results of early detection showed that 100% of respondents had intrinsic atopic dermatitis, 90% with mild severity and 10% with moderate severity. After being checked for allergies, the respondents received the appropriate supplements. Conclusion: By holding this community service activity, ordinary people become more aware of the importance of treating allergic diseases as early as possible because the incidence of atopic dermatitis can be reduced and the quality of life of patients can be improved. This outreach activity must be carried out continuously in the following years.

READY TO ADAPT TO NEW HABITS COVID-19 PANDEMIC INVOLVING HEALTH CADRES

Adaptation to New Habits is an act of implementing a new life order needed to maintain productivity during the COVID-19 pandemic by implementing transmission prevention behaviors or COVID-19 health protocols. This community service is an activity that aims to improve the knowledge and skills of health cadre in helping to improve family health by emphasizing the Adaptation of New Habits during the Covid-19 pandemic in the Kebonsari Surabaya. The COVID-19 pandemic has limited the activities of health cadre in the community so that it needs to be refreshed regarding health materials in the hope that through the health cadre, the adaptation of new habits during the covid-19 pandemic will be well socialized in the community. The method used in this community service activity is the provision of health education related to Adaptation to New Habits and a review of the skills of health cadre in providing health education to the community. The media used is a flipchart. The result of this community service activity is an increase in cadre knowledge by 30% regarding the material for adapting new habits during the covid_19 pandemic. Education through flipchart media is one way to increase knowledge.

HIGH RISK PREGNANCY DETECTION USING TELEHEALTH-BASED SCREENING

High-risk pregnancy is a pregnancy that is likely to cause harm or complications to the mother and fetus. Given the high rate of disease transmission, the use of telehealth technology can be an effective and efficient way to deal with the spread of the virus. Telehealth is one solution to overcome the problem of access to health, with telehealth it can perform screening to detect high-risk pregnancies early, so that pregnant women can get continuous monitoring. Telehealth can operate as a filter that is able to expand and facilitate access to services, especially in the examination and screening of risks in pregnancy and can apply high risk detection instruments in pregnancy in applications, so as to facilitate decision making. Telehealth can detect high-risk pregnancies early, so that pregnant women can get continuous monitoring. The purpose of this activity is to conduct and determine the effectiveness of telehealth-based high-risk detection in pregnant women. The method of activity is in the form of community service through webinars and screenings which are carried out within 6 months online. The result of the activity is an increase in the knowledge of webinar respondents with an average pre-test value of 120 and post-test 157 out of a total of 200. Based on the results of screening using the SIBIDAN application, from 25 pregnant women in trimesters 1,2, and 3 who became respondents, the results were 52%, low risk group, 32% high risk group, and 16% very high-risk group. Therefore, further assistance, monitoring, and referral are needed to minimize pregnancy complications.

INCREASING CONFIDENCE FOR THE BLIND WITH BRAILE DARE OR TRUTH CARD GAMES IN MUHAMMADIYAH SCHOOL OF DIFABLE JOMBANG

Blind people tend to feel insecure when socializing with other people because of their limitations. Braille Dare or Truth (B-DoT) Card is an innovation of playing cards for the visually impaired designed to increase self-confidence. The purpose of this activity is to find out the benefits of the B-DoT Card game in increasing the confidence of the blind at SLB Muhammadiyah Jombang. Beginning with making a B-DoT Card designed using Adobe Illustrator, printed, and added braille manually using a reglet and stylus. After the card was finished, it was continued by visiting SLB Muhammadiyah Jombang to interact directly with blind people in August 2021. Two blind people were found who were willing to participate in this activity. Blind people are taught, trained, and assisted in playing B-DoT Card games while observing the self-confidence shown by the blind. The observations included being more confident attitude towards self-ability, optimism is a positive view of hope in playing the game, objective is a view of the problem in accordance with the reality that occurs, rational is thinking that is accepted by sense and in accordance with reality. Before the game was played, the blind people showed an attitude lack of confidence. In contrast, after the game, the blind people showed an attitude of confidence. The B-DoT Card game can be recommended as an effort to increase self-confidence for blind people at SLB Muhammadiyah Jombang.

HEALTH EDUCATION FOR STUDENT CADRES IN MIDDLE SCHOOL HEALTH CENTER TO IMPROVE THEIR KNOWLEDGE OF ADDITIONAL AND BALANCE NUTRITION

Food additives are materials added to food to affect the nature or shape of the food. These condiments can cause adverse effects on health if being consumed every day more than the amount in mg/Kg body weight. In addition, there are food additives that are prohibited, such as boric acid, formalin, salicylic acid, and others. The lack of understanding of junior high school (SMP) students regarding food additives that are allowed and prohibited cause students to be more likely exposed to foods that contain harmful substances that will accumulate or cause negative effects in the long term. This Community Service Activity aims to improve the understanding of School Health Unit (UKS) cadre students regarding food additives and balanced nutrition. This activity was attended by students from SMPN 1 Singosari, SMP 4 Muhammadiyah Singosari, and SMP Islam Bani Hasyim Singosari. Before and after the counseling material regarding food additives and balanced nutrition, the level of understanding was measured using pre and post-tests. The test results were then analyzed using independent T-test statistics with a confidence level of 95. The results of this activity indicate that there is an increase in participants' knowledge (40%) about food additives and balanced nutrition. Counseling is one of the ways to increase students' understanding of food additives as food safety and balanced nutrition is important to support growth and development.

TEENAGER CADERIZATION TO RESPOND TO CARDIAC ARREST USING SMARTPHONE APPLICATION "BE ABYSTANDER"

Out-of-Hospital Cardiac Arrest (OHCA) is considered as a global health problem because of its high incidence and low survival rates. Cardiopulmonary Resuscitation (CPR) performed immediately by a bystander for OHCA patients increases the patients’ survival rate. However, the rate of CPR for OHCA patients remains very low due to the lack of willingness to become a bystander. One way to increase the number of CPR bystanders is by providing training on how to perform CPR. Students is considered to be the best bystander candidate because of their high curiosity and ability to memorize complex objects. This community service aims to increase the survival rates of OHCA patients through the youth cadreization responding to cardiac arrest using the Smartphone Application "Be A Bystander". This community service activity includes providing education about cardiac arrest and CPR, training on CPR with the simulation method (roleplay), and training on CPR using the “Be a Bystander” application. The indicators of the success of this community service are an increase in the knowledge, skills, and willingness of participants to become a bystander. Evaluation showed a significant increase in knowledge (p = 0.000), skills (p = 0.000), and willingness (p = 0.000) of participants before and after programs were carried out. After this community services activity, we hope more students are willing to become a competent bystander.

THE DEVELOPMENT OF HERBAL MEDICINE PLANTATION PILOT DISTRICT THROUGH COMMUNITY EMPOWERMENT IN HARAPAN DISTRICT, PONDOK KELAPA

According to Riskesdas 2018, the proportion of toga utilization in Indonesia was 24.6%, while in Bengkulu Province it was around 42%. From the research results, it is known that the implementation of the TOGA program in this research area is still lacking. This is partly because people do not know about the benefits of family medicinal plants so that the use of yard land is still not optimal. The second reason is the absence of special officers at the puskesmas who manage the activities of planting medicinal plants. Based on interviews with the village head of Harapan, it was found that the low utilization of the home page, garden or fields used to cultivate medicinal plants in order to meet family needs and the lack of community knowledge about family medicinal plants indicate that there was still a lack of socialization about family medicinal plants to health cadres as spearhead of health workers in conveying information and providing guidance to families and communities. The purpose of this community service activity is to develop a toga village in Harapan Village, Pondok Kelapa District, Central Bengkulu Regency by empowering families through Health Cadres. The method used in the implementation of the activity is using the concept of community nursing and family nursing (Family and Community Nursing Aproach) and using the Community Development (CD), Persuasive and Educational model. The results of the socialization showed that there was an increase in the knowledge of PKK cadres after participated in the socialization about family medicinal plants and simple medicine from Toga (p : 0.006), a demonstration toga was formed in the Harapan Village office yard and the residents' home page. The conclusion of this activity is that 2 family medicinal plant gardens have been formed in the village office yard and the residents' home page as a model robe for the local residents. It is hoped that residents can make gowns in their respective yards so that they become a source of simple medicine and first aid if there are people who are sick community.

HEALTH EDUCATION ON ACUTE RESPIRATORY SYNDROME AND URIC ACID TESTING FOR COMMUNITY IN GUNUNGSARI DISTRICT, PEMIJAHAN, BOGOR COUNTY

Efforts to prevent acute respiratory infections (ARI) are very important, because of the ease of transmission and can cause death. Health data from the Desa Gunung Sari Health Center, Kecamatan Pamijahan, Kabupaten Bogor in 2017 indicated that ARI was the most frequent complaint. The purpose of this community service is to educate health cadres about ARI. In addition, an examination of uric acid levels was held for the people of Desa Gunung Sari which was a series of counseling activities. The method used is counseling and direct examination. The counseling participants were 45 people and the uric acid examination was 146 people. The results showed that the cadres listened well to the counseling material, as seen in the correct answers to spontaneous questions during the counseling. The community's uric acid levels were mostly in the normal category and education helps increase public understanding of ARI. Thus, the continuity of similar activities is very much needed.