Objective: This study examined the influence of the Promote Children's Growth and Development (PCGD) intervention on children's growth and development in rural areas in Indonesia. Design and Sample: A community-based nonblinded cluster randomized controlled trial was conducted. Twelve clusters of villages were matched based on population and randomly assigned to intervention group (six clusters and 72 caregivers dyads) or control group (six clusters and 72 caregivers dyads) with inclusion criteria age 0-72 months and attending integrated health centers (Posyandu). The intervention was conducted for 14 weeks with caregivers.Measures: The weight-for-age Z-score (WAZ), height-for-age Z-score (HAZ), weightfor-height Z-score (WHZ), and body mass index-for-age Z-score (BAZ) were calculated using World Health Organization Anthro-Plus version 1.0.3. A prescreening developmental questionnaire (PSDQ) measured the development of children before and after the intervention. Results:The proportion of stunting of HAZ, wasting of WHZ, and deviation development of PSDQ were higher in the control group compared to the intervention group, respectively (22.2% vs. 37.5%), (9.7% vs. 4.2%), and (12.5% vs. 2.8%). Caregivers were more confident promoting children's growth and development after attending 12 sessions of the PCGD intervention. Conclusion:The 12 session PCGD intervention is effective for promoting the growth and development of children of 0-72 months. The PCGD could be considered for implementation in community health centers.

Aim: Identification of hypertension factors among elderly people is expected to form appropriate nursing interventions to improve the self-efficacy of patients by modifying factors affecting the blood pressure of elderly people with hypertension. The aim of this study is to investigate the prevalence of hypertension and predictive factors of self-efficacy among elderly people with hypertension in institutionbased rehabilitation (IBR) in Indonesia. Methods: An IBR cross-sectional study was conducted, involving 64 elderly people selected through random sampling. Research data were collected using a structured questionnaire and standard protocol, employing a stethoscope and sphygmomanometer to measure blood pressure. The data were then analysed using descriptive and comparative statistics, as well as multivariate linear regression analyses. Results: The prevalence of systolic and diastolic hypertension among elderly people who lived in the IBR were 31.30% and 45.30%, respectively. The predictors of self-efficacy of the elderly with regard to systolic hypertension were spiritual activity, length of stay, education, the occupation of the elderly before entering the rehabilitation, and dementia; while daily activities, risk of falling, pain, and depression anxiety and stress become significant predictors of self-efficacy in elderly people with diastolic hypertension. Conclusion: This study provides new evidence that signifies the current burden of hypertension and the critical factors of self-efficacy for uncontrolled hypertension among the elderly in the IBR. The study suggests that health-promotion programs should be developed to modify factors of hypertension among elders of IBR in Indonesia.

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The beneficial of breastfeeding can be felt by baby and its mother. The national scope of giving breastmilk in 2018 is 32,3%. However, the national scope target for breastmilk set by the Ministry of Health, is 80%. In exclusive breastfeeding, mother needs support from the family as closest neighborhood. This study aim to identify publications that provide information on concepts and data relevant to the topic of family support for exclusive breastfeeding in Indonesia. This study uses a literature review design with 3 search enginees: Science Direct, Google Scholar, and PubMed. The total of  12 selected articles with a cross-sectional approach has population of mother and baby aged 0-24 months. The results of the article analysis shows that 9 articles stated that there were relationship between family support and exclusive breastfeeding. Then, 3 articles stated that there were no relationship between family support and exclusive breastfeeding. Support that comes from husband and other family members can increase mother's ability to give exclusive breastfeeding, a sense of calm and comfortable. Thereby, it also can increase production of the hormone oxytocin and affect breastmilk production. In addition, family support can increase confidence in exclusive breastfeeding. By continously giving an exclusive breastfeeding for 6 months, can provide benefits for both mother and baby. The nursing implication that can be done is to provide health education to mother regarding exclusive breastfeeding as the main source of food and the best nutrition for babies in a first 6 months.

Lansia merupakan seseorang yang berusia lebih dari 60 tahun. Seiring dengan perubahan usia, lansia mengalami perubahan fisik spiritual dan emosional. Salah satu perubahan fisik pada lansia seperti sistem muskuloskeletal yaitu nyeri sendi. Tujuan dari pengabdian ini yaitu menerapkan senam lansia dalam rangka menurunkan tingkat nyeri pada lansia. Pada pengabdian ini dilakukan terapi senam lansia kepada 11 lansia di wisma teratai UPT PSTW Jember dengan metode demonstrasi. Untuk mengetahui tingat keberhasilan dilakukan uji statistik Wilcoxon dengan SPSS 21. Berdasarkan uji statistik Wilcoxon menunjukkan bahwa tingkat nyeri pada lansia sebelum dan sesudah dilakukan senam lansia p value = .317 (>0.05) yang berarti tidak terdapat perbedaan sebelum dan sesudah senam lansia terhadap tingkat nyeri pada lansia di wisma teratai PSTW Jember yang menunjukkan tidak adanya perbedaan yang signifikan antara sebelum dan sesudah senam lansia dikarenakan senam lansia masih dilakukan sebanyak 2 kali sehingga belum menunjukkan pengaruh yang optimal, namun sebenarnya terdapat hubungan antara senam lansia dan nyeri sendi. Keberhasilan senam lansia terhadap penurunan skala nyeri sendi dapat dilakukan minimal 30 menit per hari selama 5 kali dalam 1 minggu, apabila lansia memiliki masalah hipertensi dan kolesterol dianjurkan melakukan senam lansia selama 40 menit dengan intensitas 3-4 kali dalam seminggu.