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61	Nursing and Midwifery	ABS-71
Effect of Alel-2 Milk Supplementation on Nutritional Status and Insulinlike Growth Factor (IGF-1) Expression in Stunting Children Revi Gama Hatta Novika1, Siti Nurhidayati1 , Rufidah Maulina1 , Atriany Nilam Sari1 , Luluk Fajria Maulida, Nurul Jannatul Wahidah1* Midwifery Study Program, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia Abstract Introduction: Stunting is a major nutritional problem in Indonesia. The main causes are infection and lack of long-term nutritional intake. Protein deficiency intake in a child will affect on plasma level of the Insulin Growth Factor (IGF-1) which plays an important role in child growth. This study aims to analyze the effect of Alel-2 Milk Supplementation on Nutritional Status and Insulin-like Growth factor (IGF-1) expression in Stunting Children Methods: This study was an experimental Randomized Controlled Trial using a Posttest only Control Group Design. There are thirty stunting children in age 2 - 5 years old in the Surakarta Health Center area were divided into two groups. Before the intervention, all respondents had anthropometric measurements. The intervention group was given Alel-2 Milk once a day. In comparison, the control group was given a placebo. Blood samples and the anthropometric result were evaluated before and after the intervention to see the significant effect. Results: The results showed significant levels of anthropometric results and IGF-1 post-test in the intervention compared to the control group (p <0.05 ). Conclusion: Alel-2 Milk Supplementation has proven to improve Insulin-like Growth factor (IGF-1) expression, but not the Nutritional Status in Stunting Children. Keywords: IGF-1, nutritional status, Alel-2, Stunting, Anthropometric Share Link | Plain Format | Corresponding Author (Nurul jannatul Wahidah)

62	Nursing and Midwifery	ABS-72
INCREASED IMMUNITY OF PUERPERAL MOTHERS THROUGH COMPOUNDS FLAVONOIDS EXTRACTED FROM LEMON (Citrus Limon) USING ULTRASOUND ASSISTED EXTRACTION CAMILLA SEPTIANI(1), MELYANA NURUL WIDYAWATI(2), KURNIANINGSIH(3), SUDIYONO(4), EDY SUSANTO(5) (1) Program Studi Pascasarjana Ilmu Terapan Kebidanan, Poltekkes Kemenkes Semarang, Jln Tirto Agung, Pedalangan, Kec.Banyumanik, Kota Semarang, Jawa Tengah 50268 (2,4,5) Program Studi Pascasarjana Ilmu Terapan Kebidanan, Poltekkes Kemenkes Semarang, Jln Tirto Agung, Pedalangan, Kec.Banyumanik, Kota Semarang, Jawa Tengah 50268 (3) Pascasarjana Ilmu Terapan Teknik, Politeknik Negeri Semarang, Jl. Prof. Sudarto, Tembalang, Kec. Tembalang, Kota Semarang, Jawa Tengah 50275 Abstract Lemon is known to contain flavonoids that can produce antioxidants. Antioxidants have benefits for maintaining the immune system. The immune system is the main protective system of the body, which is responsible for the response to foreign bodies. Immunity in puerperal mothers is considered important because it is related to the quality of life of the mother. The extraction technique of the existing lemon content is still traditional so that it can remove some important substances in the plant. The efforts given in increasing the immunity of puerperal mothers are the provision of lemon liquid extraction results using Ultrasound Assisted Extraction. Objective: To determine the effectiveness of the results of extracting lemon liquid using UAE against improving the immunity of puerperal mothers. Method: Type of true experiment research with randomized pretest and posttest with control group design. The independent variables are the dose of flavonoids 7grams/175ml from the extraction of UAE and the frequency of administration 1x a day within 14 days, the depedent variable is the increase in the immunity of puerperal mothers IgA levels and the confounding variable is foodrecall. The number of samples in this study was 32 puerperal mothers. Result: The application of lemon liquid extraction results using UAE at a dose of 7grams/175ml given for 14 days was proven to have an effect on increasing the immunity of puerperal mothers with a p value of <0.05. Conclusion: The application of lemon liquid extraction results using UAE has an effect on improving the immunity. Keywords: postpartum mother immunity, flavonoid compounds extracted from lemon extraction, ultrasound assisted extraction (UAE) technology. Share Link | Plain Format | Corresponding Author (Camilla Septiani)

63	Nursing and Midwifery	ABS-74
PSYCHOCURATIVE EFFECT ON CORTISOL, SEROTONIN AND PROLACTIN LEVEL OF POSTPARTUM MOTHER Soetrisno1, Revi Gama Hatta Novika2, Erindra Budi Cahyanto3, Hafi Nurinasari1, Haris Nur Ashfi Arifa1, Atriany Nilam Sari2 1Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta 2Midwifery Study Program, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia 3Vocational School, Universitas Sebelas Maret, Surakarta, Indonesia Abstract Introduction: The anxiety mothers experience during postpartum is well known and may have negative consequences for the emotional, psychological, and social development of newborns. Psychocurative is a psychological intervention that ensures a person against their mental state, including cognitive, social, physical, and spiritual. The Psychocurative influence of hormonal changes during postpartum remains unclear. This study aims to analyze the effect of Psychocurative on Cortisol, Serotonin and Prolactin. Methods: This study was an experimental Randomized Controlled Trial using a Pretest Posttest Control Group Design. There are Twenty postpartum women in Sibella Community Health Center Surakarta, Indonesia were divided into two groups. The intervention group was given Psychocurative once a day. Blood samples result were evaluated before and after the intervention to see the significant effect. Results: The results showed significant levels of Cortisol, Serotonin and prolactin in the intervention compared to the control group (p <0.05 ). Conclusion: Psychocurative has proven to improve Serotonin and Prolactin expression, and decreased the cortisol level. Keywords: Psychocurative, Cortisol, Alel-2, Serotonin, Prolactin, postpartum Share Link | Plain Format | Corresponding Author (Revi Gama Hatta Novika)

64	Public Health	ABS-4
Dimensions of Factors Influencing Unmet Needs in Family Planning Programs Mujahidatul M1*, Agus S2, Nur SD3, Soetrisno4, Najib5 and Aquartuti T6 1Midwifery, Vocational School, Universitas Sebelas Maret, Indonesia and Doctor of Medicine and Health, Medical Faculty, Universitas Diponegoro, Indonesia *mujahidatul_m[at]staff.uns.ac.id 2Doctor of Medicine and Health, Medical Faculty, Universitas Diponegoro, Indonesia 3Nursing, Medical Faculty, Universitas Diponegoro, Indonesia 4Population Research Center, Badan Riset dan Inovasi Nasional, Indonesia 5Midwifery, Universitas Aisyiyah Yogyakarta, Indonesia Abstract The achievement of the unmet need target in the Family Planning program is a manifestation of the success of the Family Planning program to increase strong human resources, national resilience, people^s welfare, and ensure the continuity of national development. This study aims to analyze the factors influencing the incidence of unmet needs in the Family Planning program based on three main dimensions of developing an understanding of public health. This study uses the scoping review method of articles with the theme ^family planning^. Article searches were conducted through Pubmed, Scopus, and Emerald, with inclusion criteria: free full-text or open access, systematic review and meta-analysis, published between 2017-2022, articles in English, and articles sourced from journals. The keywords used in the search are ^family planning^ AND ^unmet need^. Thirteen articles identified indicate factors that influence unmet needs in the Family Planning program, namely the number of children, experience using contraception, knowledge, communication with partners, employment status, age, location of residence, access to family planning services, counseling, information, and education. , history of sexually transmitted diseases, fear of side effects, abstinence from using contraception, education, access to information, previous pregnancy history, availability of human resources and policies in family planning services, and availability of infrastructure in family planning services. Keywords: Family planning, unmet needs, status dimension, structural dimension, process dimension Share Link | Plain Format | Corresponding Author (Mujahidatul Musfiroh)

65	Public Health	ABS-8
Implementation of the Community Development Model at the Jogo Tonggo Task Force in Controlling COVID-19 Sulaeman ES, Hastuti H, Putri AAAKEN Center for the Study of Health Promotion and Empowerment of Community Service Institutions, Sebelas Maret University Abstract The Government of the Republic of Indonesia has determined that COVID-19 is a non-natural disaster that requires integrated management through community development. The handling of COVID-19 in Central Java is carried out through the ^Jogo Tonggo Task Force^. This study aims to implement a community development model on the Jogo Tonggo Task Force in Controlling COVID-19. This research was conducted through a phenomenological study, in Karanganyar Regency, from July to November 2022. The sampling technique used purposive technique. There were 31 informants, from 5 sub-districts. Data collection techniques through document review and in-depth interviews. Data analysis consists of descriptive, reduction, essence and intentionality. The planning of the Controlling COVID-19 was carried out by the community. Implementation of tasks in accordance with their respective duties, helping each other, working together, coordinating, utilizing community leadership, increasing community capacity, procuring resources in mutual cooperation, socialization and setting an example. Implementation of organizational change, namely defining and recognizing the existence of problems, analysis, solving, and evaluating problems, developing and institutionalizing innovations, and policies. The implementation of emotional support is providing empathy and love, moral and material support and not isolating. Instrumental support is providing food assistance, masks, and making hand washing facilities, as well as giving signs of social distancing in worship place. Informational support, namely providing advice, suggestions, and information. Assessment support is to provide feedback, sanctions, and warnings. The community development model at the Jogo Tonggo Task Force includes: local development models, organizational change, emotional, instrumental, informational, and assessment support. Keywords: implementation- community development model- Jogo Tonggo Task Force- Controlling COVID-19 Share Link | Plain Format | Corresponding Author (Heni Hastuti)

66	Public Health	ABS-34
THE PREVALENCE OF HYPERTENSION, DIABETES MELLITUS AND TUBERCULOSIS COMORBIDITIES IN INDONESIA Bening Rahimi Titisari(a*), Clarissa Augustania(a), Astri Ferdiana(b), Ari Probandari(a), Vitri Widyaningsih(a) a)Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia *dr.beningbiru[at]gmail.com b)Faculty of Medicine, Universitas Mataram, Lombok, Indonesia Abstract Background: The comorbidities of hypertension, diabetes mellitus (DM) and tuberculosis (TB) are significant burden on the health system. This study aims to determine the prevalence of hypertension, DM and TB comorbidities in Indonesia. Methods: We included 30,088 adults (aged >18 years) from the 2014 Indonesian Family Life Survey (IFLS) 5. TB diagnosis was self-reported, while diagnosis of hypertension and DM were either self-reported or measured (blood pressure >=140/90 mmHg- A1c >=6.5 mg/dl). Descriptive analysis was conducted using STATA 16.0. Results: Most respondents were female (52.82%), aged between 24-44 years old (45.62%), from urban areas (51.99%), never smoke (61.64%) and had normal BMI (39.60%). TB-DM comorbidity was 0.1% (95%CI 0.06-0.15), DM-hypertension comorbidity 3.77% (95%CI 3.49-4.08), and TB-hypertension comorbidity 0.35% (95% CI 0.28-0.44). Conclusion: The prevalence of comorbidities of the three diseases is low, however screening of these conditions is essential to improve early diagnosis and treatment. Keywords: prevalence, hypertension, diabetes, tuberculosis, comorbidity Share Link | Plain Format | Corresponding Author (Bening Rahimi Titisari)

67	Public Health	ABS-48
The Effectiveness of Training on the Behavior of Parents and Teachers in the Maintenance of Dental-Oral Health of Students with Down syndrome In Karanganyar, Central Java Betty Saptiwi1*, Achmad Arman Subijanto2, Risya Cilmiaty3, Sumardiyono4 1Doctoral Program of Public Health, Sebelas Maret University, Surakarta [57126], Indonesia 2Department of Public Health, Faculty of Medicine, Universitas Sebelas Maret, Surakarta [57126 ], Indonesia 3Department of Dental and Oral Disease, Faculty of Medicine, Universitas Sebelas Maret, Surakarta [57126], Indonesia 4Department of Occupational Safety and Health, Vocational School, Universitas Sebelas Maret, Surakarta [57126], Indonesia Abstract Background: Cognitive level in the population with Down syndrome requires more effort to teach a habit. The role of parents and teachers is very important in the development of habits to maintain proper oral and dental health. Knowledge and beliefs of role models for children can directly affect oral health of children. By providing training to increase knowledge about how to brush teeth properly and correctly parents and teachers can prevent caries and maintain dental and oral health in children with Down syndrome. This study aimed to analyze the effectiveness of the training provided to parents and teachers in maintaining the oral health of students with Down syndrome. Method: The type of research is one group pre-test - post-test design. The research sample was 30 people, which included 15 teachers from Down syndrome students and 15 people from parents of Down syndrome students. The sampling technique is purposive, which is taken from class teachers and parents of Down syndrome students who live with their children daily. The research instrument used a behavioral questionnaire consisting of components of knowledge, attitudes, and actions. Data analysis using T test because the data is normally distributed with the SPSS application. Results: The mean score of the pretest oral health behavior in the elderly was 53.13 and the post test score was 58.80. The difference test in the mean scores of the pretest and posttest on parents showed very significant results (p<0.001). Meanwhile, the mean score of the pretest oral health behavior on the teachers was 62.53 and the post test score was 67.47. The difference test in the mean scores of the pretest and posttest on teachers showed very significant results (p<0.001). Conclusion: Dental and oral health training were significantly effective in improving the behavior of parents and teachers in maintaining the oral health of students with Down Syndrome in Karanganyar, Central Java. Keywords: Please Just Try to Submit This Sample Abstract Share Link | Plain Format | Corresponding Author (Betty Saptiwi)

68	Public Health	ABS-57
EMOTIONAL EATING AND OBESITY IN ADOLESCENTS: A SYSTEMATIC REVIEW Hajar Surya Wardani (a*), Sapja Anantanyu (b), Ratih Puspita Febrinasari (c) a) Postgraduate Program of Human Nutrition, Sebelas Maret University, Surakarata, Indonesia Jalan Ir Sutami,Jebres,Surakarta,Indonesia *hs.wardani16[at]gmail.com b) Department of Extension Development/Community Empowerman, Faculty of Agriculture, Sebelas Maret University, Surakarta, Indonesia c) Departement of Pharmacology, Faculty of Medicine, Sebelas Maret University, Surakarta, Indonesia Abstract Obesity is one of adolescents nutritional problems that increases the risk of degenerative disease. One of the factors that causes adolescent obesity is emotional eating. Adolescents are a stress-prone age group and at a sufficiently high risk of experiencing emotional eating. The literature was searched using electronic databases (SpringerLink, PubMed, and Science Direct) using the following keywords: ^Emotional eating^,^Obesity^,^Adolescents^. PICO tables was used as a framework for this literature review. Eligible articles were included if they were: published from 2012 to 2022, written in Bahasa or English, discussing about the relationship between emotional eating and obesity in adolescents. Based on literature that were reviewed, emotional eating increasing unhealthy food consumption among adolescents it is linked with the tendency emotional eaters for overeating and eat unhealthy food, high in fat and sugar. High consumption in fat and sugar would increase the risk of obesity in adolescents.This review concludes that emotional eating significantly relation with obesity in adolescent. Keywords: ^Emotional eating^,^Obesity^,^Adolescents^ Share Link | Plain Format | Corresponding Author (Hajar Surya Wardani)

69	Public Health	ABS-77
Systematic Review: Parasitic Zoonosis with Soil as Transmission Media Khesara Sastrin Prasita Negara1, Yulia Sari1, Lilik Wijayanti2, Sri Haryati1, Azzahra Harmalia Anjani3, Alifia Nur Faizah3, Arya Pandu Jatmiko3 1Department of Parasitology, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia 2Department of Clinical Pathology, Study Program of Medicine, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia 3Student of Undergraduate Medical Education Program, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia Abstract Parasites are one of the causes of the emergence of infections that affect millions of humans in the world ranging from harmless to fatal. Zoonoses are diseases that can naturally be transmitted from animals to humans and vice versa. Zoonoses also apply to a disease-causing organism that lives in an environment such as soil as the source of infection. Zoonotic parasitic diseases pose a serious but often overlooked threat to public health, especially in developing countries. Along with the changing times related to increasing migration, international trade, and global warming, it is not surprising that there are significant changes in human and animal interactions. This study is to understand parasitic zoonosis with soil as transmission media. We used a literature study using PubMed and Google Scholar. There are primarily Soil-Transmitted Helminths (STHs) infections in the tropical and subtropical regions of Asia, the Americas, and sub-Saharan Africa, where warm humid environments, poor hygiene and sanitation, and limited access to safe water sources facilitate worm survival. In many areas of Indonesia, the environment and socioeconomic conditions are ideal for STHs infections. This needs attention for better health education related to hygiene and sanitation for preventing the parasitic zoonotic incidence both locally in Indonesia and globally worldwide. Keywords: parasitic, zoonosis, soil, transmission media Share Link | Plain Format | Corresponding Author (Khesara Sastrin Prasita Negara)

70	Public Health	ABS-80
Parents^ Perception Of Cough And Cold Self-Medication Of Age Under-Five Niken Bayu Argaheni, Septiana Juwita Universitas Sebelas Maret Abstract Parents^ Perception Of Cough And Cold Self-Medication Of Age Under-Five Background: The trend of combating minor ailments at home in children is a common practice in Indonesia. When it comes to very smaller children like those of age under-five. Self-medication is a common practice worldwide and the irrational use of drugs is a cause of concern. The study aims to know parents^ perception Of Cough And Cold Self-Medication. Method Scoping review using the PRISMA-ScR checklist Results Approximately most of parents demonstrates good knowledge and perception of self-medication practices. Stimulation for self-medication practice largely arise from the perception of treating cough And cold. Findings revealed a positive perception about self-medication and respondents were found to be highly involved in its practice. Conclusion Most of the respondents believed self-medication is cheaper, saves time and is as effective as prescription medicine. The study identified factors influencing practice of self-medication as minor illnesses, past experience, avoidance of long waiting hours in queue to see a physician and time constraint. Recommendation The need for advocacy on responsible self-medication practice during the formal training of these future health professionals, in order to avert its imminent/widespread negative consequences. Keywords: perception- parents- self-medication- Share Link | Plain Format | Corresponding Author (Niken Bayu Argaheni)

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