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Xerosis or dry skin occurs when the skin loses moisture, causing itching, cracking and dullness. This condition is common in the elderly due to physiological changes such as decreased activity of the sebaceous and sweat glands, as well as impaired skin barrier function. Anemia and uncontrolled blood sugar levels can worsen dry skin conditions in the elderly. Therefore, this community service activity was carried out with the aim of increasing awareness of the elderly about the importance of maintaining healthy skin related to anemia and blood sugar. This activity includes education about preventing and managing dry skin, controlling blood sugar, and treating anemia. This activity uses the PDCA method to ensure that the activity process runs systematically and can be evaluated. The results of the activity showed that the majority of participants experienced mild anemia and a small number had abnormal blood sugar. This shows that intervention and health education are needed for the elderly group to improve their quality of life by maintaining hydration of their skin.

Pruritus, or itching, is a common symptom in seniors that has a significant impact on their quality of life. Primary skin disorders such as xerosis, atopic dermatitis, and scabies, as well as systemic diseases such as cancer, chronic renal failure, cholestasis, hyperthyroidism, diabetes mellitus, iron deficiency anemia, and certain medications, can cause this condition. Chronic pruritus, which is common in individuals over 60 years of age, can cause discomfort, sleep disturbances, and psychological stress. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for pruritus intensity in the elderly in St. Anna. One individual (2.4%) reported mild pruritus, while 12 individuals (29.3%) reported severe pruritus. Routine assessment using the 12-PSS provides important information for managing pruritus in the elderly, meeting clinical and research needs, and improving patient care and quality of life.

The World Health Organisation (WHO) estimates that the global population aged over 60 years will increase from 900 million in 2015 to 2 billion in 2050. This demographic is particularly vulnerable to disease and disability, with declining haemoglobin levels long considered a consequence of aging. Nutritional deficiencies, chronic diseases, kidney disease, haematological malignancies, and anemia of unknown cause can all contribute to anemia in the elderly. This significantly impacts physical performance, cognitive function, and overall health. We carried out this activity at St. Francis Assisi, Jakarta, with 36 participants. We perform a physical examination and a complete blood count, including haemoglobin and hematocrit levels, to detect nemia. Among the 36 participants, 18 people (50%) had mild anaemia, 6 people (16.7%) had moderate anaemia, and 1 person (2.8%) had very severe anaemia. Anaemia in the elderly can cause severe health consequences, including physical and cognitive decline, increased hospitalisations, and death. Routine screening for haemoglobin and hematocrit levels is essential for early detection and intervention, improving quality of life and health outcomes for older adults.

Anemia is a deficiency in hemoglobin levels in the blood and is a major nutritional problem in Indonesia. The World Health Organization (WHO) in its 2021 world health statistics shows that the prevalence of anemia in women of reproductive age (15-49) in the world in 2019 was around 29.9%.  The results of the 2018 Basic Health Research report by Balitbangkes in Indonesia, the prevalence of anemia in young women is around 27.2% in the 15-24 year age group.  One of the factors causing anemia is nutritional status.  Nutritional status is a factor that is closely related to anemia. This research uses quantitative descriptive, and the research design used in this research is cross sectional. The number of samples used was 10 young women using total sampling techniques. The research was conducted at the Tahirah Al Baeti Bulukumba Midwifery Academy. Adolescents with an inappropriate BMI experienced severe anemia, namely 4 adolescents (80%), 1 respondent (20%) with an inappropriate BMI experienced severe anemia, while 5 respondents (100%) with an appropriate BMI experienced mild anemia. Based on the results of the statistical test p value = 0.004, it can be concluded that there is a significant relationship between nutritional status and the incidence of anemia in adolescents at the Tahirah Al Baeti Bulukumba Midwifery Academy    

Anemia in pregnancy is a condition where the hemoglobin level of a pregnant woman is below 11 g/dl. The high rate of anemia in third trimester pregnant women at Kita Clinic Depok is a health problem that needs attention. One non-pharmacological effort to increase hemoglobin levels is to consume red spinach juice and tomato juice. This research uses a Quasy Experiment design, with a Two Group Pretest Posttest Design. The samples in this study were pregnant women in the third trimester who experienced mild anemia, of which 15 pregnant women were given red spinach juice and 15 pregnant women were given tomato juice for 7 days. The sampling technique used was Purposive Sampling. Based on the research results, it shows that from pretest data the average hemoglobin level of pregnant women before being given red spinach juice was 10.1 gr/dl, whereas before being given tomato juice the average hemoglobin level of pregnant women was 10.2 gr/dl. In the posttest data, it was found that the average hemoglobin level of pregnant women after being given red spinach juice was 11.1 gr/dl, whereas after being given tomato juice the average hemoglobin level of pregnant women was 11.2 gr/dl. The results of the paired sample T-Test show that the value (p-value 0.000 < 0.05) states that the Ha hypothesis is accepted and Ho is rejected. There is effectiveness between the consumption of red spinach juice and tomato juice in increasing hemoglobin levels in pregnant women in the third trimester at Kita Grogol Depok Clinic in 2023. Collaboration is needed with specialist obstetricians and gynecology (Obgyn) and midwives providing nutrition education for pregnant women or counseling with provide information about the importance of foods containing iron and carry out routine checks to monitor hemoglobin levels to prevent pregnancy anemia.

Hemoglobin (Hb) is an erythrocyte tetrameric protein that binds to non-protein molecules, namely the iron porphyrin compound called heme. Hb is one of the laboratory tests on pregnant women which can support the diagnosis or occurrence of complications in pregnant women, these complications can be detected through danger signs of pregnancy. Danger signs of pregnancy are signs that indicate dangers that can occur during pregnancy (antenatal), which if not detected can cause death. The aim of this community service is to facilitate Hb checks and to increase knowledge of pregnant women through education about the danger signs of pregnancy. The method of this activity is carried out by checking hemoglobin levels using the Sahli method and providing counseling using the discussion method to pregnant women about the danger signs of pregnancy and using the KIA book as the medium. This counseling was carried out at the Batursari Village Posyandu which was attended by 10 pregnant women. The results of the counseling showed that 8 pregnant women had normal Hb, 1 pregnant woman was in the mild anemia category, and 1 pregnant woman was in the severe anemia category. and after education regarding the danger signs of pregnancy, all pregnant women have good knowledge.

Anemia is a condition where the number of red blood cells or the concentration of hemoglobin in them is lower than normal. This disease mainly affects women and children. Anemia is classified into 3 parts based on the Hb value, namely mild, moderate and severe. Of these three categories, anemia is most prevalent in adolescents and pregnant women with productive age of 15-49 years in 124 countries included in WHO. The method used in conducting community service by using a preliminary survey conducted at Datuk Batu Hampar High School Pekanbaru, then conducted interviews with female students about their knowledge of anemia and continued with Hemoglobin checks and counseling about anemia. From the Hemoglobin examination on 30 female students, 5 were found with symptoms of anemia.

The success of maternal and child health can be seen from the indicators of maternal mortality rate (MMR) and infant mortality rate (IMR). One of the causes of maternal mortality is bleeding that occurs due to anemia during pregnancy. Anemia conditions can be prevented by antenatal care (ANC) checks, and can help make labor run physiologically. Objective To provide comprehensive midwifery care to the patient, family, community or closest friends in order to get appropriate care.This study used a qualitative descriptive method with a case study approach. In the first visit pregnancy care found the incidence of Mild Anemia, at the second visit found the incidence of Mild Preeclampsia. In the care of childbirth, there were cases of premature rupture of membranes and chepalopelvic disporpotion so that delivery was carried out by Sectio Caesarea. And in the care of newborns, postpartum and family planning there are no problems and the condition of the mother and baby is normal. Based on the comprehensive care provided to Mrs. K, there were no gaps in the care of pregnancy, puerperium, newborn, and family planning, but in the care of childbirth there were some gaps between theory and practice.

Babies with Low Birth Weight (LBW) are a health problem for babies and can affect the number of Infant Mortality Rates (IMR). Another factor that can cause LBW is the hemoglobin level of pregnant women or anemia in pregnant women. Anemia in pregnant women can cause mortality and morbidity in both mother and baby. Research objective: to determine the relationship between anemia in pregnancy and the incidence of LBW babies in RSUD Kabupaten Tangerang. Research method: this study used an analytic observational design with a retrospective cross-sectional approach. The sample for this study were all babies born with a birth weight < 2500 grams for the September-December 2022 period of 123 babies. The sampling method used in this study is the total sampling method. Data was obtained by filling out a note sheet from the search results of the respondent's medical records. Univariate and bivariate data analysis using the chi-square test. The results of the study: of the 123 respondents, the majority were 75 respondents (61%) with mild anemia and 97 respondents (61%) with LBW. There was a relationship between anemia in pregnancy and the incidence of LBW babies with a p value of 0.000 <α (0.05). Conclusions and suggestions: There was a relationship between anemia in pregnancy and the incidence of LBW babies in RSUD Kabupaten Tangerang. Hospitals are advised to improve nursing services, especially health education to increase pregnant women's knowledge about the importance of iron during pregnancy in an effort to prevent anemia during pregnancy, one of which can cause low birth weight babies.

The government has carried out a TTD program but the prevalence of anemia still cannot be reduced. The red Dragon Fruit (Hylocereus polyrhizus) is effective for controlling iron deficiency and is almost entirely absorbable and helps increase iron absorption from food through the formation of ferrous ascorbate complexes. This study aims to determine the tendency of increasing hemoglobin (Hb) levels in anemic pregnant women before and after giving blood enhancer supplements and dragon fruit. This research method uses a quasy experiment research design. The population of this study is anemic pregnant women recorded in the Awayan Health Center area in December – January 2023. The final hemoglobin content of the intervention group was mostly not anemic amounted to 14 people (93.33%), while the hemoglobin content of the control group was mostly mild anemia amounted to 9 people (29.97%). Research shows that there is a significant increase in hemoglobin levels between before and after blood enhancer tablets and dragon fruit additives where p value = 0.000 and there is an effect of Hb levels after intervention from test results 1.1 times with a confidence level of 95%.    

Serotinus is one of the obstetric complications that needs to be watched out for and there is a high risk of caesarean section during delivery. These complication will be made worse if the mother experiences anemia which can cause uterine atony, post partum bleeding and even lead to maternal death. According to WHO (2021), the Maternal Mortality Rate (MMR) is 329,000 per 100,000 live births, data from the Brebes Health Office in 2022 is 105 cases, and data from the Paguyangan Community Health Center (2021) is 4 cases. Researchers implemented comprehensive midwifery care using Varney and SOAP documentation. This research uses a qualitative descriptive method with a case study approach. Data collection used interview methods, observation, physical examination, supporting examinations, medical records, KIA books and other literature. The main informant is Mrs. A, while additional informants were midwives, general practitioners, obstetricians, nutrition officers, laboratory officers, husbands and families. Based on the results of pregnancy, childbirth, newborn, postpartum and family planning care, there were only problems in pregnancy at the age of 29+1, namely breech and oblique presentation and mild anemia with HB 9.6 g/dL and at the gestational age of 31+3, namely underestimation of fetal weight.

Monitoring nutritional status in 2018 reached 27.5% while the WHO limit was <20%. This means that approximately 8.9 million Indonesian children experience suboptimal growth, or 1 in 3 Indonesian children is stunted. More than one third of children under the age of 5 in Indonesia are below average in height. Purpose: To analyze the relationship between the health history of pregnant women and the incidence of stunting in the working area of the Responsibilityrjo Health Center. Methodology: The research design used is quantitative research using analytic survey methods with a cohort approach. The population is 3140 and the sample is 355 respondents. Results: The average respondent was 20-35 years old with a percentage of 80%, the education of the most respondents was high school with a total of 220 respondents or 62%. Most of the respondents' occupations were housewives, namely 102 respondents or 28.7% and the highest number of respondents were multigravidas, namely 215 or 60.6%. Health history of mothers during pregnancy with CED as many as 84 respondents (23.7%) and non-SEZ 271 mothers or 76.3% And mothers who experienced mild anemia were 98 mothers or 27.6% and mothers under five who experienced moderate anemia 22 respondents or by 6.2%, there were 135 stunted toddlers with a percentage of 38%, there was no relationship between age and work with stunting with a p value of maternal age of 0.611 and a p value of work of 0.158 and there was a relationship between education and parity most of the respondents were multigravida, namely 215 or 60.6%. Health history of mothers during pregnancy with CED as many as 84 respondents (23.7%) and non-SEZ 271 mothers or 76.3% And mothers who experienced mild anemia were 98 mothers or 27.6% and mothers under five who experienced moderate anemia 22 respondents or by 6.2%, there were 135 stunted toddlers with a percentage of 38%, there was no relationship between age and work with stunting with a p value of maternal age of 0.611 and a p value of work of 0.158 and there was a relationship between education and parity with the incidence of stunting, namely the p value Mother's education is 0.00 and the p value for mother's parity is 0.000. There is a relationship between maternal health history and the incidence of stunting. negative indicates that the better the mother's nutrition and the higher the mother's Hb, the lower the incidence. Suggestion: So that parents can better prepare for early pregnancy and pay more attention to their children's nutritional intake.

Anemia in pregnancy is characterized by a condition in which the body has few red blood cells or the cells cannot carry oxygen throughout the body. it is estimated that the prevalence of anemia in pregnant women in Indonesia in 2019 is 48.9%. Bananas are the best food because they contain vitamins needed by pregnant women. Bananas are sufficient to meet the substance intake of anemic patients. The aim of the study was to determine the relationship between Ambon Banana Administration and Hemoglobin Levels in Pregnant Women with Mild Anemia in the First Trimester. This research was carried out using quantitative analytic research with a cross sectional approach by collecting secondary data from medical records. from April 2021 to June 2022 . This research was conducted at TPMB Susi in Dolok Merawan District, Serdang Bedagai Regency in February 2023. The sampling technique used total sampling with a total sample of 42 pregnant women in the first trimester with mild anemia who met the inclusion and exclusion criteria. Analysis using the Chi Square statistical test shows that the p value is 0.000 (<0.05). So that the hypothesis can be accepted, then there is a "Relationship between Giving Ambon Bananas and Hemoglobin Levels in Pregnant Women with Mild Anemia in the First Trimester. The results of this study indicate that there is a relationship between giving Ambon bananas and hemoglobin levels of pregnant women after being given Ambon bananas. Giving ambon bananas can be suggested as an alternative complement of vitamins to increase hemoglobin levels.

Measurement of haemoglobin (Hb) is a standard examination in pregnant women at the first prenatal visit that is used to evaluate physical status and anemia. One of the health conditions that often occurs and is important to note in reducing maternal and perinatal morbidity and mortality is anemia in pregnancy, which can increase the risk of infection, preeclampsia, postpartum hemorrhage, low birth weight babies, preterm birth, to death for both mother and child. fetus. This cross-sectional study aims to determine the difference in mean haemoglobin levels with the incidence of mild preeclampsia, severe preeclampsia and eclampsia which were selected according to the criteria by total sampling using medical record data in the period January 2020 - December 2020. The variables in this study consisted of the basic characteristics of the respondents (age mother and parity status), gestational age (weeks), and medical condition of the mother divided into three groups (mild, severe preeclampsia, and eclampsia). Statistical analysis using the Kruskall Wallis test. This study included 190 respondents with an average maternal age of 32 years and an average haemoglobin level of 10.86 with medical conditions dominated by severe preeclampsia (85.3%). The results of the study found that there was no significant difference in mean hemoglobin levels between the three groups of pregnant women (p-value: 0.235). To improve the quality of life of the mother and fetus, it is recommended that primary health services should be strengthened, prevention, early diagnosis and treatment of anemia in pregnancy should be prioritized.    

Background : Pregnancy is a physiological process that through by women. Its process begins with conception to the birth process. Prevention of emergency conditions during pregnancy is detected by early detection through pregnancy checks four times by observe the development and growth of the fetus and monitor the mother’s health. During pregnancy, the mother will experience hemodilution or blood dilution so that she is at risk from anemia. Method : This research was an analytic survey with a cross sectional approach. There were 30 pregnant women in third trimester at PMB Dewiady Medical, Margorejo District, Pati Regency were selected using a purposive sampling technique. The research data consists of primary and secondary data. Data analysis between variables used the Chi Square formula. Results : As many as 20 pregnant women (66.7%) adhered to taking Fe tablets, the rest did not comply as many as 10 pregnant women (33.3%). Pregnant women without anemia reached 20 pregnant women (66.7%), while 10 pregnant women (33.3%) had mild anemia. The results of the Chi Square test obtained a value of p(<0.001) <0.05 with a calculated X2 value = 30.000 which indicates a relationship between compliance of pregnant women in consuming Fe tablets and Hb levels in pregnant women. The more obedient pregnant women are in consuming Fe tablets, the more normal the Hb levels of these pregnant women will be. Conclusion : There is a relationship between adherence in consuming Fe tablets to Hb levels of third trimester pregnant women at PMB DewiAdy Medical, Pati District, Pati Regency.

Based on data from the Indonesian Ministry of Health, the number of MMR in 2020 reached 4,627 people. This number increased by 10.25% compared to 2019 of 4,197 people. The number of infant deaths in 2019 was 26,000 cases and increased by almost 40% to 44,000 cases in 2020. The Bumiayu Health Center, one of the auspices of the Brebes Regency in Central Java, contributed 2 cases of AKI and 5 cases of IMR in 2020. by conducting comprehensive midwifery care with a continuity of care approach which is carried out starting from the mother during pregnancy to family planning. Researchers implemented comprehensive midwifery care for pregnant women, childbirth, newborns, postpartum, and family planning using Varney and SOAP documentation. The research method used is descriptive qualitative with a case study approach. Data collection uses interviews, observations, physical examinations, supporting examinations, documentation studies, and literature studies, as well as medical record documentation studies, the main informant is Mrs. W with 2 additional informants namely 1 coordinating midwife and 1 patient's family and 1 triangulation informant namely the head section of the brebes district health office. Based on the results of pregnancy, childbirth, newborns, postpartum, and family planning, there are problems in pregnancy, namely at 30+3 weeks of gestation with an Hb level of 10.4 g/dl in the category of mild anemia. There is no gap between theory and practice. From the results of the study, it can be concluded that comprehensive care for Mrs. W 25 years of gestation, psychological postpartum, physiological delivery, and physiological BBL. There is no gap between theory and practice.

Background: High prevalence of anemia exists in the developing country where its causes are multi-factorial. One of the most vulnerable populations are adolescent girl. This study aims to know the prevalence and risk factor of anemia among adolescent girls in Abiansemal High School Methods: Cross sectional study was conduct with a total of 254 individuals comprising healthy participated. The relevant information was collected with interviews, anthropometric measurements and Hemoglobin assay. Multivariate Poisson Regression analysis was done to analysis the risk factor. Results: The prevalence of anemia was found to be 71.3% (22.8% mild anemia, 47.2% moderate anemia and 1.2% severe anemia). Mean age of the adolescent girls was 15.5 ± 0.66 years old. Multivariate analysis showed that the strongest predictors of anemia associated with adolescent girls is eating frequency ? 2 times a day (aPR:1.55; 95% CI: 1.32 to 1.81), excessive menstrual bleeding (aPR: 1, 35; 95% CI 1.17 to 1.56), vegetarian diet (aPR: 1.23; 95% CI 1.08 to 1.41) and drinking tea during meals (aPR: 1.17; 95% CI 1.01 to 1.36). However, the level of knowledge, socioeconomic status, and BMI did not contribute significantly in this study. Conclusions: High prevalence of anemia in adolescent girls of Abiansemal High School. Anemia screening should be done regularly and giving iron tablets to adolescent girls.