Latar belakang: Kejadian kecacingan pada balita di Indonesia masih tinggi. Untuk mengurangi kejadian kecacingan balitamemerlukan upaya terintegrasi seperti peningkatan perilaku sehat. Hal ini dapat diwujudkan dengan memberikan pengetahuan pada masyarakat terutama ibu yang mempunyai balita. Oleh karena itu perlu dilakukan penelitian tentang pengetahuan dan sikap ibu yang mempunyai anak balita yang dibawa ke posyandu untuk pencegahan penyakit kecacingan pada balitaMetode: Ini adalah penelitian quasi experiment,pre and post test design. Populasi adalah ibu yang mempunyai anak balita yang datang ke posyandu Sentosa di Kota Medan tahun 2016. Sampel adalah ibu yang bersedia memeriksakan tinja anak balitanya. Sampel diambil secara purposif yaitu sebanyak 50 orang. Intervensi yang diberikan berupa penyuluhan (ceramah dan video). Pengumpulan data menggunakan kuesioner dan catatan medik Puskesmas Sentosa Baru. Analisis data secara univariat, bivariat menggunakan analisis uji chi-square.Hasil: Total dari 50ibu yang mempunyai anak balita sebagian besar pada kelompok umur 20-30 tahun, berpendidikan SMP, bekerja sebagai ibu rumah tangga dan mempunyai anak 1-2 orang. Ada peningkatan pengetahuan dan sikap yang baik sebesar 43% dan 52% sesudah di berikan intervensi. Ada pengaruh tingkat pengetahuan ibu terhadap infeksi kecacingan pada balita (RR= 1,96; 95% CI: 1,12-4,15;p = 0,002). Ada pengaruh sikap ibu terhadap infeksi kecacingan pada balita (RR=2,46; 95% CI: 1,46-5,62;p = 0,001).Simpulan: Infeksi kecacingan pada anak balita dipengaruhi oleh pengetahuan dan sikap ibu. Untuk menjaga kesehatan anaknya perlu menjaga kebersihan diri dan lingkungan sertamelakukan pemeriksaan kesehatan secara periodik, penyuluhan kesehatan secara rutin perlu diberikan pada ibu yang datang ke posyandu ABSTRACTTitle: The Influence of Maternal Knowledgeand Attitude Against Soil Transmitted Helminths Infections in Children Lessthan Five Years OldBackground:The incidenceof helminthes infection in children less than five years old is still high in Indonesia. To reduce the incidence of helminthes infectionneeds an integrated effort such as the improvement of healthy behavior. This can be realized by providing knowledge to the community, especially mothers with children under five years. Therefore it is necessary to do research on knowledge and attitude of mother who have children under five who brought to posyandu for prevention of diseases of helminthes infection in children less than five years oldMethod:This is a quasi-experimental study pre and post-test design. The population is mothers who have children less than five years old who come to posyandu Sentosa in Medan City in 2016. The sample is the mother who is willing to check the feces of her children. The sample was taken purposively as many as 50 people. Data collection was using structural questioners before and after intervention (lectures and video) about helminthesinfection.Data medical records from Puskesmas Sentosa Baru Medan. Data analysis univariate and bivariate using chi-square test.Result:A total of 50 mothers with children less than five years old are mostly in the age group 20-30 year, junior high school educated, work as housewives and have 1-2 children. There is an increase in knowledge and good attitude by 43% and 52% after intervention.Mothers with not good knowledge and not good attitude were significantly influence intensity of helminthesinfection in children (RR = 1.96; 95% CI 1.12-4.15, p = 0.002) and (RR = 2.46, 95% CI 1.46-5.62, p = 0.001) respectively.Conclusion: There was influence of maternal knowledge and attitude against helminthes infection in children less than five years old. Awareness in protection of personal and environment hygiene, periodic medical check- up should be done for improve health children. Health counseling routinely needs to be given to mothers who come to posyandu

Latar Belakang: Malaria merupakan salah satu penyakit menular yang menjadi masalah global. Malaria sering menimbulkan kejadian luar biasa dan berakibat pada penurunan kualitas hidup, ekonomi serta mengakibatkan kematian. Penelitian ini bertujuan untuk mengkaji hubungan penggunaan kelambu dan kawat kasa dengan kejadian malaria serta analisis spasial di Kabupaten Batu BaraMetode: Jenis penelitian ini adalah observasional analitik dengan disain matched case control terhadap umur dan jenis kelamin dan analisis spasial. Lokasi penelitian di Kabupaten Batu Bara pada tahun 2018. Sampel berjumlah 136 orang (68 kasus dan 68 kontrol). Sampel kasus adalah penduduk berumur diatas 15 tahun dan positif malaria. Sampel kontrol adalah tetangga kasus dengan gejala demam tetapi hasil pemeriksaan darah negatif malaria.Teknik pengambilan sampel secara purposive sampling. Data dikumpulkan melalui observasi dan wawancara menggunakan kuesioner. Analisis data termasuk data individu dan aggregat. Analisis data menggunakan Epi Info 3.5.4, aggregate analysis menggunakan SatScan v9.8 and Geoda 1.12.0.Hasil: Ada hubungan bermakna antara pemakaian kelambu (OR 2,8) dan kawat kasa (OR 2,5) dengan kejadian malaria. Berdasarkan analisis purely spasial dengan menggunakan software satscan terdapat dua cluster. Cluster 1 terdiri dari 5 kasus dengan nilai RR = 4,41 dan cluster 2 terdiri dari 8 kasus dengan nilai RR = 0,51 Simpulan: Ada hubungan pemakaian kelambu dan penggunaan kawat kasa dengan kejadian malaria di Kabupaten Batu Bara. ABSTRACTTitle: The Effect of The Use of Mosquito Nets, Wire Netsand Geodemographic Conditions on The Incidence of Malaria in Batu Bara District.Background: Malaria is an infectious disease that is a global problem. Malaria often results in Extraordinary Events and results in a decrease in quality of life, economy, and death. This study aims to study the association between the use of mosquito nets and wire nets with the incidence of malaria and a spatial analysis in Batu Bara District.Method: This research is an analytic observational with matched case-control design according to age and sex and spatial analysis. This research was conducted in Batu Bara District in 2018. Samples were 136 people (68 cases and 68 controls). Case samples were residents aged more than 15 years who were positive for malaria. Control samples were residents who lived close to the case home with symptoms of fever but the results of the blood test showed negative malaria. The sampling technique used was purposive sampling. Data were collected through observation and interview using a questionnaire, Determination of coordinates using GPS MAP 64S Garmin GPS. The analysis includes individual and aggregate analysis, data analysis using Epi Info 3.5.4, aggregate analysis using SatScan v9.8 and Geoda 1.12.0.Result: There was a significant association between the use of mosquito nets (OR 2.8) and wire nets (OR 2.5) with the incidence of malaria. Based on purely spatial analysis using satscan software, two clusters are formed. Cluster 1 consists of 5 cases with RR = 4.41 and cluster 2 consists of 8 cases with RR = 0.51.Conclusion: There was significant association between the use of mosquito nets and wire nets with the incidence of malaria in Batu Bara District.

Soil-transmitted Helminths (STH) infections and anemia are significant global health threats, particularly affecting children under five and reproductive-age women. The World Health Organization (WHO) has established a roadmap to eliminate Neglected tropical diseases (NTDs) and achieve Sustainable Development Goals (SDGs) by 2030. This study analyzes the impact of STH infections on the anemia burden in these populations across 187 countries from 2015 to 2019. Following the Systemic Rapid Assessment (SYSRA) framework, this ecological study examines the relationship between STH infections and anemia in children under five and reproductive-age women. Factors considered include Universal Health Coverage (UHC) Index, Water and Sanitation Indicators (SDG 6.1 and 6.2), Government Effectiveness, and Human Development Index (HDI). Paired t-tests assess annual changes in STH infection and anemia prevalence, while Chi-Square and logistic regression tests identify factors associated with anemia prevalence. From 2015 to 2019, STH infection prevalence decreased significantly, while anemia prevalence fluctuated. STH infections were significantly associated with anemia in children under 5. However, STH infections did not significantly impact anemia prevalence in children under 5 or reproductive-age women. HDI influenced anemia prevalence in children under 5 (OR = 14.17, p < 0.05), while Safe Drinking Water infrastructure (OR = 3.98, p < 0.05) and UHC coverage (OR = 4.09, p < 0.05) influenced anemia prevalence in reproductive-age women. This study enhances our understanding of the link between STH infections and anemia burden in children under 5 and reproductive-aged women. Findings align with existing literature on reducing disparities in STH infection and anemia prevalence based on socioeconomic factors, specifically for children under 5. Inconsistencies compared to previous studies highlight the need for comprehensive interventions involving health, social, economic, and cultural aspects to address NTDs effectively.

The COVID-19 pandemic started over 2 years ago and spread rapidly throughout the world. The total number of cases and deaths is still increasing and the situation remains active across the globe. In the Asian region, COVID-19 vaccination began in early 2021; however, the COVID-19 situation remains uncertain. This study aims to compare the factors that influenced the COVID-19 pandemic situation in three countries in Asia (namely, Indonesia, Malaysia and Taiwan) throughout 2021. This ecological study utilises the data from the ‘Our World in Data’ website. In this study, the COVID-19 pandemic situation in each country is described by looking at the average daily number of deaths and cases per million population throughout 2021. A paired t-test was conducted to compare the significance of differences in the pandemic situation between 2020 and 2021. In addition, the COVID-19 vaccination profiles throughout 2021 were investigated. A multiple linear regression analysis was then performed to develop models to explain the factors influencing the COVID-19 pandemic situation in these three countries. The COVID-19 pandemic situation in Indonesia, Malaysia and Taiwan in 2021 is significantly different from 2020. Malaysia had the highest COVID-19 vaccination coverage (79.4%), followed by Taiwan (78.5%) and Indonesia (58.3%). This study found that the following three factors consistently influenced the number of deaths and cases in these three countries [1]: positivity rate [2]; number of tests per 1000 population; and [3] number of tests per case. Although the severity of the COVID-19 pandemic situations in Indonesia, Malaysia and Taiwan was different, it is significantly influenced by the quality and quantity of COVID-19 testing and screening, in addition to the vaccination programmes and restriction policies implemented in each country. As a result of the ability of the SARS-CoV-2 virus to mutate, it is recommended that each country strengthen their comprehensive approach to have an effective and efficient coping strategy for the COVID-19 pandemic.