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Pesticide poisoning is still an important health problem in agricultural areas, especially horticultural agriculture. Various chronic health effects can be caused by long-term exposure to pesticides. This study aims to determine the risk factor of pesticide poisoning in horticultural farmers in West Lampung Regency. The study used a cross sectional design which was conducted in four different areas as the center of horticulture agriculture, West Lampung Regency, Lampung Province. The study involved 289 participants by interviewing, observing and examining blood samples to measure cholinesterase levels as an indicator of pesticide poisoning. In this section, we have applied research ethical procedures. The obtained data were analyzed using Chi squre test, Odds Ratio test and Logistic Regression. The results showed that the risk factors for pesticide poisoning were incomplete use of personal protected equipment (PPE), spraying with the wrong dose and spraying frequency. Unwearing a complete PPE had a 4.54 times (OR = 4.54; 95% CI 2.09-9.83) higher risk of experiencing pesticide poisoning, and statistically suggested, a very significant relationship (p-value = 0.0001). While the use of excessive dosage has a risk of 4.39 times (OR = 4.39; 95% CI 1.87-10.33; p-value = 0.001); and the frequency of spraying more than twice a week had a 2.33 times higher risk of experiencing pesticide poisoning (OR = 2.33; 95% CI 1.24-4.40; p-value = 0.009). Excessive use of pesticide dosage and the frequency of spraying with the cover blanked method are the main factors of pesticide exposure to farmers. On the other hand, the use of PPE is a method of protection from exposure. It needs joint efforts through increasing knowledge about the dangers of pesticides, pesticide management, how to work safely, and the use of PPE.

BACKGROUND: Stunting is a critical public health problem in Indonesia because it affects cognitive and physical development and contributes to child mortality. AIM: This study aims to identify risk factors for stunting in children aged 6–59 in the horticultural area. METHODS: A casecontrol study was conducted to compare previous exposure between stunted children and non-stunted children. Measurements and interviews were conducted with 160 participants (120 controls and 40 cases), including mothers or caregivers. SPSS was used for χ2 statistical analysis, multiple logistic regression, and odds ratios. RESULTS: The study identified four risk factors for stunting: children who were born short (adjusted odds ratio [AOR] = 17.57; 95% confident interval [CI]: 5.02–61.51), LBW (AOR = 4.35; 95% CI: 1.38–13.78), and got a low protein intake (AOR = 4.96; 95% CI: 1.22–20.26). Significantly, a relationship between stunting and access to sanitation was also found (AOR = 6.06; 95% CI: 1.25–29.35). CONCLUSIONS: The risk factors for stunting in children aged 6–59 are related to nutrition during pregnancy and the child’s quality of food. Nutrition interventions should emphasize improving the nutritional status of pregnant women and children and women empowering to affect access to resources and allocations for children’s nutrition.

Abstrak: Keracunan pestisida merupakan masalah kesehatan yang kritis pada pertanian hortikultura, akibat dari penggunaan dosis berlebihan, cara penanganan yang salah, dan tidak menggunakan APD secara lengkap. Salah satu efek kronis keracunan pestisida adalah anemia. Pada kehamilan, anemia menyebabkan gangguan pertumbuhan intrauterin sehingga bayi lahir BBLR dan pendek (stunted). Pengabdian masyarakat bertujuan untuk meningkatkan pengetahuan ibu hamil tentang risiko paparan pestisida, serta memeriksa kadar kolinesterase dan Hb. Penyuluhan dengan penilaian diberikan kepada 50 orang ibu hamil, dan dilanjutkan dengan pengambilan sampel darah untuk pemeriksaan kesehatan. Hasil pengabdian menunjukkan peningkatan pengetahuan yang signifikans pada sebagian besar peserta (p-value0,01). Pada pemeriksaan kesehatan, didapatkan sebanyak 30% ibu hamil mengalami keracunan pestisida dan 16% anemia, menunjukkan paparan pestisida yang tinggi dan perlindungan diri yang rendah. Pada akhir kegiatan, seluruh peserta diberikan buku saku tentang pengelolaan pestisida yang aman, sebagai media pembelajaran dan perluasan informasi. Sebanyak 500 eksemplar juga diserahkan kepada Dinas Kesehatan Lampung Barat, untuk dibagikan kepada ibu hamil di kecamatan lainnya. Penyuluhan yang disertai dengan penyampaian bukti gangguan kesehatan telah mampu memicu perubahan perilaku sasaran, terlihat dari peningkatan penggunaan APD selama bekerja, dan pemeriksaan kehamilan. Pengabdian diharapkan dapat dilakukan secara berkelanjutan dan melibatkan banyak mitra.Abstract: Pesticide poisoning is a critical health problem in horticultural agriculture due to excessive doses, wrong handling methods, and incompletely using PPE. One of the chronic effects of pesticide poisoning is anemia. In pregnancy, anemia causes intrauterine growth disorders, so that the baby is born LBW dan stunted. This community service aims to increase pregnant women's knowledge about pesticides' risks and check cholinesterase dan Hb levels. Counseling with assessments was given to 50 pregnant women, followed by taking blood samples for health checks. The services results showed a significant increase in knowledge in most participants (p-value 0.01). On the medical check, it was found that 30% of pregnant women experienced pesticide poisoning dan 16% anemia, indicating high pesticide exposure dan low self-protection. At the end of the activity, all participants were given pocketbooks on safe pesticide management as a medium for learning and expanding information. A total of 500 copies were also handed over to the West Lampung Health Office to be distributed to pregnant women in other districts. Counseling accompanied by the delivery of evidence of health problems has triggered changes in the target behavior, as seen in the increased use of PPE during work dan antenatal care. The service is expected to be carried out sustainably and involves many partners.

The target of government in the use of health care facilities for birth process (90% of delivery process in conducted by health practitioners) has not been reached. The research used a cross sectional design. The population included all mothers have given birth process from April to July 2017. The samples were selected using the proposive sampling (with data collection sheet). They were 89 mothers who had previous delivery experience. This study used chi-square test. The data were presented in the form of frequency distribution and percentages followed with narration.The results are: knowledge factor (ρ=0.000 less than α=0.05), habit factor (ρ=0.004 less than α= 0.05), the factor of distance to health care service (ρ=0.001 less than α= 0.05), and midviwe availability factor (ρ=0.003 less than α= 0.05). It is concluded that there is a relationship between knowledge, habit, distance to health care service, midwive availability and requesting midwives to help in birth process.

Background: Tearing a perineal wound during labor usually occurs so that the baby's head can be born quickly. Perineal wounds can be due to spontaneous tears or because of an episiotomy. The incidence of perineal rupturein PMB Ponirah as much as 69% 65% of mothers trip advisor perineal wounds. The impact of perineal rupture can cause pain. Objective:  The purpose of this study was to determine the effect of warm baths on the wounds experienced by postpartum mothers in PMB Ponirah Metro City District. Methods: This study is a pre-experimental quantitative study with the Static Group Comparison design. The large sample consisted of 30 people, consisting of 15 people as sizt bath and 15 people as not sizt bath. In this study used the Mann Whitney test. Results: The results of the study showed the average reserve of bath sitz on day 5 and there was no reserve for bathing sitz on the 7th day. The result of the effect is the effect of warm baths on the duration of perineal wound healing in postpartum mothers. Conclusion: Sitz bath can accelerate wound healing and help with perineal pain.   Keywords: Perineal pain, Perineal wound healing,Sitz bath

No abstract

Pijat bayi sebagai salah satu bentuk bahasa sentuhan ternyata memiliki efek yang positif untuk pertumbuhan dan perkembangan bayi. Berdasarkan informasi pendahuluan yang didapatkan penulis bahwa budaya pijat bayi di wilayah Kota Metro masih cukup dilestarikan dan hal ini dilakukan oleh dukun bayi. Pelaksanaan pijat bayi oleh dukun pijat bayi banyak yang tidak sesuai dengan teknik yang terdapat dalam pedoman pemijatan menurut kesehatan. Pijat bayi sebaiknya dilakukan oleh orang yang terdekat dengan bayi dalam hal ini ibu bayi dalam rangka meningkatkan sentuhan fisik seperti belaian, pelukan dan pijatan lembut yang akan meningkatkan  ikatan kasih sayang antara ibu dan bayi. Bayi yang dipijat akan mengalami peningkatan tonus nervus vagus (saraf otak ke 10) yang membuat kadar enzim penyerapan gastrin dan insulin meningkat  sehingga penyerapan sari makanan menjadi lebih baik, penyerapan makanan yang lebih baik akan menyebabkan bayi cepat lapar dan karena itu bayi akan lebih sering menyusu. Pemijatan juga mengoptimalkan tumbuh kembang bayi dengan resiko tinggi, yakni bayi-bayi yang dalam proses kehamilan dan kelahirannya mempunyai faktor-faktor resiko yang dapat mengganggu tumbuh kembangnya. Misalnya, berat lahir kurang dari 2000 gram. Pijat bayi dapat digolongkan sebagai aplikasi stimulasi sentuhan karena dalam pijat bayi terdapat unsur sentuhan berupa kasih sayang, perhatian, suara, pandangan mata, gerakan dan pijatan. Stimulasi ini akan merangsang perkembangan struktur dan fungsi sel- sel otak. Kegiatan ini bertujuan untuk memberikan informasi dan penyuluhan tentang pijat bayi dapat meningkatkan berat badan, meningkatkan kualitas tidur, dan melancarkan buang ai besar pada bayi, serta melatih kader dan  ibu bayi usia 3-6 bualn dalam menerapkan teknik komplementer pijat bayi secara mandiri. Metode pemecahan masalah yang dilakukan berupa penyuluhan tentang pentingnya pijat bayi, demonstrasi pijat dengan phantom bayi, serta langusng mempraktikkan langkah-langkah pijat bayi sesuai dengan langkah-langkah dan prosedural yang benar. Hasil kegiatan pengabdian masyarakat menunjukkan bahwa efektifitas pijat bayi terhadap peningkatan berat badan bayi baik pada kelompok perlakuan dan kelompok kontrol ada perbedaan yang bermakna dengan p value 0,000, terhadap peningkatan waktu tidur baik kelompok perlakuan dan juga kelompok kontrol ada pebedaan yang bermakna dengan p value kelompok perlakuan 0,000 dan kelompok kontrol 0,003, dan terhadap peningkatan frekuensi BAB kelompok perlakuan ada perbedaan yang bermakna dengan p value 0,025 dan pada  kelompok kontrol tidak ada pebedaan yang bermakna dengan p value 0,655. Diharapkan bidan sebagai pemberi pelayanan dapat mensosialisasikan dan atau pelatihan pijat bayi kepada para bidan desa maupun kader-kader yang ada disetiap posyandu di wilayah kerjanya, dan para ibu-ibu menyusui dapat melakukannya sendiri dirumah.