This cross-sectional study aimed to examine breastfeeding trends and factors in Indonesia using Demographic Health Survey (DHS) data from 2007 to 2017. The research data were obtained from three Indonesia Demographic Health Surveys. The data covered households and women aged 15‒49 years old, including 40,701 households and 32,895 women in 2007; 43,852 households and 45,607 women in 2012; and 47,963 households and 49,627 women in 2017. Descriptive statistics was deployed to analyze the sociodemographic factors of the respondents. A questionnaire was employed to obtain data on the mothers' age, residence, education, economic status, mother working, marital status, literacy, place of delivery, first Antenatal Care (ANC) place, child size at birth, and gender of the child. Multinomial logistic regression analysis was used to analyze factors related to breastfeeding and how big the impact is. The findings indicate that the trend of breastfeeding in Indonesia significantly decreased based on the characteristics of mothers and children. The rates of breastfeeding (exclusive breastfeeding infants aged 0‒5 months who received only breast milk) among mothers living in urban areas decreased significantly from 41.6% in 2012 to 38.4% in 2017. In 2017, children with normal birth weight (OR=0.87, 95% CI:0.53‒1.45), boys (OR=1.01, 95% CI:0.92‒1.10), and non-illiterate mothers (OR=0.50, 95% CI:0.46‒0.55) had higher odds of breastfeeding compared to children with small birth weight, girls, and illiterate mothers. Factors associated with breastfeeding also change every year. In 2012, breastfeeding was related to marital status and delivery, but in 2017 it was not associated with those factors. Factors related to breastfeeding in Indonesia are age, residence, education, weight index, size of child at birth, mother’s occupation, marital status, literacy, place of delivery, and first ANC place. These results are important for developing policies to improve maternal and child health in Indonesia by increasing education and mother training for early initiation of breastfeeding.

Health complaints in high school children are dizziness, stomachache and fever. Problems related to the psychology of students get treatment from teachers, while for physical health problems usually done by the school is sending students home or delivering them to the nearest health center. The integrated Health Promoting School Initiation aim to reactivate the role of UKS. This effort is integrated with the role of the Guidance Counseling (BK) unit. The purpose was to provide integrated Health Promoting School assistance in SMP PGRI 01 Kota Batu. The problem-solving method was activating and training for UKS cadres. Community Service activities carried out in SMP PGRI 01 Kota Batu, from preparation, licensing to evaluation, were conducted in the period of April-September 2019. The activities went well, all training participants consisting of students and teachers followed the activities from beginning to end, as shown from the significant differences from the pre-test and post-test results. Posttest value indicates 100% there is an increase in value. Follow-up of activities that have been carried out in the form of community service programs that will further strengthen the programs that have been initiated in the current program and develop to solve the following problems.

Tuberculosis (TB) is an infectious disease caused by the bacteria Mycobacterium tuberculosis; these bacteria can attack various organs especially the lungs. Lack of knowledge and awareness of the importance of taking medication which leads to poor patient adherence in treatment thus increases the risk of morbidity, mortality and drug resistance in TB patients. Providing counselling is an effort to increase patient's knowledge and understanding to increase their compliance with medication. This study aims to determine the effect of counselling in increasing medication adherence to TB patients with the DOTS strategy through a literature review. This study used a literature study research method by examining 11 journals related to counselling in increasing medication adherence to TB sufferers. The data was collected by searching data based on article data published on the Google Scholar, Proquest, Pubmed, and EBSCOhost websites. Then the data were analyzed using descriptive analysis. The data was then assessed using the Joanna Briggs Institute (JBI) and data extraction was carried out. In 11 journals related to counselling in improving medication adherence to TB patients, it was found that 11 journals proved that there was an effect of counselling in increasing medication adherence of TB patients with the DOTS strategy. Counselling added to the DOTS strategy is effective in increasing medication adherence to TB patients compared to the DOTS strategy without counselling. There are several methods of providing counseling such as individual counseling, counseling with a psychological approach, telephone counseling, leaflet-based counseling, and counseling-based motivational interviewing. The conclusion of this study is that counselling can improve medication adherence to TB patients with the DOTS strategy. By providing counselling, it can increase the patient's knowledge and understanding so that it can change the patient's behavior to a better and positive direction, which is shown by the patients' behavior who adherence to TB medication.

Introduction: Many students have been accustomed to smoking, including those majoring at health sciences. Theoretically, they are supposed to be the ones who are actively aware of some possible health damages caused by smoking habit. Thus, people around them play an essential role in taking control of someone’s pattern through social support, especially over those who are highly motivated to quit smoking. Objective: This study aimed to identify smoking behavior, social support, and cessation motivation in smoking among health sciences’ students. Methods: This research was categorized as observational-descriptive one, with the use of accidental sampling technique to recruit as many as 63 students of faculty of health sciences who were defined as active smokers. The data, furthermore, were collected by means of a questionnaire. At last, a statistical-descriptive analysis was used to evaluate the data. Result: The result was most of the involved respondents were shown to have a moderate trend of smoking (65%). On the other hand, the majority of the respondents had been supported through some types of social support with relatively high percentage, to name appraisal support (indicating 71%), tangible support (indicating 87%), self-esteem support (indicating 97%), and belonging support (indicating 92%). Moreover, most of the respondents were equipped by the high level of quittance motivation from smoking, signifying 71%.  Discussion: This research had indicated that the level of smoking habit perceived by the respondents was moderate. In short, appraisal support was defined as high, tangible support low, self-esteem support high, and belonging support high. In addition, some of the respondents had demonstrated a high level of quittance motivation from smoking

Kesehatan pada Kelompok Bimbingan Ibadah Haji dan Umroh juga menjadi perhatian bagi keperawatan komunitas. Kondisi Kesehatan akan sangat menunjang dalam memperlancar proses ibadah.  Tujuan dari kegiatan pengabdian masyarkat ini adalah untuk meningkatan kesehatan jemaah melalui peningkatan pengetahuan dan keterampilan kader posbindu agar dapat melakukan pengontrolan kesehtan berkala melalui kegiatan posbindu. Pelatihan masyarakat dikemas dalam bentuk pelatihan kader posbindu dengan menggunakan metode ceramah dan demonstrasi. Metode ini memiliki beberapa keunggulan diantaranya, dapat membuat pengajaran menjadi lebih jelas dan konkret, sehingga menghindari verbalisme (pemahaman secara kata-kata atau kalimat), peserta lebih mudah memahami apa yang dipelajari, proses pengajaran lebih menarik, dan peserta dirangsang untuk aktif mengamati, menyesuaikan antara teori dengan kenyataan dan mencoba melaukannya sendiri. Peserta yang telibat merupakan beberapa jama’ah dan pengurus sejumlah 12 orang yang terdiri dari 6 perempuan dan 6 laki-laki. Usia peserta antara 41-60 tahun, setelah diberikan ceramah dan demonstrasi tingkat pengetahuan peserta 100% dalam kategori baik. Hasil ini didapatkan melalui evaluasi tes yang dilaksanakan setelah rangkaian kegiatan pelatihan. Kegiatan pengabdian masyarakat efektif meningkatkan pengetahuan dan keterampilan peserta sebagai kader posbindu yaitu dengan memahami pengetahuan terkait penyakit umum, persiapan sebagai calon jemaah haji dan tindakan pemeriksaan dasar dalam kegiatan posbindu.