Background: Hypertension is one of the leading causes of death for cases of non-communicable diseases in Indonesia. Basic Health Research in 2018 by the ministry of health of the republic of Indonesia found the number of non-communicable diseases such as hypertension, stroke and diabetes mellitus has increased compared to revious research. The aim of this study was to determine the factors associated with the occurrence of hypertension in the Talaud Islands Regency.  Methods: This is a survey research using cross sectional method, the instrument used is a questionnaire that has been tested for validity and reliability. The number of samples are 100 people with purposive sampling technique.  Results: The results of the chi square analysis show that gender does not associate with the occurrence of hypertension (p value 0.641), age has no association with the occurrence of hypertension (p value 0.641), obesity and hypertension showed that there was a significant association (p value 0.033), family history and hypertension were associated (p value 0.033), no association between smoking and hypertension (p value 0.582), consumption of risky food do not have an association with the occurrence of hypertension (p value 0.612), there is no association between physical activity and the occurrence of hypertension (p value 0.641), alcohol consumtion and hypertension were associated (p value 0.024), stress has no association with the occurrence of hypertension (p value 0.083).Conclusions: Factors associated with hypertension in the Talaud Islands Regency are obesity, family history of hypertension and alcohol consumption.

Background: Behavioral health determinants is the situation of someone who has one of the determining factors to determine their own behavior; predisposing, reinforcing, and enabling. Those factors have been materialized in Puskesmas Motoboi Kecil, Kotamobagu city in action, physical environment nor public figures where those factors can influence the effort in dengue fever control. The aim of this research generally is to get the illustration of behavioral health determinants for dengue fever control measures in Puskesmas Motoboi Kecil, Kotamobagu city.Methods: The method of this research was using qualitative research type. The data collection was done by deep interview with interview guidelines and also by recording tape. The data from interview was processed and analyzed and then presented in narrative text. The data validity checking was using the triangulation method.Results: The research result of the action of dengue fever control measures with the result of the deep interview that the people pay less attention to environmental health and healthy life style. Furthermore, control of the dengue fever would only be done when one of the people in Motoboi Kecil district got dengue fever while the community leaders or public figures only participated in the empowerment of the community health but not routinely.Conclusions: The conclusion of this research is that the behavioral of a person can influence in every effort in controlling dengue fever. To control their behavior, it needs the desire and awareness for individuals and groups to improve the healthy life style to be better.

Lack of information and knowledge from the youth students about sexually transmitted disease (STD) can lead to increment to the numbers of the sexually transmitted disease among the youth. SMP Negeri I Talawaan is one of the schools located in North Minahasa. Presenting the education or information related to sexual issues si still considered toboo and trigger pros-cons among the society in the village of Talawaan, Kecamatan dimembe. Thus, the information about the education and the risk of sexually transmitted disease is necessary to improve he knowledge of the students about STD so that the students can prevent STD in early stage. This is a quasi-experiment with One Group Pretest Posstest approach that have been held in August 2019. The sample used was a total of 78 students at SMP Negeri I Talawaan 7 th grade and 8 th grade. Data collecting on this research by using questionnaire. Knowledge level about the STD before the socialization which categorized as good knowledge category is 21 respondents amounted to (26.92%), fair knowledge category is 49 respondents (62.82%), and less knowledge category is 8 respondents (10.25%). Whereas upon receiving the socialization, the knowledge level improved where number of respondent in good knowledge category is 69 respondents (88.46%), fair knowledge category is 9 respondents (11.53%), in other words respondent with less knowledge category is none.

Background: COVID-19 pandemic causes the emergence of rubbish indicated containing COVID-19 or usually called as infectious waste. The household waste sources related to COVID-19 prevention are such as ODP (people in observation) who had done self-quarantine and used APD (self protection equipment) such as mask and gloves. The purpose of this research is to find out the correlation between knowledge and attitude of janitor towards household infectious waste countermeasure during COVID-19 pandemic in Manado city 2020.Methods: This research was quantitative research-observational descriptive approach with cross sectional method. This research was conducted in 4 temporary shelters obtained in Singkil sub district, Bunaken sub district, Pall Dua sub district and Wanea sub district. The samples were selected by using total sampling technique. Total samples were 100 respondents. The research instrument was questionnaire. The analysis used Chi Square Test.Results: shows that the janitors’ knowledge is good already 53%, attitude 60%, and there is no correlation between knowledge and janitors’ attitude towards household infectious waste countermeasure during COVID-19 pandemic in Manado city.Conclusions: The management and countermeasure of household infectious waste is an important effort to prevent the transmission of SARS-CoV-12 (COVID-19). Tighter monitoring is necessary and also education/socialization of household infectious waste countermeasure is needed during COVID-19 pandemic either from the behavior side or the facilities used.

Background: The number of dengue hemorrhagic fever (DHF) cases in Indonesia from January to February 2016 was 8,487 with 108 deaths. DHF is an infectious disease that continues to increase from 2014 until 2016 in Manado city. DHF cases in Talaud Islands Regency from 2014 to 2016 were 143 cases. Regional spatial analysis would simplify the distribution of DHF cases in high-risk areas. To be aware of the DHF outbreak cycle, it is necessary to model spatial risk factors based on geographic information systems (GIS) to tackle and eradicate DHF cases by region.Methods: This study aimed to analyze the spread of DHF in Talaud regency based on age, sex, population density and area height. The design of this research is qualitative analytic by using an ecological study approach. The research scope was 19 districts in Talaud regency. Secondary data are used which consists of case number, age, sex, population density, and area height taken from the Talaud district health office with 66 DHF cases in 2018-2019 and analyzed using the GIS approach through spatial analysis.Results: Based on the number of DHF cases that is most in the age group of 5-11 years. Male gender is more likely to suffer from DHF than female. Spatial description of the condition of the altitude in the Talaud Islands regency at risk of suffering from DHF is>50 meters above sea level. Spatial description of population density with most DHF cases is not densely populated area with less than 1,620 inhabitants per km.Conclusions: The health office of Talaud islands regency needs to actively promote health by providing information about eradicating mosquitoes.

Background: The current COVID-19 pandemic poses a major challenge in efforts to improve the health status of the Indonesian people and has an impact on maternal and child health services, which can be seen from the decline in K1, K4 and infant care services in Bolaang Mongondow Regency. This is due to public and staff concerns about the transmission of COVID-19. In some areas, there were even temporary closures of health service facilities, especially in posyandu and puskesmas.  Methods: The research method used is qualitative through a case study at the Bolaang Mongondow district health office which was conducted through in-depth interviews using interview guidelines with 3 informants, namely the head of the health office as a key informant and 2 other informants namely the head of the family health sector and the head of the infectious disease control section then recorded. using a tape recorder.  Results: The results of this study are unclear regulations and SOPs from the health office in maternal and child health service programs, human resources are very minimal and facilities and facilities are not feasible at supporting health centers in remote villages so that the service program provided is less than optimal.Conclusions: During the pandemic, some health facilities were closed and there were no services for MCH for a while. For services, it is directed to the designated health facility as a reference if there are complaints and are of an emergency nature. So there needs to be a policy for the sustainability of maternal and child health services during the pandemic.

Background: The success of health services is an indicator of the success of national development. The success of hypertension services is influenced by various factors including human resources, financing, facilities, methods, the infrastructure used, and the process of achieving indicators. The purpose of this study was to analyze the implementation of the hypertension service program in Talaud district.Methods: This type of research is qualitative research using in-depth interview techniques as well as observation. Informants in this study were the head of the non-communicable diseases (NCDs) section, the manager of the hypertension program, and the holder of the hypertension disease program at the community health center.Results: The availability of human resources in implementing the hypertension disease program is in accordance with the needs, the infrastructure used is sufficient but the additional infrastructure is needed in the form of KIT of integrated coaching posts (Posbindu) and a budget for implementing hypertension services. Early detection of hypertensive patients is carried out through integrated coaching posts and services at the community health center. The realization of the target for hypertension services in Talaud regency has not been achieved due to the limitations of medicines and the lack of public awareness in conducting health checks to detect funds and treat hypertension.Conclusions: The implementation of the hypertension disease program in terms of input and process is adequate. The output of hypertension services has not been achieved.