ABSTRACT
Simulation-based learning (SBL) is a pedagogical method of teaching and assessing clinical skills across all levels of midwifery education. The SBL is based on implementing scenarios. The stages of a clinical scenario include briefing, action and debriefing. Briefing includes information to guide trainees on the scenario and the objectives. The training of participants in the clinical scenarios begins under the supervision of the instructors which is referred to as action. After each scenario, a debriefing takes place to provide immediate feedback on participants and their performance. Finally, an assessment of the trainees’ attitudes, skills and knowledge, is provided. The skills developed during simulation training are knowledge of algorithms, learning clinical skills and handling emergency situations, developing ethical values and decision-making, self-confidence and competence, communication with the patient and the colleagues, teamwork and leadership, patient safety and finally the satisfaction of being part of a multidisciplinary team. It is highly recommended that simulation is incorporated into midwifery curricula because it combines theory with practice and the development of specialized clinical skills to handle complex situations and get ready for future midwifery care.

ABSTRACT
The infant mortality rate is also an important indicator to reflect the state of health status in a society, progress in the field of prevention and eradication of various diseases that cause death will be clearly reflected by the decline in the level of IMR. Thus the infant mortality rate is a sensitive measure of all intervention efforts made by the government, especially in the health sector. The purpose of this study was to find out and analyze what factors had the most influence on early neonatal deaths due to asphyxia in Timor Tengah Selatan Regency in 2021. The design of this study used a case-control research design with a retrospective study approach. The population in this study was divided into 2, namely the case population were all live births that experienced asphyxia and died in early Neonatal and the control population in this study were all live births who had asphyxia and did not die in the 2020 period in the work area of the Health Service. South Central Timor Regency (TTS). The sample size in this study was taken using a total sampling technique, where the entire population was used as the research sample, namely as many as 26 case samples, with a sample size comparison between cases and controls was 1:1, so the total sample size was 52 samples. The results showed that there was an effect of gestational interval (95% CI = 3.20-47.834 p-value = 0.000), history of premature (95% CI = 1.836-20.315 p-value = 0.003) and asphyxia (95% CI = 4.509- 74.539 p-value = 0.000) on Early Neonatal Death in Timor Tengah Selatan Regency (TTS). There was no effect of parity on gestational age (p-value=0.213), anemia (p-value=0.432), Long Parturition (p-value=0.201) and ANC visits (p-value=0.211 on Early Neonatal Mortality in Timor Tengah Selatan Regency (TTS) The most dominant variable and the most influential on the incidence of Early Neonatal mortality is the Asphyxia variable.

ABSTRACT
Little is known about sexually minority women’s health and wellbeing in the developing countries like Tanzania. Hence, there is limited knowledge of these women’s health seeking behaviors and pathways they take to rectify their ill conditions. The study investigated on women who have sex with women’s health seeking behaviors and pathways they take to remedy ill conditions they face. Data presented in this paper are part of a cross-sectional descriptive and retrospective formative qualitative study among women who have sex with women conducted in Dar-es-Salaam region. Researchers used focus group discussion, in-depth interviewing, observation and collecting women’s life stories to generated data needed for this study. Women who have sex with women in Dar-es-Salaam come from all backgrounds and experience unique primary and specialized healthcare needs different from their counterparts. Social and legal strictures against homosexuality coupled with widespread heteronormativity put women who have sex with women at risk of overt or covert stigma and discrimination in the healthcare system. Illegal status of homosexuality in this country shapes differentiated health seeking behaviors and pathways among sexually minority women. Healthcare providers are reported discriminating and stigmatizing transgender men and tomboys forcing them to avoid vising public health facilities. I recommend the Ministry of health to initiate and support multidisciplinary, comprehensive and informative health research among women who have sex with women and use findings to facilitate improving women who have sex with women’s health and healthcare professionals’ ability to diagnose, treat, control, and prevent illnesses among this group.

ABSTRACT
Background: One of the most challenging aspects of teaching is dealing with students' behavioral issues because they interfere with lessons and produce an unsuitable learning environment. All students have a variety of emotional and personal struggles when they first enter school, which can make their behavior undesirable and challenging to change. Objectives: The main goal of this study to evaluate teachers awareness regarding common behavioral problems among school age children. Methods: Descriptive cross sectional community based study done to assess teachers awareness regarding Common behavioral Problems among school age Children in Al shaqalwa village during period extended from November to June 2022 , the enrolled (52) teachers through multi stage simple random sampling ,questionnaire use for data collection composed of (23) questions finally the data was analyzed by statistical package for social science (SPSS) version (21) then the data was represented in form tables and figures. Results: The result of the present study showed that more than half (55.8%) of study group had poor knowledge about behavioral Problems only (11.5%) of study group had good knowledge about the causes of behavioral Problems and (28.8%) of them had fair knowledge about the causes of behavioral Problems inside the School. Conclusion: The study concluded that studied teachers awareness regarding common behavior problems in (55.8%) was poor also (17%) fair about causes of behavioral problem and only (7.7%) had was good awareness regarding dealing with difficult behavior.

ABSTRACT
Background: Stunting situation where z score BL/A < -2. There are many factors that cause stunting, including anemia status and nutritional status during pregnancy. Research Objective: Knowing the relationship between anemia status and nutritional status of pregnant women to stunting in babies aged 0-6 months in Kuanheun Village and Bolok Village, West Kupang District, Kupang Regency. Method: The type of research design used by researchers is descriptive (Cross-sectional) research. Analyzing the relationship between anemia status and nutritional status that occurs in mothers during pregnancy with the incidence of infant stunting 0-6 months using a retrospective approach by looking at the history of 4th Antenatal Care (ANC) in the mother's MCH book, as well as making anthropometric measurements on subjects. Data analysis used the Shapiro-Wilk test for the normality test and the Spearman's rho test for the correlation test. Results: There is no significant correlation between the history of anemia status and nutritional status in pregnancy with stunting incidence of 0-6 months, anemia status and stunting incidence with p value = 1.0, nutritional status of pregnant women and stunting incidence with p value = 0.075. Conclusion: There is no relationship between the history of anemia in pregnancy and the nutritional status of babies 0-12 months in West Kupang District.

ABSTRACT
Baby Blues Syndrome (BBS) is a psychological disorder in postpartum mothers. This can interfere with milk production. The mother cannot provide adequate breast milk to the baby and cannot take care of the baby properly. This study was conducted in two health center in rural and two in urban. This was a comparative descriptive design using with cross sectional approach. The number of respondents was 119 postpartum mothers taken by purposive sampling technique. Data were collected through questionnaires and interviews. The percentage incidence of BBS was 75.6%. From the results of Chi-Squre test, the factors that significantly influence the incidence of BBS include education (p=0,023), type delivery (p=0,025), family economic status (p=0,005), and social support (p=0,039). From the different Mann Whitney Test, it was found that there were differences in factors between rural and urban areas, including education (Sig.2 Tailed=0,029), occupation (Sig. 2 Tailed=0,001), nutritional status (Sig. 2 Tailed=0,001), parity (Sig. 2 Tailed=0,010), type delivery (Sig.2 Tailed=0,000), and family economic status (Sig.2 Tailed=0,000). Mothers with low family economic status and education in rural areas need capacity building through training (cooking and sewing) and education (counseling). Class activities for pregnant women by involving partners or families to increase social support, as well as counseling about the consequences of pregnancy out of wedlock and mental health for pregnant women to promote better physical, mental and social health.

ABSTRACT
The low coverage of exclusive breastfeeding in Aceh Besar regency is a serious problem for child survival. One of the non-morphological natural methods that can be used to help expedite milk production is acupressure points for lactation therapy. Acupressure points for lactation therapy are one of the solutions to overcome the uneven production of breast milk. Acupressure points for lactation therapy help maximize prolactin and oxytocin receptors and minimize side effects from delayed breastfeeding by the baby. This research method is quasi-experimental with a pre-test and post-test research design. This research was conducted at the Midwives' Independent Practice in Aceh Besar Regency from April to October 2022. The population in this study were primiparous mothers who gave birth at the Independent Midwife Practice (PMB) in Aceh Besar Regency. The total sample of 60 respondents consisted of the intervention group of 30 respondents and the control group of 30 respondents. Data analysis using univariate and bivariate with T-Test Dependent and T-Test Independent. The results showed that there was a significant difference in milk production before and after giving acupressure therapy to breastfeeding mothers with a p-value of 0.000. There is a significant difference in breastfeeding success before and after giving routine care to breastfeeding mothers p-value 0.000. Complementary Therapy Acupressure Points For Lactation is effective in helping to facilitate breastfeeding and increase milk production in primiparous mothers in Aceh Besar Regency.