The influence of supplementary feeding by local food and 123 milk toward increasing the nutritional status of 12-24 months children with undernutrition status in southeast Sulawesi province, Indonesia.

Background: Until now, the case of energy protein malnutrition in children is still high in Indonesia. Kendari city, one of the areas in Indonesia with high prevalent of this disease, has a significant increase which risen from 9.2% in 2006 to 15.1% in 2007. Methods: This was an experimental study that was under taken for 30 days. Sample of research was undernutrition children 12-24 months age that came from Puskesmas Puuwatu area and Perumnas in Kendari City that collected by simple random sampling technique. 16 children under five in the Puskesmas Puuwatu area received local food intervention and 16 children in the area of Puskesmas Perumnas received 123 Milk intervention. Results: There was significant difference in the Mean of body weight differences before and after intervention between children group that was given Local food and 123 Milk (p=0,032. Analysis with using paired t test indicated the differences between Z-Score value with BW/A and BW/H index before and after treatment in the children group that received local food intervention (p=0,000). In the children group that received 123 Milk intervention, the analysis result of Z-Score value with BW/A index before and after intervention indicated that there was not any significant difference (p=0,084), while the analysis of Z-Score value of BW/H index before and after intervention indicated the existence of significant different (p=0,000). The analysis that used independent t test did not indicated the significant difference of Z-Score value with BW/A and BW/H index after the intervention between children group that received Local food and 123 Milk intervention. Independent t-test analysis toward difference Mean of Z-score value with BW/A index indicated that there was significant difference between children group that received Local food and 123 Milk intervention (p=0,025). Analysis result toward difference Mean of Z-Score value with BW/H indicated the existence of significant difference between two group of intervention (p=0,028). Conclusions: Supplementary feeding by local food has better result in the increasing of body weight and Z-Score value than the giving of 123 Milk.

Experiences of being co-assistant: a pilot study.

Background: Co-assistant program is an important part in medical education in Indonesia. However, the evaluation for the effectiveness of this program is needed to produce the professional medical doctors. This study aimed to explore the experience of being co-assistance in medical education in Indonesia. Methods: This study used the descriptive qualitative approach by involving 12 medical doctors who had the experience of being co-assistant. The data in this study were analyzed by content analysis model using four cognitive processes: comprehending, synthesizing, theorizing, and re-contextualizing. Results: The findings emerged from the data consisted of having good learning experiences, seniority matter, and inappropriate examination. Conclusions: Considering the information from the students in this program was value, therefore, it is suggested that medical educators need to reconsider and evaluate the process of co-assistance program.

Indonesian strategy in reducing Aedes aegypty diseases in ASEAN economic community era.

Indonesia is one of the countries that has a very strategic role in the ASEAN region. The state of readiness of Indonesia in ASEAN Economic Community (AEC) 2015 will involve all elements of the society due to very large population. Economically, Indonesia should be able to compete with ASEAN countries, and human resources should also be prepared. On the other hand, shifts and movements of the people between countries will be increased, this could be a threat for the country. However, those who are ready with the human resources, it might be a positive value, otherwise, it might be a weakness for unprepared countries. AEC era is not only economic power that should be concerned, but also health problems that should be a priority. Nowadays, the Aedes aegypti cases are still high in Indonesia. This paper aims to describe the strategies to reduce the disease, which also be a focus of government.

Epidemiology study of leprosy patients in the district of Bombana Southeast Sulawesi Province, Indonesia.

Background: Leprosy remains a public health problem in Bombana. In 2011 cases of leprosy were recorded for 34 cases or 2.4 per 10.000 population. In January 2012, the number of patients with infectious diseases is increased to 53 cases. Methods: The method used is a survey method with cross sectional approach, with a total sample of 34 people. The epidemiological characteristics of respondents surveyed consisted of the characteristics (gender, knowledge, and personal hygiene), the characteristics of the place (population density), and the characteristic time diagnosed (months). Results: The results showed that the characteristics of lepers many male sex (55.9%), elementary education (58.8%), had less knowledge about the disease (76.5%), did not work (52.9%), personal hygiene enough (85.3%), residential density has not qualified (88.2%) and most likely to be diagnosed in the period January to March (41.2%). Conclusion: The incidence of leprosy in Bombana is still very high and therefore required a treatment in patients on a regular basis and it takes effort to prevent the spread of the disease that can be restricted.