ABSTRAKBreast swelling occurs because breast milk is not sucked by the baby adequately, so the rest of the milk is collected in the duct system that resulted in swelling and Asi Dam. Static blood vessels and lymphs will result in increased intraductal pressure affecting the various segments of the breast, resulting in increased breast pressure. It can also occur due to a blockage in the milk ducts.This study aims to determine the description of the causes of breast engorgement in Polindes Tunas Bunda Meddelan Village District Lenteng Sumenep Year 2015 The method used is descriptive research method, that is to know the description of causes of breast engorgement in Meddelan village Lenteng District Sumenep Regency 2015. Population in this research is as many as 25 breastfeeding mothers and the sample is total sampling. And the method of collecting data by using questionnaire. The data were analyzed with the frequency distribution in percentage (%).The results of the study on June 12, 2015 showed that of 25 breastfeeding mothers nearly half of the respondents had a severe stress level of 8 (32%), almost half of respondents applied less than 12 (48%) breastfeeding techniques, almost all respondents did breast care the less as many as 19 (76%), almost half of respondents had mild breast swelling that is as much as 10 (40%).From the results of the study researchers suggest for the community, especially breastfeeding mothers in order to keep personal hygiene or breast care to prevent the occurrence of blockage and eventually experience breast engorgement.

Background: The main environment for children is the family. The child's personality can be supported through the main role of the family. the family also has a role in monitoring and providing supervision of children's growth and development, so that if this role is inadequate then the child's growth and development will not be monitored properly and disturbances that can occur cannot be identified and overcome early on. COVID-19, of course, requires the role of the family to fulfill health needs, fulfill adequate nutrition, and provide proper care. Methods: The assistance provided by the researcher is providing counseling and practice on evaluating the stimulation practices that have been carried out, providing feedbacks, and teaching stimulation practices for those aged above. Stimulation of Early Intervention Detection of Child Development is an activity to stimulate the basic abilities of children aged 0-6 years so that children grow and develop optimally, as well as to find deviations early to make intervention easier. Results: Through PKM activities, children's growth and development, the worst conditions of child growth deviations such as malnutrition can be prevented, because before a child falls into a condition of malnutrition, growth deviations that occur in children can be detected through PKM activities. Conclusion: Addition to preventing growth irregularities, this activity also prevents developmental deviations and mental-emotional deviations during the Covid-19 pandemic.

The incidence of HIV / AIDS is still high and is still described as an iceberg phenomenon. This condition forces PLWHA to always feel worried about their lives because they are threatened with death. The problems of PLWHA in Sumenep Regency are very complex, starting from the quality of life, stigma against PLWHA, transmission, treatment, to PLWHA, which until now have not been detected, coupled with the cultural atmosphere of the Madurese community, especially Sumenep Regency. This study aims to determine the factors that affect the quality of life of PLWHA undergoing ARV therapy. This type of research uses a survey design and is a quantitative study. The study population was all PLHIV patients who were actively using ARV therapy in Sumenep Regency, with a total sample of 56 respondents. Purposive sampling is used as a sampling technique. The independent variables in this study were socio-demographic factors (marital status, gender, age, education, occupation), medication adherence, duration of ARV therapy and stigma. The dependent variable is the quality of life. Chi-square test was used to test bivariate analysis and path analysis with the help of AMOS software was used to test multivariate analysis. The research location is in Sumenep Regency, namely in four Puskesmas which are used as ARV drinking facilities. In this study, it was found that the variable data that had the most influence on the quality of life was gender with a Nilai p of 0.055 which was smaller than α (0.1). The cross-tabulation analysis showed that female ODHA respondents had at least a good quality of life, namely only 14.3%. This is not surprising if this happens in Sumenep Regency, because from a cultural perspective, the Madurese are still very thick with their culture and local wisdom, where women are still in a subordinative position. Women with HIV / AIDS will be stigmatized and excluded from society.

Syndrome dyspepsia often occurred and still be health problems in the society. The prevalence of cases of occurrence of symptoms syndrome dyspepsia in Western countries is around 23%-41% and in Indonesia the case of syndrome dyspepsia that came for medical to health services about 30%-60%. The cause of the symptoms of the syndrome dyspepsia is afactor of stress. This research purposed to know the relation of stress level with incident syndrome dyspepsia. The research was carried out on children ages 10-14 years in the working area Bluto Puskesmas. This research use analytic correlative study design with crosssectional approach (α = 0,05). The respondents in this study amounted to 47 people who are taked by using simple random sampling. The instruments used are questionnaire DASS 42 to measure the stress levels and Form Check List to measure incidence syndrome dyspepsia. Data analysis using the Coefficient Contingency Test to find out the relation between the two variables. The results showed no relationship stress levels with occurrence syndrome dyspepsiain children age 10-14 years who are in the working area Bluto Puskesmas (p = 0.327.r = 0.213). Many levels of stress occurs is mild stress level while the symptoms of the syndrome dyspepsia are most dominant is heartburn when hungry. The factors that caused the syndrom dyspepsia in children not just because factor of stress, but several the other factors also affect happen syndrome dyspepsia like an increase in the secretion of gastric acid, Helicobacter pylori infection, Dismotitilitas gastrointestinal stimulation threshold of perception, autonomic Dysfunction, the activity of the gastric mioelektrik, the role of Diet, hormonal and environmental factors, psychological, and genetic factors. Need to be researched again the other factors that might relate to or be the cause of the syndrome dyspepsia in children ages 10-14 years in the working area Bluto Puskesmas.

Pregnant women who experience anemia and untreated until the end of pregnancy will have an effect at the time of delivery, so that it can cause post partum hemorrhage which results in death in the mother. This study aims to analyze the relationship between anemia and the incidence of post partum hemorrhage in Puskesmas Lenteng, Lenteng District, Sumenep Regency. The study design was analytic with a retrospective approach, the total population was 35 mothers, the total sample was 29 mothers, the sampling technique used random sampling. The independent variable is anemia, the dependent variable is the incidence of post partum hemorrhage. Collecting data using a checklist, data analysis using the chi square statistical test, the value of a = 0.05. The results showed that of the 29 women who gave birth, most of them experienced anemia (HB level <11 g%) during pregnancy, as many as 19 mothers gave birth (65.5%), and of the 29 mothers gave birth, most of them experienced post partum hemorrhage as much as 17 mothers gave birth (59%). The result of statistical tests using chi square with a value of a = 0.05, the resulting value (ρ) = 0.000, so that the value (ρ) <a (0.000 <0.05), which means that H0 is rejected and H1 is accepted, i.e. the relationship between anemia and the incidence of post partum hemorrhage at the Lenteng Public Health Center, Lenteng District, Sumenep Regency in 2020 In order to reduce the incidence of post partum hemorrhage, it is hoped that the mother in labor can prevent anemia during pregnancy, namely by consuming foods that contain lots of protein such as meat, liver, eggs, vegetables, folic acid (Vitamin C) and consumption of Fe tablets regularly and how to drink properly and according to conditions / needs.

Introduction: The problems in hypertension will cause emotional or mental disorders, one of which is anxiety. Feelings arise due to the fear and ignorance of an individual about hypertension experienced and the impact that will occur in the future. Psychoeducation is the provision of information about disease management and individual psychological aspects. This study aims to determine the effect of psychoeducation on the anxiety level of elderly patients with hypertension in Nambakor Village, Saronggi District.Methods: This research method is pre-experimental with the research design is one group pre test post test. The sampling technique used is Random Sampling and the number of samples is 30 respondents. Data collection using a questionnaire on the level of anxiety Depression Anxiety and Stress Scale.Result: The results showed that the mean of the anxiety score before the psychoeducation intervention was 24,43±7,60 and the mean of the anxiety score after the psychoeducation intervention was was 23,23 ± 7,83. The results of the paired t test of anxiety score was p = 0.002, means that there is significant difference in anxiety scores before and after psychoeducation.Conclusion: There is an influence of psychoeducation on the level of anxiety in the elderly with hypertension. The conclusion obtained is that psychoeducation can increase knowledge in patients with hypertension so that it is expected to be one form of intervention that can be applied.

ABSTRAKImunisasi merupakan suatu bentuk pencegahan penyakit yang dijadikan salah satu kegiatan prioritas Kementerian Kesehatan untuk menurunkan angka kematian pada anak. Akan tetapi di beberapa wilayah Indonesia masih diperoleh cakupan imunisasi dasar lengkap (IDL) yang rendah. Penelitian ini bertujuan untuk mengidentifikasi faktor ibu, faktor bayi, dan faktor lain yang berhubungan dengan pemberian imunisasi dasar lengkap di Kecamatan Manding.Desain penelitian yang digunakan adalah deskriptif korelasional dengan menggunakan pendekatan cross sectional. Sampel dalam penelitian ini adalah ibu yang saat ini memiliki bayi usia 1 – 3 tahun (n=116) di wilayah kerja Puskesmas Manding Kecamatan Manding Kabupaten Sumenep yang ditentukan dengan menggunakan metode purposive sampling. Variabel independen meliputi faktor ibu, faktor bayi, dan faktor eksternal lain, sedangkan variabel dependen meliputi pemberian IDL. Pengumpulan data menggunakan kuisioner dan kartu imunisasi. Analisis data menggunakan uji chi-square dengan derajat kemaknaan p≤0,05.Faktor ibu yang berhubungan signifikan dengan pemberian IDL adalah adalah pendidikan ibu (p=0,000), paparan edukasi tentang IDL (p=0,006), pengetahuan ibu (p=0,000), sikap ibu (p=0,000), jarak rumah ibu ke pelayanan imunisasi (p=0,006). Faktor bayi yaitu kondisi bayi saat pelaksanaan imunisasi berhubungan secara signifikan dengan pemberian IDL (p=0,000). Faktor eksternal lainnya tidak ada yang berhubungan dengan pemberian IDL.Dari hasil penelitian ini dapat disimpulkan bahwa faktor yang paling banyak berhubungan dengan pemberian IDL adalah faktor ibu dan kondisi bayi. Oleh karena itu, diperlukan upaya dan strategi yang lebih efektif dan efisien dari tenaga kesehatan untuk mempromosikan pentingnya IDL terutama kepada ibu. Kata Kunci : Imunisasi, Cakupan Imunisasi, Faktor Imunisasi, Kesehatan Anak ABSTRACTImmunization is a form of disease prevention which is one of the Ministry of Health's priority activities to reduce mortality in children. However, in some regions of Indonesia there is still a low coverage of complete basic immunization. This study aims to identify maternal factors, infant factors, and other factors associated with providing complete basic immunization in Manding District.The research design used was descriptive correlational using the cross  sectional approach. The sample in this study were mothers who currently have babies aged 1-3 years (n = 116) in the Manding District, which was determined using the purposive sampling method . Independent variables include maternal factors, infant factors, and other external factors, while the dependent variable includes giving complete basic immunization. Data collection uses questionnaires and immunization cards. Data analysis using chi-square test with significance level p≤0.05.Maternal factors that were significantly associated with complete basic immunization administration were maternal education (p = 0,000), educational exposure about IDL (p = 0,006), maternal knowledge (p = 0,000), maternal attitude (p = 0,000), distance of mother's home to immunization services (p = 0.006). Baby factors, namely the condition of the baby during the implementation of immunization associated significantly with the provision of complete basic immunization (p = 0,000). There are no other external factors related to giving complete basic immunization.From the results of this study it can be concluded that the factors most associated with complete basic immunization administration are maternal and infant conditions. Therefore, more effective and efficient efforts and strategies from health workers are needed to promote the importance of complete basic immunization especially to mothers. Keywords : Immunization, Immunization Coverage, Immunization Factors, Child Health

Giliiyang merupakan sebuah pulau yang termasuk dalam wilayah Kecamatan Dungkek Kabupaten Sumenep. Pulau Giliiyang memiliki dua desa yaitu desa Banra’as dan Bancamara. Menurut data dari Pemerintah Kabupaten Sumenep, jumlah lansia di Pulau Giliiyang yang berusia 60 tahun ke atas mencapai 1.285 orang dan 100 tahun ke atas mencapai 157 orang. Sesuai dari hasil pengkajian hampir 90% lebih lansia di pulau Giliiyang memiliki tingkat pendidikan rendah sehingga salah satu nya berdampak pada pengetahuan yang rendah pula tentang pemenuhan gizi seimbang. Salah satu kegiatan yang dapat dilakukan oleh kelompok untuk membantu masyarakat menghadapi salah satu hambatan tersebut adalah dengan mengadakan kegiatan penyuluhan sekaligus demonstrasi tentang pemenuhan gizi yang seimbang bagi lansia, sehingga diharapkan dengan adanya penyuluhan tersebut pengetahuan lansia meningkat dan bisa merubah pola hidup mereka menjadi lebih baik khususnya yang berkaitan dengan gizi seimbang. Masyarakat sangat antusias dengan kegiatan penyuluhan kepada masyarakat.