Not Mandatory

This study aims to enhance the Disaster Resilient Village (Destana) forum preparedness for disaster-related health crises. The key challenges identified are low community response to early warning systems and slow mobilization of health resources, both contributing to high victim numbers and exacerbating health crises. The study focuses on creating an accessible early warning system and accelerating health resource mobilization, prioritizing these elements based on an analysis of disaster preparedness parameters. Using Action Research with a Participatory Action Research (PAR) design, the research was conducted in Magetan Regency, East Java, involving 150 Destana forum administrators. The study explores the development of early warning procedures, health contingency plans, emergency response structures, and simulation plans. The findings reveal that the Destana forum successfully developed tailored health contingency plans for each village, including an inclusive early warning system Standard Operating Procedure (SOP) for vulnerable groups. Additionally, an integrated health command structure was formed, enhancing emergency response coordination. Emergency response simulations with 90 participants demonstrated improved readiness and community engagement in handling health crises. The study highlights the importance of a participatory, sustainable approach to building resilience, showing that active community involvement fosters collective responsibility for managing health crises during disasters.

Background: This study addresses the critical issue of malnutrition among under-five children in Moheshkhali, Coxs Bazar, Bangladesh. Despite the alarming rates of stunting, wasting, and underweight in this region, there is a significant lack of localized data on socioeconomic factors, IYCF practices, and overall health status. Understanding these variables is essential for developing effective interventions. Methods: The research involved a cross-sectional study design, where anthropometric measurements were conducted to assess the nutritional status of children aged 6 to 59 months. Maternal education, age, and Body Mass Index (BMI) were also evaluated to explore their impacts on child nutrition. Data were analyzed using standard statistical methods to draw correlations and identify trends. Results: The findings revealed a high prevalence of malnutrition among under-five children, with notable gender disparities in stunting and underweight. The analysis indicated a strong relationship between maternal health indicators—particularly BMI—and child nutritional outcomes. Moreover, inadequate adherence to IYCF practices was observed, with many mothers failing to implement optimal breastfeeding and complementary feeding strategies. Conclusion: The study underscores the urgent need for targeted interventions aimed at improving maternal education and IYCF practices in Moheshkhali. A multi-sectoral approach involving government and non-government organizations is essential to address the malnutrition crisis effectively. Investing in preventive measures and promoting healthy feeding practices are crucial for ensuring the well-being of both mothers and their children.

Postpartum hemorrhage is one of the most common causes of maternal mortality worldwide. One of the main causes of maternal mortality is bleeding, it is estimated that around 70% of maternal mortality are caused by postpartum hemorrhage. According to data from the Indonesian Ministry of Health in 2022 the number of maternal mortalities in East Java was 499 deaths, the causes of which were found in hypertensive disorders of pregnancy (24.45%) and bleeding (21.24%). The purpose of this systematic literature review is to summarize and examine the literature related to risk factors that affect postpartum hemorrhage. The framework used was PICOC with a population of laboring mothers who experienced postpartum hemorrhage. Systematic literature review using 1 data source, namely google scholar with 169 articles and filtering articles and critical appraisal so that 6 articles were reviewed. The 6 articles showed that age, parity, gestational distance, birth weight, prolonged parturition, perineal tear and type of delivery were associated with the incidence of postpartum hemorrhage. It is recommended to increase education about healthy reproductive age, regulate the number of parity and maintain pregnancy distance, early detection of anemia, administration of 90 FE tablets during pregnancy, early detection of risk factors for postpartum hemorrhage, and delivery planning and prevention of complications.

Background: Cases of hypertension in Indonesia show a significant increase. Hypertension continues to lead to complications when people with hypertension have not implemented self-management regularly. Management of hypertension which includes routine medication and healthy lifestyle changes requires good self-management. The purpose of this study was to determine the relationship between self-management and blood pressure of hypertensive patients in the Kediri I Health Center Working Area. Methods: This study uses a quantitative research design (non-experimental) using a cross-sectional approach. The sample amounted to 82 respondents obtained by purposive sampling technique, who met the inclusion criteria, namely hypertensive patients aged 15-59 years. Data collection instruments used the Hypertension Self-Management Behavior Questionnaire (HSMBQ) and blood pressure measurements using a sphygmomanometer. Results: Data analysis using the Spearman rank test showed the results of ? = 0.000 and the correlation coefficient r = -0.732 which means that there is a significant and strong relationship (0.60 - 0.79) between the two variables. The majority of respondents showed poor self-management behavior 56.1%. Conclusion: It is hoped that it can be used as information for the relevant health centers, that the importance of implementing self-management to prevent an increase in blood pressure in hypertensive patients.

Background: Non-communicable diseases (NCDs) are chronic diseases that cannot be transmitted from person to person. The aim of this study was to determine the effect of coffee consumption on blood sugar levels in diabetes mellitus sufferers in the West Denpasar Health Center II Working Area, Denpasar City. Methods: This research method uses pre-experimental design using a non-equivalent control-group before-after design. The research subjects were diabetes mellitus sufferers aged 45 years and over. The population in this study was 77 and the total sample for this study was 44 people using the non-probability sampling technique with the purposive sampling method. The data collection instrument uses a glucometer. Coffee is consumed twice/day as much as 200 ml in the morning and evening 5 minutes after eating for 6 days. Results: The research results showed that of the 44 respondents, in the treatment group it was found that the average blood sugar level before being given coffee was 183.50 mg/dL, and after being given coffee was 168.50 mg/dL. Meanwhile, in the control group, the average blood sugar level before and after the study was 198.50 mg/dL. The results of univariate analysis used the Wilcoxon test and obtained a p value of 0.000 (a < (0.05)). Conclusion: The conclusion of this research is that there is an effect of drinking coffee on blood sugar levels in diabetes mellitus sufferers in the West Denpasar Health Center II Working Area, Denpasar City. It is hoped that from the results of this research, drinking coffee can be used as an alternative drink to lower blood sugar levels.