Kematian maternal merupakan indikator yang menggambarkan status kesehatan wanita dan sebagian besar merupakan kematian yang dapat dicegah. Kematian maternal di Kabupaten Cirebon mengalami peningkatan dari tahun 2014?2015 yaitu dari 49 menjadi 53 kasus. Dibutuhkan data kematian yang lengkap untuk mengkaji penyebab kematian. Pengkajian yang tepat memberikan masukan perbaikan penanganan dan pembuatan kebijakan pada masa mendatang. Tujuan penelitian ini adalah untuk mengidentifikasi dan mengeksplorasi faktor penyebab kematian maternal. Desain penelitian menggunakan sequensial explanatory mixed method. Tahap pertama pengambilan data kuantitatif terhadap 53 data OVM, RMM, dan RMMP, serta rekapitulasi laporan kematian maternal tahun 2015, kemudian dilanjutkan pengambilan data kualitatif melalui indepth interview yang dilakukan pada keluarga (suami/ibu/orang tua/mertua/saudara kandung perempuan) dari ibu yang mengalami kematian, tenaga kesehatan yang terkait dengan kematian maternal, dan penanggungjawab pencatatan dan pelaporan kematian maternal di dinas kesehatan, fasilitas pelayanan kesehatan, dinas kependudukan dan catatan sipil/dinas pemakaman. Penelitian dilakukan di Kabupaten Cirebon pada Bulan Oktober-November 2016. Seluruh kematian maternal telah tercatat dan terlaporkan. Sebagian besarnya merupakan kematian maternal dapat dicegah yang disebabkan oleh multifaktor diantaranya faktor pasien, tenaga kesehatan, dan rujukan 37,5%; faktor pasien dan tenaga kesehatan 29,2%; faktor pasien, sarana prasarana, dan rujukan 14,5%; faktor tenaga kesehatan dan rujukan 8,3%; faktor sarana dan rujukan 6,3%; serta faktor pasien, tenaga kesehatan, sarana prasarana, dan rujukan 4,2%. Kematian maternal yang dapat dicegah disebabkan oleh kontribusi banyak faktor yang saling berkaitan sehingga untuk menurunkan kematian maternal dibutuhkan komitmen dan kerjasama lintas program dan lintas sektoral.

Hypertension is one of the most common causes of morbidity and mortality  all over the world, also known as “the silent killer” because people with hypertension are without symptoms. West Sumatera Province reported that the prevalence of hypertension at the age 18 years has increased from 25,8% in 2013 to 31,7% in 2018. Successful strategies to manage the blood preasure depends on patients self-care management or the ability and willingness of the patient to change and maintain certain behavior.The purpose of this research is to determine the effect of self-education management of hypertension patients in the working area of primary health care in Bukittinggi.Design of this research is a quasi experimental design with pretest-posttest with control group. The sample which used were 62 respondents consist of 31 people in the intervention group and 31 people in the group control. Sampling was done by consecutive sampling technique. Data was analyzed Wilcoxon signed rank test and Mann Whitney test. The result of this research shows that there isn’t any effect of self education management to healthy behavior which includes exercise and healthy diet of the intervention group and the control group at community health center in Bukittinggi (mean rank after the intervention < 10; p> 0,05). Based on the result of this research it can be concluded that the habits of respondents who carry out light and medium activities every day and also education provided by primary health care  have given big impact to respondent’s habits where they always do exercise and healthy diet in their daily life.The result of this research can be used as an input for primary health care to maintain and improve education of healthy behavior for hypertension patients.

The low scope of Exclusive breastfeeding can cause nutritional problems in infants. Efforts to overcome them, among others, by increasing milk production. Papaya as one fruit containing Laktagogum.Lactagogue is a drug that can increase or facilitate the expenditure of milk. The purpose of this study was to determine the effect of young papaya fruit consumption on milk production in breastfeeding mothers. The research method used is Experimental Design using One group pre-test post-test method. The population in the study were nursing mothers whose babies were still alive and aged 7-28 days with nonrandom technique (purposive sampling) obtained a sample of 14 people. Based on research result of the average of milk production volume before given treatment 16,79, deviation standard 7,277 and after consumption of papaya fruit treatment average is 26,07, deviation standard 7,385. It can be concluded the result of Paired TTest statistic test obtained p-value = 0,000 (0,000 <0,05) this shows the effect of giving young papaya fruit in the form of clear vegetable to increase milk production. With the results of the study is expected to consume young papaya fruit can be one food source that can increase milk production.

ABSTRAKDysmenorrhea merupakan masalah yang terkait dengan menstruasi yaitu nyeri singkat sebelum atau selama menstruasi. Abdominal stretching exercise merupakan latihan untuk meningkatkan kekuatan otot perut, meningkatkan oksigenasi, memperbaiki elastisitas atau fleksibelitas jaringan tubuh, mengurangi kram pada otot kemudian meningkatkan jumlah dan ukuran pembuluh darah yang menyalurkan darah ke seluruh tubuh termasuk organ reproduksi sehingga dapat menurunkan dysmenorrhea. Tujuan penelitian ini untuk mengetahui pengaruh abdominal stretching exercise terhadap penurunan dysmenorrhea pada remaja putri. Rancangan penelitian yang digunakan adalah pre-eksperimen one group pretest posttest design. Pengambilan sampel pada penelitian ini menggunakan teknik non random (purposive sampling) dengan responden sebanyak 14 orang. Instrumen yang digunakan adalah lembar observasi berupa Numeric Rating Scale (NRS) dengan Faces Pain Rating Scale. Data yang didapatkan kemudian di analisa menggunakan uji Paired T-test. Ada pengaruh Abdominal Stretching Exercise Terhadap Penurunan Dysmenorrhea pada Remaja Putri. Berdasarkan hasil penelitian diatas diharapkan bagi responden setelah mengetahui abdominal stretching exercise dapat menambah wawasan dan dapat dipraktekkan sewaktu mengalami dysmenorrhea. ABSTRACTDysmenorrhea is a problem associated with menstruation, the short pain before or during menstruation. One of non-pharmacological treatment for dysmenorrhea is Abdominal Stretching Exercise. Abdominal stretching exercise which is the exercise for increase the power of abdominal muscles, increase oksigenation, fix elasticity, or flexibility of body tissues, reduce muscle cramp, then increase amount and size vessels blood, with channeling blood to all body including reproductive organs so can to reduce dysmenorrhea. The aims of this research was to know the Effect of Abdominal Stretching Exercise on Decreasing the Level of Dysmenorrhea for adolescent girl. This quasi experimental research is implemented with One Group Pretest -Posttest Design in MAN 1 Bukittinggi the sample of this study were 14 adolescent who experienced dysminorrhea, the sample in this research and taken in purposive sampling. Data was collected with with Faces Pain Rating Scale. Data were analyzed with Paired T-Test Sample. There is a difference betweenpain intensity before and after abdominal stretching excercise. There was an effect of Abdominal Stretching Exercise on Decreasing the Level of Dysmenorrhea for adonescent. Based on the result of researce above is expected for respondent after knowing abdominal stretching exercise could add insight and could to apply when the feel dysmenorrhea