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Background : The period of breastfeeding in children aged 0-6 months is one part of the first 1,000 days of life (golden period). Exclusive breastfeeding aims to guarantee the right to exclusive breastfeeding up to the age of 6 months by taking into account the growth and development of the baby. Some mothers find it difficult to express breast milk because more and more mothers are influenced by myths. When a mother is concerned about her baby's ability to breastfeed, the hormone oxytocin decreases, causing her to stop producing and eventually breastfeed soon after birth. One way to stimulate the mother's prolactin and oxytocin hormones after giving birth is breastfeeding massage. Writing purpose : To determine the effectiveness of the combination of consumption of smoothy spinach and oketani massage to increase the amount of milk production in postpartum mothers in the UPT area dcomparison of giving snakehead fish extract and smoothy spinach to increasing hemoglobin levels in pregnant women in the UPT Puskesmas Kalri Karawang area in 2023. Research methods : This type of research used is quantitative research. This research method is experimental with the type of Quasy Experimental (pseudo-experimental) with a post test only design approach.This research was conducted in the UPT Kalri Health Center, Karawarang December 2022 to January 2023. The population in this study were all postpartum mothers at the Mukoyurli Buol Hospital with a total of 63 people. Samples were taken using non-probability sampling method with purposive sampling technique. The number of samples in this study were 32 research samples. Research result : The results of the independent statistical test sample T test obtained a value of p = 0.000 (p <0.05), which means that the combination of smoothy spinach and massage oketani has a significant effect on milk production. Conclusion : There is a significant relationship between the combination of smoothy spinach and oketani massage on milk production.It is hoped that health workers (doctors, midwives, nurses) can assist postpartum mothers in communicating providing information and education about the benefits of a combination of smoothy spinach and oketani massage in helping patient families to provide oxytocin reflex massage to postpartum mothers.

Background :Hospitalization is a critical condition in children, when the child is sick and is being treated in the hospital. Hospitalization can be considered as a threatening experience and becomes a stressor so that it can cause a crisis for children and families. In an effort to reduce the impact of children from hospitalization experienced by children during child care, we need a medium that can express anxiety, one of which is coloring picture therapy. Data from the Children's Room at Adjidarmo Rangkasbitung hospital found that children who were hospitalized from January to June 2022 had 979 cases of hospitalized children or an average of 163 cases per month. Writing purpose :the effect of giving play therapy coloring pictures on reducing stress due to the impact of hospitalization in pre-school-aged children at Adjidarmo Rangkasbitung Public Hospital, Banten Research methods :This study used a pre-experimental denham design with one group pretest-posttest design. One-group pre-post test design to obtain stress level data before and after the intervention. The number of samples in this study were 32 pre-school children who fit the inclusion criteria. The instrument used for data collection used a questionnaire and then the data were analyzed using the paired t test. Research result :the average stress on children due to hospitalization before the intervention was given was 21.09 pont or included in the moderate category and after the intervention became 13.13 or included in the moderate. There is an effect of giving play therapy coloring pictures to reduce stress due to hospitalization in pre-school-aged children at Adjidarmo Rangkasbitung Hospital, Banten with a p value of 0.000. Conclusions and recommendations:Image coloring play therapy can be effective in reducing stress in children due to hospitalization, therefore health workers can apply image coloring play interventions to children who are hospitalized

The World Health Organization (WHO) estimates that the prevalence of parenting and stunting worldwide is 22 percent or as many as 149.2 million in 2020. Stunting is caused by multi-dimensional factors and not only caused by malnutrition experienced by pregnant women and children under five, another cause is poor parenting practices, including the lack of knowledge of mothers about health and nutrition before and during pregnancy, as well as after mothers give birth. Purpose of Writing : To determine the relationship between parenting style and the incidence of stunting in toddlers aged 12-59 months in Pasirhaur village in 2022. Research Methods : Case control research with a quantitative approach. A sample of 82 mothers with toddlers in November 2022. The sampling technique used is non-probability sampling with purposive sampling method. Results of the study : Poor parenting styles were more common in cases of stunting, with 31 people (75.6%) than good parenting styles for stunted toddlers, with 10 people (24.4%). In the chy-square test, the results of parenting variables for mothers' knowledge were lacking P value 0.008 <0.05, Not exclusive breastfeeding P value 0.03 <0.05, not MP-ASI P value 0.055 <0.05 , and care for sick children who lack P value 0.012 <0.05, so the analysis is that there is a relationship between parenting parents and stunting in toddlers aged 12-59 months in Pasirhaur Village in 2022. Conclusion : Good parenting can reduce the risk of stunting in toddlers and it is hoped that health workers, especially midwives

This study was conducted with the aim of finding out how the work safety procedures are in loading/unloading activities at PT. Buana Lintas Lautan Tbk, Batam Branch. The author obtained data using field research methods and library research methods. The company PT. Buana Lintas Lautan Tbk, Batam Branch is a freight forwarding service company engaged in loading/unloading activities. In loading/unloading work, it is closely related to work that can cause work accidents, whatever the work that moves, is stored and transported, has many risks. Work safety procedures in loading/unloading activities at PT. Buana Lintas Lautan Tbk, Batam Branch have been running well. This is done for the good of the company and loading/unloading workers. To ensure the safety and health of workers in carrying out loading/unloading work, work safety procedures are implemented so that all workers feel safe and comfortable in carrying out their work, although there are still workers who do not use personal protective equipment in the loading/unloading process.

Breastfeeding is the process of giving milk to babies or small children with breast milk (ASI) from the mother's breasts. Every effort is made to help mothers achieve success in breastfeeding their babies, which is called lactation management (Sutanto, 2018). Giving formula milk is not recommended for babies aged 0-6 months, because it can increase the risk of illness and even death in babies. UNCIEF states that giving formula milk can increase by 25 times the incidence of death in babies early in life compared to babies who are given exclusive breast milk.               This study used an analytical research design with a cross-sectional study approach, the population in the study was 50 people using Consecutive Sampling sampling, all subjects who came and met the selection criteria, and were included in the study until the required number of subjects was met. The data analysis used is chi square. The results of statistical tests using the Chi Square test obtained a result of 0.004. These results are smaller than the P value (0.05) or 0.004<0.05, meaning that there is a significant relationship between maternal knowledge and formula milk feeding, so the hypothesis in this study can be accepted. The results of statistical tests using the Chi Square test obtained a result of 0.003. These results are smaller than the P value (0.05) or 0.003<0.05, meaning that there is a significant relationship between maternal education and formula milk feeding, so the hypothesis in this study can be accepted. The results of statistical tests using the Chi Square test obtained a result of 0.005. These results are smaller than the P value (0.05) or 0.005 < 0.05, meaning that there is a significant relationship between mother's work and giving formula milk, so the hypothesis in this study can be accepted.       The conclusion is that there is a relationship between maternal education and the provision of formula milk at the Tanoh Alas health center. It is hoped that this research can be used to provide appropriate steps or strategies to encourage the public and health workers to provide exclusive breastfeeding, by minimizing the factors that influence early provision of formula milk.  

Based on the results of the data analysis conducted, it was found that the variable land area has a significant effect on the income of corn farmers because the wider the land owned will increase the income of farmers because the more land planted is also encouraged by other factors such as plant care. The variable cost of fertilizer has no significant effect on the income of corn farming because the use of fertilizer must be in accordance with the recommended dosage. If it exceeds it can cause plant death and continuous application of fertilizers can have a bad effect on soil conditions. Soil becomes quickly hardened, less able to store water. The cost of pesticides has no significant effect on the income of corn farming because the excessive use of pesticides is not friendly to the environment and the health of farmers, because nutrients in the soil are eroded in the long term and productivity decreases. Seed costs do not have a significant effect on corn farming income. That is, the more seeds used, the greater the production yields, but there is still a maximum limit for this use, if it is used beyond this limit it will reduce production yields. The variable amount of labor does not have a significant effect on the income of farmers because the more labor used will reduce income to provide wages, the labor used in this case is daily workers and only at harvest time. The output price variable does not have a significant effect on farmer income where the increase or a decrease in the total output price will result in an increase and decrease in corn income in the Waterfall Village, Pantai Cermin District.

Health is a basic right of all people. The main priority at this time is health services for pregnant women. The selection of birth attendants for pregnant women is something that must be considered. Prior to the tripartite partnership, many people chose to give birth with the help of a dukun than to give birth with a health worker. The process of forming a tripartite partnership, namely collaboration between cadres, traditional birth attendants and midwives, began with the signing of the MoU which was directly supervised by the camat, babinsa and lurah. The existence of cadres and traditional birth attendants who continuously accompany pregnant women makes them trust them to use the services of health workers and give birth at health facilities. There was an increase in the number of birth mothers assisted by midwives who partnered with traditional birth attendants at Poskesdes with an average increase of 2. 8% for the past 2 years. The obstacles in implementing this tripartite partnership are the very low level of education of cadres and traditional birth attendants, the remote location of health services and the financial capacity of postpartum mothers.

Puskesmas as a provider of basic health services has a very important role in maintaining public health. If it functions properly, the puskesmas will be able to provide quality services for people in need. The success of puskesmas in carrying out their programs is determined by the availability of human resources (HR) that are balanced between medical personnel on one side and promotive and preventive personnel on the other. The relationship between ability, workload, work discipline, and work motivation with the performance of health workers is obtained that there is a relationship between ability, workload, work discipline, and work motivation with the performance of health workers. Research Objectives: The purpose of this study is to analyze the suitability of the main tasks and functions (tupoksi) with education and skills as well as means of supporting work. Research Methods: The author of this article uses a descriptive qualitative method that seeks to describe an object or subject of an inductive nature. Result: Inappropriate tupoksi due to limited health workers in puskesmas, especially limited skills based on the type of education. As a result, there are health workers who are in charge of programs that do not match their skills. Conclusion: The lack of health workers makes the tupoksi incompatible with the educational background of the staff in charge of the program at the Puskesmas.

Background: Poltekkes Denpasar is one of the health universities that certainly has the task and role of doing community service and its role is needed in the context of disaster mitigation and response. Community assistance and empowerment activities, especially the younger generation, can be carried out with the aim of assisting the community in the process of strengthening community potential in anticipating and facing disasters. Purpose: The purpose of this community service activity is to make the community able and aware of disasters by providing education about disasters and BHD training. Methods: Community service is carried out by providing education and training to stripling warriors as a disaster resilient group. Results: This BHD training activity improves participants' knowledge scores on basic life support. This activity is felt to be very useful by the stripling family, where they hope that they will later be able to provide first aid to people who experience respiratory arrest or cardiac arrest before health workers arrive. Handling respiratory arrest and cardiac arrest during the golden period will go a long way towards saving lives. Conclusion: Education has been carried out to the stripling of Apit Yeh Traditional Village about disaster mitigation and BHD training and there has been an increase in knowledge after being given education Keywords: Empowerment; Sekeha Teruna; Disaster Resilient

Anemia during pregnancy is still a global problem. The government synergizes with health workers to reduce the prevalence of anemia, one of which is by administering iron supplements. However, this alternative has not been able to reduce the incidence of anemia in Indonesia. Therefore, the aim of this study was to determine strategies to reduce the incidence of anemia in pregnant women. Qualitative research with a single holistic case study approach. Research informants were heads of puskesmas, midwives, nutritionists, ATLM, doctors, and anemic pregnant women. Data collection for 1 month. Data analysis using Miles and Huberman models. The data collection instruments were interview guides, study documentation, observations, logbooks and field notes. The results of this study, there are 4 themes namely: 1) increasing the competence of human resources; 2) providing more comprehensive health education and simpler word choices; 3) Educational media innovation by utilizing online platforms; and 4) husband and family support. Therefore, increasing human resources can be through training and technical guidance on the management of anemia during pregnancy and anemia hematology examination, utilizing social media platforms such as Instagram, TikTok, Youtube and Whatsapp. increased blood especially drinks that can block the absorption of iron. Also, husbands encourage and remind pregnant women to regularly consume iron tablets every day.

Background: Many factors influence the completeness of basic immunization, such as parents, geographical location, vaccines, and health workers who provide immunization services. Even though the immunization program has been implemented well, there are still some immunization coverage that have not been achieved. Parents are the most important factor in scoring a child's complete immunization. Parents' participation in a health program is influenced by various factors and one of them is knowledge and attitudes towards the health program itself. Giving vaccines to children is the right way to anticipate the possibility of children being infected with diseases that are threatening at any time. Immunization functions to build a child's immunity against infectious diseases and dangerous diseases that can cause bodily defects. even death. Immunization given to children is the most effective way to protect children from tuberculosis (TB), diphtheria, pertussis (cocoon cough), tetanus (toothbrush). poliomyletis, measles, rubella and hepatitis B (Mai-imbi, 2021). During this time, parents had hepatitis B, meningitis, pneumonia and polio. VPD is a disease that is hoped to be eradicated or suppressed by implementing an immunization program Objective: Knowing the relationship between maternal attitudes and family support with the completeness of follow-up immunizations for young children at the Medan Amplas Community Health Center, Medan Amplas District in 2022. Method chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. Results: There is a relationship between the mother's attitude of family support and the completeness of advanced immunization for children in 2022. Suggestions are provided for research and for research sites and for educational institutions regarding perennial wound care.

WHO in 2018 noted that of the 675 million elderly deaths in the world due to degenerative diseases, 225 million (33.33% proportion) were in developed countries and 450 million (66.66 proportions) were in developing countries. The elderly population is estimated at almost 600 million people, which is projected to be 2 billion in 2050. Problems that often occur in the elderly include physical changes: cell decline, changes in the cardiovascular system, decreased respiration. Efforts to improve the health status of the elderly in the community are through Posyandu services for the elderly. Utilization of Posyandu for the Elderly is low even though it provides the benefits needed for the health of the elderly. This study is an analytic observational study with a cross sectional approach to analyze whether or not there is a relationship between knowledge and attitudes of the elderly with the use of posyandu for the elderly. The elderly population in Ujung Labuhan Village, Namorambe District, Deli Serdang Regency in 2021, as many as 72, the sample was taken by purposive sampling with a total of 45 elderly. Data analysis using chi square test. Most of the respondents have a low level of knowledge, namely 26 respondents (57.8%), a small proportion have good knowledge, 19 respondents (42.2%). Most of the respondents had a positive attitude towards the elderly posyandu as many as 23 people (51.1%), a small number of respondents had a negative attitude as many as 22 people (48.9%). Based on the results of the chi square test, it is known that the value of p = 0.000 <0.05 means that there is a relationship between attitudes and the use of posyandu for the elderly. There is a relationship between knowledge and attitudes of the elderly with the use of posyandu for the elderly. The elderly population in Ujung Labuhan Village, Namorambe District, Deli Serdang Regency in 2021. It is hoped that health workers will take a more innovative approach in providing health services to the elderly while still implementing health protocols.

Protracted labor is correlated with an increase in maternal and fetal motility, an increase in abnormalities in the physiology of labor, and an escalation in the rate of caesarean section delivery. In women with prolonged labor, there is an increased risk of death due to atonic uterus, birth canal lacerations, infection, fatigue, and shock, however in infants, prolonged labor is not associated with an increase in infant mortality, decreased APGAR score, trauma, and infection. With adequate physical and psychological preparation, the impact of prolonged labor can be reduced. The (PRE) is a bodywork involving waist and hip rotations. This research employs Systeematic Literature Reviews (SLR), a synthesis of systematic, clear, and comprehensive literature studies, by identifying, analyzing, and evaluating existing data using explicit research methods and incorporating critical review procedures into the selection study. The data consists of 6 national journals and 1 international publication indexed by Shiinta Indonesia and Scopus with Q2standard Results in 7 journals utilizing observation sheets and parttographs for data collection instruments. In one of the seven journals reviewed, the Pellvic Rocking Exercise technique was applied at TM 3 gestational age, between 34 and 35 weeks. When the laboring mother enters the first stage of the active phase, another publication employs the Pelvic Rocking Exercise technique. Conclusion: Pelvic Roccking Exercise is effective in shortening the active phase till the full opening of the cervix in primiparous moms. Pelvic rocking using a birth ball helps the baby to rotate into the optimal position and shortens the first stage of labor, therefore reducing labor pain and providing comfort to the mother. It is anticipated that health care workers will become facilitators for expectant mothers and provide physical support for the profession.

Hyperemesis Gravidarum is vomiting that occurs until 20 weeks of gestation. Vomiting occurs so intense that everything that is eaten and drunk is vomited up, affecting the general condition of the mother. The management of mild hyperemesis gravidarum is very important, namely by giving ginger extract drink. Giving ginger drink for 1 week with the rule of drinking a third of a teaspoon of powdered ginger extract brewed using warm water and drunk three times per day. The purpose of this study was to determine the effect of drinking ginger extract on mild Hyperemesis Gravidarum in pregnant women. This outreach method is by providing an explanation to the community before the intervention in the form of ginger extract drinks and after the experiment in the form of giving ginger extract drinks. The number of samples in this study were 15 respondents who were pregnant women with mild hyperemesis gravidarum in Manyampa Hamlet. The leaflets were used. Furthermore, From the results of this counseling, it is hoped that the general public, especially health workers, can socialize the use of ginger extract drinks for pregnant women with Mild Hyperemesis Gravidarum. The target of this counseling is to reduce nausea and vomiting in pregnant women, especially pregnant women who experience nausea and vomiting in order to improve the quality and quality of services for pregnant women.

The National Health Insurance (JKN) Program is part of the National Social Security System (SJSN) which is organized using the principle of mandatory social health insurance based on Undang-Undang Republik Indonesia Nomor 40 Tahun 2004. The implementation of the National Social Security System aims to provide guarantees for the fulfillment of the basic needs of a decent life for each participant and their family. In the use of JKN services, participants are required to follow the referral service procedures as stated in the regulations. During the Covid-19 pandemic, various service channels have been launched which are expected to make it easier for participants when they want to take advantage of the JKN program. So it is felt necessary to socialize to the community to understand the benefits and procedures of JKN services so that this program can be utilized as well as possible. This community service activity is carried out by providing education to private workers in Gianyar Regency. Education is carried out in the form of online webinars by utilizing zoom meeting media. After socialization, the results were obtained that there was an increase in participants' knowledge of JKN.

Acute Respiratory Infections (ARI) are upper and lower respiratory infections caused by infection or bacteria. According to WHO (2018), 40%-60% of the world's under-five population experience ARI. ARI occurs due to many factors, including LBW, Nutritional Status, Immunization Status, and Residential Density. This study aimed to determine whether there was a relationship between these factors and the incidence of ARI at the Batua Makassar Health Center. The design of this study used an analytical survey with a cross-sectional design. The research sample consisted of 90 children under five with a simple random sampling technique, and the measuring instruments used were questionnaires and KMS. Data analysis using chi-square test. The results of the study using the chi-square test obtained a value of P = 0.049 (LBW), P = 0.013 (nutritional status), P = 0.000 (research status), P = 0.001 (density of residence) because the -value = <0.05 then Ha is accepted, it means that there is a relationship of several factors to the incidence of ARI in toddlers at the Batua Makassar Health Center. From the results of this study, it can be said that the condition of LBW, nutritional status, immunization status, and density of residence has a significant relationship. Families are expected to add information by actively participating in activities carried out by health workers on reducing factors that can cause ARI in toddlers.

The MDG`s national target is to reduce the maternal mortality rate by three quarters from the maternal mortality rate in 1990 of 405 per 100,000 live births to 102 per 100,000 live births in 2015. World Health Organization (WHO) Maternal Mortality Rate (MMR) in the world that is, 289,000 people, and estimates that 800 women die each day due to complications of pregnancy and childbirth. Approximately 99% of all maternal deaths occur in developing countries, about 80% of maternal deaths are the result of increased complications during pregnancy, childbirth and after delivery. The Health Profile of North Sumatra Province in 2016 states that the coverage of deliveries assisted by health workers shows an increasing trend, namely from 86.73% in 2010 to 90.05% in 2016, even the achievement in 2016 was the highest achievement in terms of delivery assistance by health worker in 7 years Effleurage technique is a massage technique using the palms of the hands in a circular motion pattern on the lower part of the waist. Massase effleurage technique can reduce labor pain during the first stage of the active phase if it is done correctly, which is done every time there is a contraction and done for about 20 minutes. The general objective of this study was to provide midwifery care for the first stage of labor to Mrs. A with the Effleurage Massage Relaxation Technique at the Pratama Marko clinic using Helen Varney's 7 steps midwifery management. In making this report the authors use descriptive methods with a case study model. The results showed that the respondent Ny. A 28 years old during the first stage of labor with massage relaxation technique at effleurage at the Pratama Clinic, Jl. Floodgate IV kec. Medan Johor.    

Independent Upbringing of Family Medicinal Plants (Asmantoga) is a plant cultivated by the surrounding community and cadres of Bojonegoro sources of corn which has medicinal properties and can be used for health. Besides that, Asmantoga plants are natural medicines and do not contain chemicals. Under these circumstances, the servants made an innovation in the Asmantoga Park to turn the medicinal plant area of the Sumberagung village family from Bojonegoro into an Asmantoga Educational Park. And also conduct independent care as an effort to change the paradigm of curative medicine, to become promotive and preventive, which is beneficial for efficiency and effectiveness for the surrounding community and Sumberagung cadres.This service aims to find out the development of family medicinal plants in the village of Sumberagung, Dander Bojonegoro sub-district, to find out how to increase community knowledge about the benefits of self-care for family medicinal plants in Sumberagung Village, Dander Bojonegoro District.The community service partners here are Village Officials, and Asmantoga Cadres of Sumberagung Village, Dander Bojonegoro District.The methodology used in community service in Sumberagung village is the ABCD (Asset Based Community Development) method.The results of the Asmantoga land use activities have made the residents a little more concerned with the Asmantoga land use. Pengabdi also held a health seminar with the theme "keep your health with family medicinal plants" with Sumberagung village health workers in order to introduce to the community how important it is to preserve family medicinal plants.  

Background : The benefits of breast milk will increase if the baby is only given breast milk for the first six months of life. Purpose : This study aims to study the factors associated with breastfeeding along with supplementary feeding in infants 0-6 months in the Work Area of ??Manna City Health Center in South Bengkulu. This research approach uses descriptive with cross sectional design. Methods :The population in this study were all mothers who had infants aged> 6-12 months in the work area of ??Manna City Health Center as many as 112 people, obtained 50 samples using Accidental Sampling. The data used are primary virgin and secondary data. Data were analyzed using univariate and bivariate analysis with Chi-Square test (?2) and Contingency Coefficient Test (C). Results : The results of the study were obtained from 50 people, there were 33 people (66.0%) giving ASI together with additional meals, 22 people (44.0%) having secondary education, 22 people (44.0%) having less knowledge, 27 people (54.0 %) health workers support, Conclusion : there is a significant relationship between education and concurrent breastfeeding supplementary food in infants 0-6 months with a weak relationship category, there is a significant relationship between knowledge with concurrent breastfeeding supplementary food in infants 0-6 months with moderate relationship categories, there is a significant relationship between the support of health workers with breastfeeding together with additional food for infants 0-6 months with a weak relationship category. It is expected that health workers can increase counseling to increase the knowledge of pregnant and lactating mothers about the right time to provide additional food and the importance of conducting regular Classroom and Posyandu visits.

Background : Asphyxia neonatorum is an emergency in infants caused by a lack of oxygen supply and an increase in carbon dioxide in the lungs which results in death. Good antenatal care and delivery assistance by health workers are highly recommended for early detection and treatment of obstetric complications that may occur in pregnant women and newborns. The purpose of this research is Studi analysis of the factors causing asphyxia in newborns at the Siti Aisyah Hospital. Methods: This study uses an analytical survey method with a case control approach.The sampling technique in this study used systematic random sampling, the samples in this study was 206 Respondens. Analysis data used univariate and bivariate analysis. statistical test using chi square. Results: The results of the study showed that there was a relationship between preeclampsia, premature delivery, post-term delivery, and the second (two) long stage with the incidence of asphyxia in newborns with a value of 0.000, this value < 0.05. Conclusion: Asphyxia neonatorum is serious and threatens the baby's life, so good knowledge is needed for mothers in routinely carrying out antenatal care and assisting health workers for pregnant women who check their wombs.