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Stunting is a condition of stunted physical and cognitive growth caused by malnutrition during the development of children under five. UNICEF and WHO recommendations stipulate exclusive breastfeeding for 6 months and breastfeeding for up to two years. Apart from that, it is very important to provide complementary foods for breast milk for 6-23 months. The aim of the research is to determine the obstacles to the Complementary Feeding assistance program for stunted children aged 6-24 months. The method used is a Systematic Literature Review. Health database with search engines Google Scholar, PubMed, Science Direch, ProQuest and Scinapse. The search strategy uses the keywords: Program Constraints, Complementary Feeding, Stunting and Baduta. Identifying research articles for 2017-2023 and using PRISMA flowcharts and literature eligibility criteria based on the PICOS framework. A total of 10,523 articles were identified. Five articles used cross sectional methods, three survey articles, one descriptive analysis article and one cohort article. There were 10 eligible articles that met the inclusion criteria. Based on the results of the identification of Complementary Feeding assistance programs for stunted children aged 6-24 months. There is a correlation between obstacles to the mentoring program related to non-optimal complementary feeding practices (accuracy, diversity and frequency), lack of knowledge and experience, obstacles in communication skills (delivering key messages), self-efficacy/working mothers, sanitation/environmental conditions, socio-economic, weak regulations and government programs including increasing community-based programs such as posyandu. If children aged 0-23 months receive inappropriate complementary foods, they are at high risk of stunting. Various obstacles to the Complementary Feeding assistance program will influence the program's emphasis on promoting children's growth and development to prevent stunting. Conclusion: the Complementary Feeding mentoring program is not optimal, due to various obstacles (specific and sensitive) faced in providing Complementary Feeding to stunted children aged 6-23 months. [ABSTRACT FROM AUTHOR]

Background: Tuberculosis (TB) is the leading cause of death. Indonesia is currently ranked 2nd globally, and the incidence rate increases yearly. TB is highly contagious to risk groups, especially to those who live in one house. Purpose. This study aims to evaluate the implementation of tuberculosis contact investigation by health workers and health cadres in Samarinda City, Indonesia. Methods: This study was conducted with an exploratory qualitative design to explore the implementation of Active Case Finding through contact investigation in Samarinda. As research informants, there are five managers of the tuberculosis program of the Samarinda City Health Office and Public Health Center, four Health Cadres, and ten household contacts of tuberculosis patients. Results: The results of the in-depth interviews identified three domains, eight themes, and 22 sub-themes. We found several obstacles in investigating the TB patient case index contacts, including a lack of resources, low awareness of household contacts, and difficulty meeting targets. Conclusion: Lack of resources and use of conventional instruments indicate less effective coverage of contact investigations. Low awareness of household contact for screening is due to a lack of understanding of TB, shame as a family of TB sufferers, denying the existence of TB symptoms, and not wanting others to know about their health conditions. [ABSTRACT FROM AUTHOR]

Background: HIV/AIDS has become a pandemic that worries the world community, especially teenagers because of their lack of understanding in tackling the prevention and spread of HIV/AIDS. One of the things that can be done is to identify interventions in the utilization of digital technology information media. Purpose: This study focuses on exploring the experiences of adolescents in efforts and in identifying interventions using digital technology information media to increase knowledge related to HIV/AIDS prevention. Methods: Qualitative research using interpretive descriptive approach and literature review on teenage students of SMA Negeri 4 (SMA A) and SMK Negeri 6 (SMA B) in Pangkep Regency, Class II and Class III. Sampling using t purposive sampling type of criteria sampling. The number of participants is 20 people and 5 participants who fall into the source triangulation category. Semi-structured interview guidelines with in-depth interviews, FGDs and observations using field notes. Results: There are 4 main themes that are obtained, namely: 1) Lack of youth knowledge about HIV/AIDS; 2) Perception of adolescents' response control towards HIV/AIDS sufferers (ODHA); 3) Work Program in efforts to prevent HIV/AIDS; 4) The needs of adolescents, teachers, health center staff, and the health office regarding plans for developing interventions to increase youth knowledge in efforts to prevent HIV/AIDS. Conclusion: Respondents have inadequate knowledge about HIV/AIDS, show negative attitudes towards PLHIV and are also involved in risky practices that can affect HIV transmission. This shows that the provision of accurate and comprehensive information related to HIV/ AIDS is a component of prevention and control interventions that must be increased so that intervention strategies are needed to alleviate suffering and possibly reduce the negative consequences that may occur. [ABSTRACT FROM AUTHOR]

Background: The current era of digitalization is encouraging public health literacy to increase, especially among teenagers who are close to gadgets, so that the term e-health literacy is known, namely digital health literacy is defined as the ability to search, find and understand health information available in resources. electronically and use information obtained from these resources to overcome health problems. Objective: To determine the effectiveness of application-based reproductive health education to increase positive behavior of adolescents in Ternate City. Method: This research uses a Quasi-experimental method (Pre-post Control Design). The number of samples in this study was 300 teenagers aged 12-15 years, in Ternate City. The measurement uses a questionnaire to measure knowledge, attitudes, actions, subjective norms, perceived behavioral control, and health literacy. The analysis used is the mean difference test, namely the Wilcoxon test and the Mann-Whitney test. Research Results: The distribution of respondents based on age groups in the control group and in the intervention group was mostly in the 13 year age group, namely 119 people (79.3%) and 111 people (74.0%), the most common gender was female. The results of the analysis showed that there were no differences between the control and intervention groups before treatment, there were differences between the control and intervention groups after treatment, there were differences before and after treatment in the variables knowledge (p value = 0.000), action (p value = 0.000), and health literacy (0.007) (p value < 0.05). However, there is no difference for the variables Attitude, Subjective Norms, Behavioral Control. There are differences before and after treatment in the variables knowledge (p value = 0.000), attitude (p value = 0.000), action (p value = 0.000), subjective norms (p value = 0.000), behavioral control (p value = 0.000) and health literacy (p value = 0.000) (p value < 0.05). Conclusion: Application-based reproductive health education has a good impact in increasing positive behavior among teenagers in Ternate City, this is based on changes in knowledge, attitudes, subjective norms, behavioral control and health literacy. [ABSTRACT FROM AUTHOR]

Introduction: Durian (Durio zibethinus) fruit skin contains antibacterial compounds. The antibacterial content in durian skin (Durio zibethinus) such as alkaloids, flavonoids, saponins, phenols and tannins can inhibit the growth of pathogenic bacteria such as Escherichia coli, Salmonella typhosa and Staphylococcus aureus and act as a disinfection agent. This research aims to determine the secondary metabolite compounds and antibacterial activity of the ethanol extract of Soya durian peel against the pathogenic bacteria Escherichia coli ATCC 25922. Methods: This type of research is a laboratory experiment, including making Soya durian peel extract using the maceration method using 96% ethanol solvent. The antibacterial activity test was carried out using the liquid dilution method to determine the Minimum Inhibitory Concentrations (MIC) value and the solid dilution method to determine the Minimum Bactericidal Concentration (MBC) value. Results: Based on qualitative phytochemical screening, Soya durian peel ethanol extract contains secondary metabolite compounds with an average content of 4.24% alkaloids, 22.95% flavonoids, 1.74% saponins, 57.41% phenols and 2.27% tannins. Soya durian peel extract has an MIC against E. coli ATCC 25922 bacteria of 3.12%, while the MBC value of Soya durian peel extract against E. coli ATCC 25922 bacteria is 6.25%. The results of the One Way ANOVA analysis of the Minimum Bactericidal Concentration (MBC) data have a significant value of 0.00 < 0.05. The results of the Pearson correlation test (r) showed a significant number of 0.000 (p < 0.05), the Pearson correlation coefficient between concentration and number of bacterial colonies was (r) = 0.812. This means that the higher the concentration of Soya durian peel ethanol extract given, the less the number of E.coli ATCC 2592 bacterial colonies will be reduced. The results of a simple linear regression test showed that the value of Y = 245.618 - 29.016 245,618 colonies and each increase in the concentration of Soya durian peel ethanol extract by 1% will cause a decrease in the number of bacterial colonies to 29,016 colonies. Conclusion: Soya durian skin extract has antibacterial compounds that can kill pathogenic Escherichia coli bacteria in raw drinking water. [ABSTRACT FROM AUTHOR]

Background: The Self Management Hypertension (SMH) application is a digital-based educational media solution to improve knowledge of elderly with HT in managing their disease independently, easy to use and can be accessed wherever they are. Smartphone -based digital technology, Recently, it has become a very common tool needed by most people, including the elderly, not only as a communication tool but can also be used as a medium for education and information. Research Objectives: This research aims to design the development of a prototype of the SMH application and to determine the feasibility of the SMH application for self-management of hypertension for the elderly. Method: The research method used is Research and Development (R&D). The research subjects for the expert validation test consisted of 3 experts. Meanwhile, the application trial subjects consisted of a one-on-one trial sample of 3 elderly people and a small group trial of 12 elderly people. Data collection uses the Technology Acceptance Model (TAM) questionnaire which consists of 13 questions with 4 assessment aspects, namely the convenience aspect, usefulness aspect, trust aspect and user intention aspect. There are 4 Likert scale answer choices ranging from strongly agree to strongly disagree. Results: Expert validation results show the percentage and eligibility criteria are 86.6%. The results of one-on-one trials show that the ease of application aspect is in the range of 3.25-4.00, the usefulness aspect is in the range of 3.00-4.00, the trust aspect is in the range of 3.67-4.00 and the user intention aspect is in the range of 3.00-4. .00. Small group trials showed an average convenience aspect of 3.52, an average usefulness aspect of 3.53, an average trust aspect of 3.69 and an average user intention aspect of 3.64. Conclusion: The SMH application has decent content, is easy to use, very useful, and trustworthy, thereby increasing the intention of elderly people with HT to use the SMH application. [ABSTRACT FROM AUTHOR]

Introduction: Most major deaths worldwide are caused by cardiac arrest outside the home. Cardiac arrest is a fatal event and is still a major topic of public health. One effort that can be made to increase community knowledge and skills is to provide Basic Life Support (BLS) training using interesting methods. The purpose of this scoping review is to identify methods of BLS training in laypeople to prevent death from heart attacks. Methods: We conducted a Scoping Review to identify BLS training methods in the community with a search process using appropriate populations, concepts, and contexts. The databases used for article searches are Science Direct, SAGE, PlosOne, Pubmed, NCBI, and Google Scholar. The selection process was carried out using the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) method and conducting a Critical Appraisal using The Joanna Briggs Institute checklist. Results: From 2,996, 11 articles were selected in this review. Some of the training methods that can be carried out are in-person training, using mobile applications, CPR videos, and Virtual reality compression. Conclusion: The BLS training methods can be used to increase the knowledge and skills of ordinary people. [ABSTRACT FROM AUTHOR]

Background: Diabetic foot is one of chronic complications that can cause significant issue on diabetes mellitus patient. In addition to contributing to mortality and morbidity rate, this disease also increases the family as well as national health economy burdens. Therefore, preventive efforts are necessary to decrease the risk of diabetic foot. In this case, intervention model in preventing diabetic foot is known to focus more on diabetes mellitus patients and healthcare service provider. Objective: Current research aims to identify the determinant of the efforts and issues in the prevention of diabetic foot in the community. Method: This research applied qualitative method through focus group discussion and indepth interview with 19 informants selected through purposive sampling, including the holder of Public Health Center programs, cadre, diabetes mellitus patients, and family. Data obtained through record were further transcribed and analyzed thematically. Result: There are several themes produced, including the education of foot care, cadre empowerment, role of cadre, strategy of cadre empowerment, knowledge, perception, self-efficacy, as well as patient and family strengthening. Conclusion: Diabetic foot preventive efforts focuses on the education of foot care and cadre empowerment in the community. Meanwhile, the issues discovered include the lack of knowledge, perception, efficacy and behavior in taking care of foot on diabetes mellitus patients. Hence, further study is needed in designing proper intervention strategy to prevent diabetic foot in the community. [ABSTRACT FROM AUTHOR]

Background: Implementing electronic-based health information systems in Indonesia has shown a significant increase in the last decade. However, many problems still need to be solved that hinder the effectiveness of this system. Studies describing the implementation of electronic-based data collection, monitoring, and reporting show confusing results. Aim: This review aims to evaluate the implementation of community-based electronic data collection, monitoring and reporting. Method: PRISMA guidelines was used to conduct this review. Databases used to search relevant literature including PubMed, Sciencedirect, Willey Online Library, and Proquest. Authors independently screening and extracted the data from the eligible studies. CASP for qualitative study was used to assess the quality of the study. Result: There are nine studies that matched with the inclusion criteria. Area of recording, monitoring, and reporting including maternal and child health, NCDs, and Tuberculosis. the challenges faced by Indonesia in implementing the ERMR including internet connections, access to electricity, absence of regulations, human resources, facilities, Fragmented application, Age, Pandemic, and lack of communication. Based on those barriers, infrastructure in supporting the implementation of ERMR is the most stated in the studies included. Conclusion: The implementation of ERMR is crucial for the Indonesian government to address immediately, given the significantly substantial benefits for the health status of the Indonesian people. The availability of adequate infrastructure, especially in remote areas, will support satisfactory public health services. [ABSTRACT FROM AUTHOR]

Background: Maternal nutritional needs during pregnancy increase due to physiological, metabolic and anatomical changes. If the intake is insufficient, there will be deficiencies in both macro and micro nutrients. Multimicronutrient deficiency will affect the growth and anemia status of pregnant women. Objective: This study aims to determine the effect of giving iodized salt and Multi Micronutrient Supplements to pregnant women on hemoglobin levels, body weight, iodine levels in urine and pregnancy outcomes. Method: This research is an analytical research using an experimental design that controls several nonexperimental variables and there is a control group as a comparison group to understand the effect of treatment. Determining the sample in this study used a random experimental method where 200 pregnant women were used as the research sample. The results showed that there was a significant change or increase in Hb levels (p=0.006; <0.000; <0.000), body weight (p=0.001; <0.000; <0.000), lila (<0.0015; <0.000; <0.000), Iodine levels (<0.000; <0.000; <0.000), between the group given iodized salt and MMS and the group given MMS. In this study, in the group of pregnant women who received iodized salt and MMS intervention, on average there was an increase or change in HB levels, iodine levels, mother's weight, baby's weight and abdominal length and circumference compared to those who received MMS. for pregnant women is to regularly maintain nutritional intake during pregnancy, especially consuming iodized salt and MMS which is beneficial for the health of pregnant women and the baby they are carrying. [ABSTRACT FROM AUTHOR]

Background: Prediabetes and obesity in women are important health problems today. Appropriate selfmanagement and other methods are needed to overcome this. Objective: To assess the magnitude of the difference in changes in fasting blood glucose levels, before and after carrying out ADCES7 self-care behavior and acupressure. Method: This research is quasi-experimental research. The research design used was the Non-Randomized Pre Test - Post Test Control Group, which gathered obese, prediabetic women in the Kalumata Community Health Center, Siko Community Health Center and Posbindu under the PKK Ternate City through screening by excluding those who had suffered from diabetes mellitus and were pregnant. This group was then divided into the ADCES7 self care behavior intervention group, the acupressure group and the combined ADCES7 self care behavior and acupressure group. Multivariate logistic regression was used to assess changes in fasting blood glucose levels. Results: Respondents in this study were 102 people who were divided into three groups. The results showed that there was an effect of Self Management intervention p(0.016)<0.05, acupressure intervention p(0.032)<0.05, and the combination group of Self Management and Acupressure p(0.011)<0.05 on changes in fasting blood glucose levels in prediabetic obese women. Conclusion: obese prediabetic women who are aware and active in self-management ACDES7 self care behavior and acupressure can reduce blood glucose levels and body weight in obese prediabetic women. [ABSTRACT FROM AUTHOR]

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