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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.

Family planning is an attempt by a married couple to regulate the number and distance of children desired. The effort in question is contraception or prevention of pregnancy and family planning, the basic principle of contraceptive methods is to prevent male sperm from reaching and fertilizing a woman's egg. This study aims to determine the relationship between knowledge and attitudes of mothers with the use of implantable contraceptives at the Kedai Sianam Health Center in 2022. This research is an analytical research with a cross-sectional study design. The population in this study was all mothers who used contraceptive implants at the Kedai Sianam Health Center as many as 157 people. Samples were obtained as many as 61 people. Data analysis using univariate and bivariate analysis with Chi Square test. The results showed that there was a relationship between maternal knowledge and the use of implantable contraceptives (p = 0.008). There is an attitudinal relationship with the use of implantable contraceptives (p = 0.000). Thus, it is recommended that mothers take the time to attend counseling organized by health workers at Puskesmas about family planning services so as to increase knowledge, attitudes of mothers about implanted contraceptives.

Early Breastfeeding Initiation (IMD) can prevent 22% of infant deaths in developing countries at the age of under 28 months, but if the first breastfeeding, when the baby is over two hours old and under the first 24 hours, it can prevent 16% of infant deaths under 28 day. Things that can affect the implementation of IMD, namely first, attitude and health workers. The results showed that the mother's perception of reduced milk production was caused by a lack of knowledge about the normal process of breastfeeding, but most mothers could overcome this if they received proper guidance from health workers. This community service was carried out in April 2022 in Kute, Kaya Pangur Village. The target of this activity is pregnant women, totaling 35 people. This counseling activity was carried out in the form of providing materials and leaflets about early initiation of breastfeeding

Breast milk production can be increased, one way is by consuming vegetables. The types of vegetables that can increase breast milk production include katuk leaves, young papaya leaves, moringa leaves and lembayung leaves. Consumption of young papaya leaves is still rarely done by breastfeeding mothers. Young papaya leaves are a natural plant that acts as a lactogogum because it can increase and facilitate breast milk. Research objective: The effect of giving boiled papaya leaves on breast milk production in postpartum mothers in the working area of the Tinondo District Health Center. East Kolaka in 2021. The type of research used was a quasi-experimental method. The sample in the research was all postpartum mothers who were not breastfeeding smoothly at the Tinondo District Health Center. East Kolaka, namely 21 people using a purposive sampling technique. There is an effect of giving boiled papaya leaves on breast milk production in postpartum mothers in the working area of ​​the Tinondo District Health Center. East Kolaka in 2021 where the results of measuring breast milk production before being given treatment obtained an average value of 3271.43 to an average value of measuring breast milk production of 3590.48 after being given boiled papaya leaves with a sig value (2-tailed) 0.000 < 0.05. Suggestions for health workers should be used as information about the smoothness and production of breast milk for postpartum mothers.

This increase in the elderly population makes the government need to formulate policies and programs aimed at elderly population groups so that they can play a role in building public health. One of the government policies is that health services are provided at health centers, such as providing good and quality services, giving priority to elderly people and providing safe and easily accessible facilities, providing support or guidance to the elderly and their families on an ongoing basis. The purpose of this study was to determine the relationship between the role of health workers and the participation level of Posyandu for the elderly in Esandom one, Tombatu Timur District, Southeast Minahsa Regency. The study used a cross sectional analytic descriptive research method. The sample of respondents was 88 people using purposive sampling. Data collection using questionnaires and observation sheets. Analyzed with the chi square statistical test. The results of the study were 68 respondents (77.3%) with the highest age, 73 respondents (83.0%) had the highest education. Chi square test results obtained p value <? 0.05. The conclusion in this study is that there is a relationship between the role of health workers and the participation level of the Posyandu for the elderly in Esandom one, Tombatu Timur District, Southeast Minahsa Regency. Suggestions are expected that the Puskesmas can use this research as one of the bases in health promotion for the elderly.. Suggestions are expected that the Puskesmas can use this research as one of the bases in health promotion for the elderly. 

Background: One of the factors of the high MMR in Indonesia is due to the relatively low coverage of help by health workers. Puprose: The purpose of this study was to determine the relationship of family and socioeconomic support with the choice of delivery place in Puskesmas Tebing Tinggi. Methods: This study is analytic survey with cross sectional design. The research population in this study was trimester III pregnant women in Puskesmas Tebing Tinggi in July 2019, amounting to 52 people. The sample in this study was third trimester pregnant women who are in Tebing Tinggi Health Center taken in total sampling. Data collection is done using primary data. Results: The results of the study of 52 pregnant women respondents who chose non-health service facilities were 31 respondents and those who chose health service facilities were 21 respondents. From 52 family respondents who support as many as 30 respondents and do not support as many as 22 respondents, from 52 respondents with socioeconomic <UMR as many as 35 respondents and ? UMR as many as 17 respondents. Chi-square test results obtained value ?2 = 4.278 with p value = 0.05 meaning that there is a relationship of family support with the choice of delivery place in Tebing Tinggi Health Center with a moderate category. Chi-square test results (Pearson chi-square) obtained value ?2 = 8.27 with p value = 0.05 means that there is family support by choosing the place of delivery at Tebing Tinggi Health Center with a moderate category. Conclusion: It was concluded that there was a significant relationship between family support and socio-economics with the choice of delivery place in the Tebing Tinggi Health Center with a moderate category.Keywords: Family Support; Economic Sociology; Selection of Childbirth

Background: Chronic Kidney Failure is one of the important health problems in Indonesia and the world community. In Indonesia, according to data from Penetri (Persatuan Nefrologi Indonesia) the number of patients with kidney failure is estimated at 4500 people, but those detected suffering from terminal stage chronic kidney failure from those undergoing dialysis (hemodialysis) are only around 4 thousand - 5 thousand people. Cases of kidney failure in Indonesia are still relatively high every year, because there are still many Indonesian people not maintaining their diet and health. This means that chronic kidney failure ranks as one of the highest rates of disease causing death. The purpose of this study was to describe the level of adherence to patients with chronic kidney failure in undergoing a hemodialysis program in the hemodialysis room at Sanjiwani Hospital in Gianyar. Methods: This research is a descriptive observational type. This study uses a sampling technique that is purposive sampling with a total sample of 30 people. Results: In this study the results of the rate of compliance of CRF patients with hemodialysis were 27 respondents (90%) who were obedient and non-adherent as many as 3 respondents (10%). Thus most patients with chronic renal failure adhere to undergoing hemodialysis in the hemodialysis room of Sanjiwani Hospital in Gianyar. Conclusions: The conclusion of this study is that patients with chronic renal failure are expected to seek treatment regularly in accordance with the rules set by health workers. Delay of dialysis causes pulmonary complications, seizures, decreased consciousness, severe electrolyte disturbances, heart failure, which can cause death.Keywords : Chronic Kidney Failure; Hemodialysis, Compliance

Spinal anesthesia is a widely used anesthetic technique, particularly in surgeries involving the lower body, due to its effectiveness and safety profile. A critical component of post-spinal anesthesia recovery is the assessment of patient mobility, which can be quantitatively measured using the Bromage Score. The Bromage Score evaluates the degree of motor block, which is essential for determining when a patient can safely begin mobilizing after anesthesia. The education and implementation of the Bromage Score in hospitals are designed to enhance healthcare professionals' understanding of its significance, ensuring a more objective and systematic approach to patient recovery monitoring. This educational program involves a structured training session for healthcare workers, distribution of educational materials such as brochures and manuals, and evaluations both before and after the intervention to assess changes in knowledge and application. The results of the program indicate a significant increase in healthcare professionals’ understanding of how to apply the Bromage Score and improved quality in the monitoring of patient mobility after spinal anesthesia. The consistent and accurate implementation of the Bromage Score is crucial as it helps medical personnel determine an appropriate and safe time for patient mobilization, thus reducing the risk of complications such as falls, orthostatic hypotension, or delayed recovery. As a result, the program is recommended as a standard practice in healthcare settings to improve post-spinal anesthesia recovery outcomes and patient safety.

Coronaviruses are  group of viruses that can cause disease in animals/humans. The COVID-19 outbreak is contagious and spreads rapidly can have impact on psychological stress and symptoms of mental illness. So far, the handling of mental health and psychosocial disorders has been more focused on the community than health workers. The lack of focus on the mental health of health workers has the potential to disrupt and even turn off health services and will affect the handling of the COVID-19 pandemic. This study aims to determine (1) Mental and Psychosocial Health of Patient Registration Officers at Regional General Hospitals (RSUD) in the 2020 COVID-19 Pandemic Era; (2) Identify the characteristics of respondents including gender, marital status, age, education; (3) Identifying mental and psychosocial health at the Patient Registration Officer at RSUD Malang City. This research uses a qualitative descriptive research type. The characteristics of the disease from the COVID-19 pandemic, increasing the atmosphere of general vigilance and uncertainty, who communicate directly with patients every day, due to various causes such as the rapid spread and transmission of COVID-19, the severity of symptoms it causes in given situation. segments, infected people, lack of knowledge about disease, and mortality among health workers.

Motivation is the driving factor to achieve a quality services, especially in health. Work motivation is desirable in order to improve public health, it also can be expected to produce socially optimal production in accordance with the goals and ideals of the organization in the future. Research Purposes to determine the influence of work motivation on employee performance at Puskesmas Kairatu Method. This type of research used in this study was cross sectional. This research was conducted at the health center Kairatu West Seram regency. The population in this study were all employees of the health center Kairatu totaling 84 people. While the sample is done purposive sampling amounted to 69 people. The survey results revealed that respondents are less intensive relationship with the motivation to work as much (100%). For quite intensive relationship with the motivation does not support as many (10.8%) and motivational support as many (89.2%). known relationship with the working conditions are less motivation to work as much support categories (100%). For good working conditions to do with the motivation that does not support as many (11.4%) and support as many (88.6%). it is known that the relationship is less motivated colleagues support as many categories (100%). For a good relationship with co-workers motivation does not support as many (11.1%) sedangan motivational support as many (88.9%). Chi-square test results note that there is no significant relationship between the variables relationships with colleagues with the motivation which means p = 1.000 p> 0.05.

Cadres are voluntary workers recruited from, by and for the community who are tasked with assisting the smooth running of health services. The performance of Posyadu cadres experienced a decline in the early 2000s as a result of a prolonged multi-dimensional crisis, this is known because there were reports of malnutrition from various parts of the country. The decline was felt following the lack of cadre skills, no Posyandu operational support, inadequate facilities and infrastructure and weak coaching. The purpose of this study was to describe the performance of posyandu cadres with the satisfaction of mothers of children under five at the Posyandu, Wakasihu Village, Central Maluku Regency. The type of research used is descriptive research. The population in this study were all mothers under five who visited the posyandu as many as 30 toddlers. The sampling technique in this study is total sampling, which means that all populations are sampled. So that the sample found in this study amounted to 30 people or respondents. The results showed that the mothers under five studied who said that the performance of cadres was good amounted to 13 people (56.7%), and the performance of cadres was not good amounted to 17 people (43.3%). Furthermore, from the 30 respondents who were examined, it can be seen that the number of respondents who said they were satisfied with the performance of the cadres were 18 people (60.0%), and respondents who said they were not satisfied were 12 people (40.0%). It was concluded statistically and illustrated that the performance of cadres still had opinions from mothers of children under five that they were not good at providing services at the posyandu. It was also concluded that statistically some respondents or mothers of toddlers still said that they were satisfied with the performance of cadres.

Elderly can be said to be the final stage of development in the human life cycle. Meanwhile, article 1 paragraph (1), (2), (3), (4) of Law no. 13 of 1998 concerning health states that an elderly person is someone who has reached the age of more than 60 years (Maryam, 2011). A decrease in muscle function and strength will result in a decrease in the ability to maintain postural balance or body balance in the elderly. Joint pain is an inflammation of the joints which is characterized by joint swelling, redness, heat, pain and movement pain. (Santoso, 2009). The type of data used is primary data taken directly from respondents using a questionnaire. The statistical test used is the chi-square test ∝= 0.481. The results of the analysis showed that the majority of elderly people with less experience experienced joint pain (43.5%). The results of the chi-square statistical test obtained p= 0.481, which means there is a relationship between knowledge and activeness of the elderly in doing elderly exercise with the incidence of joint pain in the elderly. Seeing the results of this research, the health workers on duty should provide education about exercise for the elderly and joint pain.    

Puerperal gymnastics is a series of body movements performed by maternal postpartum that aims to restore and maintain muscle strength associated with childbirth. Results of preliminary studies commencing on January to April 2016, there are six post-partum mothers experience postpartum hemorrhage. A puerperal gymnastics counseling to postpartum mothers has been done but not all postpartum mothers doing gymnastics parturition. This is due to postpartum mothers are not unaware that puerperal gymnastics will affect the muscles needs for oxygen, blood flow becomes smooth so it can help the process of health recovery after childbirth. The purpose of this study is to find the effect of puerperal gymnastics to involution of uterus to primipara maternal in Majalaya Hospital Bandung District in 2016. The type of research is a quasi-experimental design with posttest only non-equivalent control group method. Sampling technique in this study using purposive sampling with the number of sample in this study as many as 20 people. From the results, it is found that an average reduction of TFU intervention group is 6.3 cm while the control group is 9.6 cm. Statistical test results of T-Independent Samples Test are t count = 8.222, t table = 1.734 which means t count > t table and sig.t count ρ Value (0.000<0.05) and there are differences in the effect of puerperal gymnastics to the involution of uterus to the primipara maternal in Rose Room of Majalaya Hospital 2016, seen from the decline of TFU between the puerperal gymnastics intervention group and the control group that does not given puerperal gymnastics. Advice for the health workers in the Rose Room is to make SOP of puerperal gymnastics and implement puerperal gymnastics by implementing puerperal gymnastics programs of postpartum mothers which is beneficial to the healing process of self-postpartum.

Mother’s breastfeeding coverage in Indonesia is still low at just 42% below the WHO target. Factors contributing are the mother's knowledge, the role of health workers, and working mothers. Those data is reinforced by the fact in the hospital, where there are many mothers who formula feed their babies on the first day of birth. The situation was caused by the mother during ante partum not get antenatal care properly. So that health education efforts to provide information about breastfeeding needs to be. Method of this research. Quasi experiment design with non randomized pretest-posttest control group without has used in this research. Samples are 10 maternal ante partum latent phase in the delivery room with specific inclusion criteria. Data collection methods. the type of questionnaires which were completed and returned by respondents. the form of a questionnaire. Data analysis was using the t test. Results showed effect of health education on breastfeeding to the implementation of the IMD, with difference in mean pre-posttest was 2,900, SD = 1,663 and p value = 0.000 (a< 0,005). Suggestion. Improving health promotion in the delivery room.