Health development is carried out by making human resources healthy as early as possible, this is to improve the quality of life of children with optimal growth and development both physically (motor), mental, cognitive and social. The process of growth and development in children takes place very naturally, to realize children's motoric development according to their age, parents must have knowledge about child development and the role of parents in parenting to stimulate children to be confident in their basic motor development. The purpose of this study was to determine the relationship between knowledge and the role of parents in stimulating gross motor development in children aged 3–24 months. This research method uses an analytic survey with a cross sectional design. The sample in this study were parents who had children aged 3–24 months as many as 53 respondents, the sampling technique was simple random sampling. Data analysis using chi square. The results showed that there were 55.6% of parents with good knowledge and normal children's gross motor development, then 75% of parents had a good role with normal children's gross motor development. The results of the bivariate analysis of knowledge showed no significant relationship (p= 0.777), while the role of parents had a significant relationship (p = 0.002). There is a need for education and outreach to increase parental knowledge and play an involved role in stimulating children's development to achieve optimal

Performance is the work of an employee qualitatively and quantitatively in carrying out his duties in accordance with the obligations imposed on him. The purpose of this study was to see how burnout affects the performance of employees at RSU Aliyah I Kendari City in 2023. Using complete sampling, the population consists of 42 permanent nurses. Data collection methods include observation, interviews, and distributing questionnaires. Chisquare is the analytical approach used. Based on the research findings, 11 (68.3%) of the 16 respondents who experienced burnout in the low group performed well in the good category. Furthermore, 17 (65.4%) of the 26 respondents in the high burnout category were satisfied with patient satisfaction. On the other hand, the value of ρ<1. We get α = 0.031 < 0.05 and Ho is discarded. Therefore, at Aliyah I General Hospital in Kendari City in 2023, burnout can be interpreted as affecting nurse performance. Efforts to improve performance must pay attention to the comfort of nurses' work, need to pay attention to the skills and workload of nurses, and foster a sense of responsibility.

The suboptimal handling and care of newborns are among the factors contributing to perinatal mortality. One of the reasons for the suboptimal handling and care of newborns is the lack of knowledge among mothers about newborn care, especially among primiparous mothers who lack direct experience in caring for newborns. This situation leads to maternal anxiety during the first week of the baby's life. The objective of this study is to determine the relationship between knowledge and anxiety among primiparous postpartum mothers in the care of newborns at the North Buton Regional General Hospital. The research design used is analytical, employing a Cross-Sectional study approach with a sample size of 30 postpartum mothers. Data collected include both primary and secondary sources, and the data analysis involves the chi-square statistical test. The research results indicate a correlation between maternal knowledge and anxiety among primiparous postpartum mothers in the care of newborns, with a p-value of 0.003 < α = 0.000. Consequently, the null hypothesis (H0) is rejected, and the alternative hypothesis (Ha) is accepted. In other words, there is an influence of knowledge on the anxiety levels of first-time postpartum mothers in the care of newborns at the North Buton Regional General Hospital.
 
 

The maternal mortality rate (MMR) in Indonesia related to pregnancy, childbirth and the puerperium is still high, although on the other hand there has been a decrease from 359 per 100,000 live births (KH) in the 2016 Indonesian Demographic and Health Survey (IDHS) to 273 per 100,000 KH in 2018.The purpose of this study was to determine the effect of giving rose aromatherapy to reducing the intensity of labor pain in the first stage of labor at PMB Umi in 2022 The research method used is a quasi-experimental method with a one group pretest-posttest design approach. Univariate and bivariate research analysis using paired sample t-test statistical tests. The results of the analysis show that the t-test value is 6.08 and the p-value is 0.000 <α 0.05, which means that there has been a significant reduction in pain intensity in the first stage of labor before and after being given rose aromatherapy. And the results of the analysis of the paired sample test before and after giving rose aromatherapy, with a t-test value of 15.96, Sig. (2-tailed)/ p-value = 0.000 < α 0.05. It can be concluded that there is a significant influence between giving rose aromatherapy to reducing the intensity of labor pain in the 1st stage of labor at PMB Umi Salamah in 2022. Health workers can use aromatherapy as an alternative way of dealing with labor pain in the first stage of labor, providing adequate information to mothers about the delivery process so that mothers have proper preparation.
 
 

This research aims to analyze the role of each actor involved in realizing health services so as to be able to find out each actor's perspective regarding health services through the Desa Siaga in Watupute Village. Apart from that, it is necessary to determine the actions of each actor in order to improve the health service system in Watupute Village. This research method is descriptive-qualitative by determining the research sample using purposive sampling, data collection through observation, document study, interviews with several actors involved in this program, and data analysis using the Miles and Huberman model. The results of this research were able to identify the actors involved in health services in Watupute Village, namely, the Health Departement of East Kolaka, Desa Siaga cadres, Watupute village government, and the Watupute village community. Each actor has a role in developing health services through Desa Siaga. However, there are still actors who cannot carry out their roles, so achievements in program implementation are not optimal. In determining actions, the Health Office of East Kolaka has determined regulations that must be obeyed in implementing the Desa Siaga, the Watupute Village Government has provided a budget that comes from village funds, the Desa Siaga cadres have carried out their duties in implementing the Desa Siaga, and the community has participated in the success of the village program. Standby. Based on the results of this research, the researcher suggests equalizing perceptions between actors so that there is a understanding and health services in Watupute village can run effectively.
 
 

Background : Postpartum anxiety is very important to know because of the mother's lack of knowledge at this stage, because it will undergo many changes both emotional (psychologically), physical (physiological) changes and environmental (social) changes experienced by postpartum mothers. Such changes can affect the emotional instability of the mother after childbirth, which is characterized by a deep and sustained feeling of fear or worry. Continued postpartum anxiety negatively affects both mother and baby.
The anxiety rate of postpartum mothers is still a high category in various countries such as Pakistan as much as (70%), Hong Kong as much as (54%), Bangladesh as much as (29%) and Portugal as much as (18.2%) %), anxiety levels in Indonesia as much as (28.7 %) (Agustin and Septiyana, 2018).
Mindfulness therapy can be used to reduce the level of anxiety towards postpartum mothers, when a person is in a mindfulness situation, the emotional stability of postpartum mothers will be more improved, and the effect is regarding the decrease in anxiety levels (Triyono. H. G, Dwidiyanti, M. & Widyastuti, 2018). According to Oktavia (2018), defining mindfulness therapy aims to help a person in gaining awareness so that there is no reaction to what is happening (good, bad or neutral events / events) and a person is able to overcome his emotions when in a state of depression or frustration and build peace for himself.
 

Minimum Service Standards (SPM) are contained in the Regulation of the Minister of Health of the Republic of Indonesia Number 4 of 2019 which regulates the type and quality of basic services required by regional affairs and are entitled to be obtained by everyone at least. The annual target of SPM requires inputs and processes as a performance plan for puskesmas activities within a certain time span. Data on program performance achievements at the Sengeti Health Center for the maternal and child health and family planning Program in 2021 and 2022 are still below target on average. Pemerintah daerah harus menyusun dan menghitung besaran anggaran untuk pemenuhan kewajiban tersebut agar melaksanakan tugas wajib sesuai dengan standar pelayanan minimal. The purpose of this study is to identify the planning and budgeting process of the Kia-Kb program related to the implementation of Minimum Service Standards (SPM) in the health sector at the Sengeti Health Center. This research uses qualitative research methods with a case study approach with 9 informants. Data was collected by conducting in-depth interviews and observations at the Sengeti Health Center from January to March. The results of this research in the aspect of input consisting of human resources, funds, and infrastructure facilities were obtained, namely in quantity and quality according to standards, but training held by the Health Office was only required for program holders. Facilities and infrastructure in the maternal and child health and family planning program are fairly incomplete. Obstacles in terms of funds are often late disbursement of funds. Aspects of the budget planning process have been carried out with 5 stages. Output aspects in the form of RUK and RPK preparation are carried out at the end of each year. The outcome aspect of the Kia-Kb Program has not reached the SPM target where the desired target is 100%.
 
 

 
Background: Integrated Antenatal Care (ANC) is a comprehensive service effort for pregnant women in the early detection of complications of pregnancy whose scope of visits has the aim that pregnant women can have a positive experience in undergoing pregnancy and childbirth. The government presents the JKN program for pregnant women with the aim of reducing costs in obtaining services, so as to reduce MMR. In Jambi City, there are still several health centers that have not met the target of the coverage of Integrated ANC visits. The purpose of this study was to determine the determinants of integrated ANC visits to participants in the National Health Insurance program at the Jambi City Health Center in 2022. Methods: This study used a quantitative research type with a descriptive approach and a cross sectional design. The data were obtained from a sample of 103 pregnant women respondents at the Jambi City Health Center, the research variables consisted of knowledge, education, employment, income, husband's support and support from health workers. The sampling technique uses proportional random sampling. Results: Bivariate analysis using the Chi-Square test found that factors related to integrated ANC visits were knowledge (0.006), occupation (0.001), income (0.01), husband's support (0.001), health worker support (0.000). There is no educational relationship (0.47). Conclusion: Variables that have a relationship are knowledge, work, income, husband's support, and support from health workers, while education does not.

Background: Postoperative ileus is a major and transient problem in patients undergoing abdominal operative. Postoperative ileus commonly occurs at 25% of patients undergoing abdominal surgery. Signs symptoms of postoperative ileus include abdominal distension, nausea, vomiting, inability to the oral diet both eating and drinking, absence of flatus, and changes in defecation (gastrointestinal motility). Due to the presence of ileus patients are at high risk of developing complications, expensive treatment costs, lengthy stay, and late oral administration to the diet According to guidelines for post-surgery in digestion as well as gynecology in guidline enhanced recovery after surgery community recommends the use of chewing gum (shame feeding) to prevented post-operative ileus or ileus post-surgery.
So there are several types of interventions to reduce postoperative ileus, namely implementing chewing gum as an evidence-based practice aimed at improving intestinal motility and minimizing side effects of postoperative ileus. Chewing gum is inexpensive, easily available, and a non-pharmacological intervention capable of producing changes in gastrointestinal motility and rapidly reducing the ileus post-operative. Furthermore, chewing gum interventions are relatively easy for nurses to implement. Research purpose: Effect of chewing gum on postoperative ileus prevention in postoperative abdominal patients. Research Methods: This type of research is quantitative research with a pre- and post-control quasi-experimental approach with a total  of 30 respondent. Sampling using the accidental sampling method because respondent in hospital Jayapura city for abdominal surgery are still limited. The examinations used were the Wilcoxon and Man Whitney tests. Results: For the univariate analysis, it was found that male respondents were 20 respondents (66.7%) and women were 10 respondents (33.3). The age of the most respondents was  16 - 35 years old as many as 19 respondents (63.3%) and the least between 56 - 75 years old as many as 2 respondents (6.7%). Wilcoxon test results obtained p-value of 0.001 < 0.005 its mean that there is The chewing gum on improved intestinal motility of patients after abdominal operative. summary: chewing gum on the decline of ileus postoperative.
 

POSYANDU (Integrated Service Post) is a monthly activity post to monitor the health status of pregnant women and toddlers (children under the age of five). This activity is carried out to monitor the growth and nutritional status of children under five on a regular basis and to understand the situation of pregnant women who are at risk so that preventive measures can be taken to prevent the death of pregnant women and malnourished children. However, in practice there are some difficulties such as searching for data and recording the same name in different formats. This study uses a qualitative method with a cross-sectional approach, where the aim of this research is to design and build a system that can manage Posyandu data in an integrated and well-computerized manner based on WEB cloud computing. The result of this study is a posyandu application consisting of immune data, vaccine data, child data, mother data, officer data, and posyandu data. The accuracy of the application implementation based on the blackbox method by posyandu officers who focus on the functionality side, especially on the input and output of the application by the officers, results of the application running according to the design requirements.