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PurposeThis study aimed to evaluate a pilot project of the Nursing Feeding Center “Posyandu Plus” (NFCPP) through local food-based complementary feeding (LFCF) program designed to improve the nutritional status of children aged 6–36 months at community health centers in Indonesia.MethodsA quasi-experimental design was used to obtain data regarding the nutritional status of 109 children who participated in the project from 6 rural areas. The NFCPP was conducted for 9 weeks, comprising 2 weeks of preintervention, 6 weeks of intervention, and one week of postintervention. The LFCF intervention consisted of 12 sets of recipes to be made by mothers and given to their children 4 times daily over 6 weeks. The weight-for-age z score (WAZ), height-for-age z score (HAZ), weight-for-height z score (WHZ), and body mass index-for-age z score (BAZ) were calculated using World Health Organization Anthro Plus version 1.0.3.ResultsLFCF intervention significantly increased WHZ, WAZ, and BAZ scores but decreased HAZ scores (P<0.001). Average scores of WHZ (0.96±0.97) and WAZ (0.45±0.72) increased; BAZ increased (1.12±0.93) after 6 weeks of LFCF. WAZ scores postintervention were 50.5% of normal, and WHZ scores were 77.1% of normal. However, the HAZ score decreased by 0.53±0.52, which indicated 57.8% had short stature.ConclusionThe NFCPP program with LFCF intervention can improve the nutritional status of children in rural areas. It should be implemented as a sustained program for better provision of complementary feeding during the period of lactation using local food made available at community health centers.

AbstrakAwal 2020, kasus COVID-19 mulai menyebabkan masalah kesehatan dibeberapa negara lain dan ditetapkan menjadi pandemi global. Salah satu langkah yang disarankan berdasarkan protokol COVID-19 untuk meminimalkan penyebaran infeksi adalah dengan meningkatkan pola hidup bersih, salah satunya adalah mencuci tangan. Usia sekolah merupakan fase dimana perkembangan anak menjadi sangat penting dan perlu mendapatkan pengawasan terhadap kesehatannya, terutama mengenai hygiene karena pada usia ini anak memiliki banyak aktifitas yang seringkali berhubungan langsung dengan lingkungan yang kotor sehingga anak menjadi lebih rentan terpapar penyakit. Permasalahan dalam perilaku kesehatan yang terjadi pada anak usia dini umumnya erat kaitannya dengan kebersihan diri dan lingkungan, salah satu perilaku tersebut adalah kebiasaan mencuci tangan menggunakan sabun. Penelitian ini bertujuan untuk menggambarkan perilaku mencuci tangan anak usia sekolah di wilayah pandemi COVID-19. Jenis penelitian yang digunakan adalah kuantitatif deskriptif. Penelitian ini menggunakan teknik pengambilan sampel purposive sampling dengan jumlah 50 responden. Pengumpulan data dilakukan dengan menggunakan kuesioner perilaku mencuci tangan dalam bentuk google form. Teknik analisa data menggunakan analisis univariat. Hasil penelitian ini menunjukkan anak usia sekolah di daerah pandemi memiliki perilaku mencuci tangan yang baik sebanyak 100% dan tidak ada yang buruk. Hasil penelitian ini diharapkan dapat sebagai upaya meninggkatkan mutu pelayanan asuhan keperawatan perilaku mencuci tangan pada anak usia sekolah dalam pencegahan infeksi terutama di wilayah pandemi. Kata Kunci: Anak Usia Sekolah, Perilaku Mencuci Tangan, Covid-19 Abstract In early 2020, COVID-19 began to cause health problems in several countries and declared as a global pandemic. One of the recommended steps based on the COVID-19 protocol to minimize the spread of the infection is to improve a clean lifestyle, one of them is hand washing. School-aged is a phase where children’s development becomes very important and need to be monitored, especially regarding hygiene as children become more vulnerable to exposure of the disease. The problems in health behaviors that occur in early childhood are in general closely related to personal hygiene and environment, such as the habit of washing hands using soap. This research aimed to describe the behavior of school-aged children in their habit of washing hands in the COVID-19 pandemic area. This is a quantitative descriptive type of research. This research used a purposive sampling technique with 50 respondents. Data collection was carried out using a handwashing behavior questionnaire in the form of a google form. Data analysis technique used is univariate analysis. The results of this research indicated that 100% school-aged children in pandemic areas had a good hand-washing behavior. The results of this research were expected to improve the quality of nursing care services in hand-washing behavior in school-aged children to prevent infections, especially in pandemic areas.Keywords: School Age Children, Handwashing Behavior, COVID-19

Introduction: The snakebite cases in Jember as agricultural areas are the potential problem to threaten a person's life. Jember, where most residences are working in the agriculture and plantation sectors, has a very high risk of being bitten by a poisonous snake. Objective: To describe the snakebite cases in the agricultural area from two public hospitals of Jember. Methods: This was a cohort design with a retrospective approach. Two public hospitals in Jember were selected (dr. Soebandi and Kalisat hospital). The medical records were used to explore the data with a total sampling technique. We selected 162 medical records in total (2017-2019) for secondary data resources. The data collection tool used was a checklist sheet based on the guidelines from WHO. Results: Most snakebite victims were male and were farmers with a mean age of 40.95 (SD = 18.97). Most of the victims were bitten in the legs/feet (53,7%). More victims could not identify the snake species (48,8%), but more of them were identified as a green snake (42,6%) and Naja sputatrix (6,2%). They used a constricting method (32,7%) with a rope or cloth to prevent the poison move through the blood vessel. Most victims had mild envenomation (59,9%). Swelling (53,1%), local pain (32,1%), and dizziness (9,4%) were the most common symptoms after the snakebite. The treatment of snakebite victims mostly used 1st  dose (83,3%). The nurse also reported several nursing diagnoses such as acute pain (68,5%), risk of infection (22,8%), and skin problem (5,6%). Most of the patients only stay ≤ one day (69%) in the hospital. Conclusion: Snakebites from poisonous snakes are a threat to the agricultural area of Jember. No victims adopted either of the WHO-recommended first aid methods. Most of them had mild envenomation with only a 1st  dose treatment.

School-age children who are growing up are vulnerable to the risk of COVID-19 disease transmission, therefore it is required to apply healthy living behaviors in the application of new habit adaptation, such as washing hands using water and soap, wearing masks, keeping a distance, doing sports, and eating nutritious diet. Parenting is expected to keep children’s healthy by giving the right habits. Children would obey in healthy behavior. The aims to determine the correlation between parenting and health behavior during the pandemic of school children at MI Nurul Huda Wadeng, Gresik. Cross-sectional approach correlational research design. Sampling using simple random sampling with 127 samples which are parents of children. Data collection used a parenting style questionnaire and a Likert scale for healthy behavior during the pandemic in google form. Data analysis used the Kendall-tau test. The results showed that there was a relationship between parenting and health behavior during the pandemic (p-value = 0.009; τ = 0.218). Parent who use authoritative parenting would make children have good behavior, and if parent use authoritarian parenting, child's health behavior will be lower. Applying authoritative parenting will be easier to take an optimal approach. Keywords: Parenting Styles, Children's Health Behaviors during Pandemi, Authoritative, Authoritarian, Permissive.