In East Nusa Tenggara Province, Indonesia, 42.6% of children under five had stunted growth in 2018, which affects both individual and communal levels. The first step in creating effective interventions is identifying the risk factors for stunting. This study aims to pinpoint the stunting risk factors in East Nusa Tenggara Province, Indonesia, by incorporating secondary data from the 2018 Indonesia Basic Health Research (RISKESDAS). This study implemented a cross-sectional design by utilizing the data of individuals who were successfully visited during the survey. Initial data screening in East Nusa Tenggara Province based on the criteria for children aged 0–59 months and stunting showed as many as 1643. Multivariate logistic regression analysis was performed to evaluate the relationship between children’s characteristics and stunting. There was a significant relationship between age group variables for younger children (aged 12–23, 24–35, and 36–47 months), mothers with low education, and children living in rural areas with the incidence of stunting in children (p-value < 0.05). The dominant factors that caused stunting in this study were the children’s age of 24–35 months (OR = 2.08, 95% CI: 1.12–3.86), mothers with low education (OR = 1.57, 95% CI: 1.18–2.08), and children living in rural areas (OR = 1.39, 95% CI: 1.01–1.91). The highest prevalence of stunting was in the group of children aged 12–23 months (45.2%). To prevent child stunting, the government must intervene for mothers with low education and those living in rural areas. Intervention includes intensive socialization about improving nutritional status during pregnancy and practicing complementary feeding and breastfeeding habits until the child is 24 months old.

Maternal death is still a problem in Indonesia. The government has long been improving maternal and child health care programs, including by involving the community through Posyandu and Polindes. However, people do not use both facilities because access is difficult, services are incomplete, or indeed there are no Polindes/Poskesdes. This condition is exacerbated by the practice of clean and healthy living behavior of the community which is still low. On the other hand, since 2015 the government has allocated Village Funds to finance the development and empowerment of rural communities. This study aims to analyze the use of Village Funds for health development. This type of study is descriptive with a cross sectional design. This study was conducted in Pasuruan and Sampang Regencies. Data on the use of the Village Fund in 2017 in all villages in the two districts was processed to obtain the amount of budget used for health development, to find out the reason for the amount of Village use for health development, in-depth interviews were conducted in two selected villages. Result of Village Fund utilization for community development and empowerment in Posyandu activities 0.50%, Polindes/Poskesdes 0.63%, health promotion and healthy and healthy living movements 2.46%, and other activities 0.58%. Village Fund utilization for health development in Pasuruan and Sampang District is still low, an average of 4.17%. The need for socialization to health workers (especially those who work in the village) about the use of Village Funds for health development, the need for advocacy for local / village governments so that 10% of the Village Fund is allocated for health development. And it is necessary to have regulations and written instructions the Ministry of Villages, Development of Disadvantaged Regions and Transmigration regarding the importance of Village Funds allocated to health as an embodiment of improving community welfare. Abstrak Kematian Ibu masih menjadi masalah di Indonesia. Pemerintah telah lama meningkatkan program layanan kesehatan ibu dan anak, termasuk dengan melibatkan masyarakat melalui Posyandu dan Polindes. Namun masyarakat kurang memanfaatkan kedua fasilitas tersebut dikarenakan akses yang sulit, layanan tidak lengkap, atau memang tidak ada Polindes/Poskesdes. Kondisi ini diperparah dengan praktek perilaku hidup bersih dan sehat masyarakat yang masih rendah. Disisi lain, sejak 2015 pemerintah mengalokasikan Dana Desa untuk membiayai pembangunan dan pemberdayaan masyarakat desa. Kajian ini bertujuan untuk menganalisis pemanfaatan Dana Desa untuk pembangunan kesehatan. Jenis kajian ini adalah deskriptif dengan desain cross sectional. Kajian ini dilakukan di Kabupaten Pasuruan dan Sampang. Data penggunaan Dana Desa tahun 2017 di seluruh desa di kedua kabupaten diolah untuk mendapatkan pagu anggaran yang digunakan untuk pembangunan kesehatan. Untuk mengetahui alasan besaran penggunaan Desa untuk pembangunan kesehatan dilakukan wawancara mendalam di dua desa terpilih. Hasil menunjukkan bahwa pemanfaatan Dana Desa untuk pembangunan dan pemberdayaan masyarakat dalam kegiatan Posyandu 0,50%, Polindes/Poskesdes 0,63%, promosi kesehatan dan gerakan hidup bersih dan sehat 2,46%, dan kegiatan lainnya 0,58%. Pemanfaatan Dana Desa untuk pembangunan kesehatan di Kabupaten Pasuruan dan Sampang masih rendah, rata-rata 4,17%. Perlunya dilakukan sosialisasi kepada tenaga kesehatan (terutama yang bertugas di desa) tentang pemanfaatan Dana Desa untuk pembangunan kesehatan, perlunya dilakukan advokasi kepada pemerintahan daerah/desa agar 10% Dana Desa dialokasikan untuk pembangunan kesehatan. Dan diperlukan peraturan serta petunjuk pelaksanaan secara tertulis Kementerian Desa, Pembangunan Daerah Tertinggal dan Transmigrasi tentang pentingnya Dana Desa dialokasikan untuk kesehatan sebagai perwujudan meningkatkan kesejahteraan masyarakat.

IUD family planning users continue to decline from the 2012 IDHS as much as 4.9%, in 2017 IDHS data of 3.9%. The Total Fertility Rate (TFR) in NTB Province was 2.8 children higher than the national target of 2.36 children. This study aims to analyze the application of virtual reality technology to increase midwives' knowledge in installing IUD. The design of this research design is a quasi-experiment with a pre-post non-equivalent control group design. This research design uses two groups: the case group (the group that is given treatment or intervention using virtual reality) and the control group (the group that is not given treatment or not using virtual reality). The number of samples in this study was 30 respondents for each group (treatment and control). The results of this study that the average knowledge after the intervention group training has a higher average than the average in the control group with a p-value (0.000) <α (0.05).

The decline in under-five mortality remains target of health development in Indonesia. One effort that can be done, among others, is to improve the skills of health workers in dealing with sick children through the Integrated management of Chilhood Illness (IMCI). This study aims to evaluate the implementation of IMCI in 10 selected districts/cities in Eastern Region of Indonesia with a sample of 20 puskesmas selected randomly. In total 40 under-five children were observed when receiving IMCI services at the puskesmas. In addition, an assessment of the completeness of filling out of 200 forms of IMCI under-five children who had come to the puskesmas a week before the survey was conducted. Information related to the availability of equipment to support IMCI services is collected through direct observation in 20 selected puskesmas assisted by a check list form. The results showed that 80% of puskesmas in the eastern region have implemented IMCI, but only 25% of puskesmas reaching all the under-five children. As many as 90% of puskesmas have been trained for IMCI, however only 15% have been monitored post training. Only 25% of puskesmas received supervision from the District Health Office in implementing IMCI. The observation results at the IMCI service for children under five showed that, the lowest score for compliance with IMCI was counseling (25.8%) and the highest was diarrhea assessment (73.8%). The results of observing the IMCI forms showed that the lowest score was feeding practice (30.4%) and repeat visits (30.8%). Meanwhile, oral rehydration facilities for diarrhea are reported to be inadequate, because they are only available at 50% of puskesmas. There needs to be monitoring and supervision of officer compliance and increasing the availability of supporting equipment and facilities/insfrastructure in the implementation of IMCI.  Abstrak Penurunan angka kematian balita masih menjadi target pembangunan kesehatan di Indonesia. Salah satu upaya yang dapat dilakukan antara lain meningkatkan keterampilan tenaga kesehatan dalam menangani balita sakit, melalui pendekatan Manajemen Terpadu Balita Sakit (MTBS). Penelitian ini bertujuan untuk mengevaluasi pelaksanaan MTBS di 10 Kabupaten/Kota terpilih di regional timur, dengan jumlah sampel 20 puskesmas yang dipilih secara acak. Secara total, 40 pasien balita diobservasi pada saat mendapatkan pelayanan MTBS di puskesmas. Selain itu, dilakukan asesmen kelengkapan pengisian dari 200 formulir MTBS balita yang pernah datang ke puskesmas dalam kurun waktu seminggu sebelum survei. Infomasi terkait dengan ketersediaan peralatan untuk mendukung pelayanan MTBS dikumpulkan melalui observasi secara langsung di 20 puskesmas terpilih dibantu dengan formulir check list. Hasil analisis menunjukkan bahwa 80% puskesmas di regional timur telah melaksanakan MTBS, namun hanya 25% puskesmas yang menjangkau seluruh balita. Sebesar 90% puskesmas telah terlatih MTBS, namun hanya 15% yang dilakukan monitoring pasca pelatihan. Hanya 25% puskesmas yang mendapatkan supervisi dari Dinas Kesehatan Kabupaten/Kota dalam pelaksanaan MTBS. Hasil observasi pada saat pelayanan MTBS pada balita menunjukkan, skor kepatuhan pelaksanaan MTBS yang terendah adalah konseling (25,8%) dan tertinggi adalah asesmen diare (73,8%). Hasil observasi pengisian formulir MTBS menunjukkan, skor terendah pada pengisian pemberian makan (30,4%) dan kunjungan ulang (30,8%). Sementara itu, fasilitas rehidrasi oral untuk diare dilaporkan belum memadai, karena hanya tersedia di 50% puskesmas. Perlu adanya monitoring dan supervisi terhadap kepatuhan petugas serta peningkatan ketersediaan peralatan dan sarana/prasarana pendukung dalam pelaksanaan MTBS.

ABSTRACT Reducing maternal and neonatal mortality still have many challenges. One of the Ministry of Health’s strategy is to collaborate with universities through the assitance of pregnant women by students. This study aims to determine the effect of students’mentoring on increasing knowledge of pregnant women on dangerous sign of pregnancy, postnatal and newborns. The study is an operational research with quasi-experimental design that was conducted in seven districts/cities in Indonesia. Two Puskesmas were chosen for each district and it categorized as intervention and control group with the number of samples was 280 pregnant women for each group. The results of pre-test showed no difference in the level of knowledge about the dangerous signs of pregnancy, postnatal and newborns between the intervention and control groups, but after mentoring there were significant differences (p-value <0.001). The logistic regression results show that mothers in the intervention group had a 33% higher chance of having good knowledge about the dangerous signs of pregnancy; 92% higher knowledge about dangerous signs of postnatal and 78% higher knowledge about dangerous signs of newborns compared to control group. Therefore, student mentoring can be used as an alternative method of delivering information to increase the knowledge of pregnant women. Keywords: Mentoring, pregnant women, students, danger sign of pregnancy, postnatal, newborn   ABSTRAK Upaya penurunan angka kematian ibu dan bayi baru lahir masih memiliki banyak tantangan. Salah satu strategi Kementerian Kesehatan adalah berkolaborasi dengan Perguruan Tinggi melalui kegiatan pendampingan ibu hamil oleh mahasiswa. Penelitian ini bertujuan untuk mengetahui pengaruh pendampingan terhadap peningkatan pengetahuan ibu hamil tentang bahaya kehamilan, nifas dan bayi baru lahir. Penelitian ini merupakan riset operasional berdesain quasi experiment yang dilaksanakan di tujuh Kabupaten/Kota di Indonesia. Tiap Kabupaten/Kota dipilih dua Puskesmas, satu Puskesmas sebagai lokasi intervensi dan satu Puskesmas lain sebagai kontrol. Besar sampel adalah 280 orang ibu hamil pada masing-masing kelompok intervensi dan kontrol. Hasil pretest menunjukkan tidak ada perbedaan tingkat pengetahuan tanda bahaya kehamilan, nifas dan bayi baru lahir diantara kelompok intervensi dan kontrol, namun setelah pendampingan terdapat perbedaan signifikan (p-value <0.001). Hasil regresi logistik menunjukkan bahwa ibu di kelompok intervensi memiliki peluang 33% lebih tinggi untuk memiliki pengetahuan baik tentang tanda bahaya kehamilan; 92% lebih tinggi pengetahuan tanda bahaya nifas dan 78% lebih tinggi pengetahuan tanda bahaya bayi baru lahir dibandingkan ibu kelompok kontrol. Oleh sebab itu, pendampingan mahasiswa dapat digunakan sebagai salah satu alternatif metode penyampaian informasi untuk menngkatkan pengetahuan ibu hamil.    Kata kunci: Pendampingan, ibu hamil, mahasiswa, tanda bahaya kehamilan, nifas dan bayi baru lahir