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Latar belakang: Pemeriksaan Ispeksi Visual Asam Asetat (IVA) salah satu metode deteksi dini kanker serviks yang efektif di negara berkembang, namun rendahnya keyakinan dan dukungan sumai terhadap pemeriksaan IVA membuat pemeriksaan ini tidak sesuai dengan target program. Tujuan penelitian: Diketahuinya pengaruh self efficacy dan dukungan suami terhadap pemeriksaan IVA Pada PUS di Desa Sugihan Kabupaten Lamongan. Metode : Desain penelitian menggunakan analitik dengan pendekatan cross sectional. Populasi semua Pasangan Usia Subur (PUS) yang berkunjung di Posyandu Tulip Desa Sugihan pada tanggal 08 Juli 2022. Jumlah sampel 37 PUS yang diambil dengan simple random sampling.  Data yang digunakan adalah data primer dengan metode wawancara terstruktur. Instrumen menggunakan kuesioner. Data dianalisis dengan menggunakan uji Chi Square dengan tingkat kesalahan (ɑ = 0,05). Hasil: Sebagian besar PUS di di Desa Sugihan Kabupaten Lamongan tidak yakin terhadap pemeriksaan IVA dan tidak mendapat dukungan dari suami untuk melakukan pemeriksaan IVA . Sebagian besar PUS di Desa Sugihan Kabupaten Lamongan tidak melakukan pemeriksaan IVA. Hasil uji chi square menunjukkan nilai signifikan kurang dari α=0,05. Simpulan: Ada pengaruh self efficacy dan dukungan suami terhadap pemeriksaan IVA .

The anxiety of pregnant women has increased during the pandemic, especially whenparticipating in the Covid-19 Screening in the third trimester as a condition for childbirth. Sothis study aims to determine the relationship between the results of Covid-19 screening inpregnant women and the level of anxiety of pregnant women at the Tambakboyo HealthCenter in 2021. The type of research used was analytic with a cross-sectional design. Thepopulation was all pregnant women in the third trimester as many as 85 people. The samplesize was 70 people using the Simple Random Sampling technique. The independent variablewas the results of the Covid-19 Screening in pregnant women and the dependent variable isthe level of anxiety of pregnant women. This study used secondary data, namely the results ofthe Rapid test and primary data using an interview guide. The results of the study showedthat the majority (62.9%) of Covid-19 screening results were non-reactive pregnant women.Almost all (77.1%) pregnant women experienced moderate levels of anxiety and almost all(79.5%) pregnant women with moderate levels of anxiety obtained the results of the rapidtest, which was non-reactive. The results of the Chi-Square test obtained a p-value = 0.533,so there was no significant relationship between the results of the Covid-19 Screening inpregnant women and the level of anxiety of pregnant women. It is hoped that furtherresearchers will research other factors that affect the level of anxiety of pregnant womenduring the pandemic.

Children’s sexual abuse was increasing at Tuban district. Data from the Social Service for Women Empowerment and Child Protection (Dinsos P3A), and NGOs in Tuban District recorded an increase in violence against children, especially victims of sexual abuse from 2013 to 2017, even after Regional Regulation (Perda) Number 13 of 2013 concerning Child Protection was implemented. The impact of cases of sexual violence on children is very severe because it can cause severe trauma, loss of self-confidence, victims will feel hate towards themselves to personality disorders as adults. Methods: One effort that is promoted as an action to prevent incidents of sexual violence against children is an educational workshop sexual abuse in children. The purpose of this community service activity is twofold, namely to increase understanding of sexual education in children and to increase children's awareness of acts of sexual violence, namely to fourth grade students at SDN Gesikharjo Palang Tuban. Result: The workshop was conducted by giving counseling to 86 students grade IV at SDN Gesikharjo Palang Tuban, followed by educational games using giant ladder snake media that have been modified to contain content on sexual education and sexual violence in each box with participants as the pieces to evaluate participants' awareness of sexual violence then closed with a child's self-reflection with a picture of himself to identify the possibility of violence in children. Conclusion: This activity succeeded in increasing the understanding and alertness of grade IV children at SDN Gesikharjo Palang Tuban and finding students who were victims of violence which were then treated by counselors from NGOs caring for children. Suggestions, the government and educational institutions need to launch a sexual education program and increase awareness of sexual violence against minors as an effort to prevent sexual violence against children.

Pregnant Women Class is a study group for pregnant women with a gestational age of 4 weeks to 36 weeks (before delivery) with a maximum number of 10 participants. The research was an analytic with a cross-sectional approach. The time this research began was in September 2020 at the Puskesmas Klotok, Tuban. The population in this study were all pregnant women, who visited the Puskesmas Klotok Tuban in 2020. The sampling technique used in this study was total sampling. Secondary data from the attendance list and primary data by giving questionnaires to respondents. The independent variables in this study were motivation and education with each nominal scale and the dependent variable in this study was pregnancy class with an ordinal data scale. Data analysis in this study used Contingency Coefficient with the help of SPSS. Significant limitation if p-value < 0.05. The analysis using the Contingency Coefeccient statistical test obtained p-value = 0,017, because the p-value < 0.05 which indicates there is no correlation between gestational age and the incidence of anemia in pregnant women. The analysis using the Contingency Coefficient statistical test obtained p-value = 0,000 because the p-value

Introduction: Cases of STIs continue to soar, one of which is due to the practice of prostitution because women sex workers (WPS) are one of the high risk groups of contracting and transmitting STIs. The purpose of this study was to explore knowledge and explore the behaviour of women sex workers indirectly. Methods: The design of this research uses descriptive qualitative research method with phenomonology. The subject of this study was women indirect sex workers who sold sexual services in exchange for money located in the village stalls of Sugiwaras District Jenu Tuban District a number of five women sex workers. Data collection techniques used in this research are observation and structured interview techniques. Result: The results of this study showed that participants' knowledge of reproductive health was not good, as evidenced by the women sex workers were not immediately able to explain the definition, signs and symptoms and how to prevent the spread of sexually transmitted infections (STIs). In terms of applying behaviour, participants were classified as negative because all participants revealed to have had unless condomless sexual intercourse and economic difficulties. Conclution: The sexual behaviour of female sex workers indirectly in the stalls along the pantura was classified as negative because all participants revealed to have had sexual intercourse without condoms and economic difficulties. Female sex workers also have low knowledge of STI.

Immunization or immunity against disease threats is the main goal of vaccination. In essence, immunity can be possessed passively or actively. Both can be obtained naturally or artificially (Ranuh, 2008). Therefor it is necessary to do immunization to prevent disease attacks that affect the nutritional status of children. This activity was carried out on Wednesday, May 20 2020 at 09.00-10.00 at the Posyandu in the village of Kedungjambe Singgahan using the lecture and question and answer method using leaflet media. From the results of the Health Education carried out, it was found that the awareness of parents to give immunizations to their children was quite good, but there were some parents (mothers) who sometimes ignored the immunization schedule so that sometimes it was too late to give immunizations to children. Immunization is an effort to provide immunity to infants and children and pregnant women against certain diseases. Immunization of children under five at the Posyandu in Kedungjambe Singgahan village is generally quite good and most of them have met the immunization schedule, only a few mothers are sometimes late to give immunizations

Introduction: Covid-19 vaccine will be given to all people in Indonesia. Covid-19 vaccination process in community reaps pros and cons. Many perceptions arise in minds of public. on the one hand, people who get enough information tend to accept Covid-19 vaccine. However, people who are uninformed tend to refuse given Covid-19 vaccine. Therefore, it is necessary to study public's perception of Covid-19 vaccination. The aim of this study was to dig deeper into perceived susceptibility, perceived severity, perceived benefits, and perceived barriers about Covid-19 vaccine in community.Method: This study used qualitative method. Subjects in this study were people of Sidomukti Village, Kenduruan District, Tuban Regency with consecutive sampling. Instrument in this study used a structured interview sheet with data analysis covering period of data collection, data reduction, data categorization, data display and verification.Results: Based on the results of interviews conducted by researchers with informants, it was found that participants were classified as having good perceptions, although their opinions were different and varied. It is necessary to socialize about Covid-19 vaccination in order to reduce bad perceptions.Conclusion: It is recommended that local health workers carry out health promotions that provide information about Covid-19 vaccination to the public.

ASI memberi semua energi dan nutrisi yang dibutuhkan bayi selama 6 bulan pertama hidup bayi, sehingga dianjurkan untuk enam bulan pertama bayi hanya diberi ASI Ekslusif tanpa tambahan makanan atau minuman lain. Penelitian ini bertujuan untuk menganalisa hubungan frekuensi perawatan payudara dengan kelancaran produksi ASI pada ibu nifas hari ke 4. Metode penelitian yang digunakanan adalah analitik observasional dengan pendekatan cross sectional. Populasi dalam penelitian adalah seluruh ibu nifas hari ke 4 di BPS Asri dan Polindes Permata Bunda Tuban bulan Juli - AgustusTahun 2020, sampel penelitian adalah sebagian ibu nifas hari ke 4 di BPS Asri dan Polindes Permata Bunda Tuban bulan Juli – Agustus Tahun 2020. Teknik sampling yang digunakan dalam penelitian ini adalah simple random sampling. Variabel independen dalam penelitian ini adalah frekuensi perawatan payudara sedangkan variabel dependen dalam penelitian ini kelancaran produksi ASI. Analisis data dalam penelitian menggunakan korelasi Spearman dengan batasan signifikan jika p-value < 0,05. Analisa hasil penelitian menunjukkan p-value = 0,000 yang berarti terdapat hubungan antara frekuensi perawatan payudara dengan kelancaran produksi asi pada ibu nifas hari ke 4. Pentingnya ASI bagi bayi maka ibu nifas diharapkan selalu menjaga kelancaran ASI dengan cara melakukan perawatan payudara secara rutin dan benar. Kata kunci. Perawatan payudara, ASI, Nifas The Correlation between The Frequency of Breast Care and The Smooth Production of Breast Milk on Day 4 Postpartum Abtract.Breastmilk provides all the energy and butrition a baby needs for the first 6 months of baby life. The firts six months only exclusive breastfeeding is provided for babies without any additional food or drink. This study aims to analyze the correlation between the breast care frequency and the smooth production of breastmilk in post-partum mothers on day 4. The research method was observational analytic with a cross-sectional approach. The study population was all-day 4 postpartum mothers and the study sample were some of the fourth days' postpartum mothers at BPS Asri and Polindes Permata Bunda Tuban in March-April 2020. The research sampling was simple random sampling. The independent variable was the frequency of breast care, while the dependent variable was the milk production smoothness. Data analysis used the Spearman correlation with significant limits of p-value

Human Imunodeficiency Virus (HIV) and Acquired Imunodeficiency Syndrome (AIDS) merupakan salah satu masalah kesehatan terbesar pada abad 21 sampai saat ini. Kasus HIV/AIDS terus melonjak salah satunya disebabkan adanya praktek prostitusi karena wanita pekerja seks (WPS) merupakan salah satu kelompok resiko tinggi tertular HIV/AIDS. Desain penelitian ini menggunakan metode penelitian deskriptif kualitatif. Subyek penelitian ini adalah wanita pekerja seks yang menjual jasa seksual dengan imbalan uang yang berada di Dusun Dasin Desa Sugiwaras Kecamatan Jenu Kabupaten Tuban sejumlah lima oranng wanita pekerja seks. Teknik pengumpulan data yang digunakan dalam penelitian ini adalah observasi dan teknik wawancara terstruktur (structured interview). Hasil penelitian ini menunjukan sebagian besar partisipan melakukan pencegahan penyebaran HIV/AIDS dengan cara penawaran dan penggunaan kondom pada pelanggan, akan tetapi ada beberapa partisipan yang tetap melayani pelanggan meskipun tanpa menggunakan kondom dengan alasan pelanggan tidak mau karena tidak enak dan tidak terasa saat berhubungan, partisipan mengaku tetap melayani pelanggan karena faktor ekonomi yang mereka alami. Dalam hal pengetahuan pencegahan penyebaran HIV/AIDS para partisipan tergolong masih kurang mengetahui dan kurang faham. Untuk mencegah penyebaran HIV/AIDS para wanita pekerja seks diharapkan selalu menawarkan penggunaan kondom kepada pelanggan, hal ini juga sebagai alat pelindung diri dari berbagai penularan penyakit kepada setiap pelanggan yang mereka layani. Kata Kunci: Perilaku, Wanita pekerja seks, Upaya pencegahan HIV/AIDS