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Stunting is a condition of growth failure in toddlers due to chronic malnutrition that occurs over a long period of time, especially in the first 1,000 days of life. Several major risk factors for stunting that are often found in Posyandu include the nutritional status of pregnant women, parenting patterns, exclusive breastfeeding, and environmental sanitation. To analyze the Identification of Risk Factors for Stunting in Toddlers: A Study in the Working Area of ​​the Aek Godang Health Center, North Padang Lawas. The type of observational study with a cross-sectional design, the study population was 139 people. This study used samples from all mothers who had stunted toddlers in Hulu Sihapas District, North Padang Lawas Regency, with the total sampling method. Data collection used a research questionnaire. Data were analyzed univariately, bivariate (chi-square), and multivariate (logistic regression) with the enter method. Newborn weight (p = 0.001) and healthy toilets (p = 0.001) significantly influenced the risk of stunting, with low birth weight and poor sanitation increasing the risk of growth disorders in toddlers. This study shows that newborn weight (p = 0.001) and healthy toilets (p = 0.001) have a significant effect on the risk of stunting in toddlers. Babies with low birth weight and environments with poor sanitation increase the likelihood of stunting. More attention is needed to monitor newborn weight and increase access to healthy latrines to reduce the prevalence of stunting. The government and health workers are expected to strengthen nutrition and sanitation programs at the community level. 

Maternal and child health (MCH) is a priority in health development, especially in preventing pregnancy complications that may endanger the lives of both mothers and babies. One way to reduce these risks is through routine antenatal care and early detection of complications. However, in some areas, pregnant women still lack understanding of the importance of regular antenatal checks. This community service activity aims to increase pregnant women’s knowledge about the importance of antenatal care and early detection of pregnancy complications at Posyandu Ester 24, a working area of Puskesmas Dua Puluh Tiga Ilir, Palembang, conducted from December 1 to 6, 2024. The activity involved counseling, free antenatal care checks, and training for healthcare workers. The results showed an improvement in pregnant women’s understanding of pregnancy danger signs and the importance of routine healthcare. Antenatal care successfully detected several health risk factors, such as anemia and chronic energy deficiency (CED), allowing for early intervention. Although the main challenge was motivating pregnant women to attend routine checks, the activity successfully increased participation in antenatal care and health education. It is hoped that this activity can serve as a model for other maternal and child health programs in the future.

Work accidents can be said to be a conflict in employment because they cause losses to workers and companies. Although the government has regulated the company's obligations in implementing occupational safety and health through various laws and regulations, in reality the effectiveness of the implementation of these regulations is still a problem, especially in terms of law enforcement in companies that have not fully implemented occupational safety standards according to applicable norms and provisions, one of which is at PT Sinar Semesta which is a metal casting company in Klaten Regency. This study aims to determine the regulations related to Occupational Safety and Health and the implementation of legal protection for Occupational Safety and Health at PT Sinar Semesta. This study uses an empirical legal research method. Based on the results of the study, it can be concluded that Occupational Safety and Health has actually been regulated in several laws and regulations. However, the implementation of legal protection for Occupational Safety and Health at PT Sinar Semesta has not been fully fulfilled because there are no health facilities specifically located in the company environment, the Occupational Safety and Health Management System has not been implemented, and the Occupational Safety and Health Development Committee has not been formed..

Hospitals must be able to deal with the dynamics of rapid change in the digital era, hence the need for digital transformation. Retention towards digital transformation in hospitals can take many forms, especially among medical and administrative staff. This study aims to evaluate the success of digital transformation at Cahaya Medika Hospital using the DeLone & McLean Model. This research method is quantitative explanatory research. The sample in this study were health workers, administration and medical support at Cahaya Medika Hospital totaling 127 respondents. Data collection using questionnaires and descriptive analysis techniques using the SEM-PLS method. The results showed system quality, information quality, and service quality influenced directly and indirectly on net benefits through use and user satisfaction on officers at Cahaya Medika Hospital. These results have theoretical implications that support theory and previous research. Managerially, it is expected to provide input for Cahaya Medika Hospital management to improve the success of digital transformation in hospitals. These efforts can help increase the level of system usage and user satisfaction which ultimately increases net benefits for the hospital. There is a significant influence of system quality, information quality, and service quality on net benefits through usage and user satisfaction on the success of digital transformation in RS Cahaya Medika Tambun Utara.

Noise generated by Diesel Power Plants (PLTD) is a significant environmental problem, especially in urban areas and settlements adjacent to power plant facilities. This study analyzes the noise level around the Fakfak Cotton Plant and its impact on the local community. This study uses a combination of methods, including noise level measurements using a Sound Level Meter (SLM), field observations, interviews with the community, and a SWOT analysis to evaluate the strengths, weaknesses, opportunities, and threats in noise mitigation. The measurement results show that the noise level generated exceeds the threshold of 55 dBA set by the Decree of the Minister of Environment Number 48 of 1996 for residential areas. This condition has a negative impact on the comfort, health, and social interaction of the community around the PLTD location, causing sleep disturbances, stress, and decreased quality of life. The SWOT analysis shows that although the PLTD has advantages in terms of sustainable operations and professional workers, the main weaknesses lie in the lack of soundproofing and the absence of regular noise evaluations. However, there is a great opportunity in the application of noise mitigation technologies, such as the installation of soundproofing, the use of acoustic walls, and planting vegetation as a sound barrier. In addition, collaboration with local governments and increasing environmental awareness can help manage noise impacts more effectively. The main threats identified include potential social conflicts with surrounding communities, negative health impacts, and changes in environmental policies that can affect PLTD operations. With the right mitigation strategies, such as the application of soundproofing technologies, improved communication with the community, and better integration of environmental policies, the environment around PLTDs can become more comfortable and conducive for the community. This study emphasizes the importance of regulatory and technology-based approaches in managing noise in urban environments, as well as the need for sustainable mitigation measures to maintain the well-being of communities around PLTDs..

The study aims to analyze the occupational safety and environmental health risks due to aircraft painting at the Hangar of PT. XYZ. The study is a descriptive study with a qualitative approach. The results of the study are the analysis of occupational safety risks seen from occupational safety risks and risk control. Occupational safety risks in aircraft painting activities at PT. XYZ are divided into several parts, namely (1) Exposure to hazardous chemicals is included in the high category; (2) The risk of work accidents is included in the moderate category; (3) Equipment damage is included in the low category; and (4) Fire is included in the low category. Risk control can be carried out by (1) Increasing strict supervision of the aircraft painting process; (2) Conducting appropriate occupational safety training for workers; (3) Using PPE; (4) Using adequate safety equipment; and (5) Carrying out proper equipment maintenance. The analysis of environmental health risks is seen from environmental health risks, sources of risk and risk control. Environmental health risks are divided into several parts, namely (1) Air pollution is included in the moderate category; (2) Soil and water contamination is included in the moderate category; and (3) Environmental damage is included in the moderate category. Sources of environmental health risks are the use of hazardous chemicals and painting waste. Risk control can be done by carrying out strict supervision, using safe chemicals and proper waste management.

This study aims to examine and analyze empirically the influence of gratitude and self concept on optimism patient cancer in the Hospital Dr. Cipto Mangunkusumo Jakarta. The method used in this research is correlational quantitative, sampling technique using the incidental sampling  used in this research were 100 persons respondent. Data collection was carried out through questionnaires, interviews and observation. Self report technique is used in collecting instrumen data. The data collected was analyzed with a multiple regression test with the help of the Statistical Package for Social Sciences (SPSS) program 20.0 for Windows. The research results show that gratitude and self concept together can be a significant predictor of optimism in patient cancer. in the Hospital Dr. Cipto Mangunkusumo Jakarta. This means that the higher gratitude and self concept, the higher the optimism. Conversely, the lower the gratitude and self concept, the lower the optimism for patient cancer. It is recommended to improve optimism by increasing gratitude in cancer patients through the sosialisation, education and social support by family, friends, community members and health workers    

Occupational safety and health training explains that increased knowledge and awareness of workers about potential workplace hazards can motivate them to comply with safety standards, including the use of personal protective equipment (PPE). This research aims to analyze the effect of occupational safety and health training on the behavior of using PPE by workers in the construction industry. This research is driven by the high number of work accidents that happen in the construction industry sector in Indonesia, where many workers are still reluctant to use PPE. The method used is a comprehensive literature review, with analysis of various relevant sources including academic journals and research reports as well as 3 electronic databases, namely Google Scholar, PubMed, and GARUDA. The findings of the study showed that workers who participated in occupational safety and health training showed increased knowledge and awareness of potential hazards in the workplace. Despite this, compliance rates are still low, especially among younger and less experienced workers. There is still no clear research data on reducing the accident rate in workers after this occupational safety and health training. This research confirms the need for strict supervision in the field to create a safer and healthier work environment. 

This research concludes that the Income Level (TPP) received by workers at retirement is only 10% of the last salary obtained from the mandatory pension program, a decrease in income of 90% of the last salary. The monthly living cost needs of retirees in retirement (food, monthly shopping, water costs - electricity, internet, lifestyle, health insurance, etc.) obtained data of IDR 5,600,000, - or equivalent to 56% of the last salary per month. So in actual terms, the level of retirement income (TPP) of retirees in Indonesia there is a gap of IDR 4,600,000, - or 46% less than the last salary per month. This condition causes retirees to fail to maintain their standard of living in old age, in addition to experiencing financial problems in retirement. Factors that affect the amount of a person's TPP consist of: 1) type of work, 2) pension program participated in, 3) length of service and salary amount, 4) investment return rate from the pension program, 5) government regulations, 6) macroeconomic factors and inflation, 7) health conditions of retirees, 8) family responsibilities, and 9) pension fund education determine the size of the level of retirement income. Optimizing private pension funds plays an important role in increasing TPP as a guarantee of income in retirement and creating financial independence in old age, in addition to improving quality of life. For this reason, private pension funds must be managed more optimally to achieve significant investment performance, improve pension fund literacy, target formal and informal workers, and diversify adequate products and services through digitalization of pension fund access and services to encourage significant growth in private pension fund participation.

The health services that will be provided must go through stages of approval from the patient verbally or in writing, so as not to violate the patient's rights as consumers of services and is one of the obligations of the health worker himself. This research aims to determine the implementation of informed consent in health services provided by physiotherapy students during field work practice in health institutions. This research also uses a sociological juridical method, which is the result of drawing conclusions as a result of connecting cause and effect variables in accordance with social science design. From the results of this research, it was found that physiotherapy students at Widya Husada University, Semarang, during field work practice in health institutions, always gave informed consent to patients before providing health services, either verbally or in writing. Students cannot yet be called full-fledged health workers, but when students practice field work in health institutions and provide health services to patients, they are required to provide informed consent to the patient first as a form of approval for the patient's actions.

The coverage of exclusive breastfeeding at the Sikan Community Health Center from 2018-2019 decreased from 50.8% to 28%. Lack of knowledge and the intensive promotion of formula milk are among the causes of the low exclusive breastfeeding rate. The purpose of this study was to determine the relationship between socioeconomic factors and the level of maternal knowledge about exclusive breastfeeding in the Tokorondo Community Health Center Work Area. This study used an analytical method with a cross-sectional approach. The population was 46 mothers with toddlers aged 6-12 months in the Sikan Community Health Center work area. The sample in this study was 36 people, the sampling technique was consecutive sampling. The results showed that exclusive breastfeeding was more common in mothers with low education (60%), unemployed mothers (23.5%), high income (50%), and well-informed (100%). Conclusion: There is a relationship between the level of knowledge and exclusive breastfeeding (p<0.001), while education (p=0.217), occupation (p=1.000), and income (p=0.436) have no relationship with exclusive breastfeeding. It is hoped that health workers can be a source of information about the importance of exclusive breastfeeding for babies up to 6 months of age and after six months of age. After six months, it is continued with the provision of complementary foods while continuing to provide breast milk until the age of 2 years and there is support from the family, especially the husband, as an effort to increase the coverage of exclusive breastfeeding.

Tuberculosis (TB) is a global health problem, with Indonesia having the second highest number of cases in the world. Although morbidity and mortality rates from TB are still high, the disease is curable with proper treatment. The success of TB therapy can be influenced by various factors such as patient compliance, knowledge about TB, patient motivation, family support, education level, socioeconomic conditions, access to health facilities, the role of health workers, drug side effects, and comorbidities. This study aims to analyze the factors that influence the successful treatment of TB patients at Puskesmas Sentosa Baru. This study used a qualitative method with a cross-sectional descriptive approach, this study involved 15 TB patients who were interviewed in depth until the data reached the point of saturation, as well as observation and documentation. From the results of the research conducted, it was found that the factors that influence the success of patient treatment at Sentosa Baru Health Center are the level of patient compliance, level of knowledge, and patient motivation. Patients who have a better understanding of the disease tend to be more disciplined in undergoing therapy, while family support is a strong driver in improving patient adherence to treatment. Therefore, increased education, monitoring of adherence, and more intensive social support are needed so that patients can complete treatment optimally and break the chain of TB transmission.

Nosocomial infections are a major challenge in healthcare, particularly in intensive care units (ICUs). Although the incidence in ICUs is not particularly high, they still occur. Adherence to hygiene protocols has been shown to reduce infection rates by up to 30%. Data from the Indonesian Ministry of Health (2020) indicates that nosocomial infections in hospitals account for 20–30% of all ICU patients. Objective: To determine the relationship between the implementation of nosocomial infection prevention protocols and infection rates in ICU patients at Sultan Hadlirin Islamic Hospital (RSI) in Jepara. Methods: This study was quantitative with a correlational cross-sectional design. The population included all 10 healthcare workers in the ICU and 23 admitted patients. The sampling technique used was total sampling. The research instruments were questionnaires and observation sheets, while data analysis was performed using the Chi-square test. Results: A total of 17 patients were treated with the prevention protocols in place, but one patient still experienced a nosocomial infection. The test results showed an asymptotic significance value (2-sided) of 0.59 > 0.05. Conclusion: There is no influence of the implementation of infection prevention protocols on the incidence of nosocomial infections (INOS) in the ICU at RSI Sultan Hadlirin Jepara.

Introduction: Low back pain is one of the most common musculoskeletal disorders encountered in the work environment and is categorized as a disease caused by work activities. Methods: This study used health promotion counseling method on stretching exercise for low back pain (LBP). The counseling was held on March 15, 2025 at Bening's Clinic Pamekasan which is located on Jl. Trunojoyo no. 325-327, Pocok, Laden, Kec. Pamekasan, Pamekasan Regency, East Java. A total of 21 workers participated in this counseling. The promotional media used in this activity was a leaflet, and pre-test and post-test were applied as instruments to measure the effectiveness of the counseling. Results: The results of the evaluation of 21 participants showed that their understanding of Low Back Pain (LBP) and stretching exercise increased to 100%. Conclusion: Based on the results evaluation results, the counseling conducted at Bening's Clinic Pamekasan successfully increased participants' understanding of stretching exercise for low back pain (LBP).

One of the important indicators in hospital quality standards is the level of patient satisfaction with the services provided. Therefore, improving the quality of health services is very crucial, not only in the medical aspect, but also in terms of communication and empathy of health workers to patients. This study aims to determine the description of the quality of service of registration staff at the outpatient polyclinic of General Hospital X, South Jakarta, in 2023, based on patient perceptions. This study is a quantitative study with a descriptive approach, conducted on 50 respondents. Data were collected using a questionnaire covering five dimensions of SERVQUAL: Tangibles, Reliability, Responsiveness, Assurance, and Empathy. Data analysis was carried out by presenting the frequency distribution and percentage of each service dimension. The results showed that: in the Tangibles dimension, 66% of respondents rated it good and 34% less good; Reliability, 70% good and 30% not good; Responsiveness, 52% good and 48% not good; Assurance, 72% good and 28% not good; and Empathy, 66% good and 34% less good. In conclusion, although most respondents rated the service of the registration staff as good, there are still aspects that need to be improved. Improving the overall quality of service, especially in the dimensions of Responsiveness and Empathy, is needed as a strategic step in an effort to increase patient satisfaction and loyalty.

Occupational safety and health (K3) is an important factor in ensuring the physical and mental health of workers and creating a safe work environment. This research discusses the implementation of K3 management to minimize work hazards, especially those caused by developments in industrial technology and the use of hazardous materials such as asbestos. As a destructive material, asbestos can cause serious diseases such as lung and pleural cancer if not managed properly. Referring to the K3 management system policy in the Minister of Manpower Decree No. 05 1996, this research emphasizes the important role of company management in integrating K3 into the operating system. It is hoped that the results of this research can serve as a guide for the business world to identify hazards, assess risks, and implement control measures to create a safe and secure work environment.

Complications during childbirth are the leading cause of maternal mortality in Indonesia. The incidence of labor complications can be prevented by frequent antenatal care (ANC) visits. Low frequency of antenatal care (ANC) may increase the risk of labor complications. The purpose of this study is to examine the correlation between the frequency of antenatal care and the incidence of labor complications in Independent Midwifery Practice Jati Area, Probolinggo City. This study used a cross-sectional research design with using secondary data from the Maternal and Child Health book and observation sheets. The number of samples in this study were 26 laboring mothers in the area in June 2024. The results of this study showed that the majority with low ANC frequency majority was 57.7%, incidence of labor complications was 61.5%. Fisher's test showed a significant correlation between the frequency of antenatal care and the incidence of labor complications with the result (p = 0.000). Suggestions for health workers, especially midwives, are expected to always provide motivation and knowledge about the importance of the frequency of antenatal care visits and need to improve the quality of antenatal care to prevent complications of labor.

One of the causes of the high Maternal Mortality Rate (AKI) is long childbirth. If the delivery process lasts a long time, it can cause the mother to be exhausted because she runs out of energy. This results in inadequate uterine contractions (his) so that it can cause failure in the progress of labor. In addition to the inadequacy of uterine contractions (his), psychological conditions are also one of the factors that affect the length of labor progress. The psychological condition in question is the mother's perception of anxiety and pain during the childbirth process. One of the non-pharmacological therapies is self-healing , which is one of the methods used to manage emotions in order to avoid things that cause stress. This study aims to analyze the Effectiveness of Self-Healing to Reduce the Intensity of Pain in Maternal Mothers at PMB Winda Nainggolan, Hutabayu District, Simalungun Regency, North Sumatra Province in 2024. This research method uses a quantitative research approach with a quasi-experimental design research method in one group (one group prestest posttest). The research will be conducted in May 2024-July 2024. The sample size was 16 people with nonprobability sampling techniques. The data analysis used was using the Pairet t Test with an error value of α 0.05. The results of the study based on the output test statistics obtained a significance value of 0.000 which is smaller than the significance level of 5% (p-value = 0.000 < 0.05). The conclusion of the study is that Ha is accepted, which means that there is an effect of self-healing on the reduction of Period I labor pain in Primigravida mothers at PMB Winda Nainggolan, Hutabayu District, Simalungun Regency, North Sumatra Province in 2024. It is hoped that health workers can improve the quality of service, self-healing can be an intervention as one of the non-pharmacological therapies for maternal mothers.

Chronic Energy Deficiency (CED) is a manifestation of malnutrition characterized by an inadequate energy intake over a prolonged period in pregnant women, resulting in adverse health outcomes due to a relative or absolute deficiency of one or more essential nutrients. The 2023 SKI results indicate that malnutrition among pregnant women remains a problem, with nearly 3 out of 10 pregnant women experiencing anemia and 17% at risk of CED. According to data from the Jambi City Health Office, Putri Ayu Public Health Center (Puskesmas Putri Ayu) has the highest number of CED cases, with 67 affected pregnant women. The main objective of this study is to explain the underlying factors contributing to the high prevalence of Chronic Energy Deficiency (CED) and to inform the development of evidence-based health interventions aimed at reducing this condition. This study employed a quantitative research method with a case-control design. The sampling technique used was purposive total sampling, involving 78 pregnant women in the Putri Ayu Public Health Center area, Jambi City. Data collection was conducted in October 2024, using a questionnaire as the research instrument. Data were analyzed using the chi-square test. The results showed a significant relationship between CED and parity (p=0.034), anemia (p=0.013), attitude (p=0.000), and the role of health workers (p=0.000). No significant relationship was found between CED and age (p=1.000), pregnancy spacing (p=0.615), and knowledge (p=0.359) in pregnant women. The findings indicate that parity, anemia, attitude, and the role of health workers are significantly associated with the occurrence of CED in pregnant women, while age, pregnancy spacing, and knowledge are not significantly associated.

Background: According to data from the World Health Organization (WHO, 2023), antepartum hemorrhage, especially placenta previa, accounts for 15% to 20% of maternal deaths. Placenta In addition, previa accounts for 3% of all maternal deaths in Indonesia due to bleeding. Abnormal implantation of placental tissue above the endocervical os is a characteristic of placenta previa. Parity, age, endometrial hypoplasia, tumors, slow luteal response, endometrial abnormalities, history of cesarean section, curettage, multiple pregnancies, and history of placenta previa in previous pregnancies are some of the factors that can increase the risk of placenta previa. Research Objective: This is to determine the characteristics of pregnant women with the incidence of placenta previa in pregnant women at the HKBP Balige Hospital in 2024. Research Method: This is analytical with a cross-sectional design. The sampling technique uses total sampling with a sample size of 45 people. The entire data processing and analysis process uses the SPSS application. Research Results: The characteristics of pregnant women were obtained as follows: the majority of the age at risk (<20 and >35 years) as much as 55.6%; the majority of parity >3 as much as 53.3%, the majority of Ever CS as much as 60%. Results: statistical tests showed a significant correlation with the characteristics of pregnant women with age (p = 0.007), parity (p = 0.031) and history of CS (p = 0.001). Suggestion: It is expected to facilitate health workers in increasing knowledge and skills through training in maternal and neonatal emergency services as an effort to prevent complications in the mother and fetus.