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Anemia in pregnant women can increase maternal and child mortality and morbidity rates. Anemia increases the risk of abortion, KJDR, premature birth, hemorrhagic and so on. Anemia in pregnancy affects the growth and development of the fetus both before and after birth. The prevalence of anemia in pregnant women in Indonesia is 48.9%. One of the ways to reduce the incidence of anemia in pregnant women is to provide nutrition education that can help reduce anemia to the community, especially pregnant women. Tanakaraeng Village is used as a counseling location. The method used in this community service activity is lectures and discussions using powerpoint, LCD. From the results of data processing using a paired T test with a sample of 21 people, it was obtained that there was an increase in knowledge from the average value of the pre-test questionnaire, which obtained a value of 45.23 and post-test: 74.76. The result of the paired T test is 0.000. There is an average knowledge before being given counseling and after being given counseling.

The prevalence of the disease caused by the corona virus is still increasing every day. On August 11, 2020, the World Health Organization (WHO) recorded 19,936,210 people infected with the corona virus and 732,499 people who died, the death rate reached 3.7% 4. In Indonesia, the number is still actively increasing every day, ranging from 1,000 people. every day in August 2020 and the total number of COVID-19 sufferers on August 11, 2020 was 128,776 people and 5,824 people died, an increase of 4.5% from the previous number 5. Central Java Province itself was ranked 4th out of all provinces in Indonesia with the number of patients with Cobid 19 as many as 11,423 people and those who died as many as 1,049 people. The city of Semarang is ranked 1st out of cities and regencies in Central Java Province with 661 sufferers

The health profile book for the province of East Kalimantan in 2016 Sickness Rate (Morbidity) describes the incidence of disease in a population over a certain period of time, which can be in the form of incidence rates or prevalence rates of a disease. The morbidity rate also plays a role in assessing the health status of the community. Data on population morbidity comes from the community (community based data) obtained through a morbidity study, and the results of data collection from the District/City Health Office, the health program manager at the provincial level. The morbidity rate in 2013 was 11.74 and decreased in 2014 to 9.18 and increased in 2016 to 11.90. (Dinkes: 2016) The implementation of PHBS is low, because there are still many students who eat snacks carelessly and there is still garbage scattered in the school yard. The UKS exists but the program does not run due to the lack of supporting facilities, and their lack of knowledge regarding how to wash hands properly and correctly. Aims to increase the knowledge of elementary school students in clean and healthy living behavior through the Socialization of Clean and Healthy Life Behavior (PHBS) with the Three Thumb system, Provide understanding and awareness to elementary school students about the importance of the school PHBS program Able to reduce morbidity due to lack personal hygiene in the school environment. The method used in this activity is the lecture method, demonstration method and practical method, data collection techniques, namely the initial test and the final test. The result is that there is an increase of 21% of students' knowledge of the importance of PHBS.

Obesity is one of the most common nutritional problems in adolescents. The report from Basic Health Survey (Riskesdas) showed an increase the prevalence of obesity in adolescents, as 7.5% (2013) and 9.5% (2018). Obesity is also a risk factor for degenerative diseases. This activity was held to provide information on balanced nutrition guidelines and physical activity to prevent obesity during the Covid-19 pandemic. Education on balanced nutrition guidelines and physical activity was held by Zoom meeting. The targets of this activity were students in senior high school in Banten. The results showed that there was an increase of average knowledge score after nutrition education, from 7.48 to 14.09, and there was a significant difference between knowledge scores before and after the nutrition education (p value = 0.000). This results shows that the online method using zoom meeting is one of choice for the implementation of nutrition education in the community during the Covid-19 pandemic.  

Hypertension is an abnormal increase in blood pressure in the arteries continuously over a period of time. A person is said to be hypertensive if the systolic blood pressure is equal to or above 140 mmHg and/or the diastolic blood pressure is equal to or above 90 mmHg. The high prevalence of hypertension is one of the problems that affect public health status. The purpose of this study was to determine the effect of giving celery leaf decoction on blood pressure in hypertension patients in Mahawu, Manado This research design is a pre-experimental research design (one-group pre-post test design). The population in this study amounted to 53 patients with the sample used was 17 respondents. The sampling technique used is Accidental Sampling. Data collection using blood pressure observation sheet. The results of the study found that giving boiled celery leaves before giving boiled celery leaves were 12 respondents (70.6%). And after giving boiled celery leaves, 13 respondents (76.5%). The result of p value 0.000 (<0.05) so Ha is accepted. There is an effect of giving boiled celery leaves on blood pressure in hypertensive patients in Mahawu, Manado. The conclusion in this study is that there is an effect of giving celery leaf decoction on blood pressure in hypertension patients in Mahawu, Manado. Suggestions to respondents who often experience hypertension can do their own treatment when high blood pressure by boiling celery leaves.

Background: The prevalence of anemia in adolescent girls in Indonesia according to WHO reaches 30%, and in the 2013 Riskesdas report recorded 18.4% of adolescents have anemia with the highest percentage in the female sex of 23.9%. Anemia in adolescents can cause delay in physical growth and behavior and emotional disorders. This study aims to determine the relationship between knowledge about anemia and nutritional status with the incidence of anemia in young women in Badung Regency. Method: This study uses analytic cross sectional design with a sample of 106 adolescent girls aged 15-18 years in high school, Badung Regency. Data collection was carried out directly on respondents in each school, for anemia data was collected by examining blood samples or hematology panels (hemograms) with an Hematology Autoanalyzer tool, data on knowledge of anemia was carried out by means of interviews using questionnaire guidelines, and nutritional status data was carried out by how to measure anthropometry (body weight and height) to get a IMT value. The analysis conducted is univariate analysis to determine the distribution and frequency of variables and bivariate analysis using the Kai-Kuadrat/Chi-Square test with the help of the SPSS program. Result: The prevalence of anemia in young women is 13.2%. Most had normal nutritional status of 77.4%, while others were categorized as abnormal / malnutrition (2.8% thin, 17.0% fat, 2.8% obese). For the level of knowledge obtained, the majority of 77.4% have a good level of knowledge in the category of anemia. Kai-Square / Chi-Square test results showed that, there was a significant relationship between knowledge about anemia and anemia in adolescent girls (95% CI: 1.93-20.77; p = 0.003). There was no significant relationship between nutritional status and anemia in adolescent girls (p = 0.301). Conclusion: Poor knowledge about anemia is associated with the incidence of anemia in young women, whereas nutritional status is not related to the incidence in young women. It is expected that related parties make a policy regarding anemia screening and education activities especially for young women. Keywords: Anemia; Knowledge; Nutritional status

Background: Hypertension has now become a global problem because its prevalence continues to increase along with lifestyle changes that include unhealthy habits. the aim is to find out a description of lifestyle in hypertensive patients in West Denpasar Health Center II. Method: The study design was descriptive with the Cross Sectional approach. The sample in this study were all hypertensive patients who were treated at the Denpasar Public Health Center II. The sampling technique is Acidental sampling with a sample of 46 respondents. The research instrument used was a questionnaire sheet. The results of data processing are presented in narrative form, frequency distribution tables are accompanied by interpretations. Results: Hypertension sufferers in West Denpasar Health Center II were 27 respondents (58.7%) who did not have the habit of consuming excess salt; 26 respondents (56.5%) who did not have coffee consumption habits; 34 respondents (73.9%) who did not have the habit of consuming liquor; 32 respondents (69.6) did not have smoking habits; 26 respondents (56.5%) respondents did not have enough hours of rest / sleep; respondents who do sufficient activities / sports; 46 respondents as many as 25 respondents (54.3%) obeyed taking drugs; 25 respondents (54.3%) did not routinely carry out tension control; 30 respondents (65.2%) faced maladaptive stressors. Conclusion: To reduce the incidence of hypertension in patients with hypertension, health promotion programs to the public regarding hypertension factors need to be optimized.Keywords: Hypertension; Lifestyle

Background: The prevalence of hypertension in Indonesia continues to increase, especially in women. The incidence rate reached 28.8% higher than the incidence of hypertension in men which is 22.8%. There are factors that make women more at risk of hypertension than men. Namely the use of hormonal contraception in women whose users reach 47.54%. Purpose: to analysis Correlational hormonal contraceptive use and hypertension. Methods: This research is an observational survey research, case-control design. Held in the Work Area of the Medan City Primary Health Center. Conducted from March-June 2019. The population were all women of productive age (15-49 years) totaling 572 people. The size of the case sample was 35 people and 35 controls. Case samples were taken by means of consecutive sampling, control samples were taken by convenient sampling. Data analysis was performed univariately and bivariately using the Chi Square statistical test (?2) with a significance level of 0.05. Results: In the hypertension group, 77.1% used hormonal contraception and 22.9% did not use hormonal contraception. Whereas in the non hypertensive group 62.9% did not use hormonal contraception only 37.1% used hormonal contraception. There is a relationship between hormonal contraceptive use and hypertension in women of reproductive age. A value (OR = 5.7; 95% CI 2,008-16,244) means that women of reproductive age are at risk of experiencing hypertension 5.7 times greater if women of reproductive age use hormonal contraception than those who do not use hormonal contraception. Conclusion: Women of reproductive age are at risk of developing hypertension when using hormonal contraception. Therefore, it is recommended that women of reproductive age prefer non-hormonal contraception or natural contraception. If using hormonal contraception to keep monitoring blood pressure regularly at least 3 months after using hormonal contraception and immediately stop using hormonal contraception if there is a hypertensionKeyword: Hormonal contraception; Hypertension; Women at Reproductive age

Chronic Kidney Diseases (CKD) is a disease condition where there is a decrease in kidney function, no longer able to carry out its function of filtering the blood, removing toxins and unable to remove waste products from the blood effectively, characterized by the presence of protein in the urine and a decrease in the glomerular filtration rate. Hemodialysis is a kidney replacement therapy method that is often used to manage CKD. The prevalence of CKD in Indonesia continues to increase every year with some patients undergoing hemodialysis. CKD patients undergoing HD are susceptible to anemia. Anemia in CKD patients can be caused by blood loss during dialysis procedures, and disturbances in iron metabolism. The aim of the study was to analyze changes in hemoglobin levels in CKD patients after undergoing hemodialysis. The research was carried out in a descriptive observational manner through an initial screening stage, an examination stage by measuring hemoglobin levels before and after the hemodialysis session and readings using a Mindray BC-5830. The examination results showed that the hemoglobin levels of CKD patients increased after undergoing HD. Hemoglobin levels in male CKD patients were higher than female patients both before and after undergoing HD. The conclusion of this study is that HD has an effect on increasing hemoglobin levels in CKD patients, both female and male patients.    

Background: The prevalence of isolated systolic hypertension (HST) is expected to occur approximately 25% in the age group of 60-90 years, and found as much as 59.1% in males and 61.9% in females. This research aims to determine the factors related to the incidence of hypertension in the elderly. Methods: This study uses a descriptive analytical design with the Cross Sectional approach. The research samples used are seniors aged ? 60 years and older with Consecutive Sampling technique in the working area of Puskesmas III North Denpasar. Data retrieval takes place from April to May 2012 by filling out questionnaires, measuring weight, height and blood pressure. The Data obtained is analyzed univariate and bivariate using Chi-Square test. Results: Based on the analysis gained that the factors associated with the occurrence of hypertension in the elderly are The age factor (OR: 10,833; 95% CI: 1,961-59,834), Gender factor (OR: 7,467; 95% CI: 1,400-39,837), Genetic factor (OR: 10,083; 95% CI: 1,658-61,330), Activity factors (OR: 0,095; 95% CI: 0,017-0,529), and the habit of drinking coffee (OR: 15,556; 95% CI: 2,586-93,571). Conclusion: Age, gender, genetic, activity and coffee habits are factors related to hypertension in the elderly. Expected parties are more promoting health programs in the elderly, especially on hypertensive diseasesKeywords: hypertension; elderly; activities; drinking coffee

Diabetes mellitus is a metabolic disorder caused by a lack of the hormone insulin. The hormone insulin is produced by a group of beta cells in the gland of the pancreas and plays an important role in glucose metabolism in body cells. According to the World Health Organization (WHO, 2013) 80% of DM sufferers in the world come from developing countries, one of which is Indonesia. The prevalence of DM in Indonesia reaches 4.7% of the national population and is expected to reach 5.9% by 2030. In general, the prevalence of DM in Aceh province is 1.8%. The purpose of this study was to determine the effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City. This study uses Quasi Experiment Design research design using one group pre test-post test design. The sampling technique uses total sampling by measuring blood sugar levels before and after diabetes exercises with a total sample of 16 people. Bivariate analysis uses paired t-test. The results showed that there was an Effect of Diabetes Mellitus Gymnastic Therapy on Decreased Blood Sugar Levels in the Elderly in Ceurih Village, Banda Aceh City with a statistical result of 0,000.

Background: This study is a literature study that employed descriptive qualitative research design with a library research approach to describe the risk of unsafe anal sex roles behavior among men who have sex with men (MSM) towards HIV transmission. In this literature study, the researcher used various written resources to obtain the data such as journal articles that were relevant to the present study. Purpose: This study focused on measuring the prevalence of risky anal sex roles among MSM and the risk of those roles towards HIV transmission. Result: The results of this study showed that the unsafe anal sex behavior among MSM towards HIV transmission was highly founded in the receptive role compared to the insertive role or versatile role. Conclusion: MSM who performed the receptive role during the unsafe anal sex were more exhibited by young MSM. In order to decrease the risk of sexual behavior among MSM, it is necessary to start it over young MSM. Therefore, the increasing incidence of HIV among MSM can be controlled as well.

In 2018, Basic Health Research (Riskesdas) data showed that the prevalence of wasting in children under five in Indonesia was 10.2%, while in the age group under two years (baduta) it was higher, namely 11.7%. Nutrition Status Monitoring Data for 2017 also shows that the prevalence of wasting in under-fives is higher, which is 12.8% when compared to the toddler group, which is 9.5% (Ministry of Health RI, 2018). Based on the WHO classification, wasting in the underdog group in Indonesia is categorized as a serious public health problem, with a prevalence in the range of 10-14%. Malnutrition that occurs in 1,000 HPK, besides being at risk of inhibiting physical growth (failure to thrive) and being susceptible to disease (metabolic disorders: DM. Hypertension, obesity), also inhibits cognitive development (motor cognitive impairment) which will affect the level of intelligence and productivity of children in the future.    

Background: Anemia is a condition in which the concentration of hemoglobin (Hb) in the blood is lower than the normal value. Anemia that occurs due to iron deficiency so that the formation of red blood cells and other functions in the body is disrupted is iron nutritional anemia. Based on Riskesdas data in 2018, the prevalence of anemia was 48.9% in the 15-24 year age group. According to WHO, adolescents are residents in the age range of 10-19 years, young women have a higher risk, this is because young women experience menstruation (menstruation) every month. The impact of the incidence of anemia in adolescents can reduce concentration and learning achievement, as well as affect productivity among youth. Based on this background, the author is interested in carrying out community service activities for the prevention of anemia in young women during the new normal period of Covid-19 at Panca Atma Jaya Vocational School, Klungkung. Purpose: The purpose of this activity is as a form of implementation of Tri Dharma Stikes Panca Atma Jaya Klungkung. Methods: Participants who took part in this activity were 67 students using the pretest and posttest methods. Results: The results obtained were an increase in the pretest score (before being given education) which was 69.41% to 89.42% in the posttest result (after being given education). Conclusion: There is a significant relationship between posttest scores, which increases after education is held, so anemia prevention education needs to be given and improved to improve anemia prevention behavior in adolescent girls.

Digital economic transactions have emerged as a result of Indonesia's technological and financial information advancements. In order to optimize tax revenue, the Indonesian government adapt and respond to the growing prevalence of digital transactions, especially e-commerce. The primary obstacles include finding a clear definition for digital economic enterprises, enacting legislation governing digital transactions that are compliant with international standards, and allocating resources in a way that optimizes the advantages of digital economic transactions. By creating electronic platforms like DJP-online, the Indonesian government hopes to improve the ease and openness of the tax filing procedure. In an effort to maximize tax revenue in the digital age, tax advisors play a crucial role, and society must change to embrace technology. To ensure a smooth and successful rollout of the digital tax system, the Indonesian government must constantly update rules, enhance public education efforts, and improve online services. This community engagement activity discussed the material through online webinars, providing an accessible platform for all participants to gain insights into the digital taxation landscape and aiding the government in socializing regulations in the field of digital taxation    

The aging process in the elderly causes a decrease in glucose tolerance and basal metabolism, which affects blood sugar control. The activities and conditions of older adults influence their nutritional needs, which impact total calorie intake. Types of blood glucose level checks, including fasting, post-prandial, and others, are used to monitor elderly health conditions related to diabetes. Seniors are also susceptible to hypertension, which can cause serious complications such as stroke and heart disease. WHO notes the high prevalence of hypertension worldwide, emphasizing the importance of early detection and appropriate management to prevent adverse impacts on public health

Early childhood development has an important role in the development of an individual. In order for a child to have good development, it is necessary to carry out early detection of the child's growth and development with the aim of achieving optimization of a child's development. Data shows an increase in the prevalence of parents who do not regularly monitor their children's growth and development. Monitoring the growth and development of toddlers is carried out in conjunction with early detection of developmental disorders in toddlers so that intervention and simulation can provide optimal results. This community service activity aims to determine children's developmental growth and deviations that occur as well as providing education to parents, especially about the growth and development of pre-school children and the factors that support children's growth and development. The target of the activity is pre-school children and mothers/parents of Prima Bhakti Kindergarten students. The method used in the activity is the KPSP child growth and development detection instrument and to increase parents' knowledge about growth and development, it is carried out through counseling, question and answer discussions and demonstrations on how to stimulate children's growth and development. The results of early detection of growth assessment using the WHO curve showed that 95% had normal stature and normal nutrition and 5% were malnourished. Examination of children's development with the KPSP instrument was 100% developmentally appropriate. The education provided to parents shows that they are active participants in question and answer discussion activities and demonstrations of growth and development stimulation.

Background: The world's elderly population reached 13.4% in 2013 and is predicted to increase to 25.3% in 2050. The prevalence of high uric acid levels in the elderly in Indonesia reaches 11.9%, high blood sugar levels reach 35.3. %, and high cholesterol levels as much as 10%. This study aims to determine the level of uric acid, blood sugar and cholesterol in the elderly. Methods: This study used a descriptive analytic design with a cross sectional approach. The research sample used was the elderly aged ? 60 years and over by using the simple random sampling technique in Banjar Dinas Kutuh Kelod, Kerambitan, Tabanan. Data collection was carried out from 7 to 8 June 2020 by means of face-to-face interviews using questionnaire guidelines for respondent characteristics data, and direct examination of uric acid, blood sugar and cholesterol levels using Easy Touch GCU. The data obtained were analyzed using the univariate spss application. Results: Based on univariate analysis, it was found that most of the respondents were 13.2% aged 60 and 69 years, 55.3% were female, 65.8% at the primary education level (SD), and 39.5% worked as farmers. In the bivariate analysis, it was found that most of the respondents or 55.3% had abnormal uric acid levels, 39.5% had abnormal blood sugar levels and 44.7% had abnormal cholesterol levels. Conclusion: Most of the respondents have abnormal uric acid levels while blood sugar and cholesterol are mostly still in the normal category. It is hoped that related parties will continue to carry out screening or early detection, especially in the elderly group, in order to reduce the incidence of non-communicable diseases (PTM) in the elderly.      

Prediabetes will become a widespread health problem and have a serious impact (emerging epidemic. Prediabetes condition is a condition of a person before suffering from diabetes mellitus which is characterized by an increase in hyperglycemic status above the normal laboratory threshold value, but does not increase in diabetics. The prevalence of diabetes increases every year, data shows 5-14% of prediabetic conditions will become diabetic every year. There has been a shift in the age of people with diabetes, from previously a disease that affects the elderly, to a disease that attacks at a young age. If young age is identical with type 1 diabetes, now individuals are the group of young adults also suffers from type 2 diabetes mellitus. Likewise with prediabetes, the number of young adults who experience prediabetes is increasing every year. Students are a group of young adults who have a combination of risk factors for hyperglycemia. Life such as reduced physical activity because it is not necessary to exercise regularly for a certain period of time such as in the previous education period makes students have a high risk of developing prediabetes conditions. Efforts to detect non-communicable diseases early in the community are expected to help reduce and prevent the incidence of prediabetes that occurs in Kesdam IV/Diponegoro Akper students.

Background: Hypertension is a disease that causes high morbidity and is the main cause of death in almost all developing countries. The lack of information circulating in the community regarding the signs and symptoms of hypertension means that this disease is often referred to as a deadly silent killer without any symptoms as a warning to its victims. The prevalence of hypertension is increasing all the time while the condition of the health workers is limited, so it requires family participation in efforts to prevent hypertension and empower families so that the dangers of hypertension can be understood by the community.Aims: This community service activity is carried out by providing counseling to the community regarding knowledge and skills about preventing hypertension in families in Mencon, Tawun Village, Kasreman District, Ngawi Method: that used was lectures, training, question and answer. Result: Through 14-days hypertension control program, activities carried out of counseling in the community, 3 times of early detection training and prevention of hypertension to the family, 2 times of low sodium salt distribution. Conclusion: Partners are able to find out hypertension prevention efforts, early detection and public health status in Mencon, Tawun Village, Kasreman District, Ngawi.