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Anxiety in pregnant women is felt since the first trimester, where anxiety is a result of adapting to physical changes in the body, the uterus starting to enlarge, and changes in the breasts as well as psychological changes. This anxiety continues in the next trimester until the third trimester so it is thought to cause less preparation for childbirth later. The aim of the research was to determine the relationship between pregnant women's anxiety levels and readiness for childbirth at the Dolarayat Health Center, Karo Regency, North Sumatra Province. The type of research is analytical with a cross sectional approach. The population is 62 husbands and a sample of 56 people determined based on criteria. Data collection through distributing questionnaires. Data were analyzed univariately and bivariately. The results of the study showed that the anxiety level of third trimester pregnant women was more moderate (73.2%), and the anxiety level was mild (12%), while the anxiety level was severe (14.2%). More prepared for childbirth (76.8%) and less prepared (23.2%). There is a relationship between the level of anxiety of pregnant women and preparation for childbirth (p 0.004 <0.05). It is hoped that health workers can provide education and motivation to husbands, especially pregnant women, about how to deal with anxiety during pregnancy to avoid disorders during pregnancy and childbirth.

Three month injectable birth control is an alternative used to prevent pregnancy by releasing the hormone progestin into the blood vessels which works by stopping the release of egg cells into the uterus, thus preventing the fertilization process from occurring. Menstrual changes experienced by women taking DepoProvera begin in the form of unpredictable irregular bleeding and spotting that lasts for seven days or more or heavy bleeding during the first few months of Depo-Provera use. The aim of this study was to determine the relationship between the length of use of 3-month injectable contraceptives and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023.he type of research carried out was Descriptive Analytical with a cross sectional approach, the sample in the study was 35 people using a Random Sampling System. The data collected in the research is primary data, namely data obtained directly from respondents. The data analysis used is chi square The results of the tabulation research show a relationship between the duration of using injectable contraceptives for 3 months and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023 with a p-value = 0.049. So Ho is rejected and Ha is accepted, which means there is a relationship between the length of use of 3-month injectable contraceptives and menstrual disorders in 3-month injectable contraceptive acceptors at the Melak District Health Center. West Kutai, East Kalimantan in 2023. Conclusion: Family planning acceptors can choose the right contraceptive method. Family planning acceptors can tell midwives or health workers about the various types of contraceptives before choosing the contraceptive method. Always monitor changes in side effects so that if there are complaints they can be addressed immediately.

Research background: Chronic Energy Shortage (KEK) is still a problem in Indonesia. Women and children are the groups at highest risk of experiencing Chronic Energy Deficiency (CED). Currently Chronic Energy Deficiency (CED) is a concern for the government and health workers, because a woman of childbearing age (WUS) who experiences CED has a high risk of giving birth to a child who will also experience CED in the future. The aim of the research is to identify study characteristics of the incidence of CED pregnant women at the Kotabaru Community Health Center. The research method uses quantitative descriptive. The population is all 30 KEK pregnant women at the Kotabaru Community Health Center in October – December November 2023. The sample was taken using a total sampling technique of 30 people. Data were analyzed univariately. The results of the research were that age characteristics were the most common in the risk category with a percentage of 66.7%. Parity characteristics were most common in the multiparous group at 50%. The characteristics of pregnancy spacing in the risk category were 56.7% and the highest level of education among respondents was at the middle level, namely 40%.    

PHBS is all health behavior carried out out of personal awareness so that the family and all its members are able to help themselves in the health sector and have an active role in community activities.This type of research uses qualitative research where this research uses questionnaires and interviews. This research design uses a phenomenology approach design, namely this approach seeks to reveal, study and understand the unique and unique phenomena and contexts experienced by individuals up to the level of belief of the individual concerned.Based on the research method carried out by the researcher, the researcher obtained the results that there were still some patient families who did not know what clean and healthy living behavior (PHBS) was in the hospital and did not believe that in treating patients health workers always behaved in a clean and healthy lifestyle., Meanwhile, some patients already know about clean and healthy living behavior (PHBS) in hospitals and believe that when treating patients, health workers always behave in a clean and healthy way.    

. Introduction: Nurses have a high risk of transmitting pathogens through their hands, because nurses spend the longest time with patients. Apart from this, a nurse must be able to comply with predetermined nursing duties and ethics, including "hand hygiene five moments" which is the term used for washing hands. Objective: To determine the factors related to inpatient nurses' compliance with implementing the five moments and hand hygiene at AZRA Bogor Hospital. Method: This type of research is quantitative with the method used, namely a cross-sectional design with a population of nurses who are still actively working at AZRA Bogor Hospital with a sample size of 87 respondents. Data collection techniques use observation sheets and questionnaires with several closed questions. Data analysis in this study used the chi square test. Results: The highest age of inpatient nurses was 64.4% at the age of 26 -35 years at AZRA Bogor Hospital, Diploma III (D3) education was 59.8%, PK 3 career level was 36.8%, good knowledge was 63.2%, compliance was 59.8%. Variables related to factors related to inpatient nurse compliance are age and education. Variables that have no relationship are career level and knowledge. Conclusion: Implementation of five moments and hand hygiene in hospitals to prevent transmission of HAIs to patients, visitors and health workers.

In Indonesia, especially in rural areas, the number of traditional birth attendants is still high, namely 75% to 80%. Delivery assistance performed by traditional birth attendants can cause various problems and is the main cause of maternal death which is high in perinatal and morbidity. Many factors influence the choice of assistance by adat, one of which is the factor of pregnancy education. This study aims to study the selection of aid distribution according to the traditional view of education for pregnant women in Pukdale Village, East Kupang District. This type of research is an analytic observational study using a cross sectional research design. The population is pregnant women who gave birth from January 2020 to December 2020 in the village of Pukdale, East Kupang District. The sample is pregnant women who gave birth in January 2020 to December 2020 in Pukdale Village, East Kupang District, a sample of 35 mothers who gave birth in a weaving village using a variable or complete saturation sampling technique. To determine the relationship between the education variables of pregnant women with the help of selection by Traditional labor uses the chi-square statistical test with =0.05. The results showed that 68% of the sample was aged 20-30 years, 54% of the sample had low education (didn't finish elementary school/didn't go to school, elementary or junior high school) and 66% of the sample gave birth with the help of a dukun. Mothers who gave birth to traditional healers, namely 73.9%, and mothers with low education gave birth to 83.3% of health workers with higher education. The results of statistical tests with a significance level (=0.05) showed that there was a relationship between the education of pregnant women and assistance in selecting births by traditional birth attendants. So it can be concluded that pregnant women's education is related to choosing traditional delivery assistance and recommends that health workers in the regions can provide health education to the community about the risks that can occur if pregnant women give birth at midwives and need to increase cooperation with traditional midwives (traditional partnerships) in labor matters.

The incidence of infection is considered a serious problem that threatens the health and safety of patients and health workers globally. Nosocomial infections are infections that occur in hospitals and attack sufferers who are in the healing process. Personal protective equipment (PPE) is equipment that workers must use when carrying out work that poses a risk of compromising safety and health. The aim of this research is to determine the implementation of the use of personal protective equipment (PPE) in room D of one of the Bogor city hospitals. The type of research is in the form of a case study of nursing management station nurse practice which was carried out October 16 – November 10 2023. Data collection tools used observation and checklist sheets. The results of research on the types of Personal Protective Equipment (PPE) used in room D consist of handscoone, mask, apron, haircap and shoes. The personal protective equipment (PPE) used in room D was found to be incomplete. The implementation of the use of Personal Protective Equipment (PPE) used in room D was found to be poor, because of the 5 nurses only 3 nurses applied it well (70%), the rest were not good (30%). And in conclusion, implementing the use of Personal Protective Equipment (PPE) is very important for health workers, especially nurses, when carrying out medical procedures to avoid nosocomial infections..

Exclusive breastfeeding is the provision of only breast milk without giving other food or drink to babies from birth to 6 months of age without anything additional except medication. The aim of the research is to determine the factors related to the low level of exclusive breastfeeding among working mothers at TPMB Yuliani Kusrahmadani 2023. It is hoped that it will be useful for mothers to increase their awareness in providing exclusive breastfeeding to babies appropriately, namely 0-6 months of age so that exclusive breastfeeding coverage can reach the target. which is supported by all groups. This type of quantitative research uses the Cross Sectional method. The population in this study was 50 respondents with a total sample of 50 breastfeeding mothers who had babies aged 6-12 months. The sampling technique is a total sampling technique. The research instrument used a questionnaire. Data analysis used univariate analysis and bivariate analysis with the chi-square test. The results of the research show that the variables related to exclusive breastfeeding in working mothers are knowledge p value = 0.007 OR value = 6.878, attitude p value = 0.009 OR value = 11.368, lactation facilities p value = 0.000 OR value = 11.667, family support p value = 0.000 OR value = 12.857, support from health workers p value = 0.000 OR value = 75,000. The conclusion from research conducted by researchers is that the factors that play an important role in determining exclusive breastfeeding for working mothers are knowledge, attitudes, lactation facilities, family support and support from health workers. Support from health workers is the highest risk factor for working mothers who do not breastfeed, namely 75,000.  

Anaemia is a global problem for pregnant women. The WHO states that the incidence of anaemia in pregnant women is 48.9%. Central Java's anaemia rate is 57.7%, while Brebes Regency's anaemia rate is 50%. According to the Brebes District Health Office, this problem lies in pregnant women's adherence to taking iron supplement tablets. The study aimed to determine the factors influencing the consumption of blood-supplemented tablets by pregnant women at the Buaran Health Center. This research method was a quantitative analytic survey with a cross-sectional design, with a population of 96 third-trimester pregnant women. The sampling technique was purposive sampling with 49 respondents. The instrument used is a questionnaire. Data analysis was performed univariately and bivariately (using chi-square statistics). The results showed that the factors associated with the consumption of iron tablets were knowledge (p-value=0.013), motivation (p-value=0.037), family support (p-value= 0.019), ANC visits (p-value=0.000), and compliance (p-value=0.002). The suggestion is that pregnant women at the Buaran Health Centre increase awareness about consuming blood-supplemented tablets to maintain the health of the mother and baby and that advice from health workers is needed every time pregnant women carry out an ANC examination at a health facility.

According to the World Health Organization (WHO), in 2021 around 329,000 women died due to complications related to pregnancy or childbirth throughout the world, MMR in Indonesia until 2022 was 305/100,000 live births, WHO data for 2021 states the Infant Mortality Rate (IMR) in the world amounted to 235 deaths per 100,000 live births. Brebes Health Office (2022) MMR 50 cases, IMR 259 cases. Data from Bantarkawung Community Health Center (2022) MMR 1 case, IMR 5 cases. This researcher is able to carry out comprehensive midwifery care for Mrs. R aged 26 years with Preeclampsia using Varney's seven-step obstetric management and SOAP. Based on the background above, the problem formulation is how Comprehensive Midwifery Care for Mrs. R aged 26 years in the working area of the Bantarkawung Community Health Center, Brebes Regency in 2023. The research design used by the author is qualitative descriptive research. Comprehensive Care for Mrs.R found problems early in pregnancy with preeclampsia. Labor was induced, and the newborn was normal. During the postpartum period, the uterine involution process goes well. Conclusion: Through this scientific paper, it is hoped that health center health workers can maintain and improve the quality of health services in accordance with service standards and the application of theory.

Medical record documents become a source of information for health workers in carrying out data analysis, planning, making decisions to provide services and become accountability files for proof of services that need to be maintained until the time limit according to agreed and established rules. The stages of activities carried out consist of the preparation and implementation stages. , and evaluation. The preparation stage includes a pre-test questionnaire, preparation of material by the facilitator, preparation of educational media in the form of banners and leaflets as well as a post-test questionnaire which is carried out the day before the counseling is carried out. The implementation stages include the delivery of educational material regarding maintaining medical record documents in the archive room. From the results of the percentage analysis, there was an increase in the percentage of students' overall knowledge of all aspects of medical record maintenance education in the application room delivered by the facilitator. Educational activities regarding how to maintain medical record documents in the submission room for Health Information Management study program students increased knowledge. knowledge increased by 18.61 points after health education was implemented. This increase in the average knowledge value occurred because health education used methods and medians, namely lectures and discussions.

The performance of health workers as a consequence of public demands for the need for excellent service or highquality service. It is expected to be able to show its professional contribution significantly in improving the quality of health services. The purpose of the study was to analyze the effect of internal communication on employee performance at the Anambas Islands Regency Population Control and Family Planning Health Office. The research design used the Analytical Survey method with a Cross Sectional approach. The population in this study were all employees as many as 98 people, all of whom were used as research samples with total sampling technique. Data analysis used univariate analysis, bivariate with chi-square test and multivariate with logistic regression. The results of logistic regression research show that there is an influence of leadership p = 0.001, motivation p = 0.000, trust p = 0.000, and appreciation p = 0.000. While the dominant factor that affects employee performance is appreciation p = 0.000 with Exp(B) 55.590. The conclusion of this study is that there is an influence of leadership, motivation, trust and appreciation. The dominant factor, namely appreciation, affects employee performance at the Anambas Islands Regency Population Control and Family Planning Health Office. It is recommended that the Anambas Islands Regency Population Control and Family Planning Health Office needs to provide direction to employees at work so that they have creativity at work so that employees continue to improve so that employee performance increases.

Resource management is very important to achieve organizational goals through management which is a tool to achieve these goals. The results of the initial survey found that the lack of discipline of officers due to not knowing and not understanding their responsibilities, this is because the responsibilities given are not in accordance with the educational background, the problem of low work motivation. The purpose of the study was to determine the factors that influence the performance of health workers at the Tangan-Tangan Health Center, Southwest Aceh Regency. The research design used Analytical Survey method with Cross Sectional approach. The population in this study were all health workers at the Tangan-Tangan Health Center as many as 75 people, all of whom were used as research samples. Data analysis with logistic regression. The results showed that there was an influence of leadership p = 0.000, motivation p = 0.000, discipline p = 0.000, incentives p = 0.002, work environment p = 0.000 and work ability p = 0.017 on the performance of health workers at the Tangan-Tangan Health Center, Southwest Aceh Regency. While the most dominant variable is discipline p = 0.003 and 95% CI = 6,862-11243,720 with an Exp (B) value = 277,759. The conclusion of this study is that there is an influence of leadership, motivation, discipline, incentives, work environment and work ability on the performance of health workers at the Tangan-Tangan Health Center, Southwest Aceh Regency. It is recommended to the leadership of the Puskesmas to always monitor the work of health workers in carrying out their duties, so that health workers can be monitored when carrying out their work and always provide opportunities to attend various trainings for health workers as an effort to develop themselves and be able to update their knowledge according to their expertise.

Dengue Fever (DBD) is an infectious disease caused by dengue virus of the genus Flavivirus, family Flaviviridae which can be transmitted through the bite of Aedesaegypti mosquitoes infected with dengue virus to humans. The purpose of the study was to determine the factors that influence the prevention of dengue fever in the Working Area of Puskesmas Aekkota Batu, North Labuhanbatu Regency. The research design used quantitative methods carried out analytical surveys with a Cross Sectional Study approach. The population in this study were all people in the Aekkota Batu Health Center Working Area consisting of 9 villages, namely 19,271 family heads. The sample used a Stratified Random Sampling system of 99 family heads. Data analysis used univariate, bivariate and multivariate analysis with logistic regressionThe results showed that there was an influence of knowledge, attitudes, the role of health workers, water reservoirs and the presence of garbage on the prevention of dengue fever in the Working Area of Puskesmas Aekkota Batu, North Labuhanbatu Regency. While the most dominant factor is knowledge p = 0.000 < 0.025 and 95% CI = 7,270-385,013 with OR = 52,907. This means that knowledge has 52 times the risk compared to other variables.The conclusion of this study is that knowledge, attitudes, the role of health workers, water reservoirs and the presence of garbage affect the prevention of dengue fever in the Aekkota Batu Health Center Working Area, North Labuhanbatu Regency. It is recommended to the Puskesmas Aekkota Batu to conduct routine flick checks every 3 months, carry out fogging and increase health promotion to the community on how to prevent DBD by implementing 3M plus in order to reduce the incidence of DBD.

Electronic Medical Records as a form of renewal of health services, which has emerged as a response to and challenges arising from advances in technology. The Minister of Health Regulation No. 269/Menkes concerning Medical Records is no longer in accordance with developments in science and technology, health service needs and the legal needs of society. At this time the government has determined the regulations to be used, namely Minister of Health Regulation no. 24 of 2022 concerning Medical Records. With this regulation, hospitals must improve their preparation so that they can be integrated with the government system. The aim of this PKM is to increase the knowledge of medical personnel in administering electronic medical records in hospitals. The PKM implementation method includes material presentation, discussion and evaluation. The target of PKM consists of 14 health workers with the results of PKM being an increase in health workers' knowledge in maintaining medical records.

Infusion is one of the invasive procedures performed by health workers by injecting a certain amount of fluid into the body into the vein to improve or prevent fluid and electrolyte, blood, and nutritional disturbances. The act of installing an infusion will be of high quality if in its implementation it always complies with the standards that have been set. One of the factors that can affect the performance of nurses, including the compliance of nurses and midwives in providing actions according to the SOP is supervision. This study aims to analyze the relationship between the supervision of the head of the room and the compliance of health workers in carrying out standard operating procedures for infusion at the UPTD Puskesmas Mawasangka Timur in 2023. This study is a correlation analytic study with a cross sectional study design. The sample in this study was 41 people consisting of 21 nurses and 20 midwives. The sampling technique used in this study is nonprobability sampling with total sampling. Data were analyzed using the chi-square test to determine the relationship between the independent and dependent variables. The results of statistical tests showed that there was a relationship between the supervision of the head of the room and the compliance of health workers in carrying out standard operating procedures for infusion at the Mawasangka Timur Health Center UPTD in 2023 (p-value 0.000 <0.05). Supervision of the head of the room has a significant role in increasing the compliance of health workers, especially nurses and midwives, in carrying out standard operational procedures for infusion installation.    

Background: Errors in inputting medical record data are still found in health services. The phenomenon that occurs in the use of electronic medical records is still an obstacle for health workers due to the complexity of the system. So research to reduce errors in inputting electronic medical record data needs to be done. Aims: This study was conducted to examine errors in inputting medical record data. The error of medical record data is influenced by technological stress factors. In addition, technological stress which is a mediator variable is also influenced by three factors, namely technology that is realistically more advanced, compatibility and complexity. Methods: . Information collected through questionnaires distributed to health workers who meet certain criteria and using electronic medical records. A total of 200 individuals in the sample were selected, selected using nonprobability sampling techniques. To test the validity of the Strucktural Equation Model (SEM) Analysis used with the Amos method Results: The results of data analysis in this study show that technological stress has a positive impact on electronic medical record data errors. In addition, relatively more advanced technology and complexity also positively affect technology stress and compatibility negatively affect technology stress Conclusion: The application of technology for hospital administration must be easy to use without the need for more learning and compatibility between work, technology used, and people who use it to reduce stress on technology in order to facilitate the input of medical records.

Clean and Healthy Living Behavior (PHBS) is a form of healthy living orientation in individual, family, and community culture, which aims to improve, maintain, and protect their health both physically, mentally, spiritually, and socially. PHBS Clean and Healthy Living Behavior aims to provide learning experiences or create conditions for individuals, groups, and families, by opening channels of communication, information, and education to improve knowledge, attitudes, and behavior so that people are aware, willing, and able to transmit clean and healthy living behavior. Healthy. Through PHBS, it is hoped that people can recognize and overcome their problems and can implement a healthy lifestyle by maintaining, maintaining, and improving their health. A preliminary survey of PBHS indicators in Lawe Loning Aman Village, Lawe Sigala-Gala District, Southeast Aceh Regency, revealed that there are still many people in Lawe Loning Aman Village, Lawe Sigala-Gala District, Southeast Aceh Regency who have not implemented PHBS. This research aims to analyze the impact of health promotion on changes in clean and healthy living behavior (PHBS) in the household environment in Lawe Loning Aman Village, Lawe Sigala-Gala District, Southeast Aceh Regency, in 2023. Meanwhile, for data collection, the type of research used is quantitative with this Quasi-experiment research design using one group pretest-posttest. The instrument used was an observation sheet which was distributed to 30 respondents. The results of data analysis show that health promotion has an impact on several changes, namely the behavior of weighing babies every month (p = 0.000), hand washing behavior (p = 0.000), the behavior of using clean water (p = 0.000), the behavior of using healthy toilets (p = 0.000), mosquito larva eradication behavior (p=0.000), fruit and vegetable consumption behavior (p=0.000), physical activity behavior (p=0.000), non-smoking behavior (p=0.005). Apart from that, two variables cannot be directly influenced by health promotion, namely delivery behavior with the help of health workers (p=0.489) and exclusive breastfeeding behavior (p=0.320). Based on the findings of this research, it is recommended that health workers and other health promotion organizers improve PHBS behavior in the home environment and again interventions can be carried out aimed at further improving hygiene to avoid various diseases.

Anesthesia practice in Indonesia faces challenges related to the implementation of professional standards and ethics as well as legal issues that often arise. This study aims to examine the implementation of professional standards and ethics in anesthesia practice in Indonesia today and to identify legal issues that often occur and how to resolve them. This study uses a normative legal research method by analyzing primary and secondary legal materials. The results of the study indicate that although there are guidelines and codes of ethics that regulate anesthesia practice, their implementation in the field still faces obstacles such as lack of understanding of health workers, excessive workload, lack of support from hospital management, and less than optimal supervision and sanctions. Legal issues that often arise include negligence in administering anesthesia, lack of informed consent, violations of the professional code of ethics, and problems in the doctor-patient relationship. Efforts that have been made to overcome these problems include improving education and training, improving standard operating procedures, strengthening supervision and sanction mechanisms, developing non-litigation dispute resolution channels, improving communication and doctor-patient relationships, and increasing support from hospital management. However, these efforts are still not fully optimal and require further evaluation and improvement. The importance of individual awareness of each anesthesiologist to comply with professional standards and ethics and strengthening ethics education are also key factors. Close collaboration between various related parties is needed to improve the quality of anesthesia practice in Indonesia while prioritizing patient safety and welfare.    

This study explores the impact of community health workers (CHWs) on improving healthcare access for vulnerable populations. By examining programs in urban and rural settings, the research highlights how CHWs facilitate education, outreach, and navigation of healthcare services. The findings indicate that CHWs play a vital role in bridging gaps in healthcare access, ultimately leading to better health outcomes for underserved communities.