Purpose The raising of grandchildren by grandparents is a global phenomenon, and it is common in Indonesia. This is because parents are often unable or unwilling to raise their own children. However, the debate around “grandparenting” is still limited in Indonesia. The purpose of this paper is to gain a better understanding of the experience and views of grandparents on “grandparenting.” Design/methodology/approach The methodology employed was qualitative and informed by phenomenology. The authors conducted in-depth interviews with 13 grandparents who were raising their grandchildren who were under five years old. The data were analyzed using thematic content analysis. Findings 5 main themes and 13 subthemes emerged from the analysis of the data. The themes were responses, strategies for overcoming negative responses, the grandparents’ role, the reason for raising grandchildren, and the cultural aspect of “grandparenting” in Java. All of the grandparents enjoyed their roles as grandparents. They felt that they helped fulfill their grandchildren’s physical and educational needs. Social implications The experience of raising a grandchild can be both positive and negative, depending on the cultural aspects in the Java and the family as a whole system. Grandparents require healthcare and informal support to maintain their well-being. Originality/value This paper provides new insights into “grandparenting” closely related to social and cultural aspect within the community. Grandparents enjoy being a part of the Javanese tradition. The supportive role of grandparents in Indonesia is important. However, older adults need to balance the role of “grandparenting” and rest time so that they remain healthy and happy.

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Pendahuluan: Perilaku Buang Air Besar Sembarangan (BABS) adalah perilaku tidak sehat yang masih sering dilihat dalam kehidupan sehari-hari. Sampai saat ini perilaku BABS di Desa Kiritana Kecamatan Kambera masih dilakukan. Penelitian ini bertujuan untuk menganalisis faktor perilaku BABS di masyarakat Desa Kiritana Kecamatan Kambera.Metode: Penelitian deskriptif analitik. Populasi sebanyak 191 orang dan sampelnya sebanyak 129 orang menggunakan teknik simple random sampling. Penelitian ini menggunakan Precede-Proceed Model yang dimana faktor predisposisinya karakteristik masyarakat dan keadaan geografi. Faktor pendukung yaitu kebijakan pemerintah dan program serta sarana prasarana. Faktor pendorong yaitu petugas kesehatan, pemerintah daerah dan tokoh masyarakat. Variabel independen yaitu umur, jumlah anggota keluarga, tingkat pendidikan, status ekonomi, pengetahuan, sikap, jarak rumah dengan sungai, kepemilikan jamban dan variabel dependen adalah perilaku BABS. Data dikumpulkan dengan menggunakan kuesioner milik Wahyuni (2018) yang dimodifikasi oleh peneliti, terdiri dari 29 pertanyaan. Kuesioner kemudian dianalisis menggunakan chi-square dan regresi logistik.Hasil: Status ekonomi (p = 0,002), sikap (p = 0,000), jarak rumah dengan sungai (p = 0,006), kepemilikan jamban (p = 0,000). Hasil uji menunjukkan bahwa ada hubungan antara status ekonomi, sikap, jarak rumah dan sungai dan kepemilikan jamban dengan perilaku. Hasil uji multivariat ada hubungan yang signifikan antara status ekonomi (p = 0,044 OR = 6,856), sikap (p = 0,000 OR = 6,425), jarak rumah dengan sungai (p = 0,016 OR = 0,315) dan kepemilikan jamban (p = 0,000 OR = 10,854) dengan perilaku BABS.Kesimpulan: Perilaku BABS di Desa Kiritana Kecamatan Kambera, faktor yang mempengaruhi yaitu status ekonomi, sikap, jarak rumah dengan sungai dan kepemilikan jamban. Faktor yang paling kuat pengaruhnya adalah sikap dan kepemilikan jamban.

Introduction: Tuberculosis is one cause of infectious death worldwide. In relation to the healing of pulmonary tuberculosis in Indonesia, there are still certain areas where the cure rate is still low. This study aims to identify the effect of spiritual emotional breathing (SEB) on the quality of respiratory function and the modulation of immune response in tuberculosis patients.Methods: The study used a quasi-experimental design with two groups of pre-post-test design. The population was 34 patients with tuberculosis in East Perak’s primary health care. The independent variable was SEB (spiritual emotional breathing). The dependent variables were peak expiratory flow rate (PEFR), pulse, oxygen saturation, breath frequency, breath sound, stiffness complaints, human IL-2, human cortisol, IgG.Results: The results showed that there was a significant difference in PEFR, pulse, oxygen saturation, respiratory rate, respiratory sound, stiffness, human IL-2, human cortisol, IgG.Conclusion: SEB can improve the quality of respiratory function and the modulation of immune response in tuberculosis patients. The emotional spiritual approach is part of the science of energy psychology that aims to turn the negative energy in a person into positive energy that can help the healing process. This therapy is performed as a complementary therapy for TB patients to improve their quality of life and the control of symptoms

Stunting is the height according to age below -2 the median standard of the child's growth curve due to chronic malnutrition problems since the first 1,000 days of a child's life. One of the risks of stunting in children is the lack of nutritional intake during pregnancy. This study aims to identify factors related to the preventive behavior of stunting children during pregnancy. This study used a cross-sectional design. Samples in the study were 74 first-trimester pregnant women in the work area of Grujugan, Tenggarang, and Maesan health centers in Bondowoso Regency obtained using simple random sampling. The results of the analysis had a family support relationship (p-value 0.057), environmental support (p-value 0.010) but there is no relationship between stunting prevention behavior with age (p-value 0.361), education (p-value 0.230) and income (p-value 0.240). Recommendations from this study for health workers provide health education to pregnant women and families to provide an understanding of the prevention of stunting from early pregnancy. Keywords: Behavior; Prevention; stunting; pregnant women ABSTRAK Stunting merupakan tinggi badan menurut usia di bawah -2 standar median kurva pertumbuhan anak disebabkan masalah kurang gizi kronis sejak 1.000 Hari Pertama Kehidupan anak. Salah satu resiko terjadinya stunting pada anak adalah kurang asupan gizi pada masa ibu hamil. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang berhubungan dengan perilaku pencegahan anak stunting pada saat ibu hamil. Penelitian ini menggunakan rancangan cross sectional. Sampel pada penelitian sebanyak 74 ibu hamil trimester 1 diwilayah kerja puskesmas Grujugan, Tenggarang, dan Maesan Kabupaten Bondowoso yang diperoleh menggunakan simple random sampling. Hasil analisis ada hubungan dukungan keluarga (p-value 0,057), dukungan lingkungan (p-value 0,010) namun tidak ada hubungan antara perilaku pencegahan stunting dengan usia (p-value 0,361), pendidikan (p-value 0,230) dan pendapatan (p-value 0,240). Rekomendasi dari penelitian ini bagi tenaga kesehatan memberikan pendidikan kesehatan pada ibu hamil dan keluarga untuk memberikan pemahaman tentang pencegahan stunting sejak usia kehamilan dini Kata kunci: Perilaku, Pencegahan, stunting, ibu hamil

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Introduction: Recent research has provided data on the efficacy of the massage therapy and the role of essential oil in the management of osteoarthritis (OA) symptoms. Although both areas of research have demonstrated strong evidence that the muscles and massage with essential oil may affect OA symptoms, massage with essential oil applied on the quadriceps muscle has received no attention. The purpose of this study was to identify the effect of red ginger massage on joint stiffness and functional disability in elderly with osteoarthritis.Methods: This study was a randomized control group pre-test and post-test experimental study design involving 62 elderly with osteoarthritis divided into two groups namely red ginger massage and control groups by random cluster sampling. The instrument used was Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Statistical test used were paired t-test and MANCOVA.Results: Baseline value of stiffness and functional disability in intervention group were 4.47 ± 1.717 and 35.93 ± 12.806. After 8 weeks stiffness and functional disability became 2.40 ± 1.380 and 19.50 ± 9.420 Stiffness and functional disability were decreased on intervention group with p-value 0.000 and 0.004. It means there was influenced by red ginger massage on stiffness and functional disability in elderly with osteoarthritis.Conclusion: Red ginger massage can be applied as a complementary treatment to help reduced joint stiffness and functional disability in addition to standard drug treatment usage in osteoarthritis disease.

Background. The process of aging causes various health problems namely the physiological changes of the elderly. The increase in number of elderly is directly proportional to the problems of elderly, including the decreased cognitive function and physical activity. This phenomenon is most commonly found in people over the age of 60 years, but also can attack the age of 40 years.  Methods. type of research using quantitative research with quasi experimental pre-posttest design. The Sampling method uses non-probability sampling with purposive sampling. The sample of this research is 62 elderly, divided into treatment and control groups in Puskesmas Jetak Tuban. The questionnaire in this research uses MMSE for cognitive function and Index katz for physical activity. The research was conducted from March to April 2018. Results. the statistical test results uses wilcoxon sign rank test obtained significant values of cognitive function intervention group and physical activity variables, before and after given the intervention, the Elderly Cognitive Care has a calculated value Z= -4.32 and Z = -3.94 with significant value α = 0.00. This result means if value of p value ≤0.05, then the hypothesis is accepted, this means that there is influence of Elderly Cognitive Care to cognitive function and physical activity of elderly in Puskesmas Jetak Tuban. Conclusion. There is an enhancement in cognitive function and physical activity in the elderly, after being given Elderly Cognitive Care. This intervention can be used as management for the elderly against the reduction in cognitive function and physical activity.