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The Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are critical indicators in assessing the quality of public health services. In 2024, both MMR and IMR in Lamongan Regency remained relatively high, indicating the need for strengthened health interventions. Health workers, especially midwives, play a vital role in improving maternal and child health. One of the government’s strategies to reduce maternal and infant mortality is expanding midwife service coverage at primary health facilities and ensuring the presence of village midwives as the frontline providers across the region. Village midwives are expected to meet established service standards to ensure the quality of maternal and child health care. Service effectiveness and efficiency are commonly measured through indicators such as first antenatal visit coverage (K1), fourth antenatal visit coverage (K4), postpartum visit coverage (KF3), and delivery assistance by health workers. However, in Lamongan Regency, the performance of village midwives has not been optimal, with several indicators falling short of set performance targets.This study aimed to analyze the relationship between the quality of work life and the performance of village midwives in Lamongan Regency in 2025. The research used a quantitative method with a cross-sectional study design. The study population comprised all village midwives in Lamongan Regency, with a sample of 80 respondents selected randomly. The independent variable in this study was the quality of work life, while the dependent variable was village midwife performance. Data were collected through questionnaires and analyzed using the chi-square statistical test. The results showed no significant relationship between the quality of work life and the performance of village midwives in Lamongan Regency in 2025. These findings suggest that other factors beyond work life quality may influence midwives’ performance.  

Integrated Health Service Posts (Posyandu) are a means for active community participation in the health sector. Through Posyandu, the role of cadres as the spearhead of environmental health is crucial, especially in educating the community regarding prevention efforts and early detection of various infectious diseases such as tuberculosis (TB). Bekasi City is experiencing an increase in TB cases, so it is necessary to strengthen the capacity of Posyandu cadres to be more responsive and empowered in dealing with this situation. This community service program aims to improve the knowledge and skills of Posyandu cadres in early detection and prevention of TB. The activity was carried out at Posyandu Bangau, West Bekasi, involving 22 active cadres. The implementation method used a participatory and interactive approach, through health education that emphasized the identification of TB symptoms, transmission methods, and community-based prevention strategies. Evaluations were conducted before and after the education to measure the effectiveness of the activity. The evaluation results showed an 80% increase in cadre knowledge after attending the education. This achievement demonstrates that the delivery of accurate and communicative information is very effective in increasing Posyandu cadre awareness. Capacity building for cadres is not only crucial as an initial step in TB prevention, but also as a sustainable effort to build collective community awareness. With the active involvement of cadres and support from health workers, TB risk detection and prevention can be carried out more optimally and comprehensively.

The nutritional awareness of pregnant women in the Simpang Raya Community Health Center (Puskesmas) in Banggai Regency is still relatively low, necessitating educational efforts to increase their understanding of the importance of balanced nutrition during pregnancy. This community service activity aims to improve the knowledge of pregnant women through participatory and educational nutrition counseling held for one week in the Puskesmas hall. The methods used included interactive lectures, group discussions, and healthy menu preparation simulations, supported by leaflets adapted to the local context. A total of 40 pregnant women from various trimesters of pregnancy participated in the activity and were assessed using pre- and post-test instruments. The results of the activity showed a significant increase in participant knowledge, from 43% in the "good" category before the activity to 78% after the counseling. Most participants were able to understand the basic principles of balanced nutrition, identify food sources of important nutrients such as iron and folic acid, and prepare daily menus according to Ministry of Health guidelines. This improvement indicates that visual and interactive information delivery is easier for participants to understand, especially those with lower educational backgrounds. Furthermore, this activity also serves as a means of empowering pregnant women to be more active in maintaining their own and their fetus' health by choosing nutritious foods. Therefore, it is crucial for health workers at community health centers (Puskesmas) and integrated health post (Posyandu) cadres to continue this educational program on an ongoing basis. Structured, communicative, and participatory nutrition education is effective in increasing pregnant women's understanding and can be replicated periodically at other Posyandus (Integrated Health Posts) to support stunting prevention efforts and improve maternal and child health.

The implementation of digitalization in the healthcare sector through the Integrated Referral sistem (Sistem Informasi Rujukan Terintegrasi/SISRUTE) offers significant opportunities to expand access and improve the quality of healthcare services, especially in remote and underserved areas of Indonesia. This paper aims to analyze the challenges of implementing SISRUTE from a legal perspective, focusing on the principle of equitable healthcare access. The study uses a normative juridical approach combined with literature analysis, examining national regulations, including Law No. 17 of 2023 on Health, Government Regulation No. 47 of 2021 on Hospital Administration, and supporting ministerial policies. The research identifies several barriers that hinder the effectiveness of SISRUTE implementation, such as uneven distribution of digital infrastructure, limited internet connectivity, lack of adequately trained healthcare personnel, and the absence of supporting local regulations that align with national policy frameworks. These challenges create disparities in the utilization of SISRUTE, particularly in rural and remote areas, undermining the constitutional mandate for equal access to health services. From a legal standpoint, the principle of equity in healthcare has yet to be fully realized through SISRUTE due to these systemic gaps. The study concludes that strategic efforts are needed to improve intergovernmental coordination, harmonize health and digital regulations, strengthen healthcare workers' digital competencies, and invest in robust infrastructure development. Only through an integrated legal, technological, and human resource approach can SISRUTE fulfill its intended function in supporting a fair, inclusive, and effective healthcare referral system nationwide. This paper contributes to ongoing discourse on legal reforms for digital health equity in Indonesia.

Silicotuberculosis is a complex lung disease, a combination of silicosis and tuberculosis (TB). Silicosis is a disease caused by the inhalation of silica particles, which can lead to pulmonary fibrosis, while TB is an infectious disease caused by Mycobacterium tuberculosis. Long-term exposure to silica dust can cause silicosis and also increase the risk of TB infection, especially in countries with a high TB burden. Workers exposed to silica dust in the mining, construction, and manufacturing industries are among the groups most at risk. The diagnosis of silicotuberculosis is often difficult because the clinical and radiological symptoms of the two diseases often overlap. Symptoms, such as chronic cough, shortness of breath, and chest pain, can be very similar in silicosis and TB, often delaying a correct diagnosis. The pathophysiology of silicotuberculosis involves impaired function of macrophages, immune cells that play a role in fighting infection, and a compromised immune response due to silica exposure. These disruptions facilitate the progression of TB infection, further worsening the patient's health. Primary management of silicotuberculosis includes controlling TB infection with standard anti-tuberculosis drug therapy (OTT) and preventing silica exposure. Preventing occupational exposure to silica dust is crucial to reducing the risk of developing the disease. The prognosis of the disease is greatly influenced by the severity of pulmonary fibrosis and delay in diagnosis. The more severe the fibrosis, the worse the prognosis. Therefore, preventing silica dust exposure, along with routine TB screening for high-risk workers, is crucial to reducing the incidence of silicotuberculosis. Furthermore, education about the risks of the disease is crucial to raise awareness among workers and the general public.

Completeness, suitability, and accuracy in filling medical record documents are essential for effective management of patient files, as well as for improving the overall quality of healthcare services. Medical records serve as a critical tool for documenting patient histories, treatments, and decisions made during their healthcare journey, thus impacting the quality of care provided. Incomplete or inaccurate documentation can lead to delays in treatment, miscommunication among healthcare providers, and legal issues related to patient care. Studies have shown that comprehensive medical records are linked to improved patient outcomes and enhanced operational efficiency in healthcare settings (Smith et al., 2019; Johnson & Patel, 2021). This study aimed to assess the completeness of patient medical record documents in the Medical Resume and Informed Consent forms for inpatients with surgical cases at Tgk. Chik Ditiro Sigli General Hospital. Using a descriptive quantitative approach, the research analyzed a random sample of 293 medical documents. The findings revealed that the completeness of medical record documentation was 69% for the Medical Resume sheet and 83% for the Informed Consent sheet. The study concluded that certain sections were either incomplete or omitted, primarily due to the assumption that certain fields were not applicable to the particular patient’s case. This highlights the need for further training and awareness for healthcare staff regarding the importance of complete medical documentation. The hospital should implement stricter guidelines for filling out medical records and ensure that healthcare workers fully understand the significance of accurate and complete documentation. Future research could explore strategies for improving the consistency of medical record documentation and evaluate the impact of training programs on filling medical records (Williams et al., 2020).

This research is motivated by the high intensity of activity in the apron area, the limited number of personnel, and the implementation of a shift work system in the Apron Movement Control (AMC) unit at Halim Perdanakusuma Airport. These conditions have the potential to cause excessive workloads for personnel, which can impact the effectiveness of operational supervision and disrupt their physical and mental health. The main objective of this study is to analyze the workload of AMC personnel and determine the ideal number of workers to ensure optimal supervision in the apron area. This study uses a quantitative descriptive approach. Data collection techniques were carried out through direct observation and the distribution of questionnaires to all personnel activities in the AMC unit. Data analysis used the Full Time Equivalent (FTE) method to calculate the total actual working time required, and compared it with the standard full-time working hours according to employment regulations. The results showed that the workload of AMC personnel is quite high. Of the seven personnel analyzed, two people obtained an FTE value above 1.28, indicating an overload condition, four people were in the FTE range of 1.00 to 1.28, which is considered normal, and one person had an FTE value below 1.00, indicating an underload condition. These findings indicate an imbalance in the distribution of workload among personnel. As a result, some personnel must perform multiple tasks simultaneously, potentially compromising the quality of oversight and operational safety in the apron area. Based on these findings, a re-evaluation of the division of tasks and workforce within the AMC unit is recommended to create a proportional workload and support optimal safety and operational performance at Halim Perdanakusuma Airport.

Drinking water is a basic human need that must meet health requirements to be suitable for direct consumption without causing health risks. Drinkable water must be free from various contaminants, both physical, chemical, and microbiological that can harm the human body. One of the sources of drinking water that is widely used by the community is refillable drinking water (DAMIU), which is now growing due to its affordable price and ease of access. However, the water quality from DAMIU is often a concern due to potential contamination due to sanitation that does not meet standards. This study aims to analyze the sanitary conditions of the refillable drinking water depot (DAMIU) and assess the quality of drinking water based on physical, chemical, and microbiological parameters in the working area of the Punti Kayu Health Center, Palembang. A total of 15 DAMIU are the object of research that are examined through laboratory tests and direct observation of the sanitary conditions and equipment of the depot. The results showed that all DAMIU (100%) had met the general sanitation requirements, such as room cleanliness, equipment, and workers. However, microbiological testing found that 33.4% of the water samples contained E. coli and Coliform bacteria, indicating the presence of contamination. In addition, all samples (100%) did not meet the ideal drinking water pH requirements, and as many as 40% of the samples had aluminum content that exceeded the threshold set by the Indonesian Minister of Health. From these findings, it can be concluded that although the sanitary conditions of DAMIU are relatively good, the quality of the drinking water produced still requires serious attention.

Sleep disturbances are a common complaint among postpartum mothers, and this condition can affect the physical and psychological recovery process after childbirth. Untreated sleep disturbances can lead to various problems, such as fatigue, decreased quality of life, and even the risk of mental health disorders such as postpartum depression. One non-pharmacological approach that can be used to address these sleep disturbances is lavender aromatherapy. Lavender aromatherapy is known to have a calming effect that can help improve sleep quality. This community service activity aims to increase postpartum mothers' knowledge about the use of lavender aromatherapy as a complementary therapy to address their sleep problems. The activity was conducted in June 2025 at the Lismarini Independent Midwife Practice (PMB), using methods that included education, discussion, and distribution of informative leaflets. A total of 15 postpartum mothers participated in this activity, and to measure their knowledge, pre- and post-tests were conducted before and after the education session. The evaluation results showed a significant increase in participants' knowledge levels after participating in the education about lavender aromatherapy. Education about the use of lavender aromatherapy has been proven effective in increasing postpartum mothers' understanding of the benefits and how to use this therapy. Thus, lavender aromatherapy can be a beneficial health promotion strategy to support postpartum recovery. Through this activity, it is hoped that postpartum mothers can apply the knowledge gained to independently improve their sleep quality, thereby supporting their physical and mental health during the recovery period. This activity also contributes to efforts to improve overall public health and provides new insights for healthcare workers in educating postpartum mothers about safe and effective alternative therapies.

Background: Stunting remains a serious public health issue in Indonesia, particularly in rural areas such as Ambasea Village, Laeya Sub-district, South Konawe Regency. Stunting, or chronic growth failure in children due to prolonged malnutrition, generally occurs during the first 1,000 days of life. In Ambasea Village, this problem is exacerbated by irregular eating patterns among toddlers, consumption of low-nutrient foods, and poor hygiene behaviors. Toddlers frequently consume unhealthy snacks, reject main meals such as rice and side dishes, and rarely wash their hands with soap before eating or after using the toilet. Furthermore, limited access to basic sanitation—such as the lack of proper latrines and adequate wastewater disposal systems (SPAL)—also contributes to the high risk of infections that disrupt nutrient absorption, increasing the likelihood of stunting in children. Objective: This study aims to describe the environmental health conditions contributing to the incidence of stunting among children aged 0–2 years in Ambasea Village. Methods: The research used an observational analytic method with a quantitative cross-sectional design. The study involved 54 toddlers identified as stunted. Data were collected through structured interviews with parents or caregivers and direct observation of the household and surrounding environmental conditions. Results: The results showed that 66.5% of households did not have access to proper latrines, and 70% lacked adequate wastewater disposal systems. However, 87% had access to clean water, and 85% of respondents demonstrated good handwashing behavior. Conclusion: The environmental health conditions in Ambasea Village reveal ongoing challenges related to latrine ownership and wastewater management. Although clean water access is relatively good and hygiene practices among residents are fairly positive, improving sanitation infrastructure remains crucial. Enhancing these conditions is expected to significantly reduce the risk of stunting among toddlers in the area. Collaborative efforts involving local government, health workers, and the community are essential to create a healthier environment for early childhood development.

In recent years, rapid advancements in digital technology have significantly transformed global healthcare delivery. The COVID-19 pandemic acted as a catalyst, accelerating the integration of information technology into healthcare systems, particularly through the increased adoption of telemedicine. In the field of internal medicine, which often involves long-term care and management of chronic illnesses, telemedicine presents a promising solution to enhance service accessibility, improve care efficiency, and sustain favorable clinical outcomes. This study aims to conduct a narrative review to explore the impact of telemedicine on patient clinical outcomes, healthcare worker workload, and healthcare system efficiency within internal medicine practice. The review is based on an analysis of peer-reviewed literature published between 2020 and 2025, sourced from major databases including PubMed, Scopus, and Web of Science. Article selection was based on relevance to the topics of telemedicine and internal medicine, contextual applicability, and full-text availability. The findings of the review reveal that telemedicine contributes positively by expanding access to care, reducing travel time and logistical barriers for patients, accelerating clinical response times, and decreasing patient congestion in healthcare facilities. These outcomes are particularly beneficial for patients with chronic conditions who require regular monitoring and consistent communication with healthcare providers. However, the implementation of telemedicine also introduces new challenges, including increased administrative responsibilities and digital workload for healthcare professionals. The study underscores the importance of equipping healthcare systems with adequate digital infrastructure, implementing supportive and flexible policies, and providing comprehensive training for healthcare workers. These measures are crucial to ensure the successful and sustainable adoption of telemedicine in internal medicine. Overall, telemedicine holds strong potential to reshape the future of internal medicine, provided that its integration is strategically managed to balance technological advancement with human-centered care.

Baby massage is a form of multisensory stimulation that involves touch, movement, as well as auditory and visual stimuli, which is known to provide various physiological and psychological benefits for babies, including increased breastfeeding frequency. This study aims to determine the relationship between infant massage and the frequency of breastfeeding in babies aged 1–6 months in the working area of the Lambai Health Center, North Kolaka Regency. The type of research used is an analytical survey with a cross-sectional approach. The sampling technique was carried out in total sampling, involving the entire population of infants aged 1–6 months who met the inclusion criteria. Data collection was carried out through observation and structured interviews with infant mothers, as well as recording breastfeeding frequencies before and after infant massage interventions. Data analysis uses relevant statistical tests to test the relationships between variables. The results showed a significant relationship between infant massage and increased breastfeeding frequency, with a p-value of 0.000 (p < 0.05), indicating that infant massage had an effect on increasing breastfeeding activity in infants. The conclusion of this study is that infant massage has a positive relationship with the frequency of breastfeeding in infants aged 1–6 months. These findings support the use of infant massage as a simple but effective intervention in supporting breastfeeding success, especially in the early stages of life. This study recommends that the practice of infant massage can be socialized more widely to health workers and parents as part of the promotion of maternal and child health. The implementation of regular baby massage has the potential to improve the nutritional status and optimal growth and development of the baby.

This study investigates the correlation between mental health and turnover intention among working students at STIE IBMI Medan who fulfill dual roles as both students and employees. These individuals are particularly vulnerable to psychological stress arising from academic responsibilities and workplace demands. The objective of this research is to examine the influence of mental health on their tendency to resign from their jobs. An associative quantitative research method was adopted, with data collected through structured interviews involving 71 respondents. The analysis was conducted using simple linear regression via the SPSS application. The findings reveal that mental health has a significant negative effect on turnover intention, with a significance value of 0.001. This suggests that students who experience better mental health are less likely to consider leaving their jobs. The coefficient of determination (R Square) is 14.6%, indicating that mental health explains 14.6% of the variation in turnover intention. The remaining 85.4% may be attributed to other contributing factors, such as high work pressure from supervisors, poor work-life balance, financial stress, inflexible schedules, and lack of organizational support. The implication of these results is that efforts to support and maintain the psychological well-being of working students are essential for reducing employee turnover. Educational institutions and employers should collaborate to create supportive environments through counseling services, flexible scheduling, mental health awareness programs, and policies that accommodate the dual responsibilities of student workers. By addressing these mental health concerns, institutions can improve student performance and job retention simultaneously. This study highlights the importance of integrating mental health strategies in workforce and academic management, especially for populations that manage competing academic and professional obligations.

Anxiety experienced by pregnant women is a common psychological problem and can have a significant negative impact on maternal health and fetal development. This anxiety can be caused by various factors, including physical changes, concerns about the delivery process, and new responsibilities as parents. Therefore, it is important to find effective ways to address this anxiety. One non-pharmacological approach that can be implemented is the use of lemon aromatherapy, which is known to have calming and relaxing properties. This activity aims to increase the knowledge and skills of pregnant women in utilizing lemon aromatherapy as a method to reduce their anxiety. This activity was held in June 2025 at PMB Lismarini, involving 20 pregnant women who actively participated in this program. The method used in this activity included several stages: education on the benefits of aromatherapy, demonstrations on how to use it, hands-on practice using lemon aromatherapy, and evaluation conducted through pre- and post-tests to measure changes in participants' anxiety levels. The results of this activity showed a significant decrease in participants' anxiety levels. Previously, many pregnant women were in the severe and moderate anxiety categories, but after participating in the activity, they shifted to mild anxiety and even no anxiety. Lemon aromatherapy has been proven effective in providing relaxation and reducing emotional tension experienced by pregnant women. Therefore, this activity is expected to become a promotional educational model in maternal health services. Through this approach, it is hoped that pregnant women will better understand and utilize aromatherapy as a way to maintain their mental health during pregnancy. Furthermore, this activity can also provide health workers with insight into the importance of non-pharmacological approaches in supporting the mental health of pregnant women.

Night shift workers in the modern retail sector, especially minimarkets such as Alfamart Makassar City, often face the risk of health problems due to changes in circadian rhythms, irregular diets, and lack of nutrition education. Work patterns that require them to be active at night have an impact on metabolic imbalances, sleep quality disorders, and unhealthy eating habits. Most workers tend to eat fast food that is high in calories, fat, and sugar, but low in fiber and micronutrients. This condition can increase the risk of fatigue, decreased immunity, and impaired concentration at work. This study aims to evaluate the effectiveness of nutritional nursing interventions in improving the diet and physical condition of night shift workers. The research approach used was descriptive with a case study method on 32 Alfamart workers who worked night shifts. The research was carried out for three days, namely on May 24-26, 2025. The interventions provided include nutrition education through brief counseling, monitoring of food and fluid intake, and assistance in developing a meal schedule that is in accordance with night work patterns. The results of the study showed a significant improvement in nutritional behavior. After the intervention, 84% of participants started implementing a healthy diet with a frequency of twice per shift, 93% increased their water consumption as recommended, and 72% felt refreshed and did not get tired easily while working. In addition, as many as 78% of participants showed high compliance with the nutritional recommendations given. These findings prove that nutritional nursing interventions have an important role in the promotion of occupational health. Proper nutrition education not only increases workers' awareness of the importance of a healthy diet, but also has an impact on increasing the productivity and welfare of night shift workers. Therefore, nutrition promotion programs should be part of the management policies of retail companies to maintain employee health.

Anxiety often arises during pregnancy due to both physical and psychological changes that can negatively impact the health of both the mother and the fetus. These changes may include hormonal fluctuations, fear of labor, and concerns about the baby’s wellbeing. In Indonesia, approximately 28.7% of 373,000 pregnant women in their third trimester experience anxiety as they approach labor. If left untreated, anxiety during pregnancy can lead to complications such as prolonged labor, low birth weight, and postpartum depression. Therefore, early and appropriate intervention is crucial. This study aims to describe the application of Islamic mindfulness meditation therapy as a non-pharmacological intervention to reduce anxiety in pregnant women at Puskesmas Purbaratu, Tasikmalaya. Anxiety is a condition in which an individual feels uneasy, worried, or uncomfortable. Islamic mindfulness meditation therapy is a relaxation technique that integrates spiritual practices with mental focus through meditation, allowing the soul and mind to be calm, centered, and connected with God. It includes dhikr (remembrance of Allah), controlled breathing, and contemplation of positive thoughts. The method used in this study is a case study involving two primigravida pregnant clients experiencing moderate anxiety. Data were collected through interviews, observations, and measurements using the Hamilton Anxiety Rating Scale (HARS). The results indicate that Islamic mindfulness meditation therapy significantly reduced anxiety levels from moderate to mild after five consecutive days of implementation. This was achieved through a combination of breathing exercises, spiritual reflection, and relaxation. This study concludes that Islamic mindfulness meditation can be an effective, affordable, and spiritually enriching alternative therapy to reduce anxiety in pregnant women, especially during the vulnerable third trimester. It is recommended that health workers consider incorporating this method into antenatal care programs.

Low back pain, also known as low back pain, is a common condition characterized by pain or discomfort in the lower back area, which is between the lower ribs and the buttock folds. This condition can be mild to severe, and can be temporary or chronic. One of the nonpharmacological methods that is often used to reduce the intensity of pain is ice packs. Ice packs are able to provide an analgesic effect by lowering local blood flow and reducing inflammation in the area experiencing pain. This study aims to determine the effectiveness of ice packs in reducing low back pain in office administration employees. The research design uses an experimental method with a one group pre-test–post-test design approach. The research sample consisted of 25 respondents who were administrative employees at the Helvetia Health Institute. Pain intensity measurements were taken before and after the administration of ice packs to determine the effect of this therapy on low back pain. The results showed a decrease in the intensity of low back pain with an average value before treatment of 51.63 and after treatment decreasing to 38.8. Statistical analysis yielded a significance value (p) of 0.004 < 0.05, which showed that ice packs had a significant effect on reducing low back pain in administrative employees. Regular application of ice packs can be a simple, safe, and effective intervention that can be done independently at home by employees to reduce pain. This study provides recommendations for health workers to promote ice pack therapy as a non-pharmacological pain relief method, especially for office workers who often experience low back pain due to static work positions.

Environmental health and occupational safety issues are important aspects in efforts to maintain environmental health and safety for workers in industrial areas. This study aims to improve understanding of environmental health and occupational safety through educational visits to PT Sumatera Deli Lestari Indah. The method used was educational participatory observation of workers at PT Sumatera Deli Lestari Indah. The results of the study indicate that most workers already have basic knowledge about environmental health and Occupational Health and Safety (OHS), but there are still gaps in implementation, such as the use of personal protective equipment (PPE) and inconsistent monitoring of environmental health. Therefore, this activity provides a more comprehensive understanding and encourages healthier work behavior. The expected outcomes of this activity are not only improved worker knowledge but also changes in attitudes and work habits that prioritize health and safety. In the long term, this activity is expected to contribute to improved workplace environmental quality and worker productivity at PT Sumatera Deli Lestari Indah.

Sugar level disease or commonly called diabetes mellitus is a degenerative disease that rarely heals, often affecting health so that the quality of life can decrease. The purpose of writing this study is to find out what demographic relationship factors have an impact on the Quality of Life of Patients with Sugar Mellitus Disease or also known as Diabetes Mellitus at Hospital X. This quantitative research uses a research design on the cross sectional method. The research sample totaling 47 respondents was selected through total sampling techniques. Data was collected through the WHOQol-Bref survey instrument. The data analysis in this study applied the kendal test and the Chi-Square  test to test the relationship between the variables studied. After the research was carried out, a result was obtained that showed demographic factors, namely the age factor to the quality of life had a relationship and as seen from the kendal test with a value of Sig. 0.003 which was below 0.05), other demographic factors there were gender factors that had a relationship with quality of life which was shown through the chi-square test where  the Continuity Correction value sig = 0.022 < 0.05), In addition to demographic factors of age and gender, there are also demographic factors that have a relationship with quality of life, namely the work factor shown in the Chi-square  Test with a value of Continuity Correction sig = 0.008 < 0.05), and there are demographic factors, namely education factors and marital status factors that are not related to the quality of life of people with sugar level disease or diabetes mellitus. For the education factor shown in the kendal test where the sig value = 0.871 > 0.05), and marital status is shown in the Chi-square test based on the Pearson Chi-Square Sig value = 0.594 > 0.05), there are also demographic factors that have a relationship with quality of life, namely the long-suffering factor shown by the Chisquare test with the Pearson Chi-Square Sig value = 0.014 < 0.05). To break the chain of diabetes mellitus, actions are carried out for health workers to be able to anticipate, including periodic socialization to the community about the dangers of diabetes mellitus so that it can help people improve their quality of life by maintaining a healthy diet.

Dyslipidemia is a major public health risk factor for cardiovascular disease. This condition is characterized by abnormal blood lipid levels, including LDL cholesterol, HDL cholesterol, and triglycerides. Hypercholesterolemia is often asymptomatic, resulting in many undiagnosed cases until cardiovascular complications occur. The rising prevalence of dyslipidemia, especially in low- and middle-income countries, underscores the importance of screening and prevention to reduce the risk of long-term complications. This community service activity involved 49 adult participants in Danau Sunter, North Jakarta, with cholesterol and HDL level screening conducted through blood tests by trained health workers. The results showed that 29 participants (59.18%) had abnormal cholesterol levels, and 22 participants (44.9%) had low to very low HDL levels. Adopting a healthy lifestyle, including a balanced diet, increased physical activity, and controlling other risk factors such as smoking and alcohol consumption, can help lower cholesterol levels. Routine cholesterol screening is highly effective for early detection of dyslipidemia risk, enabling timely preventive interventions to reduce cardiovascular morbidity and mortality.