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Anxiety before childbirth is a common psychological condition experienced by pregnant women, particularly those who are primigravida. Such anxiety can be influenced by various factors, including lack of knowledge, fear of pain, and uncertainty about the childbirth process. Prenatal classes are educational programs designed to improve pregnant women’s understanding, confidence, and readiness in facing labor. These classes typically provide information about pregnancy, childbirth, postpartum care, and newborn care. However, the extent to which prenatal classes effectively reduce anxiety before childbirth requires further investigation. This study aimed to determine the relationship between the implementation of prenatal classes and labor anxiety levels among pregnant women. A quantitative research design with a cross-sectional approach was used. The sample consisted of 30 pregnant women selected through purposive sampling. Data were collected using standardized anxiety questionnaires administered before and after participants attended prenatal classes. The data were analyzed using the Chi-Square statistical test with a significance level set at p < 0.05. The findings revealed a significant relationship between participation in prenatal classes and a reduction in labor anxiety, with a p-value = 0.000 (p < 0.05). These results indicate that prenatal classes can play an important role in preparing pregnant women mentally and emotionally for the childbirth process. The interactive education and supportive environment provided during these sessions help participants gain confidence and reduce fear. It is recommended that healthcare providers in health facilities continue to optimize the delivery of prenatal classes by incorporating more interactive methods and involving family members. Family support, in combination with structured prenatal education, can further enhance the effectiveness of these programs in reducing childbirth-related anxiety.

Anxiety before childbirth is a common psychological condition experienced by pregnant women, particularly those who are primigravida. Such anxiety can be influenced by various factors, including lack of knowledge, fear of pain, and uncertainty about the childbirth process. Prenatal classes are educational programs designed to improve pregnant women’s understanding, confidence, and readiness in facing labor. These classes typically provide information about pregnancy, childbirth, postpartum care, and newborn care. However, the extent to which prenatal classes effectively reduce anxiety before childbirth requires further investigation. This study aimed to determine the relationship between the implementation of prenatal classes and labor anxiety levels among pregnant women. A quantitative research design with a cross-sectional approach was used. The sample consisted of 30 pregnant women selected through purposive sampling. Data were collected using standardized anxiety questionnaires administered before and after participants attended prenatal classes. The data were analyzed using the Chi-Square statistical test with a significance level set at p < 0.05. The findings revealed a significant relationship between participation in prenatal classes and a reduction in labor anxiety, with a p-value = 0.000 (p < 0.05). These results indicate that prenatal classes can play an important role in preparing pregnant women mentally and emotionally for the childbirth process. The interactive education and supportive environment provided during these sessions help participants gain confidence and reduce fear. It is recommended that healthcare providers in health facilities continue to optimize the delivery of prenatal classes by incorporating more interactive methods and involving family members. Family support, in combination with structured prenatal education, can further enhance the effectiveness of these programs in reducing childbirth-related anxiety.

Stunting is a serious nutritional problem in Indonesia, affecting the growth and development of children under five years of age. Non-ideal pregnancy spacing is one of the factors that can contribute to stunting, as closely spaced pregnancies can lead to inadequate maternal nutrition, which affects the child’s development. This study aims to analyze the relationship between pregnancy spacing and the incidence of stunting in children under five. The research design employed is observational analytic with a case-control approach. Data collection was conducted from February to October 2024, focusing on children with stunting and children with normal growth as control cases. The case-control study involved a total sample size of 60 children, with 30 stunted children as cases and 30 non-stunted children as controls. The control cases were selected using simple random sampling to ensure unbiased representation. The primary analysis technique used was the chi-square test to examine the relationship between pregnancy spacing and the incidence of stunting. The results indicated that children born with a pregnancy spacing of less than 24 months had a 1.5 times higher risk of experiencing stunting compared to those born with a pregnancy spacing of more than 24 months. Statistical analysis using the chi-square test yielded a significant p-value of 0.002 (< 0.05), which confirms a strong association between short pregnancy spacing and stunting. This study concludes that insufficient pregnancy spacing is a significant factor contributing to the incidence of stunting in children under five. Therefore, it is recommended that public health campaigns and education programs on family planning and reproductive health be strengthened to reduce the risk of stunting in Indonesia. Such initiatives will help prevent future generations from experiencing the negative effects of inadequate growth and development.

Low birth weight (LBW) is a significant public health problem, with varying prevalence across countries. According to data from the World Health Organization (WHO), approximately 15% of all births worldwide are LBW babies. LBW can be caused by various factors, including maternal health conditions, nutritional status, and environmental factors. One factor that is often overlooked is maternal age during pregnancy. This study aims to explore the relationship between maternal age and the incidence of LBW. Research This study used an observational design with a cross-sectional approach. The sample consisted of 200 pregnant women who gave birth at the Hospital in 2024. Data were collected through medical record data tracing, which included maternal age, infant birth weight, and other risk factors. Statistical analysis was performed using the chi-square test to determine the relationship between maternal age variables and LBW. Results: The results of the analysis showed that 32% of the total babies born had LBW. From the age group under 20 years, the prevalence of LBW reached 15%, while in the age group over 35 years it reached 9%. After conducting the Spearman test in the Halsil test, the significant relationship between maternal age and the incidence of LBW was p (Sig) 0.02 (<0.05). Public health programs should focus more on education and intervention for pregnant women, especially those in their teens and the elderly. This is important to reduce the number of LBW and improve maternal and infant health. In the future, further research is needed to explore other factors that may affect LBW.

Chronic Energy Deficiency (CHD) is a condition resulting from an imbalance in the intake of energy and protein nutrients needed by pregnant women. The impact of CHD during pregnancy can lead to severe complications, including an increased risk of maternal and infant mortality. To address this, the Supplementary Feeding Program (PMT) is often implemented to improve the nutritional intake of pregnant women. The aim of this study was to determine the effect of PMT on pregnant women with SEZ (Chronic Energy Deficiency) at the Ribang Health Center. The sample consisted of 15 respondents. Data collection involved measuring the upper arm circumference (LILA) of pregnant women using a LILA tape and an observation sheet to track PMT participation. The research employed a non-equivalent quasi-experimental design, utilizing a quantitative approach with a one-group pretest-posttest design. Data analysis was conducted using the Wilcoxon statistical test to assess changes in the participants' LILA before and after the intervention. The results showed a notable improvement in the size of the upper arm circumference (LILA) in the respondents after receiving the PMT intervention. Before the intervention, 100% of the respondents had a LILA measurement of less than 23.5 cm, indicating chronic energy deficiency. After the intervention, 40% of respondents still had a LILA measurement of less than 23.5 cm, but 60% of the respondents showed a significant improvement with a LILA greater than 23.5 cm. The statistical analysis revealed a significant difference in LILA measurements before and after the intervention, with a p-value of 0.000. In conclusion, the provision of PMT has a significant positive effect on improving the nutritional status of pregnant women with chronic energy deficiency, as evidenced by the increase in their LILA measurements

Attendance management is an essential component in educational institutions, companies, and organizations to monitor the presence and punctuality of participants. Traditional attendance systems, such as manual signatures or identification cards, are prone to various issues including human error, time inefficiency, and identity fraud. To address these challenges, this study aims to develop a smart attendance system using facial recognition technology based on Python and the OpenCV library. The system is designed to automatically detect and recognize faces in real time using a webcam or camera module. It employs computer vision techniques to capture facial images, extract unique features, and match them against a stored database of registered participants. Once the face is verified, the system records the attendance along with a timestamp, ensuring data accuracy and security. The development process involved several stages, including image acquisition, preprocessing, feature extraction, and classification. OpenCV was utilized for image processing tasks, while Python provided the programming framework to integrate all components. To enhance recognition accuracy, the system applied techniques such as histogram equalization for lighting normalization and Haar Cascade classifiers for initial face detection. An experimental evaluation was conducted under various conditions, including different lighting environments and facial orientations. The results demonstrated that the system achieved an accuracy rate of 96% under normal lighting conditions, with only a small decrease in performance under dim or uneven lighting. These findings indicate that the system is reliable for practical applications, especially in controlled environments. Conclusion: The Python-based facial recognition attendance system offers a more efficient, secure, and accurate alternative to conventional attendance methods. Future improvements may include the integration of deep learning models to enhance recognition robustness in diverse real-world scenarios.

Post-cesarean section (CS) pain is a common issue faced by postpartum mothers, significantly affecting their recovery process and overall well-being. Effective pain management is crucial to enhance recovery and improve quality of life. One promising non-pharmacological approach gaining attention is the finger hold relaxation technique, which has been shown to alleviate various forms of pain. This study aimed to assess the effectiveness of the finger hold relaxation technique in reducing post-CS pain. A quasi-experimental design was used with two groups: an intervention group that received the finger hold relaxation technique and a control group that did not receive the intervention. The study involved 60 post-CS mothers, randomly divided into the two groups. Pain levels were measured before and after the intervention using the Numeric Rating Scale (NRS). Data analysis was performed using the Mann-Whitney U test. Results indicated a significant decrease in pain levels in the intervention group compared to the control group (p < 0.05). The average pain score in the intervention group before the intervention was 7.5, which decreased to 4.2 after the intervention. In contrast, the control group exhibited relatively stable pain scores, with an average of 7.3 before the intervention and 6.9 after. The Mann-Whitney U test confirmed a significant difference, with a p-value of 0.01, indicating that the finger hold relaxation technique had a significant effect on reducing post-CS pain. In conclusion, the finger hold relaxation technique is effective in reducing pain in post-CS mothers. It is recommended that this technique be incorporated into post-operative care programs to enhance maternal comfort and facilitate faster recovery.

Complementary feeding is an important stage in infant growth and development. Lack of maternal knowledge regarding the appropriate timing and type of complementary feeding can have a negative impact on infant nutritional status, including the risk of malnutrition and stunting. This study aimed to analyze the relationship between breastfeeding mothers' knowledge and infants' complementary feeding practices. This study used a cross-sectional design with a sample size of 25 mothers selected using simple random sampling technique. Data were collected through a questionnaire that measured mothers' knowledge level about complementary feeding and their feeding practices. Data were analyzed using the Spearman Rank test using SPSS version 22, with a significance level of p < 0.05. The results showed that the majority of mothers were 20-35 years old (48%) and had primary education (68%). A total of 44% of mothers had a low level of knowledge about complementary feeding, and 55% of mothers gave complementary feeding before the baby was 6 months old. Spearman correlation analysis showed a weak association between mothers' knowledge level and complementary feeding practices (p = 0.078; r = 0.359). Although not statistically significant, the direction of the association suggests that the better the mothers' knowledge, the more likely they are to provide complementary foods as recommended. The conclusion of this study emphasizes the importance of educational interventions to improve mothers' understanding of complementary feeding to reduce inappropriate feeding practices. Community-based education programs can be an effective strategy to increase maternal awareness and ensure appropriate complementary feeding for infants.

Background: Low Birth Weight (LBW) is one of the indicators of infant health that is greatly influenced by the nutritional status of the mother during pregnancy. Pregnant women with poor nutritional status have a higher risk of giving birth to babies with low birth weight. This study was conducted to examine the relationship between the nutritional status of pregnant women and the incidence of LBW in the work area of bere-bere community health center  work area. Objective: This study aims to determine the relationship between the nutritional status of pregnant women and the incidence of LBW at the work area of bere-bere community health center  in 2023. Method: This study used an observational analytical design with a cross-sectional approach. The number of respondents was 16 pregnant women selected through a purposive sampling technique. Data were collected by measuring nutritional status using Body Mass Index (BMI) before pregnancy and collecting medical record data on the baby's birth weight. Statistical analysis was performed using the Chi-Square test with a significance level of 0.05. Results: Based on the results of the analysis, it was found that out of 16 respondents, 6 pregnant women (37.5%) with poor nutritional status gave birth to babies with LBW, while 10 pregnant women (62.5%) with normal nutritional status gave birth to babies with normal weight. The results of the statistical test showed a p-value of 0.000 (p < 0.05), which indicated a significant relationship between the nutritional status of pregnant women and the incidence of LBW. Conclusion: There is a significant relationship between the nutritional status of pregnant women and the incidence of LBW. Pregnant women with poor nutritional status have a higher risk of giving birth to babies with LBW. Suggestion: It is recommended that health workers at the work area of bere-bere community health center  be more active in providing education and monitoring the nutritional status of pregnant women through nutritional counseling and regular pregnancy check-ups. Nutrition intervention programs also need to be strengthened to prevent the incidence of LBW

Stunting is a critical issue that can be addressed through various interventions, one of which involves the active participation of community cadres. This study aimed to assess the role of knowledge and motivation as mediating factors between the duration of service as a cadre and their performance in the stunting prevention program at the Tajinan and Wagir Health Centers. The research used an analytic observational study design with a cross-sectional approach. The study population consisted of 608 cadres across two health centers, and a sample of 125 cadres from each health center was selected using proportional cluster random sampling. To analyze the data, an Independent Sample T-Test was used to compare the duration of service as a cadre, knowledge, motivation, and performance between the two health centers. Path analysis was conducted to explore the impact of the duration of service as a cadre on performance, mediated by knowledge and motivation. The results indicated that there were significant differences in the knowledge and performance of the cadres, while the duration of service and motivation did not show significant differences between the two health centers. Path analysis revealed that knowledge and motivation were not significant mediators in the relationship between the duration of service and cadre performance. Furthermore, the length of time as a cadre did not significantly impact performance in either health center. However, motivation emerged as the most influential factor, with a substantial effect on the performance of the cadres in both health centers. Based on these findings, it is recommended that stunting prevention programs focus on enhancing the motivation of cadres to improve their performance, rather than solely relying on the duration of their service or their knowledge levels.

Posyandu is a community-based health program managed by and for the community, aiming to strengthen local health systems and facilitate access to essential health services. The temporary disruption of Posyandu services during the COVID-19 pandemic has had adverse effects on vulnerable populations such as pregnant women and toddlers, highlighting the importance of resilient volunteer performance post-pandemic. This study aims to examine the correlation between post-pandemic competence and the implementation of the five main activities by Posyandu volunteers in Malang, Indonesia. Utilizing a quantitative correlational research design, the study involved a total sample of 123 Posyandu volunteers from two villages in Malang. Data collection was conducted over July to August 2023. The findings indicate a statistically significant but weak positive correlation between volunteer knowledge and motivation, with a p-value of 0.007 and a correlation coefficient of 0.242. This suggests that while increased knowledge is associated with higher motivation levels, the strength of this relationship is limited. Further analysis assessed the relationship between length of service and volunteer motivation, revealing no significant correlation (p = 0.675, r = -0.038). These results imply that the duration of volunteer service does not influence motivational levels among Posyandu volunteers. Given these findings, enhancing volunteers’ knowledge through regular training and refresher programs is essential to maintain motivation and improve service delivery. The study recommends continuous capacity-building efforts to empower Posyandu volunteers, thereby ensuring effective implementation of health activities post-pandemic. Future research should investigate additional factors that may affect volunteer motivation, such as social support, recognition, and workload. Understanding these dimensions can further strengthen Posyandu programs and support the vulnerable community members they serve.

Anemia is a global health problem that often occurs in pregnant women. Inadequate pregnancy spacing can contribute to the risk of anemia. This study aims to analyze the relationship between pregnancy spacing and the incidence of anemia in pregnant women. This type of research is observational analytic with a case-control design. This study was conducted from February to October 2024 at a selected health center in the region. The case-control design was chosen to investigate the causes of anemia during pregnancy, particularly focusing on the effects of pregnancy spacing. The number of samples used was 30 cases, while 30 control cases were selected by simple random sampling from a larger pool of eligible pregnant women. The analysis employed the chi-square test to determine the statistical significance of the relationship between pregnancy spacing and the incidence of anemia. Results showed that 21.7% of respondents had anemia, with a significantly higher prevalence in those with a pregnancy spacing of less than two years. After conducting the chi-square test, the result yielded a significant p-value of 0.002, indicating a strong association between short pregnancy intervals and anemia. This finding highlights the potential risks associated with inadequate pregnancy spacing, emphasizing the importance of family planning and prenatal care in preventing anemia in expectant mothers. The study suggests that adequate pregnancy spacing may reduce the incidence of anemia, thus promoting healthier pregnancy outcomes. Furthermore, it underscores the need for educational programs aimed at raising awareness of the benefits of proper pregnancy planning. Such initiatives would not only help prevent anemia but also improve maternal and fetal health. Comprehensive health policies promoting spacing between pregnancies can have long-term positive effects on maternal well-being.

Toddler Posyandu has an important role in monitoring child growth and development as well as preventing nutritional and health problems. The activeness of mothers in bringing their toddlers to Posyandu is greatly influenced by various factors, one of which is the role of health cadres. Posyandu cadres act as community mobilizers in increasing awareness and participation of mothers in toddler health programs. However, there are still many mothers who are less active in attending Posyandu, so an evaluation of the influence of the role of cadres on the activeness of toddler mothers in Posyandu activities is needed. Objective: This study aims to determine the relationship between the role of cadres and the activeness of toddler mothers in attending Posyandu toddlers in the work area of Kabila Bone Health Center. Method: This study used a quantitative method with a cross-sectional design. The research sample consisted of 30 respondents selected using a purposive sampling technique. Data collection was carried out through a questionnaire that assessed the role of cadres and the level of mother's activeness in attending Posyandu. Data analysis was carried out using the chi-square test with a significance level of 5% (p <0.05). Results: The results of the study showed that there was a significant relationship between the role of cadres and the activeness of mothers of toddlers in attending the integrated health post, with a p value = 0.000 (<0.05). This shows that the more active and involved the integrated health post cadres are, the higher the level of activeness of mothers in bringing their toddlers to the integrated health post. Conclusion: The role of cadres greatly influences the activeness of mothers in attending the integrated health post for toddlers.

Anaemia among teenagers is a significant public health concern that can adversely affect their quality of life, cognitive function, and academic performance. Nutritional status, commonly assessed using Body Mass Index (BMI), is suspected to influence the risk of developing anaemia. This study aims to analyse the relationship between BMI and the incidence of anaemia among students at Senior High School II Rilamuta. The primary objective is to determine whether there is a statistically significant association between BMI and anaemia occurrence in this population. A quantitative correlational research design was employed, involving a purposive sample of 30 students. Data collection comprised measuring each student’s BMI and examining haemoglobin levels to assess anaemia status. The BMI was calculated based on height and weight measurements, while haemoglobin concentrations were measured using standard clinical laboratory techniques. Statistical analysis was performed using the Pearson correlation test to evaluate the strength and direction of the relationship between BMI and anaemia incidence.The results revealed a significant positive correlation between BMI and anaemia, with a Pearson correlation coefficient of 0.746 and a p-value of 0.000, indicating strong statistical significance. This finding suggests that students with higher BMI tend to have a lower risk of anaemia, highlighting the protective role of adequate nutritional status. The study confirms that BMI is a relevant factor in predicting anaemia risk among teenagers. Based on these findings, the study recommends promoting healthy nutritional habits and improving nutritional status as crucial strategies to prevent anaemia in school-aged adolescents. School health programs should emphasize balanced diets and nutritional education to address this issue effectively. Future research with larger sample sizes and longitudinal designs is encouraged to further explore causal relationships and additional factors influencing anaemia in this population.

Posyandu is a community-based health program managed by and for the community, aiming to strengthen local health systems and facilitate access to essential health services. The temporary disruption of Posyandu services during the COVID-19 pandemic has had adverse effects on vulnerable populations such as pregnant women and toddlers, highlighting the importance of resilient volunteer performance post-pandemic. This study aims to examine the correlation between post-pandemic competence and the implementation of the five main activities by Posyandu volunteers in Malang, Indonesia. Utilizing a quantitative correlational research design, the study involved a total sample of 123 Posyandu volunteers from two villages in Malang. Data collection was conducted over July to August 2023. The findings indicate a statistically significant but weak positive correlation between volunteer knowledge and motivation, with a p-value of 0.007 and a correlation coefficient of 0.242. This suggests that while increased knowledge is associated with higher motivation levels, the strength of this relationship is limited. Further analysis assessed the relationship between length of service and volunteer motivation, revealing no significant correlation (p = 0.675, r = -0.038). These results imply that the duration of volunteer service does not influence motivational levels among Posyandu volunteers. Given these findings, enhancing volunteers’ knowledge through regular training and refresher programs is essential to maintain motivation and improve service delivery. The study recommends continuous capacity-building efforts to empower Posyandu volunteers, thereby ensuring effective implementation of health activities post-pandemic. Future research should investigate additional factors that may affect volunteer motivation, such as social support, recognition, and workload. Understanding these dimensions can further strengthen Posyandu programs and support the vulnerable community members they serve.

Complementary feeding is an important stage in infant growth and development. Lack of maternal knowledge regarding the appropriate timing and type of complementary feeding can have a negative impact on infant nutritional status, including the risk of malnutrition and stunting. This study aimed to analyze the relationship between breastfeeding mothers' knowledge and infants' complementary feeding practices. This study used a cross-sectional design with a sample size of 25 mothers selected using simple random sampling technique. Data were collected through a questionnaire that measured mothers' knowledge level about complementary feeding and their feeding practices. Data were analyzed using the Spearman Rank test using SPSS version 22, with a significance level of p < 0.05. The results showed that the majority of mothers were 20-35 years old (48%) and had primary education (68%). A total of 44% of mothers had a low level of knowledge about complementary feeding, and 55% of mothers gave complementary feeding before the baby was 6 months old. Spearman correlation analysis showed a weak association between mothers' knowledge level and complementary feeding practices (p = 0.078; r = 0.359). Although not statistically significant, the direction of the association suggests that the better the mothers' knowledge, the more likely they are to provide complementary foods as recommended. The conclusion of this study emphasizes the importance of educational interventions to improve mothers' understanding of complementary feeding to reduce inappropriate feeding practices. Community-based education programs can be an effective strategy to increase maternal awareness and ensure appropriate complementary feeding for infants.

Background: Low Birth Weight (LBW) is one of the indicators of infant health that is greatly influenced by the nutritional status of the mother during pregnancy. Pregnant women with poor nutritional status have a higher risk of giving birth to babies with low birth weight. This study was conducted to examine the relationship between the nutritional status of pregnant women and the incidence of LBW in the work area of bere-bere community health center  work area. Objective: This study aims to determine the relationship between the nutritional status of pregnant women and the incidence of LBW at the work area of bere-bere community health center  in 2023. Method: This study used an observational analytical design with a cross-sectional approach. The number of respondents was 16 pregnant women selected through a purposive sampling technique. Data were collected by measuring nutritional status using Body Mass Index (BMI) before pregnancy and collecting medical record data on the baby's birth weight. Statistical analysis was performed using the Chi-Square test with a significance level of 0.05. Results: Based on the results of the analysis, it was found that out of 16 respondents, 6 pregnant women (37.5%) with poor nutritional status gave birth to babies with LBW, while 10 pregnant women (62.5%) with normal nutritional status gave birth to babies with normal weight. The results of the statistical test showed a p-value of 0.000 (p < 0.05), which indicated a significant relationship between the nutritional status of pregnant women and the incidence of LBW. Conclusion: There is a significant relationship between the nutritional status of pregnant women and the incidence of LBW. Pregnant women with poor nutritional status have a higher risk of giving birth to babies with LBW. Suggestion: It is recommended that health workers at the work area of bere-bere community health center  be more active in providing education and monitoring the nutritional status of pregnant women through nutritional counseling and regular pregnancy check-ups. Nutrition intervention programs also need to be strengthened to prevent the incidence of LBW

Stunting is a serious nutritional problem in Indonesia, affecting the growth and development of children under five years of age. Non-ideal pregnancy spacing is one of the factors that can contribute to stunting, as closely spaced pregnancies can lead to inadequate maternal nutrition, which affects the child’s development. This study aims to analyze the relationship between pregnancy spacing and the incidence of stunting in children under five. The research design employed is observational analytic with a case-control approach. Data collection was conducted from February to October 2024, focusing on children with stunting and children with normal growth as control cases. The case-control study involved a total sample size of 60 children, with 30 stunted children as cases and 30 non-stunted children as controls. The control cases were selected using simple random sampling to ensure unbiased representation. The primary analysis technique used was the chi-square test to examine the relationship between pregnancy spacing and the incidence of stunting. The results indicated that children born with a pregnancy spacing of less than 24 months had a 1.5 times higher risk of experiencing stunting compared to those born with a pregnancy spacing of more than 24 months. Statistical analysis using the chi-square test yielded a significant p-value of 0.002 (< 0.05), which confirms a strong association between short pregnancy spacing and stunting. This study concludes that insufficient pregnancy spacing is a significant factor contributing to the incidence of stunting in children under five. Therefore, it is recommended that public health campaigns and education programs on family planning and reproductive health be strengthened to reduce the risk of stunting in Indonesia. Such initiatives will help prevent future generations from experiencing the negative effects of inadequate growth and development.

Anemia is a global health problem that often occurs in pregnant women. Inadequate pregnancy spacing can contribute to the risk of anemia. This study aims to analyze the relationship between pregnancy spacing and the incidence of anemia in pregnant women. This type of research is observational analytic with a case-control design. This study was conducted from February to October 2024 at a selected health center in the region. The case-control design was chosen to investigate the causes of anemia during pregnancy, particularly focusing on the effects of pregnancy spacing. The number of samples used was 30 cases, while 30 control cases were selected by simple random sampling from a larger pool of eligible pregnant women. The analysis employed the chi-square test to determine the statistical significance of the relationship between pregnancy spacing and the incidence of anemia. Results showed that 21.7% of respondents had anemia, with a significantly higher prevalence in those with a pregnancy spacing of less than two years. After conducting the chi-square test, the result yielded a significant p-value of 0.002, indicating a strong association between short pregnancy intervals and anemia. This finding highlights the potential risks associated with inadequate pregnancy spacing, emphasizing the importance of family planning and prenatal care in preventing anemia in expectant mothers. The study suggests that adequate pregnancy spacing may reduce the incidence of anemia, thus promoting healthier pregnancy outcomes. Furthermore, it underscores the need for educational programs aimed at raising awareness of the benefits of proper pregnancy planning. Such initiatives would not only help prevent anemia but also improve maternal and fetal health. Comprehensive health policies promoting spacing between pregnancies can have long-term positive effects on maternal well-being.

Toddler Posyandu has an important role in monitoring child growth and development as well as preventing nutritional and health problems. The activeness of mothers in bringing their toddlers to Posyandu is greatly influenced by various factors, one of which is the role of health cadres. Posyandu cadres act as community mobilizers in increasing awareness and participation of mothers in toddler health programs. However, there are still many mothers who are less active in attending Posyandu, so an evaluation of the influence of the role of cadres on the activeness of toddler mothers in Posyandu activities is needed. Objective: This study aims to determine the relationship between the role of cadres and the activeness of toddler mothers in attending Posyandu toddlers in the work area of Kabila Bone Health Center. Method: This study used a quantitative method with a cross-sectional design. The research sample consisted of 30 respondents selected using a purposive sampling technique. Data collection was carried out through a questionnaire that assessed the role of cadres and the level of mother's activeness in attending Posyandu. Data analysis was carried out using the chi-square test with a significance level of 5% (p <0.05). Results: The results of the study showed that there was a significant relationship between the role of cadres and the activeness of mothers of toddlers in attending the integrated health post, with a p value = 0.000 (<0.05). This shows that the more active and involved the integrated health post cadres are, the higher the level of activeness of mothers in bringing their toddlers to the integrated health post. Conclusion: The role of cadres greatly influences the activeness of mothers in attending the integrated health post for toddlers.