Menstrual cycle disorders experienced by adolescents aged 15-24 years need to be vigilant because the disorder can indicate ovulation or infertility problems and anemia. The purpose of the study was to analyze the relationship of physical activity and anxiety levels with menstrual cycle disorders. This research is quantitative research with cross sectional study methods. The population in this study was 346 second semester students with a sample of 83 students. Sample determination using a simple random sampling method. Data collection using polls distributed through google form. Data analysis was conducted univariate and bivariate through pearson product moment correlation test. The results of this study showed that most of the respondents were 19 years old and from Java. Most respondents had menstrual disorders (85.5%), physical activity in the mild category (53.0%) and experienced mild levels of anxiety (60.2%). Correlation test results showed a weak positive relationship between physical activity variables and menstrual cycle disorders (p value=0.032 r=0.236), but anxiety levels were not associated with menstrual cycle disorders (p value=0.613 r=-0.056). The conclusion is that there is a weak positive relationship between mild physical activity and menstrual cycle disorders (p value = 0.032, r=0.236). It is recommended that students increase physical activity with routine. For example doing running, aerobic exercise, cycling and swimming.

<p>Coverage of exclusive breastfeeding in the District of Sewon still low, either because they are less optimal role of KP motivator. They lack of confi dence in dealing with problems in breastfeeding. The research objective was to analyze the effect of the use of a handbook by the motivator of the knowledge and skills motivator in dealing with problems in exclusive breastfeeding in the District of Sewon Bantul. This research is pre experiment with the design of nonequivalent one group pre test and post test design. The population was Motivator KP Capital in District Sewon many as 50 people. Collecting data through questionnaires and observations then performed univariate analysis (descriptive), bivariate (Paired T test). The results of research showed that the respondent’s average age was 46.74. Education respondents mostly high school was 25 people, most of the respondents did not work that 31 people (62%). Motivator knowledge prior to intervention use a pocket book value of the average was 64,5 while the value after the intervention mean value is 72.1. Motivator skills during pretest score was 57.6 at, while the second posttest mean value is 64.65. There was the effect of using a pocket book support group of mothers about breastfeeding, the problem of skills variable (p-value=0.0001) means the use of a paperback book motivators influencing skills in breastfeeding issues. Suggested for Health Department and Community Health Center in order to develop a motivator as refresher training for, to improve the knowledge and skills motivator in breastfeeding issues so as to increase the coverage of exclusive breastfeeding.</p>

The use of the Maternal and Child Health (MCH) handbook requires family support, but the utilization of the MCH Handbook by the family is still low. The objectives of this research are to know the extent MCH Handbook used by the family and the factors related to it. This is an explanatory research with a cross-sectional design. The study sample is the total population in Kemawi Village, which is 60 families who have pregnant woman or baby or toddler. The results of rank-spearman correlation showed that there is a strong and positive relation between knowledge with the use of MCH Handbook (rs = 0.571, p = 0.0001) and between attitude and the use of MCH Handbook (rs = 0.468, p = 0.0001). Multivariate analysis with binary logistic regression showed that the knowledge (OR =4.9) and attitude (OR=11.9) variables had a significant influence  together on the use of the MCH handbook with probability is 74.3% . It is suggested to village midwives to increase counseling to the community about MCH Handbook related to mother’s health in the postpartum period, especially regarding family attitudes towards the MCH Handbook.

Malaria has been a health problem in Indonesia, including in sub-district Kaligesing, district Purworejo of Central Java Province. Malaria has also been identified as an endemic especially in the villages of Jatirejo, Kaliharjo, and Somongari. The purpose of this study was to describe the epidemiology of malaria incidence based on distribution of cases, surrounding house related cases, and the Anopheles breeding place of malaria vectors. This descriptive based research with a case study approach investigated 61 malaria cases as respondents from 2016-2018 in Jatirejo, Kaliharjo and Somongari Villages sampled using total population method. The chosen variables were behaviour and environment of the respondents in relation to the presence of Anopheles vector breeding grounds. Data were analyzed descriptively and displayed in tables and maps. The results of the analysis showed that the average age of the malaria sufferer was 34 years old, male (60.7%), and most of them (45%) were coconut farmers. The most common symptoms of malaria experienced by respondents were fever, chills, headaches, and night sweats. In addition, 24.6% did not use insecticide-treated netting while sleeping. Spatially, the highest distribution of malaria cases was identified in Jatirejo Village, as its topography is plateau with a plantation area. Meanwhile, the existence of breeding places was found surrounding respondents’ houses. To prevent from having malaria, people have been advised to take precautions by wearing long clothes when going out at night, using repellents/anti-mosquito treatments, providing larvicides at breeding sites around their house.

Sistem Informasi Kesehatan Puskesmas (SIKP) is a variation of the puskesmas management information system used by puskesmas in Demak Regency. SIKP began to be used to assist community health centers in managing patient services since 2016. However, in reality, there are still some obstacles in terms of human, organizational and technical factors. The purpose of this study was to determine the relationship between human, organizational and technological factors (HOT-Fit) with the Net-Benefit of using SIKP at Dempet Health Center and Gajah 2 Health Center, Demak Regency. This research is a quantitative research using explanatory research method and cross sectional study design. The total population of SIKP users are 43 officer respondents, with details of 4 Registration officers, 9 BP-UMUM officers, 28 KIA officers, 4 Pharmacy officers. The results showed that most respondents were users of information systems aged 31-40 years (44%), and had a work period of more than 15 years (39.5%). The results of the correlation test showed that there was a weak positive relationship between human factors and the net-benefit of SIKP (p-value = 0.021, r = 0.351), but there is no relationship between the other 2 variables, between organizational factors and Net-benefit (p value = 0.392, r = 0.194) and between technology factors and Net-benefit (p value = 0.994, r = 0.001). It is recommended that monitoring and evaluation of routine use from both the Puskesmas and the Health Office are recommended so that it can add to the positive net-benefits of SIKP.