Background: The First Thousand Days of Life (Golden Period) is a very critical period from the moment of conception to infant aged 2-year-olds which, if not properly utilized, will have permanent damage such as impaired physical growth, intelligence, and non-communicable diseases. The soon-to-be married couple is one of the target groups to improve health quality in the First 1000 Days of Life (1000 FDL). Improvement of the quality of health can be achieved by providing health education using Kartu Cinta Anak (KCA). Objective: The purpose of this study is to determine the effectiveness of health education using KCA about 1000 FDL in improving the knowledge of soon-to-be married couple in KUA Jatinangor Sub District.Methods: This research used a quantitative method with pre-experimental design in the form of pretest-posttest, conducted in July 2017. The sample of the research are soon-to-be married couples registered in KUA Jatinangor sub district who have never been married and have not had children. The total number of samples are 34 pairs of respondents. Data analysis using Paired Sample t-test.Results: The results showed that the use of KCA was effective in improving soon to be married couple’s knowledge about 1000 FDL, with Paired Sample t-test value of <0,05 (P = 0,000), suggesting that there was significant difference in soon-to-be married couple’s knowledge before and after health education.Conslusion: The conclusion of this research is the use of KCA is effective in improving the knowledge of soon-to-be married couple about the First 1000 Days of Life.

AbstrakPenyakit rubela menyebar di seluruh dunia dan berbahaya bagi ibu hamil karena dapat menyebabkan abortus, kematian janin atau sindrom rubela kongenital (congenital rubella syndrome/CRS) hingga 90%. Penyebaran dan identifikasi genotipe rubela di Indonesia penting untuk memastikan adanya virus endemis atau importasi yang menyebar di masyarakat. Penelitian ini bertujuan untuk mengetahui penyebaran dan genotipe rubela di Jawa Barat dalam upaya pencegahan yang efektif. Penelitian ini dilakukan dengan memeriksa sampel urin penderita suspect campak menggunakan protokol WHO melalui tahapan isolasi pada sel vero, uji PCR, uji sekuensing, dan analisis hasil sekuensing. Sampel diambil dari program surveilans campak-rubela nasional pada tahun 2011 ̶ 2013. Sebanyak 251 sampel urin yang diperiksa, diperoleh hasil sebanyak 32 sampel (12,7%) positif. Sebanyak 28 kasus (87,5%) merupakan genotipe 1E sedangkan sisanya 4 kasus (12,5%) merupakan genotipe 2B. Penyebaran virus rubela terutama terjadi di Kabupaten Kuningan, Garut, Tasikmalaya, Kota Bandung, Kota Cimahi, dan Kota Tasikmalaya. Pencegahan penyebaran penyakit rubela dan surveilans CRS di wilayah endemis perlu menjadi prioritas untuk memutus rantai penularan.Kata kunci: Genotipe rubela 1E, genotipe rubela 2B, epidemiologi rubela Distribution and Genotypic Analysis of Rubella Virus in West Java on 2011-2013Abstract Rubella spreads around the world and dangerous especially for pregnant women because it can cause abortion, fetal death or congenital rubella syndrome (CRS) almost 90% cases. Spread and identification of rubella genotypes in Indonesia is important to ensure the indigenous or importation virus. The purpose of this study was to determine the rubella genotype distribution and spread in West Java in effective prevention efforts. This study was conducted by examining the urine samples of suspect measles patients using WHO protocol through the virus isolation in vero cells, PCR, DNA sequencing, and analysis of the sequencing results. Samples taken from the measles-rubella surveillance program nationwide in 2011 ̶ 2013. Of the 251 urine samples were examined, 32 samples (12.7%) were positive. A total of 28 cases (87.5%) were genotype 1E while the remaining 4 cases (12.5%) were genotype 2B. Rubella virus spread primarily occurs in District of Kuningan, Garut, Tasikmalaya, Bandung City, Cimahi City, and Tasikmalaya City. Prevention of the rubella diseases and CRS surveillance in endemic areas should be priority task to break the chain of transmission.

Background: Anemia is a condition in which the hemoglobin is below the normal value. According to Riskesdas, anemia in toddlers in 2018 was 38.5%. Many factors cause anemia in toddler, such as gender, birth weight, history of premature birth, history of exclusive breastfeeding, nutritional status and mother's education. Purpose: This study aims to determine the description of the risk factors for the incidence of anemia in toddler.Methods: This study uses secondary data in the form of a cohort with a total sampling of 53 toddler in Cirebon Regency. The analysis used in this research is univariate analysis. Results: In this study, it was shown that Toddler with anemia were seen from risk factors, namely female sex as much as 55.2%. Normal birth weight is 57.4%. Good nutritional status (BB/U) was 55.1% and Toddler short nutritional status (TB/U) were 66.6%. Those who do not have a history of exclusive breastfeeding are 60.8%, and have a history of being premature as much as 60% and with a mother's education not attending school as much as 100%Conclusion: Female gender, Toddler with short nutritional status and a history of premature birth and mothers with low education are more likely to experience anemia than other risk factors. Suggestion It is necessary to provide counseling to parents of toddlers regarding risk factors for the incidence of anemia in toddlers, especially in toddlers with female gender and toddlers experiencing stunting. Keywords: Anemia, Toddler, Risk Factor ABSTRAK Latar belakang: Anemia adalah suatu kondisi di mana hemoglobin berada dibawah nilai normal. Menurut Riskesdas anemia pada balita tahun 2018 yaitu sebesar 38,5%. Banyak faktor yang menyebabkan anemia pada balita, seperti jenis kelamin, berat badan lahir, riwayat prematur, riwayat ASI Eklusif, status gizi dan pendidikan ibu.Tujuan: Penelitian ini bertujuan untuk mengetahui gambaran faktor risiko kejadian anemia pada balita.Metode: Penelitian ini menggunakan data sekunder berupa kohort dengan total sampling sebanyak 53 balita di Kabupaten Cirebon. Analisis yang digunakan pada penelitian ini adalah analisis univariat.Hasil: Dalam penelitian ini menunjukan bahwa balita yang mengalami anemia dilihat dari faktor risiko yaitu jenis kelamin perempuan sebanyak 55,2%. Berat badan lahir normal yaitu 57,4%. Status gizi baik (BB/U) sebanyak 55,1% dan balita status gizi pendek (TB/U) yang mengalami anemia sebanyak 66,6%. Yang tidak memiliki riwayat ASI eklusif sebanyak 60,8%, dan memiliki riwayat prematur sebanyak 60% serta dengan pendidikan ibu tidak sekolah sebanyak 100%Kesimpulan: Jenis kelamin perempuan, balita dengan status gizi pendek dan memiliki riwayat prematur serta ibu yang berpendidikan rendah lebih banyak yang mengalami anemia dibandingkan faktor risiko lainnya.Saran perlu dilakukan penyuluhan pada orang tua balita mengenai faktor risiko kejadian anemia pada balita terutama pada balita dengan jenis kelamin perempuan dan balita yang mengalami stunting. Kata kunci : Anemia, Balita, Faktor Risiko

The maternal mortality (AKI) and the neonatal mortality (AKN) in Kabupaten Sumedang is caused by the maternal urgency and neonatal. The maternal urgency is a dangerous phenomena that can be a life-threatening caused by the problems of pregnancy, labor, and postpartum. It is the phenomena that threatens the life of newborn babies in the range of 0-28 days old. This study aimed to investigate the maternal and neonatal urgency in Puskesmas PONED Tanjungsari in 2015. Descriptive method with cross sectional approachment was used in this study. The data was retrospectively gained from the medical record of the patients that experienced maternal and neonatal urgency in Puskesmas PONED Tanjungsari Kabupaten Sumedang in 2015.  The cases of maternal urgency that frequently happened in Puskesmas Tanjungsari was premature rupture of membranes that reached 28 cases or 37,8%. Meanwhile, in 2015, there was no neonatal urgency happened and recorded in Puskesmas PONED Tanjungsari. The characteristics of maternal age that experienced the maternal urgency was about 20-35 years ord with 51 cases happened or 68,9%. The number of live birth in range of 2-3 reached 37 cases or 50%. The referal cases with a healthy condition reached 72 cases or 97,3% and for them who got complicated cases reached 2 cases or 2,7%.  The cases of maternal and neonatal urgency that happened in Puskesmas Tanjungsari mostly caused by the premature rupture of membranes with the characteristics of maternal age about 20-35 years old and the number of live birth in range of 2-3. Puskesmas Tanjungsari has followed the clinic procedure before referring the patients to the nearest PONEK hospital by doing stabilization to the patients. Moreover, the condition of the patients reffered to the nearest PONEK hospital were mostly in a good and health condition.

Sustainable midwifery services, focusing on the aspects of prevention, health promotion and empowerment based on partnerships with the community. The role and function of the midwives of which gives the orphanage on toddlers. The purpose of this research is to know the presepsi of satisfaction towards the care of mothers on toddlers given student level III as a partner of the family. Our satisfaction patients based on reliability, responsiveness, assurance, empathy and physical evidence. This research is quantitative research descriptive research method with the pontong approach of latitude, the population in this research is to foster family found a toddler in the village of Cikeruh and the villages of Cipacing, sampling in the This research uses the technique of total sampling samples used are 46 mother foster family. Data collection is done using primary data and distribute questionnaires.The Research results obtained from 46 mother of our satisfaction in giving care is 52.2% 47.8% feel satisfied and not satisfied against the care given to toddlers. Based on the characteristics of mothers with primary education being satisfied as much as 53.8%, 20-35-year-old mother was satisfied 83.3% and mothers who are not working as much satisfied 95.8%. Our satisfaction about the physical evidence 60.9% were satisfied and about the response of 58.7% were satisfied, regarding the reliability of 58.7% were satisfied, about empathy 52.2% were satisfied and about 52.2% satisfied guarantee. Conclusions on the research of family foster mother that our satisfaction satisfied against the orphanage toddler as much as 52.2%. That's already been given appropriate and expected by the mother.