The Effectiveness of Comparison of the Use of the Kuesioner Pra Skrining Perkembangan (KPSP) with Denver II on Development Children aged 0 – 72 months in the Dadok Primary Health Center Work Padang

Background: The issues of toddler boom and improvement that want for use as a reference withinside the detection encompass 10% of youngsters reaching early age abilities, 50% of youngsters will attain their abilities, 75% of youngsters will gain extra abilities, 90% of youngsters could have on the way to attain the age restriction on the present-day still. However, some time ago, they encountered several growth and development problems which were quite worrying for preschool children. Objectives: This study was to determine the accuracy of developmental outcomes for children aged 0 – 72 months between the Guide to the Kuesioner Pra Skrining Perkembangan (KPSP) and the Denver Developmental Screening Test II (Denver II). Questioner Pra Skrining Perkembangan (KPSP) and the Denver Developmental Screening Test II (Denver II) have a good result, valid and reliable to view developmental outcomes for children aged 0 – 72 months in Dadok Primary Health Center. Methods: The research method used is analytic with the design used being cross-sectional, then the Cohen's Kappa coefficient statistical test is carried out. The research sampling technique used purposive sampling as many as 56 children aged 0-72 months with exclusion criteria, namely children who were sick, had physical disabilities, and experienced other developmental disorders that could not be measured with the KPSP and Denver II instruments. The research into finished from December 2020 to December 2021. Results: The effects of this examination discovered that the improvement of youngsters elderly 0-72 months turned into nevertheless in the precise or everyday category. This may be visible from the effects of developmental tests on the usage of the KPSP and Denver II instruments, each of that has equal effectiveness for use in assessing improvement in youngsters. This is evidenced by the results of the Cohen's Kappa coefficient statistical test with a Kappa value of 0.638 which means it is good (0.61-0.80). Conclusion: It is expected for parents to implement an early detection program for child development by the child's ability at home. Parents are expected to attend seminars or training on growth and development according to the child's age level. invite the child to be more diligent in moving, provide stimulation to the leg muscles, or take the child to therapy so that it can be handled properly.

Measurement of Adherence Level of Pulmonary Tuberculosis Drugs use in Patients in the Primary Health Centers in Karawang Regency, West Java, Indonesia, using MMAS Instrument

Aims: This study aims to determine the level of drug adherence in patients with pulmonary tuberculosis at the Cilamaya Kulon Primary Health Center area, Karawang Regency, West Java, Indonesia. Study Design: The measurement of adherence level was carried out using the MMAS (Morisky Medication Adherence Scale) instrument. Place and Duration of Study: This study was conducted at Cilamaya Kulon Primary Health Center area, specifically in Bayur Lor and Pasirukem Primary Health Centers, Karawang Regency, West Java, Indonesia, from July to September 2021. Methodology: A cross-sectional design with a purposive sampling data collection method was used. Furthermore, the subjects were pulmonary TB patients from the Bayur Lor and Pasirukem Primary Health Centers, Karawang Regency. The instrument used was the MMAS questionnaire sheet, and data analysis was performed using SPSS (version 22.0) and continued with statistical tests using the chi-square test. Results: The results showed there was no significant relationship (p>0.05) between age, gender, educational status, employment status, income level, smoking status, duration of treatment, drugs side effects, medication supervision, and patient motivation for drugs adherence in the Cilamaya Kulon Primary Health Center area. Furthermore, the level of medication adherence of pulmonary TB patients at this Primary Health Center area was high with a value of 84.13%. Conclusion: Adherence to medication in pulmonary TB patients was not influenced by age, gender, educational status, employment status, income level, smoking status, duration of treatment, drug side effects, medication supervision, and patient motivation. Therefore, the adherence level is included in the high category.

Peluang Pelaksanaan dan Tantangan Pengembangan Hospital without Walls pada Pelayanan Kebidanan dan Kandungan di RSUD Noongan

Hospitals as the health referral facilities play an important role in decreasing the maternal mortality rate (MMR) since they also belong to the personal health service as a whole including mother child health care. This study was aimed to analyze the implementation opportunities and challenges of developing ‘hospital without walls’ program in obstetrics and gynaecology services at RSUD (Rumah Sakit Umum Daerah) Noongan. This was a qualitative study. Informants in this study were taken from three places, as follows: the hospital, namely the Director of the Hospital and obstetrician-gynaecologist doctors; puskesmas (primary health center), namely the heads of puskesmas; and the community. Data were collected through in-depth interviews and direct observation. The results indicated that ‘hospital without walls’ in obstetrics and gynaecology services at RSUD Noongan had the opportunity to be implemented because this program had been partly applied by the hospital and it had a good impact on the hospital, health center, and the community as well as PONED-PONEK collaboration. The challenges of imple-menting this program at RSUD Noongan were the existence of cold cases caused by gatekeeper failure, lack of health facilities and human resources at the puskesmas, and insubstantial collaboration between PONED-PONEK. In conclusion, ‘hospital without walls’ program in obste-trics and gynaecology services can be implemented at RSUD Noongan with awareness to the possible challenges in its development.Keywords: opportunity and challenge; hospital without walls; obstetrics and gynecology services Abstrak: Rumah sakit sebagai fasilitas kesehatan rujukan paripurna berperan penting dalam menurunkan angka kematian ibu (AKI) termasuk pelayanan kesehatan ibu dan anak (KIA). Penelitian ini bertujuan untuk menganalisis peluang pelaksanaan dan tantangan pengembangan program hospital without walls pada pelayanan kebidanan dan kandungan di RSUD Noongan. Jenis penelitian ialah kualitatif. Informan penelitian diambil dari tiga tempat yaitu: RSUD Noongan (Direktur Rumah Sakit dan dokter spesialis obstetri dan ginekologi); puskesmas (kepala puskesmas); dan masyarakat. Data dikumpulkan melalui wawancara mendalam dan observasi langsung. Hasil penelitian memperlihatkan bahwa hospital without walls pada pelayanan kebi-danan dan kandungan di RSUD Noongan berpeluang untuk dilaksanakan karena sebagian pro-gram ini telah diterapkan oleh rumah sakit dan juga berdampak baik bagi rumah sakit, puskesmas dan masyarakat, serta kolaborasi PONED-PONEK. Tantangan pelaksanaan program ini di RSUD Noongan yaitu adanya cold case yang merupakan kegagalan gatekeeper, fasilitas kesehatan dan sumber daya manusia (SDM) yang masih kurang di puskesmas, serta kolaborasi PONED-PONEK belum optimal. Simpulan penelitian ini ialah program hospital without walls pada pelayanan kebidanan dan kandungan berpeluang untuk dilaksanakan di RSUD Noongan dengan memperhatikan tantangan pengembangan.Kata kunci: peluang dan tantangan; hospital without walls; pelayanan kebidanan dan kandungan

Design Of Tracer Using Microsoft Access Unit In Medical Record Primary Health In Padang

Microsoft Access (also known as Access) is an application used to process databases. The implementation of storage at the Primary Health Center is still manual if the patient's medical record file is not found on the storage shelf, the officer will make a temporary file which will cause the accumulation of files on the shelf. There is still a misplaced medical record file (Missfile) due to the absence of a tracer being stored as a control for releasing medical record files and borrowing medical record files. The purpose of this research is how to design a tracer using Microsoft Access in the medical record unit at Primary Health Center, Padang. This research is about designing a tracer in the medical record unit at Primary Health Center in Padang. This type of research is Research and Development, conducting in-depth interviews, observation, and testing at the storage area and interviews with 1 head of administration, 1 head of medical records, and 2 storage officers. This research was conducted from 25 July to 2 August 2019 at Padang Primary Health Center. Based on the research results, it was found that the identification of tracer data elements in a computerized manner was more complete in implementing the application by developing the UML (Unified Modeling Language) method, namely by using use case diagrams and activity diagrams, as well as data flow diagrams. Efficiency is obtained by means of manually, 1 and computerized 3.5 so that the tracer efficiency is more computerized while the effectiveness is in accordance with what the officers expect. The conclusion in this study found that the officers were satisfied and the application was as expected because it was easy to use. Judging from the test results, this tracer application can be used, seen from the expectations and satisfaction of the officers, the data is appropriate and can improve performance, effectiveness, and efficiency in service. Therefore, the researchers hope that this application can be implemented in services and developed again in the future.

The Effect of Speos Method on the Quality of Postpartum Mother life at Mertoyudan I and Mertoyudan 2 Primary Health Center in 2018

Background: Postpartum mothers are potentially susceptible to postpartum care complications, such as postpartum blues and depression. SPEOS is a combination of endorphin massage techniques, oxytocin massage, and positive suggestions to improve life quality after childbirth. Aim: This study aimed to prove the SPEOS method's effectiveness on postpartum mothers' quality of life. Methods: This research was a quasi-experiment with a pretest-posttest control group design. The research was conducted in Mertoyudan I Primary Health Center and Mertoyudan II Health Center. The research subjects were 22 postpartum mothers taken using a simple random sampling technique. The independent variable in this study was the SPEOS method, and the dependent variable was the quality of life. The instrument used was the PQOL questionnaire. The data were analyzed using Wilcoxon and Mann-Whitney tests. Results: The quality of postpartum mothers life scores increased (mean = 177.55 to 182.45, CI = 95%, p = 0.000), SPEOS method was more effective in improving the quality of life of post partum mothers (mean difference = 4.9, CI = 95%, p = 0,000). Conclusion: The SPEOS method affects improving the quality of life of Postpartum mothers. Keywords: SPEOS, quality of life, postpartum, breastfeeding mothers

The Identification of Maternal Characteristics and The Incidence of Anemia in Pregnant Women

Aim: The research aims to identify maternal characteristics and anemia in third trimester pregnant women at Mantrijeron Primary Health Center of Yogyakarta. Methods: The study employed a correlation design and cross-sectional approach. The sampling technique in this study used the purposive sampling method with the number of samples was 69 people—the data analysis used using chi-square analysis. Results: This study shows correlations between education level, parity, maternal age, and the frequency of ANC visits as indicated by p-value (<0.05) and the incidence of anemia in the third trimester of pregnant women Mantrijeron Primary Health Center of Yogyakarta. Meanwhile, those with no correlation were nutritional status as indicated by p-value (0.389> 0.05). Conclusion: Pregnant women are suggested to have pregnancy checks regularly at least four times during pregnancy so that complications, such as anemia, can be indicated earlier and can be minimized. Keywords: Characteristics; anemia in pregnant women

Correlation Between Total Cholesterol Level with Blood Pressure of Hypertensive Patients in Kalidoni, Palembang

Background: Hypertension is the main problem worldwide. It has strong relationship with other component of metabolic syndrome, namely dyslipidemi. Authors are analyzing the correlation between total cholesterol level and blood pressure in the hypertensive patient at Kalidoni Primary Health Center, Palembang, Indonesia.Methods: This was a cross-sectional study involving 82 adult hypertensive patients. Data were collected from the medical record of patients who are visiting Kalidoni Primary Health Center in December 2019-January 2020. Demographic data, blood pressure, and total cholesterol level were gained. Obtained data are analyzed descriptively (frequency distribution) and analytically (correlation using Pearson or Spearman method).Result: Significant positive correlations were observed between total cholesterol level and systolic blood pressure (r=0.509, p=0.000) in addition to body weight and diastolic blood pressure (r=0.279; p=0.011).Conclusion: Blood cholesterol level had a significant correlation with moderate strength for determining systolic blood pressure level in hypertensive patients.