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Anemia remains a significant nutritional problem among adolescent girls due to increased iron requirements during growth and menstruation. Iron (Fe) tablet supplementation is commonly used for prevention, but low compliance often limits its effectiveness. Moringa oleifera leaf tea offers a potential local food–based alternative intervention. This study aimed to compare the effectiveness of Moringa oleifera leaf tea and iron tablets in increasing hemoglobin levels among anemic adolescent girls. A quasi-experimental two-group pretest–posttest design was employed in December 2025 at two junior high schools in Gorontalo City. The sample consisted of 18 adolescent girls with mild to moderate anemia, divided equally into a Moringa leaf tea group and an iron tablet group. The tea group consumed Moringa leaf tea twice daily for 14 days, while the tablet group consumed one iron tablet per week for two weeks. Hemoglobin levels were measured before and after the intervention using a digital hemoglobin analyzer. Data analysis using the Wilcoxon signed-rank test and Mann–Whitney test showed that both interventions significantly increased hemoglobin levels. However, the increase was greater in the Moringa group (ΔHb 1.4–3.2 g/dL; p = 0.008) compared to the iron tablet group (ΔHb 0.5–0.8 g/dL; p = 0.007). A significant difference between groups (p < 0.001) indicates that Moringa oleifera leaf tea is more effective as an alternative intervention.

Febrile seizures are seizure episodes that occur in association with an elevation in body temperature (rectal temperature >38°C) caused by an extracranial process. Febrile seizures are classified into two types: simple febrile seizures and complex febrile seizures. The World Health Organization (WHO) estimated that in 2019 there were 18.3 million cases of febrile seizures worldwide, with approximately 154,000 resulting in death. This case report discusses a patient, An YZ, a 1 year and 5-month-old female, who was brought to the emergency department of Cut Meutia Hospital with a chief complaint of seizures. The seizures began two days prior to hospital admission, characterized by generalized tonic stiffening and clonic movements involving the entire body. Each episode lasted approximately 5 minutes. The seizures occurred twice, initially at 7:00 PM and subsequently at 9:00 PM. The patient was diagnosed with complex febrile seizures associated with morbilli and very mild microcytic hypochromic anemia due to iron deficiency anemia. Pharmacological management included cefotaxime, ranitidine, ondansetron, paracetamol, ambroxol, cetirizine, diazepam (Stesolid), and vitamin D. After three days of hospitalization, the patient showed clinical improvement and was discharged.

Adolescence is a period of change or transition from childhood to adulthood, encompassing biological, psychological, and social changes. Adolescent girls experience menstruation every month, which puts them at risk of anemia, compounded by poor dietary habits and the failure to consume iron tablets. Rapid adolescent growth is linked to nutritional fulfillment or adolescent consumption of nutrients, one of which is iron consumption. Insufficient iron consumption can lead to anemia in adolescents. Strategies to address anemia in adolescent girls include improving dietary intake and providing iron tablet supplementation. Changing dietary patterns is an important long-term strategy, but cannot be expected to be successful quickly. Anemia is a global health problem, especially in developing countries, where an estimated 30% of the world's population suffers from anemia. Adolescent girls are ten times more likely to suffer from anemia than boys. Efforts to prevent anemia in adolescents through iron tablet supplementation are a strategic, specific intervention to prepare healthy mothers-to-be. The aim was to determine the effect of iron (Fe) tablet administration on increasing Hb levels in adolescent girls with mild anemia. This study was quantitative, with an experimental design. The population in this study were 55 young women at the Ibu Health Center in West Halmahera Regency. A purposive sample of 30 samples was taken. Data collection in this study was carried out by examining Hb levels before and after administering iron tablets 4 times in a row for 4 weeks. The results of the study were that there was no significant difference between Hb levels before and after administering iron tablets in young women at the Ibu Health Center in West Halmahera Regency. The average Hb level before administering iron tablets was 11.5 g/dL, and after administering iron tablets was 12 g/dL. The results of the paired t-test showed a difference before and after administering iron tablets (p value = 0.001), so the test has an effect on administering iron tablets (Fe) on increasing Hb levels in young women with mild anemia in the Ibu Health Center in West Halmahera Regency.

Teenage pregnancy remains a reproductive health issue in Indonesia, including in Batam City. According to data from the Batam City Health Office in 2024, there were 18 cases of teenage pregnancy (0.06%) with the Lubuk Baja Health Center being one of the highest areas. Pregnant teenagers are at high risk of complications such as anemia, malnutrition, and low birth weight (LBW), which contribute to high rates of maternal and infant morbidity. This study used a descriptive method with a case study approach on Ny. S, an 18-year-old teenager with a pregnancy in the Lubuk Baja Health Center area of Batam City in 2025. Data collection was conducted through interviews, observations, physical examinations, and SOAP documentation following the 7-step Varney obstetric management. The findings revealed that Ny. S experienced mild complaints such as nausea, reduced appetite, and anxiety about her pregnancy. After three visits, the mother's complaints decreased, appetite improved, anxiety decreased, and nutritional status was within normal limits. Comprehensive midwifery care with a biopsychosocial approach was proven effective in improving both the physical and mental health of pregnant teenagers and preventing pregnancy complications.

Anemia is a problem of health in young women. Anemia is a condition in the concentration levels of hemoglobin in the blood is low, one of the efforts to improve the levels of Hemoglobin by non Pharmacology given soy edamame. Is a kind of soy beans which the iron content of substance more than other types. In addition to iron, also contained Vit C, B12, and folic acid, which is also a constituent of hemoglobin in the blood. The purpose of this research is to know the effect of granting soy edamame to increased levels of hemoglobin in on young women. The research design used was quasy eksperiment. Population of young women who are experiencing anemia in boarding schools of Tahfiz Hisbah Al Fatih as many as 20 people, with the total sampling techniques. Research instrument is the observation sheet and tool checks digitally Hemoglobin. Results of the study were analyzed using paired t-test Test and independent t Test. The results obtained from this research is the following value mean increased levels of Hb after given Soy edamame was 0.46 gdl and mean increased levels of Hb after administering a local soybean is 0.18 gdl. This indicates that after the granting of the soy edamame tablet better if compared to a local soybean delivery after this. Research analysis of Hb levels after administering a local soybean or edamame soybeans gained ρ-value 0.006 (α = 0 .05), then it can be inferred that H0 is rejected and there is meaning accepted H1 influence awarding of soy edamame to increased levels of Hb teen daughter in boarding schools of Tahfiz Hisbah Al Fatih. For young women in particular are expected to eat green vegetables and legumes, especially soy edamame to prevent as well as treat mild anemia.

According to the World Health Organization (WHO), in 2023, around 305,000 per 100,000 live births of women will die due to prevalence due to CED related to pregnancy throughout the world, MMR in ASEAN in 2023 will be 100 per 100,000 live births with prevalence due to CED 40%, MMR in Indonesia in 2023 will be 4,129 with a prevalence due to KEK of 17.3%, MMR in Central Java will be 183 per live birth with a prevalence due to KEK of 6.7%. The MMR in Brebes is 1,083 with a prevalence due to CED of 5%, in Paguyangan women with a prevalence of CED from 2023-2024 is 119 cases. To find out about cases of pregnancy, childbirth, childbirth, postpartum and birth control Mrs. A with CED and history of TB. Qualitative descriptive research method with a case study approach. Comprehensive Care for Mrs. A was found to have problems with pregnancy with CED and a history of TB. Childbirth was carried out by induction based on KPD indications, there were no problems or abnormalities in the postpartum period, the postpartum period was still CED and had mild anemia, there were no complications during the postpartum period. Mrs. A chose the KB implant and there were no complaints after installation. It can be concluded that comprehensive midwifery care for Mrs. At 26 years of pregnancy, childbirth and postpartum there is a gap between theory and practice.

Anemia is a medical condition characterized by a decrease in the number of red blood cells (erythrocytes) or hemoglobin (Hb) levels in the blood which results in impaired oxygen transport to body tissues. Mild anemia is more common and is asymptomatic and does not require treatment. Anemia can have a negative impact on endurance, productivity, and is high risk during pregnancy because it can affect fetal growth and development, increase the risk of pregnancy and childbirth complications, and even maternal and child death. The Community Service (PKM) activity carried out at the Asisi Church, Tebet District aims to increase public awareness of the importance of early detection of anemia through hemoglobin and hematocrit screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach which includes capillary blood tests with Point-of-Care Testing (POCT) tools and education about symptoms, risk factors, and prevention of anemia. Of the 68 participants involved, 40 people (58.82%) were identified as having anemia, while 28 people (41.18%) had normal hemoglobin levels. These results emphasize the importance of early anemia screening to prevent long-term complications and build public awareness of the importance of maintaining optimal hemoglobin levels to support ongoing health and quality of life.   Keywords: Anemia, Early Detection, Hemoglobin, Hematocrit, Screening

Anemia in pregnant women is one of the contributing factors to stunting in toddlers. The consumption of iron (Fe) tablets by pregnant women requires supervision from family members to support the success of the stunting reduction program in Bangli Regency. Iron tablet intervention in pregnant women has been proven to reduce the risk of complications, lower the incidence of low birth weight in infants, and decrease maternal mortality during childbirth. This study used a cross-sectional survey design, involving 48 pregnant women. Data collection was conducted using total sampling during the period from January 2024 to January 2025 at Kintamani IV Public Health Center. Bivariate data analysis was carried out using the chi-square test. The results of the study showed that 68% of pregnant women experienced mild anemia. Most pregnancies were in the third trimester (39%), and 43% of the participants were in their first pregnancy. The majority of the pregnant women had good knowledge levels. There was a significant relationship between pregnant women’s knowledge and their adherence to consuming iron tablets, with a p-value of 0.019. The odds ratio (OR = 5.014) indicated that pregnant women with good knowledge were five times more likely to adhere to iron tablet consumption compared to those with limited knowledge. Support and monitoring of the nutritional status of pregnant women are essential to reduce the incidence of low birth weight and stunting among toddlers in Selulung Village, Kintamani District.  

Mild anemia in pregnant women remains a common health problem at the primary healthcare level and may negatively affect both maternal health and fetal development. One non-pharmacological approach to managing anemia is the utilization of local food sources rich in iron, such as spinach. This study aimed to determine the effectiveness of spinach extract in increasing hemoglobin levels among pregnant women with mild anemia at Poskesdes Wiritasi. This study employed a quasi-experimental design using a one-group pretest–posttest approach without a control group. The sample consisted of 30 pregnant women diagnosed with mild anemia who were selected through purposive sampling. The intervention involved the regular administration of spinach extract for 14 consecutive days. Hemoglobin levels were measured before and after the intervention using a standard hemoglobin testing device. Data were analyzed to assess differences in hemoglobin levels before and after the intervention. The results showed a significant increase in hemoglobin levels following the administration of spinach extract. These findings indicate that spinach extract has a positive effect on improving hemoglobin levels in pregnant women with mild anemia. Therefore, spinach extract may serve as an effective, safe, and easily applicable local food–based nutritional intervention for the prevention and management of mild anemia among pregnant women at the village healthcare level.

Background: Anemia is a condition that describes the total number of red blood cells that operate to carry oxygen has decreased to meet the body's physiological needs. Pregnant women are said to be anemic if their hemoglobin (Hb) level is <11g/dL. Anemia in pregnant women is caused by lack of intake of iron-rich foods, lack of vitamin C intake, short pregnancy intervals (parity). Objective: To carry out midwifery care for Mrs M G1P0A0H0, 25 years old, 30-31 weeks pregnant with a mild case of anemia. Methodology: with a midwifery care approach, namely SOAP which includes subjective, objective, assessment, plan, and implementation and evaluation sheets, carried out on 09 September 2024 to 23 September 2024 at the patient's house in Aik Are Hamlet, Ubung Village, Jonggat District. The results of the midwifery care that was carried out on Mrs M G1P0A0H0, 25 years old, 30-31 weeks pregnant with mild anemia, were carried out by giving Fe blood supplement tablets, Vitamin C, Vitamin B complex, and Calcium lactate. After 1 week of midwifery care, the mother experienced improvement. Hb 11.3 gr/dL and no discrepancy was found between theory and case. Conclusion: There was an increase in Hb in pregnant women after consuming Fe tablets, vitamin B complex, Vitamin C, and Calcium lactate for 1 week. Health workers are expected to be able to carry out health promotions about the importance of consuming Fe tablets, Vitamin C, Vitamin B complex, and Calcium lactate to increase iron absorption in the body.

The purpose of this study is to improve the health status of families so that healthy and prosperous families are realized. The study was conducted by collecting all available data through interview techniques and physical and supporting examinations. Subjective data, especially on the main complaint, namely the mother said she was weak, dizzy, tired quickly, short of breath and pain in the waist and legs. And objective data, namely the mother's general condition was good, anemic conjunctiva and Hb levels of 9.2 g%. The results of the study are the need for immediate action and collaboration on Mrs. A with mild anemia in Aik Lengis Hamlet, Kuta Village with the result that in this case no collaborative action was taken because there were no indications and data to support the action. Has determined a midwifery care action plan for Mrs. A with mild anemia in Aik Lengis Hamlet, Kuta Village with the results of planning care based on actual diagnoses/problems and potential problems that can occur and evaluating the results of the actions that have been carried out on Mrs. A with mild anemia in Aik Lengis Hamlet, Kuta Village with the result that the care that has been given was successful as indicated by changes in the mother's Hb levels which were initially 9.2 g% to 10.8 g%.

The assessment has been carried out by collecting all available data through interview techniques and physical examinations or examinations. Subjective data, especially on the main complaint, namely the mother said she was weak, dizzy, tired quickly, short of breath and pain in the waist and legs. And objective data, namely the mother's general condition is good, anemic conjunctiva and Hb levels of 9.2 g%. Has identified the need for immediate action and collaboration on Mrs. With mild anemia in the Mong Village, Kuta Village with the result that in this case no collaborative action was taken because there were no indications and data to support the action. Has determined a midwifery shelter action plan for Mrs. W with mild anemia in the Mong Village, Kuta Village with the results of care planning based on actual diagnoses/problems and potential problems that can occur. Has carried out the planned care actions for Mrs. W with mild anemia in the Mong Village, Kuta Village with the result that all planned actions can be carried out properly without any obstacles.

This study uses the USG method (Urgency, Seriousness, and Growth). The sample or target is pregnant women in the third trimester with Mild Anemia, counseling was carried out at the Kuta Health Center, Kuta Village which was held on Sunday, November 2, 2024. So the author will relate the concept or theory to the case of Mrs. R starting from the assessment, data interpretation, potential diagnosis, problem anticipation, planning, implementation and evaluation. The author discusses the gaps and similarities between the theory and the existing case. Research results Based on midwifery care that has been carried out on pregnant women in Mrs. R GII PI AO with mild anemia in Ngolang Hamlet, Kuta Village using the 7 Varney steps, the results obtained that subjective data, especially on the main complaint, namely the mother said she was weak, dizzy, tired quickly, short of breath and pain in the waist and legs. And objective data, namely the mother's general condition is good, anemic conjunctiva and Hb levels of 9.2 g%. So that an obstetric diagnosis was obtained in Mrs. R with mild anemia during pregnancy. Therefore, immediate action and collaboration are needed for Mrs. R with mild anemia in Dusun Ngolang, Kuta Village, with the result that in this case, no collaborative action was taken because there were no indications and data to support the action. The results of the actions that have been carried out on Mrs. R with mild anemia in Dusun Ngolang, Kuta Village, with the result that the care that has been given was successful, marked by changes in the mother's Hb levels from 9.2 g% to 10.8 g%.   Keywords: , , 

Dyspepsia is a collection of symptoms in the form of discomfort in the upper abdomen, pain, nausea, and vomiting as well as the stomach feels full quickly when eating and feels bloated. One of the factors that causes dyspepsia is psychosocial factors, namely stress. The purpose of the study was to determine the Relationship between Stress and Pain in Dyspepsia Patients in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024. Quantitative research method with a Cross Sectional approach. The research sample was 53 respondents using a purposive sampling technique. The stress measurement instrument used the DASS-42 questionnaire and Pain measurement. Data were analyzed using the chi-square test. The results showed that the majority of Anemia was Severe (93.8%) and the quality of life variable was in the Good category (76.9%). Based on statistical tests using the Spearman rank correlation test, a significance level of p-value = 0.000 was obtained with an OR value of 0.548, which means that the relationship between these two variables was moderate and inversely related. Conclusion, there is a relationship between stress levels and pain in patients with dyspepsia in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024. The results of this study for the stress level variable, the majority of the stress levels are mild (54.5%) and the pain variable is in the moderate category (90.9%). Based on statistical tests using the chi square correlation test, a significance level of p-value = 0.001 was obtained, so it can be concluded that there is a relationship between stress levels and pain in patients with dyspepsia in the Nusa Indah Room at Bhakti Asih Hospital, Tangerang, August - October 2024.      

Background: Anemia is a body condition where the hemoglobin level in red blood cells is lower than the normal standard. Pregnant women are said to be anemic if their Hb content is <11gr/dL. According to WHO, the prevalence of pregnant women throughout the world who experience anemia is 41.8%. The percentage of anemia in pregnant women in Indonesia is 37.1%. For the Special Region of Yogyakarta, the prevalence in pregnant women is 19.01%, and the highest incidence of anemia is in Bantul Regency (27.67%). Data from the Bantul District Health Service, from 27 Community Health Centers, there are 5 Community Health Centers with the highest number of anemia, namely at Sewon II Community Health Center. From this data, Sewon II Community Health Center is in second place. Objective: To determine the effectiveness of consuming fe tablets with lime juice on increasing Hb levels in mildly anemic pregnant women at the Sewon II Bantul Community Health Center, Yogyakarta. Method: This quasi-experiment research uses a one group pretest-posttest design. The sample in the study consisted of 30 pregnant women. The sampling technique uses total sampling. The research instrument gave lime to pregnant women with mild anemia for 2 weeks. Then the hemoglobin level was checked before and after drinking lime using a hemoglobin meter checking device in collaboration with the Puskesmas lab section. Results: The results of this research are based on univariate analysis of the characteristics of respondents aged 20-35 years as many as 26 (86.3%) respondents, the majority have a high school education as many as 26 (86.7%) respondents, the occupation of respondents is housewives 28 (93.3%) ) respondents. The results of the bivariate analysis showed that there was a significant effect on the average value of increasing hemoglobin levels before (10.21) and after drinking lime (11.23) with an average of (1.02). Conclusion: Based on the research results, it can be concluded that there is an effect of giving lime juice on hemoglobin levels in pregnant women in the second trimester at the Sewon II Bantul Community Health Center.

Indonesia's maternal mortality rate (MMR), at 189 per 100,000 live births, is higher than countries in Southeast Asia such as Malaysia, Brunei, Thailand and Vietnam. Indonesia's newborn mortality rate is the third highest in Southeast Asia at 9.3 per 1,000 live births. In 2022 to 2023, there was an increase in the number of maternal deaths from 4,005 to 4,129, and the number of newborn deaths from 20,882 to 29,945 (Ministry of Health, 2023). Anaemia in pregnant women can increase the risk of premature birth, maternal and child mortality, and infectious diseases. Iron deficiency anaemia in mothers can affect fetal/baby growth and development during pregnancy and afterwards. This study is a type of quantitative research using a case control design. The research that has been done shows that most respondents experienced mild anaemia 20 people (66.7%), moderate anaemia 7 people (23.3%) and who did not experience anaemia only 3 people (10%). Most of the respondents, 83.3%, did not make routine ANC visits and 83.3% also had a poor diet. There is a significant relationship between ANC visits (p=0.000), diet (p=0.002) with the incidence of anaemia in pregnant women at the Puskesmas in 2019.    

Based on data obtained from the Pangkah Health Center, Tegal Regency in 2022, the number of maternal mortality rates (MMR) was 2 cases caused by amniotic fluid bleeding and embolism, whereas in 2023 it was zero or non-existent (Recap of PWS KIA data from Pangkah Community Health Center 2023). The aim of this study was to examine obstetric cases with high risk aged >35 years and mild anemia. This research uses a case study approach. The research subject was pregnant mother Mrs. A is 36 years old with high risk, aged >35 years and mild anemia. Data was taken from October to November 2023. Data was taken using interviews, observation and documentation, the results during pregnancy, the subjects accepted to have their Hb checked because at visit 2 the Hb was low and the results were the same as at visit 3-4 the Hb was high and normal. Pregnant women aged >35 years are still often found or are more at risk because the mother's health has declined, as a result pregnant women at that age have a high probability of preeclampsia, bleeding, preterm labor and others. Suggestion: if a similar case is found, collaboration with a doctor is necessary. during pregnancy until postpartum, apart from that it is necessary to involve the family, especially the child during pregnancy and after the baby is born.  

Xerosis or dry skin occurs when the skin loses moisture, causing itching, cracking and dullness. This condition is common in the elderly due to physiological changes such as decreased activity of the sebaceous and sweat glands, as well as impaired skin barrier function. Anemia and uncontrolled blood sugar levels can worsen dry skin conditions in the elderly. Therefore, this community service activity was carried out with the aim of increasing awareness of the elderly about the importance of maintaining healthy skin related to anemia and blood sugar. This activity includes education about preventing and managing dry skin, controlling blood sugar, and treating anemia. This activity uses the PDCA method to ensure that the activity process runs systematically and can be evaluated. The results of the activity showed that the majority of participants experienced mild anemia and a small number had abnormal blood sugar. This shows that intervention and health education are needed for the elderly group to improve their quality of life by maintaining hydration of their skin.

The World Health Organisation (WHO) estimates that the global population aged over 60 years will increase from 900 million in 2015 to 2 billion in 2050. This demographic is particularly vulnerable to disease and disability, with declining haemoglobin levels long considered a consequence of aging. Nutritional deficiencies, chronic diseases, kidney disease, haematological malignancies, and anemia of unknown cause can all contribute to anemia in the elderly. This significantly impacts physical performance, cognitive function, and overall health. We carried out this activity at St. Francis Assisi, Jakarta, with 36 participants. We perform a physical examination and a complete blood count, including haemoglobin and hematocrit levels, to detect nemia. Among the 36 participants, 18 people (50%) had mild anaemia, 6 people (16.7%) had moderate anaemia, and 1 person (2.8%) had very severe anaemia. Anaemia in the elderly can cause severe health consequences, including physical and cognitive decline, increased hospitalisations, and death. Routine screening for haemoglobin and hematocrit levels is essential for early detection and intervention, improving quality of life and health outcomes for older adults.

Pruritus, or itching, is a common symptom in seniors that has a significant impact on their quality of life. Primary skin disorders such as xerosis, atopic dermatitis, and scabies, as well as systemic diseases such as cancer, chronic renal failure, cholestasis, hyperthyroidism, diabetes mellitus, iron deficiency anemia, and certain medications, can cause this condition. Chronic pruritus, which is common in individuals over 60 years of age, can cause discomfort, sleep disturbances, and psychological stress. This activity uses the PDCA (Plan-Do-Check-Act) methodology to screen for pruritus intensity in the elderly in St. Anna. One individual (2.4%) reported mild pruritus, while 12 individuals (29.3%) reported severe pruritus. Routine assessment using the 12-PSS provides important information for managing pruritus in the elderly, meeting clinical and research needs, and improving patient care and quality of life.