Purpose: This study was aimed to assess the health literacy of the COVID-19 for both of the knowledge level on the Covid-19 and the health protocol compliance by the medical and the non-medical student. Method: This rapid action research was conducted from July-August 2020. Respondents were Indonesian students who voluntarily fulfilled the online questionnaire. A total 208 respondents participated in this study (104 students for each group). Data analysis was performed by using chi square. Furthermore, an animation video was developed and published through Instagram TV as the follow up assessment. Results: The result showed that the medical students had better knowledge (41.8% vs 33.2%, p-value=0.000) and health protocol compliance (6.3% vs 2.4%, p-value=0.049) than the non-medical students. The lowest compliance towards health protocol of the both groups was the physical distancing. Moreover, the health education regarding physical distancing by using animation video had reached audiences. According to the audiences’ comments, the video made them aware of the importance of physical distancing. Conclusion: It was important to improve health literacy for preparing new normal, and it should be developed based on the need assessment.

Background Hirschsprung disease (HSCR) is a common congenital disorder presenting with functional obstruction due to aganglionosis of the colon. There are numerous types of pull-through surgery for managing HSCR, such as transabdominal endorectal (Soave), Swenson, Duhamel, transanal endorectal pull-through (TEPT), and laparoscopic (Georgeson) approach. Here, we aimed to describe the long-term outcome of patients with HSCR who underwent transabdominal Soave, Duhamel, and TEPT in our institution. Methods We performed a cross-sectional analysis for patients who underwent Duhamel, Soave, and TEPT at our institution from January 2012 to December 2015. Long-term functional outcome was determined by bowel function score (BFS). The BFS was obtained by interviewing patients who had completed at least three years of follow-up. Results Twenty-five patients were included in this study who underwent transabdominal Soave (n = 8), Duhamel (n = 4), and TEPT (n = 13). There were 24 patients with short aganglionosis type. The median age of HSCR diagnosis was 10 (IQR = 1–39) months, while the median age of pull-through surgery was 17 (IQR = 7–47) months. The median follow-up of BFS level for HSCR patients after pull-through was 72 (IQR, 54–99) months. There were 11 patients with good BFS level and 10 patients with normal BFS level. Additionally, 50% of Duhamel patients had poor BFS level, while 50% of Soave patients had good BFS level, and 54% of TEPT patients had normal BFS level (p = 0.027). As many as 50% of Duhamel patients showed daily soiling and required protective aids, while 38.5% of TEPT had staining less than 1/week and no change of underwear required, and 50% of Soave patients revealed no soiling, respectively (p = 0.030). Furthermore, 75% of Duhamel patients had accidents, while 75% of Soave and 46.2% of TEPT patients had no accidents (p = 0.035). Conclusion Our study shows that the type of definitive surgery might affect the long-term bowel functional outcome; particularly, the TEPT approach might have some advantages over the transabdominal Soave and Duhamel procedures.