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Globally, women dying from pregnancy complications decreased by almost 50% from 1990-2013, but the number of deaths remains high where 99% of deaths occur due to complications. Deaths caused by pregnancy complications cannot be avoided, but can be prevented through Antenatal Care (ANC) services as explained by previous studies that ANC services can reduce MMR by up to 20%. This study aims to determine the relationship between the 10T ANC Service Components and Pregnancy Complications. Quantitative research design with a cross-sectional approach. The population in this study were all Women of Childbearing Age (WUS) who gave birth to their last child in the last 5 years. Sample selection was determined based on the ratio using stratification and total sampling of 14,437. Bivariate analysis using the Chi-Square test and multivariate analysis using logistic regression. The results of the analysis showed that there were 2,539 (17.5%) women who experienced complications. Bivariate analysis showed a significant relationship between the components of ANC 10T services, education, wealth index, and residence with pregnancy complications, p- value <0.05, while parity showed no significant relationship with complications p = 0.378 . The results of multivariate analysis showed that women who did not receive the 10T service components according to standards had a 1,438 times higher risk of experiencing pregnancy complications after being controlled with the variables of parity, education, wealth index, and residence. This study provides important information for the next step in developing an ANC service strategy, namely providing services based on SOPs, improving skills and providing education to mothers and families about the importance of ANC services, in addition to policy making and increasing cooperation between stakeholders need to be done to optimize quality ANC services.  

Family Planning (KB) is an effort to help individuals or married couples plan the number and spacing of births as desired, and avoid unwanted pregnancies. This program also aims to regulate the time of birth based on the age of the couple and family conditions. This study aims to analyze the relationship between the level of knowledge of Women of Childbearing Age (WUS) and the use of IUD contraception at the Pagar Merbau Health Center, Pagar Merbau District, Deli Serdang Regency in 2023. The type of research is Descriptive Correlation with a cross-sectional design, the research sample was 45 people, the sampling technique used the Total Sampling method. the results of the study showed that Based on statistical analysis using the chi-square test, a significant relationship was found between the level of knowledge of WUS and the use of IUD contraception at the Pagar Merbau Health Center, Pagar Merbau District, Deli Serdang Regency in 2023, with a p-value of 0.006 (p-value <0.05). The more knowledge a person has about something, the higher the level of knowledge of that person. One of the factors that influences health behavior is the predisposition factor which is manifested in knowledge, where a person's knowledge greatly influences the actions that will be carried out.

Cervical cancer is a primary malignant tumor originating from squamous epithelial cells or cells originating from the vagina and urethra, usually occurring in the cervix or cervix which is located between the uterus and the sexual canal (vagina). According to WHO 2018, cervical cancer is the fourth leading cause of death in women throughout the world, estimated at 570,000, while new cases in 2018 or 6.6% of all cancers in women. Human papilloma virus or commonly called (HPV) is known to cause cervical cancer which can be transmitted through sexual intercourse, infection with several types of viruses, and personal hygiene. Symptoms of cervical cancer can be recognized by the presence of fluid from the birth canal, namely abnormal vaginal discharge, contact bleeding (bleeding during intercourse), and feeling pain during coitus / sexual intercourse as well as bleeding even after entering menopause. Early symptoms of pre-cancerous conditions are generally characterized by the discovery of abnormal cells. These abnormal cells develop into cervical cancer and then the following symptoms of cervical cancer appear; the appearance of pain and bleeding during sexual intercourse (contact bleeding), abnormal vaginal bleeding, such as bleeding outside the menstrual cycle, bleeding between regular menstrual periods, menstrual periods that are longer and more abundant than usual, bleeding after menopause, vaginal discharge excessive and abnormal, if the cancer has spread to the pelvis, the patient will suffer from complaints of pelvic pain, difficulty urinating, and enlarged kidneys. Cervical cancer can be prevented 100% by HPV vaccination, using condoms, avoiding tobacco consumption, and early detection and treatment of precancerous lesions.

Introduction: According to the Indonesian Health Profile (2021), preeclampsia or eclampsia, bleeding, and COVID-19 caused the highest number of maternal deaths in 2021. In 2022, the maternal mortality rate in Indonesia reached 183 deaths per 100,000 live births, with preeclampsia as the main cause. One of the most common maternal health problems in Indonesia is preeclampsia, which has a high incidence rate and causes dangerous complications for the mother and baby. Research and prevention efforts continue to be needed to reduce maternal mortality in Indonesia. Apart from disorders during pregnancy, we as academics who continue to be pro-active in community service activities in our field, must also pay attention to post-partum health. The incidence of postpartum blues in Indonesia will reach 50-70% in 2023. According to WHO, around 10% of pregnant women and 13% of new mothers experience mental health disorders, especially depression. Risk factors that increase the possibility of postpartum blues are the mother's young age, lack of support from her husband, and a difficult economic situation. Method: The method used in this activity is lecture and discussion, using power points and leaflets. Target: Women of Childbearing Age (WUS), pregnant women and post partum mothers. Results: After the educational activity, participants asked several questions, such as how to know whether a pregnant woman is experiencing problems, how many times should she have an examination, and what should the family do if the mother seems stressed after giving birth. With the aim of improving the welfare of pregnant women and babies, Family Centered Maternity Care (FCMC) is a midwifery approach that involves the family. This approach provides good social support to pregnant women, which can help them deal with stress and anxiety that may occur during pregnancy, childbirth and the postpartum period. In addition, pregnant women and their families are given the opportunity to actively participate in decision-making regarding health care, so that they can take responsibility for their own health. Conclusion: When Women of Childbearing Age (WUS) have good knowledge, attitudes and behavior, they will produce a generation of healthy and intelligent children. Health workers and the public must pay attention to the four Ts: too young, too old, too much, and too close. Antenatal visits and postpartum visits, which are types of physical examinations during pregnancy, are well carried out in first-level health facilities.

Cervical cancer is very dangerous because it can result in death, so it needs serious attention. One of the efforts to prevent cervical cancer in women of fertile age (WUS) is by conducting a visual inspection of acetic acid (IVA) test. This study aims to determine the factors that influence the low number of IVA examinations at the Margorejo Pati Community Health Center. Cervical cancer is the fourth highest cancer in women with an estimated 570,000 new cases in 2018 which represents 6.6% of all female cancers. The high mortality rate from cervical cancer globally can be reduced through prevention, early diagnosis, effective screening and treatment programs. As of 2016, VIA coverage in Indonesia was 4.34%, which is still far from the national target of 10% at the end of 2015. In Indonesia, cervical cancer is still the cancer with the second largest number of sufferers after breast cancer. The incidence of new cases of cervical cancer according to GLOBOCAN data, 2018 for women in Indonesia is around 32,469 cases (17.2%) with a death rate of 18,279 (8.8%). The Global Burden of Cancer Study (Globocan) from the World Health Organization (WHO) noted that the total cancer cases in Indonesia in 2020 reached 396,914 cases and the total deaths were 234,511 cases. According to the Indonesian Cancer Foundation (YKI), one of the causes of the high number of cancer cases in Indonesia is environmental conditions that continue to produce carcinogens, such as cigarettes, processed meat, etc. Other causes that also influence include the habit of staying up late, lack of exercise, and eating too much. As a form of cancer prevention and control in Indonesia, especially breast cancer and cervical cancer, the Ministry of Health has made several efforts such as early detection of breast cancer and cervical cancer in women aged 30-50 years using the Visual Inspection method with Acetic Acid (IVA).      

Tetanus Toxoid (TT) immunization is the provision of tetanus immunization to women of childbearing age (WUS) or who are pregnant. This action is the easiest and most effective preventative measure against neonatal tetanus. Objective: This study aims to determine the relationship between knowledge and attitudes of prospective brides and grooms regarding the provision of tetanus toxoid (TT) immunization in the Moro Community Health Center UPT Working Area, Moro District. Method: Quantitative research type with a cross sectional approach, total population is 54 populations with total sampling. The questionnaire research instrument and Univariate and Bivariate data analysis used Chi-Square. Results: Characteristics based on age of the 54 prospective bride and groom respondents aged (20-35 years) were 52 (96.3%), 28 (51.9%) had a high school education, 34 (63.0%) did not work. Results: Chi-square analysis shows a p-value of 0.000 (p<0.05) so there is a relationship between the prospective bride's knowledge and tetanus toxoid (TT) immunization and the results of the Chi-square analysis show a p-value of 0.020 (p<0.05 ) so that there is a relationship between the attitude of the prospective bride and the tetanus toxoid (TT) immunization. Conclusion: The bride and groom's knowledge about TT immunization was mostly less than 36 (66.7%) and the bride and groom's attitude about TT immunization was the most negative attitude, 31 (57.4%).

Non-communicable diseases (NCDs) are one of the biggest health challenges globally. Based on data from the World Health Organization or WHO, data shows that of the 56 million deaths that occurred in the world in 2021, there were 38 million or almost three quarters. Based on data from the Semarang City Health Service, the gender of those receiving health services for Hypertension Sufferers in 2022 shows that the female gender is 161,877 (56%) which is greater than the male gender which is 129,033 (44%), and in the working area of ​​the Gunungpati Community Health Center it is in the fifth highest position. Hypertension sufferers. Nutritional status is also influenced by a good diet and is also influenced by age, especially in women of childbearing age less than 40 years because they have a greater potential for experiencing hormonal imbalances in the body. The respondents in this research were WUS in the Sadeng Gunung Pati sub-district, Semarang city, totaling 101 respondents. The aim of this study was to determine the relationship between nutritional status and the incidence of hypertension in suburban age women (WUS) in the Sadeng Gunung Pati sub-district, Semarang City. This research method uses a cross sectional approach which was carried out in the Sadeng Gunung Pati sub-district. Data collection was carried out from March to May 2024. The results showed that the correlation between nutritional status and the incidence of hypertension in women of childbearing age (WUS) in Sadeng subdistrict was carried out using the Chi Square test, obtained with a P value = 0.0001, OR = 5.15 , CI = (2.16 – 12.26), where the majority of respondents with hypertension were 57.4% (aged 15-49 years) with a BMI classification in the thin category of 18.5. The conclusion of this study is that there is a relationship between nutritional status and the incidence of women of suburban age (WUS) in the Gunung Pati sub-district, Semarang city.

Research background: Chronic Energy Shortage (KEK) is still a problem in Indonesia. Women and children are the groups at highest risk of experiencing Chronic Energy Deficiency (CED). Currently Chronic Energy Deficiency (CED) is a concern for the government and health workers, because a woman of childbearing age (WUS) who experiences CED has a high risk of giving birth to a child who will also experience CED in the future. The aim of the research is to identify study characteristics of the incidence of CED pregnant women at the Kotabaru Community Health Center. The research method uses quantitative descriptive. The population is all 30 KEK pregnant women at the Kotabaru Community Health Center in October – December November 2023. The sample was taken using a total sampling technique of 30 people. Data were analyzed univariately. The results of the research were that age characteristics were the most common in the risk category with a percentage of 66.7%. Parity characteristics were most common in the multiparous group at 50%. The characteristics of pregnancy spacing in the risk category were 56.7% and the highest level of education among respondents was at the middle level, namely 40%.    

Cervical cancer is caused by HPV or Human Papilloma Virus. There are 32,469 cases per year of cervical cancer in Indonesia, with a mortality rate of 18,279 people. Efforts that can be made to increase WUS's interest in conducting IVA examinations are through health promotion activities about IVA examinations. Health promotion is one of the primary prevention that can be done to prevent cervical cancer. The primary prevention strategy that can be done is by providing health education about cervical cancer. The method chosen is to use a pocket book. Pocket books are educational information media with words that are easy to understand, illustration images that are in accordance with attractive designs so as to make WUS understand and understand material about cervical cancer. Pocket books can be taken home and read independently by WUS, so it will cause WUS interest in conducting IVA examinations.

One of the strategies for the Family Planning (KB) program to reduce maternal and infant mortality is to minimize the 4T conditions. Contraceptive use is still dominated by short-term contraceptive methods, especially injections and pills. Only a quarter of family planning participants use long-term methods of contraception, such as IUDs and implants. The Research objective is to analyze the need for long-term contraceptive methods for injection acceptors based on rational contraceptive use at the Wirang Public Health Center. The method is types of descriptive research. Time of study January 2023. The sample is 168 people. The data source for this research was secondary data in October 2022 regarding injecting birth control acceptors which were analyzed univariately. This study obtained the results of MKJP contraceptive needs based on the phase of contraceptive use (rational contraception), is in the phase of ending the pregnancy as many as 93 people (55.36%). Concluded that contraceptives used by WUS injecting family planning acceptors are not in accordance with rational use of contraception. With age > 35 years or having > 2 children and the pregnancy termination phase, the contraceptive method needed is MKJP contraception.

IVA test is one of the first steps to detect early cancer easily, cheaply, and can be done by midwives and provide immediate results, done visually using 3-5% vinegar acid. The low IVA test examination at the South Paringin Health Center from January to November 2022 of 82 WUS people or 1.89% % of the total WUS may be due to low information and negative WUS attitudes. This research method uses a descriptive method. With the population of all WUS in the working area of the South Paringin Health Center, precisely in Tarangan village in November 2022, using a saturated sample technique of 56 people. The results of the study found that 49 people (87.5%) had increased information in the good category and 56 people (100%) had a positive attitude.

The premarital period can be linked to the preconception period, because after marriage a woman will immediately undergo the conception process. The preconception period is the period before pregnancy. The preconception period is the period of time from three months to one year before conception and ideally should include the time when the ovum and sperm are mature, which is around 100 days before conception. The nutritional status of WUS or premarital women for three to six months during the preconception period will determine the condition of the baby born. The prerequisites for perfect nutrition during the preconception period are the key to the birth of a normal and healthy baby. Marriage is one of the steps that must be taken to build a harmonious family. To take this step, all preparations are needed to form a harmonious family. The goal after carrying out the activity is to hope that catin will be exposed to health material regarding pre-wedding preparation and pre-marital screening. KIE community service activities for catin preparation and premarital screening have been carried out in the form of counseling, providing information and education regarding catin preparation and premarital screening. With a commitment to providing KIE catin and program sustainability will be carried out by KUA Medan Johor. It is hoped that this activity will not end in service activities, but with the media leaflet it can be used as a policy for the relevant agencies to develop it in the form of an application as a course method for catin in the health sector so that KUAs in other areas can utilize the application in implementing courses for catin, especially in the field of health.

Cervical cancer is the most common cancer in women, and mostly occurs in developing countries including Indonesia. In 2020, the World Health Organization found that cervical cancer was the seventh most common cause of death in the world, and caused 604,127 events annually. In the United States, cervical cancer cases are estimated at 13,800 cases of invasive cervical cancer and 4,290 deaths from cervical cancer occurred in 2020. For the ASEAN region, the incidence of cervical cancer in Singapore is 25.0 in Chinese, 17.8 in Malays, and Thai at 23.7 per 100,000 population. Every year there are about 90-100 new cases of cervical cancer, and every year about 40,000 people are affected by this disease. Cervical cancer ranks second as many as 36,633 or 9.20% of the total cancer cases in Indonesia in 2020. The purpose of this community service activity is to convey information about cervical cancer and improve early detection skills of cervical cancer with the ROSE method in women of childbearing age in the Working Area of the Puskesmas Sumbawa District Unit I. Reproductive Organ Self Examination (ROSE) is a simple method that can be done by mothers themselves to find out any problems in their reproductive organs.  Health education needs to be done to improve mothers' knowledge and attitudes about cervical cancer. This community service activity aims to improve the behavior of mothers in the working area of UPT Puskesmas Sumbawa District Unit 1 in conducting early detection of cervical cancer through the IVA method and the ROSE technique and continued with questions and answers with activity participants. Women of childbearing age (WUS) in the Working Area of UPT Puskesmas Sumbawa District Unit I.