Analisa Faktor yang Mempengaruhi Tingkat Fertilitas (TFR) di Provinsi Maluku (Analisa Lanjutan Hasil SKAP 2019)

The purpose of this study was to determine the determinants of the factors causing the high Fertility Rate (TFR), rs that affect the number of children born alive. The data used is SKAP data in 2019, with a respondent of women of childbearing age aged 15-49 years. With the model used is binary logistic regression analysis. The results showed that 12 variables had a significant relationship with live births. Child mortality is the most dominant variable that has a significant effect on the number of children born alive, Recommendations that can be given from the results of this study are to increase the supervision of the Health Office related to strengthening institutional capacity through counseling / communication, information, and education through postponement of marriage age and first birth age programs. first age relationship and education about early childhood sex through adolescent reproductive health counseling in order to increase knowledge, attitudes, and behavior of families and communities to create a quality family.

Integrated Tuberculosis and COVID-19 Activities in Karachi and Tuberculosis Case Notifications

As the COVID-19 pandemic surged, lockdowns led to the cancellation of essential health services. As part of our Zero TB activities in Karachi, we adapted our approach to integrate activities for TB and COVID-19 to decrease the impact on diagnosis and linkage to care for TB treatment. We implemented the following: (1) integrated COVID-19 screening and testing within existing TB program activities, along with the use of an artificial intelligence (AI) software reader on digital chest X-rays; (2) home delivery of medication; (3) use of telehealth and mental health counseling; (4) provision of PPE; (5) burnout monitoring of health workers; and (6) patient safety and disinfectant protocol. We used programmatic data for six districts of Karachi from January 2018 to March 2021 to explore the time trends in case notifications, the impact of the COVID-19 pandemic, and service adaptations in the city. The case notifications in all six districts in Karachi were over 80% of the trend-adjusted expected notifications with three districts having over 90% of the expected case notifications. Overall, Karachi reached 90% of the expected case notifications during the COVID-19 pandemic. The collaborative efforts by the provincial TB program and private sector partners facilitated this reduced loss in case notifications.

Ethical Standards for a Post-COVID-19 World

The cataclysmic events of 2020 created an urgent need for mental health counseling to help individuals, families, and communities deal with grief, loss, and trauma. The sheer magnitude of the challenges has highlighted the necessity for collective interventions, as the need for help far surpasses what can be met through traditional individual or family counseling. Clinical mental health counselors must be prepared to respond to the new challenges in creative, culturally responsive, and ethical ways. The authors discuss the limitations of the prevailing codes of ethics, which are grounded in principle ethics, and propose that virtue ethics and relational ethics perspectives can be incorporated into ethical reasoning to make the process more responsive to collective interventions. A case scenario is presented and analyzed to illustrate this broader and more inclusive approach to ethical decision-making in a situation that calls for a collective intervention.

Edukasi K3 Dalam Penggunaan Pestisida dan APD Di Kel. Gantarang Keke, Kabupaten Bantaeng

Pesticides is chemical substances and other materials as well as microorganisms and viruses that are used to control various plant-disturbing organisms. Early public education about pesticides is an important element to avoid increasing exposure for farmers or workers in the spraying division of plant pests. In addition, the community has never carried out early detection and feels that they are already immune and are used to the pungent smell of pesticides. This service activity is carried out with the aim of implementing a community-based education program that facilitates the community in increasing knowledge about early detection and preventive efforts against the using of pesticides that do not meet the requirements in the application of Occupational Health and Safety (K3) principles in Gantarang Keke Village, Bantaeng Regency. Methods of implementation this community service consists of two stages, namely: 1) the preparation stage includes health counseling with the lecture method to the community of Gantarang Keke Village; 2) the implementation stage includes the implementation of the implementation program in the form of implementing K3 correctly and safely. The results show that with education carried out through counseling about the application of K3 to the people of Gantarang Keke Village, they begin to understand about the safe and correct using of pesticides, as well as the use of Personal Protective Equipment in accordance with the requirements in K3 principles.

Efektifitas kegiatan pelatihan pembuatan ovitrap DBD pada santri Pondok Pesantren Al Falah Banjarbaru

The negative impact of the insecticides usage triggers the development of new methods other than insecticides, one f them is ovitrap tools (mosquito egg traps). The use of ovitrap as part of dengue prevention efforts has proven to be easy, cheap, safe for health and environmentally friendly. Ovitrap is effective in reducing mosquito populations. The purpose of the activity is to analyze the knowledge, attitudes and actions of students in the use of ovitrap as an effort to control Aedes sp mosquito larvae after the implementation of health counseling activities and demonstrations of making Ovitrap. All students at Pondok Pesantren Al Falah Putera became the population. As many as 96 students who were willing and involved in this activity became the research sample. McNemar test showed significant results on knowledge (0.018), attitude (0.033) and action (0.00). The making andthe use of Ovitrap socialization still needs to be sought in order to increase the Santri knowlwege.. It is hoped that this activity can be implemented every year as an effort to reduce the risk of dengue fever in Banjarbaru Cit

Clergy Perceptions of Mental Illness and Confronting Stigma in Congregations

Mental illness and stigma are key concerns in congregations and represent a key threat to community health. Clergies are considered influential in how congregants think about and respond to mental health issues, especially in African American congregations. In-depth interviews with 32 African American and White clergies were conducted to understand their unique perspectives on mental health and how they interact with their congregations based on those perspectives. Findings include six themes related to mental health stigma, namely, holistic definitions of health; African Americans and different conceptions of mental health (only reported by African American clergies); code words and language; depression as a special case; perceptions of mental health counseling and treatment; and clergy strategies for addressing mental health stigma. The clergies in this study recognized their influence on ideas related to mental health in their congregations, and most expressed active efforts toward discussing mental health and reducing stigma.

Patients Report Infrequent Counseling by Physicians and Inadequate Knowledge about Inflammatory Bowel Disease and Reproductive Health Issues

Objective Inflammatory bowel disease (IBD) reproductive health counseling is associated with higher knowledge, lower voluntary childlessness, greater medication adherence during pregnancy, and improved outcomes of pregnancy. Our aims were to assess counseling and knowledge about IBD and reproductive health in a tertiary care IBD patient population. Study Design We anonymously surveyed women and men ages 18 to 45 cared for at the Stanford IBD clinic about reproductive health and administered the CCPKnow questionnaire. STATA was used to summarize descriptive statistics and compare categorical variables using Fisher's exact test. Results Of the 100 patients (54% women) who completed the survey, only 33% reported prior reproductive health counseling. Both men and women considered not having a child due to IBD (31% women, 15% men) and most (83%) had no prior counseling. A minority of patients had an adequate (>8/17) CCPKnow score (45% women, 17% men). The majority of women with prior pregnancy had pre-existing IBD (67%), yet many did not seek gastrointestinal (GI) care (38% preconception, 25% during pregnancy) and 33% stopped/changed medications, with 40% not discussing this with a physician. Prior counseling was significantly associated with education level (p = 0.013), biologic use (p = 0.003), and an adequate CCPKnow score (p = 0.01). Overall, 67% of people wanted more information on IBD and reproductive health. Conclusion In an educated tertiary care cohort, the majority of patients had low CCPKnow scores and rates of IBD reproductive health counseling. Many patients with IBD prior to pregnancy reported no GI care preconception or during pregnancy and stopped/changed medications without consulting a physician. There is an urgent need for proactive counseling by gastroenterologists and obstetricians on IBD and reproductive health. Key Points

THE INCREASING KNOWLEDGE ABOUT PERSONAL HYGIENE IN ODGJ (PEOPLE WITH MENTAL DISORDERS) IN THE KUTOREJO DISTRICT MOJOKERTO

Community Service Activities organized by the Dian Husada Nursing Academy in collaboration with Al Hidayah Kutorejo Mojokerto shelter house held health counseling with participants of all ODGJ patients (People with Mental Disorders) with the theme “Increasing Public Knowledge About Personal Hygiene in ODGJ (People With Mental Disorders)”. Health counseling will be held on Wednesday, April 14, 2021 at the Al Hidayah Kutorejo Mojokerto shelter. This activity was carried out in a team consisting of two Akper Dian Husada lecturers, 2 students, and a team from the AL Hidayah Kutorejo Mojokerto shelter. The activity was arranged by the team for two weeks, starting from determining the theme of the activity, the form of the activity, the timing of the activity, and first socializing the activity to ODGJ patients. This activity was witnessed by all patients with ODGJ (People with Mental Disorders). The form of evaluation of this community service activity that went smoothly was the enthusiasm of ODGJ patients (People with Mental Disorders) in participating in the activity by asking questions about personal hygiene to the presenter.