ABSTRACT
Cancer is a significant health problem for people around the world, one of which is cervical cancer. It is a malignancy of the cervix and categorized as second highest in the world and Indonesia. The incidence of this disease is almost 80% of cases occur in poor and developing countries, half of which end in death. In Indonesia, more than 70% of cervical cancer cases are at an advanced stage. The Acetic Acid Visual Inspection (IVA) method for early cervical cancer detection is essential for every fertile age woman (WUS). IVA examination requires motivation. The provision of health education is needed to increase the motivation of WUS to carry out IVA examinations. Following the times, the condition of adequate health education is carried out through online media. This study aims to determine the effectiveness of online-based cervical cancer prevention in increasing the intrinsic and extrinsic motivation of WUS to carry out IVA examinations. The type of research used in this study is quantitative research with a quasi-experimental design with one group pretest-posttest. The research will be conducted at the Public Health Center of Denpasar City. The number of samples used as many as 120 people using the accidental sampling method. The research instrument used a questionnaire. Hypothesis test using the t-paired test. The findings showed that the provision of online-based cervical cancer prevention health education in the form of video and chat IVA WhatsApp effectively increased motivation to carry out IVA examinations.

ABSTRACT
Maternal mortality and morbidity is a crucial public health concern. Every year, more than half a million women die from pregnancy-related causes and majority of these deaths occur in sub-Saharan Africa. This study explored socio-demographic factors, knowledge and attitude as determinants of antenatal care services utilization in Gesusu Hospital, Kisii County, Kenya. Cross-sectional research design was used. The study was conducted among pregnant women of reproductive age attending antenatal care clinic at Gesusu Hospital. Fisher’s et al. (1998) formula was used to determine the required sample size of 268 respondents. Quantitative data was collected using a pre-tested, semi-structured interviewer-administered questionnaire and checklist. Data was analyzed, presented and stored using SPSS version 20. Bivariate correlation and regression was done for the independent and dependent variables. Presentation was done using tables and bar graphs. The results showed that none of the independent variables was strongly associated with the dependent variable. The study concluded that there was poor utilization of ANC services; none of the socio-demographic characteristics examined was a true influencer of utilization of ANC services; general awareness on ANC was low; and, that there was an attitudinal problem towards the recommended number of ANC visits. It’s thus recommended that comprehensive longitudinal studies are done to help in better understanding of the underlying factors for late prenatal attendance and incomplete utilization of the services offered during antenatal care in order to improve their uptake.

ABSTRACT
Hypertension is a major public health problem and important area of research due to its high prevalence and being major risk factor for cardiovascular diseases and other complications. This study aims to assess the prevalence of hypertension and, investigate the associated risk factors of hypertension among study subjects in Ifakala community in Mbaitolu Local Government Area of Imo State. A descriptive cross sectional study design was used and it was carried out from March to august 2019. The study involves 403 respondents aged from 18 to 90 years. A check list was used to collect data. Data were analyzed using descriptive statistics, Chi-square and binary logistic regression tests at P<0.05. The result indicated that the prevalence of hypertension was 42.7% (male: 57.6%, female: 42.4%). The proportion of reported prevalence of hypertension based on age was 10.7% for below 30 years, while 5.5% were for age 60 years and above. The body mass index of the respondents was 5.2%, 52.0%, 29.5% and 13.3% for underweight, normal, overweight and obese, respectively. There is statistical significant relationship between hypertension and alcohol (p<0.05), as well as between hypertension and tobacco consumption (p<0.05). This study revealed moderate prevalence of hypertension. There is need to create more awareness and implement intervention for prevention and early detection of hypertension, especially between 50- 59years and overweight or obese.

ABSTRACT
Background: As nursing colleges rapidly closed due to the global coronavirus disease-2019 (COVID-19) pandemic, students and faculty faced unprecedented challenges. COVID-19 pandemic forced the cancellation of all campus curricular and extra-curricular activities. The traditional face-to-face nursing education method was quickly shifted online. It had to be administered via various virtual platforms as distance education. The shift to distance education forced the nursing faculty to reconsider the appropriate method to deliver their course contents to their students. The impact of COVID-19 has prompted rapid changes in nursing education at a pace not previously experienced, which impacted theory classrooms, laboratory demonstrations, and clinical practicum. Implementation of distance education was to safeguard the safety of all involved in the nursing colleges and ensure accomplishing the learning outcomes and professional competencies without any suspension. However, the challenges faced by nursing faculty and students were unprecedented and had to be noted and considered. Nevertheless, it was an opportunity for everyone to learn from such an unanticipated shift in education. Objective: The emphasis of this review article is searching the internet for studies geared towards the effect of COVID-19 on nursing education and the nursing students' perceptions on shifting from traditional face-to-face education to distance education. Methodology: Google Scholar, Medline, and PubMed searches were used for articles selection from 2019 to 2021 that discussed COVID-19 and its effect on nursing education. Conclusion: COVID-19 impacted everyone on earth. It impacted nursing education; however, alternative education methods were used to compensate for the delays and keep the academic calendar running. Students have mixed feelings about their perceptions of the sudden shift of traditional education to distance education.

ABSTRACT
Background: Antenatal care (ANC) is the continuous care that is accorded to women in the course of pregnancy. Notably, antenatal care is an efficient health intervention aimed at inhibiting maternal mortality and morbidity majorly in areas where women have poor health. This study therefore assessed the facility related factors that influence utilization of ANC at Saku sub-county, Kenya. Methods: This research applied descriptive cross sectional study design. The study was carried out in Saku Sub County in the following randomly selected health facilities: Marsabit County Referral Hospital, Dakabaricha Dispensary and Jirime Dispensary. The study population comprised of post-natal mothers aged between 15-49 years seeking services at maternal and child health clinic (MCH) in Saku Sub County. The Cochran's Sample Size Formula was used to calculate a sample size of 154 respondents. The study employed a researcher- administered semi-structured questionnaire and use of focused group discusions. Descriptive statistics, chi-square tests and logistic regression were used in the analysis. Results: Majority 89.6% (n=133) stated that the health-care facilities and health care personnel were fairly neat during the ANC visit. 90% (n=148) of the respondents did not report delay during ANC visits. 42% (n=65) of the healthcare providers were friendly. 97.4 % (n=150) stated that privacy was maintained during ANC visits. 63% (n=97) stated that the distance to the health facility was below five (5) kilometer.30.5% (n=47) used between three and four hundred shillings as fare when going for ANC clinics. Conclusion: Among Facility related factors, none was statistically significantly associated with utilization of ANC Services.

ABSTRACT
Burnout in caregivers of schizophrenic patients continues to increase with unrecovered cases of schizophrenia. Therefore, this study aims to determine the factors associated with burnout in caregivers of patients with schizophrenia in the Psychiatric Intensive Care Unit. A cross-sectional study design was used with a sample of 350 respondents through demographic questionnaire, Way of Coping (WOC), Multidimensional Scale of Perceived Social Support (MSPSS), Morisky Medication Adherence Scale (MMAS-8), Visual Analogue Scale For Anxiety (VAS-A), and Maslach Burnout Inventory (MBI). The results showed that most caregivers were male (68.6%), married (66%), had long cared for patients (81.4%), had moderate economic status (47.1%), had adaptive coping mechanisms (87.4%), moderate social support (68.6%), moderate anxiety (44.0%) and severe burnout (72.9%). The schizophrenic burnout factors analyzed were marital status, length of caregiver, and the coping mechanisms.

ABSTRACT
Verbal abuse experienced by nurses has a significant impact on work, which may reduce worker morale and reduce productivity and quality of work. Several factors influence verbal abuse in nurses, including demographics, workplace stress, leadership style and organizational climate. The purpose of this study was to identify factors that influence the verbal violence of nurses in Aceh government hospitals. A quantitative design based on a cross-sectional approach was used in this study. The sample for this study was 391 based on a simple random sampling technique. The findings of this study indicated that the factors that influence verbal abuse among nurses are aging, work stress, employment status, shifts, and organizational climate.

ABSTRACT
Anemia or low levels of hemoglobin (Hb) in the blood are a health problem that frequently occurs in developing countries. Adolescents who suffer from anemia are easily lethargic and fatigued which has an impact on creativity and productivity. In addition, adolescents are at risk of experiencing susceptibility to diseases and deliveries that might cause the babies to have nutritional problems when they grow up. This study aims to examine the knowledge, attitudes and behaviors of anemia prevention in female adolescents in South Aceh Junior High School (SMP). The research design used a cross-sectional study. Samples were taken by total sampling with a total of 123 female adolescents. The results of the chi-square test showed that the variable associated with anemia prevention behavior was knowledge with p-value of 0.028 (<0.05). The results of the study are expected to be a reference to further increase the knowledge of adolescents regarding anemia prevention.

ABSTRACT
Non-communicable diseases such as diabetes mellitus is a problem that needs to be considered by all levels of society because the diseases often increase morbidity and mortality. Generally, sufferers often experience behavioral changes including frustration, aggressive behavior, non-compliance in terms of treatment, anxiety about complications, and obstacles in socializing. This disease causes the patients to experience more stress known as diabetes distress. The Research aims to determine the factors associated with diabetes distress in patients with type 2 diabetes mellitus at the Aceh Tamiang Regional Hospital. The Study was conducted from March to July 2021 among 101 patients with Diabetes Mellitus Type 2. Data processing was carry results showed that the average distress value of type 2 diabetes mellitus patients was 2.71 (SD = 0.411), elderly (79.2%), male (65.7%), highly educated (64, 4%), married status (88.1%), long had diabetes mellitus (52.5%), had complications (67.3%), used oral medication (88.1%), not adhering to treatment (51.5%), did not receive family support (68.3%). Consequently, nurses are needed to educate sufferers concerning the complications of the disease both physically and psychologically.