ABSTRAKBreast swelling occurs because breast milk is not sucked by the baby adequately, so the rest of the milk is collected in the duct system that resulted in swelling and Asi Dam. Static blood vessels and lymphs will result in increased intraductal pressure affecting the various segments of the breast, resulting in increased breast pressure. It can also occur due to a blockage in the milk ducts.This study aims to determine the description of the causes of breast engorgement in Polindes Tunas Bunda Meddelan Village District Lenteng Sumenep Year 2015 The method used is descriptive research method, that is to know the description of causes of breast engorgement in Meddelan village Lenteng District Sumenep Regency 2015. Population in this research is as many as 25 breastfeeding mothers and the sample is total sampling. And the method of collecting data by using questionnaire. The data were analyzed with the frequency distribution in percentage (%).The results of the study on June 12, 2015 showed that of 25 breastfeeding mothers nearly half of the respondents had a severe stress level of 8 (32%), almost half of respondents applied less than 12 (48%) breastfeeding techniques, almost all respondents did breast care the less as many as 19 (76%), almost half of respondents had mild breast swelling that is as much as 10 (40%).From the results of the study researchers suggest for the community, especially breastfeeding mothers in order to keep personal hygiene or breast care to prevent the occurrence of blockage and eventually experience breast engorgement.

Background: The main environment for children is the family. The child's personality can be supported through the main role of the family. the family also has a role in monitoring and providing supervision of children's growth and development, so that if this role is inadequate then the child's growth and development will not be monitored properly and disturbances that can occur cannot be identified and overcome early on. COVID-19, of course, requires the role of the family to fulfill health needs, fulfill adequate nutrition, and provide proper care. Methods: The assistance provided by the researcher is providing counseling and practice on evaluating the stimulation practices that have been carried out, providing feedbacks, and teaching stimulation practices for those aged above. Stimulation of Early Intervention Detection of Child Development is an activity to stimulate the basic abilities of children aged 0-6 years so that children grow and develop optimally, as well as to find deviations early to make intervention easier. Results: Through PKM activities, children's growth and development, the worst conditions of child growth deviations such as malnutrition can be prevented, because before a child falls into a condition of malnutrition, growth deviations that occur in children can be detected through PKM activities. Conclusion: Addition to preventing growth irregularities, this activity also prevents developmental deviations and mental-emotional deviations during the Covid-19 pandemic.

The incidence of HIV / AIDS is still high and is still described as an iceberg phenomenon. This condition forces PLWHA to always feel worried about their lives because they are threatened with death. The problems of PLWHA in Sumenep Regency are very complex, starting from the quality of life, stigma against PLWHA, transmission, treatment, to PLWHA, which until now have not been detected, coupled with the cultural atmosphere of the Madurese community, especially Sumenep Regency. This study aims to determine the factors that affect the quality of life of PLWHA undergoing ARV therapy. This type of research uses a survey design and is a quantitative study. The study population was all PLHIV patients who were actively using ARV therapy in Sumenep Regency, with a total sample of 56 respondents. Purposive sampling is used as a sampling technique. The independent variables in this study were socio-demographic factors (marital status, gender, age, education, occupation), medication adherence, duration of ARV therapy and stigma. The dependent variable is the quality of life. Chi-square test was used to test bivariate analysis and path analysis with the help of AMOS software was used to test multivariate analysis. The research location is in Sumenep Regency, namely in four Puskesmas which are used as ARV drinking facilities. In this study, it was found that the variable data that had the most influence on the quality of life was gender with a Nilai p of 0.055 which was smaller than α (0.1). The cross-tabulation analysis showed that female ODHA respondents had at least a good quality of life, namely only 14.3%. This is not surprising if this happens in Sumenep Regency, because from a cultural perspective, the Madurese are still very thick with their culture and local wisdom, where women are still in a subordinative position. Women with HIV / AIDS will be stigmatized and excluded from society.

Syndrome dyspepsia often occurred and still be health problems in the society. The prevalence of cases of occurrence of symptoms syndrome dyspepsia in Western countries is around 23%-41% and in Indonesia the case of syndrome dyspepsia that came for medical to health services about 30%-60%. The cause of the symptoms of the syndrome dyspepsia is afactor of stress. This research purposed to know the relation of stress level with incident syndrome dyspepsia. The research was carried out on children ages 10-14 years in the working area Bluto Puskesmas. This research use analytic correlative study design with crosssectional approach (α = 0,05). The respondents in this study amounted to 47 people who are taked by using simple random sampling. The instruments used are questionnaire DASS 42 to measure the stress levels and Form Check List to measure incidence syndrome dyspepsia. Data analysis using the Coefficient Contingency Test to find out the relation between the two variables. The results showed no relationship stress levels with occurrence syndrome dyspepsiain children age 10-14 years who are in the working area Bluto Puskesmas (p = 0.327.r = 0.213). Many levels of stress occurs is mild stress level while the symptoms of the syndrome dyspepsia are most dominant is heartburn when hungry. The factors that caused the syndrom dyspepsia in children not just because factor of stress, but several the other factors also affect happen syndrome dyspepsia like an increase in the secretion of gastric acid, Helicobacter pylori infection, Dismotitilitas gastrointestinal stimulation threshold of perception, autonomic Dysfunction, the activity of the gastric mioelektrik, the role of Diet, hormonal and environmental factors, psychological, and genetic factors. Need to be researched again the other factors that might relate to or be the cause of the syndrome dyspepsia in children ages 10-14 years in the working area Bluto Puskesmas.

ABSTRAKImunisasi merupakan suatu bentuk pencegahan penyakit yang dijadikan salah satu kegiatan prioritas Kementerian Kesehatan untuk menurunkan angka kematian pada anak. Akan tetapi di beberapa wilayah Indonesia masih diperoleh cakupan imunisasi dasar lengkap (IDL) yang rendah. Penelitian ini bertujuan untuk mengidentifikasi faktor ibu, faktor bayi, dan faktor lain yang berhubungan dengan pemberian imunisasi dasar lengkap di Kecamatan Manding.Desain penelitian yang digunakan adalah deskriptif korelasional dengan menggunakan pendekatan cross sectional. Sampel dalam penelitian ini adalah ibu yang saat ini memiliki bayi usia 1 – 3 tahun (n=116) di wilayah kerja Puskesmas Manding Kecamatan Manding Kabupaten Sumenep yang ditentukan dengan menggunakan metode purposive sampling. Variabel independen meliputi faktor ibu, faktor bayi, dan faktor eksternal lain, sedangkan variabel dependen meliputi pemberian IDL. Pengumpulan data menggunakan kuisioner dan kartu imunisasi. Analisis data menggunakan uji chi-square dengan derajat kemaknaan p≤0,05.Faktor ibu yang berhubungan signifikan dengan pemberian IDL adalah adalah pendidikan ibu (p=0,000), paparan edukasi tentang IDL (p=0,006), pengetahuan ibu (p=0,000), sikap ibu (p=0,000), jarak rumah ibu ke pelayanan imunisasi (p=0,006). Faktor bayi yaitu kondisi bayi saat pelaksanaan imunisasi berhubungan secara signifikan dengan pemberian IDL (p=0,000). Faktor eksternal lainnya tidak ada yang berhubungan dengan pemberian IDL.Dari hasil penelitian ini dapat disimpulkan bahwa faktor yang paling banyak berhubungan dengan pemberian IDL adalah faktor ibu dan kondisi bayi. Oleh karena itu, diperlukan upaya dan strategi yang lebih efektif dan efisien dari tenaga kesehatan untuk mempromosikan pentingnya IDL terutama kepada ibu. Kata Kunci : Imunisasi, Cakupan Imunisasi, Faktor Imunisasi, Kesehatan Anak ABSTRACTImmunization is a form of disease prevention which is one of the Ministry of Health's priority activities to reduce mortality in children. However, in some regions of Indonesia there is still a low coverage of complete basic immunization. This study aims to identify maternal factors, infant factors, and other factors associated with providing complete basic immunization in Manding District.The research design used was descriptive correlational using the cross  sectional approach. The sample in this study were mothers who currently have babies aged 1-3 years (n = 116) in the Manding District, which was determined using the purposive sampling method . Independent variables include maternal factors, infant factors, and other external factors, while the dependent variable includes giving complete basic immunization. Data collection uses questionnaires and immunization cards. Data analysis using chi-square test with significance level p≤0.05.Maternal factors that were significantly associated with complete basic immunization administration were maternal education (p = 0,000), educational exposure about IDL (p = 0,006), maternal knowledge (p = 0,000), maternal attitude (p = 0,000), distance of mother's home to immunization services (p = 0.006). Baby factors, namely the condition of the baby during the implementation of immunization associated significantly with the provision of complete basic immunization (p = 0,000). There are no other external factors related to giving complete basic immunization.From the results of this study it can be concluded that the factors most associated with complete basic immunization administration are maternal and infant conditions. Therefore, more effective and efficient efforts and strategies from health workers are needed to promote the importance of complete basic immunization especially to mothers. Keywords : Immunization, Immunization Coverage, Immunization Factors, Child Health