Background: The dengue Fever is the fastest emerging arboviral infection spread by Aedes mosquitos with superior in public health impact in over 100 tropical and sub-tropical in South East Asia, western Pacific and South and Central America. More up to 2.5 billion people globally lives under the threat of dengue fever and its severe forms dengue hemorrhagic fever (DHF) or dengue shock syndromes (DSS). More than 75% of these people, or approximately 1.8 billion, live in the Asia Pacific Region. As the diseases spreads to new geographical areas, the frequency of the outbreaks is increasing along with a changing disease epidemiology. It is estimated that 50 million people suffering of DHF required hospitalization each year, a must large proportion of whom (approximately 90%) are children less than five years old. About 2.5% of those affected with dengue die of the illness. Objective: The study to spread knowledge of present situation of dengue fever and dengue hemorrhagic fever and dengue fever shock syndrome this occurs in Timor-Leste in January 2020 until February 2022 by epidemiological approach. Research Design: The study adopted an analysis descriptive cross-sectional research based on data epidemiological health system information the Ministry of Health, Hospitals and Health Centers. Subject and sampling: The total number of study subjects was 506 (48 health professionals 1451 caregivers and their children under 5 years and 29 managers on health care settings). Setting: This investigation was carried out in the twenty-nine primary health settings affiliated in Health Municipality of Timor-Leste. Study tools: Three tools where use for data collection 1-Health professionals occupational and educational qualifications data assessment sheet. 2-Observation checklist of case management action. 3-Manager’s feedback self- administrate questionnaire. Results: Current results from died showed that 0.7% in 2020 and 1.3% actual 2022 and perception of new borne care suffering 3.8% for the dengue fever not mistake, that has good idea 96.2% he said understanding of DF, DHF and DSS. Recommendations: The research recommended that DF-DHF evaluation and supervision need more implementation in service training have been adequate the health professionals care and the participation of population cleanup home and environmental just more importance the people to understanding real situation process in current and future of Timor-Leste. Conclusions: The level of adherence of DF-DHF regarding children’s case management of dengue fever of DSS status was poor for closely partial of situation associated less than one one-fifth presented good level observance.

Introduction: The most common stress experienced by students is academic stress. Academic stress is defined as an individual situation understood and experienced by the student when entering higher education, or excellent high-level academic training. Objectives: To assess the levels of stress in practical teaching of students of the 3rd year of Nursing at the National University Timor Lorosa'e. Methodology: a descriptive-analytical, cross-sectional study with a quantitative approach. The present study was carried out at the National University of TimorLorosae, in a sample of 83 nursing students from the 3rd year of 2021, of the degree in nursing. Data collection was carried out during the month of October 2021 and through self-response, a questionnaire was carried out with closed questions to explore more primary data. Results: The total sample 97% are attending the 3rd year of the course and they have never failed and been admitted as approved. Mostly female (53%), with an average age of 22 years, in which it is intended to know the expression of the students' stress level throughout the course and its close relationship with gender and the degree year, it was possible to verify a test that nursing students experiencing stress during this period of professional competence development. Conclusion: Practical nursing and academic teaching stress is defined as a condition or circumstance that causes an imbalance in individuals, as a result of the evaluation or appreciation and students' perceptions of academic stressors, related to their professional experience at universities in a context of learning.

Introduction: COVID-19 is an acute, severe respiratory syndrome caused by the SARS II-Cov-19; corona virus transmitted between people that spread from positive patients of covid-1 virus through contact with droplets. Date from the Health Service Municipality of Lautem, total positive COVID-19 cases from 22nd of March 2020 until December of 2021 was 184 cases of morbidity and 5 cases of mortality. Objective: to describe the level of community’s knowledge about efforts to prevent the transmission of COVID-19 and to identify the level of knowledge (know, understand and apply) and to know the relationship between the level of knowledge of the community in the Nanacuro sub-village, Municipality of Lautem. Method: descriptive quantitative with cross-sectional aproximation using non probability sample with type accidental sampling and use questionnaires instrument. Results: Based on the results of the descriptive analysis the level of community’s knowledge about efforts to prevent the transmission of COVID-19 showed level of good knowledge with 41.3%, sufficient knowledge with 46.8% and less knowledge with 11.9%. In statistical test Rankpearman correlation coefficient value or Pearson (p) = 0.000 means that less than the value 0.05 and the coefficient value correlated with the value 0.680. Conclusion: The level of knowledge (know, understanding and application) of the community on efforts to prevent the transmission of COVID-19 majority is sufficient 46.8%, unless there is a strong relationship between the level of knowledge with efforts to prevent the transmission of COVID-19.

Introduction: The leadership of the head nurse and the motivation of the nurses of the service is a fundamental indicator to evaluate the quality of health care in pediatrics of the HNGV Dili. The leader is to manage the strongest strengths of the organization and employees, so that they work more or more effectively, in the daily service. Objective: To analyze the impact of the leadership of the head nurse on the motivation of nurses of the pediatric service of HNGV Díli Timor-Leste. Methodology: The study is descriptive of the cross-sectional and analytical type, of quantitative approach; The sample consisted of 45 nurses (10 head nurses and 35 nurses) from the pediatrics service of HNGV Timor-Leste, in functions at the time of questionnaire application (nurses: 40%; nurses: 60%). In the total sample of 70 respondents in this study, 25 were excluded and did not return. Results: The majority of workers (27.77 %) consider the employer a disciplined person who guides and directs their subordinates in the ward. In general, a humble and responsible person who makes decisions listening to the opinion of his collaborators was made. Only 8 respondents in 35 (23%) consider that the head nurse is not directly involved in social activities and does not seek possibilities to help people. Most consider the boss an efficient and effective person. Only 6 of the 35 respondents (17%) reported that the head nurse gives little support in formal and non-formal education to subordinates. The majority of nurses surveyed (8 out of 10:80%) recognize that they work in a way that motivates their subordinates to provide good quality nursing care. Only one of the head nurses (10%) does not consider the presence and delays of its members daily and the fulfillment of important schedules. Conclusion: The results express that the collaborators recognize that the work developed by the head nurses has an impact on their motivation and the work they develop, especially on the quality of nursing care provided. It is therefore important in the future that there is greater concern among hospital bosses and managers about the strategies to be defined to strengthen work teams and improve the care provided especially with the definition of quality indicators, the strengthening of in-service training and teamwork. From the results we recognize that leadership has influenced the motivation of the team and the quality of care provided.