ABSTRAK Di negara berkembang stunting menjadi masalah kesehatan masyarakat yang serius. Stunting disebabkan kekurangan asupan gizi dalam waktu lama pada masa 1000 hari pertama kehidupan (HPK) yang merupakan masa kritis. Kurang nya pengetahuan orang tua akan sangat berpengaruh pada asupan gizi anak. Oleh karenanya diperlukan upaya pencegahan terjadinya stunting pada balita baik secara langsung (intervensi gizi spesifik) maupun secara tidak langsung yang melibatkan lintas sektor dan masyarakat dalam penyediaan pangan, air bersih dan sanitasi, penangulangan kemiskinan, pendidikan, sosial dan sebagainya. Tujuan dari kegiatan ini adalah untuk meningkatkan pengetahuan para orang tua betapa penting nya menjaga asupan gizi anak- anak bahkan pada saat kehamilan untuk mencegah stunting. Metode yang digunakan dalam kegiatan ini yaitu penyuluhan kepada orang tua balita yang melaksanakan posyandu di Posyandu Melati 2 Kecamatan Sukajawa mengenai pentingnya me-monitoring tumbuh kembang anak dengan cara rutin memeriksakannya ke posyandu untuk melihat ada tidaknya resiko terjadinya stunting pada balita. Kegiatan ini dilaksanakan pada tanggal 22 Desember 2020 di Posyandu Melati 2 Kecamatan Sukajawa. Hasil dari kegiatan ini adalah meningkatnya pengetahuan dan wawasan orang tua tentang pentingnya pemberian nutrisi yang baik serta datang ke posyandu untuk mengukur tinggi badan dan berat badan balita agar dapat memonitoring pertumbuhan anak – anaknya serta mengetahui tanda dan gejala apa saja yang timbul pada stunting pada balita dan bagaimana cara mencegahnya. Kata Kunci: Penyuluhan, Stunting, Balita ABSTRACT In developing countries stunting is a serious public health problem. Stunting is caused by a lack of nutritional intake for a long time during the first 1000 days of life (DOL) which is a critical period. Lack of parental knowledge will greatly affect children's nutritional intake. Therefore it is necessary to prevent stunting in children under five, either directly (specific nutrition intervention) or indirectly involving cross-sectors and communities in the provision of food, clean water and sanitation, poverty alleviation, education, social, and so on. The purpose of this activity is to increase the knowledge of parents on how important it is to maintain children's nutritional intake even during pregnancy to prevent stunting. The method used in this activity is counseling parents of toddlers who carry out posyandu at Posyandu Melati 2, Sukajawa District regarding the importance of monitoring children's development and development by routinely checking them at the posyandu to see if there is a risk of stunting in toddlers. This activity was held on December 22, 2020, at Posyandu Melati 2, Sukajawa District. The result of this activity is the increased knowledge and insight of parents about the importance of providing good nutrition and coming to the posyandu to measure the height and weight of toddlers so that they can monitor the growth of their children and know what signs and symptoms arise in stunting in toddlers How to prevent. Keywords: Penyeluhan, Stunting, Toddler
Advances in the treatment and use of chemotherapy have been shown to improve the life expectancy rate for colorectal cancer patients. Studies conducted in China and Hongkong have shown that CapeOX combination chemotherapy regimens are more commonly used than in Europe and the United States. However, the use of chemotherapy drugs containing oxaliplatin and capecitabine can cause side effects such as hematological toxicity, which is one of them is anemia. This study aims to determine the difference in the form of a decrease in the average levels of hemoglobin and the degree of hemoglobin toxicity in colorectal cancer patients undergoing CapeOX chemotherapy. The Design in this study is a historical (retrospective) cohort. This study sample was 70 colorectal cancer patients who received CapeOX chemotherapy for 6 cycles at RSUD Dr. H. Abdul Moeloek in 2018-2019. Consecutive sampling is used in the sampling method. The statistical analysis is using Paired T-Test. There is a significant difference in the average hemoglobin level of colorectal cancer patients (p-value = <0.005), which receive CapeOX chemotherapy for 6 cycles. Besides, there is an increase in the number of patients who get hemoglobin toxicity and the chemotherapy cycle. In the first cycle, 59 patients (84.3%) got hemoglobin toxicity after chemotherapy, and the number continued to increase to 69 patients (98.6%) in the sixth cycle. There was a decrease in hemoglobin levels in colorectal cancer patients who received CapeOX chemotherapy with p-value = <0.05 and increased patients who got hemoglobin toxicity.
Kepuasan adalah tingkat keadaan yang dirasakan seseorang yang merupakan hasil dari membandingkan penampilan produk yang dirasakan dalam hubungannya dengan harapan seseorang. Dalam rumah sakit, kepuasan pasien sangat penting untuk keberlangsungan rumah sakit dan yang mempengaruhi kepuasan tersebut yaitu mutu pelayanan rumah sakit yang ada. Tujuan penelitian ini untuk mengetahui hubungan mutu pelayanan kesehatan dan kepuasan peserta BPJS di poliklinik penyakit dalam RS dr. H. Abdul Moeloek Provinsi Lampung. Jenis penelitian ini adalah observasi analitik dengan pendekatan cross sectional. Penarikan sampel menggunakan accidental sampling dengan jumlah sampel 256 orang. Analisis data yang dilakukan adalah univariat dan bivariat dengan uji Chi-square. Hasil Penelitian didapatkan bahwa ada hubungan antara tangible = 0,000 (p < 0,05), reliability = 0,002 (p < 0,05), responsiveness = 0,000 (p < 0,05), assurance = 0,000 (p < 0,05), empathy = 0,000 (p < 0,05) dengan kepuasan peserta BPJS poliklinik penyakit dalam RS dr. H. Abdul Moeloek Provinsi Lampung 2015. Kesimpulan dari penelitian ini adalah ada hubungan antara mutu pelayanan kesehatan dan kepuasan peserta BPJS Poliklinik Penyakit Dalam RS dr. H. Abdul Moeloek Provinsi Lampung 2015.
DPT immunization is the basic immunization used to prevent diphtheria pertussis and tetanus. According to data from the Bandar Lampung City Health Office from 30 health centers in Bandar Lampung, the Korpri Puskesmas in Sukarame District is the health center with the lowest complete basic immunization coverage, which is 60.8% in 2015. The low immunization coverage rate is inseparable from health behavior and parental knowledge about DPT immunization. Purpose of this study to determine the relationship between the level of mother's knowledge about DPT immunization in infants with the prevention behavior of diphtheria pertussis and tetanus at the Korpri Puskesmas Bandar Lampung in 2020. This study used an observational and analytic type of study with a cross sectional approach and a questionnaire interview method. The sample used in this study were mothers who had babies in the work area of the Korpri Bandar Lampung Community Health Center in 2020. Data analysis used Chi-Square. The result It is known that 7 mothers (77.8%) have bad knowledge about DPT immunization and bad behavior towards DPT disease prevention, as many as 2 mothers (22.2%) have bad knowledge about DPT immunization and good behavior towards DPT disease prevention. A total of 28 mothers (33.3%) had good knowledge about DPT immunization and bad behavior towards DPT disease prevention, as many as 56 mothers (66.7%) had good knowledge about DPT immunization and good behavior towards DPT disease prevention. Chi-square test results obtained p-value = 0.024 (p ≤ 0.05), which means that there is a relationship between the level of maternal knowledge and the prevention behavior of diphtheria, pertussis and tetanus. There is a significant relationship between the level of maternal knowledge about DPT immunization in infants with the prevention behavior of diphtheria pertussis and tetanus at the Korpri Puskesmas Bandar Lampung in 2020 with a p-value = 0.024 (p ≤ 0.05).
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