Malaria is an infectious disease caused by a malaria parasite spread by female Anopheles mosquitoes, and is currently a public health problem. Besides causing death, it also affects work productivity and income. Puskesmas Hanura, wich is included ah High Incidence Area with AMI of l59,8 per 1000 persons, has done many efforts to deal with malaria, one of those is encouraging the use of bednets by distributing them to the community. The community there uses bednets while sleeping to help prevent malaria incidence. This study used case control design, to elicit whether there is any significant relationship between exposure to mosquitoes and malaria by comparing case group and control group. Data were collected from Puskesmas I-Ianura, whit case group being patients who have been diagnosed with malaria (based on clinical symptoms and laboratory result) and control group are those who are not diagnosed with malaria, Primary data were also collected using stmctured questionnaires. The result of bivariate analysis with a confidence of 95% showed that variabels correlating with malaria incidence the use of badnets with p value = 0,000 and OR = 4,177 (95%: 2,537-6,879), the use of mosquito coil with p value = 0,038 and OR = 1,962 (95% Cl: 1,078-3,57l) and being outside the housing during night time with p value = 0,016 and OR = 1,926 (95% CI: 1,159-3,20l). The result of multivariate analiysis showed that using bednets when sleeping has a correlation with malaria incidence. Those who do not use bednets have 4,177 times begger risk to catch malaria than those who do. g. It is suggested that the community be given thorough infomation on the importance of preventing the spread of malaria. The distribution of badnets should be continued and information should be given also regarding how to use bednets properly and their benefits. It is also suggested that people should stay inside the house night.

Pengembangan Sistem Manajemen Mutu ISO 9001:2000 dlmaksudkan untuk meningkatkan kinerja organisasi dalam memenuhi harapan pelanggan dengan cara memabsmi, melaksanakan dan memelibam fungsi, tanggung jawab dan keterkaitan antara proses pada setiap elemen, Kondisi upaya penjaminan mutu saat ini pada pelayanan pemeriksaan kualitas air di UPTD Labkesda belum mengacu pada persyaratan Sistem Manajemen Mutu ISO 9001: 2000, sehingga masalah yang dihadapi sekarang pada kegiatan pemeriksaan kualitas air di UPTD Labkesda adalah belum dikembangkannya Sistem Manajemen Mutu ISO 9001: 2000 pada kegiatan pemeriksaan kualitas air di UPTD Labkesda Kabupaten Sawahlunto/Sijunjung. Manfaat dari pengembangan Sistem Mnajemen Mutu ISO 9001: 2000 tersebut diharapkan dapat diterspkan pada produk layanan laboratorium lainnya di UPTD Labkesda dan unit pelayanan kesehatan pada Dinas Kesehatan Kabupaten Sawahlunto/Sijunjung Berkala, belum dilakukan pemantauan kepuasan pelanggan secara berkala, belum dilakukannya audit internal dan analisis data yang berkaitan dengan pemeriksaan kualitas air. ldentifikasi langkah-langkah pengembangan Sistem Manajemen Mutu ISO 900I: 2000 pada pemeriksaan kualitas air di UPTD Labkesda dilakukan oleh tim mutu UPTD Labkeada dengan metode CDMG terhadap semua kesenjangan yang ditemukan. Identifikasi langkab-langkab pengembangan Sistem Manajemen Mutu disarankan untuk diterapkan pada jenls pelayanan laboratorium lain di UPTD Labkesda, Dinas Kesehatan, Puskesmas dan Gudang Farmasi Kcsehatan di Kabupaten Sawahlunto/Sijunjung.

Development of. ISO 900:2000 Quality Management System purpose is to increase organization performance in fulfilling costumer expectation by understanding, conducting and maintaining function> responsibility and connection between process in each element. Recent condition of quality guarantee effort in examination service of water quality at UPTD Labkesda not yet refer to pre-requirement of ISO 900I:2000 System, which are the process and document pre-requirement not yet known, top management commitment not yet maximally, quality policy and quality aim not yet implemented, vice management not yet assigned management review not yet conducted, personnel competence record not yet available, service realization planning not yet made, distributor assessment not yet done, equipment not yet calibrated continually, costumer satisfaction monitoring not yet done continually, internal audit and data analysis that related with water quality examination not yet conducted. Steps identification of development ofiSO 9001: 2000 Quality Management System in water quality examination at UPTD Labkesda is conduct by quality team of UPTD Labkesda with CDMG method toward all discovered discrepancy. Steps identification of development of ISO 900l: 2000 Quality Management System is suggest to implemented in other laboratory service at UPTD Labkesda, Health Agency, Puskesmas and Health Pharmacy Warehouse in Sawahlunto/Sijunjung Regency.