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Tingkat Pengetahuan Dan Perilaku Pencegahan Wisatawan Terhadap Penyakit Rabies Di Ubud Sebagai Daerah Tujuan Wisata Di BALI Purnawan, I Nyoman
Community Health Vol 1 No 2
Publisher : Community Health

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Penyakit rabies merupakan salah satu penyebab kematian di dunia. Oleh karena itu rabies merupakan masalah kesehatan global. Di Kecamatan Ubud, kasus Gigitan Hewan Penular Rabies (GHPR) pada tahun 2012 meningkat dua kali dibandingkan tahun sebelumnya dengan jumlah rata-rata kasus tertinggi kedua di Kabupaten Gianyar. Kasus GHPR di Ubud tidak hanya menimpa masyarakat setempat melainkan pada sebagian wisatawan yang menginap dan berlibur di Ubud. Jika masalah ini tidak ditangani akan berpengaruh langsung kepada penurunan industri pariwisata di Ubud. Penelitian ini bertujuan untuk mendapatkan gambaran tentang tingkat pengetahuan dan perilaku pencegahan wisatawan terhadap penyakit rabies di Ubud sebagai daerah tujuan wisata di Bali. Penelitian ini merupakan penelitian deskriptif dengan rancangan crossectional. Sampel penelitian ini adalah 96 wisatawan yang menginap dan berlibur di ubud baik wisatawan domestik maupun internasional. Data dikumpulkan melalui wawancara dengan kuesioner dan pengukuran kemudian dianalisis secara deskriptif dan uji bivariat (Chi-square) dengan tingkat kemaknaan 5%. Hasil penelitian ini menunjukan sebagian besar wisatawan sudah memiliki pengetahuan yang tinggi terhadap rabies yaitu sebanyak 65.6% dan yang memiliki pengetahuan rendah sebanyak 34.4%. Sama halnya dengan pengetahuan, perilaku pencegahan wisatawan sebagian besar tergolong baik yaitu sebanyak 72.9%. Penelitian ini juga menunjukan adanya hubungan bermakna antara tingkat pengetahuan terhadap perilaku pencegahan penyakit rabies pada wisatawan yang menginap dan berlibur di ubud (OR = 3.132, p = 0.014, CI 95% = 1.231 – 7.967). Disarankan kepada pemerintah dan instansi terkait untuk mengadakan perbaikan kebijakan guna meningkatkan pengetahuan masyarakat kaitanya dengan perubahan perilaku kesehatan dalam hal penggunaan media informasi untuk mensosialisasikan bahaya rabies kepada masyarakat khususnya penggunaan media elektronik.

PKM Covid-19 Health Protocol Training for Homestay Managers in Ubud Tourism Area, Ubud District, Gianyar Regency, Bali Province I Nyoman Purnawan; Ni Luh Christine Prawita Sari Suyasa
Jurnal SOLMA Vol. 10 No. 3 (2021)
Publisher : Universitas Muhammadiyah Prof. DR. Hamka (UHAMKA Press)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/solma.v10i3.8056

Background: Ubud Homestay Association (UHSA) adalah salah satu asosiasi pengelola homestay di Kawasan Wisata Ubud, Gianyar. Dalam pengendalian penyebaran Covid-19 di kawasan wisata, UHSA sudah menerapkan program Clean, Health, Safety & Environment (CHSE), namun dari hasil verifikasi yang dilakukan Dinas Pariwisata Kabupaten Gianyar menunjukan data yang kurang memuaskan sehingga perlu untuk difasilitasi dalam bentuk kegiatan pengabdian masyarakat. Metode: Kegiatan ini dilakukan dengan pemberian penyuluhan kesehatan tentang Covid-19, pendampingan dan simulasi manajemen pelayanan tamu di masa pandemi, serta pengadaan sarana pendukung prokes Covid-19. Hasil: Dari 20 pengelola homestay yang terdaftar sebagai anggota UHSA, ditemukan hanya 8 (40%) memiliki pengetahuan tinggi terkait Covid-19, 5 (25%) pengelola yang sudah menerapkan prokes Covid-19 dalam pelayanan tamu serta hanya 6 (30%) menyediakan sarana pendukung prokes Covid-19. Setelah kegiatan ini dilaksanakan yaitu terjadi peningkatan pengetahuan tentang Covid-19 sebesar 90%, terjadi peningkatan manajemen pelayanan tamu di masa pandemi sebesar 90% dan terjadi peningkatan penyediaan sarana pendukung prokes sebesar 100%. Kesimpulan: Dapat disimpulkan bahwa terjadi peningkatan yang signifikan pada indikator CHSE yaitu pengetahuan pengelola, pelayanan tamu di masa pandemi dan kelengkapan sarana pendukung prokes Covid-19. Dengan peningkatan indikator CHSE tersebut diharapkan dapat mencegah penyebaran Covid-19 di kawasan wisata khususnya pada tempat menginap seperti homestay

EVALUASI SURVEILANS COVID-19 DI PUSKESMAS BULELENG I KABUPATEN BULELENG Ni Luh Putu Seri Wardani; I Nyoman Purnawan; Made Nyandra
J-KESMAS: Jurnal Kesehatan Masyarakat Vol 7, No 2 (2021): J-KESMAS Volume 7, Nomor 2, Nopember 2021
Publisher : Lembaga Penelitian dan Pengabdian Masyarakat Universitas Al Asyariah Mandar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35329/jkesmas.v7i2.2321

This research has the aim to evaluate aspects of COVID-19 surveillance input in Buleleng Health Center I. The research design used is descriptive research with qualitative approach. Data collection techniques used are in-depth interview techniques with research informants as many as 5 people with purposive sampling techniques and data retrieval techniques using structured interviews, documentation studies and observations. The conclusion of this study is that man is not in accordance with the guidelines; methode in accordance with the guidelines is the availability of guidelines for prevention and prevention of COVID-19 Disease Rev.5; the allocation of funds has not been in accordance with the guidelines because the amount of funds available does not match the increase in cases that occur but the source of funds is appropriate; facilities and infrastructure are only problems of the internet network that have not been in accordance with the guidelines

Indeks Risiko Sanitasi Desa Wanasari, Kecamatan Tabanan, Kabupaten Tabanan Ni Ketut Sri Lestari; Ni Putu Widya Astuti; I Nyoman Purnawan
Jurnal Teknologi dan Manajemen Vol 3, No 2 (2022)
Publisher : Lembaga Penelitian dan Pengabdian kepada Masyarakat ITATS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31284/j.jtm.2022.v3i2.3381

Environmental Health Risk Assessment (EHRA) is a study to understand the condition of sanitation facilities and behaviors that pose a risk to public health. Wanasari Village is one of the tourist destinations that can have a very complex impact, especially on aspects of environmental health. The purpose of this study was to obtain representative data on the sanitation facilities condition and community behavior in Wanasari Village which are at risk for environmental health. This study uses a stratified random sampling technique with the sample in Wanasari Village as a target study area. The households visited in each Banjar were randomly selected and then interviewed according to the available questionnaires and continued to the next sample until 100 respondents were found for 5 Banjars which were then analyzed. The condition of the facilities and the behavior of the community based on the results of the questionnaire stated that the inadequate facilities were facilities for domestic wastewater and problems with stagnant water. Results of the sanitation analysis risk index with high risk are found in Banjar Wanasari Baleran and moderate risk in Banjar Periyukti with the main problems in domestic wastewater and stagnant water. Banjar Abianlalang, Banjar Wanasari Belodan, and Banjar Wanasari Tengah with the main problems in solid waste, domestic wastewater, and stagnant water are included in the category of less risky areas.

A Digital Therapeutic Communication Model to Improve Treatment Compliance of Hypertension Patients at Ubud Health Center 1 Gianyar District, Bali Province I Nyoman Purnawan; Nyoman Suarjana; Ni Made Kurniati
Jurnal EduHealth Vol. 13 No. 02 (2022): Jurnal eduHealth, Periode Oktober - December, 2022
Publisher : Sean Institute

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The main problem in controlling hypertension in Indonesia is low adherence to treatment hypertension patient. An important effort that is currently being done is to change patient behavior to be more compliant with treatment. Factors that influence medication adherence. It is important that it is studied in full, compiled on a strong theoretical basis and proven scientifically empirical. One of the factors that play an important role in increasing success. Treatment is therapeutic communication between health workers and patients. However, during the syndemy (synergy and pandemic) period of covid-19 with restrictions on interaction hinder the process of therapeutic communication so that there is a need for digital transformation. For Therefore, this study aims to assess the factors of medication adherence, compile and prove digital therapeutic communication models can improve adherence to treatment of hypertensive patients at Ubud Health Center 1, Gianyar Regency, Bali Province. Research implementation consists of 3 stages, namely: 1) Research cross-sectional study with a sample size of 390 hypertensive patients selected by simple random sampling. Data collected by interview using structured questionnaires in selected patient homes; 2) Modeling digital therapeutic communication and 3) Proof of models with quasi-experimental designs using a cluster randomized controlled trial design. Structural equation modelling (SEM) was used for factor analysis of medication adherence and the Poisson regression test was used to test and assess the capabilities of digital therapeutic communication models for improve adherence to treatment of hypertensive patients. Factors that are proven to improve adherence to treatment is a type of communicator (β=0.297), content of the message conveyed (β=0.237) and the type of digital media (whatsapp) used (β=0.443). Therapeutic communication model. Digital is proven to increase medication adherence by 4.1 times (95% CI: 0.845-11.557). It can be concluded that therapeutic communication with WhatsApp media is very effective carried out supported by the ability of the communicator and the content of the message conveyed.

Distribution of Cigarette Marketing and Cigarette Advertising Around Schools In Badung Regency Ni Made Kurniati; Ni Putu Widya Astuti; I Nyoman Purnawan
Jurnal EduHealth Vol. 14 No. 01 (2023): Jurnal eduHealth, Periode Januari-Maret, 2023
Publisher : Sean Institute

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Smoking behavior in adolescents is one of the global problems faced by most countries in the world. The prevalence of smoking among youth aged 10-14 years has increased from 9% in 1995 to 17.4% in 2021. This study aims to determine the distribution of marketing of cigarette products and cigarette advertisements around schools in Badung Regency. Schools were targeted for mapping starting from the elementary, middle and high school/vocational school levels. Cigarette traders and advertisements are carried out by applying a Geographic Information System (GIS). The results showed that most of the observed schools had cigarette sellers around the school. In addition, cigarette advertisements in the form of banners can be found attached to shops or stalls near schools. Cigarette sellers and advertisements are mostly found around Junior High Schools (SMP). The closest distance between cigarette sellers and cigarette advertisements found is 100 meters from the school. The high smoking behavior among young people is related to the density of sales (retail) of cigarettes and the proximity of retail to schools or homes. In addition, cigarette sellers also display attractive tobacco promotions (Tobacco advertisements, promotions and sponsorships/TAPS) at points of sale (Point of Sale/PoS), placed specifically at certain locations and times of purchase. This will increase the chances of smoking initiation among adolescents and hinder smoking cessation efforts for active smokers.

PKM PENGEMBANGAN UMKM ATAP ALANG-ALANG DI BANJAR SILUNGAN DESA LODTUNDUH, UBUD, GIANYAR I Nyoman Purnawan; Ni Putu Dyah Krismawintari
Seminar Nasional Aplikasi Iptek (SINAPTEK) Vol 5 (2022): PROSIDING SINAPTEK
Publisher : LPPM Universitas Dhyana Pura

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ABSTRAKDesa Lodtunduh dikenal dengan pusat usaha mikro kecil dan menengah (UMKM) pembuatan atap rumah ramah lingkungan “atap alang-alang” di Bali yang sejak turun temurun sudah memiliki potensi untuk dikembangkan menjadi destinasi wisata alternatif. Namun demikian sampai saat ini, UMKM atap alang-alang belum bisa berkembang dengan baik sehingga perlu adanya pengembangan secara komprehensif. Oleh karena itu, PKM ini akan dilakukan di Banjar Silungan, Desa Lodtunduh, Kecamatan Ubud, Kabupaten Gianyar, Provinsi Bali mengingat 80% masyarakat menggeluti usaha ini. Terdapat dua mitra PKM yaitu Bapak I Putu Kariawan Waisnawa pemilik “lumbung sari alang-alang” dan Bapak I Wayan Mungkreg pemilik “sedana merta alang-alang”. Adapun metode yang ditawarkan dalam proses pengembangan adalah: 1) melengkapi pekerja dengan alat pelindung diri (APD) dan meningkatkan pengetahuan terkait kesehatan kerja, 2) penambahan pekerja yang akan menambah jumlah hasil produksi, 3) pemasaran secara online dengan website dan offline berupa leaflet serta media cetak lainnya dan mengikutsertakan mitra dalam event UMKM, 4) manajemen keuangan secara komputerisasi, sehingga dapat mengetahui keuntungan, kerugian, dan atau omset usaha, 5) manajemen pengelolaan sampah hasil produksi yang ramah lingkungan. Hasil yang didapat dari kegiatan PKM ini yaitu: 1) 100% terjaminnya kesehatan dan keselamatan pekerja, 2) peningkatan 50% jumlah pekerja, 3) implementasi pemasaran secara offline dan online oleh mitra, 4) implementasi manajemen keuangan secara komputerisasi oleh mitra, 5) implementasi pengelolaan sampah hasil produksi yang ramah lingkungan. Disimpulkan bahwa terdapat perubahan yang siginifikan pada pengembangan aspek kesehatan dan keamanan pekerja serta manajemen keuangan dan pemasaran hasil UMKM atap alang-alang.Kata kunci: Atap alang-alang; Pengembangan UMKM; Kesehatan; Pemasaran dan Manajamen Keuangan; Bali

KEPATUHAN BEROBAT PENDERITA HIPERTENSI DI WILAYAH KERJA PUSKESMAS PAYANGAN KABUPATEN GIANYAR I Nyoman Purnawan
Jurnal Kesehatan Terpadu Vol 3, No 1 (2019): Jurnal Kesehatan Terpadu
Publisher : LPPM Universitas Dhyana Pura

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ABSTRAKKepatuhan terhadap pengobatan merupakan salah satu faktor yang menentukan keberhasilan terapi penderita hipertensi. Penelitian ini bertujuan untuk mengidentifikasi tingkat kepatuhan dan menganalisis faktor yang berhubungan. Penelitian ini merupakan penelitian kuantitatif dengan rancangan cross-sectional yang dilaksanakan di wilayah kerja Puskesmas Payangan, Gianyar-Bali pada bulan Mei-Juni 2015. Populasi adalah seluruh penderita hipertensi yang tercatat dalam data rekam medis di Puskesmas Payangan. Prosedur pemilihan sampel menggunakan teknik simple random sampling. Data dikumpulkan dengan melakukan wawancara menggunakan kuesioner di rumah penderita hipertensi. Pengukuran kepatuhan dilakukan dengan menggunakan kuesioner MMAS-8 (Morisky Medication Adherence Scale-8). Faktor predisposisi,faktor pemungkin dan faktor penguat dianalisis sebagai faktor yang berhubungan dengan kepatuhan menggunakan uji Chi-square dan regresi logistik. Hasil penelitian menunjukkan dari total 242 responden yang dilibatkan dalam penelitian diketahui bahwa 41,32% patuh dan 58,68% tidak patuh melakukan pengobatan. Terdapat hubungan bermakna antara komorbiditas (p=0,007) dan ketersediaan obat (p=0,045) dengan kepatuhan berobat. Berdasarkan analisis regresi logistik diketahui bahwa komorbiditas merupakan variabel yang paling dominan berhubungan dengan kepatuhan berobat (p=0,006, OR=3,943, CI 95%=1,470-10,575). Kesimpulan dari penelitian ini adalah kepatuhan berobat pasien hipertensi masih rendah. Untuk memaksimalkan kepatuhan, perlu meningkatkan interaksi profesional kesehatan diantara pasien tanpa komorbiditas.Kata Kunci: kepatuhan berobat, hipertensi, MMAS-8, Puskesmas, Payangan, BaliABSTRACTFor patients with hypertension, adherence to treatment is one of the factors that determines the success of therapy. A survey was conducted to identify adherence patterns and explore predisposing, enabling and amplifying factors that associated with adherence to treatment among hypertensive patients. A cross-sectional study was conducted among hypertensive patients registered in Payangan village health center medical records. Respondents were selected using simple random sampling from the register. Data were collected in May-June 2015 through interviews at patient homes. Adherence to treatment was measured using MMAS-8 (Morisky Medication Adherence Scale) containing 8 questions. Sociodemographic factors, knowledge, comorbidities, family history of hypertension and attitude to treatment were predisposing factors explored. Availability of drugs, accessibility of drug, perception of distance, availability of transportation, ease of drug consumption were enabling factors explored. Family support, health worker support, health insurance, exposure to health information were reinforcing factors explored. We constructed a Chi-square test and logistic regression model to explore as factors associated with adherence. Results of 242 respondents, 41.32% were adherent and 58.68% were non-adherent to treatment. Factors included having comorbidities (p value=0.007) and availability of drugs (p value=0.045) have a associate with adherence. Using a logistic regression model, comorbidities have most dominant to associated with adherence to treatment (p value=0.006, OR=3.943, CI 95%=1.470-10.575). Adherence to treatment is low among hypertensive patients. The existence of comorbidities associated with adherence to treatment. To maximize likelihood of adherence, need to improve the health professional interaction among non-comorbidities patients.Keywords: adherence to treatment, hypertension, MMAS-8, healthcare center, Payangan, Bali

Faktor-Faktor yang Berhubungan dengan Partisipasi Kepesertaan Prolanis di Wilayah Kerja UPT Puskesmas II Denpasar Barat Yohanes M. V. Gonzaga Dalung; I Nyoman Purnawan; Ni Luh Gede Ari Natalia
JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI) Vol 1, No 2 (2022): JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI)
Publisher : LPPM Universitas Dhyana Pura

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Abstrak Penelitian ini adalah penelitian kuantitatif dengan rancangan penelitian menggunakan cross section dan diteliti di UPT Puskesmas II Denpasar Barat. Tehnik pengambilan sampel menggunakan Technik probability random sampling. Teknik analisis data menggunakan Analisis Univariat dan Analisis Bivariat. Uji statistic menggunakan rumus Chi- Square. Hasil uji statistik Chi Square pada tingkat pengetahuan, Sarina dan prasarana, dukungan petugas kesehatan menunjukan (???? value > 0.05) maka dapat di simpulkan bahwa tidak ada hubunngan antara tingkat pengetahuan, Sarina dan Prasarana, Dukungan petugas kesehatan dan jarak tempeh terhadap partisipasi prolanis. Hail uji pada sikap Dan dukungan keluarga menunjukan (???? value < 0.05) maka dapat di simpulkan bahwa ada hubungan Antara sikap terhadap partisipasi peserta prolanis di daerah kerja UPT Puskesmas II Denpasar Barat. Dari data yang diperoleh dilapangan dapat peneliti simpulkan bahwa Tidak ada hubungan antara tingkat pengetahuan,sarana dan prasarana, dukungan petugas kesehatan, dan jarak tempuh terhadap partisipasi peserta prolanis di Daerah kerja UPT Puskesmas II Denpasar Barat karena nilai p > 0.05. Ada keterkaitan antara sikap dan dukungan keluarga terhadap partisipasi peserta prolanis di wilayah kerja UPT Puskesmas II Denpasar Barat karena nilai p < 0.05.Kata kunci: Faktor-faktor, Partisipasi, Prolanis, Puskesmas II Denpasar Barat Abstract This research is quantitative research with a research design using cross section. This research was conducted at UPT Puskesmas II, West Denpasar. The sampling technique is the probability random sampling technique. The data analysis technique used Univariate Analysis and Bivariate Analysis. The statistical test uses the Chi-Square formula.The statistical test Chi Square on the level of knowledge, facilities and infrastructure, and support from health workers showed (value > 0.05). It can be concluded that there is no relationship between the level of knowledge, facilities and infrastructure, support from health workers, and distance traveled to prolanis participation. The test results on attitudes and family support showed (???? value < 0.05) that there is a relationship between attitudes towards the participation of prolanis participants in the work area of UPT Puskesmas II West Denpasar. Based on the results of the analysis of the data obtained in the field, the authors conclude that there is no relationship between the level of knowledge, facilities and infrastructure, support from health workers, and distance traveled to the participation of prolanis participants in the work area of UPT Puskesmas II West Denpasar because the p value> 0.05. There is a relationship between attitudes and family support for the participation of prolanis participants in the work area of the UPT Puskesmas II West Denpasar because the p value < 0.05.Keywords: Factors, Participations, Prolanis, Puskesmas II West Denpasar

Faktor-Faktor yang Berhubungan dengan Partisipasi Kepesertaan Prolanis di Wilayah Kerja UPT Puskesmas II Denpasar Barat Yohanes M. V. Gonzaga Dalung; I Nyoman Purnawan; Ni Luh Gede Ari Natalia
JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI) Vol. 1 No. 2 (2022): JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI)
Publisher : LPPM Universitas Dhyana Pura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36002/js.v1i2.2336

Abstrak Penelitian ini adalah penelitian kuantitatif dengan rancangan penelitian menggunakan cross section dan diteliti di UPT Puskesmas II Denpasar Barat. Tehnik pengambilan sampel menggunakan Technik probability random sampling. Teknik analisis data menggunakan Analisis Univariat dan Analisis Bivariat. Uji statistic menggunakan rumus Chi- Square. Hasil uji statistik Chi Square pada tingkat pengetahuan, Sarina dan prasarana, dukungan petugas kesehatan menunjukan (???? value > 0.05) maka dapat di simpulkan bahwa tidak ada hubunngan antara tingkat pengetahuan, Sarina dan Prasarana, Dukungan petugas kesehatan dan jarak tempeh terhadap partisipasi prolanis. Hail uji pada sikap Dan dukungan keluarga menunjukan (???? value < 0.05) maka dapat di simpulkan bahwa ada hubungan Antara sikap terhadap partisipasi peserta prolanis di daerah kerja UPT Puskesmas II Denpasar Barat. Dari data yang diperoleh dilapangan dapat peneliti simpulkan bahwa Tidak ada hubungan antara tingkat pengetahuan,sarana dan prasarana, dukungan petugas kesehatan, dan jarak tempuh terhadap partisipasi peserta prolanis di Daerah kerja UPT Puskesmas II Denpasar Barat karena nilai p > 0.05. Ada keterkaitan antara sikap dan dukungan keluarga terhadap partisipasi peserta prolanis di wilayah kerja UPT Puskesmas II Denpasar Barat karena nilai p < 0.05.Kata kunci: Faktor-faktor, Partisipasi, Prolanis, Puskesmas II Denpasar Barat Abstract This research is quantitative research with a research design using cross section. This research was conducted at UPT Puskesmas II, West Denpasar. The sampling technique is the probability random sampling technique. The data analysis technique used Univariate Analysis and Bivariate Analysis. The statistical test uses the Chi-Square formula.The statistical test Chi Square on the level of knowledge, facilities and infrastructure, and support from health workers showed (value > 0.05). It can be concluded that there is no relationship between the level of knowledge, facilities and infrastructure, support from health workers, and distance traveled to prolanis participation. The test results on attitudes and family support showed (???? value < 0.05) that there is a relationship between attitudes towards the participation of prolanis participants in the work area of UPT Puskesmas II West Denpasar. Based on the results of the analysis of the data obtained in the field, the authors conclude that there is no relationship between the level of knowledge, facilities and infrastructure, support from health workers, and distance traveled to the participation of prolanis participants in the work area of UPT Puskesmas II West Denpasar because the p value> 0.05. There is a relationship between attitudes and family support for the participation of prolanis participants in the work area of the UPT Puskesmas II West Denpasar because the p value < 0.05.Keywords: Factors, Participations, Prolanis, Puskesmas II West Denpasar

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