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Maternal Mortality Rate (MMR) is an indicator to see the level of women's health. Based on the Indonesian Health Demographic Survey (SDKI), MMR in Indonesia in Indonesia, the maternal mortality rate in Indonesia was 305/100,000 live births, with this, maternal mortality cases in Indonesia still have not succeeded in reaching the SDG's target,. Meanwhile in Indramayu Regency in 2023, namely 34 mothers out of 42,569 births, a decrease from the figure in 2022. Indramayu Regency has the highest prevalence of anemia, namely 32.29%. The aim of this research is to determine the level of knowledge of pregnant women about anemia at the Plumbon Regency Health Center Indramayu. The method used is descriptive research with a cross-sectional research design. Data was obtained using a questionnaire sheet from previous research which was then retested with a total of 35 mothers as respondents. The results showed that respondents had a good level of knowledge of 48.1%, 77.8% were aged 20-35 years, 81.5% had a high school/vocational school education, and 55.6% did not work. The conclusion is that the majority of mothers who have well-informed babies are aged 20-35 years, have a high school/vocational education, and do not work.

Diarrhea remains a health problem in developing countries such as Indonesia and is a major cause of mortality and mobility, especially in children. The prevalence of diarrhea based on symptoms is calculated by combining diagnosed or symptomatic diarrhea cases. The incidence and prevalence of diarrhea in Indonesia are 3.5% and 7.0%. This study aims to determine whether there is an effect of health education on the level of knowledge about diarrhea in children at SD Negeri 1 Sokaraja Tengah. This research method uses quasi experimental with One group pretest-posttest design. The sampling technique used total sampling with a sample size of 56 students. Data was taken using a questionnaire. The results showed that the majority of female gender with 29 respondents (51.8%). There is a difference in the level of knowledge about diarrhea before and after being given health education. Based on statistical tests using the paired t test results in a p value of 0.000 which means there is a significant effect.

The prevalence of nutritional status among children aged 5-12 in the Gorontalo Province based on BMI-for-age indicates that 2.70% are severely underweight, 8.45% are underweight, 8.93% are overweight, and 6.26% are obese. The shift from the previous 'four healthy five perfect' nutrition reference to balanced nutrition guidelines is not yet fully understood and known by all layers of society, including within school environments. The outreach activity conducted at Al-Falah Elementary Islamic School in Gorontalo District aims to provide education and socialization regarding balanced nutritional guidelines and the concept of 'My Plate' to elementary school students. The participants involved 34 students from grades 4 and 5. The methods employed included lectures, video presentations, followed by an evaluation using a 'My Plate' puzzle assembly game. The utilization of the puzzle as an evaluation medium was well comprehended by the students, as evidenced by a 75% proficiency in completing the puzzle. Enhancing students' knowledge about balanced nutritional guidance and food plate composition can be achieved through nutritional education and socialization.

Unwanted sex-related behavior, such as demands for sex and other physical and verbal sexual abuse, is known as sexual violence or harassment. These actions certainly have a significant and broad impact on people's lives, especially children and teenagers. The impact of sexual violence can last long after the experience ends and is closely related to the life circumstances of children and adolescents both during and after sexual interactions. Finding factors that influence the prevalence of sexual violence among adolescents is the aim of this research. In this study, 390 samples were randomly sampled using a cross-sectional strategy. Chi square was used in univariate and bivariate analysis. The analysis findings show that gender, age, knowledge, peers, and information media are the variables that have the strongest relationship with adolescent violence (p value <0.05). Sexual violence against teenagers is taught in schools, and as a preventive measure, local governments should expand their services for victims of sexual harassment.

According to the World Health Organization (WHO), the incidence of dysmenorrhea reaches 90%. The prevalence is generally higher in young women in the 17 to 24 year age group, which is estimated at 60-90%. More than 50% of menstruating women in the world report suffering from primary dysmenorrhea. This research was conducted to analyze factors that influence menstrual pain (dysmenorrhea) in students at the Prima Husada Bogor Midwifery Academy. This study used a cross sectional design on 62 samples with a simple random sampling technique. The analysis used is univariate and bivariate with chi square. The research results showed that the age of menarche factor had no influence on menstrual pain in students at the Prima Husada Midwifery Academy with a p value of 0.426 and an Odds Ratio (OR) of 0.659. From the results of the research conducted, it is clear that health education related to dysmenorrhea is very necessary for young women in general and students at the Prima Husada Midwifery Academy in particular by providing counseling related to reproductive health. Teenagers should expand their knowledge about dysmenorrhea so that they know what to do to reduce pain. during menstruation.

World Health Organization (WHO) approximates 1.28 billion individual suffers hypertension, with 46% of them does not realize it, and only 1 of 5 hypertensive individual has their blood pressure controlled. Hypertension prevalence is still relatively high in the elderly population who live in nursing home. This is one of the main health adversities that often happens and should not be underestimated due to its risk of complications. Uncontrolled blood pressure is one of the main risk factor to the global disease burden and total of global death, contributing up to 9,4 millions of deaths (8,5% of the global total) annually. This activity aims to increase the knowledge of the community about hypertension in elderly who lives in nursing home to increase the quality of life and reducing the cost burden of therapies and treatments. We use PDCA activity method to ensure the program could run smoothly and efficiently. This activity included 34 elderly respondents of the St Fransiscus Community with the mean age of 4 (11,8%) years. We found that 4 (11,8%) of the respondents have uncontrolled blood pressure. With the implementation of this program, it is hoped that the public awareness of elderly hypertension and its prevention is increased, so that there will be increase of quality of life for the elderly in the future and relieving the economical burden.

Stroke is a major health problem for modern society today. According to WHO (World Health Organization) in 2016, 51% of stroke deaths worldwide were caused by high blood pressure. Based on data on the top 10 most common diseases in Indonesia in 2018, the prevalence of stroke cases in Indonesia based on health worker diagnosis was 10.9 per mille. Various problems that stroke patients may experience include paralysis, weakness, balance disorders, speech disorders, etc. so that these patients need help in meeting their daily needs. The family as a caregiver has a major role in providing primary support to individuals with stroke and is the first person to respond to changes in the patient's status during the course of the disease. The aim of this community service program is to maximize family assistance as caregivers in caring for stroke patients. The obstacles experienced by caregivers are financial and time problems in accompanying stroke families at Mardi Rahayu Kudus Hospital. Based on the results of interviews that have been conducted, almost all the feelings of families as caregivers in caring for stroke patients are sad, almost all participants answered that the service at Mardi Rahayu Hospital is good and fast, almost all participants' hopes for their husbands are that they can recover quickly, almost all The obstacles experienced by caregivers are financial and time problems. Therefore, assistance and providing motivation to families as caregivers for stroke patients is very important.

Background: Anemia in pregnant women can increase the risk of premature birth, maternal and child mortality, and infectious diseases. According to WHO, the prevalence of anemia in pregnant women is around 35-75%, and it increases with the growth of gestational age. Objective: This study aims to increase insight and knowledge and to find out the incidence of pregnant women with anemia before and after the intervention. In addition, to analyze the effect of giving a mixture of honey to increase hemoglobin levels in anemic pregnant women. Methods: The design in this study used the Quasi-experimental design method. Quasi-experimental design (quasi-experimental) with a quantitative approach to one group design pre-test and post-test. The population in this study were all pregnant women who came to check their pregnancy at the Pratama Hidayah Clinic in January 2022. The sampling technique in this study was purposive sampling, namely taking samples based on considerations with the desired elements by inclusion criteria with the number of a sample of 15 respondents. Results: Test using the Shapiro Wilk method. The significance value of the pre-test variable is 0.994 and the significance value of the post-test variable is 0.153 or > 0.050, meaning that the data in this study are normally distributed. So the statistical test used is the T-test with a p-value of pre-test - post test of 0.000 < 0.050. Thus, it can be concluded that there is a significant difference between the average pre-test and post-test variables. This means that there is an effect of giving a mixture of honey increases hemoglobin levels in pregnant women with anemia. Conclusion: From the research conducted that there is a significant difference between the value of the pre-test and post-test, besides that there is a very strong relationship between the effect of giving a mixture of honey to the increase in hemoglobin levels in the mother. pregnant with anemia.

This study aims to determine the prevalence of refractive errors in children with Down Syndrome in eye examination activities carried out during Down Syndrome Awareness Month 2023 by the East Java Association of Parents of Children with Down Syndrome (PIK POTADS). A total of 30 children with Down Syndrome underwent eye examinations, and the results showed that 18 children (72%) had myopia, 7 children (28%) had astigmatism, and 5 children were indicated to require further referral to a pediatric ophthalmologist. These results indicate that children with Down Syndrome have a high risk of experiencing refractive errors, so regular eye examinations and medical follow-up are needed.

This study aims to determine the prevalence of refractive errors in children with Down Syndrome in eye examination activities carried out during Down Syndrome Awareness Month 2023 by the East Java Association of Parents of Children with Down Syndrome (PIK POTADS). A total of 30 children with Down Syndrome underwent eye examinations, and the results showed that 18 children (72%) had myopia, 7 children (28%) had astigmatism, and 5 children were indicated to require further referral to a pediatric ophthalmologist. These results indicate that children with Down Syndrome have a high risk of experiencing refractive errors, so regular eye examinations and medical follow-up are needed.

According to the American Heart Association or AHA, hypertension is a silent killer, with symptoms that can vary from individual to individual and are almost the same as symptoms of other diseases. Hypertension is a risk factor for various cardiovascular diseases and stroke. According to the AHA, hypertension is a disease that occurs due to an increase in systolic blood pressure> 140 mmHg or diastolic blood pressure> 90 mmHg. This type of research uses a descriptive analytic survey with a cross sectional design. The population in this study were all elderly (≥60 years) hypertensive patients at the Internal Medicine Polyclinic totaling 156 people, while the sample numbered 156 people by means of total sampling. Data analysis was performed using univariate, bivariate and multivariate analysis. Based on the results of the chi-square test it is known that the incidence of hypertension affects smoking, obesity, low-fiber diet, excessive salt consumption and lack of physical activity p = 0.000, meaning that there is an effect of smoking, obesity, low-fiber diet, excessive salt consumption and lack of physical activity on hypertension incident. From the results of multivariate analysis it is known that the most influential variable in this study is obesity with an OR value of 62,850. The conclusion in this study is that obesity is the dominant factor influencing the incidence of hypertension in the Internal Medicine Polyclinic at Dr.R.M.Djoelham Binjai Hospital. In order to reduce the prevalence of hypertension, it is hoped that the Patients of the Internal Medicine Polyclinic at Dr, R.M.Djoelham Binjai Hospital will apply hypertension management with a healthy lifestyle so that diabetics can have controlled blood pressure levels.

Adolescent nutritional problems are a continuation of childhood nutritional problems such as iron deficiency anemia. Prolonged iron deficiency can cause anemia. Teenagers need more to replace iron lost along with menstrual blood. Anemia in adolescent girls is currently still high, according to WHO, the world prevalence of anemia ranges from 40-88%. The majority of students at SMP Negeri 5 Nekamese are young women who are vulnerable to suffering from anemia, so it is necessary to conduct anemia education and measure hemoglobin (Hb) in young women. The aim of this community service is to increase the knowledge of young women about anemia and school health so that it becomes a healthy and anemia-free school. The empowerment method in this community service activity uses the Question and Answer Lecture method. Counseling was conducted for young women in grades 7, 8 and 9 at SMP Negeri 5 Nekamese on September 9 2023, which was attended by 30 young women. The activity began with preparations for making an examination stand, distributing leaflets, explaining material or counseling using the lecture method of question and answer and evaluation. Before the counseling is carried out, a pre-test is carried out, then after the counseling a post-test is carried out. The implication of this community service activity is an increase in young women's knowledge about anemia and healthy schools. It is hoped that after carrying out this activity, young women can prevent anemia during adolescence by increasing their food consumption patterns to be diverse, nutritious, balanced and safe.

Data from the World Health Organization (WHO) estimates that currently the global prevalence of hypertension is 22% of the total world population. Based on data on hypertension in the elderly in the Tangan-Tangan Community Health Center, Southwest Aceh Regency in 2021, there were 517 people, in 2022 there were 668 people, while in 2023, starting from January-August, there were 712 people. The aim of the research is to determine the factors that influence the quality of life of elderly people with hypertension in the Tangan-Tangan Community Health Center Area, Southwest Aceh Regency. The research design uses the Analytical Survey method with a Cross Sectional approach. The population in this study were all elderly people who experienced hypertension in the Tangan-Tangan Health Center Working Area, Southwest Aceh Regency, totaling 712 people. The sample consisted of 88 people using Quota sampling technique. Data analysis uses univariate, bivariate and multivariate analysis. The results of the research show that there is an influence of physical activity, diet, medication adherence, motivation and family support on the quality of life of elderly people with hypertension in the Tangan-Tangan Health Center Area, Southwest Aceh Regency, while the dominant factor is family support. The conclusion of this research is that there is an influence of physical activity, diet, medication adherence, motivation and family support on the quality of life of elderly people with hypertension in the Tangan-Tangan Health Center Area, Southwest Aceh Regency. It is recommended that the Tangan-Tangan Health Center create a program as a forum for hypertensive patients to always carry out efforts to control blood pressure as a form of monitoring and maintaining the patient's quality of life.

Breasts are organs that play a role in the lactation process. In men, this organ does not develop and does not have a function in the lactation process like in women. According to. cancer is characterized by the growth of abnormal cells beyond normal limits and can attack adjacent parts of the body or metastasize to other organs which can result in death for the sufferer. Cancer is also called malignant tumor and neoplasm. Breast cancer sufferers often find out about their disease too late, so they come to the hospital when it is in the final stage. Early detection is very necessary so that breast cancer sufferers can be treated more quickly. The prevalence of cancer in Bali Province in 2018 was 2.3 per 1000 population. This incidence increased compared to the 2013 Riskesdas results of 2.0 per 1000 population (Riskesdas, 2018). The total number of breast cancer cases recorded in the Medical Records Installation at Sanglah General Hospital Denpasar for the period 1 January – 31 December 2022 and which met the inclusion criteria was 70 people with a monthly average of 5.83%, around 6 patients. Inclusion criteria are breast cancer patients with stage II-IV and who have had a mastectomy. Based on a report from the Bali Province Integrated Disease Survey, it was found that the incidence of breast cancer in 2019 was 437 cases. especially in Denpasar City, the incidence of breast cancer was 293 cases. Denpasar City is an area that has the highest incidence of breast cancer in Bali.

Hypertension is a chronic disease which is one of the causes of death. Based on data from the Indonesian Ministry of Health in 2022, the prevalence of hypertension in Indonesia was 32.7%, an increase compared to the prevalence of hypertension in 2021 which was 25.8%. Old age is the final stage of development in which humans experience various health problems and are at high risk of dangerous diseases, one of which is hypertension. The Batam City Health Service noted that hypertension occurs more often in elderly people aged 60-70 years. Meanwhile, the number of elderly people suffering from hypertension aged over 60 years at the Tiban Baru Community Health Center is 402 cases. Many non-pharmacological therapies are used to lower blood pressure, one of which is laughter therapy. Laughter lowers blood pressure by calming the body and reducing stress hormones. The aim of this community service activity is to increase knowledge about hypertension and treating hypertension with non-pharmacological methods using laughter therapy. The methods used are lectures, discussions, questions and answers and demonstrations. The results of 20 elderly people showed an average blood pressure of 159.75/92.55 mmHg before laughing therapy, while after therapy the average blood pressure was 123.55/80.25mmHg.

The incidence of injuries is increasing every year, both acute wounds and chronic wounds. A recent study in America showed that the prevalence of patients with wounds was 3.50 per 1000 population. The majority of wounds in the world's population are wounds due to surgery/trauma (48.00%), foot ulcers (28.00%), decubitus wounds (21.00%). In 2009, MedMarket Diligence, a wound association in America conducted research on the incidence of wounds in the world based on disease etiology. Data obtained for surgical wounds were 110.30 million cases, trauma wounds 1.60 million cases, abrasions there were 20.40 million cases, burns 10 million cases, decubitus ulcers 8.50 million cases, venous ulcers 12.50 million cases, diabetic ulcers 13.50 million cases, amputations 0.20 million per year, carcinoma 0.60 million per year, melanoma 0.10 million, skin cancer complications there are 0.10 million cases. Injuries that occur in all our daily activities. Abrasions due to falls, injuries from sharp objects such as knives, nails and so on are considered minor injuries.

The government has carried out a TTD program but the prevalence of anemia still cannot be reduced. The red Dragon Fruit (Hylocereus polyrhizus) is effective for controlling iron deficiency and is almost entirely absorbable and helps increase iron absorption from food through the formation of ferrous ascorbate complexes. This study aims to determine the tendency of increasing hemoglobin (Hb) levels in anemic pregnant women before and after giving blood enhancer supplements and dragon fruit. This research method uses a quasy experiment research design. The population of this study is anemic pregnant women recorded in the Awayan Health Center area in December – January 2023. The final hemoglobin content of the intervention group was mostly not anemic amounted to 14 people (93.33%), while the hemoglobin content of the control group was mostly mild anemia amounted to 9 people (29.97%). Research shows that there is a significant increase in hemoglobin levels between before and after blood enhancer tablets and dragon fruit additives where p value = 0.000 and there is an effect of Hb levels after intervention from test results 1.1 times with a confidence level of 95%.    

Hypertension is a chronic degenerative disease that many people suffer from. In several studies, coastal and fishing community groups are said to have a fairly high prevalence of hypertension when compared with other community groups. The aim of this study was to determine the factors associated with the incidence of hypertension in fishermen. This type of research is quantitative with a cross sectional design. The population in this study were all fishermen in Titawaai Village, Nusalaut District, Central Maluku Regency. Determining the sample in this study used a total sampling technique totaling 58 respondents. The research results showed that there was a relationship between sodium consumption and the incidence of hypertension with ρ value = 0.000, a relationship between smoking habits and the incidence of hypertension with ρ value = 0.002, a relationship between caffeine consumption and the incidence of hypertension with ρ value = 0.004, a relationship between stress and the incidence of hypertension with ρ value = 0.012. The conclusion of this research is that there is a relationship between sodium consumption, smoking habits, caffeine consumption and tres with the incidence of hypertension. It is recommended that existing health facilities in the community be able to improve health services by ordering them to maritime communities.

Background : Hemorrhoids is one of the most common anorectal diseases, this disease can cause physical and psychological discomfort due to its disturbing symptoms such as rectal bleeding, pain, and itching sensation and will significantly affect the quality of life of the person with hemorrhoids. According to Slavin (2008), the prevalence of hemorrhoids in the world reaches 5%. There are various risk factors for hemorrhoids, one of which is the length of sitting without changing the position and age. According to Ali and Shoeb (2017) in their research, there were 50 patients out of 60 drivers experiencing hemorrhoids. A driver job that requires a long time to sit because of the long duration of driving can cause hemorrhoids. Kumala, et al (2016) said in their research on intercity and interprovincial (AKAP) bus drivers who have a driving duration of ≥ 6 hours have a risk of hemorrhoids and those aged ≥ 45 years have a risk of developing hemorrhoids.Objective : Knowing the relationship between driving duration and age with hemorrhoids in bus drivers at the AKAP Payung Sekaki terminal Pekanbaru in 2020.Methode : The design used in this study was an observational analytic type with a cross-sectional method. The sampling technique was accidental sampling, with a sample of 60 respondents who had the inclusion criteria. Statistical test data using the Chi-Square test.The results : There was an insignificant relationship between the duration of driving and complaints of hemorrhoids in the driver (p-value = 0.057) and the relationship between age and complaints of hemorrhoids in the driver (p-value = 0.073).Conclusion : There is an insignificant relationship between driving duration and age with complaints of hemorrhoids in bus drivers at AKAP Payung Sekaki Terminal

One of the development frameworks for North Minahasa to be more advanced is that the government continues to improve and improve programs on stunting prevention in North Minahasa Regency, because in the last 5 years the stunting prevalence rate in North Minahasa is quite high, even in 2018 North Minahasa Regency became a district. with the highest stunting rate in North Sulawesi reaching 35.44%. Therefore, the authors are interested in conducting research with the title " NORTH MINAHASA TOWARDS STUNTING FREE ".  This study aims to find out how or what efforts are made by the North Minahasa Regency Government specifically at the Health Office regarding the stunting prevention and prevention process in order to realize stunting-free North Minahasa 2022, as well as what factors are the obstacles in this stunting prevention process. This study uses a qualitative descriptive research method with an inductive approach. Data collection techniques used are through interviews, observation and documentation. The data analysis technique used is data reduction, data presentation and then drawing conclusions. Based on the analysis conducted by the researchers, the stunting management process in North Minahasa Regency so far has been going well. All of this cannot be separated from the important role of the Regent of North Minahasa, Mr. Joune J.E Ganda, who always supports and provides input as well as programs in the handling of stunting in North Minahasa in order to realize a stunting-free North Minahasa in 2022.