https://jurnal.htp.ac.id/index.php/keskom/issue/feed Jurnal Kesehatan Komunitas 2023-05-16T07:28:41+00:00 Jasrida Yunita, S.KM, M.Kes jasridayunita@htp.ac.id Open Journal Systems <p>Since <strong>Volume 6 No. 3, 2020</strong>, Jurnal Kesehatan Komunitas (Journal of Community Health) has been accredited SINTA 3</p> https://jurnal.htp.ac.id/index.php/keskom/article/view/1127 The Behavior of Acute Respiratory Infection (ISPA) Prevention in the Work Area of Bunut Public Health Center Pelalawan Regency 2023-05-16T07:28:23+00:00 Zul Akbar Zakbar074@gmail.com Reno Renaldi renorenaldi@htp.ac.id Oktavia Dewi dewitavia@yahoo.com Novita Rany novitarany@htp.ac.id Abdurrahman Hamid Zakbar074@gmail.com <p><em>Acute Respiratory Infection (ISPA) is one of </em><em>the most </em><em>contagious diseases and the most common cause of death </em><em>that</em><em> occurs </em><em>in</em><em> children in developed </em><em>countries</em><em>. </em><em>The mortality</em><em> rate caused by ISPA is almost four million people every year, </em><em>and </em><em>98% is caused by Acute Respiratory Infection. Pneumonia cases in 2018 decreased, in 2013 the percentage of pneumonia was 1.6% while in 2018 increased to 2.0%</em><em>,</em><em> and Bunut </em><em>Public </em><em>Health Center obtained </em><em>an </em><em>ISPA proportion from </em><em>the </em><em>year 2018 – 2020 amount of 16%. The purpose of this research was to find out the behavior of ISPA prevention in the work area of Bunut </em><em>Public</em> <em>Health Center Pelalawan Regency. This research employed </em><em>a </em><em>quantitative research cross</em><em>-</em><em>sectional analytic approach. This research was conducted </em><em>from</em><em> August – September 2021. The respondents in this research were 70 respondents in the work area of Bunut </em><em>Public</em> <em>Health Center Pelalawan Regency. This research employed univariate, bivariate, and multivariate analysis. The research results that obtained p-value &lt; 0.05 were such as immunization status variable (p=0.000) with POR = 32.763, occupation variable (p=0.024) with POR = 0.183, parents’ role variable (p = 0.032) with POR = 5.300 and not correlated variables namely attitude (p=0.917) with POR = 0.918, education (p=0.649) with POR = 1.403, smoking (p=0.299) with POR 0.649. Parents’ role is necessary </em><em>for</em><em> increasing awareness about the danger of ISPA and parents’ active role towards the infant and toddler health status and to give complete basic immunization to prevent ISPA even though the parents </em><em>are </em><em>busy working.</em></p> 2023-03-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1257 Test of Acceptance of Various Frozen Food Tempe Based Material as Alternative to Children's PMT 2023-05-16T07:27:05+00:00 hesti Atasasih hesti@pkr.ac.id Irma Susan Paramita irmasusanparamita@pkr.ac.id Fitriani Fitriani Fitriani@pkr.ac.id <table width="667"> <tbody> <tr> <td width="327"> <p><em>Indonesia is the world's largest producer of tempeh and the largest soybean market in Asia. As much as 50% of Indonesia's soybean consumption is in the form of tempeh. The proteins found in tempeh are relatively easy to digest. Frozen food can be a solution in extending the shelf life and durability of a product and causing food to become durable and not easily decompose.</em> <em>The purpose of this study is to find out the receiving power of frozen food tempeh as an alternative to toddler supplements in an effort to prevent stunting. This study was an experimental study using RAL (Complete Randomized Design) with one control and 3 treatments, 30%, 50%, and 70%. Furthermore, hedonic tests are conducted on each frozen food and proximal tests on frozen foods are most preferred to find out carbohydrate levels, protein levels, fat content, water content, and ash levels.</em> <em>The results showed that the most preferred treatment in terms of color, aroma, taste, and texture of frozen food meatballs was with the addition of 50% tempeh (P2), while for the nugget and ball groups, the most preferred panelists were the addition of 70% tempeh (P3). Kruskall Wallis test results showed the addition of tempeh gives a noticeable influence on the level of fondness for the color, aroma, taste, and texture of tempeh meatballs, nuggets of tempeh, and tempeh balls.</em></p> </td> </tr> </tbody> </table> 2023-03-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1306 Determinant Factors of Men's Participation as Family Planning Acceptors in Indonesia (2017 IDHS Data Analysis) 2023-05-16T07:24:14+00:00 Puspa Sari puspa4314@gmail.com Christin Angelina Febriani angelina.fwk@gmail.com Achmad Farich farichrich@malahayati.ac.id <p><em>Family planning programs have a role in reducing the risk of maternal death through the prevention of pregnancy, delaying gestational </em><em>age, and determining the spacing of their pregnancies.</em><em> Men can share roles by participating in family planning and reproductive health issues. The coverage of the use of family planning methods/methods among married men includes MO</em><em>M </em><em>(0.2%), condoms (3.1%), and traditional methods such as interrupted intercourse (2.9%) and periodic abstinence (1.1%). Th</em><em>is study aims </em><em>to determine the determinant </em><em>factors </em><em>of male participation</em> <em>as family planning acceptors in Indonesia (2017 IDHS Data Analysis). This</em> <em>research </em><em>wa</em><em>s quantitative with an analytic design and cross-sectional approach. The population of this study was all married men aged 15-54 years</em><em> old</em><em> in Indonesia in 2017. The sampling technique used was purposive sampling. Data analysis in this study used univariate, bivariate (chi-square), and multivariate (multiple logistic regression). The results of this study showed that there was no relationship between employment status (p = 0.197), there was no relationship between age (p = 0.0167), and there was a relationship between education (p = 0.001), economic status (p = 0.001), and area of ​​residence (p=0.001; OR=3,7) with </em><em>men's</em><em> participation as family planning acceptors. The factor that is most related to the </em><em>men's</em><em> participation as family planning acceptors </em><em>was the </em><em>economic variable. Suggestions for the government to make regulations and socializ</em><em>ation,</em> <em>in order </em><em>that</em><em> community no longer considered that </em><em>being a family planning acceptor</em><em> was the </em><em>wom</em><em>en</em><em>'s </em><em>duty.</em></p> 2023-04-09T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1400 Factors Influencing Parents' Decisions to Give Covid-19 Vaccinations to Children 2023-05-16T07:25:39+00:00 Rahmah Hida Nurrizka rh.nurrizka@uinjkt.ac.id Moh. Irvan moh.irvan@uinjkt.ac.id Vernanda Eka Hardianto vehardianto@gmail.com <p>The Covid-19 vaccination policy for children caused a different response in the community, especially from parents. There are still parents who decide not to vaccinate their children. This study aims to look at the factors that influence the decision of parents to give Covid-19 vaccinations to their children. Some of the independent variables in this study were the children's characteristics, parent characteristics, the history of Covid-19 sufferers in the family, and the history of Covid-19 vaccination in relatives' children. This is a cross-sectional survey study with a sample of 280 parents with children aged 6-11 years in Greater Jakarta. The results showed there were still many respondents who said they were afraid of the side effects of the covid-19 vaccination in children (39.4%), did not know the directions for the vaccine and did not know that the covid-19 vaccination could be given to children (15.2%) and still have doubts about the covid-19 vaccination in children (6.1%). The dominant variable that influences parents' decisions in giving vaccinations to children is the children's age (<em>p-value</em>: 0,001, <em>odds ratio:</em> 1,677, <em>confidence interval</em>: 1,252-2,246), number of children (<em>p-value</em>: 0,013 <em>odds ratio</em>: 0,304, <em>confidence interval</em>: 0,070-1,445) and the history of Covid-19 vaccination in relatives' children (<em>p-value</em>: 0,000, <em>odds ratio</em>: 4,881, <em>confidence interval</em>: 2,175-10,954). This study concludes that there are doubts and obstacles for parents in making decisions to give covid-19 vaccinations to their children. To make a positive response from parents to the covid-19 vaccination policy, good information and examples of the covid-19 vaccination policy for children are needed.</p> 2023-04-03T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1243 Efek Analgetik dan Penurunan Kadar Asam Urat Penderita Rheumatoid Arthritis dengan Terapi Komplementer Menggunakan Serai Merah 2023-05-16T07:24:47+00:00 Muhammad Syahwal awaljhe@gmail.com Aluddin Aluddin aluddin2222@gmail.com <p><em>Increased levels of uric acid as a natural antioxidant are characterised by complaints of pain accompanied by joint swelling with acute symptoms and repeated attacks. One of the plants that is useful for reducing joint pain and swelling is red lemongrass (Cymbopogon nardus L. Randle). This study aims to analyze the effect of complementary therapy by soaking the feet with a mixture of red lemongrass as an analgesic and reducing uric acid levels in rheumatoid arthritis patients.</em></p> <p><em>This research method is pre-experimental with a one-group pre-test and post-test design without a control group on 23 elderly people. The results of the Wilcoxon non-parametric test showed that there was a change in pain scale and uric acid levels after the intervention (p = 0.00 and p = 0.02).</em></p> <p><em>It was concluded that warm water bath therapy with a mixture of red lemongrass was effective in reducing pain scale and reducing uric acid levels in rheumatoid arthritis patients.</em></p> 2023-04-09T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1294 Factors Associated with Stunting in Children Under Five Years 2023-05-16T07:24:30+00:00 Nyimas Elsa Octa Aditia nyimaselsaoctaa@gmail.com Mitra Mitra mitra.harauwati@gmail.com Aldiga Rienarti Abidin abidinaldiga@gmail.com Yuyun Priwahyuni yuyun.priwahyuni@gmail.com Christine Vita Gloria Purba christinevgp@gmail.com <p><em>Stunting is a condition in which a child experiences growth disorders, resulting in a height that exceeds his age due to long-term dietary deficiencies. In 2021 Pekanbaru City was designated as a stunting focus location, totaling 15 urban villages with 303 stunting toddlers. This study aimed to determine the factors associated with stunting in children under five in Pekanbaru City in 2022. This type of research is quantitative analytic observational with a case-control design. The sample in the case group was stunted children under five, while the sample for the control group was children under five who were not stunted. The sample size for the case and control groups was 73 children under five, so the overall sample size was 146 children under five. The sampling technique used stratified random sampling at the integrated service center level. Data analysis was univariate and bivariate with a chi-square test. The results showed that exclusive breastfeeding (OR = 10,247), quality of complementary feeding (OR = 9,362), Infectious Diseases (OR = 4,1940, Mother's Knowledge (OR = 9,4410, and parenting patterns (OR = 10,065) associated with stunting. This study concludes that not exclusively breastfeeding, poor quality complementary feeding, presence of infectious diseases, low maternal knowledge, and suboptimal parenting have more risk for stunting in children under five. Public health </em><em>center</em><em> in order to provide information and education to the public regarding the risk factors for stunting</em><em>.</em></p> 2023-04-09T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1353 Sensory Characteristics and Nutritional Content of Soybean Honey-Based Fermented Milk 2023-05-16T07:22:47+00:00 Sri Desfita sridesfita@htp.ac.id Wulan Sari wulan.sari71@gmail.com Yusmarini Yusmarini marini_thp@yahoo.co.id Usman Pato usmanpato@yahoo.com <p><em>The study aimed to examine the effect of the types of bacteria and honey concentration on sensory characteristics and consumer preference levels on fermented soymilk and honey, as well as evaluate the nutritional content. This research was conducted between October and December 2019 at the Faculty of Agriculture, Riau University, and STIKes Hang Tuah Pekanbaru. Laboratory experiment-based research used forest honey from Bengkalis Regency (Rupat honey). The descriptive test was carried out by 30 semi-trained panelists </em><em>and the hedonic test was conducted by 100 untrained panelists.</em> <em>Determination of nutrient composition was performed by proximate analysis. The statistical method used the ANOVA test and continued with </em><em>Duncan New Multiple Range Test (DNMRT)</em><em> at a significance level of 5% to determine the differences among treatments. The result of the descriptive test showed that the type of bacteria, honey concentration, as well as the interaction between the bacteria and honey concentration, affected the sensory characteristic of fermented soymilk honey. The result of the overall hedonic test suggested that panelists preferred fermented soymilk honey using </em><em>Lactobacillus</em><em> casei subsp. casei R-68</em><em> to fermented soymilk honey using </em><em>Lactobacillus plantarum 1 R. 1.3.2</em><em>., with scores of 2.88 and 2.75 respectively. Overall panelists rather liked fermented soymilk honey. The taste of fermented soymilk honey needs to be improved through further research.</em></p> 2023-05-15T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1444 Evaluation of Pharmaceutical Services and Drug Use Based on Accreditation Standards in the Pharmacy Installation of RSUD Sawerigading, Palopo City 2023-05-16T07:25:22+00:00 Nurul Rezkyah nurulrezkyah070201@gmail.com Ervianingsih Ervianingsih ervianingsih@umpalopo.ac.id Yusnidar Yusnidar yusnidardarwis2@gmail.com <p><em>Pharmaceutical services and drug use (PKPO) is one of the most important parts of a service to patients. Pharmaceutical services aim to identify, prevent, and resolve problems related to medication. Accreditation is an assessment of the Hospital Accreditation Committee (KARS) as an effort to improve the quality of services in hospitals. The research was conducted to see the level of conformity of the seven existing PKPO standards in the 2018 SNARS. The research was analyzed qualitatively and quantitatively. Quantitative data was collected using a questionnaire, and qualitative data </em><em>were</em><em> collected by interviewing the head of the Installation to support the answers to the questionnaire. The research subjects consisted of pharmacists and TTK. The results of the study show that pharmaceutical services and drug use (PKPO) at the Pharmacy Installation of Sawerigading Hospital in Palopo City in 2022 as a whole have met the requirements for the National Hospital Accreditation Standard (SNARS). The results were PKPO 1 Organizing (100%), Head of </em><em>the </em><em>installation, said that the hospital had set rules regarding organizing pharmaceutical services and drug use. PKPO 2 Selection and Procurement (100%), UDD (Unit Dose Dispensing) services have been running for all patients in the inpatient depot. PKPO 3 Storage as much as (83%), narcotics and psychotropics are stored in an alphabetical system, FIFO and FEFO. PKPO 4 Prescribing and Copying (89%), there are individuals who are competent in their fields and focus on clinical pharmacy. PKPO 5 Preparation and delivery (81%), the process of preparation and delivery of drugs has been carried out in accordance with the hospital's SOP. PKPO 6 Drug Administration (87%), there are limits to individual authority in administering drugs. and PKPO 7 </em><em>Monitoring</em><em> (91%), the monitoring process in patients is active.</em></p> 2023-04-03T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1153 Overview of Community Behavior Against Burns Management at Home 2023-05-16T07:28:03+00:00 M. Agung Akbar magungakbar24@gmail.com Fitriani Agustina fitrianiikd@gmail.com <p><em>Handling burns quickly and appropriately will not cause adverse effects on the body. First aid is the initial treatment for the acute phase, which aims to improve the healing process, prevent injury severity, reduce pain, and save lives. The purpose of this study was to determine the description of community behavior toward the treatment of burns. This study uses a quantitative approach with a descriptive design. This research was conducted in the working area of the Puskesmas in Ogan Komering Ulu Regency in December 2021 by distributing online questionnaires using a google form. Sampling using a simple random sampling technique as many as 113 people using the Slovin formula. The description of the behavior of the community in the working area of the Puskesmas in Ogan Komering Ulu Regency towards the treatment of burns at home shows that 113 respondents showed poor behavior (59.29%). The usual procedure for treating minor burns at home is using toothpaste (64%) and ice (25%). The conclusion is that there is a fact that first-aid burns show poor behavior. The results of the study require health education from primary health services who are responsible for explaining the problem and initiating health education.</em></p> 2023-03-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1273 The Effectiveness of Red Dragon Fruit (Hylocerus Polyrhizus) Juice on Enhancement of Hemoglobin Levels in Pregnant Women 2023-05-16T07:23:22+00:00 Desmariyenti Desmariyenti riyen.desmariyenti@gmail.com Zurhayati Zurhayati zurhayati2112@gmail.com Nurul Hidayah Batrissya.assyifa@gmail.com <p><em>In 2013, 37.1% of pregnant women in Indonesia suffered from anemia, increasing to 48.9% in 2018. Red dragon fruit can be used as an </em><em>alternative</em><em> food ingredient to increase Hb and human red blood cell levels. The purpose of this study was to determine the effectiveness of red dragon fruit juice in the working area of ​​PMB Rosita Pekanbaru in 2022 on the increase in Hb levels in pregnant women at the end of pregnancy. </em><em>This</em><em> study </em><em>uses</em><em> a quasi-experimental design. The population of this study consisted of 50 </em><em>late-pregnancy</em><em> mothers with mild and moderate anemia. The sample is 15 people. Data processing was </em><em>the </em><em>Wilcoxon test. Based on the results of the Wilcoxon test, Pvalue (0,001) and degree of error = 0.05 (Pvalue &lt;α), then Ha accepted, Ho was rejected, red dragon fruit juice was effective in increasing hemoglobin levels in pregnant women at PMB Rosita Pekanbaru. It is hoped that the research site can provide information about the effectiveness of red dragon fruit juice in increasing Hb levels of pregnant women in Trismerter III.</em></p> 2023-05-15T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1307 Knowledge and Attitudes of Elementary Students at SDN Ranah Singkuang and SDN Pekanbaru in Choosing Snack Food 2023-05-16T07:26:30+00:00 Sri Mulyani sri.mulyani@pkr.ac.id Fitria Fitria fitria@pkr.ac.id <p><strong><em>Background</em></strong><em>: Snack Food have an important role in fulfilling the energy and nutritional intake of school-age children, namely snack food that is safe, quality</em><em>,</em><em> and nutritious which will greatly determine the competitiveness of the golden generation of Indonesia. <strong>Objective</strong>: to analyze the description of the knowledge and attitudes of students at SDN Ranah Singkuang Kampar and SDN Pekanbaru in choosing snack food. <strong>Methods</strong>: This type of research is a descriptive study with a </em><em>cross-sectional</em><em> design. The study was conducted </em><em>from</em><em> January – September 2021. The samples in this study were students of SDN Ranah Singkuang Kampar and SDN Pekanbaru, grades 4 and 5, which were taken using a total sampling technique, totaling 240 people. The data was collected using a questionnaire and the data were analyzed univariately. <strong>Results</strong>: the study showed the level of knowledge of students about the selection of snacks and knowledge of hygiene and packaging of snacks in the "not good" category with a higher percentage of students at SDN Ranah Singkuang, which was 70%. Negative attitudes also tend to be shown by students of SDN Ranah Singkuang and students of SDN Pekanbaru towards hygiene and food packaging for snacks that are quite in accordance with the level of knowledge of students who are still quite good. Meanwhile, the habit of having breakfast and bringing lunch was better for students at SDN Ranah Singkuang than at SDN Pekanbaru. <strong>Conclusion:</strong> the knowledge and attitudes of students at SDN Ranah Singkuang are lower tha</em><em>n those </em><em>at SDN Pekanbaru.</em></p> 2023-04-01T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1412 Why People in Entikong Distric Sanggau Regency Seeking Medical Treatment to Sarawak, Malaysia 2023-05-16T07:25:05+00:00 Feny Widiyastuty fenywidiyastuty@gmail.com Chriswardani Suryawati danni.surya63@gmail.com Septo Pawelas Arso sp.arso99@gmail.com <p><em>An increasing number of Indonesians are seeking medical treatment abroad, causing the government to lose potential revenue streams from the health services industry. People in border regions have a wonderful opportunity to use health treatment facilities in neighboring countries because of their close proximity to them. One such community is in the Entikong District, which is next to Sarawak, Malaysia. The purpose of this study is to examine the factors that influence Entikong District residents' use of Sarawak health services. This study is an observational quantitative study with a cross-sectional design. The research population consists of 9,337 residents of the Entikong District aged 20 to 50. A proportional random sampling method was used to pick 100 respondents for the research sample. This research was conducted from September to October 2022.</em> <em>The data were analyzed using the chi-square test and logistic regression. The findings showed that income (p=0.012), reference group (p=0.026), and perceptions of health services (p=0.009) were associated with the use of health services by the residents of Entikong District in Malaysia, however education (p=0.961) and occupation (p=0.589) were not. There is a relationship between income, reference groups and perceptions of health services with utilization of health services. There is no relationship between education and work with service utilization. People with high incomes have more potential to take advantage of S</em><em>a</em><em>rawak health services.</em></p> <p><em>It is hoped that the Entikong Community Health Center, the Sanggau District Health Office, and the Sanggau District Government will be able to provide quality primary healthcare facilities and referral healthcare facilities in border areas to increase competitiveness with Sarawak health service facilities.</em></p> 2023-04-07T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1006 The Effectiveness of Health Education through WhatsApp on Increasing Knowledge and Attitudes of TB Patients in Prevention of Pulmonary TB Transmission at the UPTD Puskesmas Tapung II 2023-05-16T07:28:41+00:00 Salmiyenti yenti salmiyenti@gmail.com Mitra Mitra mitra.harauwati@gmail.com Zainal Abidin zetabidin2011@yahoo.com Novita Rany novitarany@htp.ac.id Emy Leonita leonitaemy@yahoo.com <p><em>Tuberculosis is the biggest health problem in the world, after HIV (Human Immunodeficiency Virus) so it must be treated seriously. The implementation of media health promotion is one of the important things, this is related to health promotion goals and materials. The purpose of the study was to determine the effectiveness of health education through WhatsApp on the knowledge and attitudes of TB patients in preventing pulmonary TB transmission at the UPTD of the Tapung II Health Center in 2021. The research location was in the UPTD of the Tapung II Health Center. Type The research method is a quantitative study using a quasi-experimental design with control or pre and post-test. The research sample consisted of 30 people, the sampling method was using purposive sampling, dividing the entire sample into 2 groups, namely group I (experimental) and group II (control). Data analysis was carried out using univariate, bivariate, and multivariate methods. It was found that there is a difference in knowledge before and after the intervention through the WhatsApp media with a p-value of 0.000 (p-value &lt;0.05). There is a difference in attitude before and after the intervention through Whatsapp media with a p-value of 0.000 (p-value &lt;0.05). The conclusion of this study is the effectiveness of health education via WhatsApp in increasing the knowledge and attitudes of TB sufferers in the prevention of pulmonary TB transmission. It is recommended to the person in charge of the TB program at the Puskesmas to always be active in TB consultations via WhatsApp, and for the local government, especially the Kampar District Health Office, to be able to design better health promotion strategies in reducing TB cases through TB prevention programs.</em></p> 2023-03-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1245 Implementation of Basic Emergency Obstetric and Neonatal Services (PONED) at the Solok District Public Health Center 2023-05-16T07:27:22+00:00 Tuty Ernawati ernawati.tuti@yahoo.co.id Sri Siswati ernawati.tuti@yahoo.co.id Luthfil Hadi Anshari ernawati.tuti@yahoo.co.id <p><em>The mortality rate of mother infants in West Sumatra is very high, with a mother mortality rate of 12, an infant mortality rate of 15, and a neonatal mortality rate of 71 in 2020. This indicates that emergency obstetrics and neonatal care practices are not yet optimal. (PONED) is located at a PONED-compatible health center. The purpose of this study is to analyze the implementation of PONED program services at health centers. The survey method used the descriptive qualitative method conducted from March to October 2021, with deep interviews, document reviews, observation-based data collection, and seven information providers. KIA, District Program, PONED Health Center, 4 people, analysis using data content technology Analysis by triangulation. The implementation of PONED-enabled public health center guidelines is not optimal and still being implemented by the health sector, starting with preparations for the selection of PONED health centers, resources, or PONED. Provides availability for teams, infrastructure, equipment, medicines, and consumables. Engagement, stakeholder communication, and community socialization processes were not optimal. A unified referral system that plays an important role in implementing PONED, including budget awareness, coordination, stakeholder involvement, and comprehensive neonatal emergency obstetric services at professional associations, NGOs, communities, and hospitals. This requires good cooperation and support from local governments. In summary, the implementation of the PONED Health Center program is not optimal, and maternal, infant, and newborn deaths are still recorded. Therefore, there is an urgent need to assist local governments and stakeholders by providing resources in accordance with PONED implementation requirements at health centers</em></p> 2023-03-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1303 HIV-TB Co-Infection: A Cross-Sectional Study 2023-05-16T07:23:03+00:00 Intan Pertiwi intanpertiwi46@gmail.com Cicilia Windiyaningsih sisilwindi@gmail.com Adria Rusli adriarus67@yahoo.com Farida Murtiani idoel_fh@yahoo.com <p><em>WHO states that co-infection of the disease that is often experienced by HIV/AIDS patients is Tuberculosis and is the main cause of mortality for HIV/AIDS patients. This study aims to determine the determinants of HIV-TB infection. Analytical research using case-control study design. The research sample was medical record data of HIV-TB co-infected patients at RSPI Prof. Dr. Sulianti Saroso in 2011-2016. The sample size is 160 with a random sampling technique. Analysis of univariate, bivariate, and multivariate data. The results showed that the factors of access to health facilities, weight loss, comorbid with other OIs, CD4 values ​​6 months after ARV and COPD were associated with HIV-TB infection with HIV in patients and the determinant factor of HIV-TB infection was weight loss. The incidence of HIV-TB Co-Infection can be influenced by factors of the patient's clinical condition and environmental factors. To improve services at the HIV department and TB DOTS department it is necessary to measure body weight for the nutritional status of HIV/AIDS patients.</em></p> 2023-05-15T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1371 Training on the Use of the Book “Balanced Nutrition of Youth: Prevent Stunting” to Improve Adolescent Food Consumption Patterns 2023-05-16T07:25:57+00:00 Aslis Wirda Hayati aslis@pkr.ac.id Husnan Husnan aslis@pkr.ac.id Roziana Roziana aslis@pkr.ac.id <p><em>The prevalence of stunting in the Southeast Asia/South-East Asia Regional (SEAR) is 36.4%. One of the efforts to prevent and reduce the prevalence of stunting is to teach teenagers about food consumption patterns based on balanced nutrition. Community service aims to improve adolescent food consumption patterns. The training was conducted from February to d. August 2022 at SMP N 1 Kampar, Kampar District, Kampar Regency. Assessment of adolescent eating patterns was carried out using pre and </em><em>post-test</em><em> questionnaires. Questions related to the type, amount</em><em>,</em><em> and frequency of eating. The practice of administering food was carried out 3 times at the Food Processing Laboratory of the Integrated Laboratory of Poltekkes, Ministry of Health, Riau on Jl. Melur 103 Pekanbaru City. Assessment of adolescent skills in food administration was carried out by observing using a checklist. The number of participants in the training was 12 teenagers. The result of the activity is an increase in adolescent food consumption patterns by 6.7% from 82.7 to 89.4%. The increase is seen in the frequency of food consumption from 75% to 80%. The type and amount of food consumed by adolescents before the training appeared to be good with a value above 80%. The average practice of processing a balanced menu for teenagers is in </em><em>a</em><em> good category with a score above 80%. The conclusion of this activity is that there is an increase in adolescent food consumption patterns after participating in the Training on the Use of the Book "Balanced Nutrition for Adolescents: Prevent Stunting". The type and amount of food consumed by adolescents </em><em>were</em><em> good before the training. The frequency of adolescent food consumption became good after the training.</em></p> 2023-04-03T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1450 Maternal Behavior During Pregnancy to Prevent Stunting in Kampar Regency 2023-05-16T07:23:40+00:00 Dewi Anggriani Harahap anggie.dwh@gmail.com Zakkiyatus Zainiyah zzainiyah@gmail.com Yan Sartika yan.sartika@pkr.ac.id <p><em>The prevalence of child stunting in Indonesia is still high. In 2021 at the national level stunting was at 24.4%. Stunting is caused by nutritional problems that are chronic or long-lasting. </em><em>The theory</em><em> of planned behavior is used as a basis for knowing the behavior of preventing stunting in children during pregnancy in mothers, while the concept of </em><em>family-centered</em><em> nursing is used as a basis for identifying the role of family support and environmental support in its influence on maternal behavior in preventing stunting in children. This study aims to determine the behavior of preventing stunting children when pregnant women at Puskesmas Lipat Kain, Kampar Regency. Analytical research type with </em><em>cross-sectional</em><em> design. The sample was 72 pregnant women at Puskesmas Lipat Kain. Independent variables consist of knowledge, attitudes, cultural values, family support, </em><em>and </em><em>environmental support, while the dependent variable is stunting prevention behavior. Questionnaire research instruments that have been tested for validity and reliability, </em><em>are </em><em>collected by observation. Univariate and bivariate data analysis. The </em><em>p-value</em><em> that is most associated with stunting prevention behavior in children when pregnant women are family support and environmental support is 0.000 (&lt;0.05). In addition, knowledge (0.009), attitudes (0.018), and cultural values (0.017) also showed a relationship with the behavior of preventing child stunting during pregnancy. </em></p> 2023-04-09T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1222 Android Application “Taksiran Berat Janin” (Si-RAJA) Assistant Midwife in Monitoring Fetal Growth 2023-05-16T07:27:39+00:00 Darwitri Darwitri dwitri84@gmail.com Respatiningrum Respatiningrum respatiningrum@poltekkes-tanjungpinang.ac.id Metasari Sihaloho metasarisihaloho@gmail.com Utami Dewi utami.dewi@poltekkes-tanjungpinang.ac.id <p><em>Estimated Fetal Weight is one way to monitor the growth of the fetus in the womb. Along with the development of technology, the use of Android can be used as a medium for health educational information. </em><em>The purpose of this study was to</em> <em>analyze</em><em> the effect of using the Fetal Weight Estimation Android Application (Si-RAJA) on the knowledge of midwives in monitoring fetal growth. This study used a quasi-experimental method with one group pre-test-post-test design for 30 midwives who were taken using a proportionate stratified random sampling technique. Data </em><em>were</em><em> collected from September to October 2021 at Puskesmas throughout Tanjungpinang City. Data analysis used dependent samples </em><em>t-test</em><em>. The results showed that the mean knowledge of the estimated fetal weight increased from 69 (Pre-Test) to 78 (Post-Test). There is a significant difference in knowledge before and after using the Si-RAJA android application with a </em><em>p-value</em><em> of 0.000. Midwives show satisfaction with the use of the Si-RAJA application and the Si-RAJA application can also increase the knowledge of midwives in monitoring fetal growth.</em></p> 2023-03-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1287 A Phenomenology Study: The Experience Of A Family With Covid-19 Infected Family Members 2023-05-16T07:26:48+00:00 Ulfa Rahfiandhani Mardani ulfarahfiandhani11@gmail.com Sandra Sandra sandra@htp.ac.id Bayu Saputra bayu.mkep@gmail.com <p><em>Coronavirus Disease 2019 (COVID-19) is a new type of virus with a high intensity of spreading and has been becoming the world’s health problem. People with Covid-19 need </em><em>support</em><em> from their families and communities, such as support</em> <em>in psychology, existence, relationship, growth necessity, community concern, and also supports in the religious sectors since they might affect the process of their recuperation. This research aims to explore and discover more deeply about an experience of a family whose members had already </em><em>gotten</em><em> infected by COVID-19. The research employed a qualitative approach with the phenomenology study method. The research participants were 8 people aged between 18 and 60 years old </em><em>who</em><em> were the main members of the family (father, mother</em><em>,</em><em> and children), and they lived </em><em>in</em><em> the same house along with the other members who had already </em><em>been </em><em>infected by COVID-19. The samples were hired by using the purposive sampling method. The data was collected by applying an interactively in-depth interview with the participants. The results of the research found that the psychological responses of the family when knowing its members got infected by COVID-19 caused the family to be anxious and frustrated. However, the spiritual responses given by the family made the fay to be more grateful and closer to God. Thus, the family and its members with covid-19 needed social </em><em>support</em><em> form of motivation as well as </em><em>support</em><em> in the fulfillment of basic needs, family affections</em><em>, </em><em>and medicines</em><em>. </em><em>It was concluded that the family's experience with family members who have been affected by COVID-19, can be an illustration, for other families when facing the same problem.</em></p> 2023-03-31T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1316 Factors Affecting the Completeness of Basic Immunizations for Infants Aged 12 Months during the COVID-19 Pandemic 2023-05-16T07:26:14+00:00 Siti Lis Jarsiyah lissiti268@gmail.com Christin Angelina Febriani angelina.fwk@gmail.com Wayan Aryawati aryawati1965@gmail.com <p><em>Complete basic immunization consists of 1 dose of hepatitis B, 1 dose of BCG, 3 doses of DPT-HB-Hib, 4 doses of polio drop, and 1 dose of measles. The target for complete basic immunization in 2019 is 93% with a complete basic immunization achievement of 57.9%. The impact of not getting complete immunization is the incidence of morbidity and mortality due to tuberculosis, poliomyelitis, measles, hepatitis B, diphtheria pertussis, and tetanus neonatorum. This study aims to find out factors that affect the completeness of basic immunization for infants aged 12 months old during the COVID-19 pandemic in the Gunung Sari Health Center Work Area, Way Khilau District in 2022. This research is quantitative with a cross-sectional design. The population in this study were all mothers who had infants aged 12 months old in the working area of ​​the Gunung Sari Health Center. The sample in this study were 81 peoples. The sampling technique was purposive sampling. Data analysis was analyzed using univariate, bivariate, and multivariate analysis. The results of this study indicate that there was a relationship between maternal age (p = 0.000), education (p = 0.000), knowledge (p = 0.001), family support (p = 0.003), and support from health workers (p = 0.042) with the completeness of basic immunization for infants aged 12 months old during the Covid-19 pandemic. The most dominant factor in influencing the completeness of basic immunization in infants aged 12 months old was the knowledge variable. Suggested for mothers can be more active in seeking information about basic immunizations that should be given to children so that no more children have incomplete immunization status.</em></p> 2023-04-01T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas https://jurnal.htp.ac.id/index.php/keskom/article/view/1429 Descriptive Epidemiological Study and Death Risk Factors for Coronavirus Disease 2019 (Covid-19) in Riau Province 2023-05-16T07:23:57+00:00 agus alamsyah agusa41@gmail.com Ikhtiaruddin om.udin1@gmail.com Muhammadiah muhamadiah89@gmail.com Rajunitrigo Rajunitrigo rajunitrigosukirman@gmail.com Nyimas Octa Elsa Aditia agusalamsyah@htp.ac.id <p><em>COVID-19 is a global health problem including </em><em>in </em><em>Indonesia. Various interventions and policies have been implemented in controlling the Covid-19 pandemic, but the incident rate and Case Fatality Rate (CFR) from Covid-19 have continued to increase. Even the number of Covid -19 cases in Riau Province ranks 8th out of 34 provinces in Indonesia (RI Ministry of Health, 2021b). Research objectives Describe epidemiological characteristics and analyze risk factors for Covid-19 death in Riau Province. This research is an observational study using the NAR epidemiological investigation (PE) big database for the time period 5 April 2020- 5 April 2021. The study design is a descriptive cross-sectional study and an analytical cross-sectional study. all confirmed cases reported in the PE NAR recapitulation of Riau Province in the reporting period 5 April 2020-5 April 2021. The sample in this study was the total population (saturated sample). Univariate and bivariate analysis with </em><em>chi-square</em><em> test using software and computerization. The results of this study showed that there was a relationship between comorbidities (heart P value 0.001; COPD, pValue 0.0001; Kidney P Value 0.001 and Hypertension Pvalule 0.001) with Covid-19 mortality. So Covid patients who have comorbidities must be treated appropriately and quickly. For people who have comorbidities and must comply with health protocols.</em></p> 2023-04-09T00:00:00+00:00 Copyright (c) 2023 Jurnal Kesehatan Komunitas