Background: The most essential aspect to reduce the number of maternal and newborn mortality is midwife competence. Midwives have a great role to be able to handle variety of health services (antepartum, intrapartum, and postpartum) to avoid or decrease the maternal and infant mortality rate. Performance of health workers, particularly midwives, is the most crucial in affecting the quality and quantity of midwives’ services to enhance the national health development.Aim: This study analyzed factors affecting village midwife performance for reducing maternal and infant mortality in seek for achieving Bone Bolango cemerlang or bright Bone Balango as the vision of Bone Bolango District in 2021.Methods: This study was an analytical survey with a cross-sectional approach. It was conducted from March to June 2019 in the working area of Bone Bolango District Health Office. There were 227 people from 19 primary healthcare centers as the population, and the sample size was 227 selected by using the total sampling technique. The data were collected by distributing questionnaires to the respondents and using secondary data. The data processing was done through chi-square test and multiple logistic regression with backward wald method.Results: Midwife performance in Bone Bolango District was assessed based on several variables. Most of them were ≥ 25 years old (80.6%); worked for ≥ five years (58,6%); mostly had not participated in any normal childbirth care training (76.7%); had a good competence (96.5%); had good resources/equipment (79.7%); had a good reward (92.5%); had a good attitude (76.2%); had a good motivation (90.7%). There were 12 maternal mortalities from 2017 to 2019 handled by only 11 midwives (4.8%). On the other hand, infant mortality rate (IMR) reached 25 cases in the same years; of 227 midwives, these cases were handled by only 21 midwives (9.3%).Conclusion: A midwife as a part of the health workers has an important role to increase the quality of maternal and child well-being program. Some variables that became indicators of midwife performance and had an effect on reducing the MMR and IMR included work period, reward, and motivation. This study recommends that all midwives have to be provided with a normal childbirth care training in the working area and increased rewards in the process of labor and delivery. Keywords: midwives, performance, maternal mortality rate, infant mortality rate.
Organisasi Kesehatan Dunia (WHO) menyatakan lingkungan asap rokok adalah penyebab berbagai penyakit, pada perokok aktif maupun pasif. Permasalahan kesehatan yang timbul saat ini merupakan akibat dari perilaku hidup yang tidak sehat, hal tersebut dapat dicegah bila fokus upaya kesehatan kemandirian keluarga dan masyarakat untuk berperilaku hidup bersih dan sehat (PHBS). Salah satu terobosan yaitu melalui Gerakan Masyarakat Hidup Sehat (GERMAS). Tujuan dilakukannya pengabdian masyarakat ini adalah untuk memberikan edukasi dan sosialisasi Gerakan Berhenti Merokok untuk Mendukung Gerakan Masyarakat Hidup Sehat (GERMAS) di Kelurahan Pauwo. Metode pelaksanaannya yaitu: mengunjungi runah-rumah yang terdapat perokok aktif, kemudian dilakukan pre-test sebagai data awal untuk mengetahui pemahaman masyarakat terkait bahaya merokok serta pentingnya perilaku hidup bersih dan sehat; setelah itu diberikan edukasi dan leaflet yang didesain semenarik mungkin agar masyarakat berminat untuk membacanya. Leaflet berisi informasi tentang bahaya merokok, tips berhenti merokok dan pentingnya menerapkan PHBS; dan terakhir dilakukan evaluasi dengan kuesioner post-test. Hasil kegiatan menunjukan adanya peningkatan pemahaman masyarakat mengenai bahaya rokok dan pentingnya menerapkan PHBS dalam kehidupan sehari-hari. Kesimpulan pengabdian masyarakat ini yaitu pemahaman masyarakat mengenai rokok dan pentingnya menerapkan PHBS dalam kehidupan untuk mendukung program GERMAS mengalami peningkatan.
Abstrak: Keberadaan sampah rumah tangga di lingkungan merupakan hal yang tidak dapat dicegah. Meskipun sampah merupakan tanggung jawab bersama untuk menjaga kelestarian lingkungan, namun hal tersebut menunjukkan bahwa pengelolaan sampah tidak mendapat perhatian dan upaya terbaik dari berbagai pihak masyarakat dan pemerintah. Pengabdian kepada masyarakat oleh Dosen Poltekkes Kemenkes Gorontalo yang bermitra dengan pemerintah Desa Dutohe Barat Bertujuan untuk memberikan pelatihan pemanfaatan wadah untuk tanaman sayur hidroponik dari sampah berbahan dasar plastik yang bernilai estetik dan bernilai jual. Melalui kader kesehatan berjumlah 6 orang dan kepala dusun berjumlah 4 orang yang ada di Desa disampaikan cara pembuatan pemanfaatan wadah untuk tanaman sayur hidroponik dari sampah berbahan dasar plastik. Kemudian dilakukan pemantauan secara bertahap oleh tim pengabdian kepada masyarakat setiap pekan. Evaluasi proses dilakukan pada saat kegiatan berlangsung, indikatornya berupa jumlah peserta yang hadir sebanyak 30 yang terdiri dari para kader kesehatan, para kepala dusun, masyarakat desa, dan apparat desa. Dan dilakukan evaluasi akhir yaitu tim pengabdian kepada masyarakat turun langsung ke lokasi peletakkan wadah tanaman hidropinik dan tim melakukan tanya jawab pada para kader kesehatan dan aparat desa tentang perkembangan pembuatan wadah. Setelah kegiatan dilaksanakan, diperoleh hasil masyarakat Di Desa Dutohe Barat sadar akan pentingnya mengelola sampah dengan baik, dan adanya peningkatan soft skill dari para kader kesehatan dan kepala dusun dalam melakukan pemanfaatan wadah untuk tanaman sayur hidroponik.Abstract: The existence of household waste in the environment is something that cannot be prevented. Even though waste is a shared responsibility to preserve the environment, this shows that waste management does not receive the best attention and efforts from various parties from society and the government. Community service by Lecturers at the Gorontalo Ministry of Health Poltekkes in partnership with the West Dutohe Village government. Aims to provide training on the use of containers for hydroponic vegetable plants from plastic-based waste that has aesthetic value and selling value. Through 6 health cadres and 4 hamlet heads in the village, they were told how to make use of containers for hydroponic vegetable plants from plastic-based waste. Then monitoring is carried out in stages by the community service team every week. Process evaluation was carried out during the activity, the indicator was in the form of the number of participants who attended as many as 30 consisting of health cadres, hamlet heads, village communities, and village officials. And a final evaluation was carried out, namely the community service team went directly to the location where the hydropinic plant containers were placed and the team conducted questions and answers to the health cadres and village officials about the progress of making the containers. After the activity was carried out, the results obtained were that the people in Dutohe Barat Village were aware of the importance of managing waste properly, and there was an increase in the soft skills of health cadres and hamlet heads in utilizing containers for hydroponic vegetable plants.
Pandemi Covid-19 belum dicabut menandakan bahwa kejadiannya masih saja berlangsung, di sisi lain penyakit menular tertentu potensi wabah mulai bermunculan. Kebaruan kegiatan ini karena penguatan kapasitas surveilans penyakit menular tertentu yang dapat menimbulkan wabah. Tujuan pengabdian masyarakat ini adalah terlaksananya penguatan kapasitas surveilans bagi petugas di unit surveilans dalam pengendalian Covid-19 dan penyakit menular potensi wabah. Lokasi kegiatan mencakup dinas kesehatan provinsi/kabupaten/kota dan puskesmas terpilih se Provinsi Gorontalo. Metode pelaksanaan yaitu pelatihan/workshop, Coaching, dan Monitoring dan evaluasi. Hasil penguatan kapasitas pada unit surveilans di masing-masing level menunjukkan adanya peningkatan kapasitas individu dan diikuti dengan semakin membaiknya manajemen data surveilans di tingkat provinsi, kabupaten/kota dan puskesmas, yang semula 27% menjadi 77%. Hal yang sama terjadi pada umpan balik perbaikan data laporan dari 72% menjadi 94%. Fragmentasi data antar program makin kecil dan bahkan dapat dieliminir. Jaminan tersedianya data base surveilans “evindence base†di fasilitas Kesehatan makin baik dan terdokumen dalam bentuk laporan Sistem Terpadu Penyakit (STP) dan Sistem Kewaspadaan Dini dan Respon (SKDR). Kesimpulan Puskesmas telah membuat Pemantauan Wilayah Setempat (PWS) penyakit potensi menular tertentu potensi wabah dan melakukan tahapan manajemen data dengan mempertimbangkan aspek epidemiologi berdasarkan tempat, waktu dan orang. Tampilan datanya sudah variatif berupa tabel, grafik, dengan menggunakan ukuran epidemiologi dengan tepat dan diuraikan dalam bentuk distribusi frekuensi, insidensi rate, prevalensi rate, dan case fatality rate.Kata Kunci: Penguatan; Surveilans; Wabah.   Abstract The Covid-19 pandemic has not been lifted, indicating that the event is still ongoing, on the other hand, certain infectious diseases with potential outbreaks are starting to emerge. The novelty of this activity is due to the strengthening of the surveillance capacity of certain infectious diseases that can cause outbreaks. The purpose of this community service is the implementation of strengthening surveillance capacity for officers in surveillance units in controlling Covid-19 and infectious diseases with potential outbreaks. The location of the activity includes the provincial/district/city health offices and selected health centers throughout Gorontalo Province. Implementation methods are training/workshop, coaching, and monitoring and evaluation. The results of capacity strengthening in surveillance units at each level showed an increase in individual capacity and was followed by improved surveillance data management at the provincial, district/city and puskesmas levels, which was originally 27% to 77%. The same thing happened to the report data improvement feedback from 72% to 94%. Data fragmentation between programs is getting smaller and can even be eliminated. Guarantee the availability of an "evindence base" surveillance data base in health facilities is getting better and documented in the form of a report on the Integrated Disease System (STP) and the Early Vigilance and Response System (SKDR). Conclusions Puskesmas has made Local Area Monitoring (PWS) of certain infectious potential diseases potential outbreaks and carried out data management stages by considering epidemiological aspects based on place, time and person. The data display has been varied in the form of tables, graphs, using epidemiological measures appropriately and described in the form of frequency distribution, incidence rate, prevalence rate, and case fatality rate.Keywords: Strengthening; Surveillance; Epidemic.       Â
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