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Anemia in pregnant women is a problem both globally and in Indonesia. The prevalence of anemia in pregnant women worldwide is 41.8%, while the prevalence of pregnant women according to the 2018 Basic Health Research (RISKESDAS) is higher than the WHO prevalence at 48.9%. Community service activities carried out by lecturers and students from a university aim to provide education about the importance of iron consumption for pregnant women in Dusun 1, Tanjung Anom Village. Through problem identification, program planning, program implementation, and evaluation, an educational program including counseling, workshops, and distribution of informative materials is conducted. The evaluation results show a significant improvement in knowledge and practices of iron consumption among pregnant women. This activity is expected to contribute to reducing the incidence of anemia and improving the health of pregnant women in the area through collaboration between universities, healthcare professionals, and the community.

One of the efforts to detect deviations in child development is by early detection, so that prevention, stimulation, healing and recovery efforts can be given correctly according to the indications. Detection for growth and development is an effort that needs to be supported, because it is one way to prepare quality future generations. Based on a preliminary survey conducted on mothers who had toddlers visiting Posyandu in Randusari village, it was found that mothers did not understand developmental stimulation in toddlers in order to detect early developmental delays.The prevalence of toddlers experiencing the greatest stunting at the beginning of 2022 in Tegal Regency is in Pagerbarang District (40%) exceeding the target set by the government which is no more than 20%. The technique of implementing community service is carried out by providing education on toddler development using KPSP.The results of the implementation of community service which was attended by 60 participants, namely education related to stimulation of development with KPSP, that most mothers of toddlers have understood the meaning of development, stages of development according to the age of their children, and stimulation of development that can be carried out by mothers and families. With the enthusiasm of the participants, local area stakeholders hope that similar activities can be carried out continuously in the working area of ​​the Pagerbarang Health Center. The output of the service also results in the publication of scientific articles related to the stimulation of growth and development of toddlers.

ABSTRACT. Sectio Caesarea (SC) is a common and widely performed operation on pregnant women and its prevalence is increasing every year. The incidence of cesarean section in Indonesia is around 22.8% of all deliveries. Spinal anesthesia for cesarean section is very beneficial because of the simplicity of the technique, fast onset, reduced systemic toxicity but has the risk of complications that often occur after anesthesia and surgery are pain, nausea and vomiting. Objective: To analyze the comparison of the incidence of postoperative nausea and vomiting (PON-V) between fasting and non-fasting in patients with caesarean section who underwent regional anesthesia. Research Methods: Experimental research with clinical trials and including quantitative research. It will be held in March 2021 at IBS RSUD Caruban, Madiun Regency. The sampling technique was probability sampling using consecutive sampling where the sample consisted of 30 SC surgery patients who were divided into two groups, namely 15 fasting and non-fasting patients with spinal anesthesia. Data analysis using Paired Sample T Test with SPSS 22.00 for windows. Result : Post operative nausea and vomiting occurred in both groups . The difference in the incidence of PON-V in both fasting and non-fasting groups in cesarean section patients, the T test (independent T Test) showed a p value of 0.380 (p value > 0.05). Conclusion: There is no difference in the comparison of PON-V between fasting and non-fasting patients in sectio cesarean surgery patients at Caruban Hospital, Madiun Regency in 2021.  

Background: Mental health is a picture of positive characteristics with harmony and psychological balance that reflects the maturity of his personality. Meanwhile, mental disorders are behavioral patterns that clinically occur in individuals related to distress or disability or are accompanied by a significantly increased risk of death, illness, disability, or loss of independence. According to WHO (World Health Organization) the prevalence of mental disorders in the world is around 450 million people. The high rate of recurrence in people with mental disorders requires us to be more active in knowing the causes. The purpose of this study is to find out an in-depth description of the biological causal factors of a person experiencing mental disorders. This research method uses descriptive qualitative research. Samples were taken randomly with the criteria of someone with a Mental Disorder (ODGJ). The population of this study were mental patients who were treated at RSJD Dr. Amino Gondhohutomo Semarang. The research instrument used a mental disorder predisposition questionnaire. The questionnaire has construct validity and reliability and has been used during Residencies I to III. The results of this study showed that of the 106 respondents who had biological predisposing factors, a history of mental disorders was 39%, followed by a history of drug withdrawal of 38.1%, and the lowest was nutritional disorders.

Introduction: Chronic Kidney Disease (CKD) is a condition in which the kidneys have experienced functional or structural damage or disturbances. The condition of the kidney that has decreased function is unable to dispose of waste products through urination which can result in disruption of endocrine, fluid, electrolyte, metabolic and acid-base functions, one of the consequences of which is the occurrence of edema. The prevalence of kidney failure in Central Java reached 0.42% with a total of 96,794 sufferers. The impact of edema that is not treated will result in respiratory, cardiovascular systems, neurological systems. The purpose of this study was to see the effect of a combination of ankle pump exercise and 30° foot elevation on edema in CKD patients at the Sultan Agung Islamic Hospital in Semarang. Method: This research is a quantitative study using a pre-experimental pretest-posttest design approach. The sample is 12 respondents with purposive sampling technique. Results: The results of this study were mostly male with a total of 10 with a percentage of 83.3% with an average age of 44.50. the results of the bivariate analysis with the Marginal Homogeneity Test obtained a significant value of p = 0.001 (<0.05). Conclusion: There is an effect of a combination of ankle pump exercise and 30° foot elevation on foot edema in CKD patients.  

Indonesia is one of the countries with a high stunting rate. In Indonesia, the strategy to accelerate the reduction of stunting is carried out by involving various figures from the government, academia, the private sector, the community, philanthropy and the mass media, and is coordinated by the Vice President. The aim of this research is to find out the implementation strategy for reducing stunting in Kosambironyok Village, Anyar District, Serang Regency in 2022. The type of research used is a qualitative method. The data sources used in this study are primary and secondary data. The informants who played a role in this study consisted of 2 groups, namely the group of informants and the group of key informants. The results of this study indicate that health workers at the Puskesmas, District officials and village officials understand their respective roles in working together to accelerate the reduction of stunting. It is hoped that all health workers will take an active role with the government in implementing the program to reduce stunting rates in toddlers. The stunting reduction program can be carried out by conducting socialization regarding the process of preventing stunting from an early age and how to overcome it.    

The prevalence of stunting is one of the biggest nutritional problems among toddlers in Indonesia. The proportion of short and very short nutritional status in babies under two years old (baduta) reached 29.9% or higher than the 2019 RPJMN target, which was 28%. Stunting due to malnutrition that occurs in the First 1000 Days of Life (HPK) notonly causes obstacles to physical growth and increases vulnerability to disease, but also threatens cognitive development which will affect children's intelligence and productivity levels.Objective: To know the nutritional status of children under five, especially related to stunting, to increase parents' knowledge about stunting, to raise public awareness of the dangers of stunting.The activities consist of preparation stages, implementation of counseling which begins with filling in the pre-test questionnaire and ends with filling in the post-test questionnaire, as well as the evaluation stage.

Mental health problems are a matter of concern. Mental health problems in adolescents is one of them. Teenagers must be mentally healthy. In recent years, adolescent mental health has become a growing concern. There is an increasing prevalence of mental health problems in adolescents. One of the prevention efforts is prevention by educating adolescents about mental health. This activity aims to increase the knowledge of high school youth (SMA) about mental health. This activity was carried out by lecturers and students of STIKes Maranatha Kupang. Schools that become partners are schools that are willing to provide health education to their students. This activity was carried out in four senior high schools (SMA) in Kupang City. The results show that there is a good increase in students' knowledge about mental health. It is hoped that with this activity, youth will know about mental health and be able to prevent students from experiencing mental health problems

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

Prolonged delivery is a contributing factor to the mortality rate of mothers with a prevalence of 20% in Demak regency. Based on the survey in First Clinic Irma Solikin, Mranggen district, Demak regency, the birth data in January 2022 showed that 40% of mothers of 15 mothers experienced prolonged partity. One of the physiological efforts to prevent prolonged delivery is promoting pelvic rocking with a birthing ball. This technique requires the mothers to sit on the ball and rock the ball. This action makes the mothers feel comfortable and help them to promote the delivery due to the influence of gravity force. Thus, the fetus or the lower part of the fetus could move to the pelvis and shorten the delivery time. This research determined the influence of pelvic rocking exercise with a birthing ball on the delivery advancement of primipara mothers. The sample consisted of 20 mothers in the intervention group with pelvic rocking intervention with a birthing ball. Then, the other 20 mothers in the control group received normal delivery. The applied instruments were an observation sheet and a partograph. The researchers analyzed the data with univariate and bivariate analyses. The results found the influence of pelvic rocking exercise with birthing ball technique toward the delivery progress of primipara mothers in the First Clinic, Irma Solikin, Mranggen district, Demak regency.   Keywords: Pelvic Rocking, Birthing ball, Delivery progress, Primipara mothers

Amyloidosis is a term for various groups of diseases with lots of amyloid protein in organs and/or tissues, causing disease. In this condition, amyloid protein is deposited in the dermis layer of the skin which is called lichen amyloidosis. Lichen amyloidosis is the most common type of cutaneous amyloidosis. The prevalence of cutaneous amyloidosis is relatively rare, only 0.2-0.3%. It is chronic in nature which usually appears later in life. This article discusses a case of a 39-year-old female patient who came with complaints of spots on both sides accompanied by itching. These complaints have been experienced since ± 2 years ago and are felt to be getting worse in the last few months. Previously the patient had used a type of topical medication obtained from the local puskesmas, but there was no improvement. Examination of the general status found the general condition of the patient looked moderately ill, conscious awareness, vital signs within normal limits. Dermatological status obtained efflorescence in the form of macules to multiple papules with hyperpigmentation, well defined, discrete available, accompanied by scaling and lichenification. Patients were treated with oral corticosteroids (methylprednisolone), topical corticosteroids (desoximethasone) and salicylic acid. Patients are also educated to avoid scratching and rubbing on the lesions. The patient showed thinning lesions after 7 days of therapy.

Background: According to WHO data, in Southeast Asia in 2015 the HIV rate reached 5.1 million patients with 77,000 pregnant women living with HIV, and 19,000 new cases of pediatric HIV infection have been found. This is a number that can be considered fantastic compared to other regions. Meanwhile for syphilis, the incidence rate has shown an increase of 0.32% in the Southeast Asian region. The number of patients shows up to 167,000 cases of syphilis in pregnant women. It had a disastrous impact by producing 65,800 adverse outcomes including early fetal death. For Hepatitis B, Southeast Asia bears 15% of the total number of Hepatitis B patients worldwide with a total of 39 million people. Prevention activities have been carried out by the Ministry of Health of the Republic of Indonesia by holding a program called Triple Elimination in accordance with WHO recommendations (2017). The activity was in the form of carrying out tests for HIV, Hepatitis B and Syphilis (triple Elimination) during Antenatal Care (ANC) for Pregnant. Research Objectives: to find out the factors that influence the triple elimination examination in pregnant women at the Sarageni Health Center, Lebak Regency in 2022. Research Methods: quantitative with cross sectional research design. The sample in this study was 65 pregnant women in the Sarageni Health Center area in November 2022 (Purposive Sampling). Data were collected using a questionnaire given to respondents then processed and analyzed univariate and bivariate and tested with the Chi Square test. The results of the study: the prevalence that affects the compliance of pregnant women Age p-value 0.006 <0.05 Education p-value 0.000 <0.05 Socio-economic p-value 1.000 >0.05 and Husband support p-value 0.000 <0.05.

For students in primary schools, there are still numerous nutritional issues to be solved. There has been an increase in the prevalence of overweight and underweight children in the Malang City area, particularly in the Puskesmas Mojolangu working area. One location where these dietary issues occur is SDN Tasikmadu 1. This is a result of the absence of educational resources for understanding balanced nutrition. The goal of this study is to create a balanced nutrition four card instructional media and evaluate its viability and efficacy as a tool for balanced nutrition education. The study follows the define, design, create, and disseminate framework while using a research and development approach. Due diligence was performed by media and material experts utilizing the BNSP evaluation tool with an average score of 87.50%. The effectiveness test was carried out at SDN Tasikmadu 1 on 30 students using pre-test and post-test instruments. Analysis using paired t-test showed that the tool and its accompanying materials were declared "appropriate" and provision of Balanced Nutrition Quartet Card media was effective in increasing students' knowledge, with an average pre-test score of 55.06 and an average post-test score 87.73 and the result of the paired t-test is P=0.000.

Background: The prevalence of early marriage in Indonesia in 2018 showed a high rate of 67% and there was an increase of 6% during 2019-2020. The incidence of early marriage in the village of Kutawargi Karawang in 2020 (32%) is higher than the previous year. Purpose: the research aims to find out how the Analysis of Parents' Responses to Young Marriage in Adolescents in Kutawargi Village in 2022. This research method uses quantitative analytical research. With a cross sectional study approach with a population of 34 people and a sample of 25 respondents selected by accidental sampling. Data was taken using a questionnaire which was then processed using a statistical program. Results: Based on education, there were 14 (56.0%) respondents with the highest education. Based on the mindset, there were 15 (60.0%) respondents with bad mindsets and there were 14 (56.0%) respondents with less economic status, there were 16 (64.0%) respondents who said marrying off children was not because of promiscuity, as well as the frequency of young marriages, there were 15 ( 60.0%) of respondents who married their children at a young age. The results of the statistical analysis found that teenagers in Kutawargi village marry young, namely education (ρ value = 0.000), parents' mindset (ρ value = 0.000), parents' economy (ρ value = 0.000), promiscuity (ρ value = 0.002) Conclusion: Analysis of parents' responses to young marriage among adolescents in Kutawargi village in 2022, namely educational factors, parents' mindset, parents' economy, and promiscuity. Therefore, parents are expected to have good relationships and communication with teenagers. Parents must also provide understanding and direction regarding marriage and the impact of teenage marriage. In addition, parents must also be able to control the association of teenagers so they do not fall into promiscuity.

Stunting remains a chronic nutritional issue affecting human resource quality in Indonesia, particularly children under five years old. High prevalence of stunting impacts long-term cognitive development, physical growth, and productivity of the young generation (Ministry of Health, 2023). This community service aims to optimize the role of public administration in disseminating policies and programs to reduce stunting through education, training, and direct community assistance. Activities were carried out through coordination with government officials, community health cadres, and local leaders, using local communication media to raise awareness about nutrition. The results indicate an increase in community knowledge on stunting, balanced nutrition practices, and active involvement of both officials and residents in stunting reduction programs. Optimizing public administration through capacity building, cross-sector coordination, and information technology utilization supports program targets. This service recommends strategies for sustainable, participatory, and data-driven program implementation. Enhancing community concern for orphans is an essential aspect of inclusive and sustainable social development. This community service activity aims to implement strategies of empathetic communication and social management to improve the quality of social interactions and community attention toward orphans. The method applied was a participatory and qualitative descriptive approach, involving both the community and orphans in all stages of the activity, from planning, implementation, to evaluation. The results indicate a significant improvement in social interaction quality between the community and orphans. The children exhibited positive emotional responses, such as comfort, acceptance, and appreciation, while the community demonstrated increased participation, collective responsibility, and structured social management skills. The integration of empathetic communication and social management produced dual impacts: enhanced emotional well-being of orphans and strengthened social empathy within the community. These findings suggest that this strategy can serve as a sustainable model for social care activities and can be replicated in other communities. Therefore, the application of empathetic communication and social management has the potential to support inclusive social development, foster community solidarity, and improve the welfare of vulnerable groups sustainably.

Stunting remains a chronic nutritional issue affecting human resource quality in Indonesia, particularly children under five years old. High prevalence of stunting impacts long-term cognitive development, physical growth, and productivity of the young generation (Ministry of Health, 2023). This community service aims to optimize the role of public administration in disseminating policies and programs to reduce stunting through education, training, and direct community assistance. Activities were carried out through coordination with government officials, community health cadres, and local leaders, using local communication media to raise awareness about nutrition. The results indicate an increase in community knowledge on stunting, balanced nutrition practices, and active involvement of both officials and residents in stunting reduction programs. Optimizing public administration through capacity building, cross-sector coordination, and information technology utilization supports program targets. This service recommends strategies for sustainable, participatory, and data-driven program implementation.

Stunting remains a chronic nutritional issue affecting human resource quality in Indonesia, particularly children under five years old. High prevalence of stunting impacts long-term cognitive development, physical growth, and productivity of the young generation (Ministry of Health, 2023). This community service aims to optimize the role of public administration in disseminating policies and programs to reduce stunting through education, training, and direct community assistance. Activities were carried out through coordination with government officials, community health cadres, and local leaders, using local communication media to raise awareness about nutrition. The results indicate an increase in community knowledge on stunting, balanced nutrition practices, and active involvement of both officials and residents in stunting reduction programs. Optimizing public administration through capacity building, cross-sector coordination, and information technology utilization supports program targets. This service recommends strategies for sustainable, participatory, and data-driven program implementation.

Background: Temporomandibular joint disorder (TMD) is characterized by craniofacial pain involving the jaw joint, masticatory muscles, or muscles that innervate the head and neck. The causes of TMD are multifactorial, including tooth loss and bad habits. The new DC/TMD protocol is a TMD examination protocol that is highly recommended for use as a clinical and research protocol for dentists. Objective: This study aims to determine the prevalence of TMD diagnosis results using the DC/TMD method, to determine the types of TMD diseases experienced and their relationship to the status of tooth loss in students. Method: The study used a cross-sectional analytical design with samples that met the inclusion criteria of 150 students aged 19-25 years who were taken by total sampling. The research subjects were asked to agree and sign an informed consent in advance by the researcher. Data were obtained from the results of anamnesis and physical examination with a diagnosis of TMD using the DC/TMD protocol based on the International RDC/TMD Consortium Network which has been translated into Indonesian. The examination data were processed using SPSS statistical software with univariate and bivariate tests. Results: 48% of students had tooth loss, 62% of students were diagnosed with TMD, and the results of the relationship analysis using the chi-square test showed that there was a significant relationship between tooth loss and TMD (p-value = 0.024; p  

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.

Based on data from Indonesia's Health Profile in 2016, Indonesia has a population of 258,704,986 people. Indonesia still ranks fourth with the largest population in the world after America, India and China. The total population of Indonesia in 2019 is estimated at 268,074,565 people, consisting of 117,674,363 urban residents and 150,400,202 rural residents. One of the programs to reduce population growth in realizing a family planning program (KB). The results of the prevalence of family planning in Indonesia based on the 2015 Fertile Age Couples Monitoring Survey reached 65.4% with the IUD method, which is still very low (4.7%). This study aims to determine the relationship between parity and husband's support with the use of IUDs at the Hanna Kasih Primary Clinic in 2020. The population in this study were acceptors who currently use IUD KB and have used IUD KB but now choose other types of family planning. The number of samples in this study were taken by total sampling, amounting to 30 people. The results obtained in this study from 30 respondents the majority were Scundipara, namely 11 (36.7%) respondents. Based on husband's support, the majority received positive husband support, namely 22 (73.3%). Based on the bivariate analysis, there is a significant relationship between parity and husband's support with the use of IUD contraceptives at the Pratama Hana Kasih clinic in 2020, with p value for parity <0.05 (p = 0.015) and for husband support with p value <0.05. (p = 0.000). It is hoped that the head of the Pratama Clinique Hanna Kasih will continue to provide support in the selection of the IUD contraceptive and the husband will continue to provide positive support for the wife to continue to use the IUD contraceptive device.