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This study aims to improve the health status of families so that a healthy and prosperous family is realized in the family of Mr. "Z" with menorrhagia in adolescent girls in Ngalong Hamlet, Kuta Village, Pujut District. The study was carried out by collecting all available data sheet formats through interview techniques and systemic observation. Subjective data, especially on the main complaint of menstruation for more than 10 days and changes, Blood Pressure (BP): 98/80 mmHg, Respiration (P): 18 x / i, Pulse (N): 88 x / i, Temperature (S): 36.5o C, eyes are not edematous, pale conjunctiva, white sclera. The potential diagnosis in this case is endometrium but it did not occur because it has been handled properly. Immediate action that can be taken is to collaborate with health workers and patients. The planning carried out on Ms. M aged 14 years is: informing about the results of the examination, explaining the signs and symptoms, handling menorrhagia and consulting a Sp.OG doctor. The implementation given to Ms. M with Hypermenorrhea is: informing about the results of the examination that Ms. M's general condition informs about the results of the examination, explains the signs and symptoms, treatment of menorrhagia, and consultation with a Sp.OG doctor. Evaluation is a stage of assessment of the success of the maintenance given in overcoming consultation with a Sp. DAN doctor.

Childbirth is often perceived as frightening and causing extreme pain. Some mothers also feel traumatized by their first childbirth process because of various difficulties and pain during childbirth so that they are reluctant to plan to have children again. Labor pain is caused by uterine contractions and dilation of the cervix and lower uterine segment. Survey data from PMB Restu Bunda in 2024 on 5 mothers who gave birth, it was found that overall respondents experienced pain, as many as 3 people with a pain scale of 7 (severe pain) and as many as 2 people with a pain scale of 6 (moderate pain). One non-pharmacological therapy that can reduce the intensity of pain is back massage using Virgin Coconut Oil (VCO). The research objective was to determine the effect of back massage with Virgin Coconut Oil (VCO) on the intensity of active labor pain in the first stage of labor at the IMP Restu Bunda Gunung Terang Sub-District of West Tulang Bawang Regency. The quantitative research type is a pre-experimental design, one group pre-test - post-test design. The population in this study were all mothers who were going to give birth, as many as 22 mothers, with a sample of 18 people taken by accidental sampling. The study was conducted at the IMP Restu Bunda of Gunung Terang Sub-District West Tulang Bawang Regency. Data collection used observation sheets. Data analysis was carried out using univariate and bivariate tests (Wilcoxon test). The study results showed that the average labor pain before being given a back massage with virgin coconut oil (VCO) was 7.0 and after being given a back massage with virgin coconut oil (VCO) was 5.2. There was an influence of back massage with virgin coconut oil (VCO) on the intensity of active labor pain in the first stage at the IMP Restu Bunda of Gunung Terang Sub-District of West Tulang Bawang Regency with a p-value = 0.001 (p-value <α = 0.05). Suggestions for health workers can recommend back massage with virgin coconut oil (VCO) can be used as complementary therapy for mothers in the first stage of labor.

The results of the pre-test and post-test in this service show that local students, in this case MA students, are old enough to be considered capable of logical thinking and are considered to have advantages in understanding the social, cultural context and local potential of Mojokerto Regency. So that it can become an agent of change in encouraging more transparent, efficient and accountable financial governance. Good financial literacy contributes to increasing Regional Original Income (PAD), spending efficiency, and budget management that is oriented to community needs. To achieve this, this service invites and encourages MA Al Kautsar students to think critically, logically and encourages students to have concern for Mojokerto Regency. Students are encouraged to choose roles that can contribute to the better development of Mojokerto Regency. The post test results show that students plan to choose roles that are oriented towards developing personal skills which also have an impact on solving community problems, for example becoming health workers, education workers, and even improving skills in understanding religion such as memorizing the Koran.  This service article recommends increasing the capacity of local youth through continuous training, strengthening collaboration between government and society, and applying modern technology to increase financial transparency. With this approach, Mojokerto Regency can realize better financial governance and inclusive and sustainable development through human resources who are active, intelligent and care about the progress of the region.

This study examines the application of speech acts in communication between doctors and patients at the Pratama Haji Medan-Pancing Clinic, focusing on the use of various types of speech acts, such as expressive, representative, directive, and commissive in medical interactions. Speech acts are understood as the smallest unit of speech activity that has a specific function, and in the medical context, this includes providing information, instructions, as well as expressions of empathy and emotional support. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. According to the findings from observations and interviews, effective communication between doctors and patients plays a crucial role in building trust and increasing patient satisfaction with healthcare services. The use of appropriate speech acts, such as giving instructions on healthy lifestyles, showing empathy, and expressing care and support, plays a major role in reducing patient anxiety and improving social-emotional relationships in the hospital environment. Politeness in communication is a key element in improving the quality of health services. Therefore, the development of communication skills for medical personnel is essential to create a better experience for patients and be responsive to their needs.

Dengue Hemorrhagic Fever (DHF) in Jepara Regency is still an unresolved health problem. The incidence rate reached 960 cases, dominated by the 5-14 year age group and 13 cases of case fatality rate due to dengue fever. The trend in the incidence of dengue fever tends to fluctuate from 2019 to 2023. 3M Plus Mosquito Nest Eradication (PSN) is a program in the effort and control of dengue fever by involving the active role of the entire community. Involves three main steps, namely draining, covering and recycling items that have the potential to become breeding grounds for the Aedes aegypti mosquito as well as additional measures such as using mosquito nets when sleeping and repellent medication. The aim of this research is to determine the correlation between the 3M Plus PSN Program and 3M Plus PSN behavior with the PRECEDE-PROCEED approach in handling dengue hemorrhagic fever cases in Jepara Regency. This type of research is observational analytics using quantitative methods with a cross-sectional design. The population in this study were housewives with an age range of 20-64 years with a research sample of 158. Data were analyzed univariately, bivariately and multivariately using frequency distribution tables and chi square tests. The results of the analysis show that there is no relationship between acceptance of the PSN 3M Plus program with knowledge (p=0.209), practice (p=0.584), support from community leaders (p=0.546), facilities (p=0.742), support from health workers (p=0.849 ), cadre support (p=0.079), and there is a relationship between the PSN 3M Plus program and attitudes (p=0.048).  

In Indonesia, traditional medicine has a legal position that is recognized and protected by state law in the provisions of article 50 paragraph (1) and paragraph (2) of Law Number 36 of 2009 concerning Health. It is also stated in the new Law Number 17 of 2023 concerning health article 192 paragraph (1). Although traditional medicine is recognized and regulated by national law, traditional medicine practitioners can also engage in malpractice acts. Currently, people have a lot of problems with traditional medicine, which is too prone to mishandling patients' diseases because of its methods that have not been clinically tested. The increasing number of cases of fracture infection caused by fracture shamans every year is one example of inappropriate handling that occurs in the Kemak Tribe in Kampung Sadi, Belu Regency. This research is a socio-legal research supported by an empirical approach that uses primary data and secondary data collected using interview and observation techniques and processed and dialysed using Editing, Coding, Verification, and Interpretation techniques. The results of this study show that (1) Negligence in traditional medicine is a serious problem that has a wide impact on individuals and society. (2) In traditional medicine, the prevention and control of negligence requires a comprehensive approach through education, regulation, and cooperation between the government, practitioners, and conventional health workers.

This article discusses the role of mosques as health centers in supporting community welfare. By utilizing existing infrastructure and communities, mosques can function as centers for education and health services. This research aims to explore the potential of mosques in improving public health through integrated health programs. The methods used in this research include literature reviews and interviews with ulama and health workers in several mosques. The research results show that the mosque has succeeded in holding various health activities, such as free health checks and health seminars, which the congregation responded positively to. In conclusion, mosques not only function as places of worship, but can also be effective health centers in strengthening people's physical and mental health.

Professional ethics is not only a moral guideline for health workers, but is also an integral part of the legal system that regulates the relationship between health workers, patients and society. In a legal context, professional ethics is the foundation that guarantees that every action of health workers is carried out in accordance with professional standards and aims to protect patient rights. The aim of this research is to analyze the obstacles and impact of obstacles faced in law enforcement on violations of professional ethics for health workers in Indonesia. The research method used is normative research, using secondary data. The research results show that obstacles to law enforcement against violations of professional ethics for health workers in Indonesia stem from various factors, such as weak regulations, lack of coordination between institutions, slow and complicated legal processes, and minimal understanding of ethics and law among health workers. Furthermore, there is a significant impact on the protection of patient rights and the professionalism of health workers in Indonesia. On the one hand, patients become vulnerable to violations of their rights, such as the right to safe and quality medical services.

Breast milk (breast milk) is the best nutrition for babies, the low coverage of exclusive breastfeeding is a threat to the growth and development of children, breastfeeding is the right of every mother, and exclusive breastfeeding to newborns is one of the efforts to prevent infectious diseases, malnutrition problems, and infant death. due to many influencing factors, namely the lack of maternal knowledge about breastfeeding, working mothers, lack of support from family, information support from health workers and the surrounding environment. In 2023, in the work area of the Penfui Health Center, there are 177 working mothers who have babies or around 45.45%. The purpose of this study is to analyze factors related to the low coverage of exclusive breastfeeding in working mothers in the Penfui Health Center Area. This study is an analytical survey research using the Cross-Sectional method and a sample of 64 respondents. The data of this study was analyzed using the Chi Square test. The results of the study found that there was a significant relationship between maternal knowledge (p=0.046), information exposure (p=0.020), family support (p=0.044), health worker support (p=0.031) and low coverage of exclusive breastfeeding. There was a relationship between maternal occupation (p0.027) and infant health status (p=0.041), age (p=0.326) there was no significant relationship with low coverage of exclusive breastfeeding in the Penfui Health Center area. The conclusion in this study is that knowledge, information exposure and family support are related to exclusive breastfeeding. and the support of health workers, mothers' work and health status are related to the low coverage of exclusive breastfeeding in the work area of the Penfui Health Center. Mothers should further increase their awareness and willingness to provide exclusive breastfeeding even though they are busy with work to increase the coverage of Exclusive Breastfeeding.

Post-operative is a condition after surgery and medical treatment to treat or repair damaged tissue or organs starting when the client is moved to the operating room and ending in the recovery room. Surgery is a medical procedure that uses invasive techniques by opening or displaying body tissue that will be treated through incisions and ending with wound suturing. This health education aims to improve the knowledge and skills of patients and families regarding the prevention of post-operative infections. This health education was conducted on Saturday, October 19, 2024 at 10:30 in the Teratai room using a material delivery method using leaflet media, demonstrating how to wash hands properly and wound care, and evaluating the results of the pre and post tests during the health education activities. After the health education activities were carried out, the results showed that the enthusiasm of the participants when participating in the health education activities was very high, seen from the material presentation session, the participants were seen paying attention to the material presented. During the activity, participants were active in asking questions and were able to answer questions and wanted to know more about the material that had been presented. The ability of participants in answering pretest and posttest questions also showed an increase because the audience when working on the pretest questions, an average of did not know the material to be presented with a total of 13 questions. Then, when working on the posttest questions, an average of had increased knowledge after the presentation of the material presented with the same number of questions. Early symptoms that appear when an infection occurs in a postoperative wound are open wounds/open stitches and there are signs of infection: Redness, Swelling, Pain, Decreased function of the infected organ, Pus, Fever. SSI is an infection that occurs in the wound area after surgery, surgical wound infections are divided into, internal, and organs. SSI is caused by various factors, namely the patient himself, health workers, the surgical process, the environment and surgical equipment. The correct hand washing process according to WHO includes wetting the hands, applying soap or hand sanitizer, rubbing the entire surface of the hands for at least 20 seconds, rinsing with water (if using soap), and drying the hands. 6-step hand washing is an effective hand washing method to remove germs, viruses, and bacteria from the hands. This step is designed to ensure that every part of the hand is properly cleaned.

Background: Basic immunization services for children in Indonesia have been integrated starting from Posyandu, Community Health Centers and hospitals, however the overall basic immunization coverage is still below the target set by the government. Data from the Hamparan Perak Community Health Center shows that coverage of all types of complete basic immunization did not reach the target, and Deli Serdang Regency with the lowest IDL coverage in North Sumatra Province is Deli Serdang Regency. Objective: This study aims to analyze the factors that influence maternal compliance in providing complete basic immunization in Hamparan Perak sub-district, Deli Serdang district. Method: The research used quantitative research methods with a cross sectional study design which was carried out in the work area of ​​the community health center in Hamparan Perak sub-district, Deli Serdang district, starting from preparing the thesis to obtaining research results. The population in this study were mothers aged ≥ 18 years in the working area of ​​the health center in Hamparan Perak sub-district, Deli Serdang district. The sampling technique used in this research is probability sampling using simple random sampling with a sample size of 73 respondents. Results: The results of the study showed a significant influence between knowledge (p=0.03) and maternal compliance in providing immunizations, and there was no influence between perception (p=0.47), quality of immunization services (p=0.10), number children (p=0.46), distance to health services (p=0.74) and maternal compliance in providing complete basic immunization in Hamparan Perak sub-district, Deli Serdang district. Conclusion: the factor that most influences maternal compliance in providing complete basic immunization is knowledge. Suggestion: It is necessary to increase the role of health workers in providing good information to the public about the importance of immunization for babies, and it is hoped that this can also increase the public's positive perception of immunization.

The discontinuity of regulations concerning health workers in health law legislation poses a challenge for the application of the principle of legal certainty in Indonesia. The principle of legal certainty is an essential foundation in the legal system that guarantees the rights and obligations of health workers and the community. However, there is a gap between the regulations for health workers and the principle of legal certainty, which impacts the clarity of the legal status, rights, and obligations of health workers. This research aims to examine the discontinuity between health workers' laws and the application of the principle of legal certainty, as well as the impact arising from this inconsistency. Additionally, this research identifies efforts that can be made to align labor regulation and health worker regulations with the principle of legal certainty. Using normative legal research methods through legislative and conceptual approaches, this study finds that regulatory harmonization is necessary to strengthen legal certainty in health worker regulation in Indonesia.

Delivery assistance is a delivery service process that starts from stage I to stage IV of delivery. The achievementcofcmaternal healthc effortsc isc measured through the indicator of the percentage of deliveries assisted by qualified health workers (Ministry of Health of the Republic of Indonesia 2015).Based on the description above, the problem discussed in this research is: to determine the effect of counterpressure massage techniques to reduce labor pain in active phase first stage mothers at Darul Aman Community Health Center, East Aceh. The type of research used is quasi-experimental with a pre-test design and post test control group design, cause or risk and effect variables or cases that occur in the research object are measured or collected simultaneously (at the same time) (Notoatmodjo, 2012) Darul Aman East Aceh Community Health Center is a BPJS Health First Level Health Facility in Aceh Tkmur Regency whose address is Jalan Medan, Gp Kuede Village, Darul Aman District, East Aceh Regency, NAD. The Darul Aman Health Center in East Aceh has the Motto: SIMPATI, namely Smiling and Greeting, Informative, Serving, Professional, Accountable, Transparent, Sincere. Based on the results of the analysis and discussion of research results, conclusions can be drawn regarding the effect of massage techniques to reduce labor pain at the Darul Aman Community Health Center, East Aceh. 1. The level of labor pain before the counterpesure massage was performed, all respondents experienced severe pain. 2. The level of labor pain after the counterpesure massage was performed. Most of the respondents experienced moderate pain. 3. There was an effect of using massage techniques to reduce labor pain in mothers during the first stage of the active phase.

Immunization Completeness base is an immunization that must be given to children from birth so that their bodies are protected from dangerous diseases. Complete basic immunization coverage in Suka Raya Village, Pancur Batu District reached 80.7%: the low coverage of basic immunization is related to the knowledge and attitudes of mothers. This study aims to determine the relationship between maternal knowledge and attitudes and the completeness of basic immunization in infants . Data collection from primary and secondary data, data were analyzed using the chi-square test with a 95% confidence level. This type of research is analytical with a Cross Sectional approach , the population in this study were all mothers who had babies aged 9-12 months who visited Suka Raya Village, namely 42 people. The sampling technique is Total Sampling . Collection data For about complete basic immunization data analysis with Chi Square statistical test . The results of the study showed that there was a relationship between maternal knowledge and attitudes with the completeness of basic immunization with a p value for the knowledge variable of 0.003 and a p value for the attitude variable of 0.000. Then, maternal knowledge and attitudes influenced the completeness of basic immunization in infants, mothers with good knowledge and positive attitudes were more likely to complete their infants' basic immunization according to the specified schedule. It is recommended for Pancur Batu Village to further improve the provision of counseling to mothers about complete basic immunization and for health workers in Pancur Batu Village to improve maternal knowledge about the completeness of basic immunization  

Pregnancy is the process of fetal growth and development that occurs in the uterus from conception to the onset of labor. In the first trimester, mothers usually experience nausea and vomiting starting at around 8 weeks and ending at 12 weeks. Emesis gravidarum is nausea and vomiting that can cause discomfort and the frequency of nausea and vomiting occurs approximately 5 times a day, which occurs in the first trimester of pregnancy. This study aims to determine the Effect of Mozart Classical Music Therapy on the Level of Emesis Gravidarum in Pregnant Women in the First Trimester. The research design used in this study was pre-experimental with a one group pretest & posttest design approach. The population in this study were all pregnant women in the first trimester in the Jakenan Health Center Area, Pati Regency. The population used was 30 pregnant women in the first trimester. The number of pregnant women samples used in this study was 30 pregnant women, the instrument used was an observation sheet, the results of which will be analyzed using the Wilcoxon sign rank test method. The results showed that most of the frequency of emesis gravidarum before being given Mozart classical music intervention was in the moderate category, as many as 16 respondents (53.3%). Most of the frequency of emesis gravidarum after being given Mozart classical music intervention was in the mild category, as many as 20 respondents (66.7%) and almost some were moderate, as many as 10 respondents (33.3%). Data analysis shows that there is a difference in the level of emesis gravidarum before and after being given classical Mozart music therapy, a p value of 0.000 <α 0.05 is obtained, which means that classical Mozart music has an effect on reducing the frequency of emesis gravidarum in pregnant women in the first trimester in the Jakenan Health Center area, Pati Regency. It is hoped that health workers such as health center officers and midwives will improve their education and handling of reducing Emesis gravidarum in pregnant women non-pharmacologically.

Chronic Energy Deficiency (CED) in pregnant women is a major nutritional challenge in Indonesia, including in Bukittinggi. Despite proper health service utilization, the burden of CED is relatively high and has a non-economic component that includes cultural and family social support.  The influence of the husband on the nutritional status of pregnant women is frequently overlooked by prevention and control strategies. This study sought to investigate husbands' thoughts and roles in the prevention of  CED  in pregnant women in  Bukittinggi.  The present study employed a qualitative phenomenological research design including 15 husbands of pregnant women (experienced and non-experienced  CED)  and  5–7  triangulation informants  (pregnant women and health workers).  Semi-structured interviews and non-participatory observations provided the data, while  NVivo  12  was employed for thematic analysis. Source triangulation and member checking validate the data. The results indicate that the majority of husbands do not understand CED scientifically and view their support solely as financial assistance. Although emotional and informational motivations can affect positive nutritional behaviors, they are still regarded as weaknesses. Among the external barriers are costs, long hours of work, and a patriarchal culture that severely restricts husbands' ability to be involved in their wives' nutritional problems. However, some informants have indicated a value shift that prioritizes emotional involvement over intellectual focus.  The  intervention strategies for future implementation should be family-based with a primary focus on couples' nutrition education, emotional  strengthening,  and  the  inclusion  of  males  in  maternal  health  programs  (e.g.,  paternity-readiness sessions  

Antenatal Care (ANC) is a preventive care health facility that was developed with the aim of  preventing and reducing complications for pregnant women. This research uses a descriptive type with an approach through a case study conducted on Mrs. D. This research was carried out at PMB Nila Trisnawati which is located on Jl. Tenayan, sail, kec. Tenayan Raya, Pekanbaru city. The data collection techniques used in this research are primary data and secondary data obtained from the results of interviews, observations, and physical examinations. This research aims to implement effective communication to increase the regularity of ANC visits and to determine the factors which influences ANC irregularities in pregnant women. The results of this research are that mothers’ knowledge increases and pregnant women come back for ANC checks from health workers. With this activity, it is hoped that pregnant women will continue to pay attention to their health.  

The use of Maternal and Child Health (KIA) books for toddlers at Posyandu Melati 2 in 2023 falls short of the national target of 85%. This low usage rate raises concerns about potential negative impacts on the health of children under five. Cadres play a crucial role in promoting maternal and child health by providing guidance and encouragement regarding the use of KIA books. This study aims to assess the correlation between cadre support and the utilization of KIA books among mothers of toddlers at Posyandu Melati 2 from April to May 2024. A cross- sectional analysis was conducted with a total population of 57 mothers of toddlers, using a total sampling technique. Data on maternal characteristics, cadre support, and KIA book usage were collected through a survey with a questionnaire and analyzed using the chi-square method with a significance level of α = 0.05. Results indicated that only 10.5% of mothers used the KIA books properly, and 28.1% received good support from health workers. The analysis revealed a significant correlation between cadre support and the use of KIA books, with an odds ratio (OR) of 6.5 and a Fisher Exact Test result of p = 0.046. These findings highlight the importance of cadre support in enhancing the use of KIA books among mothers of toddlers, suggesting that increased support could improve usage rates and potentially benefit child health outcomes.  

Breast milk contains nutritional components and antibodies that are important for the development, immunity and long-term health of babies. However, not all babies get breast milk from their mothers. This can be caused by low breast milk production and irregular breast milk release. Warm compresses are one method of stimulating breast muscles that can increase breast milk production. The type of research used is a quasi-experimental one group pretest posttest. The study population was all postpartum mothers in the PMB Lismarini area with low breast milk production problems. The sampling technique in this study used purposive sampling. Warm compresses were carried out for 7 days with a duration of 10-15 minutes before breastfeeding. The statistical test used was Wilcoxon. The results of the Wilcoxon test showed a p value of 0.003 ≤ 0.05, which means that there is an effect of warm breast compresses on the smoothness of breast milk release. It is expected that health workers will increase educational activities related to the management of irregular breast milk release, one of which is the warm compress method.  

The increased of Maternal Mortality Rate (MMR) can be lowered through by various efforts, one of them with quality Antenatal Care (ANC). Quality of ANC services can be given by several health workers who work together in giving services to patients through the Interprofessional Collaboration (IPC). IPC or interprofessional collaboration can improve health service quality. The purpose of this study is to find out an overview of the level of perception of health workers about IPC on ANC services in Lubuk Buaya Health Center. This study is descriptive research using crosssectional design. The study sample is 30 health workers who are determined by the total sampling method. Data collection use the Collaborative Practice Assessment Tools (CPAT) questionnaire. The results of the study can be found that all health workers (100%) have a high perception of IPC in ANC services with components of connection among members, coordination and division of roles, and missions, goals, and objectives have the highest percentage (100%) and decision-making and conflict management components have the lowest percentage (10%). All health professions consist of GPs, midwives, nurses, dentists, pharmacists, nutritionists, and ATLM have a high perception (100%) of IPC on ANC services. The dentist professions have a high perception of all eight components, meanwhile other professions have a high perception of the seven components of perception and have a moderate perception in one component of perception, that is the components of decision making and conflict management. In general, health workers have a high perception of IPC in ANC services, but there are still a moderate perception in one components of perception so efforts are needed to improve IPC competence in that component.