ABSTRACT
Stunted growth is a condition in which toddlers are less than their age or height. As a result, non-optimal nutritional needs were satisfied in the first 1000 days of life. A child suffering from stunting has a slower cognitive and physical development than he should. Stunting also decreases productivity and health. This disease has a risk of degenerative diseases such as diabetes. Stunting in children under five requires special attention because it inhibits physical, mental, and cognitive development effects. Stunting at an early age can increase the risk of death, morbidity, and non-optimal posture in adulthood. Stunting prevention requires behavior change in all intervention targets, especially the primary targets, mothers and toddlers. The number of blockages and malnutrition in Indonesia is expected to increase significantly due to the COVID-19 pandemic. The pandemic has made it more challenging to meet children's nutrition during their growth and development. This pandemic has also prevented monitoring activities for the growth and development of children early in life. The monitoring activities are usually implemented at Integrated Healthcare Centers in villages or in Posyandu. If approximately undetectable through weight measures, body length, and head circumference, children can suffer from chronic malnutrition and become inhibited. Therefore, our $SiCenting+Team$ created a Website about Stunting education for the community in Pandeglang Regency. $SiCenting+is$ an application developed for Mothers, Policymakers, and Posyandu. Extensive data was processed to assist stunting screening for use by cadres with family profiles related to specific nutritional factors and sensitive nutrition. Furthermore, villages can use this data to plan the budget for stunting reduction programs at the village level through village deliberations. The $SiCenting+website$ can be opened via a web browser with the following URL address: https://sicenting.id/ © 2022 IEEE.
ABSTRACT
BACKGROUND: In 2020, TB patients in Indonesia reached 8.5% of the total number of TB patients globally, as the country with the second-highest TB cases. Depok is the city in the West Java region that has experienced an increase in TB cases. The existence of tuberculosis-friendly villages will reduce the stigmatization of tuberculosis (TB) patients and increase treatment compliance. AIM: This study aims to analyze various aspects of Depok City's readiness to develop TB-friendly village governance -- including government commitment, infrastructure, resources, and organizational culture -- within the scope of academic, business, community, government, and media (ABCGM)'s role or penta-helix. METHOD(S): The initial stage of preparation involved conducting a literature review. This research employed an online survey of 230 respondents and 40 TB patients using a quantitative approach. The qualitative approach involved 15 stakeholders through interviews, discussions, and a website-based search. RESULT(S): Overall, the respondents were well-informed about TB, but attitudes (50.9%) and behavior (41.3%) regarding TB prevention need improvement. The government budget is adequate, but coordination is lacking between stakeholders and community involvement. CONCLUSION(S): Depok City is not yet ready to develop TB-friendly villages in terms of human resources and organizational aspects. It is necessary to improve communication, information, and education regarding TB prevention and establish leadership policies as a legal basis to strengthen the governance and management of TB-friendly villages. Moreover, community involvement is an essential pillar of developing these villages. Copyright © 2022 Dumilah Ayuningtyas, Rulliana Agustin, Rini Prasetyo, Theresa Febrianti, Ester Ulibasa, Sandra Barinda.
ABSTRACT
Background: Children on dialysis seem to be at greater risk for COVID-19. Acute pancreatitis (AP) is an infrequent but severe complication of chronic peritoneal dialysis (PD). It contributes to morbidity and mortality rates of up to 25%. Patients with PD are exposed to a series of factors associated with AP risk. This report aimed to describe rare and interesting cases of acute pancreatitis in children with CAPD following PD-related peritonitis with a favorable response to conservative treatment. Case report: We present two cases admitted to our emergency room (ER) with severe abdominal pain preceded by PD-related peritonitis. Poor adherence, lack of monitoring, and healthcare service restriction during the COVID-19 pandemic predisposed these patients to PD-related complications. Patients were diagnosed as AP based on the revised Atlanta criteria. Both met the criteria as they had abdominal pain, a threefold increase of pancreatic enzymes, and evidence of pancreatitis through ultrasonography (USG) investigation. Both patients presented a rapid resolution of AP after receiving conservative treatment, including fasting, total parenteral nutrition (TPN), prophylactic antibiotics, and analgesics. None of them experienced invasive intervention due to AP. Conclusion: Diagnosing AP in children with CAPD may be challenging since the symptoms mimic other abdominal problems. Our cases are likely to be associated with PD-related peritonitis. This report may prove conservative treatment as a recommendation for managing AP in children with CAPD. The rapid development of innovative clinical management strategies in response to the COVID-19 pandemic is crucial to improving children’s health care quality with CAPD. © 2022, Sanglah General Hospital. All rights reserved.
ABSTRACT
BACKGROUND: The Corona Virus Disease 2019 (COVID-19) pandemic has affected public health services, including routine immunization services. If this condition continues, the national immunization coverage will decrease, thereby potentially increasing the risk of immunization preventable diseases. AIM: This study aims to determine the coverage of complete basic immunization services in Semarang before (December 2019) and during the pandemic (May 2020) and the factors that affect the coverage of complete basic immunization services. METHODS: This study describes complete basic immunization based on data taken in June-August 2021 at three health centers in Semarang. The data used were the number of visits and the type of immunization obtained from the medical records of the Health Center Management Information System. In addition, in-depth interviews were conducted with the person in charge of the immunization program at the Public Health Center (Puskesmas) to determine the influence factors of the immunization coverage.. The data from the interviews were then analyzed thematically. RESULTS: There were 3594 infants who received immunization services, consisting of 2401 before the pandemic and 1193 during the pandemic. The average decrease in the number of basic immunization services was 50.31%. The decrease in the number of basic immunization services occurred in all network public health centers with an average of Puskesmas Genuk (−36.63%), Halmahera (−40%), and Pandanaran (−26.35%). The mother’s fear of COVID-19 contagious, service time and patients restrictions by the PHC, and IPV vaccine stock out have reduced the basic vaccination coverage in all public health centers. CONCLUSION: There was a decline in basic immunization coverage during the pandemic, so it is necessary to fulfill basic immunization needs and service innovations including the use of virtual engagement and optimization of social media for basic immunization campaigns.