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Background: Food snacks for school children (PJAS) until now there are still many types of snacks containing dangerous ingredients, which can endanger health. Children are vulnerable and easily exposed because they do not understand about healthy snacks. To reduce exposure of school children to unhealthy snacks, it is necessary to do android-based health education. Materials and Methods: The research method is a quasi-experimental method, namely pretest and post-test with control group design. The research subjects were 30 students Class III SDN 026602 as the experimental groupsand 30 students SDN 020617as thecontrol groups. Data analysis used an independent sample t-test. Result: The results of the study were the experimental groups given educational game media intervention had a significant effect on knowledge p = 0.000 (p<0.05). It is necessary to improve health promotion by using modern technology-based educational media. Conclusion: Based on the research results, there is an effect of providing nutrition education with Educational Game media on the knowledge of elementary school children in Binjai City. This means that the educational media can increase the knowledge of elementary school children in choosing snack foods. [ABSTRACT FROM AUTHOR]

Background: This study attempts to review longitudinal school-based physical activity (PA) interventions in Southeast Asia countries. Materials and Methods: ScienceDirect, PubMed and Scopus databases were used, which ranged from the years 2003 until April 2018. A total of twelve studies were included in the final review including seven from Malaysia, three from Singapore, one from Indonesia and one from Thailand. Results: The findings from Malaysian studies showed that EPaL provides students with cognitive and behavioural skills to cause changes in targeted behaviours by aiming to alter disordered eating behaviour, promoting PA, preventing sedentary lifestyle and enhancing eating behaviours. The integration of the transtheoretical framework improves participant adherence. Furthermore, circuit training was implemented during PE classes. The results showed significant improvements in the reduction of BMI, cardiovascular endurance and flexibility. In addition, MASCOT is ideal for promoting health and reducing obesity in Malaysian children as it has shown to improve BMI and total PA. In the Indonesian study, low-intensity endurance exercise of lower extremity has shown improvements in lowerextremity endurance as well as V02 max before for individuals with lower physical capacity. In Thailand, child health promotion programme has been shown to reduce the percentage of obesity of school children in the long--term. Finally, exergaming in the Singaporean studies showed improvements in attitude, self-efficacy, and perceived behavioural control. Conclusion: Limited studies were conducted on studying the cause of longitudinal PA implementation in school settings and its impact in Southeast Asia. Therefore, future studies are proposed to investigate this relationship and utilise comprehensive frameworks to identify domains for facilitating or inhibiting PA implementation. [ABSTRACT FROM AUTHOR]

Background: Dengue is designated as a major health problem in tropical countries. Accordingly, there has been a regular program run by the government to overcome the outbreak of the disease which unluckily is still a lack of control. Therefore, we inevitably need an alternative to guide the intervention strategies to eliminate or at least minimize the insurmountable health problem. This research is thus aimed at investigating the space-time cluster of dengue fever transmission in Yogyakarta City, Indonesia using spatial scan statistics (SaTScan). Materials and Methods: Spacetime permutation scan statistic was used to generate the cluster of dengue fever transmission in Yogyakarta City, by January to July 2014. There were 285 reported cases during the study period, but only 208 were confirmed by epidemiological investigation. We employed Geographical Positioning System for recording the location of the cases. Result: The Dengue fever transmission was clustered temporarily in several spots during the research period. Mergangsan was granted as it is the most likely cluster for DF with a p-value of 0.005 in July 2014, while the second cluster was proven in the other sub-districts. This finding is valuable for guiding the future research about the intervention priority of dengue fever control in Yogyakarta City. There was a significant cluster of dengue cases in Yogyakarta City which is particularly located in Mergangsan sub-district. Conclusion: GIS technic is applicable for disease surveillance. Together with another health program, this approach is useful to solve the disease problem. [ABSTRACT FROM AUTHOR]

Background: Policies on referral systems have long existed in Indonesia. Nonspecialistic references are still occurring and result inefficienty of health care. BPJS Kesehatan stated that there were 2.236.379 visits in the primary health care facilities referred in 2015, 214.706 visits of which were non nonspecificistic referrals. In 2016 there was an increase of 4.9 million cases of re-control compared to 2015 in secondary and tertiary outpatient, resulting in an increase in cost of 789 billion compared to 2015. This is because the referral system policy hasn't been implement correctly. This policy brief aims to evaluate the implementation of referral system policies that exist in Indonesia. Materials and Methods: This is a policy brief with literature review approach. This policy brief was prepared by conducting literature studies on the implementation of referral systems and several health policies on referrals. Result: Referral system has not been implemented properly in accordance with existing policies in Indonesia. This causes wastage costs in the implementation of universal health coverage. Implementation constraints on referral policies stem from the low knowledge of health personnel and the capacity of health care providers. Conclusion: It is appropriate to evaluate all of personel who play a role in the implementation of referral policy. Evaluation should be done from the community as the recipient of the service, health facilities as the buyer of service, the health office as the responsible implementation of referrals, as well as from the government as policy makers. Thus solutions to problems with this reference system can be applied so that the correct referral system can be realized. [ABSTRACT FROM AUTHOR]

Background: Food Poisoning Outbreak occurred in Sitiarjo Village, Malang District, on May 28, 2016. The number of 22 villagers suffered food poisoning after eating food that come from the village event which called “bersih desa”. Investigation aimed to identify the cause and risk factor of food poisoning outbreak. Materials and Methods: The study design was unmatched case-control with ratio of 1:2. Cases were villagers who came to the village event and suffered food poisoning, while controls were villagers who had no food poisoning symptoms. Interviews also conducted to food processors and organizers of the event. Determination of the food poisoning outbreaks cause based on the risk factors and odds ratio. Result: The foods served on the event were chicken soup, chicken rica-rica, watermelon, orange, mineral water, and sweet tea. The first cases of food poisoning occurred at 08.00 a.m by 2 cases. Symptoms of poisoning occurred were dizziness (90.9%), vomiting (90.9%), nausea (77.3%), sweating (63.6%), diarrhea (59.1%), and fever (9,1%). The suspected source of food poisoning was the chicken soup (aOR = 5.5, 95% CI = 1.3; 24.1) and watermelon (aOR = 19.3, 95% CI = 2.1; 177.9). The incubation period ranges from 1 to 6 hours. Conclusion: Based on incubation period and clinical symptoms, the food poisoning possibly caused by Staphylococcus aureus contamination. Based on the field findings, health officers are encouraged to educate about hygiene and sanitation on food processing and storage. [ABSTRACT FROM AUTHOR]