MAKALAH

RESUME MATA KULIAH BAHASA INGGRIS

ANAMNESIS AT POST PARTUM MOTHER, PHYSICAL ASSESSMENT OF
POSTPARTUM MOTHERS, FAMILY PLANNING COUNSELLING, MIDWIFERY
CARE IN PUERPERAL MOTHER, COUNSELLING HEALTH REPRODUCTIVE
SYSTEM, COUNSELLING IMMUNIZATION FOR INFANT AND BABY,
PROMOTION OF INOVATION AND CREATION

Oleh :

ELDAWATI

NIM : 2015302240

KELAS : 19 D ( NON REGULER/ PJJ)

PROGRAM STUDI SARJANA TERAPAN KEBIDANAN

UNIVERSITAS FORT DE KOCK

BUKITTINGGI

TAHUN AJARAN 2020/2021

ANAMNESIS AT POST PARTUM MOTHER

1. DESCRIPTIVE
Anamnesis is a directed question aimed at postpartum mothers, to determine the condition
of the mother and the risk factors it has. The objectives of the history are:
1. Obtain data or information about problems that are being experienced or felt by the
patient. An accurate history can help establish the assessment and diagnosis.
2. Build a good relationship between a health worker and his patient. A proper history can
open a good relationship and cooperation which is useful for further examination.
2. INDICATORS
a. Able to carry out anamnesa on postpartum mothers.
3. SHORT THEORY
Anamnesis is a focused question addressed to pregnant women, to determine the condition
of the mother and the risk factors it has. The objectives of the history are:
1. Obtain data or information about problems that are being experienced or felt by the patient.
An accurate history can help establish the assessment and diagnosis.
2. Build a good relationship between a health worker and his patient. A proper history can
open a good relationship and cooperation which is useful for further examination.
Anamnesa can be done in two ways, namely:
1. Autoanamnesa, is anamnesa that is done directly to the patient. The patient himself answers
all questions and describes his condition.
2. Allonamnesa, is anamnesa conducted with other people in order to obtain accurate
information about the patient's condition. Usually in unconscious patients, infants,
children. In this type of history taking, the health worker / midwife must ensure that the
source of the information comes from the right person.
The types of questions that are given when taking an anmnesa to pregnant women are
questions that can dig deeper into the information needed by health workers to determine
whether or not there are risk factors that can lead to complications in pregnancy, childbirth,
childbirth and LBW. The types of questions given include:
a. Identity
Asked the identity of the mother and husband: Name, age, religion, ethnicity / nationality,
education, occupation, complete address.
b. Reason for coming / Mother's complaint
Maternal complaints: is there anything related to what was felt by the mother during the
postpartum period? Are there any problems faced by the mother that need to be addressed
during the examination.
c. Menstrual history
Menarche, regular / no cycle, duration, amount of blood, color, odor, pain complaints +/-
→ assess the function of uterine apparatus
d. Marriage History
Married / not, how many times, age at marriage, how long / long was the marriage
(expensive child?)
e. KB history
 Have you ever used contraception? Types of contraception? When is it used? Where? By
whom? Duration of use? Any complaints? When is it released? Where? By whom?
Reasons to stop / change contraception?
f. Past Pregnancy, Childbirth, Postpartum History
1. Childbirth history
Spontaneous / artificial? Atterm / Premature? When? Where were you born? Help
whom? Any problems during labor?
2. Postpartum History
Are there any problems during the puerperium? Infection? Bleeding?
3. Child
Gender? BB? Life and death? If you die, why? Healthy? Are there any defects?
Breastfeeding? How is the condition now?
g. History of Disease
1) Current medical history
Are you sick now? Complaint? Is the mother on treatment?
2) Past medical history
History of other systemic diseases that may affect or be aggravated by pregnancy (heart,
lung, kidney, liver disease, diabetes mellitus), history of certain food / drug allergies and so
on. Whether or not there is a history of general / other surgery or uterine surgery
(myomectomy, cesarean section, etc.).
3) Family history
History of systemic disease, metabolic disease, congenital defects ,? Hereditary diseases
+/- (diabetes mellitus, genetic disorders), infectious diseases +/- (tuberculosis)
H, Marital Status
a. Marriage age
b. Marital status
c. Length of marriage
d. This is the husband to
i. Nutritional needs
a. Menu
b. Frequency
c. A lot
d. Abstinence
e. Get iron
J. Fluid Requirement
a. Type of drink
b. Drinking frequency
c. Drink lots
k. Sleep Needs
a. Rest / nap
b. Sleep at night
 c. Distraction
d. Complaint
l. Ambulation History
a. How often
b. Dizziness during ambulation
c. Independent or need help from others
m. Everyday activities
n. Lokhia
o. Elimination History
a. CHAPTER
· Frequency
· Consistency
· Color
· Complaints
b. BAK
· Frequency
· Color
· Complaints
p. Perineal Tear or Episiotomy
q. The Breastfeeding Process
r. Postpartum Hazard Signs
a. Easily tired or have trouble sleeping
b. Fever
c. Pain or feeling hot when you urinate
d. Constipation / hemorrhoids
e. Continuous headache, pain, swelling
f. Abdominal pain
g. Foul-smelling vaginal discharge
h. The breasts are very painful to the touch, swollen, cracked nipples
i. Difficulty breastfeeding
j. Sadness
k. Feeling less able to care for their own baby
· S. Personal Hygiene Care
a. Bath
b. Washing hair
c. Tooth brush
d. Change clothes
e. Change underwear and bandages
f. Cutting nails
t. Sexual activity
a. Frequency
 b. Distraction
u.Family response to the birth of a baby
v.Client Feelings of the Birth of a Baby
w.Response of the Father to the Birth of the Baby
x.Patient Knowledge in Caring for Babies
 Family planning planning
 Knowledge of the condition and care performed on the patient
 The existence of customs in the patient environment related to newborns and
postpartum mothers
 Feelings and Satisfaction with the Care Obtained

PHYSICAL ASSESSMENT OF POSTPARTUM MOTHERS

Physical assessment of postpartum mothers or physical examination is one way to find out
the symptoms and signs and health problems experienced by mothers after childbirth and
 during the puerperium by collecting objective data which is carried out by examining
postpartum mothers.
Destination :
1. Collecting data on maternal health during childbirth
2. Obtain and add information about the history and complaints felt by the mother during
childbirth
3. Identify the problem needs that are found
a. Ensure that the uterine involution is normal, and assess for signs of infection
b. Make sure the mother is breastfeeding well
c. Make sure the mother is getting enough food, fluids, and rest
4. Assess changes in psychological factors that influence the puerperium
5. Early detection of complications that occur during the puerperium and handling them
Physical Examination Techniques in Postpartum mothers
1. Inspection: To assess changes in the physical state of the puerperal mother
2. Palpation: To determine the size of the uterus (height of the uterine fundus) according to
the puerperium
3. Auscultation: To check BP and hear the mother's heart sound
4. Percussion:
Genetalia Examination
Carry out hygiene inspections on the genetalia of the post-partum mother and remove lochea
and suture wounds in the perineum
Extremity Examination:
Do an examination to see if there is thrombopchlebitis, edema and enlarged varices
Physical Examination Steps
1. Physical Data Assessment (Data Collection)
Data assessment is collecting all the data needed to evaluate a patient and is the first step to
gathering all clear and accurate information.
Anamnesa can be done in two ways, namely:
 Auto History
Anamnesis is carried out directly to the patient. So the data obtained are primary data
because they are directly from the source.
 Allo Anamnesa
Anamnesa is carried out to the patient's family to obtain data about the patient.
There are two types of data collection
 Subjective data
To obtain subjective data, anamnesis can be done, namely the information we get can be
directly from the patient or it can also be from people closest to the client.
This subjective data includes:
Identity / Biodata
Name: Husband's name :
Age: Age:
Tribes : Tribes :
Religion: Religion:
Education: Education:
Profession : Profession :
Home address : Address House :
No. Phone: No. Phone:
 Main complaint
What is being studied is whether the mother feels any complaints during the puerperium
 Medical history
What is studied is:
1. Past medical history
2. Current medical history
3. Family medical history
 Marriage History
What is studied is the age of marriage, the length of marriage, the number of times
married, the marital status (because marital status greatly influences the mother's
psychological relationship with the postpartum period.
 Obstetric history
1. Past pregnancy, childbirth and childbirth history
a. How many times did the mother get pregnant, the childbirth helper, where did she
give birth, how
b. childbirth, number of children, whether abortion and past postpartum conditions.
2. Current labor history
Date of delivery, type of delivery, duration of delivery, sex of child, circumstances
This is very important studied to find out what the delivery process
experiencing abnormalities or not and this can affect the puerperium.
 KB history
This is to find out whether the client has ever participated in family planning with
what type of contraception, how long did the mother use the contraception, did the
mother experience complaints and problems in using contraception and after the
postpartum period what contraception will be used.
 Socio-cultural life
To find out clients and their families who adhere to certain customs and cultures that
will benefit or harm the mother during the postpartum period. The important thing that
they usually adhere to in relation to the postpartum period is the diet of postpartum
mothers, for example postpartum mothers must abstain from meat, fish. , eggs and fried
foods because they are believed to inhibit the healing of labor wounds and eating this will
make breast milk more fishy.
This custom is very detrimental to postpartum mothers because their health recovery
will be hampered. With the many types of food that she abstains, it will also reduce her
 appetite so that food intake which should be more than usual actually decreases. Breast
milk production will also decrease due to the volume of breast milk. very much
influenced by the intake of nutrients of good quality and quantity.
 Psychosocial data
This is to find out the response of mothers and their families to their babies
1. Family response to mother and baby
What is studied is how the family responds to the mother and baby. The assessment of
the family's response to the mother is for the psychological comfort of the mother. The
positive response from the family to the birth of a baby will accelerate the adaptation
process for the mother to accept her role. In reviewing this data midwives can ask directly
to patients and families. The facial sheets they display can also provide instructions to
midwives about how they respond to this fight.
The mother's response to herself
What is being studied is how the mother responds to herself, after the mother goes
through the labor process, is the mother ready to accept her role as a mother who is ready
to take care of herself.
2. The mother's response to her baby
In reviewing this data the midwife can ask the patient directly about how she feels about
the birth of her baby, whether the mother feels happy or not with the birth of her baby.
 Knowledge data
This is to find out how much knowledge the mother has about postnatal care.
 Patterns of fulfilling daily needs, among others
 Nutrition and fluids
 Personal hygiene
 Elimination
 Break
 Sexual
 Activities
2. Objective Data
In dealing with clients during this postpartum period, midwives must collect data to
ascertain whether the client is in a normal state or not.
Part of the objective data assessment, namely:
 Mother's General Condition
Observation of energy level and emotional state
 mother vital signs
1. Blood pressure
Normal blood pressure is <140/90 mmHg. This blood pressure can increase from pre-
delivery in 1-3 days post partum. After delivery, most women experience a temporary
increase in blood pressure. This condition will return to normal for several days. If the
blood pressure becomes low, it indicates post partum bleeding. Conversely, if the blood
 pressure is high, it is an indication of the possibility of pre-eclampsia that can occur
during the puerperium. However, this is rare.
2. Temperature
Normal body temperature is less than 38C. On the 4th day after delivery, the mother's
temperature may slightly rise due to breast activity. If the increase reaches more than 38
C on the second day to the following days, one should be aware of any infection or
puerperal sepsis.
3. Pulse
The normal pulse in postpartum women is 60-100. The mother's pulse will slow down
to about 60 x / minute, which is when the labor ends because the mother is in a full state
of rest. This occurs mainly in the first week post partum. In mothers whose nerve pulses
can be fast, about 110x / min. Shock symptoms can also occur due to infection, especially
when accompanied by an increase in body temperature.
4. Breathing
Normal breathing is 20-30 x / minute. In general, respiration is slow or even normal.
Why is that because the mother is in a state of recovery or in a resting state. If there is
fast postpartum respiration (> 30 x / min) it may be due to the follow-up of signs - a sign
of shock.
5. Breast
In assessing whether there are lumps, enlarged glands, and how is the condition of the
mother's nipples whether they are protruding or not, whether the breasts are pus or not
6. Uterus
A. Check the height of the uterine fundus is consistent with uterine involution
B. Whether uterine contractions are good or not
C. Is the consistency soft or hard
D. If the uterus initially contracts well then at palpation there will be no visible increase in
the discharge of the lochea. If previously the uterine contractions are not good and the
consistency is soft, palpation will cause contractions that will release accumulated blood
clots, this flow in normal conditions will decrease and the uterus be hard
E. Rectie Diastasis
We do an examination of the diastasis rectie, the goal is to find out whether the
dilation of the abdominal muscles is normal or not, by inserting our two fingers, namely
the index and middle fingers into the diaphragm of the mother's abdomen. If our fingers
enter two fingers it means that the diastasis rectie of the mother is normal. If more than
two jai means abnormal, the way to treat diastasis rectie is by light surgery (tometock)
7. Bladder
If the mother's bladder is full, then help the mother to empty her bladder and advise
her not to hold back if you feel BAK. If the mother cannot urinate within 6 hours post
partum, help her by pouring warm and clean water over her vulva and perineum. the
method has been done but the mother still cannot urinate, it may be necessary to insert a
 catheterization. After the bladder is emptied, then do massase on the fundus so that the
uterus contracts properly.
8. Lower Extremity
On the examination of the legs, are there: varicose veins, edema, patellar reflex,
tenderness or heat in the calf. Homan's sign is done by placing one hand on the mother's
knee and applying light pressure to keep the knee straight. If the mother feels pain in the
calf with action sign, the Homan (+) sign.
9. Genitalia
 Check the discharge of lochea, color, smell and amount
 Vulvar hematoma (blood clot)
 Symptoms are most obvious and can be identified by careful inspection of the vagina and
cervix
 See hygiene in the mother's genitalia
 Mothers must always maintain cleanliness of their genitals because in this postpartum,
mothers are very easy to get infections
10. Perineum
On the perineal examination, the mother should be in a position with both legs spread.
When doing a perineal examination, check:
 The laceration suture
Before checking the laceration suture, first clean it on
part of the laceration suture with gauze given with betadine so that the stitches are visible
seems clearer
 Edema or not
 Hemorrhoids of the anus
 Hematoma (swelling of the tissue that contains blood)
11. Lochea
Experiencing destruction due to the involution process, namely lochea rubra, serosa and
alba
B. Psychological Assessment of Postpartum Mother
During this postpartum period, women experience a lot of emotional / psychological
changes, meanwhile the mother must be able to adjust to being a mother. The cause of
one of the mother's emotional changes is due to rapid hormonal changes and unstable
emotions caused by physical discomfort such as the mother. stitches or lack of sleep.
The factors that most influence maternal emotional and psychosocial changes are:
 Emotional disappointment
 Pain in the early puerperium stage
 Mother's anxiety in providing care to her baby
 Fear of the appearance of her that is no longer attractive to her husband
4. Postpartum Physical Examination Preparation
1) Preparation of tools and materials
 There are several things that need to be prepared before carrying out a physical
examination of the postpartum mother:
1. Grounded tray, contains:
 Tensimeter
 Stethoscope
 Thermometer
 Wristwatch
 Notebook and stationery
2. DTT cotton in com
3. The instrument tub contains a hands scoen
4. 0.5% chlorine solution
5. Clean water in the washbasin
6. Clean cloths, sanitary napkins and mother's underwear
2) Steps of Physical Examination in Postpartum Mother
A. Maternal Psychosocial Examination
1. Welcoming mother and introducing myself, and explaining the purpose of the
examination
2. Asking about the mother's complaints and feelings
3. Asking the mother's complaints or questions you want to know
4. Ask about her labor history:
 Who helps the mother during childbirth
 Where she gave birth
 Are there complications during pregnancy, childbirth and after delivery
 Type of delivery (spontaneous, vacuum, section cesarean)
 Birth canal tear
5. Ask about your mother's eating and drinking
6. Asking about mom's rest
7. Ask about breastfeeding, namely the frequency and duration
8. Mother's General Condition
1) Observation of the mother's energy level and emotional state during the visit
2) Explain to the mother about the examination that will be carried out
3) Wash hands with soap and running water gently and thoroughly
then pat dry with a clean towel
4) Check for vital signs
 Blood pressure
 Pulse
 Temperature
 Breathing
5) Doing a breast exam:
 Mother sleeps on her back with her left arm above her head, systematically do it
touch / touch the breast to the left axila, see if there is any
 lumps, enlarged glands,
 Then repeat the same procedure on the breast until it is axial to the right
 Inspect the nipples for raised, flat, immersed or pus-filled nipples
6) Perform abdominal examination
 See if there is any scar
 Palapasi to assess fundal height, uterine contractions and consistency
 Palpate to determine distasis rectie
7) Perform a bladder examination
Examination of the bladder we palpate in the suprapubis, the bladder should be
empty. because if the bladder is not emptied there is no contraction so that it can cause
bleeding.
8) Carry out an examination of the feet
 Are there varicose veins
 There is a reddish color on the calf
 On the shins of the feet to see if there is odema
 Perform an examination (Homan method) of both legs straightened, do a push on the
soles of the feet to see any calf pain
 Then bend the legs alternately towards the abdomen to assess for pain in the groin
9) Performing a Genetalia / perineal examination
 Tell the mother about the examination procedure
 Help the mother adjust the position for the perineal examination
 Wearing the perineal examination gloves
 Checking the perineum, 6 hours perineal examination, ie the mother is in a dorsal
position
recumbent, pay attention to color, odor, consistency, vulvar hematoma and
cleanliness
 Perform vulvar Hygiene, pay attention to bleeding and blood sources (assess lacerations
or perineal sutures)
10) Putting the gloves on the place provided or the 0.5% chlorine solution
11) Notifying the mother of the results of the examination
12) Documenting the results of the examination

FAMILY PLANNING COUNSELLING

A. Family Planning Counseling

1. Definition
  Counseling is a process of helping each other in the form of information that is
needed in such a rpa, so that the other person understands it and then applies it
according to the situation and condition
 Counseling is an act of IEC activities
 A process that runs and integrates all aspects of family planning services
 Through counseling, service provision helps clients choose suitable family planning
methods and helps them to continue to use these methods correctly.

B. Types of Family Planning Counseling

Important components in family planning services are divided into 3 stages, namely:
1. Initial Counseling
Aims to determine what method is taken. When done objectively this step will help
the client to choose a suitable KB type
What needs to be considered in this step:
 Asking the client's preferred steps
 What is known about how it works, its advantages and disadvantages
2. Special Counseling
Give the family the opportunity to ask about family planning methods and talk about
their experiences. Get more detailed information about the KB he wants. Get help to
select suitable family planning methods and get further insight into their use
3. Follow-up Counseling
Counseling is more varied than initial counseling. Service providers must be able to distinguish
serious problems requiring referral and minor problems that can be resolved on the spot.

MIDWIFERY CARE IN PUERPERAL MOTHER

 After delivery of the placenta, the mother's body usually begins to recover from labor.
The baby begins to breathe normally and begins to keep himself warm. Midwives should stay
there for a few hours after giving birth to ensure that the mother and baby are healthy, and to
help the mother of the new family eat and rest. 59 In the first days and weeks after giving birth,
the mother's body will begin to heal. The uterus will shrink again and stop bleeding. The milk
will come out of the breast. The baby will learn to breastfeed normally and will begin to need
midwife care. The following will explain about the things that are done in providing midwifery
care to postpartum mothers:

a. Check the mother's vital signs. Check her temperature, pulse and blood pressure regularly at
least once an hour if the mother has health problems.
b. clean the genitals, stomach and feet.
c. to prevent heavy bleeding after childbirth, it is normal for a woman to bleed as much when she
has monthly bleeding.
d. Checking the mother's genitals and other problems.
e. Help the mother to urinate You should urinate yourself as soon as possible.
f. Help mothers eat and drink Most mothers want to eat after giving birth and it is good for them
to be able to eat the variety of nutritious foods they want.
g. Pay attention to the mother's feelings for her baby
h. Watch for symptoms of infection in the mother.

COUNSELLING HEALTH REPRODUCTIVE SYSTEM

 Integrated Reproductive Health Services (PKRT), implemented in an integrated manner
(integrative) and held in the form of "one stop service" where clients can receive all the services
needed. PKRT services must be provided in an integrated and quality manner that meets aspects
of Communication, Information and Education (IEC) with due regard to individual / individual
reproductive rights and the integrated service must be oriented to client needs. In fulfilling the
principles of organizing PKRT, to provide good service, each district is expected to have a
minimum of 4 (four) Puskesmas that provide Integrated Reproductive Health Services.
In PKRT priority services are given to four components of reproductive health which are
the main problems in Indonesia, namely: Maternal and Child Health, including:
1. Antenatal, childbirth and postpartum services include elements of STI prevention and control
services as well as motivating clients for family planning services and providing postpartum
family planning services. In childbirth assistance and handling of newborns it is necessary to pay
attention to general prevention against infection.
2. Post-abortion services include elements of STI prevention and control services as well as post-
abortion family planning counseling.
3. Use of the MCH Handbook from pregnant women to children aged 5 years.
4. Implementation of neonatal visits.
5. Essential neonatal health services covering basic neonatal care and management of sick
neonates.
6. IMCI approach for sick toddlers.
7. Monitoring and stimulating child development.
PKRT consists of two types of reproductive health services, namely Essential
Reproductive Health Services (PKRE) and Comprehensive Reproductive Health Services
(PKRK).

COUNSELLING IMMUNIZATION FOR INFANT AND BABY

 Immunization is the process of making a person immune or immune to a disease. This
process is carried out by administering a vaccine that stimulates the immune system to be
immune to the disease.
Newborn babies already have natural antibodies called passive immunity. These
antibodies are obtained from the mother when the baby is still in the womb. However, this
immunity can last only a few weeks or months. After that, the baby will be susceptible to various
types of diseases.
Immunization aims to build a person's immunity against a disease, by forming antibodies
in certain levels. In order for these antibodies to form, a person must be given the vaccine
according to a predetermined schedule. The immunization schedule depends on the type of
disease to be prevented. Some vaccines are enough to be given once, but some must be given
several times, and repeated at a certain age. Vaccines can be given by injection or by mouth
drops.
Complete Routine Immunization in Indonesia
Now, the concept of immunization in Indonesia has changed from complete basic
immunization to complete routine immunization. Complete routine immunization or mandatory
immunization consists of basic immunization and follow-up immunization, with the following
details:
Basic immunization
Age 0 months: 1 dose of hepatitis B
Age 1 month: 1 dose of BCG and polio
Age 2 months: 1 dose of DPT, hepatitis B, HiB, and polio
Age 3 months: 1 dose of DPT, hepatitis B, HiB, and polio
Age 4 months: 1 dose of DPT, hepatitis B, HiB, and polio
9 months of age: 1 dose of measles / MR
Advanced immunization
Age 18-24 months: 1 dose of DPT, hepatitis B, HiB, and measles / MR
Grade 1 SD / equivalent: 1 dose of measles and DT
Grade 2 and 5 SD / equivalent: 1 dose of Td
Regarding immunization coverage, data from the Ministry of Health stated that around
91% of babies in Indonesia in 2017 had received complete basic immunization. This figure is
still slightly below the strategic plan target for 2017, which is 92 percent. Nineteen out of 34
provinces in Indonesia also have not reached the strategic plan target. Papua and North
Kalimantan occupy the lowest place with achievements of less than 70%.
Based on these data, it is also known that almost 9% or more than 400,000 babies in
Indonesia do not get complete basic immunization.
Meanwhile, for advanced immunization coverage, the percentage of children aged 12-24 months
who have received DPT-HB-HiB immunization in 2017 reached around 63 percent. This figure
has exceeded the 2017 strategic plan target of 45 percent. Meanwhile, the percentage of children
who received measles / MR immunization in 2017 was 62 percent. This number is still far from
the 2017 strategic plan target of 92 percent.
 In addition to the several types of vaccines above, now a COVID-19 vaccine is also being
developed and researched. Please note that immunization does not provide 100 percent
protection for children.
Children who have been immunized are still likely to develop a disease, but the chance is
much smaller, which is only around 5-15 percent. This does not mean that the immunization
failed, but because immunization protection is around 80-95 percent.
Types of Immunization in Indonesia
The following are the vaccines recommended by the Indonesian Pediatric Association (IDAI) in
the immunization program:
 Hepatitis B
 Polio
 BCG
 DPT
 Hib
 Measles
 MMR
 PCV
 Rotavirus
 Influenza
 Typhus
 Hepatitis A
 Varicella
 HPV

PROMOTION OF INOVATION AND CREATION

 Health promotion activities is part of a government program under the coordination of the
Ministry of Health, especially the Directorate of Health Promotion and Community
Empowerment. There are health promotion officers stationed at each puskesmas as health service
institutions that interact directly with the community level.
The health program or movement launched by the government is an effort to improve the
quality of public health. Some movements likeHealthy Living Community MovementorClean
and Healthy Living Behaviorcan be a successful movement with the support of health promotion.
The main objective of health promotion is to provide information which at a further level can
trigger public awareness of programs or movements that are being launched by the government.
 The 8 innovations were the first Health Facility Research (Rifaskes). Rifaskes helps the
Ministry of Health find out the best health services for the community.
 It is hoped that it can produce policy recommendations for strengthening universal health
service coverage (UHC) and improving the implementation of JKN, which will be
followed by health services for hospitals, clinics, pharmacies, health laboratories,
independent practicing doctors, and midwives.
 Second, e-Internal Control. Through internal e-supervision, all activities at the Ministry
of Health can be monitored to be clean and free of corruption.
 Data includes audits, reviews, evaluations, and monitoring. With the integration of this
technology, it can be done practically and accurately.
 Third, the Reporting System for Maternal and Newborn Mortality (Maternal Death
Notification application). The application is for monitoring maternal and newborn deaths.
 With the use of this application, people can participate and provide information via smart
phones. The application is available on the playstore.
 Fourth, the Germas mobile application. The application was created according to
environmental inspection standards that make it easier for people to find a place to eat
healthy, clean without disease.
 All places to eat in the application have been verified by the local government.
 Fifth, e-consultation.
This electronic consultation is the result of overseas cooperation in the health sector.
Guidelines for foreign cooperation have been clearly presented for better public health.
 Sixth, QR code. This one innovation functions to scan QR codes to get health information
more practically and on target.
 Health information will be immediately presented in detail and thoroughly
 Seventh, Guidelines for Behavior Change Communication Strategies in Achieving
Stunting Prevention in Indonesia.
 Eighth, Sinkarkes (Health Quarantine System, Sinkarkes is an online-based service
related to international vaccination for overseas travel and also for Umrah pilgrims, both
at airports, ports and border crossings.