ABSTRACT-Through Desa Siaga (Alert Village) Program, Lumajang has been succeeded to decrease MMR. However, so far the researcher has not found any study which explored the implementation of Desa Siaga development in high-risk pregnancy care; therefore investigating the highrisk pregnant women's experience in preventing childbirth complication is important. This study aimed to document the perception and expectation among high-risk pregnant women on the "Alert Village" program. This was a qualitative study carried out in Lumajang district, East Java. The primary informants were high-risk pregnant women. The secondary informants included local communities, health workers, and maternal health programmers. The data was collected by in-depth interview, direct observation, and document review. The data analyzed with Colaizzi's technique. Most pregnant women perceived that the introduction of the "Alert Village" program had brought about improvement in the provision of women health care. The health personnel monitored high-risk pregnant women more intensely. The quality of the ante-natal care and delivery care was improved, and they were more accessible to pregnant women. The communities had more power and control over their resources. They collected fund from the community members to help support pregnant women to cover the costs associated with antenatal and delivery care. Transportation showed improvement, and it eased referral system. The "Alert Village" has improved the quality and quantity of antenatal and delivery care to high-risk pregnant women. It empowers the communities to have control over their health problems. Continuing actions need to be taken to maintain and improve these initiatives Keywords: desa siaga, alert village program, high-risk pregnant women, antenatal care, delivery care

Introduction: One of the causes of the high mortality rate of patients with severe preeclampsia-eclampsia in the postpartum period is the inaccurate assessment of the patient's need for help and independence in self-care. This study aimed to develop specific assessment instruments for postpartum patients based on Wiedenbach’s need for help and Orem’s self-care models. Methods: This study used a research and development (R&D) approach. The samples were 30 midwives and 100 documents of postpartum patients with preeclampsia from Airlangga University Hospital, Surabaya, and 30 midwives from Haji Hospital Surabaya. Data were collected through document tracking and interviews. Data were analyzed with R&D methods. Results: The results showed that the mean rank value of the new assessment instrument was higher (29.72) than the old assessment instrument (19.93). A significant difference was found between the new assessment instrument and the old assessment instrument (Wilcoxon test value -5.379 with p < 0.001). The new instrument had functionality, efficiency, and usability for assessment of the need for help and self-care of postpartum patients with severe preeclampsia and eclampsia. Conclusions: Postpartum patients with severe preeclampsia-eclampsia should be assessed by the specific assessment instruments based on Wiedenbach’s need for help and Orem’s self-care models.

This pandemic period has multiple impacts on all aspects of life. Both economic, social, religious, and psychological. The psychological side is the great fear in the community as the virus spreads very quickly from the sick to the healthy. Changes in interpersonal relationships and in the economy are often followed by changes in politics, including the life of the nation and the state. Various everyday problems also need to be observed and solved with new approaches. To examine the impact of counseling on the anxiety level of the surrounding community due to residents found to have positive COVID-19 infection. This study was a quasi-experimental study with a pre-post test control group design. The purpose of this study was to analyze the effectiveness of counseling in reducing anxiety levels in the surrounding community due to residents indicated as positive for Covid-19. Test results showed a significant difference in the treatment group before (pre-test) and after (post-test) counseling (p-value 0.000). The test results between the treatment group and the control group also showed a significant difference in the post-test (p-value 0.000). Anxiety or stress during this pandemic leads to an increase in concern for one's own health and that of the family. The situation is exacerbated by the fact that information arriving in bewildering abundance will increase public anxiety. There is a need for participation and collaboration between health care facilities and health care workers and health cadres to provide accurate information so that people are properly informed and can reduce their fears so that they are able to take appropriate action. There is a significant effect of counseling to reduce the anxiety level of the surrounding community due to residents who tested positive for Covid-19.

BACKGROUND:The "Alert Village" is a government program that aims to help empower village communities to achieve optimal health. With this program village communities are expected to have high concern, responsibility, and responsiveness to local health problems. Village communities are expected to be aware and well-informed about their own health. They are expected to be alert and ready to respond correctly to health risk and hazard. They must have the ability and willingness to identify causes of health problem and improve their own health. This study aimed to document the perception and expectation among high risk pregnant women on the "Alert Village" program as indicated in Lumajang district, East Java SUBJECT AND METHODS: This was a qualitative study carried out in Lumajang district, East Java. The primary informants were high risk pregnant women. The secondary informants included local communities, health personnels and maternal health programmers. The data were collected by in-depth interview, direct observation, and document review. RESULTS: Most pregnant women perceived that the introduction of the "Alert Village" program had brought about improvement in the provision of women health care. The health personels monitored high risk pregnant women more intensely. The quality of the ante-natal care and delivery care was improved and they were more accessible to pregnant women. The communities had more power and control over their own resources. They collected fund from the community members to help support pregnant women to cover the costs associated with ante-natal and delivery care. Transportation showed improvement and it eased referal system. Some expectations are expressed to be realized: (1) Increased frequency of antenatal visits to high risk pregnant women; (2) Provision of concomitant health education at the point of care; (3) Provision of an aid program that supplies nutritious food supplement to high risk pregnant women. CONCLUSION: The "Alert Village" has improved the quality and quantity of ante-natal and delivery care to high risk pregnant women. It empowers the communities to have control over their own health problems. Yet continuing actions need to be taken to maintain and improve these initiatives.