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Background: The incidence of Multiple Drugs Resistance Tuberculosis (TB MDR) is still very high. TB MDR treatments requires a long period care that could lead to an impact on TB MDR patients and their families. This study aims to explore the perceived burden of TB MDR patients and their families. Method: Review literature was conducted through a search of four journal databases which later found 8 articles according to the inclusion criteria which were then identified, evaluated and synthesized. Results: The literature review found four major themes related to the perceived burden by TB MDR patients and their family, namely; physical, psychological, social and financial burden. Discussion: various problems arise due to the illness suffered by MDR TB patients and families. Understanding the difficulties and burdens experienced by MDR TB patients and their families is important in order to be able to intervene according to the problems that might arise due to MDR TB disease. Conclusion: The government needs to provide social protection to patients with MDR TB and families. Health professional workers need to add physical and psychological interventions to relieve the burden felt by MDR TB patients and their families. Keywords: Multiple Drugs Resistance Tuberculosis; Perceived burden; Sufferers; family; literature review

Introduction: Tuberculosis (TB) is still one of the main health problems in Indonesia. Various efforts have been made by the government to handle the TB problem in Indonesia, one of which is implementing a direct observed therapy short course (DOTS) program. However, the handling of TB disease in Indonesia, especially in rural areas is still not optimal. This study aims to explore barriers to the handling of TB in rural areas from the perspective of public health center professionals.Methods: This study is a qualitative research with a phenomenological approach. Sampling was done by purposive sampling with a sample of 8 participants. Data is collected through focus group discussions. Thematic analysis is carried out using colaizi step.Results: This study obtained two themes. Theme 1 is the barriers in the aspect of TB patients and Theme 2, which is barriers from the aspect of health care facilities.Conclusion: This study obtained two themes. Theme 1 is the barriers in the aspect of TB patients and Theme 2, which is barriers from the aspect of health care facilities.

Background: Waste management is still become important issue related to environmental health. Lack of knowledge in waste management can cause negative impacts on the environment, such as soil, water and air pollution, and can also be a source of disease. This community services aims to implementing the The "Benderang Sentosa" Waste Management Program in increasing community knowledge in managing waste. Method: The program was health education and training conducted in three times during three weeks. The participants was 60 school-age children and 50 health cadres. The community knowledge was measure using questionnaire that had been developed. The analysis was compare the descriptive data between pre and post intervention. Main results: The level of knowledge of cadres about waste management was increased to 76%. Similarly, most school-age children improved to 75% demonstrating a good understanding of waste management. Conclusion: The "Benderang Sentosa" Waste Management Program can increase community knowledge about waste management.

The Covid-19 pandemic has had an impact on society in the fields of policy, religion, social, culture, economy, technology and education. This activity aimed to increase the knowledge, attitude and behavior of the community regarding the COVID-19 pandemic through education information technology-based online system. This study was a quasi-experiment with one group pre-test and post-test design. The activity was carried out four months on three groups, namely children, adolescents, and adults. The planned program was about the dangers of Covid-19, increasing reading literacy and knowledge through posters, memes, and videos about Covid-19, overcoming and preventing Covid-19, providing entrepreneurial skills during the Covid-19 pandemic. The implementation method followed a number of steps: identifying potential and analyzing problems in the community, namely by conducting FGDs with related parties, program design, library research to reference material used during service, making program materials and implementing them through online and offline media by visiting the community. The findings showed that that there was an increase in the level of community knowledge, attitude, and behavior regarding the COVID-19 pandemics. This study found that the community should be approached in different ways based on their developmental stage relating to their ability to receive information.