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Pregnancy with breech presentation is where the fetus lies longitudinally in the uterus while the head is at the fundus uteri and in the buttocks position below the uterine cavity (Putri and Ningrum, 2019). Cases of breech presentation both mother and fetus experience a large increase in risk and for labor with breech location have high mortality and morbidity (Putra 2015). The maternal mortality rate (MMR) according to WHO 2021 is 32.9/100,000 KH. ASEAN 2021 MMR is 235/100,000. Indonesian Ministry of Health 2021 AKI 7,389 people, Central Java Health Office 2023 AKI as much as 485. Data from the Brebes Health Office 2022 as many as 50 cases while from the kaliwadas puskesmas area in 2022 there was 1 case of death. Researchers implement comprehensive midwifery care using Varney and SOAP documentation. This study uses descriptive qualitative methods through direct approaches, interviews, observation and documentation. The main informant is Mrs.H while for additional informants there are village midwives, puskesmas midwives, husbands and Mrs.H's family. Based on the results of research obtained from the care of pregnancy, childbirth, postpartum, LBW and family planning, problems were found in the form of pregnancy with breech presentation and cesarean delivery for indications of failed induction.

This research took the location, namely the Denpasar City Health Service. Within the company there are 5 fields available to support integrated health service programs for the community, with a total human resource population of 61 emoployee. The health development program has been implemented with reference running into half decade Strategic Planning which is outlined in the annual performance plan. The health development was carried out in the form of 18 existing health development programs. The pre-survey results showed the influence of employee performance variables using seven questions. 14 samples said they did not agree to the seventh question, 5 respondents answered by choosing the word "disagree" to the sixth question. , namely "work equipment and facilities are adequate and support me in my work", there is a research gap that took place in I News Jakarta stating the results show that communication variables have no effect on employee performance. The aim of this research was to find out how organizational communication influences employee performance, find out the effect of communication on job satisfaction, find out the effect of job satisfaction on employee performance, and find out the role of job satisfaction in mediating organizational communication on employee performance. The research methods used include the interview process and questionnaires. This research measurement used saturated sampling a sample sized are 61 employee was used. The research results found that the organizational communication variable had a significantly positive effect on employee performance, organizational communication had a significantly positive effect on job satisfaction, organizational communication had a significantly positive effect on job satisfaction and the influence of job satisfaction significantly positively mediated organizational communication affect performance employee.

AEFI or Post-Immunization Adverse Event is a medical condition that is assumed to be related to immunization. Reactions that arise due to AEFI include high fever, abscesses/festering, seizures. The 2018 Lampung Provincial Health Office report noted that 32.6% experienced AEFI with the largest number being those experiencing high fever, namely 29.5%, festering 8.3%, seizures 0.97%, and others 0.57%. Reducing or controlling and controlling fever in children can be done in various ways, including pharmacologically and physically (non-pharmacologically), namely by using heat energy through conduction and evaporation methods. the effect of onion compress on reducing the baby's body temperature during fever after DPT immunization at PMB Yunita Vero Miza Lampung in 2024. Type of analytical survey research with a Post test Only Control Design approach. The research results showed a decrease in baby's body temperature after DPT immunization in the intervention group and control group after being given shallot compress with an average difference of 1.060. The results of the paired t-test obtained a p value = value 0.000 (p <0.05). there is an effect of onion compress on reducing the baby's body temperature during fever after DPT immunization at PMB Yunita Vero Miza Lampung

This study analyzes the Function of the Health Office in the implementation of health in Sikka Regency. The research method used is the Normative Judiciary method, using primary data and secondary data. Indonesia is one of the developing countries that has faced several fundamental strategic changes and challenges. The goal of the Indonesian nation is contained in the preamble to the 1945 Constitution which is held through national development, including health development. In supporting the implementation of health development, it requires support from a strong National Health System. Therefore,  the Regency/City Health Office as the executor of affairs and services in the health sector also has the function of conducting supervision in their respective areas.The formulation of the problem in this study is: (1) How is the Regulation of the Function of the Health Office in the implementation of the health system in Sikka Regency? (2) What are the inhibiting factors of the Health Office in handling the implementation of the health system in Sikka Regency? From the results of the research, the author concludes that  the function of the Health Office in the implementation of the health system in Sikka Regency is in accordance with the Regional Regulation of East Nusa Tenggara Province number 2 of 2018 concerning the implementation of Regional Health, Regional Regulation of Sikka Regency number 3 of 2021 concerning the Regional Health System, and Sikka Regent Regulation number 29 of 2016 concerning the position, organizational structure,  duties and functions as well as work procedures of the Health Office. The obstacles or obstacles of the Health Office in the implementation of the Health System in Sikka Regency are seen from several factors, namely: limited human resources, budget and funding, infrastructure and health facilities, accessibility and transportation, and lack of public awareness and participation.

Introduction: Haemoglobin levels are low (< 12 gr/dl) in adolescent women cause less blood (Anemia) causes to reduced focussing their study. JuFe programme is an innovation programme held by public health office of Cianjur through giving Fe tablets to adolescent women in Cianjur with consume Fe tablets every friday simultaneously in high schools. Objective: To determine the relationship between knowledge, attitude and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Method: This research used cross sectional study research design. The sampling technique is non random sampling are 35 peoples. The research instrument used a questionnaire, Results: This study found a relationship between knowledge (p=0,000), attitude (p=0,000), and compliance (p=0,000) with haemoglobin levels. Conclusion: there are the relationship between knowledge, attitude, and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Suggestion: It is the best health workers and teachers to increase education to adolescent women about low haemoglobin (Anemia) and implementing JuFe Programme routinely.

Stunting in children under five is a critical health problem that affects physical and cognitive development as well as potential future productivity. In Indonesia, the prevalence of stunting is still high, especially in Central Java. This research explores the Central Java Health Service's strategy in overcoming stunting through a qualitative approach using library research. This research shows the results that the Central Java Health Service has formulated policies in accordance with the RPJMN and the direction of the Ministry of Health, focusing on improving health status at all stages of life. Flagship programs such as "Centing Apik" in Kebumen and "Centing Emas" in Magelang aim to improve the possibilities and quality of health and nutritional infrastructure for mothers and children. Even though the reduction in stunting rates is not yet significant, the Health Service's commitment to accelerating the reduction in stunting prevalence is carried out through program optimization, cross-sector collaboration, and public education about nutrition and healthy lifestyles. This strategy includes five stages: goals, environment, direction, action, and measurement. This research concludes that sustainable and integrated efforts are needed to significantly reduce the prevalence of stunting in Central Java.    

Childbirth, also known as giving birth is a normal process prior pregnancy completion in women in their fertile period. Anxiety constitutes as a psychological disorder that affects childbirth process. This study aims to know the factors affecting the third trimester pregnant women’s anxiety level preceding the childbirth at Kuta Baro Public Health Center. This research designed under quantitative with analytical design, using cross sectional study method. The data collected through a questionnaire and conducted from March 6 to July 11, 2023. Population in this study was all third trimester pregnant women in Kuta Baro Public Health Center. The sample was 62 pregnant women chosen by using total sampling technique. Chi Square Test used to analyze the data. The results shows that pregnant women age with p-value 0,033, knowledge with p-value 0,088, education with p-value 0,054, and family support with p-value 0,003. In conclusion, age and family support have a significant correlation, while knowledge and education have no significant correlation to the anxiety level of third trimester pregnant women’s. This study suggests that the health officers add more programs and activities to socialize and educate the family by producing more detailed flyers and counseling on pregnancy disorders prior childbirth. Thus, the family support and their presence during the pregnancy to the childbirth process is also strongly recommended to reduce the anxiety level on pregnant women during their pregnancy.

Dengue Hemorrhagic Fever (DHF) is an infectious disease that is influenced by the environment and people's behavior. In Jambi City, Dengue Fever is still a public health problem. This research aims to distribute dengue hemorrhagic fever (DBD) incidence in Jambi City. This research uses Global Moran's analysis and Local Indicator of Spatial Association (LISA) to determine the Hot Spot and Cold Spot areas for dengue cases in Jambi City in 2018 -2022 with a sub-district analysis unit of 62 sub-districts. During 5 years of observation, the results showed that the distribution pattern of dengue fever cases was in the form of a clustered pattern (I>E[I]) in 2018-2022. The research results on the distribution of dengue fever cases from 2018-2022 showed that the lowest cases were in 2021, namely 132 cases, while the highest cases were in 2019, 698 cases. The results of this study are expected to provide an overview of the distribution of dengue fever incidence in Jambi City in 2018 - 2022 so that it becomes a recommendation material for the Jambi City Health Office or the Jambi City Government in an overview of environmental factors related to dengue fever incidence in Jambi City to prevent various diseases due to poor environmental sanitation in Jambi City. Knowing the distribution pattern of dengue fever can determine regional priorities in implementing dengue fever prevention and control intervention programs in Jambi City.

Based on adolescent report from Pandeglang Regency Health Office, there are 1178 cases of menstrual disorders in adolescents. Based on adolescent program report at UPTD Puskesmas Cikeusik until November 2022, 43.5% of adolescents experience dysmenorrhea or menstrual disorders. The impact of dysmenorrhea causes discomfort, difficulty concentrating in learning and decreased motivation to learn because of the pain felt, can limit women to carry out daily activities so that the need for handling dysmenorrhea in adolescents. The aim is to determine the effectiveness of green coconut water on reducing primary dysmenorrhea pain in adolescent girls in 2023. The sample population in this study were 2 respondents, namely adolescents who experienced primary dysmenorrhea by comparing directly to the response of green coconut water and warm water compresses. The research time was carried out on February 6, 2024 to February 10, 2024 and February 9 to February 11, 2024. Methods Data collection methods by means of assessment, namely interviews to explore the data needed related to the research to be carried out on adolescent girls with primary dysmenorrhea. The results showed a reduction in the pain scale after being given green coconut water. Conclusion In the results of the study, significant results were obtained in reducing primary dysmenorrhea, namely drinking green coconut water 1-3 days of menstruation, because the results obtained reduced pain from scale 4 to scale 2. Suggestions It is expected to apply the green coconut water method and warm water compresses on reducing dysmenorrhea pain.

This study to determine the use of revenue sharing funds of tobacco products excise as a health restoration instrument in Kediri City in 2023 and the effectiveness of Minister of Finance Regulation Number 215/PMK.07/2021 related to the use of revenue sharing funds of tobacco products excise as a health restoration instrument in Kediri City. Qualitative empirical legal research constitutes this study. Data sources and types consist of primary and secondary information. Interviews with representatives of the Kediri City Health Office and the Kediri City Regional Secretariat were utilised to acquire the data. The findings of this study indicate that the health recovery efforts in Kediri City have been largely ineffective due to inadequate implementation of the budget plan. In addition to the aforementioned, the efficacy of Minister of Finance Regulation Number 215/PMK.07/2021 is hindered by a number of obstacles pertaining to law enforcement, facilities, the community, and culture.

The problems faced in this study include (1) How does the workload affect the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office? (2) What is the effect of training education on the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office? (3) How does workload and training education affect the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office? This study aims to study, know, and analyze (1) The effect of workload on the performance of immunization officers at health centers in the working area of the Banjar City Health Office. (2) The effect of education and training on the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office. (3) The effect of workload and training education on the performance of immunization officers at the Health Center in the Working Area of the Banjar City Health Office. The method used in this study is an explanatory survey, while the data analysis technique is validity test, reliability test, descriptive statistics, Inductive Statistical Analysis with Multiple Regression. The results of the study inform that (1) The workload at the Health Center in the work area of the Banjar City Health Office is very high. With the highest score on the physical demand indicator and the lowest score on the task demand indicator. The workload has a positive effect on the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office. This means that if the workload is increased, the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office will also increase. (2) Training education at Puskesmas in the work area of the Banjar City Health Office is very high. With the highest score on the behavior indicator and the lowest value on the reaction indicator. Training education has a positive effect on the performance of immunization officers at health centers in the work area of the Banjar City Health Office. This means that if training education is improved, the performance of immunization officers at health centers in the work area of the Banjar City Health Office will also increase. (3) The performance of immunization officers at the Health Center in the work area of the Banjar City Health Office is very high. With the highest value on the quantity indicator produced and the lowest value on the reaction indicator. Workload and training education have a positive effect on the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office. This means that if the workload and training education are increased, the performance of immunization officers at the Health Center in the work area of the Banjar City Health Office will also increase.

This study investigates the pivotal role played by the Regional Health Office of North Sulawesi Province in managing the COVID-19 patient referral system. The COVID-19 pandemic has placed immense pressure on healthcare systems worldwide, necessitating efficient coordination and management of patient referrals to ensure timely and appropriate care. The Regional Health Office of North Sulawesi Province plays a critical role in overseeing and optimizing the patient referral process, which includes triage, transportation, and coordination among healthcare facilities. This research aims to analyze the effectiveness and challenges faced by the Regional Health Office in managing COVID-19 patient referrals, with a focus on improving the overall healthcare response to the pandemic.

According to WHO (2022) the MMR in the world is 91.46/100,000 live births, the MMR in ASEAN (2022) is 235/100,000 live births (ASEAN secretariat, 2022). In Indonesia, the MMR in 2022 is 230/100,000 live births (Indonesian Ministry of Health, 2022). The MMR in Central Java in 2022 was 98.6/100,000 live births (Central Java Health Office, 2022) and the MMR at the Bumiayu health center in 2022 was 2 cases (Bumiayu Health Center, 2020-2022). Objective : To reduce morbidity and mortality rates of mothers and infants in Brebes district, especially the working area of Puskesmas Bumiayu. this research is a qualitative descriptive study, the type of research used in this study is using a comprehensive case study approach. Comprehensive case study research is a method for understanding individuals that is carried out interactively (Notoadmojo, 2019). Research Results : This comprehensive care found a gap in theory and practice in pregnancy and childbirth care. Conclusion: Comprehensive Midwifery Care for Mrs. S aged 43 years with preeclampsia and high risk factors at BPM Mrs. R in the working area of the bumiayu health center from third trimester pregnancy, childbirth, newborns, postpartum and family planning with the Varney and soap midwifery approach.

Introduction: International Certificate of Vaccination (ICV) is an official international document issued by the Port Health Office as the agency with authority to prevent the entry and exit of infectious diseases from Indonesia to other countries or vice versa, as proof that a person has received certain vaccinations. Socialization is a social process where an individual develops attitudes to behave in accordance with the behavior of the people around him. In filling out and giving the International Certificate of Vaccination (ICV) the skills of polyclinic nurses at the Haji Hospital Jakarta are needed. For this reason, researchers see the need to hold a socialization of operational standards for filling out the International Certificate of Vaccination (ICV) regarding the ability of nurses to fill out the International Certificate of Vaccination (ICV) at the Jakarta Hajj Hospital Polyclinic in 2023. Objective: This research is to determine the ability of nurses to fill out International Certificate of Vaccination (ICV) in accordance with the International Certificate of Vaccination (ICV) Standard Operational Procedures Research Method: This method uses a quasi-experimental design with a pretest-posttest design type. Data collection methods include the use of observation sheets to measure nurses' abilities before and after the intervention. Socialization of Standard Operational Procedures for Filling Out the International Certificate of Vaccination (ICV). This study aims to assess the influence of Socialization of Standard Operational Procedures for Filling Out the International Certificate of Vaccination (ICV) on Nurses' Ability to Fill Out International Certificate of Vaccination (ICV) at the Jakarta Hajj Hospital Polyclinic in 2023. Results: Based on the results of statistical tests using the Paired Samples Test, the p value obtained was p 0.001<0.05, meaning there was a significant difference or influence between the abilities of nurses after carrying out the Socialization Standards. Operational Procedures for Completing the International Vaccination Certificate (ICV). Conclusion: The conclusion of the research is that there is an influence of the socialization of standard operational procedures for filling out the International Certificate of Vaccination (ICV) on the ability of nurses to fill out the International Certificate of Vaccination (ICV) in the polyclinic at Haji Hospital Jakarta.

The success of stroke treatment is determined by the speed and accuracy of treatment. The golden time in treating stroke is ± 3 hours. Integrated Referral System SISRUTE is a tool that facilitates the transfer of health services between various health facilities.Rapid reporting through the web application is facilitated by this system.. The aim of this research is the relationship between the use of an integrated referral system (SISRUTE) and the speed of success in emergency treatment of stroke cases in the0AGD0of the0DKI0Jakarta0Health Office. The research method that will be used is an analytical research design with a correlational The design was cross-sectional, with a population of 340 participants and 77 participants chosen for the sample size. Using the parametric Chi-Square test. The results show a relationship between using the integrated road system (SISRUTE)..and the success rate of speed of emergency treatment of stroke cases in the0AGD0of the0DKI0Jakarta Health0Office0with a p-vlue of 0.014 < 0.05. Conclusion: The use of an integrated referral system can influence the success rate of stroke emergency treatment.    

Background: Anaemia is a condition with lower-than-normal haemoglobin levels and red blood cells. Iron nutritional anaemia in young women is at higher risk because it causes a person to experience decreased body resistance, making them susceptible to health problems (Anggoro, 2020). Normal Hb levels in female adolescents >12 g/dL, women of childbearing age 12–14 g/dL, pregnant women 11 g/dL, and males >13 g/dL. The prevalence of anaemia among young women in Semarang City is 43.75% (Semarang City Health Office, 2019). Based on preliminary studies at SMA Kesatrian 2 Semarang from class X, XI, and XII representatives, such as BP checks, conjunctival and skin examinations. After a simple examination, it was found that there were 3 class X who experienced symptoms of anaemia. Eight students in class XI experienced symptoms of anemia. In class XII, four people experienced symptoms of anaemia. Purpose: This study aimed to determine the effect of health education on the level of knowledge of anaemia in young female at SMA Kesatrian 2 Semarang.Method: This study used the pre-experimental design method with a one-group pre-test and post-test design approach. The sampling technique used was total sampling with a sample size of 55 respondents, and the research location was at SMA Kesatrian 2 Semarang. The data analysis used was the Wilcoxon test with the Shapiro-Wilk data normality test. Results: Based on data analysis, we obtained good knowledge from 51 (92.7%) respondents. The results of the Wilcoxon statistical test, namely a p-value of 0.000 (<0.005) and a potential health education value of 6.473x, affect the level of knowledge about anaemia in female adolescents. It can be concluded that Ha is accepted, and Ho is rejected; that is, there is an effect of providing health education on the level of knowledge about anaemia in young female at SMA Kesatrian 2 Semarang. Conclusion: Adolescents need to be given additional health education about anaemia to better recognize the signs and symptoms and how to avoid it.

Anaemia is a global problem for pregnant women. The WHO states that the incidence of anaemia in pregnant women is 48.9%. Central Java's anaemia rate is 57.7%, while Brebes Regency's anaemia rate is 50%. According to the Brebes District Health Office, this problem lies in pregnant women's adherence to taking iron supplement tablets. The study aimed to determine the factors influencing the consumption of blood-supplemented tablets by pregnant women at the Buaran Health Center. This research method was a quantitative analytic survey with a cross-sectional design, with a population of 96 third-trimester pregnant women. The sampling technique was purposive sampling with 49 respondents. The instrument used is a questionnaire. Data analysis was performed univariately and bivariately (using chi-square statistics). The results showed that the factors associated with the consumption of iron tablets were knowledge (p-value=0.013), motivation (p-value=0.037), family support (p-value= 0.019), ANC visits (p-value=0.000), and compliance (p-value=0.002). The suggestion is that pregnant women at the Buaran Health Centre increase awareness about consuming blood-supplemented tablets to maintain the health of the mother and baby and that advice from health workers is needed every time pregnant women carry out an ANC examination at a health facility.

According to the World Health Organization (WHO), in 2021 around 329,000 women died due to complications related to pregnancy or childbirth throughout the world, MMR in Indonesia until 2022 was 305/100,000 live births, WHO data for 2021 states the Infant Mortality Rate (IMR) in the world amounted to 235 deaths per 100,000 live births. Brebes Health Office (2022) MMR 50 cases, IMR 259 cases. Data from Bantarkawung Community Health Center (2022) MMR 1 case, IMR 5 cases. This researcher is able to carry out comprehensive midwifery care for Mrs. R aged 26 years with Preeclampsia using Varney's seven-step obstetric management and SOAP. Based on the background above, the problem formulation is how Comprehensive Midwifery Care for Mrs. R aged 26 years in the working area of the Bantarkawung Community Health Center, Brebes Regency in 2023. The research design used by the author is qualitative descriptive research. Comprehensive Care for Mrs.R found problems early in pregnancy with preeclampsia. Labor was induced, and the newborn was normal. During the postpartum period, the uterine involution process goes well. Conclusion: Through this scientific paper, it is hoped that health center health workers can maintain and improve the quality of health services in accordance with service standards and the application of theory.

This study aims to determine the Effectiveness of Cyber PR for Covid-19 Information from the Bogor City Health Office in meeting the public's need for health information. This study uses a quantitative research approach. The data in this study were collected using a closed questionnaire which was then analyzed by multiple linear regression by SPSS 24. The results showed that the fulfillment of Cyber Information Needs at the Bogor City Health Office was included in the Good category. The cyber PR media owned by the Bogor City Health Office is a means or equipment used by the Bogor City Health Office in disseminating information about health during the pandemic to meet the information needs of the community. In this case, the people of Bogor City prefer to find out directly to the cyber media of the Bogor City Health Office as a reference in finding information about health because people feel that the Bogor City Health Office provides complete and varied information and is clear in conveying information.

The performance of health workers as a consequence of public demands for the need for excellent service or highquality service. It is expected to be able to show its professional contribution significantly in improving the quality of health services. The purpose of the study was to analyze the effect of internal communication on employee performance at the Anambas Islands Regency Population Control and Family Planning Health Office. The research design used the Analytical Survey method with a Cross Sectional approach. The population in this study were all employees as many as 98 people, all of whom were used as research samples with total sampling technique. Data analysis used univariate analysis, bivariate with chi-square test and multivariate with logistic regression. The results of logistic regression research show that there is an influence of leadership p = 0.001, motivation p = 0.000, trust p = 0.000, and appreciation p = 0.000. While the dominant factor that affects employee performance is appreciation p = 0.000 with Exp(B) 55.590. The conclusion of this study is that there is an influence of leadership, motivation, trust and appreciation. The dominant factor, namely appreciation, affects employee performance at the Anambas Islands Regency Population Control and Family Planning Health Office. It is recommended that the Anambas Islands Regency Population Control and Family Planning Health Office needs to provide direction to employees at work so that they have creativity at work so that employees continue to improve so that employee performance increases.