Abstrack :Patient satisfaction level is considered as one of the very important dimension and is oneof the main indicators of the standard of a health facility which is due to the influence of health careon the hospital and it is this which makes the measurement of patient satisfaction is an importantcomponent.The purpose of this study was to determine the differences between patient satisfactionlevel on BPJS and Non BPJS users over registration services in Tobelo hospitals. This researchmethod using cross sectional design. The sampling technique used consecutive sampling techniquewith a total sample of 136 respondents. methods of data collection using questionnaires satisfactionlevel of service at the place of registration to measure the level of patient satisfaction BPJS and NonBPJS and statistical test using chi square test. The researchresults can be p-value of 0.000 (≤ α =0.05), which means there are significant differences. Conclusion there are differences between thelevel of patient satisfaction level on BPJS and Non BPJS users over registration services in Tobelohospitals.Keywords: Enrollment Services, BPJS patient and the Non BPJS, SatisfactionAbstrak : Tingkat kepuasan pasien dianggap sebagai salah satu dimensi yang sangat penting danmerupakan salah satu indikator utama dari standar suatu fasilitas kesehatan yang merupakan akibatpengaruh pelayanan kesehatan atas pihak rumah sakit dan hal inilah yang membuat pengukurankepuasan pasien menjadi komponen penting. Tujuan penelitian ini adalah untuk mengetahuiperbedaan tingkat kepuasan pasien BPJS dan Non BPJS terhadap pelayanan pendaftaran di RSUDTobelo. Metodepenelitian ini menggunakan desain cross sectional. Teknik pengambilan sampelmenggunakan teknik consecutive sampling dengan jumlah sampel sebanyak 136 responden. metodepengumpulan data menggunakan kuesioner tingkat kepuasan pelayanan di tempat pendaftaran untukmengukur tingkat kepuasan pasien BPJS dan Non BPJS dan uji statistic menggunakan uji chi square.Hasil penelitian di dapat nilai p-value sebesar 0,000 (≤ α = 0,05) yang berarti ada perbedaan yangsignifikan. Kesimpulan ada perbedaan antara tingkat kepuasan pasien BPJS dan Non BPJS terhadappelayanan pendaftaran di RSUD Tobelo.Kata kunci : Pelayanan Pendaftaran, pasien BPJS dan Non BPJS, Tingkat Kepuasan

Background To optimize the preventive measures of malaria, it is important to synchronize the efforts with the behavior of local Anopheles species. However, the data of Anopheles species and their behavior in Indonesia is still lacking. Method Explorative research was conducted from April to September 2016 in Southern Minahasa district. The Anopheles mosquito was baited by using animal and human (indoor or outdoor) from 18.00 to 06.00 hours. Then, the species were identified and Man Biting Rate (MBR) and Man/Animal Biting per Hour (MBPH) were calculated followed by statistical analysis by using SPSS 17. Result The data showed that the dominant species in Southern Minahasa were An. barbirostris, An. kochi, and An. vagus. An. vagus was found to be zoophilic and An. barbirostris was showing strict anthropophilic characteristics. Meanwhile, An. kochi feeds on both human and animal. The MBR of An. kochi was found to be the highest (P < 0.005), but its MBPH only significantly exceeded that of An. vagus. All species tend to be more active during the early evening. Conclusion An. barbirostris, An. kochi, and An. vagus were the dominant Anopheles species in Southern Minahasa. Further research is needed to determine the Plasmodium infestation rate of these species.

Malaria is a re-emerging disease (can spread back by the large number) and still being a problem in Indonesia. This disease is caused by Plasmodium. This study aimed to analyze the risk factors towards malaria in This was an analytical observational study with a case control approach (retrospectively) in the working area of Mayumba Community Health Center, Morowali, Middle Celebes Province. Samples were 94 respondents and the ratio of cases and controls was 1:1, therefore, there were a total of 188 peoples obtained by using the simple random sampling. From the results it can be concluded that there was a significant relationship between behavioral factors (knowledge, attitude, be out of the house at night, and hanging clothes in the house) and the incidence of malaria in Mayumba Health Center. It is advisable to the District Health Department and Community Health Center Morowali Mayumba to conduct a survey aiming to determine entomology vector bionomic which will be useful against malaria.Keywords: behavior, malaria incidenceAbstrak: Malaria merupakan penyakit yang re-emerging (menular kembali secara massal) dan masih merupakan masalah di Indonesia. Penyakit menular ini disebabkan oleh Plasmodium. Penelitian ini bertujuan untuk menganalisis faktor risiko terhadap kejadian malariadi wilayah kerja Puskesmas Mayumba Kabupaten Morowali Provinsi Sulawesi Tengah. Jenis penelitian ialah observasional analitik dengan pendekatan case control (retrospektif). Besar sampel penelitian ini sebanyak 94 responden, dengan perbandingan antara kelompok kasus dan kontrol 1:1 sehingga total sampel sebanyak 188 orang. Cara pengambilan sampel menggunakan teknik simple random sampling. Dari penelitian dapat disimpulkan bahwa terdapat hubungan bermakna antara faktor perilaku (pengetahuan, sikap, keluar rumah pada malam hari, dan menggantung pakaian di dalam rumah) dengan kejadian malaria di Puskesmas Mayumba. Disarankan kepada Dinas Kesehatan Kabupaten Morowali dan Puskesmas Mayumba agar melakukan survei entomologi yang bertujuan untuk mengetahui bionomik vektor yang akan berguna dalam upaya penanggulangan malaria.Kata kunci: perilaku, kejadian malaria

Abstract:Breastfeeding is the ideal way for mom to express affection on her daughter and thebest way for mom to paint food full of nutrients, but the reality is still a lot of mothers whocannot breastfeed by breastfeeding Technique. Methods this study used a cross-sectionalresearch design cros with entire population mother post!, in Clinics And health centers inManado Tuminting Wori Minut, using primary data interviews and observations as well assecondary data obtained from the clinic. Samplingis done in a non probability sampling withpruposive samplingtechniques. The number of samples as many as 47 respondents. The datapresented in the form of a Frequency Table, the analysis of the data used is the analysis ofunivariate and bivariat analysis method using chi-square. Research results based on thecharacteristics of the mother post!, respondents have age 19-25 years, educated in highschool, and worked as the IRT Primipara and Multipara parity with, the majority ofrespondents who do good on nursing Techniques parity multipara (59.6%), sedangankanrespondents who do less good feeding Techniques on primipara parity. Test results of chisquare.Get results in a value of p = 0.01 smaller than α = 0.05. In conclusion, the results ofthis study showed no connection between status which meant parity with the technique ofbreastfeeding on maternal post.Keywords:Status Of Parity, Breastfeeding TechniquesAbstrak: Menyusui merupakan cara yang ideal bagi ibu untuk mengekspresikan kasih sayangpada anaknya dan cara terbaik bagi ibu untuk memberikan makanan yang penuh gizi, namunkenyataan masih banyak ibu yang tidak dapat menyusui dengan teknik menyusui yang benar.Metode penelitian ini menggunakan desain penelitian cros sectional dengan populasi seluruhibu post partum di Puskesmas Tuminting Manado Dan Puskesmas Wori Minut, denganmenggunakan data primer wawancara dan observasi serta data sekunder yang didapat daripihak Puskesmas. Pengambilan sampel dilakukan secara non probability sampling denganteknik pruposive sampling. Jumlah sampel sebanyak 47 responden. Data disajikan dalambentuk Frequency Table, Analisis data yang digunakan adalah analisis univariat dan bivariatdengan menggunakan metode analisis chi-square. Hasil penelitian berdasarkan karakteristikibu post partum, responden memilki usia 19-25 tahun, Berpendidikan SMA, dan bekerjasebagai IRT dengan paritas Multipara dan Primipara, mayoritas responden yang melakukanTeknik menyusui yang baik pada paritas multipara (59,6%), sedangkan responden yangmelakukan teknik menyusui yang kurang baik pada paritas primipara. Dari hasil ujichisquaredidapatkanhasil nilai p = 0,01 lebih kecil dari α = 0,05. Kesimpulan, hasil penelitianini menunjukan ada hubungan yang bermakna antara status paritas dengan teknik menyusuipada ibu post partum.Kata Kunci:Status Paritas, Teknik Menyusui

Introduction: Coronary artery disease (CAD) is a disease that has caused death across the world, including in Indonesia. CAD is a multifactorial disease. Many studies have been conducted to examine the causes of CAD. Based on previous research, the risk factors questioned are fixed and nonfixed risk factors. Fixed risk factors include age, gender and family history. Nonfixed risk factors include smoking habits, blood cholesterol levels, behavioral types, socioeconomic status and cultural factors, among others. The purpose of this study is to find a structural model of the influence of Mapalus culture and health behavior on the incidence of CAD in the Minahasa ethnic group in North Sulawesi Province. Method: This research is a case-control research type that uses 220 respondents (110 case and 110 control respondents). The variables studied were Mapalus culture (ethos and principles) and health behavior (smoking habits, knowledge of CAD, healthy behavior and sickness behavior) as independent variables and CAD incidence as the dependent variable. Data analysis used pathway analysis by employing GeSCA software. Result: The results of this study indicate that Mapalus culture and health behavior influence the occurrence of CAD. The influence of Mapalus culture will be stronger/greater if it interacts with health behavior. Conclusion: Based on the results of this study, control must be exercised on smoking habits, increasing knowledge about CAD and having a healthy lifestyle.