Background:Dengue Haemorrhagic Fever is community health problem in Gunungkidul Regency, Yogyakarta. In the last five years the case and its spread have been increasing. Many efforts have been conducted to overcome case increasing, the most important is community participation in Mosquito nest eradication (PSN). Health education through radio broadcast, leaflet, dan lecture are still failing in changing community behavior to conduct PSN continuously, because the number of larva free is still low and the spread keeps increasing. Previous studies said that Small Group Discussion (SGD) was more effective in changing community behavior. Therefore, further study is needed to be done to find out the effectiveness of small group discussion (SGD) method and lecture method towards community behavior in PSN, that was measured using larva free proportion in household.Objective: The objective of the study is to find out the effect of health education using Small Group Discussion (SGD) method and lecture method towards DHF vector larva free proportion in household.Method: The study was quasi experiment with control time series design. It was conducted in Wonosari district, Karangmojo district, and Playen district in Gunungkidul Regency. The subject of the study was 412 households divided into three groups, i.e. lecture intervension group, SGD intervention group and control group. Data analysis used paired sample t-test and Mann-Whitney test.Result:There was an effect in health education using SGD method towards DHF vector larva free proportion with p-value < α (0.05). There was a difference in DHF vector larva free proportion using lecture method but it was not statistically significant, p-value > α (0.05). There were differences between SGD with lecture method and control group in increasing DHF vector larva free proportion with p-value < α (0.05).Conclusion: There was an effect in health education using SGD method and lecture method towards DHF vector larva free proportion in household. Health education using SGD method is more effective than lecture method to increase DHF vector larva free proportion in household.

Background: Tuberculosis or TB is still a public health problem that poses a global challenge. The spread of this disease through droplets of people who have been infected with tuberculosis bacilli. The incidence of TB transmission is around 5-15%. The TB Control Program in a national strategy is directed toward universal access to quality TB services, this can be achieved by involving all health-care facilities. Public-Private Mix / PPM (the collaboration between government services and private services) is the inclusion of all health service facilities in an effort to expand TB services and TB program continuity with a comprehensive approach. Uncomplicated management of pulmonary tuberculosis must be resolved by doctors who work in health centers/clinics from starting to make clinical diagnoses to managing the disease independently and thoroughly.Objectives: This research is to find out the implementation, obstacles to the implementation of DOTS strategy TB treatment at an independent practice physician in Kebumen Regency, and the form of a collaborative pattern of DOTS strategy TB treatment between independent practice doctors and health centers as a form of collaboration in Public-Private Mix.Methods: This research is a case study with a qualitative descriptive approach. Samples were taken by purposive sampling from puskesmas and health department. The total sample of 25 respondents consisted of 4 independent practice doctors, and from the puskesmas consisted of 5 puskesmas heads, 5 TB officers, 5 TB management officers, 3 Health Office officials, and 3 TB patients. Results: Most independent doctors diagnose based on clinical symptoms of TB and a small portion supported by chest X-ray. All puskesmas have implemented TB management with the DOTS strategy, but the results of TB program achievements are still low. This is because the number of suspected TBs is still low. Puskesmas need networks to find TB suspects. One solution is to form a collaboration scheme between puskesmas and independent practice doctors to improve TB management.Conclusion: The mapping of the implementation and barriers of TB DOTS and the solution to the scheme are in the form of collaboration between puskesmas and independent doctors in the form of PPM (Public Private Mix).