Factors Associated with the Unmet Need for Family Planning in Couples of Childbearing Age in Masaloka Raya District, Bombana Regency

Unmet need for family planning (FP) is defined as a group of people whose contraceptive needs have not been met, including all men or women of childbearing age who are married or living together who are considered sexually active and do not use contraceptive methods, both those who do not want to have more children or who are postponing next birth. The purpose of the study was to determine the relationship between income, the role of Family Planning Field Officers (FPFO), and the availability of contraceptives with the incidence of unmet need for family planning in Masaloka Raya District, Bombana Regency. The type of research used is survey research using a cross sectional study design. The number of samples is 79 respondents. The technique of determining the sample size is by purposive proportional random sampling. Data collection techniques with interview and observation methods. The instrument used in data collection by using a questionnaire. Data analysis using chi square test. The results showed that there was no relationship between income and the incidence of unmet need for family planning with p value = 0.211> 0.05. There is no relationship between the role of FPFO and the incidence of unmet need for family planning with p value = 0.135> 0.05. There is a relationship between the availability of contaceptives and the incidence of unmet need for family planning with p value = 0.039> 0.05. Conclusion; There is no relationship between income, the role of FPFO with the incidence of unmet need for family planning and there is a relationship between the availability of contraceptives and the incidence of unmet need for family planning. Suggestion; It is hoped that the community will increase income, increase the role of officers to be more active in conducting socialization, counseling and education activities to the community and increase the availability of contraceptives in family planning service units

Factors Relating to Regular Paying of Contributions to Participants of Investa Dana Dollar Independen Social Security Providering Agency (Sspa) Post-Information of Contributions Policy

Independent participants or participants of informal workers have a greater potential or possibility than participants in categories other than independent participants to be irregular in paying SSPA contributions. This happens because the formal workers in making payment of SSPA contributions are managed by their place of work which is deducted directly from their wages or salaries. Meanwhile, in the informal sector, they must manage the payment of their own health insurance contributions. The purpose of this study was to determine the factors associated with regularity in paying contributions to SSPA Independen participants after the policy of increasing contributions in Bombana Regency, Southeast Sulawesi Province. This type of research is a survey with a cross sectional study design. The number of samples is 273 respondents. Data Collection Using Questionnaires and Observations. Data analysis using Chi Square. The results showed that there was a relationship between the place of payment with the PValue = 0.031, and the perception of health services with the Pvalue = 0.007 with the regularity of paying contributions for independent SSPA participants after the contribution increase policy. Conclusion: there is a relationship between the place of payment, and the perception of health services with the regularity of paying contributions for independent SSPA participants after the policy of increasing the contribution. Recommendation: SSPA Health provides socialization to independent SSPA participants about the SSPA health program, such as the flow of using SSPA in health care facilities, payment methods, tiered referral processes, administration prepared when going to health service facilities, information on late fees and sanctions given by SSPA if they are in arrears dues so that participants are more motivated to comply in paying and making the program a success

Relationship of Husband Support and Communication Ability of Family Planning Field Officers with New Family Planning Achievements in the District of Poleang Timur

In family planning services, contraceptive users have the right to obtain complete information about various contraceptive methods, their advantages and disadvantages, the right to receive comprehensive care, the right of women's autonomy to care for their health and determine their reproduction, and the right to decide whether to have children or not to have children, and to determine the number of children desired, and the period of birth of the child. The purpose of this study was to determine the relationship between husband's support and communication skills of family planning field officers (FPFO) with the achievement of new Family Planning (FP) in Poleang Timur District. This type of research is a survey using a cross sectional study design. The number of samples as many as 95 respondents with the sampling technique is proportional random sampling. Collecting data by using a questionnaire. Data analysis using Chi Square test. The results showed that there was a relationship between husband's support and new family planning achievement, p value = 0.038 <0.05 and there was a relationship between FPFO communication skills, p value = 0.007 <0.05, with new family planning achievement. Conclusion; there is a relationship between husband's support and communication skills of FPFO with the achievement of new family planning in Poleang Timur District, Regency Bombana. Suggestion; the need for husband's support and improvement of FPFO communication skills in optimizing new family planning program services

Clinical Investigation of Leprosy Case in Kendari City

Leprosy is a disease caused by Mycobacterium leprae infection that predominantly affects the skin and peripheral nerves. The long term impact of this infection including neuropathy is deformities and disability. The disease is associated with stigma, especially when deformities are present. Majority of patients exposed to Mycobacterium leprous will not develop the disease, suggesting that person immunity plays an important role in disease infection. This study aims to figure out the new case detection of leprosy patient in Kendari city at the year 2017-2019 and to find out the issues in leprosy elimination. The research was an observational study with descriptive approach. Data collection in this study is using the direct interview for the leprosy programmer from all of Public Health Centre in Kendari City and home visiting the leprosy patient.  Data analyzed and presented in narrative and figure. The result showed that in 2019, all of cases (14 cases) detected in the population were adult MB type of leprosy, New Case Detection Rate 3.67/100,000 population. Prevalence rate of leprosy cases that go under treatment in Kendari city was 0.57/10,000 population. Problem in eliminating of leprosy case : Case mapping of leprosy patient was not present, so endemic status not clear; several doctors and programmer of leprosy staffs untrained,  low participation and collaboration of relevant sector

Ki-67 Expression by Immunohistochemistry and Quantitative Real-Time Polymerase Chain Reaction as Predictor of Clinical Response to Neoadjuvant Chemotherapy in Locally Advanced Breast Cancer

Background. Chemotherapy has become a standard of treatment in managing breast cancer. To achieve proper treatment for the right patients, the predictive marker is needed. Ki-67 is a biomarker of proliferation for solid tumor. Studies mentioned association of Ki-67 expression with chemotherapy response. The study aims are to evaluate whether Ki-67 expression detected by immunohistochemistry (IHC) and quantitative real-time polymerase chain reaction (qRT-PCR) may predict clinical response to neoadjuvant chemotherapy in breast cancer. Methods. This study utilized a longitudinal study. IHC and qRT-PCR methods were used for detection of Ki-67 expression. Chemotherapy response was calculated using RECIST. Data were analyzed with Chi-square and Wilcoxon’s test. Results. There were 48 subjects in this study. Analysis of Ki-67 expression with chemotherapy response has a significant correlation with p=0.025 (<0.05), OR: 1.69, confidence interval (95% CI) 1.022–2.810. Analysis of Ki-67 mRNA expression with chemotherapy response has a significant correlation p=0.002 (<0.05), OR: 6.85, confidence interval (95% CI) 1.064–44.193. Detection of Ki-67 expression using IHC and qRT-PCR has similar results, p=0.012 (<0.05). Conclusion. These results suggest that Ki-67 expression detected by both IHC and qRT-PCR is considered to be a predictor of clinical response to neoadjuvant chemotherapy in locally advanced breast cancer

Association of Dual Specific Phosphatase 4 (DUSP4) Expression and Anthracycline-Based Neoadjuvant Chemotherapy Response in Breast Cancer

Background: Chemotherapy is important component in the management of breast cancer