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Background/Aims Young women in Indonesia who experience an unwanted pregnancy may not have the necessary support to make an informed decision about whether to continue with or terminate the pregnancy. The aim of this study was to determine factors that influence the decision to terminate or continue with an unwanted pregnancy among women aged 15–24 years old in Indonesia. Methods Data from the 2017 Indonesian demographic and health survey were used. These data included 9218 women aged 15–24 years from eight regions in Indonesia. Chi-squared tests and binary and multivariable logistic regression were used to analyse the data. Results Almost 20% of women in Indonesia decided to terminate an unwanted pregnancy, and 25% experienced physical partner violence. Respondents who lived in Sulawesi, had primary education, lived in a rural area or had experienced physical partner violence were more likely terminate an unwanted pregnancy. Respondents who had a higher economic status were less likely terminate. Conclusions The decision to terminate a pregnancy may be more likely to be made by women under certain circumstances. Programmes for pregnant women involving counselling should be initiated via cross-collaboration with government, parents and healthcare workers, to provide support for decision making in the case of an unwanted pregnancy.

Cookies are pastries that are crunchy, thin, and usually small in size. Corn and tempeh are foods that have been known to have functional properties. The purpose of this study was to determine the effect of the use of yellow corn flour with tempeh flour and on sensory characteristics and microbiological quality and to determine the most preferred cookie formulation by consumers. The formulation of cookies is to replace wheat flour with flour mixed with yellow corn and tempeh as much as 40% (B), 50% (C), 60% (D), 80% (E) and the formulation uses 100% flour as a control (A). Sensory characteristics observed include color, aroma, taste, texture, overall appearance. Based on the hedonic test, the substitution of wheat flour with instant yellow corn flour and tempeh flour as much as 40% has sensory properties that are closest to control A. The panelist likes it. The total microbial and total yeast content for all treatments were below the safe threshold for consumption Keywords: cookies functional, dates grits, yellow corn flour, dan tempe flour

The purpose of this study was to describe the use of blended learning method for covid-19 learning to improve students' high-level learning outcomes in science learning content in class IV UPTD SD Negeri 01 Tanjuang Haro. This type of research is Classroom Action Research. The research was carried out based on classroom action research steps with two cycles starting from the planning, implementation, observation and reflection stages. Data were obtained from the research subjects, namely teachers and students of class IV, totaling 19 people, which was held from July to July. September 2021. The results of the research data analysis show that the use of a scientific approach with the blended learning method can improve the ability of teachers in preparing high-level questions. This is evidenced by the acquisition of a score of 62.50 in the spracycle, increased to 72.91 in the first cycle, and increased to 89.58 in the second cycle. Furthermore, the results of the study of descriptions also increased, namely 61.53 in the pre-cycle, increasing to 76.92 in the first cycle of activities, and increasing to 87.71 in the second cycle. Furthermore, the learning outcomes of students' knowledge also increased, namely 69.15 in pre-cycle activities, increasing to 75.26 in the first cycle, increasing again to 84.21 in the second cycle with a large increase of 15.06. The learning outcomes of the skills aspect obtained an average of 62.94 in the pre-cycle, increasing to 71.94 in the first cycle and increasing again to 82.68 in the second cycle with a percentage increase of 19.74. Based on the results of this study, the conclusions of the research using the scientific approach of the blended learning method on the content of science learning need to be applied and developed in order to improve the quality of education.

BACKGROUND: The unwanted pregnancy in adolescents causes the rejection of pregnancy and fetus itself. AIM: The purpose of this literature review is to determine the impact of unwanted pregnancy on pregnancy care in adolescents. METHODS: The method used a systematic review. The data search using an advanced search techniques on databases and search engines such as CINAHL, PubMed, and Google Scholar. The literature search is based on qualitative study design criteria, national and international articles, published in the past 10 years (2011–2021), and written in Indonesian and English. RESULTS: From the six articles reviewed, it was found that there were 10 impacts of adverse events on pregnancy care in adolescents, namely, not doing ANC, trying to abort the pregnancy, not eating healthy foods with balanced nutrition, not doing physical activity and sports, not taking Fe tablets, getting lack of sleep and rest, ignoring the personal hygiene, being introvert, not doing fetal stimulation, and depression. CONCLUSION: Adolescents, who experience unwanted pregnancy, tend not to do ANC, behave in harming to themselves and their fetus; therefore, the further research can be done regarding the development of a model of care in families with adolescents experiencing unwanted pregnancy.

Background: This study aims to explore student experiences in completing thesis courses and analyze the implications of these courses for international students. Methods: This phenomenological research interviewed 18 students who had completed the thesis course. Data were collected through in-depth interviews to explore the experience of participants in completing the thesis. Data analysis was carried out using the Collazzi method. Results: We found three main themes and nine sub-themes. The main themes include positive and negative support systems during the thesis, physical and psychological problems experienced by students during the thesis and learning & expectations in the thesis course. Conclusion: The thesis has the potential for scientific development, impacts on students, psychological and suicidal ideation. Integrated mentoring services: academic and mental will be useful to prevent and overcome problems faced by Indonesian students and international students.

BACKGROUND: Nurses’ duties and responsibilities related to the risk of transmitting COVID-19. Studies that explore nurses’ feelings and perspectives in providing health services at COVID-19 referral hospitals, especially in developing countries like Indonesia, are limited. AIM: This study aims to explore nurses’ feelings, perceptions, and expectations of the COVID-19 pandemic. METHODS: This qualitative study applied the qualitative descriptive design that involved 17 nurses from different hospitals in Indonesia. The semi-structured interview gathered their views of COVID-19, and the comparative analysis for interviews technique was chosen to analyze the data. RESULTS: Three themes emerged from the data analysis. The themes were nurses’ express psychological responses in facing the COVID-19 pandemic such as fear, surrender, panic, and calmness. Other two themes included the COVID 19 pandemic enhances nurses’ health awareness and behavior, and the government protect nurses from the COVID-19 transmission and social stigma. CONCLUSION: The feelings reported dominantly by the nurse, in addition to information about health awareness, behavior, the government’s actions, and their expectations. Mental health assistance would be useful to prevent depression in nurses, and the government’s comprehensive approaches in dealing with the COVID-19 pandemic would increase the protection and productivity of health workers, including nurses.

Teenage pregnancy is one of the health problems in developing countries that has not been resolving yet. Adolescent perception is one of the factors that influence the incident of teenage pregnancy. At present, there are still limited research articles about adolescent perceptions toward teenage pregnancy. The purpose of this literature study is to find out how adolescent perceptions toward teenage pregnancy. This literature study used a scoping review method. There were 6 articles was analyzed after sorting by inclusion criteria consisting of the article contained an explanation or description of adolescent perceptions of teenage pregnancy, the year 2015-2020, English or Indonesian, full text, samples aged 10-19 years. The result of the study found out that adolescents had negative perceptions such as pregnancy among adolescents is too young, teenage pregnancy caused by several factors, and has various negative impacts toward adolescents, parents, and infants. Furthermore, adolescents had positive perceptions such as teenage pregnancy in adolescent is normal, life will not differ, her boyfriend will be responsible to her pregnancy. The conclusions from this literature review were the difference in perceptions between adolescents towards pregnancy in adolescents is influenced by adolescent environmental culture and believed.

Unwanted Pregnancy in adolescents can create a negative impact on adolescents who experience it. Management of Unwanted Pregnancy by providing social support are needed to reduce the perceived impact. The limited articles on the types of social support for adolescents experiencing Unwanted Pregnancy made this literature study aimed to find out the types of social support that can be provided to adolescents who experience Unwanted Pregnancy. This research method was scoping review using search engines such as EBSCOHost, Google Scholar, and PubMed. The keywords used were "adolescents" OR "teenagers" OR "young adults" OR "student" AND "unwanted pregnancy" AND "social support". The result of article search based on inclusion and exclusion criteria had found 6 articles. Critical appraisal was done using a JBI critical appraisal checklist with a result of 6 selected articles which stated as eligible sources to be used as source of references in this literature study. The result of the review of 6 articles with content analysis found that there were 10 types of social support that can be provided to adolescents who experience Unwanted Pregnancy. The types of social support were providing information, counseling, communication, emotional support, financial support, assistance, accountability, appreciation, providing shelter and providing educational facilities. Recommendations for further research are expected to do a further analysis on types of social support that has been found, so that it can be implemented to reduce the impact on adolescents with Unwanted Pregnancy.

Red dragon fruit is one of the agricultural commodities in Simpang Sugiran Village. Dragon fruit has many functions and properties for health. Based on monitoring in the field, farmers do not have the knowledge and skills in processing dragon fruit into various processed dragon fruit products to increase their selling value. In addition, the price of dragon fruit and farmer acceptance continues to decline while the number of farmers cultivating is increasing. The purpose of this activity was to increase community knowledge and skills in processing dragon fruit, and business management to increase the added value of dragon fruit cultivation. The results of community service activities indicated that the diversification of dragon fruit processing is one of the most effective ways to increase community income in the Simpang Sugiran village. Dragon fruit can be processed into various processed products using simple technology and can be done as a home industry. This community service activity can motivate and encourage the entrepreneurial spirit of the Farmer Group of Simpang Sugiran, Guguak Sub District, Lima Puluh Kota, West Sumatra.

Ovarian cancer risk factors are health problems that pose a risk to women's survival. Health workers and women must recognize the risk factors that can lead to ovarian cancer as early prevention. The objective of this systematic review is to analyze various risk factors for ovarian cancer. The systematic review method uses 4 databases, namely Proquest, Pubmed, Willey, and Ebsco, with the keywords ovarian cancer AND risk factors AND determinant factors OR predisposition factors AND incident OR prevalence. Inclusion criteria include relevant articles according to the topic, type of quantitative research, no year limit specified, and search using English. The initial number of searches obtained was 3,507 articles, the selection results used the PRISMA flow and used JBI tools so that 15 articles were reviewed. The results of the study identified risk factors for ovarian cancer, namely reproductive factors, lifestyle, family history, history of benign ovarian tumors, endometriosis, and endometriomas. Reproductive factors are the factors most associated with the occurrence of ovarian cancer. AbstrakFaktor risiko kanker ovarium merupakan masalah kesehatan yang berisiko terhadap kelangsungan hidup perempuan. Petugas kesehatan dan perempuan harus mengenal faktor risiko yang dapat menyebabkan terjadinya kanker ovarium sebagai pencegahan secara dini. Tujuan sistematik review untuk menganalisis berbagai faktor risiko kanker ovarium. Metode systematic review menggunakan 4 database, yaitu Proquest, Pubmed, Willey dan Ebsco, dengan kata kunci ovarian cancer AND risk factors AND determinant factors OR predisposition factors AND incident OR prevalence. Kriteria inklusi meliputi artikel relevan sesuai dengan topik, jenis penelitian kuantitatif, tidak ditentukan batas tahun, pencarian menggunakan Bahasa Inggris. Jumlah awal pencarian didapat 3.507 artikel, hasil seleksi menggunakan alur PRISMA dan menggunakan tools JBI sehingga terdapat final artikel akan di review sebanyak 15 artikel. Hasil penelitian mengidentifikasi faktor risiko kanker ovarium, yakni faktor reproduksi, gaya hidup, riwayat keluarga, riwayat penyakit tumor ovarium jinak, endometriosis dan endometrioma. Faktor reproduksi merupakan faktor yang paling banyak berhubungan dengan terjadinya kanker ovarium.

Tujuan penelitian ini untuk mengetahui perbandingan tingkat kecemasan sebelum dan setelah intervensi rafiq al wilada saat kehamilan trimester tiga sampai setelah proses bersalin pada ibu primigravida di RSIA Asri Purwakarta. Metode yang di gunakan Pre-Experimental dengan one group pretest and posttest design. Subjek penelitian adalah ibu hamil trimester tiga hingga setelah proses bersalin, sedangkan subjek intervensi adalah seluruh subjek penelitian dan suami. Teknik pengambilan sampel dengan consecutive sampling. Jumlah sampel 25 (n=25). Pengambilan data dilakukan bulan Juni hingga Agustus 2019. Pengukuran kecemasan dengan menggunakan kuisioner HRS-A yang telah dikembangkan oleh Hawari untuk kecemasan ibu hamil. Hasil uji validitas p

This research aimed to explore, isolate, select, and characterize lactic acid bacteria (LAB) potentially used as amylolytic bacteria from traditional fermented food “dadih”. Dadih was collected from Lareh Sago Halaban and Lintau, West Sumatera Province. The LAB was isolated by the streak method to obtain a uniform color and size colonies. The selected isolates were characterized by the reaction gram and catalase test. The result showed that isolates had the form of coccus, coccobacillus, and basil with gram-positive, catalase-negative, and endospore-negative reactions. The further characterization using the KIT API 50 CHL identified Lactobacillus plantarum (mH1), Lactobacillus paracasei ssp paracasei (mL3), Lactobacillus plantarum (mH4), Lactococcus lactis subsp lactis (mH6), Lactobacillus plantarum (mH7), Lactobacillus plantarum (mH8), Lactobacillus brevis (mH13), and Lactobacillus paracasei subsp paracasei (mL14). The amylolytic and starch hydrolysis test showed that the isolates with higher amylolytic index ≥2 were Lactobacillus paracasei ssp paracasei mL3, Lactobacillus plantarum mH4, and Lactobacillus paracasei ssp paracasei mL14. The Lactobacillus plantarum mH8 had a lower amylolytic index of 0.7. Therefore, the four isolates (mL3, mH4, mL14, and mH8) are potentially used as fermenting bacteria for high- carbohydrate food.

Stunting in toddlers is one of the health problems that has not been resolved globally, also in Indonesia. Stunting can be prevented by early detection based on the risk factors for the disease. The literature review aims to examine those articles and find out every risk factor for stunting in toddlers. This literature study used a scoping review method by searching through several search engines such as Google Scholar, ProQuest, PubMed, and EBSCO. After sorting the articles, there are 21 articles used in this literature study. The results of this literature study showed twenty-one risk factors for stunting in toddlers, such as exclusive breastfeeding and the initiation of early breastfeeding. A history of low birth weight, immunization, the number of family members, insufficient nutritional needs (energy, iron, protein, calcium, and zinc), colostrum, breastfeeds (age of administration, type, and frequency). The practice of washing hands, mothers' occupation, mothers knowledge, low family income, history of infectious disease, sanitation and cleanliness of the environment, parents' height, especially mothers, lack vitamin C and vitamin D also as risk factors for stunting. To conclude, stunting in toddlers was influenced by various factors which are child factors, parents, socio-economic, and environmental factors. Therefore, it is essential to consider all the factors to develop stunting early detection tools for toddlers ang health education materials.

Orang hidup dengan HIV (ODHIV) tidak jarang menghadapi stigma dan diskriminasi dari keluarga, masyarakat, bahkan tenaga kesehatan yang menyebabkan mereka terkendala mendapatkan akses terhadap layanan kesehatan, pekerjaan, dan fasilitas sosial kemasyarakatan lainnya. Hal ini menyebabkan ODHIV tidak berdaya dan masalah-masalah kesehatan yang dihadapinya jadi sulit untuk diatasi. Tujuan dari pengabdian masyarakat ini adalah untuk memberdayakan ODHIV melalui peningkatan pengetahuan dan keterampilan hidup agar bisa menjalani hidup sehat, produktif, dan berkualitas. Metode yang digunakan dalam kegiatan ini adalah pemberdayaan masyarakat melalui pelatihan partisipatif dan pendampingan. Khalayak sasaran yaitu para ODHIV, pendamping, dan aktivis LSM di bawah pembinaan KPA Sumedang dan Puskesmas Situ sejumlah 17 orang. Hasil terdapat peningkatan persentase kategori pengetahuan tinggi (11,7% ke 88,3%) dan rerata pengetahuan (73,53 ke 82,94) secara bermakna (p < 0.05). Peserta menunjukkan antusiasme dan mampu mendemonstrasikan pembuatan kerajinan tangan tas dari bahan bekas bungkus kipi. Peserta menunjukkan antusiasme dan mampu mendemonstrasikan pembuatan kerajinan tangan tas dari bahan bekas bungkus kipi. Kegiatan ini perlu ditindaklanjuti dengan mengintegrasikan gerakan berbasis masyarakat dan budaya yang sudah ada seperti “rampak polah”, dan dimasukan ke salah satu program pemberdayaan masyarakat dibawah koordinasi Komisi Penanggulangan AIDS dan Pemerintah Daerah Kabupaten Sumedang bekerjasama dengan Perguruan Tinggi setempat. Kata kunci : Keterampilan, ODHIV, pemberdayaan, pengetahuan.

Angka kematian ibu akibat Hipertensi dalam Kehamilan (HDK) masih tinggi. Hal ini dikarenakan keterlambatan mencari pertolongan setelah gejala klinis berkembang menjadi preeklamsi dan eklamsi, yang merupakan komplikasi pengelolaan HDK yang kurang tepat. Penelitian ini memiliki tujuan untuk melihat pengaruh rendam kaki pada air hangat dan pemutaran musik klasik pada ibu hamil dengan hipertensi terhadap penurunan tekanan darah. Penelitian Quasi Experimental One Group Pre-test Post-test design ini melibatkan 30 ibu hamil dengan hipertensi dengan teknik sampling Purposive Sampling. Berdasarkan analisis data didapatkan menggunakan paired T-test, setelah diberikan kedua terapi, terdapat penurunan tekanan darah sistolik dengan rata-rata 14,43 mmHg dan penurunan tekanan darah diastolik sebesar 10,83 mmHg dengan nilai p value 0,000 < 0,05, yang berarti ada pengaruh terapi kombinasi terhadap penurunan tekanan darah ibu hamil dengan hipertensi. Terapi ini dapat menjadi alternative dan dapat diaplikasikan pada ibu hamil dengan hipertensi dengan mudah dalam menurunkan tekanan darah.

Budaya pemberian MP-ASI dini pada bayi sangat beresiko terjadinya gangguan pencernaan karena di usia

West Java province is the most contributors of women trafficking cases in Indonesia. Women trafficking threaten women in all age group, including young women. However, little is known young women’s perspectives of women trafficking especially in West Java region. The aim of this study was to determine young women’s perspectives of the impact of trafficking, and their actions to prevent it. This was a descriptive quantitative study. This study involved 361 young women ages 15-17 who chosen using the stratified random sampling technique. Respondents filled up questionnaire. Data were analysed using distribution of frequency. The study revealed that 65% of young women perceived that trafficking had negative impact to their health, and 71 % of them were also of the view that individual prevention was necessary. However, only 30 % of them perceived the importance of social support actions to prevent women trafficking. This study conclude that young women had different perceptions about impact of trafficking and actions to prevent it. There is a need of effective strategies to improve social support for preventing women’s trafficking. Enhancing women’s awareness, perceptions, and knowledge of human trafficking especially in West Java is also necessary.

Although globally there is a change in the trend of epidemiology from infectious diseases to chronic diseases, the prevalence and incidence of infectious diseases as well as MMR (Maternal Mortality Rate) and IMR (infant mortality rate) in Indonesia is still high. In year 2000, Faculty of Nursing of the Universitas Padjadjaran in collaboration with Hasan Sadikin Hospital built a model of treatment room, which was affiliated with obstetric gynecology room for improving integrated quality of health care services and education. The model built in this room aimed to : 1) Improve the quality of health care service; 2) to develop the student’s experiences with patients; 3) Provide quality nurse education to support students; 4) encourage students to improve the results of clinical prctice. The objective of process evaluation in this study was to give an insight to an appropriate model for maternity nursing service. This results showed on the one hand , there are some records not yet achieved an ideal standard , lack of effectiveness and efficiency of care delivery, namely: 1 ) the ratio of midwives and patients are not ideal ; 2 ) No one consultant obstetrician gynecologist and one doctor for every room . As well as challenges to sustainability care that meets the standards of maternity care. Conclusion: this study recommends to take a comprehensive strategic planning for improving nursing and midwifery services that involve all relevant stakeholders in the government, civil society, service delivery, education, and professional organizations. Keywords:Effectiveness, efficiency, evaluation, maternity nursing care, standard. Proses Evaluasi: Standar, Efektifitas, Efisiensi, dan Keberlangsungan Pelayanan Keperawatan Maternitas Abstrak Meskipun secara global ada perubahan dalam tren epidemiologi dari penyakit menular ke penyakit kronis, prevalensi dan insiden penyakit menular serta MMR (Angka Kematian Ibu) dan AKB (angka kematian bayi) di Indonesia masih tinggi. Tahun 2000, Fakultas Keperawatan Unpad bekerja sama dengan Rumah Sakit Hasan Sadikin, Bandung membangun sebuah model dari ruang perawatan, yang berafiliasi dengan ruang obstetrik ginekologi. Model yang dibangun tersebut bertujuan untuk; 1) meningkatkan kualitas pelayanan kesehatan; 2) pengembangan pengalaman mahasiswa dengan pasien; 3) penyediaan pendidik perawat yang berkualitas untuk mendukung mahasiswa; 4) mendorong mahasiswa untuk meningkatkan hasil praktek klinis. Tujuan dari penelitian ini adalah memberikan informasi dan evaluasi tentang standar, efektifitas, efisiensi, dan keberlangsungan (sustainaibility) pelayanan keperawatan maternitas. Hasil penelitian menunjukkan: di satu sisi, ada beberapa catatan tidak belum tercapainya standar ideal, kurang efektivitas dan efisiensi perawatan persalinan, yaitu: 1) rasio bidan dan pasien tidak ideal; 2) ada satu konsultan ginekolog obstetri dan satu dokter untuk setiap kamar. Serta tantangan terhadap keberlangsungan asuhan perawatan maternitas yang memenuhi standar. Kesimpulan: Penelitian ini merekomendasikan untuk mengambil perencanaan strategis yang komprehensif untuk meningkatkan pelayanan keperawatan dan kebidanan yang melibatkan semua pihak terkait di pemerintah, masyarakat sipil, pelayanan, pendidikan, dan organisasi profesi Kata kunci:Asuhan keperawatan maternitas, efektifitas, efisiensi, evaluasi, standar

Cultural practices are still very strong in Indonesia, but sometimes they are contrary to health. So that often these cultural practices cause pain and even death. Abstinence to eat in Sundanese society is a cultural practice. The purpose of this study was to determine the practice of eating in mothers of postpartum in Sundanese culture. This type of research is a quantitative descriptive. The sample in this study was 25 mothers of postpartum with criteria of Sundanese husband and wife and the mother was still in puerperium for up to 40 days. The research instrument was in the form of a questionnaire about food culture practices, the data were analyzed by the presentation. The results showed that 22 (88%) of postpartum women abstain of eating. Types of restrictions that eating eggs, fish, meat, natural water, fruits, eating soup and eating a lot. There is still abstinence from eating in the postpartum women which can cause late recovery of health in the mother of postpartum, it is expected that the health center provides counseling about the nutritional needs of mothers of postpartum and discusses each type of food that is abstinence food in the community.Keywords: Sundanese Culture, postpartum, practice.