Understanding Role of Stunting Toddler Volunteers in Batu, Indonesia

WHO determined the stunting tolerance (short-height), maximally 20% or a fifth of the whole toddler numbers. The initial report in 2018 showed 1,237 toddlers suffering stunting from the whole 14,285 toddlers in Batu. This research aims to describe the role of stunting toddler volunteers to accompany families with toddlers in Javanese Batu. This was a qualitative research with a phenomenological approach. The data were collected by in-depth interview. The data analysis results consisted of five research themes. They were: (a) the volunteers accompany the families by firstly detecting the stunting toddler indication, (b) the main focus of the volunteers was educating them about toddler-nutritious meals, (c) all participated volunteers were women, (d) the volunteers facilitated the communication and consultation for all the guided families, (e) their motivation to be volunteers was a social spirit to help each other and contribute to the community and social life. Generally, the volunteers had accompanied the family excellently. The given education by the volunteers consisted of toddler meal and nutrition and strategies to instill excellent behaviors for both the children and families. Keywords: stunting; toddlers; volunteers; role

Effectiveness of Midwifery Training Update on Midwife Knowledge Improvement in Midwifery Services in Magetan

2Department of Midwifery, Poltekkes Kemenkes Surabaya, Indonesia; [email protected] ABSTRACT One of the efforts made to improve the knowledge, skills and competence of midwives is the Midwifery Update training. This study aims to determine the effectiveness of midwifery update training on increasing knowledge of midwives in midwifery services. The study design was a post-test only control group design. The population consisted of an experimental group of 41 people and a control group of 41 people. The experimental group had the midwifery update training in 2019, while the control group was midwives who had never attended midwifery update training in 2019. The experimental group and the control group were selected by using cluster sampling technique after that the sample selection used simple random sampling. Data analysis was used independent samples t -test. The mean knowledge results of the midwifery update group that had never attended midwifery update training was 55.11, while the mean knowledge results of the midwifery update group knowledge was 75.19. Based on the independent t-test, it was found that the t-count results were -8,987 with a p-value of 0.000 (

Influences of Contingency Planning in Improving Preparedness of Tough Disaster Village Cadres in Facing Volcano Eruption Disaster in Blitar, East Java, Indonesia

The Village cadres' respite of death or of a calamity is the community as leading perpetrator of in the process of bringing into reality the spiritual or postponed for a while as well as technical and village. The purpose of this research to identify the influence of contingency planning in improving disaster preparedness or postponed for a while of having young village people in charge of disaster management deal with disaster of volcanic eruption. The quasi-experimental design was used. We recruited 25 the tough disaster village cadres with a total population sampling method. The analysis of the t-test showed the t-value of -5.269 and p-value of 0.001, it means that there was significant difference of the preparedness of tough disaster village cadres in facing volcanic eruptions disaster between before and after being given contingency planning. Keywords: contingency planning; preparedness; village; caders; volcano; disaster

Social Support of Parents on Medication Adherence to Tuberculosis Patients in Children

Adherence to taking this medication is needed in all diseases, especially TB disease, because this disease requires extra supervision in its treatment. Adherence to medication behavior is basically influenced by several factors, one of which is social support from those closest to the patient. Support can be obtained from the patient's family (father and mother), who always monitor the progress of patients. The 4 basic forms of social support, namely emotional support, instrumental support, informative support and reward support. This was qualitative research. Focus group discussion with 12 informants used for collected data. Results of this research showed that parents gave social supports i.g emotional support, instrumental support, informative support and reward support which related with medication adherence. Keywords: social support; parents; medication adherence; tuberculosis; children

Increased Cadre Motivation Conducting Childbirth Referrals through Training with the DABA Method

One of the causes of high maternal mortality is delivery assistance provided by other than health workers or traditional healers. The way to reduce the bondage relationship is to increase the motivation of cadres to refer mothers to health workers. The DABA method is a modification or development of the SALT method (support, appreciate, learn, and transfer), is a method or technique for forming something, showing that a community has the ability to respond to every challenge including childbirth assistance. The maternal mortality rate is still high, the Inter-Census Population Survey data released by the Central Statistics Agency shows that there were 359 maternal deaths per 100,000 births in 2013. The purpose of this study was to analyze the motivation of cadres by empowering the DABA method for referral for delivery assistance by health workers in Jember Regency. Motivation is the reason that underlies an action done by an individual. The method used was quasi-experimental using 2 groups. This study used the non equivalent control group, pre test post test design. The population in this study were 2220 posyandu cadres in the working area of the health centers in the Jember District. The subjects of this study were 100 posyandu cadres in Jember district in 2019 who met the criteria. The sampling technique was carried out by simple random sampling by selecting from a list of names of cadres in each health center. There was differences (p-value = 0.021) of cadre motivation between treatment and control group. The cadre motivation of intervention group was higher than the control group for referral labor. Having high motivation means having very strong reasons to achieve what he wants by doing his current job. The cadre motivation of treatment group increased significantly, this happened because cadres trained through the DABA method were invited to achieve the dreams they had built, namely to reduce maternal and infant mortality. Training using the DABA method is able to increase the motivation of cadres to make a referral to mothers to give birth at a health service place, so training with the DABA method is highly recommended to increase motivation for certain groups to achieve certain goals. Keywords: cadre motivation; DABA method; childbirth referrals

Factors Related to Giving Hb0 Immunization at Batu Anam Health Center, Simalungun

More than 11 million people with Hepatitis-B in Indonesia, with a low prevalence of hepatitis B, most of the sufferers were aged 20-40 years, while in countries with a high prevalence of hepatitis B, the majority of people with hepatitis B were children.. The purpose of this study was to determine the factors associated with giving Hb0 immunization to infants. The design of research was analytical. The study population was all mothers who had babies 0-7 days in Batu Anam Community Health Center. The sample size was 60 people. The research results were obtained based on the provision of Hb0 immunization, it was known that the majority of respondents were not given the Hb0 immunization as many as 33 respondents (55.0%) and the minority of respondents were given the Hb0 immunization as many as 27 respondents (45.0%) and it could be concluded that there was a relationship between education, work, number of children, knowledge, helpers. delivery, delivery assistance and family support for Hb0 immunization in infants. It is hoped that this research can become input for health workers to improve the quality of health services and education as well as information about Hb0 immunization in infants by providing counseling. Keywords: Hb0 immunization; infants

Percutaneous Coronary Intervention in Post-Infarction Ventricular Septal Rupture

Background: Ventricular septal rupture (VSR) is a fatal mechanical complication following acute myocardial infarction (AMI). The definitive treatment remains surgical repair, however several aspects are still debatable, including the timing of surgery. Patient’s refusal of treatment and lack of medical facilities put other challenges in management of VSR. Case presentation: A-48-year-old male with a history of diabetes mellitus and hypertension came with a late-presentation anterior AMI, and refused the reperfusion therapy. By the third day, he developed VSR and cardiogenic shock. The patient was also against any referral plan for further therapy. Hemodynamic status was optimally controlled with vasopressor and inotropic agents. The patient was discharged with a grade II-III New York Heart Association (NYHA) on the tenth day. In follow up evaluation a week later, the patient presented limb swelling and functional NYHA class III-IV. The patient agreed to received percutaneous coronary intervention (PCI). Drug eluting stent (DES) in left anterior descending (LAD) coronary artery was implanted successfully without defect closure. Follow-up after 12-months revealed no signs or symptoms of decompensated heart failure. Keywords: ventricular septal rupture; percutaneous coronary intervention; acute myocardial infarction

Effectiveness of Leininger's Transcultural-based GATHER Counseling Model on Exclusive Breastfeeding

Objective: to analyze the effectiveness of Leininger’s Transcultural-based GATHER (Greet, Ask, Tell, Help, Explain, and Return/refer) Counseling Model for exclusive breastfeeding. Methods: The experimental research was conducted with the post-test only control group design. The sample size of control group and treatment group were 38 people. The sampling technique is a simple random sampling technique. The treatment group were third stage III pregnant women with a gestational age of 36-37 weeks and at the second day postpartum. Data were collected using questionnaires and observations of 76 breastfeeding mothers in Jember Regency, then analyzed using Mann Whitney-U test. Results: The results showed that postpartum mothers who were given Leininger's Transcultural-based GATHER Counseling Model showed a higher percentage of exclusive breastfeeding (81.1%) than postpartum mothers who were not given counseling (21.6%). The results of hypothesis testing showed p-value of 0.000, meaning that the hypothesis was accepted so that it could be said that exclusive breastfeeding for mothers who were given counseling was higher than those who were not given Leininger's Transcultural-based GATHER Counseling Model and it was effective in increasing milk production. Conclusion: Leininger's Transcultural-based GATHER Counseling Model is effective in increasing exclusive breastfeeding, this model facilitates understanding and management of the factors that cause problems, breastfeeding. Keywords: exclusive breastfeeding; GATHER counseling model; Leininger’s transcultural model

Gondomono (Hedycium spicatum) Ethanol Exstract Anti-Proliferation, Apoptosis and P53 Cancer Cell Line

The incidence of cancer from year to year continues to increase. Some of the causes of this incident include an unhealthy lifestyle, smoking, a diet high in fat and low in fiber. The Gondomono plant (Hedychium spicatum) are the most studied species. Interesting compounds have been identified like coronarin D, which possesses antibacterial, antifungal and antitumor activities, as well as isocoronarin D, linalool and villosin that exhibit better cytotoxicity towards tumor cell lines than the reference compounds used, with villosin not affecting the non-tumor cell line. This study aims to obtain scientific evidence that Gondomono extract (Hedychium spicatum) is proven to be anti-cancer. The impact obtained will be utilized by local Indonesian plants that can be processed or produced as functional food and herbal medicine for anti-cancer bioactivity toxicity with various tests including the making gondomono (Hedycium spicatum) flour, ethanol extraction method, insilico analysis and Gas Chromatography-Mass Spectrometry (GC-MS) analysis, then the second stage test, namely the MTT test, P53 test and apoptosis test. The research design was experimental. Gondomono extract when compared to anticancer ingredients was indeed very far away, gondomono extract was starting to be able to act as apoptosis, it requires a fairly high concentration, from 200 to 400 ppm. As conclusion, the higher the dose of gondomono extract, the higher the expression of p53 protein, the higher. Gondomono extract as a cancer cell killer requires a minimum dose of 368.51 ppm. Keywords: gondomono; Hedycium spicatum; anti-proliferasi; cancer cell line

Community Attitudes and Decisions in Choosing a Health Center as a Health Service Facility in Lembang Laang Tanduk, Tampak Selatan, Rantepao District

The existence of a community health center as the spearhead of health services in Indonesia is faced with various problems such as a decrease in budget allocations and a lack of health personnel. This study aims to analyze the relationship between attitudes and decisions about choosing a community health center as a health service facility, especially at the Laang Tanduk. The study design was cross-sectional with respondents from the health center customers who were selected by purposive sampling technique. Data were collected through filling out a questionnaire and tested the hypothesis using the Chi-square test. The results showed that the p-value was less than 0.05, so it was concluded that attitudes were related to the community's decision to choose a health center as a health service facility. Keywords: public health center, decision to choose, attitude, community