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Anemia in pregnant women is a health problem that contributes significantly to Low Birth Weight (BBLR), a serious issue in Indonesia with a prevalence exceeding 15% according to WHO, and is a major contributor to the high Neonatal Mortality Rate. This study aims to examine the relationship between anemia in pregnant women and the incidence of BBLR at the Sungai Durian Health Center, Sintang Regency. Using a case control analytical research design with secondary data from medical records in 2024, the sample used was 116 respondents, consisting of 58 pregnant women with BBLR babies as the case group and 58 pregnant women with normal birth weight babies (BBLN) as the control group, which were taken by total sampling technique. Data analysis was carried out using the Chi-Square test and the Odds Ratio (OR) with a significance level of 95%. The results of the study show that the incidence rate of BBLR at the Sungai Durian Health Center in 2024 is 25.8%, and the incidence of anemia in pregnant women is 46.6%. Statistical tests showed a significant relationship between anemia in pregnant women and the incidence of BBLR (p < 0.05). Pregnant women with anemia had a 21.758 times greater risk of giving birth to a BBLR baby compared to non-anemic mothers (OR=21.758; CI 95% = 1.45–7.08). The study concluded that there was a relationship between the nutritional status of pregnant women and the incidence of preeclampsia at the Sungai Durian Sintang Health Center.

Stunting in toddlers is a chronic nutritional problem caused by lack of nutritional intake due to feeding that does not meet basic needs. UNICEF data in 2024 shows that the infant mortality rate for toddlers is 48 per 1,000 live births and the neonatal mortality rate is 23 per 1,000 live births. Conditions that cause mortality and morbidity in infants and toddlers include malnutrition, sepsis, pneumonia, and premature birth (WHO, 2023). Factors that cause stunting include nutrition, health, environment, and socio-economy, such as malnutrition in pregnant women and children, recurrent infections, poor sanitation, and limited access to health services and nutritious food (Sari, 2023). The effects of stunting include brain development inhibitions, weakened immune systems, delayed psychosocial and motor development, and suboptimal physical growth. Based on a preliminary study at the Sungai Raya Dalam Health Center, there were 134 children under five who were stunted. This study aims to determine the relationship between maternal nutritional status during pregnancy and the incidence of stunting in toddlers aged 0–24 months. The research design used case control with a retrospective approach, involving 58 mothers with toddlers aged 0–24 months. The results showed that mothers with nutritional status with KELK had a higher risk of giving birth to stunted toddlers (72.7%) compared to mothers with good nutritional status (19.1%). The Fisher Exact test yielded a value of p = 0.000 (p < 0.05), which means that there is a significant relationship between the nutritional status of pregnant women and the incidence of stunting.

Cervical cancer remains a major public health problem and is one of the leading causes of cancer-related mortality among women in Indonesia. Early detection through Visual Inspection with Acetic Acid (VIA) is an effective and feasible screening method at the primary health care level. However, the coverage of VIA screening among women of reproductive age (WRA) remains low. Knowledge is considered an important predisposing factor that may influence women’s motivation to undergo VIA screening. This study aimed to analyze the association between cervical cancer knowledge and motivation to undergo VIA screening among women of reproductive age. This study employed a quantitative analytic design with a cross-sectional approach. A total of 105 women of reproductive age were recruited using consecutive sampling at the Payangan Community Health Center, Gianyar Regency, Indonesia. Data were collected using validated and reliable structured questionnaires measuring cervical cancer knowledge and motivation to undergo VIA screening. Univariate analysis was performed to describe respondent characteristics, while bivariate analysis using the chi-square test was applied to examine the association between knowledge and motivation at a significance level of 5%. The results showed that 61.9% of respondents had good knowledge of cervical cancer, while 52.4% demonstrated low motivation to undergo VIA screening. A statistically significant association was found between cervical cancer knowledge and motivation to undergo VIA screening (p = 0.043). Women with higher levels of knowledge tended to have greater motivation to participate in VIA screening. In conclusion, cervical cancer knowledge is significantly associated with motivation to undergo VIA screening among women of reproductive age. These findings suggest that strengthening health education interventions at primary health care facilities is essential to enhance motivation and increase participation in early cervical cancer detection programs.

Background: Maternal mortality according to WHO (2024) is 287,000, in Indonesia (2024) 183/100,000 live births, in Central Java (2024) 3,149 live births, in Brebes (2024) there were 54 cases of maternal mortality. At Bantarkawung Community Health Center (2024), there were no maternal deaths. One of the causes of maternal mortality is postpartum hemorrhage. Postpartum hemorrhage can be caused by anemia in mothers during pregnancy. Objective: It is hoped that the researcher can provide comprehensive midwifery care for Mrs. L in accordance with midwifery service standards, covering pregnancy, childbirth, newborns, neonates, postpartum, and family planning, using the midwifery management approach according to Varney and SOAP. Research method: The method used is qualitative descriptive with a comprehensive case study approach. Findings: During the researcher's assistance with anemia cases, the researcher did not find issues that required further in-depth investigation, but there were some occurrences resulting from anemia, one of which was the mother experiencing retained placenta. From the assistance process conducted by the researcher, the midwifery findings have been applied comprehensively, from pregnancy stages to family planning, in accordance with midwifery service standards.  

The prevalence of hypertension in Jambi City has continued to increase over the past five years, including in the Simpang Kawat Community Health Center (Puskesmas Simpang Kawat). Meanwhile, the cost of hypertension care and treatment for the community is relatively high, especially if complications arise and are not covered by insurance, which can lead to catastrophic expenses that weaken households' economic conditions. This community service activity aims to provide education and outreach regarding hypertension and its impact on healthcare costs. Thirty people with hypertension in the Simpang Kawat Community Health Center (Puskesmas Simpang Kawat) participated in the activity. The core activities included providing information about hypertension and its consequences on healthcare costs, anti-hypertension exercises, outreach regarding the risk of catastrophic expenses, and explanations of various government support programs. The results showed that 80% of participants experienced a significant increase in knowledge, and there was a difference in knowledge levels between before and after the implementation of the Community Health Center (PPM) (p=0.000). The government and the Community Health Center are recommended to strengthen campaign efforts to encourage the community to adopt a healthy lifestyle and actively participate in health programs that can help reduce healthcare costs and avoid catastrophic expenses

The background of this study is the practice of open defecation (OD), which is a public health problem. OD refers to the act of disposing of feces in open areas such as rice fields, fields, bushes, rivers, and beaches, which can pollute the environment, soil, air, and water. This study aims to determine the knowledge, attitudes, and practices of the community in RT 05 Haya Village, Tehoru District, Central Maluku Regency regarding stopping ODD. This study used a descriptive method, with a sample of 40 families selected through a random sampling technique. Data were collected using a questionnaire. The results showed that most people had quite good knowledge about ODD, with 50% of respondents in the quite good category. Community attitudes were also quite good, with 70% of respondents showing a positive attitude towards stopping ODD. However, community actions were still less good, with 42.5% of respondents showing less good actions regarding ODD. The conclusion of this study is that although the knowledge and attitudes of the community in Haya Village were quite good, their actions were still lacking. Therefore, cooperation is needed between the village government, Tehoru Health Center, and community leaders to regularly hold outreach regarding BABS.

Health communication and community empowerment are crucial for improving health outcomes at the primary health care level. As a primary health care facility, the Empat Ulu Community Health Center in Palembang plays a strategic role in disseminating health information, strengthening community capacity, and promoting healthy lifestyles through various educational activities. The Field Learning Practice (PBL) activity, conducted by students within the community health center's work area, aimed to strengthen the implementation of health communication, particularly in promoting Clean and Healthy Living Behavior (PHBS) in elementary schools. The methods used included field observation, discussions, face-to-face counseling, handwashing demonstrations, and the distribution of educational media. The results showed an increase in students' understanding of PHBS, demonstrated by their ability to answer questions, practice handwashing correctly, and their enthusiasm during interactive sessions. This activity not only strengthened students' knowledge but also demonstrated that a two-way communication approach and the use of simple visual media can enhance the effectiveness of health education. Overall, this PBL activity contributed to supporting the community health promotion program and strengthened the role of students in encouraging community self-reliance in maintaining health.

Background: Maternal mortality rate (MMR) in Indonesia remains a serious problem, with preeclampsia as one of its main causes. Based on data from Sungai Durian Primary Health Center in 2024, there were 60 cases of preeclampsia (6%) as well as an increasing trend of cases and variations in the nutritional status of pregnant women. Objective: This study aims to determine the relationship between the nutritional status of pregnant women and the incidence of preeclampsia at Sungai Durian Primary Health Center, Sintang. Methods: This is a quantitative research study with a cross-sectional design. Data were collected using observation sheets from medical record data, specifically data on pregnant women with nutritional status and preeclampsia, with a population of 555 pregnant women and a sample size of 232 women. Data analysis was performed using the Spearman Rank test. Results: There were 59 cases (25.4%) of mild preeclampsia and 104 cases (44.8%) of severe preeclampsia. There were variations in the nutritional status of pregnant women: 35 women (15.1%) were undernourished, 132 women (56.9%) had normal nutrition, 25 women (10.3%) were overweight, 24 women (10.3%) had obesity class I, and 16 women (6.9%) had obesity class II. The Spearman Rank test results showed p 0.000 (<0.05), concluding that there is a significant relationship between the nutritional status of pregnant women and the incidence of preeclampsia. Conclusion: There is a relationship between the nutritional status of pregnant women and the incidence of preeclampsia at Sungai Durian Primary Health Center, Sintang.

The birth facilities and birth attendants are directly linked to maternal mortality. It has been demonstrated that births attended by healthcare professionals help lower the risk of maternal mortality. Traditional birth attendants and non-health personnel have a very restricted understanding of physiology and pathology, which leads to issues with delivery help, which are the primary reasons for high rates of maternal and perinatal mortality and morbidity. The significance of family support for selecting a birth attendant. At the Benao Community Health Center, this research sought to determine the link between husband support and the choice of birthplace among pregnant women in their third trimester. This study employed a descriptive analytical design with a cross-sectional methodology, which is a study to establish the existence of two relationships or a number of variables. In the meantime, the sampling method employed complete sampling, which resulted in a sample size of 30 individuals. In this study, a questionnaire was employed as the instrument. The data was then analyzed with SPSS using Chi Square analysis. After using the chi-square statistical test, a P-value (asymp. Sig 2-tailed) of 0.000 < 0.05 was found, indicating a correlation between the location of delivery chosen by pregnant women in their third trimester and the support of their spouses. As a result, since H0 was disproved and H1 was proven, it may be inferred that there is a link between a pregnant woman's choice of delivery location in her third trimester and the support she receives from her spouse.

Background: Mental health during pregnancy is influenced by multiple factors, including the social environment. Family support, peer interactions, and community engagement are critical determinants of psychological well-being, yet their impact local community health settings remains underexplored. Objective: This study aimed examine the influence the social environment the mental health pregnant women Tilongka Billa Community Health Center. Methods: A quantitative correlational study was conducted with 70 pregnant women selected through purposive sampling. Data were collected using structured questionnaires assessing demographic characteristics, social support (family, peer, and community), and mental health status (Perceived Stress Scale and Edinburgh Postnatal Depression Scale). Descriptive statistics summarized the participants’ characteristics, while Pearson Spearman correlation tests analyzed relationships between social environment factors mental health outcomes (p < 0.05). Results: The results indicated that family support had the highest mean score (4.1 ± 0.7), followed by peer support (3.8 ± 0.8) and community involvement (3.5 ± 0.9). Mental health assessments revealed moderate stress levels (18.2 ± 5.0) and mild depression risk (9.5 ± 4.3). Correlation analysis showed significant negative relationships between social support and mental health indicators, with family support exhibiting the strongest correlation with reduced stress (r = -0.48, p = 0.002) and depression (r = -0.52, p = 0.001). Conclusion: The study demonstrates that supportive social environment, particularly family and peer support, plays crucial role in reducing stress and depressive symptoms among pregnant women. Strengthening social support networks through counseling, peer groups, and community engagement programs may enhance maternal mental health and promote positive pregnancy outcomes.

Hypertension is a common health problem in the elderly that can affect quality of life. Hypertension in Batam city is a non-communicable disease that ranks 2 and with a percentage of 30.9%. The World Health Organization (WHO) said that there are 50 70% of hypertensive patients who do not comply with prescribed medications. Compliance with taking antihypertensive drugs is important to maintain blood pressure stability. Non-compliance in using antihypertensive drugs is one of the risk factors for increasing morbidity and uncontrolled hypertension events that can worsen the quality of life of hypertensive patients. This study aims to find out "The Relationship between Compliance with Taking Hypertension Medication and the Quality of Life of the Elderly in the Working Area of the Sei Lengkai Health Center in 2024". The research design used in this study is cross sectional. Data collection uses secondary data with the population of hypertension patients in Batam city in 2023 and primary data, namely a questionnaire on adherence to taking hypertension medication and quality of life for the elderly. Sampling was done using a purposive sampling technique with a total of 93 elderly people. The measuring tools in this study are the Morisky Medication Adherence Scale (MMAS-8) and WHOQOL-BREF questionnaires. Based on the results of the analysis, it is known that the p value is 0.003, this states that there is a relationship between compliance with taking hypertension medication and the quality of life of the elderly in the Sei Langkai Health Center Work Area in 2024. The conclusion of this study is that adherence to taking antihypertensive medication is positively related to the quality of life of the elderly, so efforts are needed to increase medication adherence to support a better quality of life in the elderly. It is hoped that families and health workers will provide support and education to the elderly to maintain compliance in taking their medication to improve their quality of life

Background: Constipation is a common functional gastrointestinal problem in infants aged 6–12 months, causing discomfort, hard stools, and reduced quality of life. Non-pharmacologic interventions, such as abdominal massage, have shown promise in improving bowel function, but evidence regarding the effectiveness of the I Love You massage technique in community settings remains limited. Objective: This study aimed  examine the effectiveness of I Love You massage in reducing constipation among infants aged 6–12 months attending South Bulango Health Center. Methods: A quasi-experimental design with a pretest-posttest control group was employed. Thirty infants with functional constipation were purposively selected and divided into an intervention group (n=15) receiving daily I Love You massage for 10 minutes over seven days, and control group (n=15) receiving standard care, including dietary guidance and hydration. Data were analyzed using SPSS version 25 with paired t-tests for within-group comparisons and independent t-tests for between-group differences. Results: The intervention group exhibited a significant increase in bowel movement frequency (2.1 ± 0.7 to 5.6 ± 0.9 per week) and improvement in stool consistency (1.2 ± 0.4 to 2.8 ± 0.5), along with a notable reduction in abdominal discomfort (6.5 ± 1.2 to 2.1 ± 0.8). In contrast, the control group showed minimal improvements. Statistical analysis confirmed significant differences between groups (p < 0.05). Conclusion: I Love You massage is an effective, safe, and low-cost intervention reduce constipation in infants aged 6–12 months. Its implementation in primary healthcare settings may enhance gastrointestinal function, relieve discomfort, and promote caregiver-infant interaction.

The Community Service Program (Kuliah Kerja Nyata/KKN) implemented in Jorong Padang Rantang, Nagari Koto Tuo, Lima Puluh Kota Regency, represents a tangible contribution of university students in supporting the acceleration of stunting reduction at the local level. This community service activity focused on stunting prevention socialization targeting mothers of toddlers as the primary target group. An educational and participatory approach was employed to encourage active engagement of participants throughout all stages of the activity. The socialization materials covered the definition of stunting, its causes and impacts on child growth and development, the importance of adequate and balanced nutrition, appropriate parenting practices, and the strategic role of families during the First 1,000 Days of Life (1,000 HPK).The implementation of the activity involved cadres from the Amanah Bunda Integrated Health Post (Posyandu), village midwives, and KKN students from Universitas Negeri Padang as facilitators. The methods applied included interactive lectures, group discussions, and simple simulations related to nutritional practices and healthy parenting. The results indicated an increase in participants’ knowledge, awareness, and active community participation in early stunting prevention efforts. Furthermore, the activity strengthened the role of the Posyandu as a primary center for basic health services and community education. This community service initiative is expected to serve as a sustainable community-based intervention model that can be replicated in other areas facing similar challenges.

Measles remains a significant public health problem, particularly among school-aged children. Outbreak Response Immunization (ORI) is a key strategy to prevent measles outbreaks; however, its effectiveness depends greatly on community participation and cross-sectoral support. Data from Tanah Garam Primary Health Center in 2025 showed that measles-rubella ORI coverage among primary school children was still low, reaching only 44.15% of the 5,060 targeted children. This community service activity aimed to support the optimization of measles ORI implementation through an educational and community-based assistance approach. The methods included health education for parents and teachers, assistance during school-based ORI implementation, and monitoring and evaluation of immunization coverage. The results indicated improved community understanding of the importance of measles immunization, increased support from schools, and strengthened coordination between the primary health center and schools. This community service activity contributes to promotive and preventive health efforts and supports the prevention of measles outbreaks in the working area of Tanah Garam Primary Health Center.

Posyandu, as a form of community-based health efforts, plays a crucial role in improving maternal and child health. However, its implementation in the Mutiara Community Health Center (Puskesmas Mutiara) in Asahan Regency still faces various challenges, such as low cadre capacity, suboptimal service quality, and limited community participation. This community service activity aims to strengthen cadre capacity through Posyandu revitalization as an effort to improve the quality of basic health services. A total of 63 Posyandu cadres participated in the activities, which were implemented through counseling, education, and coaching using revised service standard guidelines. This program was implemented through four stages: preparation, implementation, analysis of results, and evaluation. Improvement in cadre knowledge was measured using pretests and posttests. The results of the activity showed a significant increase in the level of knowledge of cadres, as seen in the change in assessment categories from the majority being in the "poor" category during the pretest to "sufficient" and "good" in the posttest. This indicates that the education and coaching provided were effective in improving cadres' understanding and skills. Increasing cadre capacity is expected to improve the quality of Posyandu services, increase public trust, and support efforts to reduce morbidity and mortality in the Mutiara Community Health Center's work area. Cross-sector collaboration and ongoing mentoring are needed to maintain the sustainability of Posyandu revitalization.

The implementation of patient safety culture in hospitals remains a significant challenge, often leading to adverse events. Establishing a strong patient safety culture requires effective interprofessional collaboration among healthcare professionals to deliver patient-centered care. However, factors such as organizational distrust and job dissatisfaction continue to hinder collaborative efforts and negatively affect the quality of care and patient safety outcomes.This study aims to examine the influence of organizational trust and job satisfaction on patient safety culture, with interprofessional collaboration serving as an intervening variable at MP hospital.  This quantitative associative research used a causal approach involving 93 inpatient nurses as respondents. Primary data were obtained through questionnaires using an ordinal scale based on a 4–1 Likert scale. Data processing employed the three-box method, and data analysis was conducted using Structural Equation Modeling (SEM).The results revealed that organizational trust, job satisfaction, and interprofessional collaboration simultaneously and partially influence patient safety culture. Moreover, interprofessional collaboration was found to mediate the relationship between organizational trust, job satisfaction, and patient safety culture.The study concludes that enhancing patient safety culture can be achieved by strengthening organizational trust and job satisfaction through effective interprofessional collaboration. Hospitals should develop supportive systems that foster care and concern among staff, enhance conflict management, improve performance appraisal mechanisms, and promote open, effective communication across all professional groups involved in patient care. These strategies can create a safer, more collaborative, and high-quality healthcare environment

Acute Respiratory Infections (ARI) in the working area of Mulyorejo Public Health Center, where an aluminum factory is located, rank first among the ten most common diseases. This study aims to analyze the influence of sociodemographic characteristics and PM2.5 exposure on ARI complaints in the aluminum factory area of Payageli Village, Deli Serdang Regency. The cross-sectional observational study involved 160 housewives living within a radius of 10–1500 meters from the factory’s chimney. The analysis included univariate, bivariate, and multivariate methods. Results showed that 58.1% of respondents experienced ARI symptoms in the past month. The average ambient (outdoor) PM2.5 concentration measured from three sampling points was 12.3 µg/m³, which did not exceed the WHO standard (<15 µg/m³). The highest concentration was recorded in the southern direction (15.5 µg/m³). Bivariate analysis indicated that education (p = 0.010), direction of house location (p = 0.001), and indoor PM2.5 concentration (p = 0.006) were significantly associated with ARI. Multivariate logistic regression analysis showed that the most dominant factor influencing ARI was indoor PM2.5 concentration (p = 0.039), followed by education (p = 0.013) and direction of house location (p = 0.001). This study provides a scientific basis for air quality control and housing environment improvement to reduce the risk of environmentally related diseases in industrial zones.

Independence refers to the freedom to act and the ability to control one’s own or a group’s activities to protect oneself or others from various diseases or conditions. Among the elderly, the ability to perform Activities of Daily Living (ADL) often declines, which in turn reduces their independence in carrying out daily activities such as dressing, toileting, climbing stairs, or moving around. One of the common health problems affecting older adults is rheumatoid arthritis—an autoimmune disorder that causes inflammation and swelling in the joints, often affecting one or both sides of the body, making it difficult for the elderly to perform routine tasks. This study aims to determine the relationship between the level of independence and the incidence of rheumatoid arthritis among the elderly in the working area of Tinangkung Utara Public Health Center, Banggai Kepulauan Regency. This research employed a quantitative approach using the Chi-Square test. The study involved 50 respondents selected through a non-probability purposive sampling technique. The results of the Chi-Square analysis showed a p-value of 0.002 with a significance level of < 0.05, indicating that the research hypothesis was accepted. This finding means there is a significant relationship between the level of independence and the occurrence of rheumatoid arthritis among the elderly in the study area. In conclusion, the level of independence influences the occurrence of rheumatoid arthritis in older adults. Therefore, it is highly recommended that the elderly maintain active and independent movements as a way to keep their joints healthy and functional..

Mental disorders constitute a significant public health issue that necessitates family support in daily caregiving processes. This study aims to analyze the relationship between family knowledge levels and their ability to care for family members with mental disorders at the Neglasari Community Health Center (Puskesmas) in Tangerang City. This quantitative research employed a cross-sectional design and involved 45 respondents selected through total sampling. Data were collected using structured questionnaires on knowledge (Guttman scale) and caregiving ability (Likert scale), and were analyzed using univariate and bivariate methods through the chi-square test. The findings revealed that 51.1% of families had low levels of knowledge, while 40% were assessed as unable to provide adequate care. Bivariate analysis demonstrated a significant association between family knowledge and caregiving ability (p = 0.009). These findings suggest that family health literacy plays a crucial role in enhancing the quality of care for individuals with mental disorders. The implementation of family psychoeducation programs in primary healthcare settings is therefore essential to improve both knowledge and caregiving skills within home-based care. This study contributes to the development of community-based mental health services and provides a foundation for further research on educational interventions and family support systems.

The quality of service at community health centers is still often complained about by the public. Several studies show that the quality of health services at community health centers is closely related to the availability of quality health workers. The aim of the research is to determine various health human resource problems that arise in community health centers which can affect the quality of community health center services, and efforts to overcome various problems related to Human Resources management so that the quality of services at community health centers can be improved. The approach used is a descriptive analysis method. Data obtained from various literature is processed and analyzed qualitatively according to the problems and objectives that have been set. The results obtained show that there are Human Resource problems at the community health center which affect the quality of service, namely the lack of integration of the planning system and procedures for the distribution of health workers; lack of capacity of Human Resources planning units at all levels in the distribution of health workers; lack of good communication so that there are differences in understanding, information and knowledge about the distribution of health workers between planning units and health service providers; lack of support from regional government, planning that is not integrated at various levels of administration in regional government as well as lack of implementation and budgeting of training for health workers at community health centers