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Proper complementary nutrition is critical for child growth. Currently, UPF consumption is common, affecting IYCFP, where many older persons use CCF. Indeed, CCF has a negative impact on children's growth and development. Many factors contribute to this, one of which is a lack of assistance from other health providers, especially midwives. In Indonesia, midwives are the primary health workers that offer direct care to mothers. According to several sources, midwives continue to provide little support in this area due to insufficient experience and expertise. The purpose of this study is to determine the level of awareness of UPF and ICYFP among midwives. The method employed is a hybrid strategy that employs successive explanation strategies. 114 midwives participated in the online study in 2022. The results of this study showed that there are still many midwives who do not know about UPF and IYCFP education and advocacy. There needs to be government support to conduct comprehensive education in the health sector, including midwives.

Introduction : Smart hospital is an emerging and fast-developing innovation in the context of a rapid increase of internet users, an increasing demand for high-quality medical resources, and an aging population worldwide. It generally involves the use of the optimized and automated processes built on an information and communications technology (ICT) environment, especially based on the Internet of things (IoT), to offer assessment, consultation, direct treatment, services, and integrated care. This innovation has the potential and has already gained initial evidence to improve healthcare access, efficiency, or even effectiveness. Yet, along with these positive impacts and promises, a number of issues and challenges also appear.Methods: Study This is study quantitative with design survey research. Study This done on the month of June 2023. Instruments used in study This use questionnaire with the HOT-Fit method consisting of the 47 questions divided in 6 groups question namely: Human, Organization, Technology, Knowledge Users Regulations and Benefits. Subject for this study is hospital managers, administration staff and health workers. Data analysis using analysis multivariate .Result: 22 hospital state that digitization service health to a very smart hospital important one of them is applied For increase quality service House hurts and improves satisfaction patient. In application of smart hospital Sick need integrate between technology, service and regulation.Conclusion : Smart hospitals can influence health and medical policies and create new medical values by defining and quantitatively measuring detailed indicators based on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinary research, and active participation by industry are required to foster and facilitate smart hospitals.   Keywords: ,   

Stroke is still the main cause of disability in the world. The impact of a stroke relies heavily on the location and extent of damage, and age. Post-stroke is the most difficult period for patients in they personal care. Family support is essential to increase confidence for rehabilitation in post-stroke patients. Rehabilitation  in post-stroke patients is done so that post-stroke patients are able to perform daily activities independently. The aims of this study to determine the relationship family support with increasing muscle strength rehabilitation in  post-stroke adult. The Method : This research was an analytical observational and was conducted in Bukittinggi City on July, 2023. The variables studied family support with muscle strength. This research is a quantitative research with Cross-sectional design. The population in this study were post-stroke patients 50 people and the sample amounted to 42 respondent. Results : The result of this research shows that there is a strong relationship between family support and increasing muscle strength in rehabilitation p-value 0.006<0.05. The conclusion is family support has impact to inceasing muscle strength rehabilitation of post-stroke adult patients. It is recommended for health workers to provide counseling to improve family support in curing stroke patients. The study confirms the importance of family support in terms of information support and awards support to the quality of life of patients with post-stroke.

This paper aims abnalyze The physical and psychosocial development of children and adolescents is a broad topic and complex. Children begin to develop the ability to think, learn, and remember, and begin to develop the ability to control emotions and interact with people other. In adolescence, individuals experience a transition between childhood and adulthood adult life is characterized by biological growth and development and psychological. Children's physical and psychosocial development of adolescents can begin with an explanation of the importance of understanding physical and psychosocial development during childhood and adolescence. Matter This is because this period is a very important period in a person's life, in where many significant changes and developments occurred. Additionally, understanding of Physical and psychosocial development during childhood and adolescence is also very important for parents, teachers and health workers in providing appropriate care and upbringing. Physical development during childhood and adolescence includes growth and development of body organs, nervous system, and motor abilities. Meanwhile development Psychosocial includes emotional, social and cognitive development. During childhood, Physical and psychosocial development is greatly influenced by the environment and upbringing accepted. Meanwhile, during adolescence, physical and psychosocial development is influenced by internal and external factors, such as hormonal changes, social environment, and pressure from friends peer. In discussing children's physical development and adolescent psychosocial development, it needs to be emphasized that each individual has different developments, depending on factors which influences it.

The quality of health services is a manifestation of the results of the performance of health workers which results in patient satisfaction, if the service meets or exceeds what the patient expected (Antari, 2019). Service quality is assessed from five variables, namely Reliability, Responsiveness, Physical Evidence, Guarantee and Empathy. The aim of the research was to determine the relationship between the quality of nursing services and the level of outpatient satisfaction at RSBT Karimun in 2023. The research carried out was descriptive correlational research and a cross-sectional approach. The sampling method used was consecutive sampling with a sample size of 174 outpatients at Bakti Timah Karimun Hospital in 2023. Research data was collected by filling in questionnaires by respondents. The research data were analyzed univariately with frequency tables and bivariate tests with the Chi Square test. The results of the univariate analysis show a picture of Service Quality from the reliability variable. The results of the bivariate analysis of the Reliability and Satisfaction variables were obtained, so it can be concluded that there is a significant relationship between service quality and satisfaction of outpatients at Bakti Timah Karimun Hospital in 2023. It is hoped that this research's suggestions will enable the educational institution at Awalbros University, Batam, to increase nurses' knowledge about the quality of nursing services. to increase patient satisfaction.

Stunting is a condition where a person's height is shorter than the height of other people in general (of the same age). Stunted (short stature) or low height/length for age is used as an indicator of chronic malnutrition which describes the history of under-nutrition in toddlers over a long period of time. The design used in this research is a research design with a correlational/causal analytical method with a cross sectional design. The population in this study was 82 mothers of toddlers. The sampling technique used in this research was the Slovin formula. The total sample in this study was 82 mothers of toddlers. The results of the research show that there is a significant relationship between healthy latrines and the incidence of stunting among toddlers in Waehaong subdistrict, Nusaniwe subdistrict, Ambon City with a p value of 0.000. For the government, in this case, village officials, especially village heads, are expected to be able to facilitate and plan budget procurement for environmental sanitation improvements such as improving healthy latrine facilities and making efforts to improve residential environmental sanitation programs with healthy behavior. Health workers, especially sanitarian officers, can carry out their role as educators by providing education related to the health of the family environment in order to increase knowledge about maintaining and creating a healthy family environment. And can also provide education about healthy latrine facilities and strive to improve residential environmental sanitation programs with healthy behavior.

Colostrum is also a thick viscous fluid with a yellowish color that is yellower compared to mature milk. Colostrum is the first fluid secreted by the breast glands, containing tissue debris and residual material found in the alveoli and ducts of the breast glands before and after the puerperium. The IMD approach currently recommended is the breast crawl method (crawling looking for the breast) after the baby The baby is immediately placed in the mother's stomach and left to crawl to find the mother's nipple herself and finally sucks it without help. Many post-natal mothers do not give breast milk or colostrum to their babies. This is due to many factors. One of them is ignorance, making mothers neglect the importance of giving breast milk to babies. Apart from that, most mothers don't understand how colostrum is very beneficial for babies. Research to determine the factors associated with giving colostrum to post partum mothers is very necessary, so that future efforts can be made to ensure that all newborn babies are given colostrum. This study aims to analyze the factors of giving colostrum to post partum mothers at the Kabanjahe District Health Center. Karo. The type of research used in this research is analytical with a cross sectional design. There were 29 research respondents. By collecting secondary and primary data. From the results of statistical tests using Chi-Square, it shows that p = 0.005, which means Ho is accepted (p value < 0.05), so it can be concluded that there is a significant relationship between the knowledge category and colostrum provision. From the results of statistical tests using Chi-Square, it shows that p = 0.005, which means Ho is accepted (p value < 0.05), so it can be concluded that there is a significant relationship between the role categories of health workers in providing colostrum. At the Kabanjahe district health center. Karo in 2023.

During pregnancy, pregnant women experience changes that occur physiologically, one of which is changes in the cardiovascular system which results in a blood volume greater than the growth of blood cells, then hemodilution or blood thinning occurs, causing a decrease in hemoglobin levels which results in pregnant women being anemic. World Health Organization (WHO) 4.5%? 10,000 Maternal Deaths worldwide are caused by anemia. The general research objective of this study was to determine whether there was an effect of giving red dragon fruit on increasing hemoglobin in pregnant women at Sambau Health Center, Batam City. This type of research is Pre-Experimental with one group Pre-test Post-test design. The sampling technique used was purposive sampling with 15 pregnant women respondents, each respondent was given the same treatment by giving dragon fruit as much as 100 grams per day on the first day. Measurements were carried out 2 times once during 7 days of treatment and the last measurement was on day 14. The results of the analysis using the Paired sample t-test analysis showed that the data was fig (2-tailed 0.000 < 0.05, so H0 was rejected and Ha was accepted, which means there is The effect of giving dragon fruit to pregnant women on increasing hemoglobin. It is recommended that health workers be able to pay attention and recommend the consumption of fruit rich in iron, one of which is giving red dragon fruit to help increase hemoglobin levels.

World Health Organization 4.5% of 149/100.00 maternal deaths worldwide are caused by anemia. One of the indirect causes of maternal death is anemia. Anemia is a condition where hemoglobin levels decrease below normal limits. The general aim of this research is to find out whether there is an effect of giving green beans on increasing hemoglobin in pregnant women in the Sambau Community Health Center Working Area, Batam City. This type of research is a quasi-experimental design with a pre-test post-test with control group design. The sampling technique used was purposive sampling with a total sample of 32 pregnant women, 16 pregnant women in the intervention group and 16 in the control group. Each respondent was given treatment by administering 500 ml of green beans, 2 times a day for 7 days. Hemoglobin levels were measured twice, namely pre-test before being given green beans and post-test after being given green beans. The results of the analysis using the Independent T Test analysis showed that the mean difference between the intervention group and the control group was 0.86, which means the average hemoglobin in the intervention group was greater than the average hemoglobin in the control group. And data obtained sig(2-tailed) 0.000 <0.05, which means there is an effect of giving green beans on increasing hemoglobin in pregnant women. It is hoped that health workers can apply green beans to pregnant women to increase Hb levels.?

Febrile seizures are one of the manifestations of health problems that often occur in children aged three months to 5 years and can potentially cause harmful complications in children. Complications of febrile seizures occur due to a lack of parental skills in providing proper first aid to children with febrile seizures. Health education about febrile seizures is thought to improve parents' skills in performing first aid measures for children with febrile seizures. This study aims to explain the effect of health education about febrile seizures on increasing the skills of mothers in providing first aid to children with febrile seizures.This study uses a quasi-experimental design with a one-group pre-posttest design without a control. The samples involved in this study were mothers with children aged three months - 5 years in Blukon Village, Lumajang District, who met the inclusion and exclusion criteria determined by the researchers with a total of 48 people. The intervention applied in this study was providing health education about febrile seizures. Data collection used observation sheets as a checklist for first aid management in children with febrile seizures, carried out before and after the intervention. Data were analyzed using the Wilcoxon signed rank test with the help of IBM SPSS 25 software.The pre-test results showed that the mean ± SD of the mother's skill in performing first aid for children with febrile seizures was 2.41 ± 0.84. The mean ± SD score of mothers' skills in providing first aid to children with seizures increased after attending health education about febrile seizures to 6.47 ± 0.68. The results of data analysis showed that the provision of health education about febrile seizures had a significant effect on increasing the skills of mothers in performing first aid for children with febrile seizures with a ρ-value = 0.000 or less than 0.05.In controlling patterns of delivering health education about febrile seizures, this research calls for increased effort and assistance from local health workers. First aid procedures for children experiencing febrile seizures will become more instinctive or skillful when understanding is followed by frequent demonstrations. .                                                                                  

Indonesia's Health Profile in 2022, there were 845,000 cases of pulmonary TB and in 2021 there were 420,994 cases. There were 563,879 new confirmed cases of pulmonary TB and relapses. If this is not adhered to, it will cause drug resistance. The aim of the research was to determine the factors that influence the compliance of pulmonary TB sufferers in taking medication at the Batang Beruh Health Center UPT, Sidikalang District, Dairi Regency. The research design uses an analytical survey research method with a cross sectional research design. The population in this study was all 126 pulmonary TB patients. The sample was 56 people with a purposive sampling method. Data analysis uses univariate, bivariate and multivariate analysis. The results of the study showed that there was an influence of knowledge p = 0.010, attitude p = 0.006, family support p = 0.000 and drug side effects p = 0.000, while the variable that had no influence was gender, p = 0.057, on the compliance of pulmonary TB sufferers in taking medication. at UPT Batang Beruh Community Health Center, Sidikalang District, Dairi Regency, while the dominant factor was family support, p = 0.006 < 0.025, 95% CI = 2.715-519.110 and OR = 37.543. The conclusion is that there is an influence of knowledge, attitude, family support and side effects of drugs, while the variable that has no influence is gender on the compliance of pulmonary TB sufferers in taking drugs at UPT Puskesmas Batang Beruh, Sidikalang District, Dairi Regency. Recommended to UPT. Batang Beruh Community Health Center, Sidikalang District, increases public knowledge about pulmonary TB among sufferers and visiting residents by providing outreach and providing information on the SITB application. Targets at risk of contracting pulmonary TB are the sufferer's family and health workers. And as a Medicine Taking Supervisor are the families of pulmonary TB sufferers.

Based on data from World Population Prospects (2020), it is clear that there are 871 million people aged 60 years or more, which consists of 15% of the world's population. The number of people aged 60 years or older is projected to grow by around 56% from 901 million to 1.4 billion. The aim of the research was to determine the factors related to the utilization of posyandu for the elderly at the Sibagindar Community Health Center, Pagindar District, Pakpak Bharat Regency. The research design uses an analytical survey research method using a cross sectional research design. The population in this study was all 716 elderly people. The sample was 88 with stratified random sampling. Data analysis uses univariate, bivariate and multivariate analysis. The results of the study showed that there was a relationship between knowledge p = 0.000, attitude p = 0.00, distance p = 0.000, family support p = 0.000 and support from health workers p = 0.005 with the utilization of posyandu for the elderly in the Sibagindar Health Center Working Area, Pagindar District, Pakpak Bharat Regency, whereas The dominant factor is family support, p = 0.002 < 0.025 and 95% CI = 3.154-214.028 with an OR value = 25.983. The conclusion of this research is that there is a relationship between elderly knowledge, elderly attitudes, distance, family support, support from health workers with the use of elderly posyandu in the Sibagindar Community Health Center Working Area, Pagindar District, Pakpak Bharat Regency. It is recommended that the Sibagindar Community Health Center increase its role in providing training to health workers and be able to promote the use of posbindu for the elderly and it would be better for door to door health workers to provide education on the use of posbindu for the elderly.

The availability of blood is needed as an effort to cure disease and restore health. Efforts to provide blood are carried out through blood donations, namely the process of taking blood from someone voluntarily to be stored in a blood bank as blood stock and then used for blood transfusions. Blood donation services are only carried out by health workers who have the competence and ability and are only carried out in health facilities that meet the requirements. This is necessary to prevent various risks that can arise, such as disease transmission.

Exclusive breastfeeding is giving breast milk without other additional food and drinks to babies aged 0-6 months. Coverage of babies receiving exclusive breast milk in 2021 in Indonesia is 56.9%. At the Andongsari Jember Community Health Center in 2021 the coverage of exclusive breastfeeding was 9.2%. This coverage has decreased compared to 2020, amounting to 48.9%. The aim of this research is to determine the determinant factors for exclusive breastfeeding at the Andongsari Community Health Center. The research design used is descriptive. The population used by mothers breastfeeding babies aged 6-24 months was 100 people, the sample was 80 people. The technique used was simple random sampling with a questionnaire measuring instrument. The research results showed that knowledge was good 83.8%, fair 11.2%, less 5%, favorable attitude 55% unfavorable 45%, positive perception 50%, negative 50%, family income below UMK 82.5%, above UMK 17.5%, moderate husband support 68.8% high 31.2%, and the role of health workers supports 68.8%, does not support 31.2%. Almost all mothers have good knowledge about exclusive breastfeeding, most have a favorable attitude, half have positive perceptions, almost all have family incomes below the UMK, most have moderate husband support and most of the health workers' roles are supportive. It is recommended that breastfeeding mothers be able to increase and apply their knowledge in exclusive breastfeeding.

. IUDs are one of the most effective and safe long-acting contraceptives, but the use of this method of contraception is still very low. The purpose of the study was to determine the influence of birth control acceptor culture on the use of IU birth control. The research method is a quantitative analytical survey with a cross sectional approach. The population is all family planning acceptors who visited the Paringin City Health Center, Balangan Regency, South Kalimantan from September to November 2022, totaling 111 people with an accidental sampling technique of 53 respondents. Chi square data analysis technique. The results showed that the majority used contraception as much as 32 (60.4%), good knowledge as much as 24 (45.3%), positive attitude as much as 26 (49.1%), positive confidence as much as 32 (60.4%), positive value as much as 35 (66%). There is an influence of attitude (pvalue 0.033), trust (pvalue 0.000) and value on IUD birth control use with value (pvalue 0.000). There was no effect of birth control acceptor knowledge on IUD KB Use (pvalue 0.379). The implication of the research results is that health workers through stakeholders can provide education or information about contraception.    

One of changes that occur in puerperal ( post- partum is involution . uterus Involution or uterine contraction is a process uterus back into shape before pregnant . Uterine involution can also be regarded as the return of the uterus to its original state or condition before becoming pregnant. There are several factors that affect uterine involution including postpartum gymnastics. early mobility for maternal mothers, Early breastfeeding initiation, nutrition status, psychological age and parity factors. Early initiation of breastfeeding ( Inisiasi Menyusui dini or IMD ) is a breastfeeding process immediately after birth for 1 h. The purpose of research is to study influence of implementation early breastfeeding initiation ( IMD ) on the maternal uterine involution in BPS flora. This type of research is the study cohort analytic design Prospektive. Population and sample in this research is maternal in BPS flora in 2013 with techniques samples is concecutive sampling . The variables studied in this research is dependent and independent variables ,dependent variable studied were uterine involution while independent variables were early breastfeeding initiation (IMD). Quantitative data analysis include univariable and bivariate analysis with using t test. The results showed that average Height of uteri Fundus on day 6 postpartum that give Early Breastfeeding initiation ( IMD ) is 10,54 cm with standard deviation of 1.103 cm while Height of Fundus uteri in mother don;t give IMD is 13.33 with standard deviation 1,129 . based on statistical tests found an average difference both of them is p value of 0.000 with 95 % CI 2.143 to 3.440. There is a significant fundus height difference between mother that give IMD and who does not in BPS Flora . Health workers, particularly midwife are expected to be able to perform delivery assistance with IMD.

Children are the younger generation who have an important role in maintaining and continuing the ideals of the nation. Several cases of serious health complaints experienced by children require more than just outpatient treatment. If a child is hospitalized, then the child will easily experience a crisis because the child experiences anxiety due to the changes he is experiencing. Children need media that can overcome anxiety due to hospitalization and be able to work with health workers while in treatment. One of the media so that children can overcome anxiety is the skill of playing coloring pictures. Intervention play therapy coloring pictures is done 15-20 minutes every day for 2 days in a row. The level of anxiety before being given play therapy coloring pictures in subject I was 11 (severe anxiety) and subject II was 6 (moderate anxiety). The level of anxiety after being given play therapy coloring pictures in subject I is a score of 9 (moderate anxiety) and subject II a score of 4 (mild anxiety). The conclusion from the discussion of this case study is that there is a decrease in anxiety levels after the application of coloring pictures play therapy in preschool-aged children.

Background: Sectio Caesarea is a method of giving birth to a fetus by making an incision in the uterine wall through the front wall of the abdomen (Amru Sofian, 2013). Giving birth by cesarean can drain more energy on the body and the recovery process takes longer. To speed up the recovery process, early mobilization exercises are needed. However, there are several factors that prevent mothers from doing early mobilization For this reason, it is important that efforts to increase early mobilization are carried out in order to speed up the healing process. Objective: To describe the description of nursing care in post sectio caesarea patients in practicing early mobilization. Research Methods: This study uses a literature review method in a journal that discusses early mobilization in post sectio caesarea mothers. Research Results: The results of the research from the literature review that the authors obtained through 10 journals, namely the mobilization efforts of post-SC postpartum mothers in carrying out early mobilization are influenced by pain in the surgical wound, knowledge/experience, motivation and beliefs. These results are relevant to the case managed by the author, namely Mrs. K was reluctant to do early mobilization because of pain and fear. Conclusion: From the results of the literature study above, it can be concluded that early mobilization of post sectio caesarea mothers can be improved by implementing pain management nursing, motivation, education and support from families and health workers

Motivation discusses how to encourage someone's work enthusiasm, so that they want to work by providing optimal abilities and expertise to achieve goals (Danang Sunyoto, 2015). Providing excellent service is an action that must be carried out by workers/service providers in serving the people or residents around them. If the service provider is not satisfactory, do not hope that the client will return to our services, he will switch to another health facility that provides excellent service. It cannot be denied that when we come to a health facility, even a type of Posyandu facility, sometimes we still find the health workers and cadres who work less friendly, less energetic in serving the people who come, seem less enthusiastic about the various factors that make them like that, with their attitude. health workers like this illustrate the lack of excellent service. By looking at conditions like this, the author is interested in providing/sharing knowledge related to how to increase the motivation of Posyandu cadre officers in providing excellent service in RW 06 Susukan Village

Tuberculosis (TB) is a disease that is ranked 10th with the highest number of deaths. Side effects caused by Anti-Tuberculosis Drugs (OAT) are often experienced by TB patients and result in physical disorders that reduce the quality of life of TB patients. This study aims to analyze the relationship between OAT side effects and the quality of life of TB patients at the Banyuglugur Community Health Center The research design in the study used a cross sectional approach. The population of this study was all TB patients in the Banyuglugur health center working area who underwent treatment for <6 months according to the inclusion criteria in January 2022 - May 2023, totaling 40 people using the Total Sampling sampling technique. Data were collected using a questionnaire on OAT side effects and quality of life. The analytical test used was the Spearman Rank test. The results of this study showed that the side effects of OAT in 27 TB patients (67.5%) were severe and the quality of life of 31 TB patients (77.5%) was poor. The results of the analysis show a p value of .001 (smaller than 0.05), so there is a significant linear relationship between the OAT side effect variable and the quality of life of TB patients at the Banyuglugur Community Health Center. This research shows that the side effects experienced by TB sufferers, both mild and severe, greatly affect the quality of life of TB patients. Health workers must always carry out routine monitoring of OAT side effects experienced by TB sufferers and treat them as soon as possible so that they do not affect the quality of life of TB patients in terms of physical, nutritional or psychological aspects in order to prevent them from dropping out of treatment.