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BACKGROUND : Outreach of pregnant women in the use of HIV testing is the target of prioritized HIV / AIDS prevention programs. Outreach of VCT services requires community social involvement in participating in efforts to detect early the spread of HIV / AIDS in their respective regions. The Banyumas District Government issued a policy of Citizens of AIDS Care to strengthen outreach and mentoring pregnant women in preventing HIV / AIDS transmission from mother to baby in rural areas of Banyumas District. AIM :The aim of the study is to describe the implementation of outreach and mentoring programs for pregnant women in the prevention of HIV / AIDS transmission from mother to baby in the rural areas of Banyumas Regency. METHODS: This study uses qualitative methods with a phenomenological approach. Research instruments use in-depth interviews. Research informants include, among others, AIDS care citizens, village midwives, village heads, community leaders, health cadres and pregnant women. RESULTS: The results showed that the implementation of outreach and mentoring programs for pregnant women in the prevention of HIV / AIDS transmission from mother to baby in rural areas of Banyumas District went well. The factors that drive the success of the program are the understanding of program implementers about the contents of the policy, individual communication methods carried out on pregnant women through prenatal checkups, counseling and classes of pregnant women as well as adequate communication intensity. Positive willingness and desire, as well as commitment from stakeholders at the village level to the program, clear Standard Operating Procedures on HIV / AIDS checks on pregnant women, as well as positive responses and adherence to pregnant women in the use of the program. CONCLUSIONS :The empowerment of the Caring AIDS Community's bureaucratic structure is not optimal in the program, even in some villages the organization has not been established as the main implementer of the program other than the village midwife.

BACKGROUND: The number of pregnant women in the district of Banyumas reached 30,939 in 2012, the number of mothers who detected a high risk reached 20.05%. High-risk pregnant women tend to be more likely to have obstetric complications. The incidence of preeclampsia (8.13%) and hemorrhage (7.27%) is an obstetric complication. Obstetric complication leads to maternal deaths in the district of Banyumas. AIM: This study aims to determine the influence of maternal factors to prevent obstetric complications. METHODS: This study aims to determine the influence of maternal factors to prevent obstetric complications. This type of research is descriptive analytic. This research is using cross-sectional approach. Population this study are pregnant women who are in the subdistricts of Banyumas and Pekuncen. Samples taken as many as 188 pregnant women in both regions. RESULTS: The result showed that as many as 27.1% of women have a risk pregnancy, as many as 36.7% of women had low knowledge about high-risk pregnancy, as many as 47.9% of women have an lack attitude high-risk pregnancy, as many as 41.5% of mothers have poor affordability in antenatal care, and as many as 36.7% of mothers have less family support on high-risk pregnancy. There are influence knowledge, attitudes high-risk pregnancy, and antenatal care affordability toward the prevention of obstetric complication. CONCLUSIONS: Factor most influential in the prevention of obstetric complication is affordability antenatal care.

Waste is still a problem in Indonesia. The increase in population causes the volume of waste to continue to grow, in Karangmangu Village, Banyumas Regency. Data on the increase in the volume of waste in Banyumas Regency reached 21.4%. The volume of inorganic waste is greater than organic waste because Karangmangu Village is a tourism buffer area in Baturraden. This study aimed to describe the knowledge, attitudes, and practices of cadres in the management of inorganic waste. The method used was descriptive qualitative. The research subjects were obtained using a purposive technique by conducting interviews with cadres as the main research subjects, midwives, and supporting informants. Data were collected through in-depth interviews and documentation. The results showed that the cadres had understood the definition, types, management, and negative impacts of inorganic waste. Based on their attitudes, the cadres consider the case of handling inorganic waste to be not optimal. In practice, they have sorted inorganic waste, managed a waste bank, made bricks, and produced handicrafts. Strategies to overcome obstacles in waste management are optimizing the facilities and infrastructure for the procurement of waste banks, as well as training more people to make handicrafts and market handicraft products. This study concludes that the presence of village cadres is able to increase public awareness in waste management.

Latar belakang: Anemia pada kehamilan saat ini menjadi masalah kesehatan global utama karena telah mempengaruhi hampir setengah dari semua wanita hamil di seluruh dunia. Anemia pada ibu hamil disebabkan oleh kekurangan zat besi, kekurangan asam folat, infeksi dan kelainan darah. Upaya untuk menurunkan angka anemia ibu hamil yaitu dengan pemberian supplement zat besi sebanyak 90 tablet serta pemenuhan asupan gizi pada saat hamil. Tujuan dari literatur review ini adalah untuk menggambarkan pengaruh suplementasi makanan terhadap peningkatan kadar Hb pada ibu hamil. Metode: Metode pencarian data bersumber dari google scholar yang berjumlah 11 artikel dari tahun 2010 – 2018. Analisis data dilakukan secara deskriptif dalam bentuk matriks. Hasil Penelitian: Hasil literature review ini adalah bahwa pemberian supplement Fe, konsumsi makanan yang mengandung zat besi seperti ubi jalar , dan konsumsi makanan yang mengandung zat pembantu penyerapan Fe (enhancer Fe) seperti tinutuan, buah-buahan yang mengandung vitamin C seperti jus jambu, bayam merah dan buah bit, serta makanan tinggi vitamin B9 dan B12 seperti kacang hijau dan rumput laut dapat meningkatkan kadar Hemoglobin darah pada ibu hamil. Selain itu pembatasan makanan yang mengandung zat yang dapat menghambat penyerapan (inhibitor) Fe juga berpengaruh untuk mengoptimalkan absorbsi Fe dalam tubuh. Kesimpulan: Ibu hamil perlu meningkatkan konsumsi makanan yang mengandung vitamin C, B12, asam folat dan protein untuk meningkatkan absorbsi Fe dalam tubuh serta menghindari mengkonsumsi makanan sumber Fe bersamaan dengan makanan yang dapat menghambat absorbsi Fe seperti teh, kopi dan susu.

The number of teenage pregnancies in Banyumas district in 1727 as a pregnant teenager less than 20 years old and young teenagers maternity by 1382 either through premarital or marital. The research was conducted in 2016 aimed to determine the factors that affect pregnancy young age in Banyumas. This research is a quantitative research with cross sectional approach. The population was all pregnant women under 20 years of pregnancy and childbirth are recorded in the data in Puskesmas Jatilawang, Puskesmas I Cilongok, health center II Donates totaled 614 people. Calculation of the estimated proportion of the sample using the formula obtained 107 samples, taken using simple random sampling technique. The data collection is done by using a questionnaire that advance has been tested questionnaire to meet the validity and reliability of a measuring instrument. Yan data analysis used univariate analysis with descriptive statistics, bivariate analysis using chi square, and multivariate analysis by logistic regression. The results showed the level of education, marital status, knowledge, access to information, health care utilization, the role of the family has no effect on pregnancy young age. Attitudes and access to health information is the most dominant variable affecting the pregnancy young age.

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) in Banyumas District are still below The Minimum Service Standard (MSS), especially in Puskesmas (Public Health Center) I Ajibarang. The strategies for reducing maternal mortality are conducted by increasing mothers health status during pregnancy. This study aims at determining the factors of husbands role in womens prenatal care. Cross-sectional method was used. The populations were all of the pregnant women in Puskesmas I Ajibarang. Proportional random sampling was applied to select 90 pregnant women. Logistic regression was used to determine factors. Theory of planned behavior was used to explore the determinants of husbands role. The results show that the level of education, family income, the knowledge, the attitude, and subjective norm are not related to husbands role in mother prenatal care. However, husbands behavior control (p=0.045) and intention (p=0.000) have relation with husbands role in women prenatal care. Variable of intention is the most dominant variable related to husbands role in womens prenatal care.

Tingginya AKI secara tidak langsung dipengaruhi faktor edukasi pada ibu hamil. Edukasi pada ibu hamil erat kaitannya dengan kemampuan petugas penyuluh kesehatan dalam menjalankan tugasnya yaitu meracang media untuk penyebarluasan informasi. Untuk dapat meningkatkan kemampuan petugas penyuluh kesehatan maka diperlukan sebuah pelatihan pengembangan media promosi kesehatan ibu hamil dengan harapan dapat meningkatan pengetahuan dan keterampilan pembuatan media. Tujuan penelitian ini adalah mengetahui pengaruh pelatihan pengembangan media promosi kesehatan ibu hamil terhadap peningkatan pengetahuan dan keterampilan pada petugas penyuluh kesehatan di Kabupaten Banyumas. Metode yang digunakan adalah quasi eksperimental dengan rancangan one group pretest and postest design. Sampel penelitian diperoleh dengan menggunakan teknik purposive sampling sebanyak 32 orang. Analisis data yang digunakan adalah uji wilcoxcon. Hasil penelitian ini menunjukan pada perbandingan pretest dan postest I ada perbedaan yang signifikan pada pengetahuan kesehatan ibu hamil (P=0,003) dan keterampilan pembuatan media (P=0,000) dan pada perbandingan postest I dengan postest II menunjukkan ada perbedaan yang signifikan pada pengetahuan kesehatan ibu hamil (P=0,002) dan keterampilan pembuatan media (P=0,011). Dengan demikian pelatihan dapat disarankan untuk peningkatan pengetahuan dan keterampilan pada pembuatan media promosi kesehatan lainnya.

Keterlibatan dan kemampuan orang tua terhadap Perilaku Hidup Bersih dan Sehat (PHBS) anak usia dini sangat menentukan kualitas kesehatan anak. Kemampuan orang tua mengenai PHBS ditingkatkan dengan pendidikan kesehatan seperti pelatihan. Penelitian ini bertujuan untuk mengetahui efektifitas pelatihan penerapan PHBS terhadap peningkatan pengetahuan, sikap, dan peran orang tua siswa PAUD.Penelitian quasy experimental ini menggunakan desain pre-test and post-test design. Sampel 36 orang tua (19 orang tua PAUD Tunas Harapan Desa Karangmangu dan 17 orang tua PAUD Kasih Ibu Desa Kemutug Kidul). Pengumpulan data menggunakan angket untuk pengetahuan dan sikap, serta kuesioner untuk peran yang dilakukan sebelum dan sesudah pelatihan. Data diuji dengan uji wilcoxon untuk perbedaan pengetahuan dan sikap sebelum-sesudah diberikan pelatihan, sedangkan uji paired t test untuk perbedaan peran sebelum-sesudah diberikan pelatihan.Hasil uji menunjukkan bahwa terdapat perbedaan pengetahuan, sikap, dan peran sebelum dan sesudah diberikan pelatihan dengan nilai p pengetahuan 0,000, sikap 0,000, dan peran 0,000 (

Maternal and child health problems is a major problem in rural of Baturaden I public health centers,Banyumas disctrict. Rural communities in the region have no access to maternal and child health information that is adequate, and the present lack of health information. This study aims to determine the effectiveness of training through lecture and discussion on the improvement of health worker knowledge about maternal and child health. This research is a quasi experimental study with a sample of 30 health cadres numbering . Analysis of the data used in this study is the paired t test to test for differences in knowledge before and after the intervention. The results showed an average value of knowledge about maternal and child health before training ( 9.31 ) and after training ( 10.0 ). The results showed an average value of knowledge about maternal and child health promotion before training (3.31 ) and after training ( 5.58 ). The statistical results showed no difference in the increase in knowledge about maternal child health, maternal and child health promotion knowledge before and after the intervention. Advice given is the advanced training of health promoters education on health workers with the method of simulation and mentoring. .

Previous studies show that knowledge of prenatal care in rural areas remains low that affects to bad behavior, so developing health promotion models is needed to improve prenatal care knowledge, attitude and behavior. This study aimed to develop health promotion model of prenatal care in rural area based on needs assessment. Study was conducted on June 2015 by qualitative approach involving first 16 pregnant women in third trimester with risky pregnancy as key informants and 16 family members living with them and know their daily life, 27 midwives and 3 religious leaders as additional informants. Data collection techniques were in-depth interviews and observation for pregnant women and family, then focus group discussion for midwives and religious leaders. Analysis used was Miles and Huberman model by data reduction, data display and conclusion. Based on needs assessment, health promotion media is needed by book for pregnant women with attractive design that features images, colors and complete explanation. Book is selected because of pregnant women’s preference and needs, characteristics of rural areas and infrastructure availability. Prenatal care materials need to be added from book containing child and maternal health including prenatal checkup by midwives, danger pregnancy signs, causes, consequences, prevention, recommended and unrecommended food, breast care ways, pregnancy exercise and fetal development. Health promotion methods are lectures and discussions in pregnant women’s class. Abstrak Penelitian sebelumnya menunjukkan bahwa pengetahuan pelayanan prenatal di wilayah pedesaan masih rendah yang berdampak pada perilaku buruk sehingga mengembangkan model promosi kesehatan dibutuhkan untuk meningkatkan pengetahuan prenatal, sikap dan perilaku. Penelitian ini bertujuan untuk mengembangkan model promosi kesehatan pelayanan prenatal di wilayah pedesaan berdasarkan penilaian kebutuhan. Penelitian dilakukan pada Juni 2015 dengan pendekatan kualitatif melibatkan 16 ibu hamil pertama di trimester ketiga dengan kehamilan berisiko sebagai informan kunci dan 16 anggota keluarga yang tinggal bersama ibu hamil dan mengetahui kehidupan sehari-harinya, 27 bidan dan 3 tokoh agama sebagai informan tambahan. Teknik pengumpulan data adalah wawancara mendalam dan observasi untuk ibu hamil dan keluarga, kemudian focus group discussion untuk bidan dan tokoh agama. Analisis yang digunakan adalah model Miles dan Huberman dengan melakukan pengurangan data, tampilan data dan kesimpulan. Berdasarkan penilaian kebutuhan, media promosi kesehatan dibutuhkan melalui buku untuk ibu hamil dengan desain menarik berfitur gambar, warna dan penjelasan lengkap. Buku dipilih karena kecenderungan dan kebutuhan ibu hamil, karakteristik wilayah pedesaan dan ketersediaan infrastruktur. Bahan pelayanan prenatal perlu ditambahkan dari buku yang memuat kesehatan ibu dan anak meliputi pemeriksaan prenatal oleh bidan, tanda kehamilan berbahaya, penyebab, konsekuensi, pencegahan, makanan rekomendasi dan tidak, cara menjaga payudara dan latihan kehamilan serta perkembangan janin. Metode promosi kesehatan adalah penyampaian dan diskusi di kelas ibu hamil.

Pemanfaatan buku kesehatan ibu dan anak (KIA) masih belum maksimal terbukti dari data cakupan buku KIA Puskesmas Ajibarang I sekitar 72,34%, yang masih dibawah target Standar Pelayanan Minimal. Tujuan penelitian ini adalah menganalisis hubungan antara fungsi buku KIA yang meliputi pencatatan, edukasi, dan komunikasi dengan pengetahuan ibu terhadap KIA. Penelitian ini menggunakan desain studi potong lintang, yang dilakukan pada peiode bulan Juni - Oktober 2012, pada ibu di wilayah kerja Puskesmas Ajibarang I. Populasi adalah ibu yang mempunyai anak berusia kurang dari 5 tahun. Sampel diambil sebanyak 91 orang dilakukan dengan teknik proportional random sampling. Analisis data meliputi univariat dengan melakukan uji distribusi frekuensi, dan analisis bivariat dengan uji kai kuadrat (x2). Hasil fungsi pencatatan buku KIA kurang baik ditemukan sekitar 44 %, fungsi edukasi buku KIA baik sekitar 57,1%, fungsi komunikasi buku KIA baik sekitar 61,5%, dan pengetahuan ibu tentang KIA baik adalah sekitar 56%. Ada hubungan antara fungsi pencatatan buku KIA dengan pengetahuan KIA, tidak ada hubungan antara fungsi edukasi dan komunikasi buku KIA dengan pengetahuan KIA.Utilization maternal child health (MCH) book is not maximized, it is evident from the data MCH book coverage in Ajibarang I Primary Health Care (PHC) was 72.34%, the coverage is still below the target of Minimum Service Standards ( MSS ). The purpose of the study was to analyze relationship between the function of MCH books (recording, educational, communication) with knowledge of MCH. This study used a cross sectional approach and conducted from June to October 2012, performed to mothers at Ajibarang I PHC. The population were mothers of children aged less than 5 years. Samples were taken of 91 people conducted by proportional random sampling technique. Univariate analysis of the data for the frequency distribution test, bivariate chi squared test (x2). Results MCH book recording function less well in the amount of 44%, a good educational functions MCH book of 57.1%, good communication function MCH book by 61.5%, and maternal knowledge about the MCH that is equal to 56 % better. There are relationship between the function of recording MCH books with knowledge, there is no relationship between education and communication functions with knowledge MCH.

Peningkatan status derajat kesehatan. Indikator derajat kesehatan masyara- kat terkait erat dengan Angka Kematian Ibu (AKI). Kabupaten Banyumas memiliki AKI di bawah standar pelayanan minimal (SPM), salah satunya adalah wilayah kerja Puskesmas I Ajibarang. Peningkatan status kesehatan ibu pada saat kehamilan merupakan salah satu langkah yang dapat dilakukan untuk menurunkan kasus kematian ibu. Status kesehatan ibu hamil dipengaruhi oleh perawatan kehamilan yang baik oleh ibu hamil untuk mencegah terjadinya komplikasi dan kematian ketika persalinan, di samping itu juga untuk pertumbuhan dan kesehatan janin. Penelitian ini bertujuan untuk mengetahui faktor-faktor apakah yang dominan mempengaruhi perilaku perawatan kehamilan. Penelitian ini adalah potong lintang. Populasi adalah seluruh ibu hamil di Puskesmas I Ajibarang. Metode sampel yang di- gunakan adalah metode proportional random sampling dengan jumlah sampel 81 ibu hamil. Analisis data yang digunakan adalah analisis univariat dengan statistik deskriptif, analisis bivariat dengan kai kuadrat, serta analisis multivariat dengan regresi logistik. Hasil penelitian menunjukkan pendidikan, jenis pekerjaan, pendapatan, paritas, pengetahuan, sikap, dan peran bidan tidak berpengaruh terhadap perilaku perawatan kehamilan. Sedangkan, usia kehamilan, waktu tempuh pelayanan kesehatan, dan peran suami berpengaruh terhadap perilaku perawatan kehamilan. Peran suami merupakan variabel yang paling dominan memengaruhi ibu hamil dalam melakukan perawatan kehamilan.National health strategy is to realize the increasing level of health status. Public health status indicators closely related to Maternal Mortality Rate (MMR). Banyumas have MMR that is still below the minimum service standards. One that contributes to that number is Puskesmas I Ajibarang. Improving the health status of the mother during pregnancy is one of steps taken to reduce maternal deaths. Health status of pregnant women are affected by good prenatal care, preventing the occurrence of complications, death when delivery, the growth and health of the fetus. This study aims to determine the dominant factors influence to behavior of prenatal care in Ajibarang I Primary Health Center, Banyumas District. It was a cross sectional survey. Data was taken by interviews, involved 81 pregnant women in Ajibarang I primary health care. Data analysis used univariate analysis with descriptive statistic, bivariate with chi square and multivariate with logistic regression. The results showed that age, education, family income, occupation, knowledge, attitude, parity, and role of midwives did not influence to prenatal care behaviour. Otherwise, age of pregnancy, time of access to heatlh care, and role of husbands influenced pregnant women in prenatal care behaviour. Study also found that role of husband was the most dominant factor influenced to mother’s prenatal care behaviour.

Di dunia, malaria masih menjadi masalah kesehatan masyarakat terutama di negara-negara tropis termasuk Indonesia. Di Jawa Tengah, kasus malaria terus memperlihatkan kecenderungan yang meningkat, salah satu daerah endemis malaria di Banyumas adalah Puskesmas II Sumpiuh. Berdasarkan survei pendahuluan masih banyak ditemukan perilaku berisiko yang dapat mengakibatkan terjadi malaria. Penelitian ini bertujuan mengetahui persepsi masyarakat, kemungkinan aksi, dan informasi tentang malaria yang berpengaruh terhadap perilaku pencegahan malaria di Puskesmas Sumpiuh II Banyumas. Penelitian observasional dengan pendekatan cross sectional ini dilakukan pada populasi kepala keluarga di Puskesmas II Sumpiuh. Jumlah sampel sebanyak 95 kepala keluarga ditarik menggunakan metode simple random sampling. Pengumpulan data dilakukan menggunakan kuesioner. Analisis data dilakukan menggunakan metode analisis univariat dengan statistik deskriptif, analisis bivariat dengan kai kuadrat, serta analisis multivariat dengan regresi logistik. Persepsi masyarakat tentang kerentanan, persepsi tentang kegawatan, kemungkinan aksi hambatan dan informasi tidak berhubungan dengan perilaku pencegahan malaria, kecuali kemungkinan aksi manfaat berhubungan dengan perilaku pencegahan malaria. Variabel yang berpengaruh pada perilaku pencegahan malaria adalah manfaat pencegahan malaria.Malaria has still been a threatening of health problem in the world, particularly in tropical countries including Indonesia. The malaria cases in Central Java continued to increase. One of the Malaria endemic areas in Banyumas is Sumpiuh Primary Health Care II. Based on preliminary survey, It was found that there were risky behavior affecting the emerge of malaria. This study aimed to find out the community perception, action probabilility and information about malaria which influenced to preventive behavior in Primary Health Care II Sumpiuh.Cross sectional study was conducted to head of household in primary health care II Sumpiuh. The number of sample that was selected with simple random sampling method was 95 household heads. Data analysis methods used in this study were univariate analysis with descriptive statistic, bivariate with chi square and multivariate with logistic regression. Community perceptions about vulnerability, seriousity of disease, obstruction and perception about information did not relate to preventive behavior of Malaria, except perception about the benefit related to preventive behavior.The influenced variable for malaria preventive behavior was prevention benefit taken by community.