Tuberkulosis Paru merupakan penyakit menular langsung yang disebabkan oleh kuman TB Paru (mycobacterium tuberculosis). Gejala utama adalah batuk selama 2 minggu atau lebih, batuk disertai dengan gejala tambahan yaitu dahak, dahak bercampur darah, sesak nafas, badan lemas, nafsu makan menurun, berat badan menurun, malaise, berkeringat malam hari tanpa kegiatan fisik, demam lebih dari 1 bulan. Penyakit TB Paru ditanyakan pada responden untuk kurun waktu ≤ 1 tahun berdasarkan diagnosis yang ditegakkan oleh tenaga kesehatan melalui pemeriksaan dahak, foto toraks atau keduanya [1]. Data World Health Organization (WHO) pada tahun 2013 menunjukkan 9 juta penduduk dunia telah terinfeksi kuman TB Paru [2]. Pada tahun 2014 mengalami kenaikan menjadi 9,6 juta penduduk dunia terinfeksi kuman TB Paru [3]. Pada tahun 2014, jumlah kasus TB Paru terbanyak AR T IC LE IN F O

Tuberculosis is still a health problem both in Indonesian and in the world and is the leading cause of death. DOTS strategy is the tuberculosis control program. This program carried out by the health center Helvetia and the expeted number of patients with tuberculosis decreased. Quality of service is a form of activity undertaken by health services such a service, processes, and environment that meet or exceed expectations. The Satisfaction of a judgment given when the patients gets care. This study aims to determine the relationship of quality health Tuberculosis DOTS treatment strategy. The type of research used in this study is an analytic correlation using cross sectional method, samples in this study were patients who underwent Tuberculosis DOTS treatment strategy. The samples of the study was 48 respondents choose by consecutive sampling. Data were analysis of health care quality relationship with the level of satisfaction obtained significant value p = 0,003 and the value of r = 0,423. Then there is a relationship between the quality of health services with the level of satisfaction. It is advisable to further improve nursing services in order to increase the comfort and the health of patient.

Utilization of IVA screening by mothers in Deli Serdang Regency is not optimal. Constraints encountered were from the mother, such as being reluctant to be examined due to embarrassment, unsure of the importance of the examination, not knowing the importance of early detection of cervical cancer and fear of feeling pain during the examination. Survey in February 2016 of mothers who did IVA tests at the health center were 107 people (0.43%), meaning that only a few mothers checked themselves with IVA tests. The results of a short interview with a number of mothers in Kampung KB Percut Sei Tuan Village, explained that the mother had never done an IVA test, she felt no need to check because she had never experienced complaints, she was afraid and taboo to open or check her genital, they did not know about IVA test, as well as the benefits of the examination. Therefore it is important to do this community service by providing health education about cervical cancer and the importance of IVA examinations for women aged 30-50 years in Kampung KB Percut Sei Tuan Village so that women's understanding increases about IVA examinations which are finally willing to do IVA examinations for detection early cervical cancer.

Background : It is importan to promote physical activity for elderly people, but to improve level of physical activity of elderly people is a challange for health workers. Purpose : The purpose of this quasi- experimental study was to determine the effect of exercise consultation program by using Transtheoretical Model (TTM) approach on physical activity level in elderly people at Darussalam’s Community Health Center. Research method :The two comparison groups for this study were purposively designed for pre-test/post-test procedures; sixty elderly people at Darussalam’s Community Health Center with randomly allocated into the experimental (30 people) and the control (30 people) groups. While the experimental group received the exercise consultation for 8 weeks, the control group received routine care. Physical Activity Scale for Elderly (PASE) was use to assess the the physical activity of elderly. Comparative assessments on differences in level of physical activity both within group using Wilcoxson macthed-pairs and between group using Mann Withney U Test. Results : The results of this study found that after receiving exercise consultation program, level of physical activity in elderly people significantly increased in the experimental group (P < 0.05), but there was no significant difference in the control group. Between groups,  level of physical activity significantly increased after receiving the exercise consultation while no change was found among those who did not (P < 0.05).Conclusion: The exercise consultation program by using TTM approach could increase level of physical activity of elderly people.