Depression is a common disorder in women of childbearing age. Many women experience depressive symptoms during the postpartum period, ranging from mild postpartum blues to significant mood disorders such as postpartum depression and postpartum psychosis. The ‘postpartum blues‘ are extremely common, affecting 30-75% of new mothers. This form of postpartum mood change is self-limited and requires no specific treatment other than education and support. The aim of this study is to determine analysis risk factors incidence of postpartum blues in Perumnas Public Health Center of Rejang Lebong District. This study used the observational approach with a cross-sectional design. Samples in this study were 73 people used screening instrument of Edinburg Postnatal Depression Scale (EPDS). This study was conducted in Tembilahan Hulu and Gajah Mada  Public Health Center in March-April 2021. Data obtained with instrument test and observation sheet. Data analysis used the Chi-Square test (X2. The results of the analysis showed that there was a correlation between postnatal health education provided by health workers (p=0.001, CI 3.225 – 50.404, OR 12.750) and family involvement in taking care of the baby (p=0.003, CI 2.020 – 32.594, OR 8.114) with the incidence of postpartum blues. Meanwhile, pregnancy plans (p=0.736) and delivery complications (p=0.969) based on statistical tests did not have a significant correlation. Social support, information and assistance from health workers are needed for mothers who experience the postpartum blues and screening for the postpartum blues is carried out before the mother is allowed to go home for postpartum care at home

Stunting adalah gangguan perkembangan pada anak-anak yang dapat menyebabkan tubuh mereka menjadi pendek perawakannya. Faktor penyebab stunting ini tidak berlangsung begitu saja saat itu juga, melainkan stunting ini merupakan kondisi dari masalah kurang gizi yang terjadi pada masa lampau. Tujuan penelitian ini untuk menganalisis faktor yang mempengaruhi kejadian stunting. Jenis  penelitian ini adalah analitik korelasional dengan desain Cross sectional. Sampel dalam penelitian ini adalah sebanyak 52 responden (balita 1-5 th) dengan teknik pengambilan sampel Purposive Sampling. Penelitian dilakukan di wilayah kelurahan tembilahan hilir pada bulan Desember 2020-Januari 2021. Analisis yang digunakan adalah uji Chi Square dan uji analisis regresi logistik berganda. Hasil penelitian menunjukkan ada pengaruh Pengetahuan (p value = 0,000), Pendapatan Keluarga (p value = 0,021), Riwayat Pemberian ASI Eksklusif (p value = 0,000), Pola Asuh (p value = 0,000), Berat Badan Lahir (p value = 0,000) dengan kejadian stunting dan tidak ada pengaruh  riwayat penyakit infeksi dengan kejadian stunting pada balita  (p value = 1,000). Disarankan agar masyarakat terutama ibu dan keluarga yang memiliki anak di bawah 5 tahun agar mematuhi dan melaksanakan program terkait dengan pemberian gizi seimbang pada balita dan menambah kreativitas untuk pemberian makanan pada anaknya.

Kesehatan ibu hamil masih menjadi masalah kesehatan nasional. Pelayanan Ante Natal Care (ANC) terpadu dengan 10 standar dapat meningkatkan kesehatan ibu dan janin. Namun, beberapa tahun terakhir komplikasi kehamilan dan persalinan semakin meningkat yang seharusnya dapat diidentifikasi secara dini dengan ANC yang tepat. Penelitian ini bertujuan untuk menggali pelaksanaan ANC 10 standar dan hambatan dalam pelaksanaannya. Penelitian ini menggunakan rancangan kualitatif dengan pendekatan fenomenologis. Penelitian dimulai dengan pengumpulan data kualitatif melalui focus group discussion (FGD) dan wawancara mendalam serta pengumpulan data kuantitatif melalui pengisian kuesioner pada bulan Oktober-November 2018 di wilayah kerja Puskesmas Tembilahan Hulu. Sampel penelitian ini adalah seluruh bidan puskesmas Tembilahan Hulu dan ibu hamil yang diambil secara acak sebanyak 138 orang. Temuan penelitian ini diketahui 35 dari 138 (25,4%) ibu hamil mendapat pelayanan ANC 10 standar secara lengkap. Timbang BB dan ukur TB (86,23%), ukur tekanan darah (100%), nilai status gizi (88,41%), ukur TFU (85,51%), nilai presentasi janin (81,88%), srining T (81,16%), tablet Fe (71,01%), pemeriksaan labor (81,88%), tatalaksana kasus (82,61%), dan temu wicara (69,57%). Hambatan bidan adalah sarana dan prasarana tidak memadai serta lemahnya ketermpilan bidan dalam melaksanakan standar. Perlunya monitoring dan evaluasi pemegang program KIA serta bimbingan dan pelatihan pelayanna ANC terpadu bagi seluruh bidan

Abstruct:Background: Mother and baby's death is still a global isue. The presence of village midwife has been proved effective in decreasing pains and deaths. However, in the past few years, the contribution of village midwife in preventing deaths is questioned. The low performance of village midwife is regarded as the reason why the isue exists. Objective: To find out the reasons why village midwife performance is not optimum. Design. The study used mixed methods with sequencial exploratory strategy. The study was started by collecting qualitative data, which was then followed by collecting quantitative data. The collecting of qualitative data was done by having focus group discussion (FGD) and thorough interviews, while the collecting of quantitative data was conducted by fulfilling questionaires. Setting: These activities had been carried out from August to November 2016 in 27 subdistricts in Indragiri Hilir Regency. Participants: The data collecting was done by involving 5 facilitators, 2 interviewers, and 27 data collecting officers. There were 77 midwives who had been involved in FGDs, meanwhile 31 midwives were involved in thorough interviews and 439 midwives took part in fulfilling questionaires. Results: The obstacles which make the village midwife performance not optimum include health policies and regulations, competency, tools and infrastructure, demography, geography, security and safety, midwife intrinsic and family. Conclusions: Problems faced by village midwives are too complicated to overcome by midwives alone. The government should re-examine the policies and the regulations of village midwife, the standard of tools and infrastructure, incentives, sanctions and rewards.

ABSTRAKKesehatan ibu hamil masih menjadi masalah kesehatan nasional. Pelayanan Ante Natal Care (ANC) terpadu dengan 10 standar dapat meningkatkan kesehatan ibu dan janin. Namun, beberapa tahun terakhir komplikasi kehamilan dan persalinan semakin meningkat yang seharusnya dapat diidentifikasi secara dini dengan ANC yang tepat. Penelitian ini bertujuan untuk menggali pelaksanaan ANC 10 standar dan hambatan dalam pelaksanaannya. Penelitian ini menggunakan rancangan kualitatif dengan pendekatan fenomenologis. Penelitian dimulai dengan pengumpulan data kualitatif melalui focus group discussion (FGD) dan wawancara mendalam serta pengumpulan data kuantitatif melalui pengisian kuesioner pada bulan Oktober-November 2018 di wilayah kerja Puskesmas Tembilahan Hulu. Sampel penelitian ini adalah seluruh bidan puskesmas Tembilahan Hulu dan ibu hamil yang diambil secara acak sebanyak 138 orang. Temuan penelitian ini diketahui 35 dari 138 (25,4%) ibu hamil mendapat pelayanan ANC 10 standar secara lengkap. Timbang BB dan ukur TB (86,23%), ukur tekanan darah (100%), nilai status gizi (88,41%), ukur TFU (85,51%), nilai presentasi janin (81,88%), srining T (81,16%), tablet Fe (71,01%), pemeriksaan labor (81,88%), tatalaksana kasus (82,61%), dan temu wicara (69,57%). Hambatan bidan adalah sarana dan prasarana tidak memadai serta lemahnya ketermpilan bidan dalam melaksanakan standar. Perlunya monitoring dan evaluasi pemegang program KIA serta bimbingan dan pelatihan pelayanna ANC terpadu bagi seluruh bidan. ABSTRACT (The health of pregnant women is still a national health problem. Ante Natal Care (ANC) services integrated with 10 standards can improve maternal and fetal health. However, in recent years complications of pregnancy and childbirth have increased which should be identified early with the right ANC. This study aims to explore the implementation of ANC 10 standards and obstacles in their implementation. This study uses a qualitative design with a phenomenological approach. The study began with qualitative data collection through focus group discussion (FGD) and indepth interviews and quantitative data collection through filling out questionnaires in October-November 2018 in the working area of the Upper Tembilahan Health Center. The sample of this study was all midwives at the Tembilahan Hulu health center and pregnant women were randomly taken as many as 138 people. The findings of this study note 35 out of 138 (25.4%) pregnant women received standard ANC 10 services in full. Weigh BB and measure TB (86.23%), measure blood pressure (100%), nutritional status (88.41%), measure TFU (85.51%), value of fetal presentation (81.88%), srining T (81.16%), Fe tablets (71.01%), labor checks (81.88%), case management (82.61%), and speech meetings (69.57%). The obstacle of midwives is inadequate facilities and infrastructure and the weak skills of midwives in implementing standards. The need for monitoring and evaluation of KIA program holders and guidance and training for integrated ANC servants for all midwives.