Dear Editor,Regarding the recent article on the experiences of patients in rural areas of Australia, 1 it is a really timely subject for Indonesia now. Everyone, whether from the upper or lower middle class, regardless of religion, race, ethnicity, gender, young or old, everyone definitely wants a healthy body, both physically and mentally. Health is a healthy state physically, mentally, spiritually, and socially, which enables everyone to live a socially and economically productive life. 2 To meet the condition of a healthy body, several ways that can be done are by providing health workers who are qualified and able to properly handle initial problems in health, access to health services, availability of health insurance, and so on.With the ups and downs of health cases in Indonesia, the process of realizing health has its own obstacles and challenges for the Government of the Republic of Indonesia. What's more, Indonesia has just gone through the coronavirus disease 2019 (COVID-19) pandemic, which has caused changes in people's behavior, 3,4 especially in terms of health checks. Many people postpone having an examination, or even decide not to come to the health service at all, for fear of being exposed to COVID-19.The case had not yet been completed, another health issue related to nutrition emerged, namely stunting, which was found not only to be a problem in Indonesia, but also globally. 5 It later becomes one of the health issues that is still being carried out by the Government of Indonesia at this time. 6 But apart from these two issues, another issue that is no less important is the uneven availability of health workers and inadequate access to health, especially in remote areas in Indonesia.One concrete example can be proven by the number of health workers who are not evenly available in Sintang District. In the Serawai sub-district, although health workers were assigned to areas where they were needed, these officers were not found to be working actively. Often, health workers who have been assigned to rural areas choose to return to their place of origin or not be there for several reasons, namely the distance that is too far from the Puskesmas (Public Health Center), access that is not easy (can only use water transportation), salary that is not commensurate, and so forth. This certainly needs to be of particular concern and further explored by local governments in Indonesia.Often, the authors listen to complaints not only from the community, but also from health workers on duty in one of the rural villages in Sintang. Some of the complaints expressed were the difficulty of carrying out health checks at a low cost and the distance to the examination site requiring water vehicles (because land routes are difficult to pass); the difficulty of making referrals because it is not easy to access travel to referral points; the lack of assistance from the village to accommodate community needs to referral service places; salaries that are not commensurate with the risk; delays in referrals; and so on.Hearin...

LITERATUR REVIEWTERAPI NONFARMAKOLOGIS UNTUK MENGURANGI MUAL MUNTAH PADA IBU HAMIL 1Ni Nyoman Yeyen Abriyani, 2Marsela Renasari Prestydan 3Ayu Kurniati Akademi Kebidanan Panca Bhakti Pontianak Email korespondensi: jejeabriyani05@gmail.com, ayukurniati67@gmail.com Abstrak Hampir 70% wanita di seluruh dunia memiliki pengalaman mual muntah selama kehamilan. Mual, muntah pada kehamilan menyebabkan penurunan kualitas hidup, dan memiliki efek buruk pada fungsi kehidupan sosial, pekerjaan, dan kehidupan rumah tangga. Mengobati mual muntah selama kehamilan terus menjadi tantangan bagi ibu hamil dan petugas kesehatan. Meskipun ringan dan dapat di tangani, mual dapat berkembang menjadi kondisi yang mengancam ibu dan bayi. Akan lebih baik jika ibu hamil mampu mengatasi masalah mual pada awal kehamilan dengan menggunakan terapi non farmakologis. Terapi non farmakologis bersifat noninstruktif, noninfasif, murah, sederhana, efektif dan tanpa efek samping yang merugikan. Tujuan dari penelitian ini adalah untuk mengetahui terapi non farmakologis yang dapat di berikan pada ibu hamil untuk mengurangi mual muntah pada ibu hamil. Metodepenelitian yang di gunakan dalam penelitian ini adalah literartur review. Pencarian studi yang relevan dengan topikdengan hasil akhir 10 artikel yang digunakan. Menurut hasil review literatur, sebagian besar terapi nonfarmakologis efektif dalam mengurangi mual muntah dalam kehamilan, di antaranya jahe, aroma terapi lemon, mint dan sirup delima dapat direkomendasikan untuk mengurangi mual muntah dalam kehamilan.Kata kunci:terapi nonfarmakologis, mual, muntah, ibu hami

One type of cancer with a high incidence is breast cancer and cause of death number 7 (5.7%) in Indonesia. Aim: To determine the factors affecting the occurrence of breast cancer among women. This study used literature studies from PubMed, Science Direct and ProQuest databases that are online accessed, then reviewed, analyzed and interpreted to form conclusions. The length of use of hormonal contraception, age, parity and history of cancer are not a single risk factor but there is a connection between one factor and another as a precipitating factor for the incidence of breast cancer. There is no risk factor that stands alone as a single cause. collaboration between policy makers, health workers and the community are needed to engage in further research on the other factors that can be additional risk factors and appropriate initial screening to make time and effectiveness efficient for people at high risk.

Indeks Pembangunan Pendidikan Untuk Semua atau The Education for All Development Index (EDI) Indonesia tahun 2014 berada pada peringkat 57 dari 115 negara. Peningkatan mutu pendidikan merupakan sasaran pembangunan di bidang pendidikan nasional dan merupakan bagian integral dari upaya peningkatan kualitas manusia Indonesia secara menyeluruh. Tujuan Penelitian: Mengetahui hubungan kesiapan praktik mengajar dengan nilai ujian praktik real teaching pada mahasiswa semester VIII program studi DIV bidan pendidik Universitas Respati Yogyakarta. Penelitian yang digunakan adalah analitik observasional dengan pendekatan metode Cross Sectional. Populasi penelitian ini adalah mahasiswa semester VIII Program Studi DIV Bidan Pendidik sebanyak 172 mahasiswa. Teknik sampling yang digunakan adalah purposive sampling dengan jumlah sampel sebesar 128 mahasiswa. analisis data bivariat  menggunakan uji chi-square. Hasil perhitungan menggunakan analisis Chi-square diperoleh nilai ρ–value lebih besar dari taraf signifikansi (0,958 > 0,05) dan nilai X2 hitung lebih kecil dari X2 tabel dengan derajat kebebasan (df) 2 (0,085 < 5,991). Dapat disimpulkan bahwa tidak terdapat hubungan antara kesiapan praktik mengajar dengan nilai ujian praktik real teaching pada mahasiswa semester VIII Program Studi DIV Bidan Pendidik Universitas Respati Yogyakarta. Kesimpulan  dari penelitian ini tidak terdapat hubungan antara kesiapan praktik mengajar dengan nilai ujian praktik real teaching pada mahasiswa semester VIII Program Studi DIV Bidan Pendidik Universitas Respati Yogyakarta

Salah satu faktor penyebab tertinggi kematian ibu adalah kurangnya informasi yang mempengaruhi perilaku dari ibu nifas dalam perawatan nifas. Tujuan dari penelitian ini adalah mengetahui hubungan pengetahuan dengan perilaku pencegahan infeksi masa nifas di RSUD Wonosari. Penelitian ini merupakan penelitian kuantitatif dengan rancangan penelitian cross sectional. Pengambilan sampel menggunakan accidental sampling dan sampel sebanyak 67 ibu nifas. Alat ukur yang digunakan adalah kuesioner dan analisa hasil menggunakan chi square. Uji statistik yang dilakukan memperoleh hasil p value 0,286. Hasil ini menunjukan bahwa pengetahuan dengan perilaku pencegahan infeksi secara statistik tidak memiliki hubungan.