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"Tingkat partisipasi masyarakat berkunjung ke posyandu di wilayah kerja Puskesmas Air Putih 18,2%. Cakupan tersebut dibawah cakupan Kota Samarinda 24,38% dan Provinsi Kaltim 39,81%. Kondisi tersebut membuat banyak balita yang ada tidak terpantau status gizinya. Penelitian ini bertujuan untuk mengetahui determinan perilaku kunjungan Posyandu pada ibu balita. Penelitian ini menggunakan desain cross sectional, pengumpulan data dilakukan melalui kunjungan rumah dengan pengisian kuesioner secara mandiri oleh responden. Sampel penelitian berjumlah 139 Ibu balita yang dipilih secara acak pada 13 Posyandu. Analisis multivariat menggunakan regresi logistik berganda. Hasil penelitian menunjukkan sebanyak 74,8% Ibu balita memiliki kunjungan rutin ke Posyandu. Faktor yang berhubungan signifikan terhadap perilaku kunjungan ke Posyandu pada ibu balita adalah pekerjaan (p=0,08), pengetahuan (p=0,001), dan sikap (p=0,005). Pengetahuan merupakan faktor yang paling dominan pada penelitian ini, Ibu balita dengan pengetahuan tinggi memiliki peluang 4,5 kali lebih besar melakukan kunjungan rutin ke Posyandu setelah dikontrol variabel pekerjaan dan sikap. Saran bagi Tim Pokjanal Posyandu Kota Samarinda agar melakukan evaluasi capaian D/S dan mengusulkan anggaran Probebaya untuk sosialisasi pentingnya kunjungan rutin ke Posyandu setiap bulan.

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The level of community participation in visiting posyandu in the working area of the Puskesmas Air Putih is 18.2%. This coverage is below the coverage of Samarinda City 24.38% and East Kalimantan Province 39.81%. This condition makes many children under five whose nutritional status is not monitored. This study aims to determine the behavioral determinants of Posyandu visits to Toddler mothers. This study used a cross-sectional design, data collection was carried out through home visits by filling out the questionnaires independently by the respondents. The research sample was 139 Toddler mothers who were randomly selected at 13 Posyandu. Multivariate analysis using multiple logistic regression. The results showed that 74.8% of Toddler mothers had regular visits to Posyandu. Factors that were significantly related to the behavior of visiting Posyandu on Toddler mothers were work (p=0.08), knowledge (p=0.001), and attitude (p=0.005). Knowledge is the most dominant factor in this study. Mothers with high knowledge have a 4.5 times greater chance of making routine visits to Posyandu after controlling for work and attitude variables. Suggestions for the Samarinda City Posyandu Pokjanal Team to evaluate D/S achievements and propose a Probebaya budget for socializing the importance of routine visits to Posyandu every month."

"Posyandu berguna untuk memberdayakan masyarakat dan memberikan kemudahan memperoleh pelayanan kesehatan dasar. Tujuan penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan perilaku kunjungan ke posyandu pada ibu balita di Wilayah Kerja Puskesmas Pancoran Mas Kota Depok tahun 2012. Penelitian ini merupakan penelitian deskriptif dengan desain cross sectional. Dengan sampel 298 ibu balita yang dipilih secara acak di 20 posyandu.Hasil penelitian didapatkan ibu balita yang berperilaku baik berkunjung ke posyandu masih rendah sebanyak 39,9%. Ada 5 variabel yang secara statistik berhubungan dengan perilaku kunjungan ke posyandu yaitu lebih banyak pada ibu yang berpendidikan dibawah SMP, berpengetahuan baik, bersikap positif, memiliki Kartu Menuju Sehat (KMS) serta membutuhkan pelayanan posyandu.Disarankan untuk melakukan dan meningkatkan monitoring upaya promosi kesehatan dengan supervisi langsung ke posyandu dan memberikan penyuluhan kepada masyarakat tentang kegiatan yang ada di Posyandu.

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Posyandu is useful to empower communities and to provide the easiest of obtaining basic health services. The objectives of this study was conducted to determine the related factors with the behavior visits to posyandu on toddlers mothers in the working area of health center Depok Pancoran Mas in 2012. This study was a descriptive with cross sectional design. There were 298 samples of toddlers mothers randomly chosen in 20 posyandu.

The results obtained are wellbehaved toddler mothers as much as 39.9%. There are five variables that were statistically related with the behavior visits to posyandu namely: there were more on educated mothers under Junior School, good knowledge, positive thinking, the ownership of Health Child Card (KMS) and the needs to posyandu.

It is further recommended to perform and improve the monitoring of health promotion efforts with direct supervision to posyandu and provide counseling to the public about the existing activities in posyandu."

"Posyandu adalah salah satu sarana yang dapat mendeteksi secara dini gangguan pertumbuhan dan perkembangan balita. Namun kunjungan ibu yang mempunyai balita ke posyandu di Kota Solok tergolong masih rendah. Tujuan penelitian untuk mengetahui faktor yang berhubungan dengan perilaku ibu dengan kunjungannya ke posyandu di Kota Solok tahun 2011. Desain penelitian adalah cross sectional melalui pendekatan kuantitatif. Populasinya adalah ibu yang mempunyai anak balita 5-59 bulan dengan sampel penelitian berjumlah 126 orang. Analisis menggunakan chisquare. Dari hasil analisis data diperoleh faktor yang berhubungan secara signifikan adalah pendidikan, jumlah anak balita dan kebutuhan akan pelayanan posyandu. Saran mengadakan lomba masak dan balita sehat agar ibu lebih rajin membawa anaknya ke posyandu.

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Posyandu is one of facility which can detect early impairment of growth and development of toddlers. But maternal visit who has a toddler to posyandu in Solok town place in low classified. This study intends to observe factors related to maternal behavior in visiting to posyandu in Solok Town 2011. Study design The is crosssectional by quantitative approach. Maternal who have young children between 5-59 months with samples of research totaling 126 peoples. The analysis Using chisquare. From the analysis of data obtained significantly related factors were education, number of children under five and the need of posyandu. It suggest to carry on cooking and healthy toddlers contest in order that maternal will be more diligent to take their infant to posyandu."

"Posyandu berguna untuk memberdayakan masyarakat dan memberikan kemudahan memperoleh pelayanan kesehatan dasar. Tujuan penelitian ini adalah untuk mengetahui faktor yang berhubungan dengan perilaku kunjungan ke posyandu pada ibu balita di Wilayah Kerja Puskesmas Pancoran Mas Kota Depok tahun 2012. Penelitian ini merupakan penelitian deskriptif dengan desain cross sectional. Dengan sampel 298 ibu balita yang dipilih secara acak di 20 posyandu. Hasil penelitian didapatkan ibu balita yang berperilaku baik berkunjung ke posyandu masih rendah sebanyak 39,9%. Ada 5 variabel yang secara statistik berhubungan dengan perilaku kunjungan ke posyandu yaitu lebih banyak pada ibu yang berpendidikan dibawah SMP, berpengetahuan baik, bersikap positif, memiliki Kartu Menuju Sehat (KMS) serta membutuhkan pelayanan posyandu. Disarankan untuk melakukan dan meningkatkan monitoring upaya promosi kesehatan dengan supervisi langsung ke posyandu dan memberikan penyuluhan kepada masyarakat tentang kegiatan yang ada di Posyandu.

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Posyandu is useful to empower communities and to provide the easiest of obtaining basic health services. The objectives of this study was conducted to determine the related factors with the behavior visits to posyandu on toddlers mothers in the working area of health center Depok Pancoran Mas in 2012. This study was a descriptive with cross sectional design. There were 298 samples of toddlers mothers randomly chosen in 20 posyandu. The results obtained are wellbehaved toddler mothers as much as 39.9%. There are five variables that were statistically related with the behavior visits to posyandu namely: there were more on educated mothers under Junior School, good knowledge, positive thinking, the ownership of Health Child Card (KMS) and the needs to posyandu. It is further recommended to perform and improve the monitoring of health promotion efforts with direct supervision to posyandu and provide counseling to the public about the existing activities in posyandu."

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Rendahnya pengetahuan keluarga dan tidak adanya pengawasan dari petugas kesehatan pasca rawat inap, dapat menyebabkan anak mengalami berbagai masalah kesehatan dan berisiko untuk rawat ulang. Tujuan penelitian ini adalah  terbentuknya model asuhan keperawatan mandiri keluarga dengan anak balita pneumonia (ASTANIA) dan pengaruhnya terhadap  kemandirian keluarga dalam merawat anak balita dengan pneumonia. Penelitian ini menggunakan metode kualitatif dan kuantitatif melalui tiga tahapan; Tahap I yaitu mengidentifikasi kebutuhan keluarga dengan balita pneumonia melalui wawancara mendalam terhadap 10 orangtua anak dengan pneumonia yang dirawat di rumah sakit, data dianalisis secara tematik; Tahap II yaitu pengembangan model asuhan keperawatan mandiri keluarga dengan balita pneumonia berdasarkan hasil penelitian tahap I; Tahap III yaitu uji coba model ASTANIA, dengan metode quasi eksperimen pre-post test with control group terhadap 38 responden kelompok intervensi dan 38 responden kelompok kontrol. Hasil analisis data membuktikan bahwa setelah dilakukan intervensi selama tiga  bulan terjadi peningkatan perilaku (pengetahuan, persepsi dan keterampilan) dan kemandirian keluarga dalam merawat balita dengan pneumonia. Kesimpulan: Model ASTANIA berpengaruh pada perilaku dan tingkat kemandirian keluarga dengan balita pneumonia. Rekomendasi: perlunya  pelatihan bagi perawat di rumah sakit tentang perencanaan pulang yang terstruktur dan komprehensif khususnya pada balita dengan pneumonia dan perlunya komitmen perawat kesehatan masyarakat dalam memantau kesehatan balita pasca rawat melalui kunjungan rumah secara terjadwal untuk meningkatkan kemandirian keluarga dan mencegah terjadinya kekambuhan.

 

Kata Kunci: ASTANIA; Kemandirian keluarga; Anak dengan pneumonia; Perkesmas.

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Low family knowledge and lack of supervision from post-hospitalized health workers, can cause children to experience various health problems and in risk for re-admission. The purpose of this study is the establishment of a model of family independent care for children under five with pneumonia (ASTANIA) and its effect on family independence in caring for children under five with pneumonia. This research uses qualitative and quantitative methods through three stages; Phase I is identifying family needs of children with pneumonia through in-depth interviews with 10 parents of children with pneumonia who were hospitalized, the data were analyzed thematically; Phase II, namely the development of a model of family independent nursing care for children under five with pneumonia based on the results of the Phase I research; Phase III is the ASTANIA model trial, with a quasi-experimental method pre-post test with control group of 38 respondents in the intervention group and 38 respondents in the control group. The results of data analysis prove that after three months of intervention there has been an increase in behavior (knowledge, perception and skills) and family independence in caring for infants with pneumonia. Conclusion: The ASTANIA model influences the behavior and level of independence of families with children with pneumonia. Recommendations: the need for training for nurses in hospitals on structured and comprehensive discharge planning especially for children under five years with pneumonia and the need for community health nurse commitments in monitoring post-hospitalized chilcren health through scheduled home visits to increase family independence and prevent recurrence.

 

Keywords: ASTANIA; Family independence; Children with pneumonia; Public Relations.

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"Posyandu merupakan salah satu tempat yang digunakan untuk memberikan pelayanan tumbuh kembang pada balita dimana cakupan penimbangan balita di posyandu (D/S) merupakan indikator cakupan pelayanan gizi pada balita, cakupan pelayanan kesehatan dasar khususnya imunisasi serta prevalensi gizi kurang. Pemantauan pertumbuhan dan perkembangan balita secara berkesinambungan dapat menurunkan prevalensi angka gizi kurang bahkan gizi buruk. Selain itu, melalui posyandu dapat diketahui ada tidaknya gangguan pemenuhan kebutuhan gizi secara lebih dini. Puskesmas Kemiri Muka cakupan D/S 78,9% sudah mencapai target Depkes dalam RAPGM (Rencana Aksi Pembangunan Gizi Masyarakat) 2010-2014 sebesar 75% tahun 2012.Penelitian ini bertujuan untuk mengetahui faktor apa saja yang berhubungan dengan perilaku kunjungan ibu bayi dan balita berkunjung ke posyandu di Puskesmas Kemiri Muka Kota Depok tahun 2012. Desain yang digunakan adalah cross sectional, jumlah sampel 242, pengambilan sampel secara cluster sampling design. Sumber data primer menggunakan kuisioner dan dianalisis menggunakan Chi Square. Didapat hasil hubungan yang bermakna Sikap, kepemilikan buku KIA dan Bimbingan petugas kesehatan dengan perilaku kunjungan ke posyandu, diperlukan bimbingan petugas kesehatan dan kader dalam meningkatkan cakupan kunjungan balita ke posyandu.

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IHC is one of the places that used to serve the growth and development in infants weighing under five years old child, in which the coverage IHC (D / S) is an indicator of nutritional care coverage in young children, basic health care coverage especially immunization and the prevalence of undernourishment. Monitoring growth and sustainable early childhood development can reduce the prevalence rate of undernutrition even malnutrition. In addition, it can be seen through IHC interference nutritional needs early. Kemiri Muka Public Health Center range D / S 78.9% is getting the goal of RAPGM (Nutrition Action Plan for Community Development) 2010-2014 by 75% in 2012.

The aim of this study is to determine of related factors to the behavior of mothers of infants and toddlers visit to IHC in Kemiri Muka Public Health Center Depok City in 2012. The design was cross sectional, the total numbers were 242 samples, sampling by cluster sampling design. Primary data sources were the questionnaire and Chi Square analyzed. Results obtained in a significance association: attitude, ownership KIA books and Guidance health workers to conduct visit to IHC, needed guidance and cadres of health workers in improving the coverage of the visit to the IHC toddlers."

"Pos Pelayanan Terpadu (Posyandu) adalah salah satu sarana pemantauan pertumbuhan dan perkembangan balita yang sangat penting dan memiliki peran strategis dalam upaya pembentukan generasi penerus yang sehat, cerdas, dan berkualitas. Namun pemanfaatannya oleh ibu balita di wilayah kerja Puskesmas Maek masih jauh dari yang diharapkan, dimana cakupan D/S Puskesmas Maek hanya sebesar 62,6%. Angka ini masih jauh dibawah target Ditjen Bina Gizi dan KIA Kemenkes RI yaitu sebesar 85%. Tujuan penelitian ini adalah adalah untuk mengetahui faktor-faktor yang berhubungan dengan perilaku pemanfaatan posyandu oleh ibu balita di wilayah kerja Puskesmas Maek, Kabupaten Lima Puluh Kota tahun 2012. Penelitian ini merupakan penelitian deskriptif dengan desain cross sectional. Populasinya adalah ibu balita yang mempunyai anak umur 4-59 bulan dengan sampel berjumlah 100 orang. Analisis menggunakan chisquare. Hasil penelitian diperoleh ibu balita yang mempunyai perilaku baik dalam pemanfaatan posyandu adalah sebesar 41%. Dari hasil analisis data diperoleh faktor yang berhubungan secara bermakna dengan perilaku pemanfaatan posyandu oleh ibu balita adalah umur ibu (p=0,001), pekerjaan ibu (p=0,023), umur balita (p=0,000), urutan kelahiran balita (p=0,006) dan kepemilikan KMS (p=0.001). Disarankan agar semua pihak baik dari unsur kesehatan, kader, tokoh masyarakat maupun masyarakat sendiri bahu membahu dalam menggerakkan posyandu.

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Integrated Service Post (Posyandu) is one of growth monitoring facilities and development of toddler is very important and has a strategic role in efforts to establish the next generation of healthy, intelligent, and quality. However, its utilization by mother of toddler in the working area of Community Health Center of Maek is still far from the expected, where the coverage of D/S CHC Of Maek only by 62,6%. This figure is still far below the target of Ditjen Gizi and KIA Kemenkes RI which is 85%.

The purpose of this study was to determine the factors associated with utilization behavior of integrated service post (posyandu) by mother who has toddler in the working area of Communitity Health Center of Maek, District of Lima Puluh Kota in 2012. This research is a descriptive study with cross sectional design. Population is the mother who has children aged 4-59 months with totaling sample of 100 people. The analysis using the chi-square.

The results of research obtained that mother toddler who have good behavior in utilization of integrated service post is 41%. From the analysis of data obtained factors significantly associated with utilization behavior of integrated service post (posyandu) by mother who has toddler is the mother's age (p=0,001), occupation (p=0.023), age toddlers (p=0,000), toddlers birth order (p=0,006) and ownership of KMS (p=0,001). It is recommended that all sector, both of the elements of health, cadre of health, community leaders and communities themselves to work together in improve performance the integrated service post."

"Desa Tenjo merupakan wilayah dengan cakupan balita yang ditimbang sebesar 71,2% dari jumlah target sebesar 87%. Kunjungan ibu balita ke Posyandu didasari niat ibu yang hanya mau datang saat imunisasi dan jika ada pemberian Vitamin A. Tujuan penelitian ini untuk melihat gambaran sikap, norma subjektif, persepsi kontrol diri, niat dan kunjungan ibu balita ke Posyandu. Metode penelitian ini kuantitatif yang bersifat deskriptif dengan desain cross sectional. Teknik pengumpulan data yang digunakan wawancara terstruktur menggunakan kuesioner dengan jumlah sampel sebanyak 90 ibu balita. Hasil penelitian menunjukkan kunjungan ibu mencapai 71,1% ibu balita, 60% ibu balita memiliki sikap positif terhadap Posyandu, sebesar 58,9% ibu balita masih memiliki dorongan yang lemah dari orang-orang terdekat untuk datang ke Posyandu, sebesar 76,7% ibu balita masih memiliki persepsi kontrol diri yang rendah tentang Posyandu dan sebesar 96,7% ibu balita memiliki niat untuk memanfaatkan layanan Posyandu. Perlu dilakukan penyuluhan kepada ibu balita dan keluarga mengenai layanan Posyandu dan manfaatnya serta pelatihan kader mengenai Posyandu dan pemberian layanan Posyandu yang lengkap.

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Tenjo Village is a region with toddler coverage which is weighed at 71.2% of the target amount of 87%. The visit of every toddlers mother to a Posyandu Pusat Pelayanan Terpadu or Maternal and Child Health Services) is based on the intention of the mother who only wants to come only if there is any immunization and if there is Vitamin A given to her child. The purpose of this study is to see an overview of attitudes, subjective norms, perceived behavioral control, intention and visit of a toddler mother to Posyandu. This research method is quantitative descriptive with a cross sectional design. Data collection techniques used in structured interviews using a questionnaire with a total sample of 90 mothers of children under five.

The results of the study showed that mothers visits reached 71.1% of mothers of toddler, 60% of mothers of toddler had a positive attitude towards Posyandu, 58.9% of mothers of toddler still had weak encouragement from the closest people to come to Posyandu, 76.7% mothers of children under five still have a low perceived behavioral control about Posyandu and 96.7% of mothers of children under five have the intention to use Posyandu services. It is necessary to educate toddlers and families about Posyandu services and their benefits and human resources training on Posyandu, and also providing complete Posyandu services."

"Cakupan ASI Eksklusif di Puskesmas Bulili hanya berkisar 37,7%. Ini sangat jauh dari terget SPM 80%. Rendahnya cakupan ASI Eksklusif akan memberi dampak pada peningkatan AKB. Penelitian ini bertujuan untuk mengetahui perilaku pemberian ASI Eksklusif dan determinannya di wilayah kerja Puskesmas Bulili. Penelitian menggunakan desain cross sectional, pengumpulan data melalui pengisian kuisioner online pada 111 ibu yang memiliki bayi berusia 6-24 bulan di wilayah kerja Puskesmas Bulili. Hasil penelitian menunjukkan 40,5% ibu yang memberikan ASI Eksklusif. Pengetahuan, sikap, dukungan suami, dukungan mertua, dan dukungan kader kesehatan berhubungan dengan pemberian ASI Eksklusif. Dukungan suami merupakan faktor yang paling dominan berhubungan dengan perilaku pemberian ASI Eksklusif.

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Exclusive breastfeeding coverage in Bulili Health Center is only around 37,7%, very far from the target of SPM 80%. The low coverage of exclusive breastfeeding will have an impact on increasing IMR. The aim of this study is to investigate the exclusive breastfeeding practices and its determinant in working area of Bulili Health Center in Palu City. Cross sectional design, and self-administered online questionnaire on 111 mothers who have babies aged 6-24 months in working area of Bulili Health Center. The results showed that exclusive breastfeeding mothers was 40,5%. Knowledge, attitude, husband's support, in-laws' support, and health cadre's support are related to exclusive breastfeeding. Husband's support was a dominant factor associated with exclusive breastfeeding practices."

"Hasil pembangunan kesehatan adalah meningkatuya umur harapan hidup, sehingga terjadi peningkatan jumlah lansia di Indonesia dengan berbegai masalah kesehatannya. Untuk mengatasi masalah tersebut maka dilakukanlah suatu upaya dalam bentuk kegiatan posyandu lansia yang bertujuan agar pra lansia (45-59 tahun) dan lansia kegiatan sosial secara rutin. Angka pemanfaatan Posyandu Lansia di Wliayah Kerja Puskesmas Naras Kola Pariaman masih sangat rendah yaitu 13,23% pada talmn 2007, angka ini masih jauh dari SPM yaitu 40"/o. Penelitian ini bertujuan unlnk mendapatkan informasi yang mendalam tentang posyandu lansia karena ketidalctahuan terhadap kegiatan posyandu lansia dan adanya pengaruh keluarga yang sangat kuat dalam memanfaatkan pengobatan tradisional. Mengatasi masalah tersebut maka perlu adanya penyuluhan tentang posyandu lansia secara intensif dengan langkah-langkah sebagai berikut: advokasi kepeda Dinas Kesehatan Kota Pariaman untuk mendapatkan dukuagan dana sosialisasi posyandu untuk perbaikan alat kesehatan dan pengadaan Kartu Menuju Sehat (KMS) lansia, meningkatkan sosialisasi posyandu lansia melalui pelatihan petugas pembina wilayah dan kader, penyuluhan melalui media lokal serta meningkatkan komitmen Puskesmas Naras dalam memberikan pelayanan di posyandu lansia dengan menamhah petugas kesebatan posyandu lansia di daerah pegunungan, melakukan perneriksaao laberatorium saderhana dan mendatangkan petugas PKM dalam sadap kegiatan posyandu lansia serta melakukan senam lansia secara rutin.

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As the consequence of the result of health development is the increase of life expectacy age that leads to the increase in the number of the elderly people in Indonesia including its health problem. In order to overcome the problem, an effort is conducted in the form of activities of the integrated health posts (posyandu) for the elderly that aims to make the pre elderly people (aged 45-59) aod elderly people (aged'?:60) become healthy and self reliant by conducting their health examination and social activities regularly. The number of utilization of the integrated health posts for the elderly in the working area of Naras Health Center of Pariaman City was still low (13.23%) in 2007. The number was lower than Minimal Service Staodard (SPM), that was 40%.

The study aimed to obtain the information of the utilization of the integrated health posts for the elderly and factors supported and delayed in utilizing the integrated health posts for the elderly in the working area of Naras Health Center of Pariaman City.

To overcome the problems mentioned above, it is needed a elucidation (communication, information, and education) about the integrated health posts fur the elderly intensively with following steps: advocacy towards the Health Office of Pariaman City to get the financial support of socialization of the integrated health posts to repair the medical appliances and to procure the health monitoring card (KMS) for the elderly, to maintain the socialization of the integrated health posts for the elderly through training for regional assistance staffs and health volunteers, to run the elucidation through local media and to maintain the commitment of Naras Health Center in providing the service in the integrated health posts for elderly by adding health staffs at mountain area, to conduct the simple laboratorium test, and to make the health center staffs attended in every activity conducted in the integrated health posts, as well as to conduct the exercise for elderly regularly."