Tujuan: menganalisis kasus kematian maternal di RSUD Dr. Soetomo tahun 2011 – 2013 dengan tiga penyebab terbanyak (perdarahan pasca salin, preeklampsia berat dan penyakit jantung) ditinjau dari skor KSPR dan faktor empat terlambat.Bahan dan Metode: Penelitian ini merupakan penelitian retrospektif observasional dengan desain studi deskriptif. Objek pada penelitian ini merupakan pasien yang meninggal sebagai kasus kematian maternal di RSUD Dr. Soetomo tahun 2011-2013, dengan jumlah 58 orang. Variabel penelitian ini adalah tingkat risiko kehamilan berdasarkan KSPR, faktor empat terlambat dan kematian maternal.Hasil: Pada penelitian ini didapatkan seluruh kasus kematian maternal mengandung unsur faktor risiko dalam KSPR dan faktor empat terlambat. KRST merupakan kelompok faktor risiko terbanyak (55,2%), diikuti oleh KRT 39,7% dan KRR 5,2%. Faktor terlambat mendeteksi tanda bahaya ditemukan sebanyak 82,8%, terlambat mengambil keputusan merujuk 56,9%, dan terlambat sampai di tempat rujukan 15,5%. Faktor terlambat mendapat pertolongan di tempat rujukan terakhir tidak ditemukan pada penelitian ini.Simpulan: KSPR masih relevan digunakan untuk deteksi dini faktor risiko ibu hamil. Pencegahan faktor empat terlambat penting untuk menurunkan angka kematian maternal

The quality of education in eastern part of Papua is still low so that many teenagers choose to go out the Papua for study.One of the factors of risky sexual behavior among adolescents students is wandered.  The risky dating behavior of Papuan students in Surabaya is 76.7% (Giay, 2017). The purpose of this study is to analyze the impact of dating status with the risky dating behavior among Papuan origin students in Surabaya. This research is an observational analytic research with cross sectional design. The research population was 260 migrant college students from Papua. The research sample was 70 male and female college students. The independent variables of this research were age, sex, relationship status, intention of risky dating behavior, and knowledge level. The statistical analysis were using multiple logistic regression test with the significance level of 5%. The result of this research showed that relationship status influenced college students’ risky dating behavior (p = 0.001), while age, sex, intention of risky dating behavior and knowledge level did not influence college students’ risky dating behavior (p > 0.05). The conclusion of the research is the status of dating relationship has an effect on the risky courtship behavior of Papuan native students in Surabaya city. Therefore, students are advised not to date during the study period.

Anemia is a major cause of bleeding. And iron defi ciency is a major cause of anemia. Pregnant women have a high risk of iron defi ciency anemia. The prevention of iron defi ciency anemia is done through an iron supplementation program with a daily dosing of 1 consecutive tablet for at least 90 days during pregnancy. Fe1 and Fe3 coverage at Primary Health Care of Kediri City South Region is 69.81% and 66.29%. This coverage is still below the target program 95% of 2014. This study to analyze the infl uence of interaction of pregnant mother with health worker on compliance to consume iron tablet (Fe) and anemia in pregnant mother at Primary health Care of Kediri City South Region. Analytical observation with cross sectional design. The population consists of 63 trimester pregnant women III. With a simple random sampling technique, a sample of 34 trimester pregnant women III who have received 90 iron tablets (Fe). Data were obtained from questionnaires, Maternal and Child Health books, and in-depth interviews. Data analysis using ordinal regression and binarylogistic regression. Hypothesis of research that there is infl uence of interaction of pregnant woman with health worker to compliance consume iron tablet (Fe) at pregnant mother at Primary Health Care of Kediri City South Region. There was an effect of interaction of pregnant women with health workers with good category and suffi cient compared to the less category of compliance of pregnant women consuming iron tablet (Fe) (p = 0.000 < 0.05), and there was considerable compliance effect compared with non compliance iron tablet (Fe) to anemia in pregnant mother (p = 0.012 < 0.05). The better the interaction of pregnant women with health workers, the more likely the pregnant women to obediently consume iron tablets (Fe) to prevent anemia during pregnancy. Abstrak Anemia merupakan penyebab utama terjadinya perdarahan. Dan kekurangan zat besi merupakan penyebab utama terjadinya anemia. Ibu hamil mempunyai risiko yang tinggi untuk mengalami anemia defi siensi besi. Penanggulangan anemia defi siensi besi dilakukan melalui program pemberian suplemen zat besi dengan dosis pemberian sehari sebanyak 1 tablet berturut-turut minimal selama 90 hari selama kehamilan. Cakupan Fe1 dan Fe3 di Puskesmas Kota Wilayah Selatan Kota Kediri yaitu sebesar 69,81% dan 66,29%. Cakupan ini masih berada di bawah target program tahun 2014 yaitu sebesar 95%. Penelitian ini untuk menganalisis pengaruh interaksi ibu hamil dengan tenaga kesehatan terhadap kepatuhan mengonsumsi tablet besi (Fe) dananemia pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri. Observasi analitik dengan rancang bangun cross sectional. Populasi terdiri dari 63 ibu hamil trimester III. Dengan teknik simpel random sampling, sampel sebanyak 34 ibu hamil trimester III yang telah mendapatkan 90 tablet besi (Fe). Data diperoleh dari kuesioner, buku Kesehatan Ibu dan Anak, dan wawancara yang mendalam. Analisis data dengan menggunakan regresi ordinal dan regresi logistik biner. Hipotesis penelitian yaitu ada pengaruh interaksi ibu hamil dengantenaga kesehatan terhadap kepatuhan mengonsumsi tablet besi (Fe) pada ibu hamil di Puskesmas Kota Wilayah Selatan Kota Kediri. Hasil penelitian ini ada pengaruh interaksi ibu hamil dengan tenaga kesehatan dengan kategori baik dan cukup dibandingkan dengan kategori kurang terhadap kepatuhan ibu hamil mengonsumsi tablet besi (Fe) (p = 0,000 < 0,05),dan ada pengaruh kepatuhan yang cukup dibandingkan dengan tidak patuh mengonsumsi tablet besi (Fe) terhadap anemia pada ibu hamil (p = 0,012 < 0,05). Semakin baik interaksi ibu hamil dengan tenaga kesehatan, maka semakin cenderung ibu hamil untuk patuh mengonsumsi tablet besi (Fe) untuk mencegah anemia pada masa kehamilan.

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Infertility is a condition in which someone unable to conceive and give birth after one year of regular coital activity without contraception. The aim of this study was to describe respondents characteristic of infertile couple and risk factors of the incidence of infertility, which are smoking, alcohol consumption and obesity on the incidence of infertility. This study used descriptive analysis method. Sample of this study were all patients of infertile couples in the Fertility Clinic and In Vitro Fertilization Tiara Cita during the period from November to December 2015. They were 83 couples as the samples. The data of this study were collected from questionnaires as primary data and general at clinic as secondary data. Analysis of data through cross tabulation. The results showed that respondents was conduct risk behavior (39,8 percent ) to smoke, alcohol consumption (27,7 percent), and obesity (40,9 percent). Based on this data showed that the majority of couples infertil at the clinic was behave that the risk is one factor of infertility. The need for increased knowledge about risk factors and for couples who had obesity to applied a pattern of a healthy diet by keeping weight ideal.

Health status of child under 5 years was one of the main public health indicators in a country. Health status of child under 5 years was diffi cult to be directly measured, thus require indicators to describe. The indicators were direct, intermediate and underlying factor. Previous research showed Structural Equation Modeling (SEM) was helpful to examine the infl uence within indicator and got better model than other multivariate analysis. This Study was conducted to select the direct factor (ANC, INC and PNC) that infl uence health status of children under 5 years in Indonesia and mapping the nutrition signifi cant indicators. This study was un-obstructive method, composed of 4 latent variables and 22 indicators using SEM varians based (Partial Least Square). Secondary data were taken from the Riskesdas 2010 reports, by the sampel all provinces in Indonesia. Data were analyzed by R programs and Arch View GIS 3.3. There were 14 indicators signifi cantly affect health status of children under 5 years, there were no fi rst antenatal visits (K1), no antenatal visits four times (K4), not get FE 3 times (FE-3), examination of pregnancy to the traditional healer (ANC Dukun), not check for pregnancy, no antenatal visit to the professional health worker, not labor operations (SC), home deliveries, toddlers are not getting the vitamins A, toddler was not weighed, toddlers consume less calories, less protein consumption toddlers, infants of low birth weight and infants with malnutrition. It was suggested to improve health service focused on the signifi cant indicators.Keyword: partial least square, the children under 5 years ABSTRAK Status kesehatan anak balita (bawah lima tahun) adalah salah satu indikator utama kesehatan masyarakat di suatu negara. Status kesehatan anak balita adalah sulit untuk diukur secara langsung, sehingga membutuhkan indikator untuk menggambarkan. Penelitian sebelumnya menunjukkan Structural Equation Modeling (SEM) sangat membantu untuk mengetahui pengaruh terhadap indikator dan menghasilkan model yang lebih baik daripada analisis multivariat lainnya. Studi ini dilakukan untuk mengetahui faktor langsung (ANC, INC dan PNC) yang mempengaruhi status kesehatan anak balita di Indonesia dan pemetaan indikator gizi. Penelitian ini menggunakan metode un-obstruktif, yang terdiri dari 4 variabel laten dan 22 indikator menggunakan berbasis SEM varians (Partial Least Square). Data dianalisis dengan R program dan ArchView GIS 3.3. Ada 14 indikator yang mempengaruhi status kesehatan anak balita yaitu tidak dilakukannya kunjungan antenatal pertama (K1), tidak adanya kunjungan antenatal keempat (K4), tidak mendapatkan 3 kali FE (FE-3) , pemeriksaan kehamilan dengan pengobatan tradisional (ANC dukun), tidak memeriksakan kehamilan, tidak adanya kunjungan antenatal ke petugas kesehatan profesional, bukan operasi kelahiran (SC), persalinan di rumah, balita tidak mendapatkan vitamin A, balita tidak ditimbang, balita mengkonsumsi lebih sedikit kalori, protein, serta bayi berat badan lahir rendah dan bayi dengan gizi bur...