Sustainable Development Goals require the capacity for resilience and adaptation to climate-related disasters to be strengthened. This capacity is fundamental in healthy city development, which also highlights the importance for youth to have it as early as possible. Therefore, it is crucial to understand their current state before building their capacity. This study aims at measuring the level of knowledge and attitude of junior-high-school students in Bogor City, West Java Province, Indonesia, on health impacts of climate change and identifying predictors of such knowledge and attitude. A cross-sectional study involving purposively selected 142 students aged 12 to 14 years old in a state-owned junior high school was implemented in 2015. A structured questionnaire was used to mine data regarding the knowledge of and attitude towards climate change health impacts, ownership and utilization of information access, school subject, and supports from close related person. Bivariate analysis was conducted with Chi-square test and multivariate analysis with logistic regression at 0.05 significance. Eighty-two female and sixty male students took part in this study. The proportion of students with good level of knowledge on the health effects of climate change was 69%; meanwhile, 51.4% of the students had less supportive attitude toward the issue of climate change health impacts. The multivariate analysis revealed that an association occurred between the knowledge level and family income (income of IDR 2.5-5 million: AOR 4.63 95%CI 1.26-17.04). Similarly, the level of attitude was associated with maternal education (AOR 2.37 95%CI 1.05-5.34). These results suggest that, in climate change impacts, knowledge is not necessarily in line with attitude and family background has a major role to shape both aspects. Health promotion efforts on climate change health impacts should touch on family experience.

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ABSTRACT Awareness of running Clean and Healthy Behavior (PHBS) in elementary school in general is still lacking. One part of PHBS is Handwashing with Soap (CTPS) which has an important impact on health. This paper explores the challenges and opportunities for implementing this program in elementary schools in Bogor from officers at  schools, puskesmas, and health offices in 2018. Data were obtained by in-depth interviews with informants who was chosen by purposive sampling from the health office, education office, school principals and teachers from 5 selected schools. The results showed this activity was not yet a priority in the program, marking that health promotion was not yet maximally carried out at the policy holder level. Even though the elementary school which was the location of the study did not have a problem in providing facilities for washing hands, but not all could provide soap to get the maximum effect. This shows that the cooperation of various parties has not been optimal to support the success of this activity. As a suggestion, besides requiring support from various parties,it should be complemented by health promotions for students and the whole school environment so healthy behavior can be achieved. Keywords: Handwashing, healthy behavior, health promotion   ABSTRAK Kesadaran menjalankan Perilaku Hidup Bersih dan Sehat (PHBS) di sekolah dasar (SD) pada umumnya masih kurang. Salah satu bagian dari PHBS adalah Perilaku Cuci Tangan Pakai Sabun (CTPS) yang memiliki dampak penting untuk kesehatan. Tulisan ini mengangkat tantangan dan peluang pelaksanaan CTPS pada SD di kota Bogor dari pihak sekolah, puskesmas dan dinas kesehatan pada tahun 2018. Desain penelitian adalah survey potong lintang dengan pemilihan sampel secara purposive. Data kualitatif didapatkan dengan wawancara mendalam kepada informan dari dinas kesehatan, dinas pendidikan, kepala sekolah dan guru dari 5 sekolah yang terpilih di Kecamatan Bogor Utara. Hasil penelitian menunjukkan kegiatan ini belum menjadi prioritas dalam program, menandai belum maksimalnya promosi kesehatan dilakukan di tingkat pemegang kebijakan. Walau secara keseluruhan SD yang menjadi lokasi penelitian tidak memiliki masalah dalam penyediaan sarana mencuci tangan, namun tidak semua dapat menyediakan sabun sehingga mempengaruhi hasil maksimal CTPS. Hal tersebut menunjukkan belum maksimalnya kerjasama berbagai pihak untuk mendukung keberhasilan kegiatan ini. Sebagai saran, CTPS selain memerlukan dukungan dari berbagai pihak, seharusnya dilengkapi dengan promosi kesehatan  kepada para siswa, dan seluruh lingkungan sekolah sehingga terwujud perilaku yang baik dan sehat. Kata kunci: CTPS, perilaku kesehatan, promosi kesehatan

Abstract Background: Lack of information and basic knowledge of reproductive health cause street children vulnerable to complex problems, one of which is risky sexual behavior. Reproductive health education is an effort to reduce negative impacts and to protect adolescents from the risk of unwanted pregnancy, abortion, sexually transmitted infections (STIs), HIV/AIDS and sexual violence Objective: This study aimed to explore the implementation and barriers of reproductive health education among street children at shelters under the program of PKPR in East Jakarta public health centers in DKI Jakarta Method: This research used qualitative methods. Data were collected by in-depth interviews. There were 20 research informants consisting of program stakeholders for street children and school-aged children health program at the central level, health offices, social services, public health centers, managers of shelters and street children assisted by shelters in East Jakarta. Results: Knowledge of reproductive health among street children was still poor. The implementation of reproductive health education carried out by PKPR in public health centers was still not optimal because it has not reached all street children at the shelter as well as the lack of trained health resources implementing PKPR trained. Conclusion: Efforts are needed to optimize reproductive health education among street children by strengthening commitment and building networks   Keywords: reproductive health education, knowledge, PKPR, street children     Abstrak Latar belakang: Kurangnya informasi dan pengetahuan dasar mengenai kesehatan reproduksi menyebabkan anak jalanan rentan terhadap permasalahan yang kompleks, salah satunya adalah perilaku seks berisiko. Pendidikan kesehatan reproduksi merupakan salah satu cara untuk mengurangi dampak negatif serta melindungi remaja dari risiko kehamilan yang tidak dikehendaki, aborsi, Infeksi Menular Seksual (IMS), HIV/AIDS dan kekerasan seksual. Tujuan: Penelitian ini bertujuan untuk menggali pelaksanaan dan hambatan pendidikan kesehatan reproduksi pada anak jalanan di rumah singgah binaan PKPR puskesmas wilayah Jakarta Timur di DKI Jakarta Metode: Penelitian ini menggunakan metode kualitatif. Data dikumpulkan dengan wawancara mendalam. Informan penelitian berjumlah 20 orang yang terdiri dari pemegang program anak jalanan dan kesehatan usia remaja dan sekolah di tingkat pusat, Dinas Kesehatan, Dinas Sosial, puskesmas, pengelola rumah singgah dan anak jalanan binaan rumah singgah di Jakarta Timur. Hasil: Pengetahuan anak jalanan tentang kesehatan reproduksi masih kurang. Pelaksanaan pendidikan kesehatan reproduksi yang dilakukan melalui program PKPR puskesmas masih belum maksimal karena belum menjangkau seluruh anak jalanan di rumah singgah serta kurangnya SDM kesehatan pelaksana PKPR yang terlatih. Kesimpulan: Diperlukan upaya untuk memaksimalkan pendidikan kesehatan reproduksi pada anak jalanan dengan memperkuat komitmen dan membangun jejaring Kata kunci: pendidikan kesehatan reproduksi, pengetahuan, PKPR, anak jalanan

AbstrakFlu burung (avian influenza) adalah suatu penyakit menular pada unggas yang disebabkan oleh virus influenza tipe A subtipe H5N1. Tujuan penelitian ini adalah mengetahui kondisi sanitasi lingkungan dan perilaku peternak berkaitan dengan flu burung. Data dikumpulkan melalui wawancara dengan menggunakan kuesioner disertai pengamatan lapangan. Besar sampel sebanyak 7.200 yang tersebar di 18 kelurahan, dengan 1.536 responden peternak. Hasil penelitian menunjukkan sebagian besar jenis unggas yang dipelihara oleh masyarakat adalah ayam. Sebagian besar responden mengandangkan unggasnya. Sebesar 65,63% mencuci tangan dengan sabun setelah memegang unggas. Unggas yang mati dimusnahkan dengan cara dibakar 41,08% dan dikubur 50,06%. Tidak menjual unggas peliharaan, baik yang mati maupun yang sakit 86,39%, dan tidak mengonsumsi unggas mati 86,06%, membersihkan kandang secara berkala 43,42%, namun yang melakukan desinfektan kandang hanya 16,66%. Sewaktu ada unggas peliharaannya mati yang mengenakan alat pelindung diri 26,82%, sedangkan yang melapor kepada yang berwenang ketika ada unggas mati hanya 5,17%, dan ketika unggas peliharaanya sakit 18,20%, mengobati unggas yang sakit 21,48%, dan memisahkannya dengan unggas sehat 38,54%. Kegiatan vaksinasi proporsinya relatif kecil. Perilaku sebagian besar peternak masih kurang menunjang upaya pencegahan flu burung.Kata kunci: Flu burung, perilaku, peternak, sanitasi lingkungan Abstract Avian Influenza is a comunibable desease among poultry that coused by influenza type A virus subtipe H5N1. This study aimed to emphasize the discussion of environmental sanitation of the cage and behavioral aspects of poultry keepers. Data were collected through interviews using questionnaire and field observations. Sample as many as 7,200 people across 18 villages, and was gathered 1,536 of poultry keepers. The results illustrated that most of birds that are kept by the people in the study area was chicken and most of the respondents keep poultry into the cage. Washed hands with soap after handling poultry was 65.63%. Burned poultry that found death by 41.08%, and 50.06% by buried it. Not selling and consumed dead or sick by 86.39%, and 86.06%. Periodically clean the cage by 43.42%, and 16.66% disenfektant the cage. Wearing protective instrument when handling dead birds were found 26.82%. Report to the Board of RT/RW when found dead poultry was 15.17%, and 18.20% when the birds was sick. Treat the sick poultry was 21.48%, and separate the sick birds was 38.54 %. Small percentage on vaccinate the poultry. As the conclusion, the behavior of the owner poultry keeper still lacking to support the efforts on the prevention of aviant influenza.Keywords: Aviant flu, behavior, breeder, environment sanitation PendahuluanFlu burung adalah suatu penyakit menular pada unggas yang disebabkan oleh virus influenza tipe A subtipe H5N1 (H = haemagglutinin, N = neuramidase). 1 Jenis unggas yang terjangkit flu burung adalah ayam, kalkun, itik, angsa dan spesies unggas lain terutama burung migrasi. 2 Namun, hal yan...