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One of the nutritional problems that occur in children under five is stunting, also known as chronic nutritional problems due to insufficient fulfillment for long periods of time. A child under five is considered to have stunted nutritional status if his height is less than minus two median standard deviations of the World Health Organization (WHO) growth standards. Stunting is caused by direct causes, namely nutritional intake, infectious diseases, exclusive breastfeeding, indirect causes, namely sanitation, education, parental knowledge, income, number of family members, resources, technology, and the environment. This study aims to determine the factors that affect the incidence of stunting. This study aims to determine the factors that affect the incidence of stunting. This type of research is observational research analytic case control approach. The research samples were 49 stunted children (case Group) and 49 children without stunting (control group) in the working area of Bukit Gadeng Public Health Center, Bahagia District, South Aceh Regency, Aceh province. The Data were analyzed by performing Chi-square analysis test and the value of (OR) Odds ratio. The results showed a significant value of maternal knowledge (p-value=0.00); (OR=72.45), environmental sanitation hygiene (p-value=0.001); (OR= 2.14), history of exclusive breastfeeding (p-value=0.00); (OR= 19.37), history of infectious diseases (p-value=0.064); (OR= 3.45). Conclusion maternal knowledge, environmental sanitation hygiene, and history of exclusive breastfeeding affect the incidence of stunting and infectious disease history does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency. Knowledge, sanitation hygiene, and Exclusive, breastfeeding, affect the incidence of stunting and infectious disease does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency.

deaths each year. An additional 1.5 million deaths could be prevented if global immunization coverage increased. Providing information to mothers can improve knowledge of post-immunization care for infants. The implementation method is through counseling on post-immunization care for infants, namely handling fever at home. This activity involves health workers at the Lhok Beuringen Health Center. This Community Service was carried out in Mataram Maneh village. The implementation time was in November 2024. Participants in this Community Service activity were mothers who had children aged 1-12 months in Mataram Maneh village with a total of 20 people. The activity was carried out in stages (1) providing an explanation of the purpose of the activity; (2) providing knowledge about the importance of immunization (3) providing knowledge about how to handle post-immunization impacts. The results of the activity showed that there was an increase in mothers' knowledge about post-immunization care for infants. After participating in this activity, mothers can apply this knowledge as much as possible to babies in post-immunization care for infants. The community service activity aims to educate mothers in Matang Maneh village, Tanah Jambo Aye District, North Aceh Regency, and to determine the level of knowledge of mothers about immunization and its benefits, the method I use is quantitative by distributing questionnaires after and before the presentation, the results of immunization counseling in Matang Maneh village, Tanah Jambo Aye District, North Aceh Regency, showed an increase. before being given counseling 30% knew, after counseling increased to 80%.

Stunting is a condition of growth failure in toddlers due to chronic malnutrition that occurs over a long period of time, especially in the first 1,000 days of life. Several major risk factors for stunting that are often found in Posyandu include the nutritional status of pregnant women, parenting patterns, exclusive breastfeeding, and environmental sanitation. To analyze the Identification of Risk Factors for Stunting in Toddlers: A Study in the Working Area of ​​the Aek Godang Health Center, North Padang Lawas. The type of observational study with a cross-sectional design, the study population was 139 people. This study used samples from all mothers who had stunted toddlers in Hulu Sihapas District, North Padang Lawas Regency, with the total sampling method. Data collection used a research questionnaire. Data were analyzed univariately, bivariate (chi-square), and multivariate (logistic regression) with the enter method. Newborn weight (p = 0.001) and healthy toilets (p = 0.001) significantly influenced the risk of stunting, with low birth weight and poor sanitation increasing the risk of growth disorders in toddlers. This study shows that newborn weight (p = 0.001) and healthy toilets (p = 0.001) have a significant effect on the risk of stunting in toddlers. Babies with low birth weight and environments with poor sanitation increase the likelihood of stunting. More attention is needed to monitor newborn weight and increase access to healthy latrines to reduce the prevalence of stunting. The government and health workers are expected to strengthen nutrition and sanitation programs at the community level. 

Background: Providing complementary foods too early for infants under 6 months of age is an indicator that the mother has failed to provide exclusive breastfeeding, which has an impact on the low coverage of exclusive breastfeeding. The purpose of this study was to determine the relationship between maternal knowledge and attitudes towards providing complementary foods for infants under 6 months of age in the Kawatuna Health Center Work Area, Palu City.Method: This type of research is descriptive research. The method used is a descriptive correlational method which is a study that is directed to explain the relationship between two variables. Namely the independent variable with the dependent variable. The number of samples is 26 using the Slovin formula. Data collection uses a questionnaire.Results: The results of the study showed that 26 respondents. Mothers with good knowledge were 6 respondents (26.0%) in good maternal attitudes where maternal knowledge is an important aspect of good growth and development and mothers with good knowledge about maternal attitudes will fulfill the provision of Complementary Food for Breast Milk Well while mothers with less knowledge were 7 respondents (49.7%).Conclusion: This study states that there is a relationship between knowledge and attitudes of mothers regarding the provision of Complementary Foods in the Kawatuna Work Area. The results of the chi square test analysis show that the P value = 0.000 because the P value ≤ 0.05 then Ha is accepted and H₀ is rejected, meaning that there is a relationship between knowledge and attitudes of mothers.

According to WHO (2019) the health status of a woman can be determined from the number of deaths due to pregnancy, childbirth and postpartum. The maternal mortality rate is one of the global targets of the Sustainable Development Goals (SDGs) in reducing maternal mortality. Based on the Central Statistics Agency (BPS) in 2023 in South Sumatra Regency, the coverage of exclusive breastfeeding with the percentage of children receiving exclusive breastfeeding from year to year has increased significantly. In 2020 it was 68.06%, in 2021 it was 69.93%, and in 2022 it was 70.46%. Research Method: The type of research used is descriptive analytical research with a cross-sectional research design, namely a method of data collection carried out at the same time. Research Results: Postpartum mothers who experienced breast milk engorgement were 56.3% and only 43.7% did not experience breast milk engorgement. Mothers who do breast care are mostly in the poor category (62.5%) and a few in the good category (37.5%). There is a relationship between Breast Care and the Incident of Breast Milk Dams Conclusion: There is a relationship between Breast Care and the Incident of Breast Milk Dams in Postpartum Mothers 

Human Immunodeficiency Virus (HIV) is a retrovirus that targets the human immune system, particularly cells with CD4 receptors such as T lymphocytes, monocytes, and macrophages. This virus causes progressive damage to the immune system and, if left untreated, can develop into Acquired Immunodeficiency Syndrome (AIDS). HIV is transmitted through sexual contact, blood transfusions, shared needles, and from mother to child during pregnancy, childbirth, or breastfeeding. HIV has become a global pandemic, with over 39 million people living with the virus in 2022. In Indonesia, the HIV epidemic is diverse, with high-risk groups including injection drug users, men who have sex with men, sex workers, and transgender individuals. The pathogenesis of HIV involves infection of immune cells, integration of viral DNA into the host genome, and production of new virions, leading to a gradual decline in immune function. HIV diagnosis is conducted through serological and virological testing, while antiretroviral therapy (ART) is the standard treatment to suppress viral replication, preserve immune function, and improve patients' quality of life and life expectancy. Early detection and proper management of HIV are crucial to preventing progression to AIDS and reducing transmission within the population.

Breast Milk is a food source that contains complete nutrition for babies. One of the factors that influences failure in providing breast milk is lack of knowledge. The purpose of this study was to determine the effect of education through booklet media on the knowledge of postpartum mothers in providing breast milk to babies aged 0-3 days at Manembo-Nembo Hospital Type C Bitung. The method used in this study was a pre-experiment with a one group pre and post design research design. The sample taken was 35 respondents using Total Sampling. Data collection used SAP and questionnaire sheets. The collected data were processed using the IBM SPSS Version 23 computer. For the analysis test using Wilcoxon with a significance level (α <0.05). The Wilcoxon statistical test obtained a value of ≤ ρ = (α<0.000). This means that Ha is accepted or there is a significant influence between the influence of education through booklet media on the knowledge of postpartum mothers in providing breast milk to infants aged 0-3 days

The First 1000 Days of Life (HPK) period is a crucial time that greatly influences a child's physical and cognitive development. During this period, fulfilling nutritional needs, especially through exclusive breastfeeding and appropriate complementary feeding, is very important. This community service activity aims to improve mothers' understanding of the importance of exclusive breastfeeding for mothers and babies. This community service activity was carried out by providing education to 12 breastfeeding mothers at the Sinar Kasih Integrated Health Post, Allang Asaude Village, Waesala Health Center area, Huamual District, West Seram Regency, through the distribution of leaflets and interactive question and answer sessions. The results showed that this activity succeeded in improving the understanding of the counseling participants about the benefits of exclusive breastfeeding for babies and mothers. This education is expected to encourage better exclusive breastfeeding practices, which will have a positive impact on children's health in the future.

Stunting is a chronic nutrition problem that affects the growth and development of children. This study aims to analyze the relationship between exclusive breastfeeding and the incidence of stunting in children aged 2-24 months in Matang Maneh Village. The research used a quantitative approach with a survey method. Data were collected through structured questionnaires, and the relationship was analyzed using the chi-square test. The results showed a Pearson Chi-Square value of 5.185 with a significance level of 0.023 (p < 0.05). This indicates a significant relationship between exclusive breastfeeding and stunting. Children who did not receive exclusive breastfeeding had a higher risk of stunting compared to those who did. This study highlights the importance of exclusive breastfeeding in preventing stunting. These findings can serve as a basis for creating intervention programs  to  increase  exclusive  breastfeeding coverage  and reduce stunting prevalence, especially in Matang Maneh Village.

HIV/AIDS is an infectious disease that has a serious impact on the immune system and is at high risk in pregnant women. Mother-to-baby transmission of HIV can occur during pregnancy, childbirth, and breastfeeding. HIV screening in pregnant women is important for the prevention of vertical transmission. However, the utilization rate of this test is still low, one of which is due to the lack of knowledge of pregnant women about HIV/AIDS. This study aims to determine the relationship between pregnant women's knowledge about HIV and the use of HIV testing at the Bintang Health Center, Central Aceh Regency in 2022. This study uses an analytical observational design with a cross sectional approach. The research sample amounted to 40 pregnant women who were selected by purposive sampling. Data was collected through questionnaires and analyzed using the Chi-Square test. The results showed that the majority of pregnant women had sufficient knowledge about HIV/AIDS (40%) and most did not do HIV screening (55%). There was a significant relationship between pregnant women's knowledge about HIV and the use of HIV screening (p-value = 0.0001). There is a significant relationship between pregnant women's knowledge about HIV-AIDS and the use of HIV screening by pregnant women at the Bintang Health Center, Central Aceh Regency. Intervention efforts in the form of education and counseling are needed to increase the knowledge of pregnant women to encourage routine HIV testing in an effort to prevent HIV transmission from mother to child.

The marmet technique is a technique used to express breastmilk. This technique provides a relaxing effect and also reactivates the milk ejection reflex (MER) so that milk begins to drip. With the MER activated, breast milk will often spray out by itself. The marmet technique is a massage using two fingers. This method is often referred to as back to nature because it is simple and does not require cost. The purpose of the study was to determine the effect of the marmet technique on the smoothness of breast milk in postpartum mothers in the working area of the Mowewe health center in 2021. This type of pseudo-experimental research uses a nonequivalent control group design model. The research sample was the experimental group who were given treatment with marmet massage techniques on postpartum mothers as many as 10 people and the control group was those who were not given marmet massage treatment on postpartum mothers as many as 10 people. The results showed that there was no effect of marmet technique on the smoothness of breast milk in postpartum mothers in the working area of Mowewe health center. The difference between the average pretest and posttest in the control group using the paired sample t-test test obtained a t value = 3.240 and a p value = 0.010 (p < 0.05). It is hoped that the results of the study will serve as a source of information and add insight into the marmet method for smooth breastfeeding for postpartum mothers.  

The need for continuous midwifery care (Continuity of Care) is crucial given the high maternal and infant mortality rates that still frequently occur. One common problem in neonates is flatulence, which can cause discomfort to the baby and anxiety to parents. One non-pharmacological treatment that has been proven effective for flatulence in infants is the "I Love You" (ILU) massage technique. This technique has been widely recognized for its simplicity and safety in providing comfort to infants experiencing flatulence. This study aims to explore the effectiveness of the ILU massage technique on an 11-day-old infant experiencing flatulence symptoms. The research design used was a descriptive case study, in which Mrs. Q's baby, who complained of flatulence, was the subject of the study. The ILU massage technique consisted of movements that form the letters I, L, and U on the infant's abdominal area, which aims to stimulate gas movement in the digestive tract. In addition to the ILU massage technique, the intervention also included other supporting movements such as the moon-sun movement and flexing the infant's legs to increase the effectiveness of gas expulsion. The results of this intervention showed a positive response from the infant, with the infant beginning to pass gas after the massage. This suggests that therapy using the ILU massage technique can reduce the symptoms of bloating in infants. Furthermore, mothers were educated on proper breastfeeding positions to prevent air intake, which can exacerbate bloating. Mothers were also taught how to perform ILU massage independently at home, enabling parents to be more active in their infant's care.

Mother-to-child transmission of HIV, Syphilis, and Hepatitis B remains a public health challenge. Transmission can occur during pregnancy, childbirth, and breastfeeding. To reduce the rate of transmission, the Ministry of Health of the Republic of Indonesia launched the Triple Elimination program through screening pregnant women in integrated antenatal services. However, the use of this examination is influenced by the behavior of pregnant women, including knowledge, attitudes, and actions. To find out the relationship between the knowledge, attitudes, and actions of pregnant women with the use of Triple Elimination examinations at the Kuala Bangka Health Center, North Labuhan Batu Regency in 2022. This study is an analytical observational study with a cross sectional design. The sample consisted of 35 pregnant women who visited the Kuala Bangka Health Center. Data was collected through questionnaires and analyzed using the chi-square test. Most of the respondents had good knowledge (45.7%), positive attitudes (74.3%), and good actions (45.7%). There was a significant relationship between knowledge (p=0.007), attitudes (p=0.003), and actions (p=0.007) with the use of Triple Elimination examinations. Knowledge, attitudes, and actions of pregnant women have a significant relationship with the use of Triple Elimination examinations. Increased education and support in antenatal services is needed to support the success of the mother-to-child elimination program of HIV, Syphilis, and Hepatitis B.

The coverage of exclusive breastfeeding at the Sikan Community Health Center from 2018-2019 decreased from 50.8% to 28%. Lack of knowledge and the intensive promotion of formula milk are among the causes of the low exclusive breastfeeding rate. The purpose of this study was to determine the relationship between socioeconomic factors and the level of maternal knowledge about exclusive breastfeeding in the Tokorondo Community Health Center Work Area. This study used an analytical method with a cross-sectional approach. The population was 46 mothers with toddlers aged 6-12 months in the Sikan Community Health Center work area. The sample in this study was 36 people, the sampling technique was consecutive sampling. The results showed that exclusive breastfeeding was more common in mothers with low education (60%), unemployed mothers (23.5%), high income (50%), and well-informed (100%). Conclusion: There is a relationship between the level of knowledge and exclusive breastfeeding (p<0.001), while education (p=0.217), occupation (p=1.000), and income (p=0.436) have no relationship with exclusive breastfeeding. It is hoped that health workers can be a source of information about the importance of exclusive breastfeeding for babies up to 6 months of age and after six months of age. After six months, it is continued with the provision of complementary foods while continuing to provide breast milk until the age of 2 years and there is support from the family, especially the husband, as an effort to increase the coverage of exclusive breastfeeding.

The postpartum period, which begins with the delivery of the placenta and ends when the reproductive organs return to their pre-pregnancy state, lasts approximately 6-8 weeks. During this period, many mothers face challenges related to breast milk production, resulting in insufficient or absent milk flow. This condition, if untreated, can hinder the breastfeeding process and affect both maternal and infant health. To address these challenges, several interventions such as warm compresses and oxytocin massage have been explored. The aim of this study was to assess the effectiveness of these two methods in improving breast milk flow among postpartum mothers. A quasi-experimental design was employed, utilizing a non-equivalent control group with pre-test and post-test measurements. The study targeted postpartum mothers who were experiencing difficulties with breast milk production. Purposive sampling was applied to select participants who met the inclusion criteria. The results showed significant differences between the effects of warm compresses and oxytocin massage on postpartum breast milk flow, with a p-value of 0.002 (<0.05), indicating that both methods positively influenced milk production. However, it was found that oxytocin massage had a more pronounced effect on milk flow compared to warm compresses. These findings suggest that oxytocin massage may be a more effective intervention for enhancing breast milk production in postpartum mothers, thus providing valuable information for healthcare professionals aiming to support new mothers in the breastfeeding process. The study also highlighted the importance of personalized care based on individual needs. Further research is recommended to investigate the long-term impact of these interventions and their broader application in various postpartum care settings. Additionally, exploring other complementary approaches could offer a more comprehensive strategy for managing breastfeeding difficulties in the postpartum period.

Stunting remains a significant public health issue in Indonesia. One of the government’s efforts to address this problem is through the exclusive breastfeeding program. However, the achievement of this program is still below expectations. This community service activity was conducted at the Langkak Village Hall, Kuala Pesisir District, Nagan Raya Regency, using lectures and discussions as methods. The participants consisted of 27 individuals, including pregnant women and mothers with toddlers. The activity took place on Thursday, August 8, 2024, for a duration of 90 minutes, and was attended by 17 participants. During the discussion/Q&A session, seven participants actively asked questions related to exclusive breastfeeding and shared the challenges they encountered in practicing it. The results indicated the need for a more structured strategy to enhance understanding and implementation of exclusive breastfeeding within the community. One proposed strategy is the establishment of the “Family Loves Baby” class, based on a SWOT analysis approach. This class would involve one family member from each household with an infant aged 0–6 months, serving as a support system for exclusive breastfeeding. Additionally, Posyandu cadres are expected to play an active role in providing education and raising awareness among mothers, families, and the broader community about the importance of exclusive breastfeeding to prevent stunting. This approach is expected to serve as a concrete step in supporting the government’s program to reduce stunting rates in the region.

Stunting is a condition of chronic malnutrition caused by inadequate nutritional intake over a long period of time due to providing food that is not in accordance with nutritional needs. One of the causes of stunting in toddlers is exclusive breastfeeding which is not given for 6 months because breast milk is really needed during the baby's growth period, and it is not appropriate to give complementary foods after 6 months of age so that their nutritional needs are met. This study aims to determine the relationship between exclusive breastfeeding and complementary foods for breastfeeding (MP-ASI) with the incidence of stunting in toddlers in the Singandaru Community Health Center working area in 2024. The research design is descriptive correlation using the case control method. The measuring tool for this research uses a questionnaire. The research results for the exclusive breastfeeding variable based on the chi square test results obtained a value of p = 0.0001, P velocity < α, so Ho is rejected, meaning there is a relationship between exclusive breastfeeding and the incidence of stunting in toddlers in the working area of ​​the Singandaru Community Health Center in 2024. As for the complementary food variable ASI (MP ASI) with the incidence of stunting obtained a p value = 0.012, P velue < α, then HO is rejected, the conclusion is that there is a relationship between complementary food for breast milk (MP ASI) and the incidence of stunting in toddlers in the working area of ​​the Singandaru Community Health Center in 2024. Based on research results It is hoped that the cadres can provide motivation to every baduta mother to be able to provide exclusive breast milk and provide complementary breast milk according to her age.

This study aims to determine the relationship between MP-ASI knowledge and undernourished status, the relationship between exclusive breastfeeding history and undernourished status, and the relationship between food intake and undernourished status. This study uses analytical observational research. The method used is survey and observational using a cross sectional approach, namely the researcher takes data on free variables and bound variables in the same time period. The research was conducted from March to May 2024. The place of research was carried out at the Posyandu of Klampok Village, Wanasari District, Brebes Regency. The population in this study is all mothers who have toddlers in Klampok Village, Wanasari District, Brebes Regency aged 1-5 years which totals 122 toddlers. The sample in this study was malnutrition in 13 Posyandu Klampok Village, Wanasari District, Brebes Regency with a purposive sampling technique, namely a sampling technique with certain considerations. The research sample was collected from 13 Posyandu in the object of the study, resulting in the prevalence of undernutrition status of 122 children under five in Klampok Village, Wanasari District, Brebes Regency in 2024 with an average Z score of -3 to <-2 elementary school. The results showed that there was no relationship between maternal knowledge and nutritional status in toddlers aged 1-5 years with a ρ-value of 0.75, there was no relationship between the history of exclusive breastfeeding of toddlers and nutritional status in toddlers aged 1-5 years with a ρ-value of 0.80 and there was a relationship between toddlers' food intake and malnutrition status in toddlers aged 1-5 years with a ρ-value of 0.028.

Exclusive breastfeeding during the first six months of a baby's life is an important foundation for optimal growth and development. However, the success of an exclusive breastfeeding program is not only determined by the role of the mother, but also depends heavily on the support of the husband as the main companion. This community service activity aims to increase the involvement of husbands in supporting exclusive breastfeeding for the first child through an educational and participatory approach. The target of this activity was a married couple who were waiting for the birth of their first child in Bengkulu City. The implementation of the program is carried out through a series of activities in the form of counseling, interactive discussions, and continuous assistance during pregnancy up to six months after childbirth. Evaluation was carried out using pretest and posttest to measure changes in knowledge and attitudes, as well as observation of the husband's direct involvement in the breastfeeding process. The results showed a significant increase in husbands' knowledge and attitudes towards the importance of exclusive breastfeeding, as well as an increase in their involvement in supporting their wives both emotionally and practically. These findings confirm that education that actively involves husbands can be an effective strategy in supporting the success of exclusive breastfeeding. Therefore, breastfeeding counseling and mentoring programs in the community should be designed holistically by involving both parents as a supportive unit.

Background:Breastfeeding is expected to help achieve SDGs goal 3, target 2, which is to reduce neonatal mortality to at least 12 per 1,000 live births in all countries by 2030 and stop unnecessary deaths of newborns and children under five. Encouraging healthy breastfeeding is essential to prevent more than 820,000 deaths of children under five each year. Oxytocin massage has been shown to increase the sensation of relaxation, improve sleep quality and comfort, reduce pain and tension, and help increase prolactin and oxytocin levels, which in turn increase breast milk production. Research Method:The research design used the Pre Experimental Design method, namely with the form of a One Group pretest and posttest design without a control group. This study used purposive sampling, with a sample size of 22 respondents. Data analysis used univariate and bivariate. Result:This study showed that the value before oxytocin massage was 16.14 and after oxytocin massage the mean was 27.73. The conclusion of the study shows that the results of the experimental test have a significant value with a p value of 0.000 <0.05. This shows that there is a significant gap in breast milk production between before and after oxytocin massage. Suggestion: It is hoped that midwives at the Lidya Clinic can use this study as input to support increased breast milk production in mothers, especially those in the postpartum period.