Pre-eclampsia is one of the main causes of maternal mortality, premature birth and low birth weight in developing countries. In addition, this condition can lead to chronic diseases (including cardiovascular and renal diseases) in postpartum mothers. The purpose of this study was to review the effectiveness of psycho-educational counseling in pregnant women with preeclampsia. The methods of this study were using PRISMA guidelines, databases from Scopus, PubMed and ScienceDirect, were published 2016 until 2020, yielded 65 articles. The keywords were retrieved from Medical Subject Heading (Mesh). The results showed interventions were given during the treatment period ranges from cognitive-behavioral counseling group that received four 1.5-h counseling sessions and the solution-focused counseling that received three 1.5-h counseling sessions, which were held weekly. This systematic review concludes that improving prenatal empowerment and self-care enable mothers to experience fewer complications in this period of their life. Thus, psycho-educational provides an excellent opportunity for educating and counseling pregnant women to promote maternal and neonatal health and psychological well-being.

ABSTRAKTingginya kejadian COVID-19 pada kelompok lanjut usia merupakan suatu masalah kesehatan di seluruh Dunia. Kurangnya pengetahuan masyarakat tentang pencegahan penularan COVID-19 dan perilaku tidak mentaati protokol kesehatan sangat berisiko kepada status kesehatan masyarakat. Antisipasi untuk menurunkan angka kejadian COVID-19 dilaksanakan pemerintah dengan memberikan vaksinasi pada kelompok resiko tinggi.  Kondisi yang terjadi adanya banyak kelompok resiko yang kurang memiliki pengetahuan sehingga tidak bersedia untuk melaksanakan vaksinasi. Hal ini akan berdampak pada tingginya resiko penularan COVID-19. Sosialisasi yang telah dilaksanakan kurang maksimal mencapai target sasaran. Sehingga dibutuhkan metode yang tepat sehingga kader kesehatan dapat melaksanakan tugas dan peran dalam meningkatkan cakupan vaksinasi COVID-19. Tujuan dari penulisan ini adalah memberikan gambaran tentang pelaksanaan pengabdian pada kelompok Kader Kesehatan di Wilayah Kecamatan Mulyorejo untuk meningkatkan cakupan vaksianasi di masa pandemic COVID-19. Diharapkan masyarakat khususnya yang berisiko tinggi dalam penularan COVID-19 mempunyai pengetahuan tentang pentingnya vaksinasi. Sehingga timbul kesadaran diri untuk bersedia melakukan vaksinasi sebagai upaya pencegahan penularan COVID-19. Kesadaran diri akan meningkatkan cakupan vaksinasi pada kelompok resiko khususnya lanjut usia. Katakunci: pandemi; COVID-19; vaksinasi; peran kader; peer group education. ABSTRACTThe high incidence of COVID-19 in the elderly is a health problem worldwide. The lack of public knowledge about preventing the transmission of COVID-19 and the behavior of not complying with health protocols are very risky to public health status. Anticipation to reduce the incidence of COVID-19 is carried out by the government by providing vaccinations for high-risk groups. The condition that occurs is that there are many risk groups who lack knowledge so they are not willing to carry out vaccinations. This will have an impact on the high risk of transmission of COVID-19. The socialization that has been carried out has not reached the maximum target. We need the right method which health cadres can carry out their duties and roles in increasing COVID-19 vaccination coverage. The purpose of this paper is to provide an overview of the implementation of service to the Health Cadre group in the Mulyorejo District Area to increase vaccination coverage during the COVID-19 pandemic. It is hoped that the public, especially those at high risk of transmitting COVID-19, have knowledge about the importance of vaccination. Therefore, self-awareness arises to be willing to vaccinate as an effort to prevent the transmission of COVID-19. Self-awareness will increase vaccination coverage in risk groups, especially the elderly. Keywords: pandemic; COVID-19; vaccination; role of cadre; peer group education.

BACKGROUND: Stunting is a chronic nutritional problem that occurs worldwide, including in Indonesia. The impact of the COVID-19 pandemic has increasingly caused stunting to increase in coastal areas in particular. AIM: This study aimed to obtain a stunting prevention model with a Health-Promoting Family model approach in coastal families. METHODS: This study was quantitative research. The population in this study was mothers of toddlers aged 6–48 months in the coastal areas of Pamekasan. The sample in this study was mothers of 135 toddlers in Tlanakan and Talang villages who were selected using a simple random sampling technique. The independent variables are the history of present illness, mother’s knowledge, care patterns, literacy, cultural aspects, and family support—while the dependent variable is family prevention behavior regarding the incidence of stunting. Data collection was carried out by interview method using a questionnaire. Statistical analysis was carried out using the Logistic Regression test (=0.05) RESULTS: The factors that affect stunting prevention are knowledge p = 0.008 (CI: 1.438–11.780), literacy p = 0.000 (CI: 2.136–17.003), cultural aspects p = 0.00 (CI: 0.039–0.366) and family support p = 0.000 (CI: 1.273–20.498). CONCLUSION: Knowledge, family support, literacy, and culture affect stunting prevention in families. It takes the collaboration of the community, the government participation in strengthening maternal and child health programs that support the achievement of stunting prevention in families. There are opportunities to research what appropriate forms of literacy in families support the success of stunting prevention in toddlers for further studies.

Background: Stunting in children has adverse consequences such as a decrease in cognition, language, and academic performance. Most of the children in Indonesia were diagnosed with stunting. The aim of this study was to measure factors affecting behavior in fulfilling nutritional needs among children under the age of 5 years with stunting. Design and method: This study used a cross-sectional design. Data were collected from mothers who had children under the age of 5 years (6–48 months) in Talang village, Pamekasan Regency, Madura using a self-report questionnaire. The total sample in this study was 120, selected using a random sampling technique. The independent variables were maternal characteristics, culture, family support, and mother’s knowledge, while the dependent variable was the behavior in fulfilling nutritional needs among children. We used a self-report questionnaire to measure variables. Logistic regression was used to analyze factors affecting the behavior of fulfilling nutrition interventions. We used a statistical significance p < 0.05. Results: Culture, family support, and knowledge were factors that affecting behavior of fulfilling nutritional needs among children under the age of 5 years with stunting, 0.279 (OR = 0.279, 95% CI: 0.084-0.920, p = 0.036); (OR = 2.435, 95% CI: 1.270-4.667, p = 0.007; OR = 4.860, 95% CI: 1.548-15.261, p = 0.724), respectively. Conclusion: Behavioral in Fulfilling nutritional needs determines the health status of children. Therefore, the awareness of parents, knowledge, and multisectoral is needed to prevent stunting among children.

Introduction: Patients undergoing hemodialysis experience an influence in terms of the biological, psychological, social and spiritual problems that they encounter. In particular, there are biological aspects that affect weight gain between dialysis sessions. In terms of the psychological aspect, there is an influence on emotional vulnerability, such as anxiety, fear and despair. They need family support, especially as part of a couple. This study aimed to determine the relationship between partner support and IDWG in hemodialysis patients.Methods: This study used a descriptive cross-sectional design. The population consisted of 60 hemodialyzed people. The sample was recruited using purposive sampling, resulting in 42 respondents who met the inclusion criteria. The study was conducted in a Private Hospital in Surabaya. The independent variable was partner support and the dependent variable was the IDWG in the hemodialysis patient. The data was collected through a questionnaire and it was analyzed using the Spearman test.Results: The results show that there was a relationship between partner support and IDWG hemodialysis patients with p = 0.025 (α ≤0.05).Conclusion: Good partner support reduces the low IDWG in hemodialysis patients. Therefore, determining the level of family support especially that given by a partner of a IDWG hemodialysis patients will positively support better IDWG hemodialysis patients, thus preventing them from the potential side effects of IDWG such as hypotension, muscle cramps, shortness of breath and cardiovascular problems.

Decreased elasticity of the aortic wall, thickening of heart valves, and decreased heart capacity are all part of the aging process. This is one of the causes of hypertension in the elderly. SEFT is one of Complementary therapy which is in the form of relaxation techniques in the form of mind-body therapy. This technique combines the energy system and spiritual healing by tapping certain points on the body that can help control blood pressure. Complementary therapy is a friendly choice of therapy for people who experience with degeneratif process. The study aims was to determine the effect of SEFT on the elderly who experience hypertension in the working area of the Buleleng III Primary Health Care. One group pre-test and post-test were used. 48 respondents were selected using purposive sampling and were willing to participate. The paired sample t-test was used to analyze respondents' blood pressure differences. SEFT therapy is proven to be able to reduce blood pressure in the elderly in Buleleng III Health Center (p-value <0.005). The decrease in blood pressure in the elderly after being given SEFT therapy is a finding that can be followed up as a complementary therapy solution in lowering blood pressure in the elderly.

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Pregnant women often experience anxiety because hormonal changes affect physical and psychological changes during pregnancy. During the COVID-19 pandemic, pregnant women are worried about regular checkups during pregnancy in the health services because they are afraid of being exposed to the virus, especially in cities or regions with social restrictions. This study aims to describe the anxiety levels in pregnant women during the COVID-19 pandemic in Surabaya.