Education Pillar As A Community-Based Prevention Stunting During Covid-19 Pandemic

The high prevalence of stunting and poor environmental health conditions at Bengkulu and Kupang City, baseline the need for assistance to families to provide education on Community-Led Total Sanitation (CLTS). Through the implementation of the CLTS module science and technology, the purpose is to foster and empower CLTS cadre groups as family companions to educate about the 5 pillars of CLTS by increasing family knowledge, attitudes, and actions in preventing and overcoming stunting. The target audience is 40 families in Bengkulu and 40 families in Kupang City. Community Service activities were preceded by socialization with local governments and health workers, followed by training and coaching of cadres, and family assistance activities, by providing CLTS sanitation education for 4 months through home visits, assessed once a month. The results show that cadre training is effective in increasing the knowledge and attitudes of cadres. Family assistance activities are effective in increasing family knowledge, attitudes, and actions about CLTS in stunting prevention. Environmental health officers together with cadres need to improve programmed triggering activities, monitoring, and evaluation, as well as assistance for the community and local government advocacy to support the success of the CLTS implementation.The high prevalence of stunting and poor environmental health conditions at Bengkulu and Kupang City, baseline the need for assistance to families to provide education on Community-Led Total Sanitation (CLTS). Through the implementation of the CLTS module science and technology, the purpose is to foster and empower CLTS cadre groups as family companions to educate about the 5 pillars of CLTS by increasing family knowledge, attitudes, and actions in preventing and overcoming stunting. The target audience is 40 families in Bengkulu and 40 families in Kupang City. Community Service activities were preceded by socialization with local governments and health workers, followed by training and coaching of cadres, and family assistance activities, by providing CLTS sanitation education for 4 months through home visits, assessed once a month. The results show that cadre training is effective in increasing the knowledge and attitudes of cadres. Family assistance activities are effective in increasing family knowledge, attitudes, and actions about CLTS in stunting prevention. Environmental health officers together with cadres need to improve programmed triggering activities, monitoring, and evaluation, as well as assistance for the community and local government advocacy to support the success of the CLTS implementation

PENGARUH FAKTOR INTRA PERSONAL “SOCIAL ECOLOGICAL MODEL OF HEALTH BEHAVIOUR” TERHADAP PENURUNAN ANGKA KEMATIAN IBU (AKI) DI KABUPATEN KUPANG, NTT

     Maternal Mortality Rate (MMR) in the District of Kupang, NTT is still high.Therefore to accelerate reduction of the MMR a research was made with main objective to identify the influence of intra personal factor of ‘Social Ecological Model of Health Behaviour” which covered age, education, job, knowledge, attitude, intention, value and belief, self efficacy, distance, time travel and reproduction characteristics to the reduction of MMR with indicators K1, K4, delivery place, birthing assistant, post partum visit, and family planning in the District of Kupang.     The type of research was observational analytic, cross sectional design with postpartu’s age to 3 months (126 women), analized with simple logistic regretion and double logistic regretion. The result of the research: The influence of Intra personal factor to pure K1 was contributed by job variable with OR 3.892; p = 0.027(Exp B=3.892; 95% CI: 1171 -12937. Attitude variable obtained OR 1.107 p = 0.004 ( Exp B = 1,107 ; 95% CI: 1,034 – 1,186). Value and bw variable obtained OR 1,202. p< 0,0001 ( Exp B = 1,202 ; 95% CI : 1,100 – 1,314). Influences of intrapersonal factor to K4 trimester 3: Job variable obtained OR 3,948. p = 0,013 ( Exp B = 3,984 ; 95% CI : 1,336 – 11,662). On the Attitude variable OR optained 1,086. p = 008 ( Exp B = 1,086 ; 95% CI : 1,022 – 1,155). Belief and Values vaiable obtained OR 1,156. p< 0,0001 ( Exp B = 1,156 ; 95% CI : 1,068 – 1,252). The influence of intrapersonal factor to birthing place. Knowledge variable obtained OR 1,022. p = 0,048 ( Exp B = 1,022 ; 95% CI : 1,000 – 1,045). Attitude variable obtained OR 1,038. p = 0,025 ( Exp B = 1,038 ; 95% CI : 1,005 – 1,073).     Influence of intrapersonal factor to birthing assistant: Attitude variable obtained OR 1,075. p = 0,002 ( Exp B = 1,075 ; 95% CI : 1,027 – 1,126). Weight Gain variable obtained OR 1,219. p = 009 ( Exp B = 1,219 ; 95% CI : 1,050 – 1,414). Influence of intrapersonal factor to postpartum mothers obtained OR 1,063. p< 0,001 ( Exp B = 1,063 ; 95% CI : 1,026 – 1,101). Intention variable obtained OR 1,063. Influence of intrapersonal factor to family planning. Abortion variable obtained OR 0,416. p = 0,024 ( Exp B = 0,416 ; 95% CI : 0,194 –0,890). It is concluded that intrapersonal factor of “Social Ecological Model of Health Behaviour that influence the reduction of MMR in the District of Kupang, NTT was job, values and belief, attitude, knowledge, weight gain, intention and abortion.     Maternal Mortality Rate (MMR) in the District of Kupang, NTT is still high.Therefore to accelerate reduction of the MMR a research was made with main objective to identify the influence of intra personal factor of ‘Social Ecological Model of Health Behaviour” which covered age, education, job, knowledge, attitude, intention, value and belief, self efficacy, distance, time travel and reproduction characteristics to the reduction of MMR with indicators K1, K4, delivery place, birthing assistant, post partum visit, and family planning in the District of Kupang.     The type of research was observational analytic, cross sectional design with postpartu’s age to 3 months (126 women), analized with simple logistic regretion and double logistic regretion. The result of the research: The influence of Intra personal factor to pure K1 was contributed by job variable with OR 3.892; p = 0.027(Exp B=3.892; 95% CI: 1171 -12937. Attitude variable obtained OR 1.107 p = 0.004 ( Exp B = 1,107 ; 95% CI: 1,034 – 1,186). Value and bw variable obtained OR 1,202. p< 0,0001 ( Exp B = 1,202 ; 95% CI : 1,100 – 1,314). Influences of intrapersonal factor to K4 trimester 3: Job variable obtained OR 3,948. p = 0,013 ( Exp B = 3,984 ; 95% CI : 1,336 – 11,662). On the Attitude variable OR optained 1,086. p = 008 ( Exp B = 1,086 ; 95% CI : 1,022 – 1,155). Belief and Values vaiable obtained OR 1,156. p< 0,0001 ( Exp B = 1,156 ; 95% CI : 1,068 – 1,252). The influence of intrapersonal factor to birthing place. Knowledge variable obtained OR 1,022. p = 0,048 ( Exp B = 1,022 ; 95% CI : 1,000 – 1,045). Attitude variable obtained OR 1,038. p = 0,025 ( Exp B = 1,038 ; 95% CI : 1,005 – 1,073).     Influence of intrapersonal factor to birthing assistant: Attitude variable obtained OR 1,075. p = 0,002 ( Exp B = 1,075 ; 95% CI : 1,027 – 1,126). Weight Gain variable obtained OR 1,219. p = 009 ( Exp B = 1,219 ; 95% CI : 1,050 – 1,414). Influence of intrapersonal factor to postpartum mothers obtained OR 1,063. p< 0,001 ( Exp B = 1,063 ; 95% CI : 1,026 – 1,101). Intention variable obtained OR 1,063. Influence of intrapersonal factor to family planning. Abortion variable obtained OR 0,416. p = 0,024 ( Exp B = 0,416 ; 95% CI : 0,194 –0,890). It is concluded that intrapersonal factor of “Social Ecological Model of Health Behaviour that influence the reduction of MMR in the District of Kupang, NTT was job, values and belief, attitude, knowledge, weight gain, intention and abortion

Pemanfaatan Voluntary Counseling And Testing oleh Ibu Rumah Tangga Terinfeksi HIV/AIDS

Human Immunodeficiency Virus - Acquired Immuno Deficiency Syndrome (HIV-AIDS) merupakan penyakit menular yang jumlah penderitanya terus bertambah. Ibu rumah tangga merupakan penderita HIV/AIDS terbanyak di Kabupaten Belu. Pemanfaatan Voluntary Counseling and Testing (VCT) yang rendah oleh orang dengan HIV/AIDS (odha) termasuk ibu rumah tangga terinfeksi HIV/AIDS menyebabkan penyebaran HIV/AIDS sulit dikendalikan. Tujuan penelitian ini adalah untuk menganalisis hubungan umur, tingkat pendidikan, persepsi tentang penyakit, persepsi tentang pelayanan kesehatan, pekerjaan suami, pendapatan keluarga, keterjangkauan, persepsi keparahan penyakit dan persepsi stigma diri sendiri dengan pemanfaatan VCT oleh ibu rumah tangga terinfeksi HIV di Kabupaten Belu. Jenis penelitian yang digunakan adalah kuantitatif, disain cross sectional. Jumlah sampel adalah 90 orang yang merupakan total populasi. Penelitian dilakukan di Kabupaten Belu pada bulan Januari sampai Juli 2015. Analisa data secara deskriptif dan bivariat. Hasil analisis bivariat dengan uji chisquaremenunjukkan adanya hubungan pendidikan (p=0,040), persepsi tentang penyakit (p=0,0001), persepsi tentang pelayanan kesehatan (p=0,0001), pendapatan keluarga (p=0,016), pekerjaan suami (0,037), keterjangkauan (p=0,038), persepsi keparahan penyakit (p=0,0001) dan persepsi stigma diri sendiri (p=0,0001) dengan pemanfaatan VCT. Persepsi tentang penyakit dan pelayanan kesehatan perlu ditingkatkan dengan memperluas penyebaran informasi tentang penyakit HIV/AIDS dan manfaat VCT

PENINGKATAN PERILAKU IBU DENGAN ANAK STUNTING USIA 0-24 BULAN MELALUI PENDAMPINGAN OLEH KADER KESEHATAN MENUJU KAMPUNG KB BEBAS STUNTING

Stunting is a nutritional health problem that shows the failure to thrive in children under five due to chronic malnutrition. Liner growth failure in stunting is associated with increased morbidity and mortality. The service activities aim to foster and empower groups of toddlers as nutritional companions to increase mothers' knowledge, attitudes, and actions of mothers with stunting children aged 0-24 months to prevent and control stunting. The target audience is 80 mothers with stunted children aged 0-24 months, consisting of 40 mothers in the Kampung KB area of ​​ working area Padang Serai Health Center, Bengkulu City, and 40 mothers in the Kampung KB  of the working area of ​​Pasir Panjang Health Center, Kupang City. Community service results showed a significant increase in the knowledge, attitudes, and action of cadres under five in preventing stunting before and after the training. The cadres formed are fostered and involved in community empowerment activities in the working area of ​​the Public health center. And there is an increase in the knowledge, attitudes, and actions of mothers under five in preventing stunting. Follow-up is needed for Cadres who are responsible for continuing activities in the target group until the age of 5 years with guidance by health workers by making regular mentoring schedules until the child is five years old. --- Stunting masih menjadi masalah kesehatan prioritas untuk dicegah dan ditanggulang karena penyebab dan dampaknya yang kompleks. Kegiatan pengabdian kepada masyarakat menerapkan intervensi satu rumah satu meteran deteksi risiko stunting (MDRS). Tujuan kegiatan pengabdian untuk membina dan memberdayakan kelompok kader balita sebagai pendamping gizi untuk meningkatkan pengetahuan, sikap dan tindakan ibu balita stunting usia 0-24 bulan dalam pencegahan dan penanggulangan stunting. Kalayak sasaran adalah ibu balita stunting usia 0-24 bulan sebanyak 80 ibu yang terdiri dari 40 ibu baduta di Kampung KB Padang Serai Kota Bengkulu dan 40 ibu baduta di Kampung KB Pasir Panjang Kota Kupang. Hasil Pengabdian kepada masyarakat menunjukkan terjadi peningkatan signifikan pengetahuan dan sikap kader dalam pencegahan stunting sebelum dan sesudah pelatihan. Kader yang terbentuk dibina dan dilibatkan dalam kegiatan-kegiatan pemberdayaan masyarakat di wilayah kerja puskesmas. Terjadi peningkatan yang signifikan pengetahuan, sikap, serta tindakan Ibu baduta dalam pencegahan stunting. Perlu tindak lanjut untuk kader bertanggung jawab melanjutkan kegiatan pada kelompok sasaran sampai berusia 5 tahun dengan pembinaan oleh tenaga kesehatan  dengan  membuat jadwal pendampingan secara berkala sampai anak berusia 5 tahun

Effect of Patients Behavior and Family Health Companion Role on Hypertension Complication Occurrence

ABSTRACT Various efforts of hypertension complications prevention have been carried out properly but the prevalence of hypertensive complications in NTT Province is still very high. The study aimed to determine the effect of patient behavior and family health companion role on the incidence of hypertension complications. The study was carried out in the work area of Sikumana Health Center in Kupang City with a case-control design. A total of 40 case samples and 40 control samples were taken by simple-random sampling. Data were analyzed by bivariate (simple logistic-regression) and multivariate (multiple-logistic regression), with significant values ​​of α 1. The results showed that 70% of patients experienced Non-Hemorrhagic Stroke (SNH) complications and 30% experienced complications of Coronary Artery Disease (CAD). The results of the knowledge factor analysis (α=0.000, OR=4.775), attitude (α=0.998, OR=1.876), practice (α=0.000, OR=18.599), family health officer (α=0.000, OR=15.13) and simultaneously the practices of the patient (α=0.000, OR=17.233). There was a significant influence on patient knowledge, patient practices, and family health companion role on the incidence of hypertensive complications. The most influential variable was the patient's practices. Patients who had poor behavior had a risk of 17.233 times greater of complications of hypertension.   Keywords : behavior of patients, family health companion role, complications of hypertension   ABSTRAK Beragam upaya untuk mencegah komplikasi hipertensi, telah dilaksanakan dengan baik. Namun prevalensi komplikasi hipertensi di NTT masih sangat tinggi. Penelitian bertujuan untuk mengetahui pengaruh perilaku pasien dan peran pendamping kesehatan keluarga pada kejadian komplikasi hipertensi. Penelitian dilakukan di wilayah kerja Puskesmas Sikumana Kota Kupang dengan desain kasus-kontrol. Sebanyak 40 sampel kasus dan 40 sampel kontrol, diambil secara simple-random-sampling. Data dianalisis bivariat (regresi-logistic-sederhana) dan multivairiat (regresi-logistic-berganda), dengan nilai signifikan α1.  Hasil penelitian menunjukkan 70% pasien mengalami komplikasi Stroke Non Haemoragik (SNH) dan 30% mengalami komplikasi Coronary Artery Diseases (CAD). Hasil analisis faktor pengetahuan (α=0,000, OR=4,775), sikap  (α=0,998, OR=1876), tindakan (α=0,000, OR=18,599), peran pendamping kesehatan keluarga (α=0,000, OR=15,13), dan secara simultan tindakan pasien (α=0,000, OR=17,233). Ada pengaruh signifikan antara pengetahuan pasien, praktek/tindakan pasien, dan peran pendamping kesehatan keluarga terhadap kejadian komplikasi hipertensi. Variabel yang paling berpengaruh adalah praktek/tindakan pasien. Pasien yang memiliki praktek/tindakan kurang baik memiliki risiko 17,233 kali lebih besar terjadi komplikasi hipertensi.   Kata Kunci : perilaku pasien, peran pendamping kesehatan keluarga, komplikasi hipertens

Counseling and Individual Factors on Postpartum Mother to Use Contraceptive Method

During postpartum period, mother needs counseling on the usage of contraception tools. Contraception is needed before menstruation returns to prevent pregnancy. The purpose of this research was to investigate the influence postpartum counseling and mother’s individual factors on contraception usage in Kupang City. This was a quasi-experimental study. 64 respondents were selected through purposive sampling and divided into 2 groups, 32 people were given counseling and 32 were not. Data was collected using questionnaires. Data analysis was bivariate and multivariate. The result showed 22 respondents (68.75%) received counseling about postpartum contraception and 8 (25%) did not. The result of chi square test showed significant value of ρ = 0.000, indicating that postpartum maternal counseling influenced contraception usage. Therefore, postpartum maternal counseling affected contraception method usage by mothers in Kupang City

Factors Related to Healing Process of Sectio Caesarea Surgical Wound

ABSTRACT Sectio caesarea surgical wound is a disorder in the incontinence of cells due to surgery performed to remove the fetus and placenta by opening the abdominal wall for certain indications. The aim of the study was to analyze and make a modeling of the relationship of factors in healing the sectio caesarea surgical wounds. This research is an analytic observational study with cross-sectional design. The sample in this study were 42 mothers with post sectio caesarea surgery at Prof. DR. W.Z. Johannes Kupang Public Hospital. Sampling was performed by simple random sampling. Data analysis was carried out in a bivariate and multivariate analysis. The results of the bivariate analysis found that the variables that give risk to wound healing were age (p = 0.041; RP = 3.4), discharge planning (p = 0.004; RP = 4.75), personal hygiene (p = 0.003; RP = 0.18), nutritional status (p = 0.013; RP = 0.15). Multivariate analysis found three variables that consistently provide risks to wound healing, namely discharge planning (p = -2.078; RP = 829 95% CI), personal hygiene (p = -1.852; RP = 1.039 95% CI), nutritional status (p = -2,374; RP = 1,023 95% CI). Probability model for healing the surgical wound at Prof. Dr. W.Z. Johannes, namely personal hygiene, nutritional status, discharge planning are factors related to wound healing. Keywords        :  sectio caesarea, wound, discharge planning, personal hygiene   ABSTRAK Luka operasi sectio caesarea adalah gangguan dalam inkontuinitas sel akibat dari pembedahan yang dilakukan untuk mengeluarkan janin dan placenta dengan membuka dinding perut atas indikasi tertentu. Tujuan penelitian untuk menganalisis dan membuat pemodelan hubungan faktor pada penyembuhan luka operasi sectio caesarea. Penelitian ini merupakan studi observasional analitik dengan desain cross sectional. Sampel pada penelitian ini sebanyak 42 ibu post operasi sectio caesarea di RSUD Prof. DR. W.Z. Johannes Kupang. Pengambilan sampel secara simple random sampling. Analisis data dilakukan secara bivariat dan multivariat. Hasil analisis bivariat menemukan variabel yang memberikan risiko terhadap penyembuhan luka adalah umur (p=0,041; RP=3,4), discharge planning (p=0,004; RP=4,75), personal hygiene (p=0,003; RP=0,18), status gizi (p=0,013; RP=0,15). Analisis multivariat menemukan tiga variabel yang konsisten memberikan risiko terhadap penyembuhan luka yaitu discharge planning (p= -2.078; RP=829 95% CI), personal hygiene (p= -1.852; RP= 1,039 95% CI), status gizi (p= -2.374; RP=1,023 95% CI). Model probabilitas penyembuhan luka operasi di RSUD Prof. Dr. W.Z. Johannes yaitu personal hygiene, status gizi, discharge planning merupakan faktor yang berhubungan dengan  penyembuhan luka. Kata kunci       :  sectio caesarea,  luka, discharge planning, personal hygien

AKTIVITAS ANTIBAKTERI Eschericia coli PADA MINYAK ATSIRI BATANG GENOAK (Acorus calamus) ASAL PULAU TIMOR

Telah dilakukan uji aktivitas antibakteri Eschericia coli (E. coli) minyak batang genoak (Acorus calamus). Penelitian ini dilakukan melalui destilasi uap batang genoak yang diikuti analisis komposisi kimianya menggunakan GC-MS, dan uji antibakteri terhadap bakteri E. coli menggunakan metode hitung cawan. Hasil penelitian diperoleh minyak genoak dengan rendemen 0,17% dan asaron sebagai komponen utama minyak genoak sebesar 89,81%. Minyak genoak dapat menghambat pertumbuhan bakteri E. coli sebesar 95,76% pada kosentrasi 10% (v/v)