Nutritional Health Education during Pandemic

Covid-19 has been booming since December 2019, and is a serious concern in the world. The transmission of this virus is very fast, especially in patients who are hospitalized. So that as a precautionary measure of contracting this virus, actions can be taken in the form of enlightenment in terms of cognitive to the community, in this case in the form of Educational Interactive Communication in the form of Health Education. Health education for patients to meet adequate nutritional intake, so that it is hoped that the spread of this virus can be inhibited with high immunity obtained from varied, balanced nutrition, and all aspects of substances that the body needs can be fulfilled. The purpose of this community service is to provide health education to 15 patients. The method provided is in the form of service learning by providing health education to patients by visiting the patient one by one at each patient. The results of this community service were all participants who understand about nutritional intake, types of balanced nutrition, and things that increase immunity in preventing the transmission of covid-19

Low Salt Diet Counseling as an Effort to Increase Knowledge of Hypertension Patients

The prevalence of hypertension has increased throughout the year. Hypertension spreads widely because of the lack of knowledge and a healthy lifestyle. People's lifestyle which is more practical has an impact on the implementation of inappropriate hypertension diets and triggers various diseases. Based on this phenomenon, it is necessary to increase public knowledge about hypertension diets. The purpose of this activity was to provide counseling about a low-salt diet as an effort to increase knowledge of hypertension patients. The method was done by giving counseling about low salt diet through lectures to 30 hypertension patients who were routinely monitored at the Panti Rahayu Clinic. The pre test showed that almost all of the hypertension patients (80%) were in the poor category of knowledge. The post test showed that after being given counseling the knowledge of hypertension patients increased almost half (46%) were in the good category. Knowledge of hypertension patients increased after getting information through counseling activities about a low salt diet. Suggestions for clinics are expected to hold regular and periodic health education or promotion programs to provide information so as to increase the knowledge of hypertension patients.

Education on How to Express and Correct Breast Milk Storage Techniques for Working Mothers

Exclusive breastfeeding for infants up to the age of 6 months reaches 42% while the WHO target wes at least 50%. To increase the coverage of breastfeeding, new mothers who have passed leave and have to return to work can carry out the management of Dairy Mother's Milk (ASIP) (Riskesdas, 2013). According to Kristiyansari (2009) working mothers can still breastfeed, before going to work breastfeed their babies first, then at work mothers pump breast milk and store the milk then when they get home the milk is given to the baby or stored in the refrigerator. After giving the counseling, conducting questions and answers and discussions, many asked about how to pump breast milk and how to store breast milk, especially for working mothers. Furthermore, the evaluation wes given questions to the mother and can answer even though it is not perfect in providing answers, here it appears that there is an understanding that has been received by the mother after counseling. By being given this counseling, it is hoped that from now on, mothers will learn and not be ashamed to add information to health workers about how to express and the correct technique for storing breast milk for working mothers. So that by the time the mother is working, the mother is ready and able to pump breast milk and the mother can store breast milk properly

The Dangerous Consumption of Hazardous Snacks and Independent Smart AcupresureTraining as Intelligence Improvements Students in Mlajah Elementary Schools Bangkalan Madura

School children were vulnerable to had unhealthy snacked behavior due to their low knowledge and awareness in clean and healthy lived behavior. Even though there was a lot of data that shows unhealthy snacks for school children are sold not in the school canteen. To stimulate children's intelligence so that children could had good food and should achievements, smart acupressure was carried out, so that children were healthy in nutrition and brain. The purposed of this serviced was to seek to improved the health status of elementary school children through comprehensive promotive, preventive efforts and to increase student knowledge primary school. There was certainly very important to increased the awareness of school children about the importance of been aware of dangerous food snacked. This health education and smart acupressure trained was held in February 2020 at SDN Mlajah 01, and as a result the students (Afni, 2018)knew about the dangers of consumed food carelessly and the consequences if consumed such food, and smart acupressure trained could be carried out correctly by students of SDN Mlajah Bangkalan.

Non-Pharmacological Management of Pruritus in Chronic Kidney Disease Patients at Panti Waluya Sawahan Hospital

Patients of chronic kidney disease require long-term hemodialysis therapy. However, this therapy has various complications, one of which is pruritus. Pruritus can interfere with individual activities, cause sleep disturbances, lesions and hyperpigmentation on the skin, to impact the patient's quality of life. So that non-pharmacological management is needed to treat pruritus. The design was cross sectional. The population in this community service was chronic kidney failure patients undergoing hemodialysis therapy in the hemodialysis room. The sample was patients who experience pruritus and undergo hemodialysis therapy at least 1x / week as many as 45 people. The variables were health education related to non-pharmacological management and pruritus. The instruments used leaflets and counseling program units for health education, while for pruritus used the Numeric Rating Scale. The average patient experienced pruritus on a scale of 5, which was a moderate category where itching was felt by frequent scratching. After health education, patients understand how to deal with pruritus with non-pharmacological methods so that the patient's quality of life becomes better.

Empowerment of ODGJ (People with Mental Disorders) through Training of Batik Ikat Making in Posyandu Jiwa "Waluyo Jiwo" Bacem Village Ponggok Blitar

This community service activity was carried out to increase the productivity of ODGJ (People With Mental Disorders). ODGJ who have experienced improvements and do not have a job, they have not been trusted to work by the community. Besides, below average economic conditions require solutions to overcome them. The purpose of the implementation of this activity was to provide activities or activities that can help improve the economy of ODGJ through empowering ODGJ with training in Batik making. The method used in the form of training and mentoring for ODGJs to make Batik with several stages, namely the first provision of knowledge and skills to all ODGJ and Mental Health Cadres (as providers of psychological support). The second and third stages were the activities of making Batik Ikat. This activity was carried out for ODGJ who were members of the “Waluyo Jiwo” Jiwa Posyandu in Bacem Ponggok Village, Blitar. Implementation in February 2020 and followed by 14 ODGJ. The results of this activity indicate that ODGJ are able to follow and carry out activities that have been planned well. Batik activity is one form of occupational therapy for ODGJ that needs to be continued so that ODGJ's independence and entrepreneurial spirit can increase, ODGJ will be more productive.

The Application of Booklet for Providing Mental and Psychosocial Support (MHPSS) to Elderly during COVID-19 Pandemic

The condition of the COVID-19 Pandemic which is full of uncertainty makes the elderly easily plagued by feelings of excessive anxiety which has an impact on physical health conditions. The purpose of the community service was to provide mental and psychosocial support (MHPSS) during Covid-19 pandemic through booklets. The method used health education by distributing booklets. The activity was conducted in Blitar district area through the online network on February 2021 with 21 elderly people as the respondents. The results showed that the elderly were able to follow all the activities given and able to re-practice physical activities that could be done to deal with anxiety as a psychological impact of COVID-19 properly. Batik activity is one form of occupational therapy for People with mental disorders to continue to be carried out so that independence and entrepreneurial spirit can increase, so they will be more productive. The Mental and Psychosocial Support (MHPSS) for all elderly groups in the community needs to be continuously carried out by involving elderly cadres as an effort to control anxiety as a result of the COVID-19 Pandemic.

Improving Adolescent Reproductive Health Through Dysmenorrhea Gymnastics Education at The PSBR Dormitory, Blitar City

Dysmenorrhea is often occurred at the beginning of menstruation, especially in adolescents. If left untreated, pain experienced by adolescents with primary dysmenorrhea could lead to serious problems that ultimately require health services and could also reduce quality of reproductive health and general body health. The aim of gymnastics activity is to improve the reproductive health of adolescent women through the provision of dysmenorrhea gymnastics education. The activity was divided into 2 sessions, lecture and practice. The first session were explanations, questions and answers about the menstrual cycle, dysmenorrhoea and how to prevent or treat dysmenorrhoea pain using dysmenorrhea gymnastics. The second one was gymnastics practice in the same time between community service team and all of the participants, where the service team was divided as gymnastics instructor and the others as facilitator who correct participants' exercise movements that were not right. This activity was carried out on young women at the PSBR dormitory in Blitar City. Implementation was in the March 2021 and followed by 35 teenagers. The results of this activity indicated that all of the participants were able to follow and carry out activities that have been planned properly. Dysmenorrhea gymnastics were an easy, cheap and safe way to reduce and prevent dysmenorrhea pain so that it could be an independent dysmenorrhea therapeutics option for adolescents, especially teenagers in the PSBR dormitory in Blitar City.

The Mentoring of Health Cadres in Toddler Caring of Durian Posyandu at Karangduren Village, Pakisaji District

Fifteen health cadres at Karangduren village, Pakisaji, southern part of Malang East Java, face problems such as the lack of ability and confidence in providing health information to the mothers who visit the posyandu regarding to baby and toddler care. This community service was conducted to provide skill provisions for toddler health cadres in performing education for mothers of toddler as well as skill learning about baby care. Therefore, it was done by having mentoring and provisioning to the health cadres with 3 activities based on the problems which included the unavailability of health support facilities for cadres by having the mentoring activity for the health cadres, completing the lack of infrastructure and the unavailability of trained health cadres from the mothers of toddler. The results obtained from the mentoring showed significant improvement of knowledge from the entire participants of mentoring, which could be observed from the properly applied skills in baby/toddler care. It could also be observed from the facilities added such as the educational game tools (APE) which proved that cadres can select games that stimulate toddlers in improving their cognitive, affective and motor growth. Overall, it could be stated that the program achieved 90% of achievement which could be aimed by matters such as the target of the toddler health cadres and the training that were proceeded smoothly, the 90% attendance of cadres, and the significant improvement of knowledge and skills that were showed through the training and mentoring of toddler health cadres.

Empowering The Cadre of Pregnant Women Control Program to Prevent Anemia

Anemia in pregnant women was one of the national health problems and has the potential to be dangerous for the fetus and pregnant women. So, the role of cadres was needed as the front line for early detection or screening in the community. This community service method used the provision of material with lectures and discussions, the gathered of cadres used a health protocol, where the provision of material lasts for 2 hours. As a result, it was known that there had been a change in knowledged and attituded of caregivers in the prevention and management of pregnant women related to anemia, and it was known that cadres who did not work would play an active roled in posyandu activities. Therefore, it was expected that Posyandu cadres will received seminars or trained in accordance with their respective fields. So that the implementation of health serviced in the community could be optimal.