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211	Pharmacy	ABS-93
Self-Nanoemulsifying Formulation of Kencur (Kaempferia galanga L.) Rhizome Extract with Variation of Tween 80 and PEG 400 Beti Pudyastuti (a*), Agatha Budi Susiana Lestari (b) a) Department of Pharmacy, Jenderal Soedirman University, Indonesia *betipudyastuti[at]unsoed.ac.id b) Faculty of Pharmacy, Sanata Dharma University, Indonesia Abstract Background: Kencur (Kaempferia galanga L.) rhizome contains ethyl p-methoxy cinnamate (EPMS) compound. EPMS, a lipophilic compound of Kencur rhizome, can be formulated in a self-nano emulsifying drug delivery system (SNEDDS). Purpose: To determine the effect of Tween 80 and PEG 400 on increasing the solubility of kencur rhizome extract. Methods: The SNEDDS formulations were carried out by optimizing the amount of Tween 80-PEG 400 as surfactant-cosurfactant with Virgin Coconut Oil (VCO) as the oil phase. The solubility, particle size, transmittance, and emulsification time were evaluated as responses to determine the increasing effect in extract solubility. The stability test was conducted in artificial intestinal fluid and artificial gastric fluid for 4 hours. Results: The study found that the ratio of Tween 80:PEG 400 (3:1) and VCO on 6:1 as an optimum formula could produce homogenous clear SNEDDS with particle size 18.6 nm, transmittance 95.63%, emulsified rapidly between 32-36 seconds, and stable for 4 hours. Conclusion: The optimum formula of SNEDDS could increase the solubility of kencur rhizome extract 340 times compared to extract in water. Keywords: Kencur rhizome extract, SNEDDS, Tween 80, PEG 400 Share Link | Plain Format | Corresponding Author (Beti Pudyastuti)

212	Pharmacy	ABS-151
A Study of Energy Minimization Influence on the Molecular Docking of Acetylacetone-Based Oxindole Derivatives Arif Fadlan (a*), Frans Josaphat (b) (a*) Department of Chemistry, Faculty of Science and Data Analytics, Institut Teknologi Sepuluh Nopember, Jl. Teknik Kimia, Surabaya 60111, Indonesia, *afadlan[at]chem.its.ac.id (b) Department of Chemistry, Faculty of Science and Data Analytics, Institut Teknologi Sepuluh Nopember, Jl. Teknik Kimia, Surabaya 60111, Indonesia Abstract Molecular docking plays an important role in the drugs discovery because it is more efficient and more affordable compared to traditional synthesis methods and biological assays. Molecular docking determines the conformation and affinity of non-covalent bonds between macromolecules (receptors) and small molecules (ligands) computationally. Molecular docking involves energy minimization producing ligands with the most stable conformation and lowest energy which is generally carried out by using the Merck Molecular Force Field 94 (MMFF94) force field. MarvinSketch and Open Babel for energy minimization were used in this molecular docking of acetylacetone-based oxindole derivatives to 2,3-dioxygenase indoleamine macromolecules (IDO-1, PDB: 2D0T). The results showed that MarvinSketch provides better binding energy compared to energy minimization with Open Babel. Molecular docking indicated different interactions between 2D0T macromolecule residues with ligands that have been prepared using MarvinSketch, Open Babel, and without energy minimization. Keywords: Molecular docking, minimization energy, Merck Molecular Force Field 94 (MMFF94), IDO-1, Oxindole derivatives Share Link | Plain Format | Corresponding Author (Frans Josaphat)

213	Pharmacy	ABS-153
The Effect of Energy Minimization on the Molecular Docking Study of Acetone-Based Oxindole Derivatives Arif Fadlan (a*), Yesaya Reformyada Nusantoro (b) a) Chemistry Department, Faculty of Science and Data Analytics, Institut Teknologi Sepuluh Nopember, Jl. Teknik Kimia, Surabaya 60111, Indonesia, Email: afadlan[at]chem.its.ac.id (corresponding author) b) Chemistry Department, Faculty of Science and Data Analytics, Institut Teknologi Sepuluh Nopember, Jl. Teknik Kimia, Surabaya 60111, Indonesia Abstract In silico study by molecular docking are useful in the drug discovery and virtual screening for obtaining compounds with promising biological activity. The merck molecular force field 94 (MMFF94) is the prevalent function for energy minimization in molecular docking for better geometry estimation and ligand-receptor affinity. The two programs namely MarvinSketch and Open Babel for energy minimization were used in this molecular docking study of acetone-based oxindole derivatives. The results showed that the binding energy produced by MarvinSketch was generally better than the binding energy obtained with Open Babel. The visualization of molecular docking results indicated that the poses and hydrogen bonding, halogen bonding and &#61552--&#61552- interactions are different between MarvinSketch, Open Babel, and with no energy minimization. The results revealed that energy minimization affects the molecular docking results. Keywords: Molecular Docking- Energy minimization- Merck molecular force field 94- Oxindole- IDO1 Share Link | Plain Format | Corresponding Author (Yesaya Reformyada Nusantoro)

214	Pharmacy	ABS-154
Molecular Docking of Substituted Oxindole Derivatives with MMFF94 Energy Minimization by Using MarvinSketch and Open Babel PyRx Arif Fadlan (a*), Atika Umi Hanif (b) a) Assistant Professor, Department of Chemistry, Sepuluh Nopember Institute of Technology, Jl. Teknik Kimia, Surabaya 60111, Indonesia, Email : afadlan[at]chem.its.ac.id (Corresponding author) b) Student, Department of Chemistry, Sepuluh Nopember Institute of Technology, Indonesia Abstract In silico technique is widely used for drug discovery because it can predict the conformation of ligands in protein macromolecules and is able to calculate the binding affinity. The energy minimization is carried out to make the ligand more stable near the initial state during molecular docking process. The Merck Molecular Force Field (MMFF94) is one type of energy minimization process often used in organic compounds. The molecular docking of substituted oxindole derivatives on indoleamine macromolecules 2,3-dioxygenase (IDO-1, PDB: 2D0T) by using MMFF94 minimization operated by MarvinSketch and Open Babel showed different results. The binding affinity energy obtained was also quite different, but the ligands have the same conformation and bind the same residue with slightly different bond distances. Keywords: Molecular Docking; Energy Minimization; Oxindole; IDO-1; Merck Molecular Force Field 94 Share Link | Plain Format | Corresponding Author (Atika Umi Hanif)

215	Pharmacy	ABS-168
Annona muricata Leaves Ethanolic Extract Increases p53 Expression in Rats Breast Cancer Eka Prasasti Nur Rachmani (a), Evy Sulistyoningrum (b), Hanif Nasiatul Baroroh (a), Fitri Aprilia Junaedi (a) (a) Pharmacy Department, Jenderal Soedirman University, Purwokerto, Jawa Tengah, Indonesia (b) Medicine Faculty, Indonesian Islamic University, Yogyakarta, Indonesia Abstract Annona muricata Linn. (soursop) leaves contains acetogenin which have cytotoxic effect on cancer cell lines. The study was aimed to examine soursop leaves ethanolic extract on increases p53 expression in 7,12 Dimethylbenz [a]anthracene (DMBA) induced Sprague Dawley rats. The induction DMBA was done twice a week for five weeks. Ten days after DMBA induction, the rat s breast cancer were given soursop leaves ethanolic extract in four doses 200, 300, 400 and 500 mg/kgBW everyday for two weeks. Tamoxifen was given in positive control group. The result showed that soursop leaves ethanolic extract could increase p53 protein expression effectivelly in dose 400 mg/kgBW. Keywords: Annona muricata ethanolict extract, p53, breast cancer, 7,12-Dimethylbenz[a] anthracene (DMBA) Share Link | Plain Format | Corresponding Author (Eka Prasasti Nur Rachmani)

216	Pharmacy	ABS-169
Antioxidant test of ethanolic extract of Chromolaena odorata leaves in vitro and in vivo Indah Solihah1, Inayatul Munawwaroh1, Herlina1, Riana Sari Puspita Rasyid2 1 Departement Of Pharmacy,Faculty of Mathematics and Natural Sciences,Sriwijaya University 2 Departement of Medicine, Faculty of Medicine, Sriwijaya University, Ogan Ilir 30662, South Sumatera, Indonesia Abstract Chromolaena odorata is a member of Asteraceae family contains flavonoids, tannins, saponins, and steroids. Flavonoid compounds are known to have antioxidant activity. This study aims to observe the antioxidant activity of the ethanolic extract of Chromolaena odorata leaves in vitro and in vivo. In vitro antioxidant activity used the DPPH test method. Determination of IC50 values in vitro test was carried out on extracts with concentrations of 50, 100, 200, 400, and 800 ppm. Whereas in vivo antioxidant activity used the TBARS test method. Tests carried out by measured levels of malondialdehyde (MDA) in male wistar strain induced paracetamol 2g/KgBW. Determination of ED50 in vivo test was carried out on extracts with doses of 125, 250, and 500 mg/KgBW. Vitamin C with dose 6,5mg/KgBW used as positive control and 1% of Na CMC used as negative control. IC50 value of ethanolic extract of Chromolaena odorata leaves against DPPH radical was 84.319ppm (strong antioxidant). In vivo test results showed a decrease in the levels of malondialdehyde in the positive control, negative control, and treatment group of ethanolic extract of Chromolaena odorata leaves with doses of 125, 250 and 500 mg/KgBW was 68.146%- 5.426%- 39.701%- 48.223% and 58.974% respectively. The decrease in MDA levels of rats that treated with ethanolic extract of Chromolaena odorata leaves was significantly different from the negative controls (p<0.05). Based on these results it can be concluded that the ethanolic extract of Chromolaena odorata leaves has antioxidant activity with ED50 was 312.241 mg/KgBW. Keywords: Chromolaena odorata, DPPH, TBARS Share Link | Plain Format | Corresponding Author (Indah Solihah)

217	Pharmacy	ABS-212
The Impact of Tuberculosis Supervisor Accompaniment To Knowledge And Performance In Purwokerto Pulmonary Health Center Ika Mustikaningtias(a*), Laksmi Maharani(b), Hening Pratiwi(c) a) Lecturer, Department of Pharmacy, Jenderal Soedirman University, Indonesia b) Lecturer, Department of Pharmacy, Jenderal Soedirman University, Indonesia c) Lecturer, Department of Pharmacy, Jenderal Soedirman University, Indonesia Abstract Tuberculosis supervisor (TB supervisor) has vital function in the success of Tuberculosis therapy. Nowadays, TB supervisor not only focus on improving therapy adherence, but also improving motivation to go through a period of therapy. Good knowledge of TB supervisor about tuberculosis is needed to support performance while accompanying patients. Therefore, the present study aims to examine impact of TB supervisor accompaniment to their knowledge and performance. To address this, 11 participant of each TB supervisors and Tuberculosis patients taken from Purwokerto Pulmonary Health Center. Interventions carried out in the form of assistance to TB supervisor for 8 weeks. Education provided by schedule. The results revealed a significant improvement on TB supervisor knowledge (before and after interventions, 7.55 and 10.55 respectively, p=0,001). There were an improvement on TB supervisor performance, but not statistically significance (before and after interventions, 25.00 and 27.82 respectively, p=0,010). The Pearson correlation between knowledge and performance is 0,154, (p=0,651). TB supervisor accompaniment improve the TB supervisor knowledge and performance, but these two parameter revealed not related each other. Keywords: TB supervisor, accompaniment, knowledge, performance Share Link | Plain Format | Corresponding Author (Ika Mustikaningtias)

218	Pharmacy	ABS-215
THE IMPACTS OF EDUCATING TUBERCULOSIS SUPERVISOR TO PATIENTS MEDICATION ADHERENCE, QUALITY OF LIFE, AND SATISFACTION IN BANYUMAS PULMONARY HEALTH CENTER Hening Pratiwi, Ika Mustikaningtias, Laksmi Maharani Pharmacy Department, Faculty Of Health Sciences, Jenderal Soedirman University Abstract Tuberculosis (TB) is a contagious disease that needs long-term medication. Long-term medication can impact to the medication adherence, quality of life (QOL), and patients satisfaction. Strategies to increase adherence, QOL, and satisfaction were by providing direct supervision on medication. Supervisor (PMO) play important role in patients medication, it is crucial to educate PMOs on tuberculosis. This study aimed to determine the impacts of educating PMOs to patients medication adherence, quality of life, and satisfaction in Banyumas Pulmonary Health Center (BKPM). This was an experimental study with prospective design of two group pre-test posttest. Samples were obtained using total sampling method, 11 patients for control groups and 11 patients for intervention groups. The PMOs of intervention groups were given modules and education for 2 months period of research, and the measurements of tuberculosis patients medication adherence, QOL, and satisfaction were conducted before and after the intervention using questionnaire. This study showed that there were statistically significant differences between posttest the two groups on patients medication adherence (p=0.003, p<0.05) and patients satisfaction (p=0.014, p<0.05), but there was no statistically significant differences between posttest the two groups on patients QOL (p=0.102, p >0.05). Educating PMOs has significant impact on tuberculosis patients medication adherence and satisfaction in Banyumas Pulmonary Health Center (BKPM). Keywords: Tuberculosis, supervisor, Adherence, Satisfaction, QOL Share Link | Plain Format | Corresponding Author (Hening Pratiwi)

219	Physical education	ABS-17
THE EFFECTIVENESS OF THE DEVELOPMENT OF RHYTHMIC ACTIVITY MODEL OF THE BARONGAN DANCE MODIFICATION FOR PHYSICAL EDUCATION LEARNING IN PRIMARY SCHOOL Yudha Febrianta (a*), Pamuji Sukoco (b), FX. Sugiyanto (b), Rifqi Festiawan (c) a) PPS Student of Department of Sport Science, Postgraduate Program, Yogyakarta State University *yudha.febrianta2015[at]student.uny.ac.id b) Department of Sport Science, Postgraduate Program, Yogyakarta State University c) Departement of Physical Education, Faculty of Health Science, Jenderal Soedirman University Abstract This study aims to produce a rhythmic activity model by modifying barongan dance in Physical Education learning in primary schools. This is a research adapted by Borg & Galls research steps consisting of ten steps of conducting research as follows: (1) gathering information, (2) planning the products to be created, (3) preparing initial product drafts, (4 ) having small-scale trials, (5) revising product, (6) having large-scale trials, (7) revising product, (8) testing the effectiveness, (9) revising final product, (10) disseminating the products. Small-scale field trials were conducted at the two Primary School. Large-scale field trials were conducted at four Primary School. The instruments used to collect data are observations, interviews, evaluation sheets of effectiveness tests including evaluation of learning outcomes, consisting of cognitive, affective, psychomotor evaluation. The validity of the cognitive validity evaluation instrument is 0.631 with the reliability of 0.836. Meanwhile the evaluation of affective validity is 0.679 with reliability of 0.700, and the evaluation of psychomotor validity is 0.648 with the reliability of 0.824. The data analysis technique used is quantitative descriptive analysis and normality test analysis, homogeneity test, and t test. The product of rhythmic activity model development, which is the result of this research, was done by modifying barongan dance in physical education learning for the high-grade students in primary schools. This product is found to be very effective. The rhythmic activity in barongan dance modification in Physical Education learning contributed 11.03% for cognitive aspects, 12.06% for affective aspects, and 13.60% for psychomotor aspects. Keywords: rhythmic activity, barongan dance, physical education learning, primary school. Share Link | Plain Format | Corresponding Author (Yudha Febrianta)

220	Physical education	ABS-71
The Application of Problem-Based Learning in Physical Educations to Improve Learning Outcomes a Game of Volley Ball Class X SMA N 1 Sleman Arif Yustivar (a*), Hari Amirullah Rachman (b), Rifqi Festiawan (c), I Ketut Yoda (d), I Gede Suwiwa (e) a) PPS Students of Department of Sport Science, Postgraduate Program, Yogyakarta State University *arif.yustivar[at]yahoo.com b) Department of Sport Science, Postgraduate Program, Yogyakarta State University c) Department of Physical Education, Faculty of Health Science, Jenderal Soedirman University d) Sport Science Program, Faculty of Sport and Health, Universitas Pendidikan Ganesha e) Physical Education, Sport and Health Program, Faculty of Sport and Health, Universitas Pendidikan Ganesha Abstract This study aims to: 1) determine the activeness of students after applying the Problem Based Learning method in volleyball games and 2) knowing the improvement of learning outcomes of students after applying the Problem Based Learning method in volleyball games. This study uses Classroom Action Research (PTK). The subjects of the study were students of class X MIPA 3 SMA N 1 Sleman 2015/2016, as many as 28 students were 18 women and 10 men with heterogeneous ability. Data collection used documentation method, observation, questionnaire, and test. Validity testing was done by Expert Judgment and ITEMAN. Testing Reliability used Cronbachs Alpha. Data analysis techniques used ITEMAN and descriptive statistics. The results showed that: (1) the activity of learners has increased by 8.57%, ie in cycle 1 of 74.29% and cycle 2 of 82.86%. (2) The cognitive competence of learners has increased by 14.29% in cycle 1 of 75% and cycle 2 of 89.29%. (3) The effective competence of learners has increased by 40% in cycle 1 by 53% and cycle 2 by 93%. (4) The psychomotor competence of students has increased by 21.5% in cycle 1 of 78.5% and cycle 2 of 100%. Keywords: Problem Based Learning, Learning Outcomes, Volleyball Game Share Link | Plain Format | Corresponding Author (Arif Yustivar)

221	Physical education	ABS-98
Increasing Professionalism of PE Teachers in Bali Province by Using a Lesson Study Model based on Balinese Local Wisdom Made Agus Wijaya (a*), I Nyoman Kanca (a), I Ketut Yoda (b), Rifqi Festiawan (c) a) Physical Education, Sport and Health Program, Faculty of Sport and Health, Universitas Pendidikan Ganesha *wijaya.madeagus[at]undiksha.ac.id b) Sport Science Program, Faculty of Sport and Health Universitas Pendidikan Ganesha c) Department of Physical Education, Faculty of Health Science, Jenderal Soedirman University Abstract Balinese Local Wisdom which includes Tri Hita Karana (a harmonious relationship between God - Humans - Environment), Tri Kaya Parisudha (thinking, saying and doing good), and traditional Balinese sports games. This study aims to develop a lesson study model based on Balinese local wisdom for increasing the professionalism of Physical Education (PE) teachers in basic education in Bali Province. This development research employs the Fenrich development model which includes 6 phases: 1) analysis; 2) planning; 3) design; 4) development; 5) implementation; and 6) evaluation and revision. This article focuses on the implementation phase. The study was conducted 4 elementary and junior high schools in the regencies of Badung, Buleleng, Jembrana, Karangasem, and Klungkung. Data collection techniques used were: PE class observation sheet, formative class evaluation (FCE) questionnaire, and analysis of the focus of learning. Data were analyzed descriptively. The results showed:1) the PE teachers activities in providing motion task, feedback and evaluation were carried out as much as 55.71% in the core learning activities, 2) the active time allotment provided by the PE teacher was in the average of 73 minutes from 120 minutes learning time 3) the number of students direct engagement was 85.0%, and 4) the average FCE score was 2.82 from a maximum score of 3.00. Based on the data analysis and discussion it was concluded that a lesson study model based on Balinese local wisdom was very well implemented and was able to improve the professionalism of PE teachers in basic education in Bali Province. Keywords: Lesson Study, Balinese Local Wisdom, PE Teacher Share Link | Plain Format | Corresponding Author (Made Agus Wijaya)

222	Physical education	ABS-114
THE INFLUENCE OF SAVI LEARNING MODEL WITH FLASHCARD MEDIA ON ENGINEERING LEARNING OUTCOMES TOWARDS THE BASIC ATTITUDE OF PENCAK SILAT I Gede Suwiwa (a*), I Ketut Budaya Astra (a), I Ketut Yoda (a), Sari Novita Dewi (a), Rifqi Festiawan (b) a) Department of Physical Education, Faculty of Sports and Health, Ganesha University of Education. b) Department of Physical Education Faculty of Health Science, Jenderal Soedirman University. Abstract The purpose of this study was to determine the effect of the Somatic, Auditory, Visual, Intellectuals (SAVI) learning model with the help of carded media card on the learning outcomes of the basic techniques pasang attitudes of pencak silat. This type of research is a true experimental study with a PreTest/PostTest Control Group Design. The population of this study was all students of grade XI of Undiksha Laboratory High School in 2019/2020 that distributed into five classes with a total of student is 111 persons. The sample of the experimental group (SAVI) and the control group were drawn with simple random sampling based on class. The sample of this study was class XI MIA 1 with a total of 23 people as the experimental group and class XI IIS 2 with a total of 23 people as the control group. Learning outcomes data obtained through essay and practice skill tests. The study was conducted twice besides pretest and posttest. Data analysis used two tests namely prerequisite test consisting of normality and homogeneity tests and hypothesis testing using t test with the help of SPSS 16.0 for windows. The average value of the experimental group 0.63 and the average value of the control group 0.48, this indicates that 0.63>0.48. The significance in the hypothesis test obtained through the T test was 0,000 ie p<0.05. It was concluded that the SAVI learning model with the help of carded media card had a significant effect on the learning outcomes of the basic techniques pasang attitudes of pencak. It is recommended to PJOK teachers and other subjects to use the SAVI learning model assisted by the carded media card because it is proven to have a significant effect on improving student learning outcomes Keywords: SAVI, flashcard, learning outcomes, basic attitudes, pencak silat Share Link | Plain Format | Corresponding Author (I Gede Suwiwa)

223	Physical education	ABS-117
Outdoor Education: Influence on self-confidence, personal and social responsibility Arfin Deri Listiandi (a*), Rafdlal Saeful Bakhri (b), Didik Rilastiyo Budi (a), Rifqi Festiawan (a), Ayu Rizky Febriani (a), Ajeng Dian Purnamasari (a), Indra Jati Kusuma (a), Rindha Widyaningsih (c) Arie Asnaldi (d), Hilmainur Syampurna (d) a) Departement Of Physical Education, Faculty Of Health Sciences, Jenderal Soedirman University, Indonesia *arfinderilistiandi[at]unsoed.ac.id b) Departement Of Physical Education, STKIP Bina Mutiara Sukabumi, Indonesia c) English Departement, Faculty Of Humanities, Jenderal Soedirman University, Indonesia d) Departement Of Physical Health and Recreation, Faculty of Sports Sciences, Padang State University, Indonesia Abstract The purpose of this research was to determine the effect of outdoor education on self-confidence, personal and social responsibility in students, also see the difference in the two groups of samples. Outdoor education program used is camping. This study used an experimental method with quantitative approach. Samples used as many as 50 junior high school students were divided into two groups, 25 students experimental group and 25 control group students. The instrument used in this study is self confidence scale and responsible attitude scale. Data analysis using paired t test or paired sample t test to see the effects of the treatment given, and independent sample t test to see the difference between the two groups of samples. Analysis was performed at significance level &#945- = 0.05. Based on analysis and data processing, the results of self-confidence with t = 7,716 and sig = 0.000 <0.05, personal responsibility with t = 2,98 and sig = 0.005 < 0.05, while for the results of social responsibility with t = 5,623 and sig = 0.000 < 0.05. These results indicate a significant influence on the outdoor education students self-confidence, personal and social responsibility. There are significant differences between the experimental and control groups. Keywords: Outdoor Ecuation- Camping Program- Self-Confidence- Personal Responsibility- Social Responsibility Share Link | Plain Format | Corresponding Author (Arfin Deri Listiandi)

224	Physical education	ABS-126
Deviate of Adolescence in the Physical Education Study Program at the University Jenderal Soedirman Enviroment Ayu Rizky Febriani (a*), Rohman Hidayat (a), Neva W idanita(a), Didik Rilastiyo Budi (a), Arfin Deri Listiandi (a), Rifqi Festiawan(a), Arie Asnaldi (b), Hilmainur Syampurma (b), Ajeng Dian Purnamasari (a), Dewi Anggaraeni (a) a Jenderal Soedirman University b Faculty of Sport Science, Padang State University Abstract 12-21 years is an age categorized as adolescents, in the adolescent phase someone develops socially. Social development at this stage is influenced by hormones that trigger a person to do things that are not as usual. This is mostly done to fulfill the curiosity that is dominate by adolescence. This study aims to determine develops that deviate from the prevailing norms in society that have been carry out by adolescents in the physical educatuion study program. This reasearch is a qualitative research. The population of this study were students of physical education study programs, while the sample was 50 students. The data sources used in this study were all information obtained from a survey of deviant behavior to all samples. The result obtained from the data that have been obtained show that students have commited behavioral deviations with the easy category 100% done deviations with the medium catagory as much as 4% watched/owned porn videos 45%. Adolescence is an age that is susceptible behavioral deviations due to several factors that absolutely occur in adolescence, such as a result of hormonal factors, internal and external factors. Keywords: Deviate, Adolecence, Physical Education Share Link | Plain Format | Corresponding Author (AYU RIZKY FEBRIANI)

225	Physical education	ABS-129
Olympic Movement: Its Impact on the Development of Sports in Universities in Indonesia Brio Alfatihah Ramayudha(1,5), Herman Subarjah (2), Amung Mamun (2), Agus Mahendra (2), Berliana (2), Wildan Qohhar (3), Rajip Mustafillah Rusdiyanto (1), Didik Rilastiyo Budi (4) (1) Lecture of Fakultas Keguruan dan Ilmu Pendidikan, Universitas Majalengka, West Java, Indonesia (2) Lecture of Universitas Pendidikan Indonesia, West Java, Indonesia (3) Lecture of Sekolah Tinggi Keguruan dan Ilmu Pendidikan Situs Banten, Indonesia (4) Departement of Physical Education, Faculty of Health Sciences, Jenderal Soedirman University. Jl. Dr. Soeparno-Karangwangkal, Purwokerto 53123, Indonesia. (5) Ph.D. Candidate of Graduate School of Universitas Pendidikan Indonesia Abstract The purpose of this article is how the role of the Olympic movement towards the development of college sports in Indonesia. The Olympic movement is a movement led by the IOC that aims to contribute to building a peaceful and better world by educating young people through sports that are practiced without discrimination based on the values of friendship, solidarity and fair play. Sport is the main medium for achieving the goal of the Olympic movement. The current phenomenon is a decrease in sports participation, especially during the early age of college, data shows that physical activity is at the highest level among children, but then decreases when children become teenagers. The level of physical activity decreases even further as teenagers move to young adulthood as well as what is happening now in Indonesia. Through the spirit of the Olympic movement the government is obliged to provide services and facilities for sports activities including sports in universities in Indonesia. The only body responsible for student sports in Indonesia, BAPOMI has not been able to contribute greatly to the development of college sports. The need for strategic steps and policies from the government so that BAPOMI will again become the spearhead of sports in Higher Education, as well as the application of four important elements in the development of sports in Higher Education, namely the sports curriculum at Universities sports on campus (intramural), sports competitions in and between universities (extramural), as well as networks to sports clubs outside the campus. Keywords: Olympic Movement, Sports in Higher Education, Intramural, Extramural, Indonesia Share Link | Plain Format | Corresponding Author (Brio Alfatihah Ramayuda)

226	Physical education	ABS-132
APPLICATION OF COOPERATIVE LEARNING MODELS JIGSAW TYPE FOR IMPROVING LEARNING OUTCOMES GROUNDSTROKE FOREHAND TONNIS Toni Kogoya (a*), Cholik Mutohir (a), Made Pramono (a), Rifqi Festiawan (b) a) Department of Sport Science, Postgraduate Program, Universitas Negeri Surabaya b) Department of Physical Education, Faculty of Health Science, Jenderal Soedirman University Abstract The purpose of this study was to look at the learning outcomes of the tonnis stroke forehand game with the application of a jigsaw cooperative learning model to class IV E students of SDN Wiyung Surabaya. Research conducted by researchers is an experimental research using an action research approach within the scope of the class that is classroom action research (CAR). The subjects of this study were students of class IV E SDN Wiyung Surabaya. This is because all the problems that arise are in this class. The total number of students is 34 people with gender characteristics, 18 men, and 16 women. The results of the study are as follows: In cycle 1, 17 students successfully surpassed KKM or 50% said the results of the application of the learning model were not yet complete. In cycle 2, 32 students succeeded in exceeding KKM or 94.12%. Because the percentage is 85%, this can be said to be complete. For the average initial study the results were 23.53% and the final study results were 94.12%. Then the increase in the results of the students groundstroke forehand tonnis game test before and after receiving the jigsaw type cooperative model is equal to 62.57%. Keywords: learning outcomes, tonnis, jigsaw cooperative models. Share Link | Plain Format | Corresponding Author (Tony Kogoya)

227	Physical education	ABS-136
DEVELOPMENT OF PHYSICAL ACTIVITIES MODEL THROUGH SIMPLE GAMES TO INCREASE COORDINATION AND ACCURACY OF ELEMENTARY SCHOOL STUDENT Abdurrakhman Haryo Nugroho (a*), Suharjana (b), Rifqi Festiawan (c), I Gusti Putu Ngurah Adi Santika (d), Ricky Wibowo (e) a) PPS Student of Department of Sport Science, Postgraduate Program, Yogyakarta State University b) Department of Sport Science, Postgraduate Program, Yogyakarta State University c) Department of Physical Education, Faculty of Health Science, Jenderal Soedirman University d) Department of Physical Education, Health, and Recreation, Faculty of Teacher and Education Science, Mahadewa University e) PETE for Elementary School Program, Faculty of Sport and Health Education, Universitas Pendidikan Indonesia, Bandung, Indonesia. Abstract This study aims to produce a model of physical activity to improve the coordination and accuracy of students developed according to the age category of lower class students. The game model consists of 7 types of games. This research is a research development through stages: gathering research and information results, planning, developing initial products, initial trials, revisions to the preparation of main products, main field trials, revisions to the preparation of operational products, operational product trials, final product revisions. Small-scale trial subjects are 2 elementary school teachers, large-scale trial subjects are 3 elementary school teachers, and the product effectiveness test subjects are 25 students. The instrument used was a test of coordination and accuracy skills. Assessment of experts and instructors using questionnaire sheets. The results of the validation assessment of the material experts as well as the media experts included ^very good^ the average score of more than> 4.2, which is 4.50. The quality of the results of small-scale trial trials is ^feasible^ with an average of 4,045. Furthermore, large-scale trials also included ^very good^ with an average of 4.19. Product effectiveness test results showed an increase in the results of the coordination test (35.8% pretest and 61.4% posttest). The results of the product effectiveness test on the accuracy test show (24.6% pretest results and 42.24% posttest results) The conclusion of this study is the development of a feasible and effective simple game model to improve physical fitness coordination of movement and accuracy. Keywords: Physical Activity Models, Coordination, Accuracy Share Link | Plain Format | Corresponding Author (Abdurrakhman Haryo Nugroho)

228	Public Health	ABS-4
SURVIVAL ANALYSIS OF INFECSIUS VECTOR DENV-2 THROUGH ARTIFICIAL INOCULATION Isna Hikmawati1, Hendro Wahjono, 2, Martini Martini3, Sjamsul Huda4 1Faculty of Health Sciences, Universitas Muhammadiyah Purwokerto, 2Faculty of Medical, University Diponegoro Semarang, 3Faculty of Public Health, University, Diponegoro Semarang, 4 MTs Negeri 2 Banyumas Abstract Introduction : Aedes aegypti and Aedes albopictus is the main vector of dengue fever, both of which have an important role in dengue transmission because they can simultaneously transmit the dengue virus vertically or horizontally. The survival vector causes the spread of the dengue virus to become endemic in an area. This study aims to determine the survival analysis, gonotropic cycle and metamorphosis of the dengue virus infectious vector DENV-2 through artificial inoculation. Materials and Methods: The research method used a quasi-experimental design with the intervention of injecting the DENV-2 virus intrathoracally. The study population was Ae. aegypti and Ae. albopictus laboratory colony females. The sample in the study was the 115th progeny in Ae. aegypti and the 45th progeny in Ae.albopictus. Results: Survival rate of Ae. aegypti with median survival 139.8 hours (day 5) and Ae. albopictus with median survival 87.7 hours (day 3): log rank p = 0.0001. The average gonotropic cycle of Ae. albopictus: 4 days and Ae aegypti 5 days, while the mean of metamorphosis in Ae. aegypti is 8 days and Ae. albopictus is 11 days. Conclusion: Ae. aegypti survive more than Ae. albopictus. Gonotropic cycle Ae. albopictus faster than Ae. aegypti while the metamorphosis time of Ae. aegypti was faster than that of Ae. albopictus. It is necessary to increase vector control through mosquito nest eradication activities, simultaneously for a maximum of 5 days, based on considerations of the survival rate and gonotropic cycle of infectious vectors. Keywords: Survival Analysis, Ae. aegypti, Ae. albopictus, DENV-2, Intratoracal Share Link | Plain Format | Corresponding Author (Isna Hikmawati)

229	Public Health	ABS-266
The Analysis of Missing Cases on the Treatment of Resistant Rifampicin Tuberculosis Oster Suriani Simarmata, Dina Bisara Lolong, Kristina L Tobing National Institute of Health Research Development-Ministry of Health Indonesia Abstract Background: Tuberculosis (TB) is one of the deadliest infectious diseases in the world, which is the 10th most significant contributor to death. Currently, Indonesia is in the top three countries contributing to the number of TB cases in the world. The lateness in diagnosing TB can increase transmission opportunities in the community. Besides, the occasional use of anti-tuberculosis drugs causes multidrug-resistant TB (MDR-TB) and Extensive drug-resistant TB (XDR-TB) germs. Objective: To describe the follow-up treatment of Resistant Rifampicin in health care facilities based on the results of the gene-Xpert examination. Method: Study design is cross-sectional using data from "Evaluation study of detection of TB cases with molecular rapid test in Indonesia in 2018". The data resources are from 42 hospitals and 2 primary health care facilities having conducted the gene-Xpert examination at least 6 months in 42 districts, 26 provinces. Results: The number of TB diagnoses with gene-Xpert from health facilities was 33,630 cases, 31.6% of those cases were TB positive, namely rifampicin sensitive of 89% (9,456) and rifampicin resistant of 11% (1,171). 29% of resistant rifampicin tuberculosis case were missing cases consisting of the untreated and unknown follow-up treatment of 18% and 11%, respectively. Missing cases were mostly found in male of 66.1%. Based on the age, 76.9% of the missing cases were in productive age, such as 15 to 54 years. Moreover, according to the TB treatment history and origin of case, missing cases were found in new cases 54.4% and the existing health facility 51.2%. The most reason of missing RR-TB case in the follow-up treatment was the refusal of treatment 40.3%. Conclusion: This study showed that the high of non-compliance to TB treatment was caused by inadequate general knowledge about TB, lack of social support, medication side effects and long treatment period which were posed as barriers to adherence to treatment. The short distance to reach health facility as puskesmas (public health centers) is necessary in order to simplify the community access for the TB RR diagnoses and treatment. For better treatment adherence, it is crucial to organize the counseling of comprehensive health education for patients family members and the vast community at treatment sites. Keywords: Tuberculosis, Missing cases, Rifampicin resistant Share Link | Plain Format | Corresponding Author (Oster Suriani Simarmata)

230	Public Health	ABS-271
WORK ACCIDENT IN PALM SUGAR FARMER: EMPIRICAL STUDY ON INFORMAL SECTOR WORKERS IN INDONESIA Nur Ulfah*, Siti Harwanti*, Budi Aji* Jenderal soedirman university Abstract This study aims to find out what risk factors that can cause work accidents in the respondent seen from individual / worker factors, employment factors and work environment conditions. The research method used is analytic survey with cross sectional approach. The test that will be used to analyze the results is the chi square test because the data is categorical. The results showed that there was a significant relationship between weather conditions and workplace accidents with the value of p = 0,000 and there was no significant relationship between individual factors such as age (p = 0,193), nutritional status (p = 0,562) and knowledge level (p = 0,567 ) with the incidence of occupational accidents. Likewise there is no significant relationship between work factors in the form of work period (p = 0.833) and workload (p = 0.570) with the incidence of workplace accidents in the beneficiary. Based on these results, it is suggested to the beneficiaries that in carrying out their work activities they should be carried out during sunny weather conditions so that the climbing trees are not slippery and the possibility of an accident will not occur. Keywords: accident, risk factors, palm sugar farmer Share Link | Plain Format | Corresponding Author (nur ulfah)

231	Public Health	ABS-277
INFLAMMATORY RESPONSE AND LUNG FUNCTION TOWARD ILLNESS PERCEPTION OF POULTRY FARM WORKERS Anita Rahmawati (a*), Wahyu Wibisono (b), Ning Arti Wulandari (a) a) Nursing Department, STIKes Patria Husada Blitar Jl.Sudanco Supriyadi 168 Blitar Jawa Timur, Indonesia Telephone and fax number +6281233112940 *anitarahmawati2017[at]gmail.com b)Midwifery Department, STIKes Patria Husada Blitar Abstract The poultry farm workers should aware to the risk of respiratory disorders. The illness perception represents belief about illness or health condition of the body. The inhaled organic particles at poultry farm area could trigger chain of immunological reactions that begin from the release of neutrophil and lymphocyte up to fibrogenesis resulted in pulmonary dysfunction. The aim of this study was to identify the association between inflammatory response and lung function with illness perception of poultry farm workers.The study used observasional analytic methods with cross sectional design. One hundred and five poultry farm worker were taken as samples which obtained by purposive sampling methods. Illness Perception Questionnaire-Occupational Respiratory Disorder Risk (IPQ-ORDR) was used to measure the illness perception while the inflammatory response was measured by neutrophil levels. The lung function examination resulted in several lung function parameters (FEV1, FVC and FEV1 to FVC ratio). The results showed that there was no association between the inflammatory response and illness perception (p = 0.228) and the lung function was associated with illness perception (p = 0.001). The illness perception is not always match with the actual respiratory health conditions in poultry farm workers. It is needed to provide more information on the risk of respiratory disorders to the poultry farm workers so that they can be more aware in responding the illness and create a healthy illness perception. Keywords: illness perception, lung function, inflammatory response, poultry farm workers Share Link | Plain Format | Corresponding Author (Anita Rahmawati)

232	Public Health	ABS-22
Evaluation of the Philippine Expanded Senior Citizens Act (RA 9994) on Mandated Privileges for the Elderly Dr. Carlo Bryan C. Borrico Angeles University Foundation Abstract This study aimed to evaluated the execution of the Expanded Senior Citizen Act of 2010 (RA 9994) on selected privileges of senior citizen following the Provus discrepancy model (PDM). A descriptive design used. Frequency, percentage, mean, and standard deviation used. The result revealed that all of the elderly were aware of twenty percent (20%) discount from all establishments and express lanes for senior citizens and reported they availed it. However, it is remarkable that out of 93.4% participant^s awareness on twenty discount on the purchase of medicines, only 68.4% availed it. On the other hand, out of 92.5 percent participants who were aware of the continuation of the same benefits and privileges by SSS, GSIS, and PAGIBIG, only 53.3 percent availed it. It is important for health administrator and health worker to strengthen their information dissemination to increase the elderly awareness and to avail their rights, benefits and privileges. Keywords: Elderly, Aging, Living arrangement Share Link | Plain Format | Corresponding Author (Carlo Bryan Borrico)

233	Public Health	ABS-34
UNIVERSAL CHILD IMMUNIZATION COVERAGE IN PRRWOREJO DISTRICT: CROSS SECTIONAL SURVEY USING RAPID CARD FORM (1) Budiyono Budiyono*, Farid Agushybana, Ayun Sriatmi, Martini Martini, Sutopo Patria Jati, Rani Tiyas Budiyanti (1) Faculty of Public Health, Diponegoro University, Indonesia *Corresponding author budiyonofkm[at]lecturer.undip.ac.id Abstract BACKGROUND Immunization program of Indonesia aims to lower the Infant Mortality Rate (IMR). The success of this program can be measured by the progress Universal Child Immunization in (rural) villages. One of the areas that has a low Universal Child Immunization in Central Java is Purworejo District PURPOSE This study aims to analyze Universal Child Immunization coverage in Purworejo District using Rapid Card form. METHOD We collected 970 samples using Rapid Card Check (RCC) forms using random sampling technique on parents with 12-23 months babies in Purworejo district. RCC forms, as recommended by UNICEF, served as an instrument to check Immunization coverage and accuracy. Data were processed and analyzed using qualitative and quantitative methods. RESULT The range of babies who has completed their Immunization vary from 12 to 23 months. The highest BCG vaccine coverage was 97.4% while the lowest was 94.8%. This number was higher than Purworejo District 2017 target of 90% coverage. The highest percentage of vaccination which were given on time was HB0 (86.2%) and the lowest was pentavalen (44.5%). CONCLUSION There are still babies that has yet to be immunized with the youngest being 12 months old and the oldest 23 months. Keywords: Immunization Coverage, Rapid Card Check, Purworejo District, Universal Child Immunization Share Link | Plain Format | Corresponding Author (Dr. Budiyono SKM., M.Kes.)

234	Public Health	ABS-48
Cultural Response to Food Consumption Pattern in High Caries Dentis Cases in The Central Mountainous Region of Papua Arih Diyaning Intiasari Public Health Departement Faculty of Health Sciences Jenderal Soedirman University Abstract The high case of Dentis and Pulpitis caries in Bokondini District is a unique case, Caries dentist and Pulpitis in the top 10 most diseases in Puskesmas. The absence of dentists and the service of dental Treatment Hall (BPG) in Puskesmas Bokondini caused the absence of special services to handle complaints due to health disorders in the tooth. The aim of the study was to analyse the cultural and behavioral situation of the community in dental and oral hygiene care. The aim of the study was to analyse the cultural and behavioral situation of the community in dental and oral hygiene care. Sinergize with the transportation and development of the central government of Tolikara District, Lani community began to recognize various snacks, food additives and various beverages. They start to know sugar and coffee, cooking oil, softdrink drink, various biscuits, assorted sweets or candies, instant noodles, sardines and various other spices. The shifts in consumption patterns are not accompanied by changes in their behaviour to maintain personal hygiene related to dental hygiene. They does not know the culture of brushing teeth. Complaints on teeth may be caused by dietary consumption changes in ethnic Lani. The pattern of consumption of old Lani ethnicity in ancient times today. The culture of tooth washing is not regularly scheduled as an attempt to clean the teeth in daily life of Lani. Usually, the piece of sugar cane served in the dish is a food that hosts the guests visiting the house. Efforts to lower Cariest dentis and pulpitis morbidity should be carried out with promotional and preventive activities to maintain dental and oral health. Good cultural responses should be able to push to changes in tooth brushing behavior. This should be done by involving all sectors in the region. Keywords: Papua, Culture, Health Behaviour, Caries Dentis Share Link | Plain Format | Corresponding Author (Arih Diyaning Intiasari)

235	Public Health	ABS-49
Analysis Health Belief Model in Diabetes Mellitus Patients Related to Compliance of Blood Glucose Check in PROLANIS Arrum Firda Ayu Maqfiroch, Arif Kurniawan, Siti Masfiah, Windri Lesmana Rubai Jenderal Soedirman University Abstract Abstract Puskesmas Wangon is one of the Primary Health Care in Banyumas Regency which frequently has high cases of Dabetes Mellitus (top 5). In 2015 and 2016 the number of cases at Puskesmas Wangon was 166 cases, increasing in 2017 to 496 cases. Diabetics sufferer have their own knowledge and health believe about their diabetes. This study aimed to analyze the Health Belief Model factors among diabetics and the compliance check up. Data analysed using chi square. Total respondents were 78 people. The results showed no significant relationship between perceived of susceptibility, perceived of severity, perceived of benefits, and perceived of barriers with compliance in routine blood glucose checks. However, respondents who have good compliance are shown by respondents who have a positive perceived in all four domains. This study concludes, the four domains in HBM can be used as a framework for planning intervention programs in an effort to improve behavior in controlling diabetes. and emphasized the role of check up in managing participants with chronic diseases, especially diabetics in the Puskesmas Wangon. Keywords: ype-2 Diabetes Mellitus, Health Belief Model, PROLANIS (Chronic Disease Management Program), Rural people. Share Link | Plain Format | Corresponding Author (Arrum Firda Ayu Maqfiroch)

236	Public Health	ABS-50
Culture of Breast Feeding and Infant Food in The Central Mountainous Region of Papua : Ethnographic Studies of The Lanis People Arih Diyaning Intiasari Public Heath Departement Faculty of Health Sciences Jenderal Soedirman University Abstract Background: The high number of infant and Baliita mortality in the Tolikara district is influenced by many factors, such as the social culture factor of society. The cultural expanse of archipelago affects human habits and behaviors in society and maintains the health of their bodies. The sharpening, foster and compassionate pattern of the society in the socioanthropological approach of culture has an effect on the feeding culture of breast milk and escort foods in infants. Aim:. Describing the cultural phenomenon of BREAST-feeding and escort food in the Lani ethnic community and its effect on child health Method: The research method in this research is a qualitative approach with ethnography. Researchers mingle with the Lani ethnic community in the mountainous Papua region within 40 days Result: Research finds some poor habits in the provision of breast MILK and accompaniment of breastfeeding in the Lani ethnicity. The cultural disposal of colostrum, unique food processing and the wrong peoples assumption on the identification of food needs in infants has become several findings that can affect the degree of health of infants and toddlers in the mountainous region of central Papua Conclusion: Need education with a socio-cultural approach to develop good habits in the pattern of training, and foster in the community of young people in the central mountainous region of Papua Recommendations: Counseling and culture-based intervention with increasing participation of local food sources need to be developed to support the efforts to increase the health of children in Papua Keywords: Breastfeeding, Papua, Health anthropology Share Link | Plain Format | Corresponding Author (Arih Diyaning Intiasari)

237	Public Health	ABS-61
Utilization of preventive health check-ups among older people in rural Indonesia Budi Aji 1, Dian Anandari 1, Siti Masfiah 1, Siwi Pramatama Mars Wijayanti 1, Chalermpol Chamchan 2 1 School of Public Health, Faculty of Health Sciences, Jenderal Soedirman University, Purwokerto, Central Java, Indonesia 2 Institute for Population and Social Research, Mahidol University, Salaya, Phuthamonthon, Nakhonprathom, Thailand Abstract The use of preventive health check-up among older people was driven by health status and socioeconomic factors. This present study identified the determinants of the preventive health check-ups utilization among older people in rural Indonesia. This study had been conducted in the rural areas in the in the district of Banyumas, Central Java, Indonesia. A cross sectional survey had been carried out and a total of 412 older people were selected by using multistage sampling. Logistic regression determined the predictors of preventive health check-ups utilization. The majority of the older people were female (75.5%) with low levels of educational attainments (56.3%). Factors including chronical illnesses and uneducated were associated with preventive health check-ups among older people. Older people with chronic illnesses (p < 0.05, OR = 6.276) were more likely to use preventive health check-ups. Further, uneducated older people (p < 0.05, OR = 12.562) were less likely to use preventive health check-ups in rural areas. Health status becomes a prominent factor that influences health care utilization among the older people. Health interventions targeting identified at-risk subgroup are potential for fulfilling the demand of health care among the older people who live in the community particularly in rural areas. Health promotion for enhancing health literacy among older people would improve the utilization of preventive health check-ups among the older adults. Keywords: Elderly, preventive care, chronical illnesses, rural area, Indonesia Share Link | Plain Format | Corresponding Author (Budi Aji)

238	Public Health	ABS-318
Social media engagement on stunting prevention program among adolescent in central java: a media tracking survey 2019 Siti Masfiah 1, Arrum Firda Ayu Maqfiroch1, Windri Lesmana Rubai 1, Siwi Pramatama Mars Wijayanti 1, Dian Anandari 1, Arif Kurniawan 1, Saryono 2, Budi Aji 1 1 Public Health Department, Faculty of Health Sciences, Jenderal Soedirman University 2 Nursing Department, Faculty of Health Sciences, Jenderal Soedirman University Abstract Stunting is the main problem of child nutrition occurs globally, including Indonesia. Indonesia in 2005-2017, became the country with the fourth rank (36%) in Southeast Asia. Central Java is one of the provinces with a high prevalence rate (28.5%). In 2018, the Government of Indonesia established 100 districts and cities priority for handling stunting. One focus of the activity is BCC (Behaviour change communication). In Central java, it was developed COMBI (Communication for behavioral impact) program to target adolescent which one of channel used was mass media. Aim of this research was to assess social media engagement on stunting prevention program among adolescent in central java. This study was observasional research, involved 388 adolescents from 18 high schools in 2 districts in Central Java (Banyumas and Purbalingga). Data was analyzed descriptively using AIDA (Attention, Interest, Desire, Action) theory to assess the media engagement of adolescent. Ethical clearance was approved by Medical Faculty Ethics Committee, Jenderal Soedirman University. Study showed that about more than half of adolescent (65,2%) have engaged with media information related with stunting. Adolescents had several source of information, both from social media and schools information. About one third of them (32%) got the information from Instagram. There were 3 messages in the program delivered- cegah stunting itu penting, cegah stunting untuk menjadi remaja sehat, and cantik berseri tanpa anemia. Among those message cegah stunting itu penting was found the most attentive one. About one fifth (17,5%) of adolescent did the prevention behavior because of the message. Study recommend that social media such as Instagram found to be a potential source for health information channel for young generation. Keywords: social media, stunting, adolescent, Indonesia Share Link | Plain Format | Corresponding Author (Siti Masfiah)

239	Public Health	ABS-320
An Implementation of Public Health Center Accreditation Policy towards the Management of Public Health Effort in Kembaran District Devy Laksmita, Sri Murni Setyawati, Eman Sutrisna Jenderal Soedirman University Abstract Background : Public Health Center in Kembaran District has renewed its accreditation status from basic into primary in 2019. However, the achievement of some Public Health Effort indicators is still below 50%. Researchers are interested in seeing the implementation of Public Health Center accreditation towards the management of Public Health Effort in Kembaran District. Purpose : To find out the implementation of the Public Health Center accreditation policy towards the management of Public Health Efforts in Kembaran District. Methods : This study is qualitative case study design. The researcher determines the informants using purposive sampling which used 10 informants. This study used content analysis and triangulation of source, method, and technique. Results: Coordination was carried out by health worker and cross-sector. The implementation of Public Health Effort constrained by Covid-19 pandemic. The main tasks and health worker functions are implemented by all Public Health Effort implementers with available competencies and budgets. The indicator achievement are increased but the implementation is not on schedule. Conclusion: The implementation of Public Health Center accreditation policy towards the management of Public Health Effort is experiencing obstacles and challenges during the Covid-19 pandemic. Keywords: accreditation, public health center, public health management Share Link | Plain Format | Corresponding Author (Devy Laksmita)

240	Public Health	ABS-69
HEALTH RISK ASSOCIATED WITH NITRATE EXPOSURE IN GROUNDWATER AMONG RESIDENTS OF GONG MANAK VILLAGE IN PASIR PUTEH DISTRICT, KELANTAN STATE, MALAYSIA Muhammad Afiq Zharfan (a), Shaharuddin (a*), Zaenal Abidin (b) a) Universiti Putra Malaysia (*shaha[at]upm.edu.my) b) Sekolah Tinggi Ilmu Kesehatan Bhakti Husada Mulia, Madiun, Indonesia Abstract Introduction: The agriculture sector in Malaysia is growing faster every year, resulting in increased usage of fertilizer which brings about the increase in the contamination of water sources such as groundwater. Groundwater is commonly used in rural areas where nitrate levels were found and may cause birth defects and cancers. In order to determine the health status of the population, health risk analysis can be done to determine the level of exposure. Objective: To determine the association between health risk and nitrate exposure in groundwater among residents of Gong Manak village in Pasir Puteh district, Kelantan state, Malaysia. Methodology: Water samples from pre-determined wells were collected and then analyzed using a multimeter with an attached nitrate electrode. Questionnaires were used to collect information such as age and depth of wells. Distance between wells and source of nitrate was calculated using coordinates obtained from global positioning system (GPS). Results: A total of 60 respondents were recruited and the same number of wells chosen for this study after fulfilling all inclusive and exclusive criteria. Mean nitrate level was 3.68 +- SD 2.60 mg/L, with a range of 0.32 to 8.99 mg/L. Both variables (age and depth) had no significant association with nitrate levels (p>0.05). However, there was a significant association between distance from nitrate source and nitrate levels (p<0.05) with a correlation coefficient, r = -0.487. The Hazard Quotient (HQ) was calculated to be less than 1 (HQ<1) for all respondents. This is an indication that there is no risk from nitrate exposure to the respondents. Conclusion: Respondents were exposed to low levels of nitrate in groundwater, and the health risk was negligible. Keywords: Nitrate, Groundwater, Health risk, Kelantan, association Share Link | Plain Format | Corresponding Author (Shaharuddin Mohd Sham)

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