ABSTRAK Aceh Barat merupakan salah satu Kabupaten di Provinsi Aceh yang sering mengalami bencana alam, pada akhir tahun 2016, jumlah wilayah yang tergenang banjir meliputi sembilan kecamatan, 139 desa, dengan korban terdampak banjir serta pengungsian 14.245 kepala keluarga dengan 49.856 jiwa, 1 korban jiwa meninggal. Daerah yang mengalami banjir adalah gampong Blang Beurandang Kecamatan Johan Pahlawan. Dampak yang nyata akibat banjir bukan hanya pada masalah lingkungan fisik, namun status kesehatan juga bisa menurun karena munculnya penyakit-penyakit setelah banjir. Upaya kesiapsiagaan terhadap bencana tidak hanya dilakukan oleh pemerintah, masyarakat juga perlu melakukan kesiapsiagaan bencana guna mengurangi kerugian akibat bencana. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan, pemahaman dan kemampuan warga masyarakat tentang kesiapsiagaan menghadapi bencana banjir, dalam rangka meminimalkan dampak buruk akibat bencana banjir. Hasil dari penyuluhan kesehatan yang dilakukan dalam kegiatan pengabdian masyarakat telah berhasil meningkatkan pemahaman masyarakat tentang kesiapsiagaan menghadapi bencana banjir. Masyarakat sudah menyadari pentingnya melakukan persiapan-persiapan sebelum bencana banjir datang. Kata Kunci: Banjir, Kesiapsiagaan, Penyuluhan ABSTRACT West Aceh is one of the regencies in Aceh Province that often experiences natural disasters, at the end of 2016, the number of areas that were inundated by floods included nine sub-districts, 139 villages, with victims affected by floods and the displacement of 14,245 families with 49,856 people, 1 person died. The area that experienced flooding was Blang Beurandang Village, Johan Pahlawan District. The real impact of flooding is not only on physical environmental problems, but health status can also decline due to the emergence of diseases after the flood. Disaster preparedness efforts are not only carried out by the government, the community also needs to carry out disaster preparedness in order to reduce losses due to disasters. This community service activity aims to increase the knowledge, understanding and ability of community members about preparedness to face flood disasters, in order to minimize the adverse effects of floods. The results of health counseling carried out in community service activities have succeeded in increasing public understanding of preparedness to face flood disasters. The community has realized the importance of making preparations before the flood disaster comes. Keywords: Flood, Preparedness, Counseling
BACKGROUND: Stunting causes organs not to grow and develop optimally. One of the factors that indirectly influence stunting in children is the mother’s parenting style. Parenting includes the family’s ability to provide time, attention, and support in meeting the physical, mental and social needs of children growing in the family. AIM: This is to find out the nutrition parenting patterns of children who are stunted in the working area of the Health Center Pante Kuyun, Aceh Jaya Regency. METHODS: This study uses qualitative methods with a phenomenological approach. This research was conducted in the working area of Pante Kuyun Health Center, Aceh Jaya Regency. The research was carried out for 1 month, starting from August to September. The choice of research location was due to the high incidence of stunting in the area. The number of samples was determined 15 people consisting of 10 children under five who were stunted, two people as the head of the Health Center, and two community leaders from various elements. This study uses recording devices, video recording devices (camcorders), tape recorders, group discussion guidelines, and field notes. Data analysis techniques used in qualitative research include transcript analysis of interview results, data reduction, analysis, data interpretation, and triangulation. RESULTS: Stunting is closely related to the social construction of society. There are differences in social constructs that shape the parenting styles’ understanding for toddlers who are stunted. During pregnancy, most mothers follow the restrictions recommended by their parents and in-laws. The number of taboo foods to be consumed during pregnancy to breastfeeding generally comes from the food group of animal protein sources such as squid, shrimp, crab, shellfish, and so on. These foods are believed to cause the, etc., become sticky, making it difficult for the delivery process, and milk is difficult to pass. It turns out that the customs, culture, and hereditary habits that continue to be carried out influence stunting in children under five. The pattern of nutrition parenting during the postpartum, postpartum period also causes stunting. During postpartum, the culture in society prohibits food other than white rice, and the fish is only anchovies. It turns out that the lack of intake during the postpartum period up to 40 days has an impact on the health of the postpartum, postpartum mother, especially only a little breast milk, dry skin, weakness, dizziness, and even sickness. Community beliefs also influence nutritional care patterns. For infants aged 0–6 months, none of the informants’ toddlers receive exclusive; breastfeeding. Exclusive breastfeeding is not given to children due to the mother’s lack of knowledge about exclusive breastfeeding benefits. The eating habit prioritizes elders’ advice such as parents, in-laws, and religious leaders are still related to myths about health and nutrition in pregnant women and toddlers. The pattern of nutrition parenting performed by mothers for infants >6 months is not under the Indonesian Ministry of Health recommendations. In the Aceh Jaya district, mothers habitually give instant noodles as a substitute for the rice to consume toddlers. However, their mothers also have parenting styles, whereas if the working mothers provide food for toddlers, they are older siblings, grandmothers, or nieces. Inadequate care, such as improper feeding from infancy to toddlerhood, causes toddlers to suffer from illness more often due to disruption of digestion because the baby’s intestines are still vulnerable. CONCLUSION: Parenting affects toddlers who experience stunting in the working area of Pante Kuyun Community Health Center, Aceh Jaya Regency.
Basic Immunization Achievement data at Puskesmas Cot Seumeureung is 58.9% with 256 babies. Based on interviews with 2 mothers, the most common problem found in terms of immunization is that mothers are afraid to give immunizations because their babies will have a fever so that their husbands will be angry or in other words, their husbands will not allow them. The purpose of this study was to determine the determinants of basic immunization attainment in the working area of the Cot Seumeureung, Aceh Barat. This type of research is cross sectional, the research was conducted from 30 July to 10 August 2019. With a population of 256 mothers, the sample was taken using purposive sampling technique. Data collection was carried out by distributing questionnaires, univariate and bivariate data analysis. The results of this study indicate that there is an influence of attitudes on the achievement of basic immunization with p value = 0.005 (α = 0.05) and the influence of family support on the achievement of basic immunization with a value of p value = 0.014 (α = 0.05) and there is no effect on the affordability of immunization services towards the achievement of basic immunization with p value = 0.291 (α = 0.05). It is suggested to mothers and families who have babies to be able to increase knowledge about immunization so that the family increases support so that the basic immunization outcomes can be improved again.
Dalam memasuki usia tua akan mengalami kemunduran, misalnya kemunduran fisik yang ditandai dengan kulit yang mengendur, rambut memutih, gigi mulai ompong, pendengaran kurang jelas, pengelihatan semakin memburuk, gerakan lambat, dan kurang lincah. Gampong Suak Raya merupakan salah satu gampong yang berada di Kecamatan Johan Pahlawan. Gampong Suak Raya terdapat 80 keluarga yang memiliki lansia. Jumlah kejadian lansia lanjut seluruhnya 103 jiwa dengan klasifikasi laki-laki berjumlah 70 dan perempuan berjumlah 33 jiwa. Kemudian lansia lanjut sering buang air besar ke sungai yang jauh dari rumahnya. Tujaun dari penelitian ini adalah untuk mengetahui hubungan faktor lingkungan dengan kejadian jatuh pada lansia lanjut di Gampong Suak Raya Kecamatan Johan Pahlawan Kabupaten Aceh Barat Tahun 2017. Jenis penelitian merupakan penelitian survey analitik. Metode sampel yang di gunakan Total sampling dengan jumlah sampel sebanyak 35 orang responden. Metode analisa data adalah bivariat menggunakan uji Chi-Square dengan tingkat kepercayaan 95% (α:0,05). Hasil penelitian menunjukkan bahwa ada hubungan yang signifikan antara faktor lingkungan dengan kejadian jatuh pada lansia dengan nilai p = 0,010 (p<0,05). Disarankan kepada pihak Puskesmas Johan Pahlawan untuk meningkatkan upaya keluarga yang memiliki lansia dalam mencegah resiko jatuh pada lansia dengan cara mengatur/menata lingkungan yang aman dan nyaman bagi lansia melalui penyuluhan kesehatan.
Malaria is an infectious disease caused by intracellular obligate protozoa of the genus Plasmodium. The disease is naturally transmitted through the bite of a female Anopheles mosquito. West Aceh Regency Is a district with a high incidence of malaria. West Aceh regency ranks second only to Aceh Jaya in terms of the number of malaria sufferers. West Aceh district is also not included in the 14 districts that have been certified for malaria elimination in Aceh Province in 2016. The purpose of this study is to evaluate the effectiveness of health promotion strategies against changes in people's behaviour in preventing malaria in the East Woyla Subdistrict. This type of research is an experimental study with participatory action research (PAR) design, which is a process where researchers and participants systematically dig and solve problems. The population in this study were all community leaders, health workers, health cadres, and the entire community in East Woyla Subdistrict. A sample of 44 people. The sampling method in this study uses a random sampling quota method. Samples will represent each village in East Woyla Sub-district according to the proportion of the population in each village. The results showed that the Health Promotion strategy effectively changed people's behaviour in malaria prevention efforts. The statistical test results showed the value of Z-score = 5,781 (Z-score > 1.96), and p-value = 0.000 (p<0.05). So it can be decided that the community's health promotion strategy is effective against malaria prevention behaviour. It is recommended that the East Woyla Health Center implement a comprehensive and continuous health promotion strategy for the common goal of achieving malaria elimination in its working area of public health.
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