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Faktor Resiko Jatuh pada Lansia di Unit Pelayanan Primer Puskesmas Medan Johor Rohima, Vitri; Rusdi, Iwan; Karota, Evi
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 4, No 2 (2019)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (342.18 KB) | DOI: 10.32419/jppni.v4i2.184

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ABSTRAKLatar Belakang: Lansia merupakan tahap akhir pertumbuhan kehidupan manusia yang mengalami perubahan fisik maupun psikososial, dan salah satu aspek penting perubahan itu adalah resiko jatuh. Resiko jatuh pada lansia dipengaruhi oleh faktor intrinsik, faktor ekstrinsik, dan faktor situasional. Tujuan: penelitian ini untuk mengetahui hubungan resiko jatuh dengan kejadian jatuh pada klien lansia di Puskesmas Medan Johor. Metode: Penelitian ini merupakan studi deskriptif korelasi terhadap 70 responden lansia. Pengumpulan data dilakukan dengan menggunakan kuisioner faktorfaktor penyebab resiko jatuh dan kejadian resiko jatuh pada klien lansia. Hasil: umumnya klien berusia 60-74 (51%), beragama Islam (81%), dan keluarga tinggal serumah lebih dari 2 orang 84%. Hasil penelitian menunjukkan faktor penyebab resiko jatuh lansia terutama dari faktor situasional 26%, faktor intrinsik 17% dan tidak ada dari faktor ekstrinsik (0%). Berdasarkan kejadian resiko jatuh pada lansia adalah 46% beresiko tinggi, 36% beresiko rendah, dan 18% tidak beresiko. Hasil uji chi square menunjukkan adanya hubungan yang signifikan dari faktor intrinsik p=0,000, faktor ekstrinsik p=0,000 dan faktor situasional p=0,004 terhadap kejadian resiko jatuh. Kesimpulan: faktor-faktor resiko jatuh berhubungan dengan kejadian jatuh pada klien lansia di Puskesmas Medan Johor. Hasil penelitian ini dapat menjadi masukan bagi pelayanan kesehatan khususnya pelayanan asuhan keperawatan untuk meningkatkan edukasi kepada klien lansia dan keluarganya tentang dengan resiko jatuh dan pelayanan kesehatan dapat melakukan pengembangan program kegiatan pencegahan resiko jatuh pada lansia.Kata Kunci: Lansia, resiko jatuh, kejadian resiko jatuhRisk for Full Factor among the Elders in Puskesmas Medan Johor ABSTRACTBackground: Elderly is a process of human life experiencing various physical and psychosocial changes, and one important aspect due to these changes is the risk of falling among the elders. It is influenced by intrinsic, extrinsic, and situational factors. Aim: The purpose of this study was to determine the relationship between the risk of falls and the incidence of falls in elderly clients who visit to the Health Center. Method: This study is a descriptive study of correlation to 70 elderly people at the Puskesmas Medan Johor. The data were collected by using questionnaires of risk factors of fall and risk incidence of falls on the elders. Result: Demographic data are generally the elders aged 60-74 years (51%), Moslem (81%), family live at home more than 2 person (84%). The results of the study showed that the risk factor of falling elderly mainly from situational factor (26%), intrinsic factor (17%) and extrinsic factor (0%). Meanwhile, based on the risk incidence of falling on the elderly clients, the result is high risk (46%), low risk (36%), and no risk of fall (18%). The chi square test shows that there is significant correlation of intrinsic factor p=0.000, extrinsic factor p=0.000 and situational factor p=0.004 to fall risk event. Conclusion: There is a relationship between falling risk factors and the incidence of falls in elderly clients at the Puskesmas Medan Johor. This study provide recommendations for health services, especially nursing care services to provide education to elderly clients and their families related to the risk of falls in the elderly and the health centers can develop prevention programs to reduce the risk of falls in the elderly.Keywords: Elderly, a risk factor for falling, the risk of falling
Efektifitas Enpowerment Education terhadap pengetahuan Melakukan Vaksinasi HPV pada Remaja Putri Imelda, Fatwa; Karota, Evi; Tarigan, Mula
MAHESA : Malahayati Health Student Journal Vol 4, No 10 (2024): Volume 4 Nomor 10 (2024)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v4i10.15780

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ABSTRACT Cervical cancer is one of the leading causes of death in developing countries such as Indonesia. One of the government prevention programs is HPV vaccination. HPV vaccination in adolescents has not been widely practiced by adolescents in Indonesia. Many factors influence the acceptance of HPV vaccination in adolescents. Efforts to increase HPV vaccination behavior in schools through Empowerment Education, can be an alternative intervention that can be done. Objective of the study: To analyze the effectiveness of Enpowerment Education on knowledge of HPV vaccination among adolescent girls. Research method: The research design was Quasi Experimental Design using Pre Post Design With A Comparison Group conducted from December 2023 to June 2024. Quantitative instruments using the knowledge questionnaire to do HPV vaccination have gone through validity and reliability tests with an Alpha Cronbach value> 0.6 Quantitative data analysis with the Wilcoxon Signed Test (paired) and the Mann Whitney Test (unpaired). Results: There is a difference in knowledge (P=0.000) to vaccinate Pre test and Post test in the Intervention group. There is a difference in knowledge (p=0.000) to do HPV vaccination (p=0.675) in the Post Test Group of Control and Intervention Groups Conclusion: Enpowerment Education has an effect on increasing knowledge of HPV vaccination. Enpowerment education can be used to improve the knowledge female students that can be used in schools. Keywords: Enpowerment Education, Knowledge, HPV  ABSTRAK Latar belakang: Kanker serviks menjadi salah satu penyebab kematian terbanyak di negara berkembang seperti Indonesia. Salah satu pencegahan program pemerintah adalah vaksinasi HPV. Vaksinasi HPV pada remaja belum banyak dilakukan oleh remaja di Indonesia. Banyak faktor yang mempengaruhi penerimaan untuk vaksinasi HPV pada remaja. Upaya peningkatan perilaku vaksinasi HPV di Sekolah melalui Empowerment Education, dapat menjadi suatu alternatif intervensi yang dapat dilakukan. Tujuan penelitian: Menganalisis Efektifitas Enpowerment Education terhadap pengetahuan melakukan vaksinasi HPV pada remaja putri. Metode penelitian: Desain penelitian adalah Quasi Experimental Design menggunakan Pre Post Design With A Comparison Group yang dilakukan dari Desember 2023 hingga Juni 2024 Instrumen kuantitatif menggunakan kuesioner pengetahuan melakukan vaksinasi HPV telah melalui uji validitas dan reliabilitas dengan nilai Alpha Cronbach >0.6 Analisis data dengan kuantitatif dengan uji Wilcoxon Signed Test  (berpasangan) dan uji Mann Whitney Test (tidak berpasangan). Hasil : Terdapat perbedaan pengetahuan ( P=0.000) melakukan vaksinasi  Pre test dan Post test pada kelompok Intervensi. Terdapat perbedaan pengetahuan (p=0.000 melakukan vaksinasi HPV pada kelompok Post Test Kelompok Kontrol dan Intervensi Kesimpulan : Enpowerment Education berpengaruh terhadap  pengetahuan melakukan vaksinasi HPV. Enpowerment education dapat digunakan untuk meningkatkan pengetahuan remaja putri di lingkungan sekolah. Kata Kunci: Enpowerment, Education, Pengetahuan, Vaksinasi, HPV
Efektivitas Ekstrak Bunga Telang (Clitoria Ternatea L.) untuk Menurunkan Kadar Gula Darah: Literature Review Mendrofa, Deskrisman Stefan; Zega, Angenia Itoniat; Karota, Evi
Jurnal Persatuan Perawat Nasional Indonesia (JPPNI) Vol 9, No 1 (2024)
Publisher : Persatuan Perawat Nasional Indonesia (JPPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32419/jppni.v9i1.586

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Hiperglikemia merupakan kondisi peningkatan glukosa darah melebihi batas normal dan menjadi masalah penyakit diabetes yang memerlukan penatalaksanaan yang cepat dan tepat. Bunga telang menjadi salah satu terapi alternatif untuk menurunkan glukosa darah penderita diabetes. Tujuan penelitian: Penelitian ini bertujuan untuk mencari data tentang efektivitas ekstrak bunga telang (Clitoria ternatea L.) yang merupakan antidiabetes untuk menurunkan KGD penderita diabetes sebagai terapi pendamping berbahan herbal Metode: Penelusuran literatur review dengan pencarian artikel ilmiah menggunakan tiga database elektronik, yaitu Google Scholar, Science Direct, dan Proquest. Artikel yang terseleksi sebagai sumber literatur berdasarkan beberapa kriteria inklusi, publikasi artikel lima tahun terakhir (Januari 2019–Maret 2024), dan membahas efektivitas bunga telang sebagai antidiabetes yang dipublikasikan pada jurnal terakreditasi nasional dan jurnal bereputasi internasional. Analisis data dilakukan dengan ekstraksi research evidence efikasi klinis efektivitas bunga telang terhadap penurunan kadar glukosa darah. Hasil: Delapan artikel menunjukkan hasil uji ekstrak bunga telang berpengaruh terhadap penurunan kadar glukosa darah melalui peningkatkan produksi dan sekresi insulin sehingga dapat menurunkan glukosa darah. Hasil uji juga meningkatkan serum CAT, SOD, dan bermanfaat sebagai antioksidan, antiinflamasi, serta menurunkan sel nekrotik. Diskusi: Bunga telang dapat digunakan sebagai terapi alternatif antidiabetes yang memiliki potensi produksi dan sekresi insulin untuk menurunkan KGD penderita diabetes serta mencegah meluasnya kerusakan fungsi pankreas. Namun demikian, studi ini masih terbatas pada percobaan hewan. Kesimpulan: Ekstrak bunga telang efektif sebagai antidiabetes untuk menurunkan kadar glukosa darah penderita diabetes. Diperlukan penelitian lanjutan untuk mengevaluasi efek terapi ekstrak bunga telang terhadap penderita diabetes di masyarakat.Kata Kunci: antidiabetes, ekstrak bunga telang, kadar glukosa darah EFFECTIVENESS OF BUTTERFLY PEA FLOWER EXTRACT (CLITORIA TERNATEA L.) IN LOWERING BLOOD GLUCOSE LEVELS: A LITERATURE REVIEW ABSTRACT Hyperglycemia, characterized by elevated blood glucose levels beyond normal limits, is a condition requiring rapid and appropriate management, especially for diabetes patients. Butterfly pea flower has emerged as an alternative therapy to help lower blood glucose in diabetes patients. Objective: To review data on the effectiveness of butterfly pea flower extract (Clitoria Ternatea L.), an herbal antidiabetic agent, in lowering blood glucose levels (BGL) among diabetes patients as a complementary therapy. Methods: A literature review was conducted by searching scientific articles across three electronic databases: Google Scholar, Science Direct, and Proquest. Articles selected as literature sources met the inclusion criteria, which included publication within the past five years (January 2019–March 2024) and discussions on the effectiveness of butterfly pea flower as an antidiabetic, published in nationally accredited and internationally reputable journals. Data analysis involved extracting research evidence on the clinical efficacy of butterfly pea flower in reducing blood glucose levels. Results: Eight studies indicated that butterfly pea flower extract significantly reduced blood glucose levels by enhancing insulin production and secretion, leading to decreased blood glucose levels. The trials also showed an increase in serum CAT and SOD levels, with antioxidant, anti-inflammatory benefits, and reduced necrotic cells. Discussion: Butterfly pea flower can serve as an alternative antidiabetic therapy, with potential to stimulate insulin production and secretion to lower BGL in diabetes patients and to prevent extensive pancreatic damage; however, current studies are limited to animal trials. Conclusion: Butterfly pea flower extract is effective as an antidiabetic agent in lowering blood glucose levels in diabetes patients. Further research is needed to evaluate the therapeutic effects of butterfly pea flower extract in the diabetic population.Keywords: antidiabetic, butterfly pea flower extract, blood glucose levels
Sosialisasi tentang Kewenangan Dokter pada Perawat di Rumah Sakit Berdasarkan UU No. 17 Tahun 2023 pada Mahasiswa Keperawatan Rokhima, Vitri; Karota, Evi; Kaban, Susiana; Sari, Youlanda; Haflah, Nurul
Jurnal Peduli Masyarakat Vol 7 No 1 (2025): Jurnal Peduli Masyarakat: Januari 2025
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jpm.v7i1.5500

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Pemahaman perawat tentang implementasi delegasi tindakan dokter kepada perawat merupakan hal yang sangat penting untuk menjamin perlindungan tindakan medis terhadap pasien. Kegiatan pengabdian masyarakat ini bertujuan untuk meningkatkan pemahaman mahasiswa keperawatan STIKes Flora tentang kewenangan dokter dan perawat di rumah sakit berdasarkan Undang Undang Nomor 17 Tahun 2023. Sosialisasi dilaksanakan dalam bentuk workshop dengan jumlah 50 orang peserta. Pendekatan kegiatan ini meliputi persiapan peserta, pelaksanaan sosialisai, dan evaluasi hasil penilaian pemahaman mahasiswa. Pemahaman peserta diukur melalui pre-test dan post-test menggunakan kuesioner. Hasil menunjukkan peningkatan pemahaman materi dari 30% menjadi 80% setelah sosialisasi workshop yang mengindikasikan keberhasilan penyampaian materi. Peserta aktif bertanya dan diskusi mencerminkan ada antusiasme peserta terhadap pentingnya kewenangan profesional dalam pelayanan kesehatan dan keperawatan. Workshop ini menegaskan perlu kerja sama antara dokter dan perawat dalam mencegah kesalahan tindakan medis untuk meningkatkan kualitas pelayanan kesehatan. Kesimpulan sosialisasi efektif dalam meningkatkan pemahaman mahasiswa tentang peran dan kewenangan tenaga kesehatan, dengan harapan mampu meningkatkan kualitas pendidikan dan pelayanan keperawatan di masa depan.
Pengalaman Ibu dalam Merawat Anak Talasemia Sidabutar, Icceng; Bukit, Evi Karota; Nasution, Siti Zahara
Jurnal Keperawatan Vol 17 No 3 (2025): Jurnal Keperawatan: September 2025
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/keperawatan.v17i3.3813

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Talasemia merupakan penyakit genetik dengan kondisi kronis serius yang memerlukan transfusi darah seumur hidup. Keadaan ini membutuhkan perhatian serius agar kesehatan anak terus terjaga, tetapi juga menimbulkan beban emosional dan sosial yang berat, terutama bagi ibu sebagai pengasuh utama. Tujuan penelitian untuk mengeksplorasi pengalaman ibu dalam merawat anak dengan talasemia di Murni Teguh. Pendekatan deskriptif kualitatif fenomenologi dengan teknik wawancara mendalam terhadap lima belas partisipan ibu dengan anak terdiagnosa talasemia. Data dikumpulkan dari bulan Maret hingga Mei 2025. Wawancara direkam menggunakan audio, dan analisis data dengan menggunakan metode Colaizzi untuk mengidentifikasi tema-tema spesifik terkait dengan pengalaman ibu. Delapan tema yang ditemukan: 1) Beban emosional dan psikologis Ibu, 2) Tantangan ekonomi dan akses layanan, 3) Strategi perawatan anak, 4) Dukungan sosial dan lingkungan, 5) Pengalaman negatif, 6) Harapan terhadap sistem pelayanan kesehatan, 7) Spiritualitas ibu, 8) Kurang pemahaman tentang Talasemia. Temuan menunjukkan bahawa ibu-ibu yang memiliki anak dengan talasemia menghadapi banyak tantangan, maka diperlukan komunikasi yang efektif dan dukungan komprehensif serta koordinasi antara sistem layanan.
The Effect of Self-Care Behavior on Blood Glucose Control Levels Among Patients with Type II Diabetes Mellitus Hondro, Helpianus Siswanto; Karota, Evi; Tanjung, Riswani; Lubis, Zulhaida; Nasution, Siti Zahara
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6937

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Diabetes mellitus is characterized by elevated blood glucose levels above normal, with random blood glucose levels ≥ 200 mg/dl and fasting blood glucose levels ≥ 126 mg/dl. This study employed a quantitative research method with a quasi-experimental design and an equivalent control group design approach. The study utilized power analysis with consecutive sampling techniques. Data collection techniques involved distributing questionnaires to 74 diabetes mellitus patients in the Onolalu Health Center Working Area, South Nias District. Data analysis techniques used independent t-test statistical analysis and presented in the form of a T-test table. The results of the study indicate that there is an influence of self-care behavior on blood sugar control levels in type II diabetes mellitus patients in the Onolalu Health Center Working Area, South Nias Regency, with a Sig. (2-tailed) of 0.024 < 0.05. Therefore, in the independent sample t-test, it can be concluded that the null hypothesis (HO) is rejected and the alternative hypothesis (Ha) is accepted. Thus, it can be concluded that there is a significant (statistically significant) difference between the average blood sugar levels of type II diabetes mellitus patients in the intervention group and the control group.
Nurses' Role in the Discharge Planning Implementation on Family Readiness Caring for Patients at Home Ginting, Jesy Natalia; Nasution, Siti Saidah; Bukit, Evi Karota
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4048

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One of the important components in the management of patient care in hospitals is the role of nurses in implementing discharge planning, which is a structured process of preparing patients to return to their environment after they get treatment in the hospital. Nurses have a significant role in helping families prepare to care for patients after discharge from psychiatric hospitals. Through evaluation of the patient's condition, coordination with multidisciplinary care teams, patient and family education, and preparation of a detailed discharge plan, nurses can positively influence Family Readiness. Objective: to evaluate the relationship between the role of nurses in implementing discharge planning and family readiness to care for patients at home. Method: The sample used was a purposive sample of 78 implementing nurses working in the inpatient room and the design of this study was cross-sectional. Data was collected through questionnaires as well as statistical correlation Chi-Square was used to analyze it. The validity test for the nurse role questionnaire was 0.629 to 0.777, while the family readiness questionnaire was 0.456 to 0.765. The Cronbach's alpha value for the nurse's role variable was 0.962 and family readiness was 0.967 so the questionnaire was declared reliable. Results: The results showed a relationship between the role of nurses in implementing discharge planning and family readiness to care for patients at home (0.020 < 0.05). Conclusions: Thus, the role of nurses in the discharge planning process plays an important role in improving family readiness in caring for patients at home.
Delegation of Doctors' Authority to Nurses in Hospitals: Legal Analysis Rohima, Vitri; Nasser, M.; Sidik, Redyanto; Karota, Evi; Nadeak, Jasmen
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4747

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According to applicable laws and regulations, the law regulates professional behavior in the relationship between doctors and nurses based on the responsibility for delegating tasks and attributive authority. This study aims to analyze juridically the delegation of authority of doctors to nurses in hospitals and juridical analysis of the delegation of authority of doctors to nurses in terms of the existing lex specialist legislation. This study uses secondary data from literature review through online searches of scientific articles using three electronic databases, namely: Google Scholar, Science Direct, and Proquest, with data related to issues of delegation and authority of doctors to nurses in Indonesia. Nurses as health workers need legal protection in carrying out their duties and obligations according to their authority which has been regulated in related laws and regulations. The legal responsibility of nurses is based on the field of law in State Administrative Law, Civil Law, and Criminal Law. Meanwhile, the nurse's attribution authority is based on nursing care and is attached to the independent function of nurses carrying out tasks based on their authority. The mandate authority in the nurse's interdependent function in teamwork and delegation authority is attached to the dependent function where the nurse's interventions are the doctor's responsibility, but the duties and responsibilities are left to nurses who have met certain requirements.
Empowerment of elderly groups through the elderly health services assistance program Lufthiani; Karota, Evi; Sitepu, Nunung F
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 4 No. 2 (2019): ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (282.816 KB) | DOI: 10.32734/abdimastalenta.v4i2.4145

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Health problems in the elderly begins with the process of deterioration of body cells, which causes a decrease in function and immune system so that it can increase risk factors for disease. Some diseases that are often experienced by the elderly include, hypertension, diabetes mellitus, rheumatism, gout, hearing loss, vision problems, osteoporosis, and others. These conditions will have an impact on increasing morbidity and mortality, declining quality of life, and increasing health financing. The method of implementing community service activities is carried out by educating health issues, providing guidance, counseling and mentoring to 20 elderly groups. The purpose of community service activities is to increase health care efforts which are expected to implement programs to create or improve the ability to live healthy in the community both individuals and groups to be able to solve various problems related to health improvement and disease prevention on an ongoing basis. Education is carried out with health education about general elderly diseases that often occur, namely Diabetes and Gout, then conduct guidance and counseling by dividing into groups, and provide assistance by teaching foot exercises and foot care. Results The implementation of community service activities shows the results that Good Knowledge about degenerative diseases (85.0%), after the mentoring activities namely guidance, counseling, foot gymnastics simulation and foot care. Paired t-test results before and after the assistance was given p value of 0.007. It is expected that the elderly group can be independent in efforts to prevent degenerative diseases that are focused on diabetes mellitus
Empowerment of Village Health Worker to Become Assistance to Mother Groups in Prevention of ISPA in Toddlers by Using Complementary Therapy Anwar, Lufthiani; Karota, Evi; Siregar, Cholina Trisa
ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat Vol. 5 No. 2 (2020): ABDIMAS TALENTA : Jurnal Pengabdian Kepada Masyarakat
Publisher : Talenta Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (720.912 KB) | DOI: 10.32734/abdimastalenta.v5i1.4810

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ISPA is a respiratory disorder that causes children to tend to be lethargic, fussy, and lack of appetite, thus reducing the child's immunity which affects other health problems. The use of Complementary Therapies can help to reduce the impact of disease incidence, especially ISPA in toddlers at home as an alternative therapy for self-medication for families. It is hoped that the involvement of village health worker in the mother group in the community is directly involved in implementing the program to create and increase the ability to live healthy in a sustainable manner. The method of implementing community service activities is carried out by providing education, training and mentoring to 41 people consisting of village health worker and mother groups. The implementation of activities for the mothers group began with distributing pre-test questionnaires, then continued with providing health education about complementary therapies, herbal therapy simulations and toddler massage training to village health worker and mother groups, the activities were evaluated by providing posttest sheets. The results of the implementation of community service activities after health education and training activities obtained good knowledge about complementary therapies (75.6%) and sufficient knowledge (24.4%), paired t-test results before and after health education and the training obtained p value 0.005. It is hoped that village health worker can become activists and health promoters for mothers in an effort to prevent health problems by using complementary therapies.