Health promotion services at public health center is essential to support healthy behavior but still many officers did not have the competence and quality to conduct standard health promotion. West Java implemented health promotion training to 238 officers from 10 districts. The research objective was determining changes in participants’ knowledge and its implementation after training as a basis for sustainable technical guidance. Mixed methods design explanatory sequential as results from training analysis and in-depth interviews of officers. The results showed significant change in participants’ knowledge after training by district, no significant difference between districts and education level, and no significant increase in service coverage. Continuous technical direct guidance for officers by district officials and professional organizations is needed to strengthen service management, coordination, partnerships, integration and recording-reporting. Guidance through social media can be considered for use. Further training is needed to strengthen advocacy, partnership, evaluation. Participants were grouped into four as multivariate cluster analysis result of knowledge level after training and education level.
Latar Belakang. Anemia adalah keadaan kadar hemoglobin (Hb) kurang dari 12 mg/dL. Sebanyak 48,9% remaja putri di Indonesia mengalami anemia. Penyebab utama anemia adalah kekurangan zat besi. Dilakukan upaya promosi dan pencegahan yaitu peningkatan konsumsi makanan kaya zat besi, serta pemberian Tablet Tambah Darah (TTD).Tujuan. Mengetahui perbedaan kadar Hb santriwati sesudah mengonsumsi TTD disertai edukasi video singkat dengan santriwati yang hanya mengkonsumsi TTD.Metode. Rancangan penelitian berupa kuasi eksperimen disain pra-postes dengan kontrol. Populasi adalah santriwati dengan sampel 37 orang secara purposive. Variabel eksperimen adalah pemberian TTD selama empat minggu disertai edukasi video singkat bagi kelompok intervensi, dan hanya pemberian TTD selama empat minggu bagi kelompok kontrol. Variabel terpengaruh adalah kadar Hb. Hasil. Sesudah intervensi, kadar Hb kelompok intervensi naik 0,3 mg/dL sedangkan kelompok kontrol naik 0,8 mg/dL namun tidak ada perbedaan secara statistik (p>0,05). Tidak ada perbedaan secara statistik (p = 0,588) perubahan kadar Hb antara kelompok intervensi dan kontrol.Kesimpulan. Tidak ada perbedaan secara statistik mengenai perubahan kadar Hb antara kelompok intervensi dengan kelompok kontrol ABSTRACTBackground. Anemia is a condition where the hemoglobin (Hb) level is less than 12 mg/dL. 48.9% of female adolescent in Indonesia was anemic. The main cause is iron deficiency. The efforts are promoting, preventing, and increasing consumption of iron-rich foods and giving iron tablets.Objectives. Knowing the Hb level difference of female students after consuming iron tablets accompanied by short video education with female students who only consumed iron tablets.Method. Quasi-experimental, pre-posttest with control design. The population is female students, with a sample of 37 people taken purposively. The experimental variable gave iron tablets for four weeks accompanied by a short video for the intervention group and only gave iron tablets for four weeks for the control group. The affected variable was Hb levels.Results. After the intervention, the Hb level in the intervention group increased by 0.3 mg/dL while the control group increased by 0.8 mg/dL but didn’t show a statistical difference (p>0.05). There was no statistical difference (p 0.588) in Hb level change between the intervention and control groupsConclusion. There was no statistical difference in Hb level change between the intervention and control groups.
Background of this research was the still high number of infant mortality and high use of Traditional Birth Attendants (TBAs). The This study aims aimed to determine TBAs positioning on the effort of strengthening partnership with midwives. A number of pregnant women, TBAs, and midwives become became informants, through in-depth interviews and focus group discussions. The results showed positioning TBAs still needed with different roles but side by side with midwife role, used by primi and multi pregnant women before and during pregnancy, during and after birth. The requirement forrequirement for TBAs was derived from parents as a cultural heritage, whereas the requirement for midwife obtained was from formal and non- formal information. The TBAs services toward maintain family health care including include cultural events. The midwife is givingserved professional servicescare. The partnership includes clients registration, motivation, abnormalities early detection. There has had been an unwritten financing unwritten agreement. The TBAs midwife partnership needs to be strengthened through legislation and , communication to diverse audiences in order to form the right positioning.
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