Indonesian Health Profile Research Articles

Peningkatan Pengetahuan mengenai PHBS sebagai Program Promosi Kesehatan pada Tatanan Sekolah di SMPN 4 Sungguminasa Kabupaten Gowa

PHBS in schools is a set of efforts implemented by school members on the basis of awareness to prevent disease, create a clean and healthy environment, and improve health. The 2015 Indonesia Health Profile presents data that there are 68% of those who have a clean and healthy lifestyle in the school environment. Based on the results of observations at SMPN 4 Sungguminasa, problems related to the school were found with scattered trash, the condition of the toilets that were not clean, the sinks for washing hands were unhygienic and some were not proper, drainage conditions for handwashing did not flow so that water for washing hands accommodated, and many of the posters about health impact messages have been damaged. The purpose of community service is to increase the knowledge of SMPN 4 Sungguminasa students about PHBS. The method used in carrying out health promotion activities is conducting education by using the method of sticking posters in places that are easily seen and followed by conducting counseling and ending with a discussion/question and answer between the instructor and the audience (participants). The target participants for the service were representatives of grade 7 and 8 students, Osis administrators, and PMR administrators totaling 50 people. According to the results of the data from this activity the average result of the level of knowledge of students (i) in the very good category after being given education related to PHBS at SMPN 4 Sungguminasa was obtained 98.4% and the average result of the level of student knowledge (i) in the very good category after being given education related to drugs, it obtained 100%. In conclusion, community service activities through health promotion counseling methods and posters can very well increase the knowledge of SMPN 4 Sungguminasa students by 98.4%, so that all students, teachers and school educators are required to routinely implement PHBS at school.

Risk Factors of Body Mass Index and Hypertension on Preeclampsia during the Covid-19 Pandemic

Preeclampsia, known as the "new onset of persistent hypertension," can increase the morbidity and mortality of mothers and fetus. The Indonesian Health Profile shows that the maternal mortality rate (MMR) due to preeclampsia in Indonesia reaches 25%. The Corona Virus Disease 2019 impacted the access to, and quality health services, including for maternal and neonatal. This study aim to determine the risk factors for preeclampsia at Budhi Asih Hospital during the Covid-19 pandemic. This was a retrospective, observational case-controlled study, using medical records of woman on antenatal care from March 2020 – March 2022. Samples size was 128 participants (64 cases and 64 controls) using a simple random technique. Data analysis used the Chi-square test and logistic regression. The results showed that the variables associated with the incidence of preeclampsia were maternal age (p=0.049), parity status (p=0.041), chronic hypertension (p=0.000), and BMI (p=0.003). Variables that were not related to the incidence of preeclampsia were previous history of preeclampsia (p=0.094), pregnancy interval (p=0.367), and family history of preeclampsia (p=0.154). The most dominant variable was chronic hypertension (OR 36.162; 95% CI 4.453-293.655). This study concludes that chronic hypertension, obesity, age at risk (<20 years or >35 years), and nullipara or primipara are risk factors for preeclampsia at Budhi Asih Hospital during the Covid-19 pandemic.

The Socio-cultural Context of Barriers to Exclusive Breastfeeding Practices among Mothers in Karanganyar District Central Java Province

Background: Exclusive breastfeeding has an important role in preventing stunting among children due to chronic malnutrition. According to Indonesia Health Profile 2020, approximately 33.9% of children under six months were not exclusively breastfed. One of the challenges to achieving successful exclusive breastfeeding comes from socio-cultural aspects. Method: This mixed-methods study examined the socio-cultural context of barriers to exclusive breastfeeding among mothers. For a cross-sectional study in Karanganyar District, Central Java Province, a total of 706 participating mothers with children aged between 6–59 months were interviewed using a structured questionnaire in 2021. In addition, in-depth interviews with mothers were conducted to enrich the findings related to the obstacles in giving exclusive breastfeeding. Result: The binary logistic regression found that male children (AOR= 1.64, 95%CI (1.06, 2.56), children living in low-income households (AOR= 2.48, 1.25, 4.92), children with low-educated mothers (AOR= 8.84, 95%CI (3.83, 20.36), children with working mothers (AOR= 6.45, 95%CI (3.79, 10.98), children with pre lacteal feeding (AOR= 5.67, 95%CI (2.33, 13.75) were more likely to have nonexclusive breastfeeding. This study also revealed that 36,1% of mothers in Karanganyar District gave honey as pre-lacteal feeding to the newborn, which hindered exclusive breastfeeding practices. The qualitative approach also confirms this finding. Conclusion: Therefore, it is important to strengthen health promotion programs related to exclusive breastfeeding to mothers and the family through the life cycle approach based on the local context.

Analisis Penerapan Hygiene dan Sanitasi Makanan pada Penjamah Makanan Jajanan Salome di Sekitar Taman Nostalgia Kota Kupang

Unsafe food contains bacteria, viruses, parasites, harmful chemical substances causing more than 200 diseases. One of the causes of fundamental food sanitation problems is the characteristics of food handlers. Food handlers who do not have knowledge about good food processing methods have an impact on processed food. Indonesia's health profile in 2017 shows that the percentage of TPM eligible for health nationally in 2017 was 18.04%, an increase at the previous year of 13.66%. Eligible TPM continued to increase to 33.69% of the total 127,554, TPM in 2018. NTT Province has 237 (12.76%) TPM that meet health requirements out of a total of 1,857 TPM available. This study aims to determine the application of food hygiene and sanitation to salome snack food handlers around Nostalgia Park in Kupang City. This type of research is a descriptive quantitative conducted at Nostalgia Park in Kupang City starting in May 2023. The number of samples amounted to 17 respondents, with the sampling method being non-probability sampling with purposive sampling techniques. Data were analyzed univariately. The results showed that the application of food hygiene and sanitation with not good enough categories as many as 7 people (41.2%), 6 people (35.3%) had sufficient knowledge related to food hygiene and sanitation, 9 people (52.9%) had negative attitudes related to the implementation of food hygiene and sanitation, and as many as 11 people (64.7%) had poor facilities. It is recommended to the Health Office of Kupang City to carry out health promotion for salome snack food handlers around Taman Nostalgia to increase food handlers' awareness about food hygiene and sanitation.

Analisis Kesesuaian Persyaratan Puskesmas Kelurahan di Provinsi Dki Jakarta dengan Peraturan Menteri Kesehatan Nomor 43 Tahun 2019 tentang Puskesmas


 
 
 
 
 
 
 
 
 
 
 
 
 The purpose of this study is to analyze in depth the suitability in terms of quantity and quality of Village Puskesmas with 7 requirements in Permenkes Number 43 of 2019 concerning Puskesmas. This research was conducted with a qualitative-interpretative approach by utilizing secondary data, namely Facility Research. Health in 2019, Indonesia Health Profile in 2020 and DKI Jakarta Provincial Health Profile in 2020. The secondary data taken by the researcher was then analyzed, compared and concluded to see the suitability of the Village Health Center with Permenkes 43 of 2019 concerning Puskesmas. The results of the study showed that the suitability of Village Puskesmas in DKI Jakarta Province to the 7 Requirements of the Minister of Health 43 of 2019, only pharmaceutical requirements have reached 100% or all Puskesmas, while the requirements for location, buildings, infrastructure, equipment, personnel and clinical laboratories have not reached 100%. The conclusion is that the Village Puskesmas in DKI Jakarta province in quantity has been fulfilled but the quality of the Village Puskesmas according to the requirements of Permenkes 43 still has shortcomings. Recommendations for policy changes to the DKI Jakarta Provincial Government in the form of Revisions to Governor Regulation 386 of 2016 concerning the Structure and Organization of Puskesmas in DKI Jakarta Province which are considered irrelevant today. In the Revision of the Governor's Decree on Puskesmas must be synchronized with regulations at the national level, and added with the addition of clauses on health services in DKI Jakarta Province that better reach the community to the level of community harmony or neighborly harmony
 
 
 
 
 
 
 
 
 
 
 
 

HUBUNGAN PEKERJAAN, PARITAS PUS TENTANG KONTRASEPSI DENGAN PEMILIHAN KB SUNTIK

According to the 2021 Indonesia Health Profile, there are 6,868,882 new registered family planning participants and 24,258,531 active family planning participants in Indonesia alone, which has 38,343,931 couples of childbearing age. Injection contraception is the most widely used in Indonesia, followed by the pill (17.24%), IUD (7.35%), implants (7.40%), female operating method (MOW) (2.76%), condoms (1, 24%), and MOP (0.50%). (RI Ministry of Health, 2021). This study aims at Employment Relations, PUS Parity regarding Contraception with the Selection of INJECTION KB. This research is a descriptive quantitative analytic study through a cross-sectional approach with the chi-square test taken from secondary data of 50 populations and samples. The test results obtained a p value (0.009) which means there is a relationship between work knowledge, PUS parity regarding contraception and the choice of INJECTION KB

The Implementation of ZIP Regression and ZINB Regression to Overcome Overdispersion of Death Cases Due to Filariasis in Indonesia

Filariasis occurs as a result of parasitic infection by a mosquito vector. Filariasis affects the lymph and causes blood loss in the body. Filariasis is uncured. Therefore, prevention measures are needed to reduce the number of deaths. Filariasis generally does not cause death directly and rarely occurs. However, this results in an excess number of zeros in the data, which causes overdispersion. The data used were obtained from the book Indonesia Health Profile 2021, which covers the research area of Indonesia. The ZIP and ZINB regression methods were used to model the factors that affect mortality due to filariasis. Based on research conducted using ZINB regression, the results showed that the percentage of households with good sanitation has a significant effect on deaths caused by filariasis.

EDUCATION OF LACTATION PREPARATION IN PREGNANCY FOR THE SUCCESS OF EXCLUSIVE BREASTFEEDING, AT THE HEALTH SERVICE CENTER, JOHAR BARU, CENTRAL JAKARTA

Lactation / Breastfeeding is a natural process for a woman, but it is vital to prepare in order to achieve the success of exclusive breastfeeding. Indonesian Health Profile (2018) shows that exclusive breastfeeding coverage in Indonesia is 65.16%, falling short of the target of 80%. Only 42% of the 135 million babies born each year are nursed during the first hour of life, 38% exclusively breastfeed for the first six months, and 58% continue to breastfeed until the age of two. The dearth of information among mothers about exclusive breastfeeding and the absence of assistance from medical professionals in this area are two influential factors. Breast milk is a critical source of nutrition and energy for sick people, and it improves infant development, lowers morbidity and mortality, and lowers the risk of chronic diseases. Breastfeeding also improves the health and happiness of mothers, lowers the incidence of ovarian and breast cancer, and conserves resources for both families and the country (WHO, 2021). The method used in this activity is to educate pregnant women and their families on the value of getting ready for lactation during pregnancy. Following counseling, there was an increase in knowledge about pregnancy-related lactation preparation.

Hubungan Jenis Dan Lama Penggunaan Kontrasepsi Hormonal Terhadap Gangguan Menstruasi Pada Wanita Usia Subur Di Klinik Pratama Vina Kecamatan Medan Baru Kota Medan Tahun 2023

According to the World Health Organization (WHO) in 2017 contraceptive use has increased in many parts of the world, especially in Asia and Latin America and is lowest in Sub-Saharan Africa. Globally, users of modern contraception have increased significantly from 35% in 1970 to 63% in 2017. The 2019 Indonesia Health Profile data shows that most active family planning participants choose injections and pills as contraceptives and are even very dominant (more than 80 %) compared to other methods; inject (63.7%), Pill (17.0%), Implant (7.4%), IUD/IUD (7.4%), Condom (1.2%), MOW (Women's Operative Method) (2 .7%), MOP (Male Operative Method) (0.5%). (RI Ministry of Health, 2020). The side effect of hormonal contraception is disruption of menstruation. The main side effects of DMPA (Depot Medroxyprogesterone Acetate) contraception and implants are menstrual disorders in the form of amenorrhea, spotting, changes in cycles, frequency, length of menstruation and amount of blood loss. The side effects of a contraceptive method are a factor that needs to be considered in determining the decision to continue using the contraceptive method (Hartanto, 2013). The type of research used in this research is analytic with a cross sectional approach. Cross sectional is a research approach that emphasizes the time of measurement/observation of independent variable data and depends only once at a time. The research sampling technique is total sampling. This research will be conducted at the Pratama Vina Clinic, Medan Baru District, Medan City in 2023. The results of the chi-squere test d. There is a significant relationship between the type of hormonal contraception and menstrual disorders in women of childbearing age at the Pratama Vina Clinic, Medan Baru District, Medan City, in 2023 (p= 0.013) and there is a significant relationship between the length of use of hormonal contraception and menstrual disorders in women of childbearing age at the Pratama Vina Clinic, Medan Baru District, Medan City in 2023 (p=0.031).

HUBUNGAN TINGKAT PENGETAHUAN IBU DENGAN PEMBERIAN ASI EKSKLUSIF DI PUSKESMAS TANJUNG MORAWA

In order to reduce infant morbidity and mortality, according to the United Nations Childrens Fund (UNICEF) and the World Health Organization (WHO), it is recommended that infants be fed only breast milk for six months, known as exclusive breastfeeding. Exclusive breastfeeding in Indonesia has not been fully successful. Based on the 2016 Indonesian Health Profile, the percentage coverage of exclusive breastfeeding for infants aged 0-6 months was only 54.0%. In North Sumatra Province, exclusive breastfeeding is considered to be lacking. Factors that are thought to influence include maternal age, education level, knowledge level and occupation. So, an observational analytic study was conducted which aimed to see the relationship between the level of maternal knowledge and exclusive breastfeeding. The results showed that there was a significant relationship between maternal knowledge level and maternal education level with exclusive breastfeeding for infants.

Relationship Between Mother's Characteristics and Husband's Support with the Use of Post-Partum Family Planning in Mamuju District

The application of Postpartum Family Planning is very important because the return of fertility to the mother after giving birth is unpredictable and can occur before the arrival of the menstrual cycle even in breastfeeding women. However, the KBPP coverage figures in Indonesia are still not satisfactory. Based on data from the 2019 Indonesia Health Profile, the coverage of KBPP in Indonesia has only reached 35.1%, while the coverage of using KBPP in West Sulawesi Province only reached 20%. The decision to use postpartum family planning for postpartum mothers is influenced by several factors, including the characteristics of the mother (education level, economic status, distance from home to health facilities) and husband's support. The purpose of this study was to analyze the relationship between mother's characteristics and husband's support for the use of postpartum family planning in Mamuju Regency. The method used is a quantitative method with a cross sectional approach. Sampling used a purposive sampling technique according to the inclusion and exclusion criteria. The sample used was 400 postpartum mothers in Mamuju Regency. The dependent variable is the use of KBPP and the independent variable is the characteristics of the mother and husband's support. The type of data analysis used was the contingency coefficient C test. The results showed that there was a significant relationship between economic level, distance from home to health facilities and husband's support for the decision to use postpartum family planning (p <0.05). Conclusion: there is a statistically significant relationship between the characteristics of the mother which includes economic status, distance to health facilities and husband's support for the use of Postpartum Family Planning in Mamuju District

PEMODELAN MIXED GEOGRAPHICALLY WEIGHTED REGRESSION (MGWR) DENGAN JARAK EUCLIDEAN DAN JARAK MANHATTAN (STUDI KASUS : KEMATIAN BAYI NEONATAL DI JAWA TENGAH TAHUN 2018-2020)

Neonatal is a condition of babies from birth to 28 days. Data on Indonesia's health profile in 2020 showed that 72% of the number of deaths of toddlers occurred during the neonatal period and Central Java became the highest province of cases. Factors that are suspected to influence are the number of low birth weight babies (X1), the number of obstetric complications (X2), the number of Puskesmas (X3), the number of Posyandu (X4), the number of exclusive breastfeeding babies 0-6 months (X5), the number of pediatricians (X6), the number of ambulance cars (X7). Linear regression modeling on the number of neonatal infant deaths in Central Java has a heteroskedasticity problem so that Geographically Weighted Regression (GWR) is used. The distances used are Euclidean and Manhattan as well as the weighting function using Exponential and Tricube Kernel with Fixed Bandwidth. GWR modeling shows that not all independent variables are local, so Mixed Geographically Weighted Regression (MGWR) is used. The results of the GWR analysis with both distances and the two variable weighting functions are not local, including X2, X5, and X7. MGWR distance Manhattan Fixed Tricube Kernel became the better model, as the AICC value was smaller.

Factors Related to Hypertension in Pregnancy

Background: Hypertension in pregnancy is a measurement of systolic blood pressure ≥ 140 mmHg and diastolic ≥ 90 mmHg during pregnancy. According to the Indonesian Health Profile (2015), the five biggest causes of maternal death are bleeding (28%), hypertension in pregnancy (25%), infections (11%), prolong labor (5%), and abortion (5%).
 Objective: This study aims to determine the factors associated with the incidence of hypertension in pregnancy in Harapan Jayakarta Hospital.
 Methodology: This research is an analytical method with a cross sectional study. The sample in this study was 190 pregnant women. The sampling technique is simple random sampling. The instrument is medical record data. Data were analyzed using chi square statistical test.
 Results: The results showed that there was a significant relationship between age (p = 0.001), employment status (p = 0.003), parity (p = 0.009), pregnancy interval (p = 0.003), history of diabetes mellitus (p = 0.038), obesity (p = 0.017), history of hormonal contraception (p = 0.044) with incidence hypertension in pregnancy.
 Conclusions and Recommendations: There was a significant relationship between age, occupational status, gravida status, pregnancy interval, history of diabetes mellitus, obesity and history of hormonal contraception with the incidence of hypertension in pregnancy. It is expected that health workers provide health education to anticipate complications in pregnancy and women are expected to carry out the health education provided.
 Keywords: hypertension in pregnancy; age; occupational status; gravida; pregnancy interval; history of diabetes mellitus; obesity; history of hormonal contraception.

FAMILY SMOKING STATUS AND PHYSICAL HOUSE CONDITION WITH THE PULMONARY TUBERCULOSIS IN PRE-PROSPEROUS ECONOMIC COMMUNITY

Background: According to the 2019 Indonesian Health Profile, there were 663 tuberculosis cases per 100,000 people, with 1,001 cases in Nganjuk Regency during the pre-prosperous period. Poverty had an impact on densely populated housing as well as bad smoking habits. The purpose of this study is to determine the relationships between family smoking status and tuberculosis in the home in the pre-prosperous group. Methods: Case group quantitative research was random, including the incidence of TB from January 2019–December 2020 in the working area of Prambon Public Health Center, Nganjuk Regency; the control group took the closest contact neighbor of the case sample. The category of pre-prosperous was based on the 2011 Central Statistics Agency's Social Protection Program. The study was conducted from October 2020–April 2021. Data collection was done through interviews, observation, and measuring the physical house (rollmeter, luxmeter, and a thermohygrometer). Data analysis used chi-square and multivariate tests. Results: The bivariate analysis found the correlations on males (p: 0.02; OR: 3.17), productive age (p: 0.01; OR: 0.22), smoker (p: 0.22; OR: 2.42), humidity <40% and >60% (p: 0.04; OR: 3.14), lighting <60 lux (p: 0.00; OR: 4.84), ventilation <40% of floor area (p: 0.04; OR: 3.40), damp floor (p: 0.01; OR: 3.50) and damp wall (p: 0.04; OR: 2.81) with TB. Active smoking was the most influential variable (OR 44.00). Conclusion: It is hoped that local health agencies will be able to provide more education about smoking habits through the simple implementation of a healthy house area empowerment program.

Effect of banana blossom vegetables for speed up recovery of perineal wounds

<p><strong><em>Background</em></strong><em>: The process of delivery through the birth canal has a risk of experiencing perineal tears, perineal tears can occur spontaneously or tear through episiotomy. The presence of perineal wounds can be one of the predisposing factors for infection during the puerperium. Based on the Indonesian Health Profile in 2018, post-partum wounds are still a common cause of infection, reaching 80-90%. Complementary therapy is the right solution to overcome health problems. One type of biodiversity that can be used as herbal therapy to speed up recovery process of perineal wounds is banana blossom which contains iron which is needed for hydroxylation of proline, lysine, vitamins, flavonoids, and proteins. antioxidant effect which is indispensable in the wound healing process</em></p><p><strong><em>Objectives: </em></strong><em>This study aims to determine the effectiveness of consuming banana flower vegetables to accelerate perineal wound healing.</em></p><p><strong><em>Methods</em></strong><em>: This research is a quasi-experimental study with a Posttest Only Control Group design and then analyzed using a non-parametric test, namely the Mann Whitney test and a significance level of 0.05, to see the difference in perineal wound healing time between the control group and the experimental group</em></p><p><strong><em>Results:</em></strong><em> Based on the results of statistical tests using the Mann Whitney U-Test, a p value of 0.000 <0.05 (α) was obtained which indicated that H1 was accepted and H0 was rejected, meaning that there was a difference in the duration of perineal wound healing between respondents who consumed banana flower vegetables and respondents who did not consume banana heart</em></p><p><strong><em>Conclusions:</em></strong><em> Banana flower has a high antioxidant content which makes the process of joining the tissues on both sides of the wound due to tearing to take place more quickly. With the results of this study, it is hoped that all postpartum women who experience perineal tears can continue to consume banana flower vegetables until the perineal wound heals.</em></p>

Pemodelan Geographically Weighted Regression pada Kasus Stunting di Provinsi Nusa Tenggara Timur Tahun 2020

Stunting or short toddlers is one of the problems that Indonesia is currently facing. Based on data from the Indonesia Health Profile in 2020, the highest prevalence of stunting in Indonesia in 2020 was in the East Nusa Tenggara Province. The occurrence of stunting in each district/city has the possibility of having different characteristics from one region or another which is referred to as regional heterogeneity or spatial heterogeneity. This research was conducted to determine the factors that influence stunting cases in each district/city of East Nusa Tenggara Province. This research uses the Geographically Weighted Regression (GWR) method to model stunting cases in each district/city of East Nusa Tenggara Province. The factors that significantly affect stunting in districts/cities in East Nusa Tenggara Province spatially with α =10% percentage of infants receiving complete immunization, the percentage of poor people, the percentage of infants receiving exclusive breastfeeding, the percentage of women who have graduated from senior high school, and the percentage of women who have ever married underage. The modeling of stunting cases in East Nusa Tenggara Province using the GWR method obtained R2 of 99,25% larger than the OLS model of 52,1%, and the AIC of the GWR model of 59,8105 smaller than OLS model.

Factors Affecting Mothers in Feeding Complementary Feeding for Babies Aged 0-6 Months at Saribudolok Public Health Center

Coverage of exclusive breast milk (ASI) in the working area of the Saribudolok health center is still low, as a result of early complementary feeding (MP ASI) under the age of 6 months. Giving solid foods in this period before the baby's digestive system is ready to accept them, then these foods cannot be digested properly and can cause indigestion, gas, and constipation. Early complementary breastfeeding is closely related to the decisions made by a mother. Data on Indonesia's health profile in 2004 shows that exclusive breastfeeding in Indonesia is still low, namely 41.7%. This research is an analytic descriptive study with a cross-sectional design. The population in this study were mothers who had babies aged 0-6 months in the working area of the Saribudolok Health Center who were selected by simple random sampling by taking a sample of 30 respondents. The results showed a bivariate analysis of 30 respondents who had babies aged 0-6 months, which influenced mothers in providing complementary food for breastfeeding, namely education and family support, namely p-value 0.000x 0.5, while that did not affect age, occupation, socio-economic. So that everyone around the mother can provide support to the mother to improve the mother's perception regarding her milk production.

The Overview of knowledge about DHF prevention in communities coastal Kolono Konawe Selatan District


 
 
 
 Indonesia's health profile data shows that the incidence of dengue fever reaches 27.0 per 100,000 population and the province of Southeast Sulawesi has an incidence rate of 24.6 per 100,000 population, almost reaching the national average incidence rate. This study aims to obtain an overview of the knowledge of the coastal community of Kolono about knowledge about the prevention of dengue disease. This type of research is a descriptive survey with a research population of 6374 people. Sample in this study were 952 respondents spread over 12 sub-districts in Kolono District. Sampling technique is Proportional Random Sampling. The results showed that 764 respondents (80.3%) did not know the definition of dengue disease, there were 762 respondents or 80.04% who did not have good knowledge regarding the breeding grounds of the Aedes Aegypti mosquito and there were 694 respondents or 72.9% who did not know. ways to prevent dengue. It is hoped that health education will be carried out to increase public knowledge, especially ahead of the transition season to improve DHF prevention behavior in the Kolono sub-district community.
 
 
 

Effect of Health Education on Environmental Health on Changes in Health Behavior in Students at SDN 1 Sembulung, Cluring District, Banyuwangi

According to the 2020 Indonesian Health Profile, the coverage of SD/MI schools that provide health services in Indonesia in 2020 is 84.7%. There are 2 provinces with the highest coverage that have provided health services, namely DKI Jakarta and Central Kalimantan. The province with the lowest coverage of SD/MI schools providing health services is Papua (11.9%). Aim of this research is to know influence of health education about environmental health to healthy lifestyle student of SDN 1 Sembulung. This research used pre experiment design by using Equivalent Time Sample Design. Population of the research was 101 respondents who are class student 4,5,6 at SDN 1 Sembulung Banyuwangi and sample 50 respondents were sampled using Quota Sampling. Data collection used questionnaire after participating in health education or not and then the data was tasted using Chi Square test.Result of the research indicated that most students have less behavior 92% but not give health education 7 of 25or 28%.Who have good behavior and statistical result sig 5% with (df) I and show that 0.000 < 0.05 or 21.33 > 3.84 so Ho rejected Ha accepted.It means there is influence of health education about environmental health to healthy lifestyle student of SDN 1 Sembulung Cluring Banyuwangi. Therefore, health education on healthy lifestyle behavior can be enhanced to make good healthy lifestyle behaviors. In an effort to change the health behaviors of students author provides health education about environmental health, and creating a clean and healthy lifestyle. And supporting the clean Friday program implemented by the Regent Banyuwangi.

HUBUNGAN PARITAS DAN DUKUNGAN SUAMI DENGAN PENGGUNAAN ALAT KONTRASEPSI INTRA UTERINE DEVIDE (IUD) DI KLINIK PRATAMA HANNA KASIH TAHUN 2020

Based on data from Indonesia's Health Profile in 2016, Indonesia has a population of 258,704,986 people. Indonesia still ranks fourth with the largest population in the world after America, India and China. The total population of Indonesia in 2019 is estimated at 268,074,565 people, consisting of 117,674,363 urban residents and 150,400,202 rural residents. One of the programs to reduce population growth in realizing a family planning program (KB). The results of the prevalence of family planning in Indonesia based on the 2015 Fertile Age Couples Monitoring Survey reached 65.4% with the IUD method, which is still very low (4.7%). This study aims to determine the relationship between parity and husband's support with the use of IUDs at the Hanna Kasih Primary Clinic in 2020. The population in this study were acceptors who currently use IUD KB and have used IUD KB but now choose other types of family planning. The number of samples in this study were taken by total sampling, amounting to 30 people. The results obtained in this study from 30 respondents the majority were Scundipara, namely 11 (36.7%) respondents. Based on husband's support, the majority received positive husband support, namely 22 (73.3%). Based on the bivariate analysis, there is a significant relationship between parity and husband's support with the use of IUD contraceptives at the Pratama Hana Kasih clinic in 2020, with p value for parity <0.05 (p = 0.015) and for husband support with p value <0.05. (p = 0.000). It is hoped that the head of the Pratama Clinique Hanna Kasih will continue to provide support in the selection of the IUD contraceptive and the husband will continue to provide positive support for the wife to continue to use the IUD contraceptive device.