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Health tourism is a tourist travel activity to a tourist destination with the aim of receiving treatment or improving health and fitness. This research is a descriptive qualitative analysis by looking at case studies about the potential of health tourism. The research informants are doctors, dentists, nurses and pharmacists, and 5 pharmacists. The data was analyzed using the content analysis method on interview documents. The results of the research show that the importance of understanding and knowledge of health workers is to be able to improve the quality of service when facing tourist visits. When they have a health problem or want to improve their health condition while traveling, the attitude of health workers needs to be improved in terms of their competence which must be developed, services must comply with standards. operational procedures and being friendly and polite to tourists during health services. The conclusion of this research is that the understanding of each health worker is good regarding health tourism.

Background: Homecare is recovery, independence, fulfilling basic needs,choose the treatment nedded are called homecare, influences the success of health development. In overcoming health problems, health workers must be able to increase their professionalism in carrying out their duties to provide the best and highest quality services, so that patients and family members feel satisfied as measured by the factors. Purpose: This literature review research aims to find out how the quality of homecare service programs influences the level of patient satisfaction. Methods: There were 14 journals used in the literature review. Journal searches are carried out through Four databases : Google Scholar, Crossref, ProQuest, Emerald Insight.Results: Literature analysis shows that, there is a relationship between reliability, responsiveness, assurance, emphaty and tangible with the level of patient satisfaction.Conclusion: The quality of home services is influenced by several factors, the focus of quality measurement in Indonesia and several countries is similar. In other countries, quality seen in the nursing process, staff skills are called assurance. Quality is conceptualized as a continuous process, coordination of professional groups, prioritizing patient safety standards is called tangible, timeliness called responsiveness. In Indonesian quality is measured in five factors are tangible, responsiveness, reliability, assurance and empathy. These factors are most related to patient satisfaction in homecare services.

Data shows that motor development disorders are experienced by 5-10% of children in the world. Disrupted motor development can be an indirect cause of increased morbidity, poverty and in the long term can hamper the country's development. One effort to prevent gross motor delays in children is by stimulating them from infancy, for example by doing baby gym exercises. The aim of this research was to determine the effect of a baby gym on gross motor development in babies aged 3-4 months. The research design uses a quasi-experimental with control group design. The intervention group is the group that carries out the baby gym. Meanwhile, the control group did not do the baby gym. Data analysis used the Mann Whitney test. The population in this study were all babies aged 3-4 months at PMB Andina Palembang. The sampling technique used a total sampling of 24 respondents who were divided into 12 intervention group respondents and 12 control group respondents. The research results showed that the average gross motor development in the intervention group after baby gym training for 2 weeks showed faster gross motor development compared to babies in the control group who were not given intervention. Meanwhile, the p value obtained was 0.001, meaning that there was a difference in gross motor development in babies who were stimulated with baby gym exercises and babies in the control group who were not given any intervention. It is recommended for health workers to intensify education about stimulating gross motor development in babies, one of which is by doing a baby gym.

Menstruation or menstruation is a sign that the reproductive system and organs in women are functioning. Menstruation causes various complaints such as discomfort caused by excessive bleeding during menstruation and complaints of pain known as dysmenorrhoea. Around 55 percent of women of childbearing age in Indonesia suffer from menstrual pain. Non-pharmacological therapies that can treat dysmenorrhoea are warm compresses and ginger aromatherapy. The aim of the research was to determine the effectiveness of ginger aromatherapy and warm compresses on menstrual pain in adolescents. The research design uses a quasi-experimental with control group design. The intervention group was given ginger aromatherapy and warm compresses on the first day of menstruation, while the control group was not given any intervention. Data analysis used the Mann Whitney test. The population in this study were all class IX female students at Sriwijaya Middle School, Palembang. The sampling technique used purposive sampling totaling 30 respondents. The menstrual pain scale uses the Numeric Ratting Scale (NRS). The results of the Mann Whitney test obtained a p value of 0.001, meaning that there was a difference in the pain scale in the intervention group that was given ginger aromatherapy and warm compresses for menstrual pain in teenagers compared to the control group that was not given the intervention. It is recommended that health workers intensify education regarding complementary therapies in reducing menstrual pain in adolescents.

World Health Organization (WHO) 41% of pregnant women worldwide experience anemia. Overall, the prevalence of anemia in pregnant women in developed countries is 49% and in developing countries it is 53%. In Indonesia, the rate of anemia in pregnant women is quite high, namely 48.9%. Anemia that is commonly experienced by pregnant women is iron deficiency anemia. Iron is needed in hemopoesis (blood formation), namely in the synthesis of hemoglobin. Iron absorption can be increased by consuming ± 25 mg of vitamin C sources in food. The aim of the research was to determine the difference in the effectiveness of papaya and red guava on hemoglobin levels in pregnant women with anemia. The research was conducted at the Nagaswidak Community Health Center in June 2024 using a quasi-experimental two group pretest and posttest. The population in this study were all pregnant women who were in the working area of the Nagaswidak Palembang Community Health Center in May 2024 with Hb levels of 9 – 10.9 gr/dl. The sampling technique used purposive sampling totaling 30 respondents. The results of the Wilcoxon test research showed that the effect of papaya (p value 0.000) and guava (p value 0.000) was obtained. The results of the Mann Whitney union obtained a p value of 0.116. There is an effect of papaya on hemoglobin levels in pregnant women, there is an effect of guava on hemoglobin levels. There is no difference in the effect of papaya and guava on hemoglobin levels in pregnant women at the Nagaswidak Community Health Center. It is hoped that health workers will increase education regarding the prevention of anemia in pregnant women, one of which is by consuming vitamin C in fruit.

The prevalence of stunting in toddlers remains a significant global health concern, particularly in developing countries. This literature review aimed to examine the effectiveness of self-care practices in families with stunted toddlers and identify successful intervention strategies. A systematic search was conducted across three major databases: PubMed, Scopus, and Google Scholar, yielding 48 articles, of which 15 met the inclusion criteria. The review revealed that successful interventions typically incorporated comprehensive educational programs, strong community health worker engagement, robust family support systems, and integration with existing healthcare infrastructure. Key findings highlighted the importance of cultural adaptation, family empowerment, and community involvement in stunting prevention programs. Implementation barriers included resource limitations, cultural beliefs, knowledge gaps, and healthcare access challenges. The studies, particularly from Indonesian contexts, demonstrated that culturally adapted, family-centered interventions yielded significant improvements in child growth outcomes and family self-care practices. However, limitations in study duration and scope suggest the need for more long-term research to evaluate intervention sustainability. This review provides valuable insights for healthcare providers and policymakers in developing effective stunting prevention strategies.

Effective and efficient logistics management at the Nutrition Installation is an important factor in ensuring the availability and quality of food for patients. This study aims to analyze logistics management in nutritional installations. The method used is the content analysis method by searching 10 reviews in various health journal sources in Indonesia for the past 10 years. The results of an integrated literature review explain that logistics management in the Nutrition Installation ensures the availability and quality of food for patients. Logistics management includes storage systems, distribution systems, budget systems required annually or monthly. Several logistics management processes in each hospital are different but run well, even though there are many shortcomings. Logistics management at Nutritional Installations is carried out optimally by increasing the accuracy of planning food needs, procuring food ingredients appropriately, improving food storage standards, timely distribution of food, and carrying out regular monitoring and evaluation, making it easier for health workers to carry out their duties and minimize undesirable events.

Compliance with the use of Personal Protective Equipment greatly affects work safety, especially health workers who perform actions on patients repeatedly and continuously so that safety during work is determined by compliance in the use of Personal Protective Equipment during service. The purpose of this study was to determine the relationship between compliance with the use of Personal Protective Equipment on the work safety of Health Workers at Bhakti Husada Cikarang Hospital. This study used a cross sectional approach. The population was all health workers who served in the inpatient room at Bhakti Husada Hospital Cikarang in 2024. The research sample used non- random sampling techniques, namely using the total population of 60 people. The results showed a p-value 0.001 (pa = 0.05) and an OR value 8.636, it can be concluded that there is a relationship between compliance with the use of Personal Protective Equipment on occupational safety at Bhakti Husada Cikarang Hospital in 2024. As input to organize special training on the use of Personal Protective Equipment according to its level so that it can be followed by all health workers

The Healthy Indonesia Program through a family approach seeks to encourage community independence to live a healthy life. This effort requires the involvement of various parties, including health cadres as intermediaries/liaisons between the community and health workers. Health cadres are community members who are selected and provided with health skills through training by health service facilities or local health centers. Health cadres also need to be given training on fatigue management because every individual can experience fatigue which will be a source of health problems for both individuals and families. Fatigue is a common symptom of many mild to serious medical conditions, even leading to death. The purpose of this community service activity is to provide fatigue management training to health cadres. The specific target of this PKM activity is the implementation of health education and training on fatigue management for health cadres in RW 13 Beringin Village. The method used is training, including providing health education on fatigue management, training cadres to carry out non-pharmacological fatigue therapy and assistance in the application of non-pharmacological fatigue therapy, evaluation of activities carried out by giving pre and posttest questionnaires on fatigue management. The results of community service most of the participants, 60%, have good knowledge, participants are able to demonstrate autogenic relaxation correctly and apply it in everyday life and inform residents during posbindu activities.

Nurses are professional health workers who, in carrying out their duties and responsibilities, are required to be able to fulfill their spiritual needs while working. This is because health services are a basic human need that is provided through health services not only in the form of physical aspects , but also psychological aspects. High spirituality will have an impact on intrapersonal, interpersonal and transpersonal relationships in overcoming various life problems. This research aims to determine the relationship between nurse workload and attitudes towards fulfilling spiritual needs in hospital inpatient rooms. Bhakti Husada Cikarang. The research design used cross sectional . The population is inpatient nurses who work in health services, namely at the Bhakti Husada Cikarang Hospital. The total population in this study was 84 nurses . The sampling technique used was accidental sampling , totaling 47 respondents. The statistical test used is the Chi Square test. The research results showed that the majority of respondents had a moderate workload, 27 people (57.4%) and 33 people (70.2%) had their spiritual needs met. The statistical test results obtained a p value of 0.89, meaning there is no relationship between nurses' workload and the fulfillment of spiritual needs. It is hoped that nurses will always improve their professionalism in carrying out nursing care.

On average, 85-90% of pregnant women in Indonesia experience severe labor pain and 7-15% of those who do not experience labor pain. Labor pain results in increased activity of the sympathetic nervous system which causes an increase in blood pressure, pulse rate, respiration, nausea, vomiting, and diaphoresis. Data shows that 15% of mothers in Indonesia experience birth complications and 21% are caused by experiencing very severe pain. The aim of the research was to analyze the effect of cold compresses on first stage labor pain. The research design used a quasi-experimental one group pre-posttest. The population, namely all mothers giving birth at PMB Andina in May 2024, totaled 30 respondents. The sampling technique uses total sampling. Statistical tests use the Wilcoxon test. The research results obtained were that the average labor pain before the cold compress was 5.13 and the average labor pain after the cold compress was 4.00, meaning there was a decrease in the level of pain by 1.13. The significant value was found to be p: 0.001 < 0.05, meaning that there was an effect of cold compresses on labor pain in mothers giving birth at PMB Andina Palembang. It is hoped that health workers can improve maternal care during childbirth, one of which is by providing complementary services in the form of cold compresses.

Introduction: Haemoglobin levels are low (< 12 gr/dl) in adolescent women cause less blood (Anemia) causes to reduced focussing their study. JuFe programme is an innovation programme held by public health office of Cianjur through giving Fe tablets to adolescent women in Cianjur with consume Fe tablets every friday simultaneously in high schools. Objective: To determine the relationship between knowledge, attitude and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Method: This research used cross sectional study research design. The sampling technique is non random sampling are 35 peoples. The research instrument used a questionnaire, Results: This study found a relationship between knowledge (p=0,000), attitude (p=0,000), and compliance (p=0,000) with haemoglobin levels. Conclusion: there are the relationship between knowledge, attitude, and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Suggestion: It is the best health workers and teachers to increase education to adolescent women about low haemoglobin (Anemia) and implementing JuFe Programme routinely.

Hypertension is a condition when the systolic blood pressure in the human body is ≥140 mmHg and diastolic blood pressure ≥90 mmHg. Hypertension is dangerous because it has an impact on cardiovascular disease. The aim of this research is to determine the relationship between nutritional knowledge, fat intake and smoking behavior with the incidence of hypertension in the community in the Kondodewata Community Health Center working area.The type of research used was quantitative with a cross sectional design. The population in this study was 238 people aged >15 years with a research sample of 75 people using a simple random sampling technique. The instruments used were questionnaires for nutritional knowledge and smoking behavior, while the Food Recall for Fat Intake was then processed in the form of univariate analysis and bivariate analysis with p value = 0.05.The results of this study show that there is a relationship between nutritional knowledge and the incidence of hypertension in the Kondodewata health center working area with p value = 0.014. There is a relationship between fat intake and the incidence of hypertension in the Kondodewata health center working area with p value = 0.000. There is no relationship between smoking behavior and the incidence of hypertension in the Kondodewata health center working area with p value = 0.072.The conclusion of this study shows that nutritional knowledge and fat intake are related to the incidence of hypertension in the Kondodewata health center working area. Meanwhile, smoking behavior has no relationship with the incidence of hypertension in the Kondodewata Community Health Center working area. It is recommended that health workers in the Kondodewata health center work area provide education to the public regarding nutritional knowledge, fat consumption patterns and the dangers of smoking.

Human resource management that has been applied in the management of the Islamic Malahayati Hospital is very good so that the Islamic Malahayati Hospital gets a different assessment compared to other hospitals in Medan which implemented the integrated ISO 9001;2008 management system. This study aims to determine how the existing resource management in the Islamic Malahayati Hospital. This type of research is a quantitative study with a cross-sectional study approach. The population in this study were all nurses at Islamic Malahayati  Hospital as many as 190 civil servant nurses with a sample of 129 people. The sampling technique in this study used proportional random sampling. Data analysis was performed by univariate, bivariate with chi-square test and multivariate analysis with logistic regression. There is a relationship between recruitment and selection (p-value = 0.000), training and promotion (p- value 0.000), job appraisal, and salary management (p values = 0.000), with the performance of nurses at the Islamic Malahayati Hospital. Promotion and training have the greatest relationship with nurse performance with an OR value of 15,934. It is recommended to the hospital to increase the training and promotion of health workers, especially by involving more employees, in this case, nurses in training activities or increasing their capacity, and it is necessary to have a promotion or increase in positions that are in accordance with the work of nurses so that nurses are more active and more motivated in improving their performance while working in the hospital.    

Introduction: According to the Indonesian Health Profile (2021), preeclampsia or eclampsia, bleeding, and COVID-19 caused the highest number of maternal deaths in 2021. In 2022, the maternal mortality rate in Indonesia reached 183 deaths per 100,000 live births, with preeclampsia as the main cause. One of the most common maternal health problems in Indonesia is preeclampsia, which has a high incidence rate and causes dangerous complications for the mother and baby. Research and prevention efforts continue to be needed to reduce maternal mortality in Indonesia. Apart from disorders during pregnancy, we as academics who continue to be pro-active in community service activities in our field, must also pay attention to post-partum health. The incidence of postpartum blues in Indonesia will reach 50-70% in 2023. According to WHO, around 10% of pregnant women and 13% of new mothers experience mental health disorders, especially depression. Risk factors that increase the possibility of postpartum blues are the mother's young age, lack of support from her husband, and a difficult economic situation. Method: The method used in this activity is lecture and discussion, using power points and leaflets. Target: Women of Childbearing Age (WUS), pregnant women and post partum mothers. Results: After the educational activity, participants asked several questions, such as how to know whether a pregnant woman is experiencing problems, how many times should she have an examination, and what should the family do if the mother seems stressed after giving birth. With the aim of improving the welfare of pregnant women and babies, Family Centered Maternity Care (FCMC) is a midwifery approach that involves the family. This approach provides good social support to pregnant women, which can help them deal with stress and anxiety that may occur during pregnancy, childbirth and the postpartum period. In addition, pregnant women and their families are given the opportunity to actively participate in decision-making regarding health care, so that they can take responsibility for their own health. Conclusion: When Women of Childbearing Age (WUS) have good knowledge, attitudes and behavior, they will produce a generation of healthy and intelligent children. Health workers and the public must pay attention to the four Ts: too young, too old, too much, and too close. Antenatal visits and postpartum visits, which are types of physical examinations during pregnancy, are well carried out in first-level health facilities.

Introduction: Mothers are susceptible to experiencing postpartum blues syndrome during the postpartum period, or the period after giving birth. Rapid mood swings, feelings of sadness, worry, anxiety, and tiredness are signs of this syndrome, and mothers may feel more emotional and anxious, which can impact their mental health. Method: This type of research is quantitative analytical with a cross sectional approach. The population was postpartum mothers and the sample was 38 people with the inclusion criteria being postpartum mothers in the immediate postpartum to early postpartum categories who had previously had routine pregnancy checks in the Garut Regency Development Health Center working area. Data processing was carried out computerized with bivariate data analysis using the Chi Square statistical test. Results: The results of the study stated that 25 respondents had good husband support and 13 respondents had less husband support. Of the 38 respondents, 24 experienced postpartum blues . The results of this study stated that there was a link between husband's support and the incidence of postpartum blues , with a p value of 0.007. Conclusion: there is a connection between husband's support and the incidence of post partum blues, so that people can provide information to each other in preventing post partum blues . Health workers can also continue to be proactive in providing education to someone who plays the role of husband regarding the importance of maintaining the health of post partum mothers both physically and mentally for reproductive health and the health of mother and child .  

Diabetes mellitus, which is a non-communicable disease, can be prevented by utilizing the power of prevention. Diabetes mellitus prevention behavior includes various aspects such as healthy eating patterns, sufficient physical activity, and regular health checks. It is important for the public to understand the risk factors for diabetes mellitus in order to improve prevention and early detection efforts in at-risk community groups. The aim of this research is to analyze the relationship between factors that influence diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. This research uses quantitative methods using observational analytics and a cross-sectional approach. The population in this research is the people of Mlagiarjo Village aged 20-79 years. The research sample was 197 respondents. This research was analyzed using univariate tests and bivariate tests. The results of the research showed that there was a relationship between knowledge, diet, physical activity, family history, family support, support from health workers, and access to health services (P-value = 0.024) with diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. . However, there is no relationship between attitudes and diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. It is important for health workers to provide education regarding diabetes mellitus prevention behavior to the public.

Posyandu is a basic health activity organized by, by and for the community assisted by health workers in a Puskesmas work area. The aim of this research was to determine the determinants of mothers' participation in bringing toddlers to posyandu in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency. The research design uses a mixed method with an explanatory approach. Quantitative designs use cross sectional, qualitative designs use a narrative approach. The population in this study was 459 mothers who had toddlers aged 12-59 months in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency, with a quantitative sample of 82 mothers, for the qualitative sample 3 mothers who had toddlers, 1 midwife, 1 religious figure/ or ustad. Quantitative data analysis uses univariate, bivariate and multivariate analysis, qualitative analysis uses familiarization analysis, Identifying athematic framework, indexing, charting, imapping and interpretation. The results of this study show that there is an influence on the variables of the role of health workers (p=0.025), religion (p=0.000), infrastructure (p=0.000), culture (p=0.002), AEFI (p=0.004). Multivariate research results show that there is an influence of religion (p=0.002), culture (0.011), AEFI (0.005). The results of mixed method research show that the most influential factor is religion. The conclusion of this research is that there is no determining influence on the role of health workers, infrastructure, and there is an influence of religion, culture, KIPI on the participation of mothers in bringing toddlers to posyandu in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency. It is recommended to the sub-district head of Pidie sub-district to send an outstanding midwife to school in each village in order to meet the needs of midwives who live in the village..

This study aims to determine the relationship between health facility measures and reference service measures on the quality of service for patients participating in BPJS Health at the Sukodono Community Health Center, Sidoarjo. This research also aims to describe the quality of BPJS Health services at the puskesmas. The results of previous research show that the quality of BPJS Health services at the Sukodono Community Health Center still needs to be improved, especially in the aspects of waiting time, patient satisfaction and communication with health workers. This research uses survey methods and data to find out how the quality of BPJS Health services at the Sukodono Community Health Center and how health facility actions and referral service actions influence service quality. It is hoped that the results of this research can become a reference for improving the quality of health services provided by the Sukodono Community Health Center, so that people who use BPJS Health services can receive better and more effective services.

An adequate understanding on health workers on use antibiotics can prevent the treatment ineffective. Increased risk for the security patient and the spread resistence. The purpose of this research that is, to know the knowledge of midwives in provision of antibiotics for the patient. The kind of research non experiment by using the method case study a qualitative approach. The data using a method of in- depth interviews. The determination of inform with purposive technique. Inform were 6 people consisting of 3 informants midwives and 3 informants patients. Based on the results of the study, the knowledge of midwives' knowledge of rationality in the administration of antibiotics based on 4 T (exact patient, precise indication, proper drug, correct dose) and 1 W (side effect) is still not appropriate because in midwife antibiotics using empirical therapy, the use of antibiotics for empirical therapy is the use of antibiotics in cases of infection that have not been known to the type of bacteria the cause. And rician drug information submitted is the name of the drug, the purpose of therapy, how to take medication with a time interval of 3 x 1 in a day, the drug should be spent and back in case of abnormalities when taking the drug.