C. Christine, Cut Meliza Zainumi, Tasrif Hamdi, Husnul Fuad Albar
{"title":"Hubungan Kecemasan pada Visit Pre-Anestesi dengan Tekanan Darah sebelum Tindakan Anestesi di Rumah Sakit Universitas Sumatera Utara","authors":"C. Christine, Cut Meliza Zainumi, Tasrif Hamdi, Husnul Fuad Albar","doi":"10.25077/jka.v10i3.1860","DOIUrl":"https://doi.org/10.25077/jka.v10i3.1860","url":null,"abstract":"Preoperative anxiety is frequently correlated with anesthesia procedures, resulting in the anesthesiologist being the most suitable person to decrease the patient's anxiety through effective doctor–patient communication during pre–anesthesia visits. During anxiety, one of the body responses is the release of epinephrine to the blood vessel resulting in increased blood pressure. Objectives: To knew the correlation between pre-anesthesia visit anxiety and blood pressure before anesthesia procedure. Methods: This study used a cross-sectional design that was conducted at Universitas Sumatera Utara General Hospital from September until October 2019. The sample was collected by consecutive sampling techniques, which meet inclusion and exclusion criteria. This study used primary data then was analyzed using Fisher’s Exact Test. Results: From 67 patients going through elective surgery, there are 41 patients (61,2%) with mild anxiety, 17 patients (25,4%) with moderate anxiety, and nine people (13,4%) with severe anxiety. There is no significant correlation (p>0,05) between anxiety with sex, types of anesthesia, PS ASA and heart rate. There is a significant correlation (p<0,05) between anxiety with blood pressure and types of surgery. Conclusion: There is a correlation between anxiety during the pre-anesthesia visit with blood pressure before anesthesia procedures.Keywords: anesthesia, anxiety, blood pressure, pre-anesthesia visit","PeriodicalId":30736,"journal":{"name":"Jurnal Kesehatan Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49431562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ahmad Adi Trianto, Hardisman Dasman, Yuniar Lestari
{"title":"Analisis Pencapaian Program Imunisasi Dasar Lengkap Pada Masa Pandemi COVID-19 di Kabupaten Pesisir Selatan 2021","authors":"Ahmad Adi Trianto, Hardisman Dasman, Yuniar Lestari","doi":"10.25077/jka.v10i3.1820","DOIUrl":"https://doi.org/10.25077/jka.v10i3.1820","url":null,"abstract":"Basic complete immunization coverage has decreased during the COVID-19 pandemic in Pesisir Selatan Regency. Objectives: To analyzed related factors of acceptance of basic complete immunization programs during the COVID-19 pandemic in Pesisir Selatan Regency. Methods: This research used qualitative methods with explanative design in three clusters of health center areas with 25 informants. The data were analyzed using the triangulation method through in-depth interviews and Focus Group Discussions (FGD). Results: The complete basic immunization has decreased in coverage during the COVID-19 pandemic because of the implementation of un maximum implementation due to lack of personnel accompanied by limited information media in remote areas causing lack of socialization, budget efficiency and no cooperation in each cluster, perceptions of halalness in rural areas, busyness parents in urban areas, non-compliance with health protocols in rural and remote areas, perceptions of no benefit in urban and remote areas, worry and fear of contamination COVID-19 in each cluster. Conclusion: The diversity of perceptions of each cluster causes a coverage has decreased of complete basic immunization during the COVID-19 pandemic in Pesisir Selatan Regency so that clustering on the implementation of complete basic immunization is needed.Keywords: complete basic immunization, coverage achievements, COVID-19","PeriodicalId":30736,"journal":{"name":"Jurnal Kesehatan Andalas","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69196776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Korelasi Glukosa Kapiler Metode Glucose Dehidrogenase-Nicotinamide Adenine Dinucleotide Dengan Glukosa Serum Metode Heksokinase","authors":"S. Fitria, R. Yaswir, Efrida Efrida","doi":"10.25077/jka.v10i3.1827","DOIUrl":"https://doi.org/10.25077/jka.v10i3.1827","url":null,"abstract":"Rapid and accurate measurement of capillary glucose level using point-of-care testing (POCT) is needed to maintain the patient’s normoglycemic status in obtaining adequate management. The glucose POCT method should be evaluated to determine analytical performance by comparing with the hexokinase method as a reference method to provide accurate and reliable results. Objectives: To determined the correlation between capillary glucose using glucose dehydrogenase-nicotinamide adenine dinucleotide (GDH-NAD) and serum glucose hexokinase methods. Methods: This analytic cross-sectional study on 42 outpatients who underwent fasting blood glucose examination at Dr. M Djamil Padang General Hospital. This study was conducted from February until September 2020. Capillary fasting blood glucose was measured using glucose POCT GDH-NAD method and serum glucose with hexokinase method. The Spearman correlation test was used to analyze data, significant if p<0.05. Results: The subjects were 28 male (66.7%),14 female (33.3%) with mean age and hematocrit level was 56.12±12.97 years and 40.90±2.42%, respectively. The median capillary glucose GDH-NAD method and serum glucose hexokinase method were 100.00 mg/dL each, with a median difference was 3.00 mg/dL. Spearman correlation test showed very strong positive correlation and statistically significant (r=0,961;p=<0,001). Conclusion: Capillary glucose GDH-NAD method had a very strong positive correlation with serum glucose hexokinase method.Keywords: hexokinase, fasting glucose level, GDH-NAD, glucose POCT","PeriodicalId":30736,"journal":{"name":"Jurnal Kesehatan Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45089739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Korelasi Kadar Adiponektin dengan Kadar Kolesterol High Density Lipoprotein pada Penyandang Obes","authors":"Fiona Septi Mulya, E. Efrida, Zelly Dia Rofinda","doi":"10.25077/jka.v10i3.1716","DOIUrl":"https://doi.org/10.25077/jka.v10i3.1716","url":null,"abstract":"Adiponectin and HDL cholesterol have a protective cardiovascular effect. Adiponectin levels decrease in obese people. This causes ATP-binding cassette transporter A1 expression and apolipoprotein A-I synthesis in hepatocytes to decrease, resulting in impaired HDL cholesterol synthesis. Objectives: To determined the correlation between adiponectin levels with HDL cholesterol levels in obese. Methods: This was the analytic study with a cross-sectional design of 59 obese people who met inclusion and exclusion criteria at RSUP dr. M. Djamil Padang, from January to August 2019. Research subjects were grouped into two groups based on WHO Asia Pacific body mass index (BMI) classification. First-degree obesity group (25.0 £ BMI <30.0 kg/m2) and second-degree obesity group (BMI ≥ 30.0kg/ m2). Adiponectin levels were examined by the enzyme-linked immunosorbent assay (ELISA) method and HDL cholesterol levels by the enzymatic colorimetric method. Data analyzed by Pearson correlation test, significant if p <0.05. Results: Research subjects 59 people (17 men, 42 women), average age 35 (8.04) years. Adiponectin levels in the first-degree obesity group were higher than second-degree obesity group, with a mean difference between groups 1.03 μg/mL (CI: 95%: 0.14 - 1.92, p = 0.02). Results showed adiponectin levels positively correlated with HDL cholesterol levels of moderate strength (r = 0.45) and statistically significant (p = <0.001). The results of the population subanalysis show relatively similar patterns. First-degree obesity population (r = 0.55; p = 0.002), second-degree obesity population (r = 0.41; p = 0.026). Conclusions: Adiponectin levels correlate with HDL cholesterol levels.Keywords: adiponectin, HDL cholesterol, obesity","PeriodicalId":30736,"journal":{"name":"Jurnal Kesehatan Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42312179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Malnutrisi Energi Protein Berat: Laporan Kasus","authors":"Peter Prayogo Hsieh, Putri Dariyanti Wijaya, Putri Aziana, Prahara Wahyu Purnomo, Sitti Radhiah","doi":"10.25077/jka.v10i3.1799","DOIUrl":"https://doi.org/10.25077/jka.v10i3.1799","url":null,"abstract":"ABSTRAKLatar Belakang: Malnutrisi pada balita masih merupakan masalah kesehatan di Indonesia dan erat kaitannya dengan perawatan rumah sakit. Laporan kasus ini ditulis untuk memberi gambaran mengenai kasus gizi buruk sehingga semakin ditingkatkannya perhatian terhadap gizi anak oleh para tenaga kesehatan di lapangan.Kasus: Anak perempuan berusia 12 bulan datang dengan keluhan sudah 1 bulan berat badan tidak bertambah dan nafsu makan berkurang. Keluhan disertai batuk dan pilek berulang serta demam. Ayah dan ibu merupakan keluarga dengan perekonomian menengah ke bawah sehingga anak hanya diberi makan seadanya. Pada pemeriksaan fisik, anak sadar, tampak sangat kurus dan sakit sedang, didapatkan berat badan menurut usia, panjang badan menurut usia, berat badan menurut panjang badan di bawah -3 SD grafik pertumbuhan WHO. Pemeriksaan toraks menunjukkan kecurigaan terhadap infeksi pada paru kanan. Hasil laboratorium menunjukkan anemia defisiensi besi dengan peningkatan CRP dan foto toraks memperlihatkan adanya infiltrat pada paru kanan. Anak dirawat di rumah sakit dengan pemberian terapi cairan, antibiotik, dan intervensi diet. Dalam 2 minggu keadaan anak menujukkan perbaikan yang bermakna dan dapat dipulangkan dengan memberi edukasi terkait gizi anak, perilaku hidup bersih dan sehat, serta pentingnya imunisasi.Simpulan: Gizi buruk pada balita harus menjadi perhatian karena 1000 hari pertama kehidupan merupakan periode perkembangan otak yang paling pesat. Pemahaman yang baik oleh tenaga medis di lapangan mengenai gizi anak sangat diperlukan dalam rangka memberi edukasi kepada masyarakat untuk mengurangi angka kejadian gizi buruk pada balita Indonesia.Kata kunci: Gizi buruk, balita, edukasi ABSTRACTIntroduction: Malnutrition in toddlers is still a problem in Indonesia and is related to hospitalization. This case is written to give an overview about severe malnutrition in children so that we, as healthcare workers will be more aware to children’s nutrition.Case: Twelve – month – old baby girl came with chief complaint of difficulty in gaining weight. This complaint was accompanied by reduced appetite and fever with repeated cough and cold. Her parents were from middle – to low – income family so this baby wasn’t fed well. On examination, she looked extremely thin. She was alert with weight – for – age, height – for – age, and weight – for – height <3 Z – score WHO growth chart. Thoracal examinations showed abnormalities on right chest. Laboratory findings showed anemia hypochromic microcytic and increased CRP. Chest radiograph showed infiltrates on right lung. She was hospitalized and treated with fluid therapy, antibiotic, and diet intervention. After 2 weeks, her conditions improved and she was discharged. Her parents were educated about feeding practices in children, hygiene, and the importance of immunization.Conclusion: Malnutrition in toddlers has to be a concern because the first 1000 days are the most dramatic phase of neurobehavioral development","PeriodicalId":30736,"journal":{"name":"Jurnal Kesehatan Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45900853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hubungan Nilai Laju Endap Darah (LED) dengan Kadar C-Reactive Protein (C-RP) pada Pasien Positif Covid-19","authors":"Yumna Tahani Tsamarah, I. Danuyanti, Siti Zaetun","doi":"10.25077/jka.v10i3.1771","DOIUrl":"https://doi.org/10.25077/jka.v10i3.1771","url":null,"abstract":"SARS-CoV-2 infection is a systemic infection that significantly affects hematopoiesis and the patient's immune response. Drastic increase in the production of proinflammatory cytokines like interleukin-6 (IL-6) play a role in mechanism of lymphopenia in COVID-19. Some indicators of inflammation markers include Erythrocyte Sedimentation Rate (ESR) and C-Reactive Protein (CRP). Objectives: To determined the correlation between Erythrocyte sedimentation rate (ESR) and C-Reactive Protein (C-RP) levels in patients with covid-19. Methods: This research was an analytic observational study with a cross-sectional approach. The samples in this research were 10 ESR and 10 CRP data in a patient with positive COVID-19 at the Mataram University Hospital. Results: A minimum value of 0.50 was obtained from 10 samples of CRP examination, while the maximum value was 79.90 with an average value of 32.24 and a standard deviation of 30.36. The Erythrocyte sedimentation rate (ESR) examination obtained a minimum value of 6.00 from 10 samples, while the maximum value was 103.00 with an average value of 53.60 and a standard deviation of 36.40. Conclusion: There is no correlation between the value of Erythrocyte sedimentation rate and C-Reactive Protein levels in patients with Covid-19.Keywords: Covid-19, C-reactive protein, erythrocyte sedimentation rate ","PeriodicalId":30736,"journal":{"name":"Jurnal Kesehatan Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47880746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Randa Fermada, Fauzar Fauzar, Roza Kurniati, I. Wahid
{"title":"Miliary Tuberculosis in Immunocompromised Patient Induced by Imatinib and Steroid","authors":"Randa Fermada, Fauzar Fauzar, Roza Kurniati, I. Wahid","doi":"10.25077/jka.v10i3.1821","DOIUrl":"https://doi.org/10.25077/jka.v10i3.1821","url":null,"abstract":"Miliary tuberculosis occurs due to the hematogenous spread of Mycobacterium Tuberculosis from the primary complex. The use of steroid and cytotoxic drugs increases the incidence of miliary tuberculosis. Typical manifestations of miliary tuberculosis is snowstorm appearance seen on chest x-ray and evidence of tuberculosis microorganism from the microbiological examination. It has been reported a 33 years old male patient was admitted to the hospital due to breathlessness, chronic coughing, fever, anorexia, weight loss and night sweating with a \"damp shadow sign\". Due to chronic myelogenous leukemia and autoimmune hemolytic anemia, the patient is known under imatinib and steroid therapy. There was no specific sign found from the physical examination. Chest x-ray showed snowstorm appearance. The patient underwent GeneXpert MTB/RIF, with the result low MTB detected. The patient was treated with a 2(HRZE)/4(HR) tuberculosis drugs regimen. Imatinib and steroid therapy was discontinued. 2-4 weeks of steroid usage with a daily dose equivalent to prednisone 15 mg increases the risk of activating a latent tuberculosis infection. Imatinib affects the response of T cells to Mycobacterium, thereby triggering tuberculosis reactivation. In this case, the diagnosis has been made from typical manifestations of tuberculosis, snowstorm appearance from the chest x-ray, and low MTB detected from GeneXpert MTB/RIF. It has been recommended to detect latent tuberculosis infection before using steroid and cytotoxic drugs.Keywords: imatinib, miliary tuberculosis, steroid","PeriodicalId":30736,"journal":{"name":"Jurnal Kesehatan Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48789987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sakit Kepala pada Variasi Anatomi Hidung dan Sinus Paranasal","authors":"Tika Hakikah, Dolly Irfandy, Bestari Jaka Budiman","doi":"10.25077/jka.v10i3.1919","DOIUrl":"https://doi.org/10.25077/jka.v10i3.1919","url":null,"abstract":"The anatomical variations of the nasal and sinus paranasal can cause headaches. The most common variants have deviated septum, concha bullosa, and agger nasi cells. These variations can cause narrowing of the osteomeatal complex. Computed tomography was the primary modality for evaluating anatomical variations of the nasal and paranasal sinuses in diagnosis and management. Functional endoscopic sinus surgery was generally performed to restore the sinuses' drainage and ventilation in anatomical variations. It has been reported a 45-year-old woman with a congested left nostril and headache that has gotten worse since 2 months ago and computed tomography of the paranasal sinuses show thickening of the bilateral maxillary sinus mucosa, bilateral anterior ethmoid, left septum deviation, concha bullous, and right inferior turbinate hypertrophy. Functional Endoscopy Sinus Surgery was performed, found anatomical variations namely, deviation septum, concha bullosa, agger nasi cells and supra agger cells. The operation gave satisfactory results. Correct evaluation of anatomical variations based on history, physical examination and investigations can assist in patient management and avoid errors during surgery. The operation gave a satisfactory result for managing symptoms on patient with anatomical variation of nasal and paranasal sinuses when compared with medicamentosa.Keywords: anatomical variations, agger nasi cells , concha bullosa, deviated septum, headache, supra agger cell","PeriodicalId":30736,"journal":{"name":"Jurnal Kesehatan Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47134734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hubungan Titer Widal Dengan Jumlah dan Indeks Trombosit Penderita Demam Tifoid di Puskesmas Wilayah Lombok Barat","authors":"Baiq Larasati Widary, I. Danuyanti, Siti Zaetun","doi":"10.25077/jka.v10i3.1792","DOIUrl":"https://doi.org/10.25077/jka.v10i3.1792","url":null,"abstract":"The diagnosis of typhoid fever can be made by hematological examination and the Widal method. Hematologic change that often occurs in typhoid fever is thrombocytopenia. Platelet function can be observed by examining the platelet index, namely the Mean Platelet Volume (MPV), and Platelet Distribution Width (PDW). The titer on the serological examination of the Widal test is a significant diagnostic for infections caused by the bacterium Salmonella typhi. Objectives: To determine the relationship between the Widal titer and the number and index of platelets in patients with typhoid fever at the West Lombok Health Center. Methods: The research methodology used is an analytic observational method with a cross-sectional approach. This study was conducted from February 2021 to April 2021. The population in this study was all patients who underwent laboratory examinations diagnosed as positive for typhoid fever in the Gunungsari Health Center, West Lombok Regency, with a sample of 24 respondents. Data analysis using Spearman correlation. Results: Statistical test results obtained P≥0.05, namely the titer value against platelets p=0.429, the titer against the MPV platelet index p=1,000, PDW p=0.291. Conclusion: there is no relationship between widal titer to the number of platelets and the platelet index in patients with typhoid fever.Keywords: typhoid fever, platelets, platelet index, widal titer","PeriodicalId":30736,"journal":{"name":"Jurnal Kesehatan Andalas","volume":"47 48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69197229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sikap Ibu Terhadap Pemberian Imunisasi Measles Rubella Secara Tepat Waktu Selama Pandemi Covid-19","authors":"Dianti Oktadevi, Ayun Sriatmi, Wulan Kusumastuti","doi":"10.25077/jka.v10i3.1832","DOIUrl":"https://doi.org/10.25077/jka.v10i3.1832","url":null,"abstract":"The timeliness of Measles-Rubella (MR) immunization is still low among other immunization services for infants, including at the Tempuran Health Center, Magelang Regency. Attitude is something that influences a person's actions. Objectives: To analyzed the mother's attitude towards MR immunization services on time during the covid-19 pandemic in the working area of the Tempuran Health Center, Magelang Regency. Methods: It was quantitative research with a cross-sectional approach. The research population was mothers who have babies aged 9-12 months with a sample of 100 mothers using cluster sampling technique in each village. The research instrument was a questionnaire. The data were analyzed univariately and bivariate with the Chi-square test. Results: The timeliness of MR immunization was still low. 74% of mothers were not punctual in immunizing MR to their children even though most mothers had a good attitude (65%). The Chi-square test showed a relationship between the mother's attitude and timeliness of MR immunization (p=0.004). Conclusion: The mother's attitude was not optimal because there were various problems with the mother's attitude, so it is hoped that the mother will increase knowledge, share experiences with peer groups, and if unable to attend, ask for family assistance, while health center is expected to carry out promotions, education about measles-rubella immunization and also coordinate with health office regarding vaccine stockKeywords: immunization, measles-rubella, timeliness","PeriodicalId":30736,"journal":{"name":"Jurnal Kesehatan Andalas","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47415258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}