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

PT. Batam Mitra Suplindo is a company engaged in ship agency services. The ship agency service process at PT. Batam Mitra Suplindo starts from the initial arrival of the ship, loading and unloading activities, until the ship departs to the next destination port. Ship to Ship (STS) transfer is a method of transferring cargo between ships that requires careful coordination and supervision, especially in handling Liquified Natural Gas (LNG) cargo, which is volatile and high-risk. As one of the ship agency companies in the Batam waters area, PT. Batam Mitra Suplindo plays an important role in supporting the smooth process of Ship to Ship (STS) Liquified Natural Gas (LNG). This paper aims to comprehensively examine the Ship to Ship (STS) Liquified Natural Gas (LNG) handling process carried out by PT. Batam Mitra Suplindo, covering the planning stage, coordination with related institutions, technical implementation, and post-transfer evaluation. The research method used is field research, observation, and library research. The research results show that the success of Ship to Ship (STS) Liquified Natural Gas (LNG) highly depends on compliance with standard operating procedures (SOP), readiness of licensing documents, and synergy with the Port Health Office, Harbour Master, and ship operators.

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

Hypertension is a disease whose prevalence continues to increase and occurs frequently in the elderly. The severity of hypertension is often linked to non-adherence to medication consumption. The objective of this community service activity is to improve the knowledge and skills of the elderly and their caregivers regarding the use of herbal therapy as a reliable and effective complementary treatment for controlling blood pressure. The activity was conducted through health education and practical demonstrations involving 29 participants. The main instrument that used in the health education was a leaflet. The results of the pre- and post-activity assessment showed an average increase in knowledge scores regarding herbal therapy for blood pressure control. In conclusion, this community service activity successfully enhanced the health literacy and practical skills of the elderly in utilizing evidence-based herbal therapy to lower blood pressure. Further effort is needed to achieve comprehensive and self-managed blood pressure control in elderly.

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

Low Birth Weight (LBW) is one of the leading causes of neonatal mortality and contributes to an increased risk of growth and developmental disorders in later life. Maternal nutritional status during pregnancy and the utilization of antenatal health services are important factors influencing fetal growth and development. Pregnant women with poor nutritional status are at higher risk of delivering low birth weight infants due to insufficient intake of essential nutrients required during pregnancy. In addition, inadequate utilization of antenatal care services may result in delayed detection and management of pregnancy-related complications. This study aimed to determine the relationship between maternal nutritional status and the utilization of health services with the incidence of LBW. The research employed an observational analytic design with a cross-sectional approach. The study population consisted of all women who delivered in the working area of Puskesmas X in 2026. A total of 80 respondents were selected using purposive sampling. Data were collected from maternal and child health (MCH) books and medical records and analyzed using the Chi-square test. The results showed a significant relationship between maternal nutritional status and the incidence of LBW (p=0.002), as well as between the utilization of health services and the incidence of LBW (p=0.004). It can be concluded that maternal nutritional status and compliance with antenatal visits are significantly associated with LBW, highlighting the need to improve nutritional monitoring and the quality of antenatal care services.

This study aims to explore and evaluate the implementation of the Curriculum of Love as a comprehensive preventive approach to addressing bullying in Senior High Schools. Bullying, defined as repeated negative behaviors intended to harm others through verbal, physical, or social actions, has become a serious problem in schools across Indonesia. Its effects on victims include physical and psychological health issues, reduced self-confidence, and in severe cases, suicidal thoughts. The research uses a literature review method, analyzing various academic sources such as journals and scholarly reports because the topic is closely related to theoretical concepts and theological values. The Curriculum of Love is a humanistic, holistic, and transformative educational model that emphasizes love, empathy, care, and compassion as central to all learning activities. Its core values of love, tolerance, and harmony form the foundation for promoting positive behavior. Findings indicate that this curriculum effectively addresses the complex causes of bullying, including individual, family, and social factors, by systematically instilling these core values. Implementation involves cultivating love for God to strengthen moral responsibility, love for fellow humans to foster respect and empathy, and practical activities such as role play, classroom companion programs, peaceful conflict resolution training, and teacher modeling. The Curriculum of Love creates a safe and supportive school environment and serves as an essential preventive and transformative educational strategy.

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

According to data from the World Health Organization (WHO), approximately 24 million people worldwide, or about one in every 300 individuals, live with schizophrenia. Individuals with schizophrenia commonly experience reduced independence in performing daily functions and social roles, including self-care, employment, and social interaction. This decline in independence is closely related to disturbances in thought processes, which subsequently affect their ability to carry out activities of daily living (ADL). This study aimed to examine the relationship between family support and the level of ADL independence among patients with schizophrenia at Embung Fatimah Hospital, Batam City, in 2024. The research employed an analytical correlation approach with a cross-sectional design and involved 60 families who lived in the same household as schizophrenia patients. Data collection was conducted from October 1 to October 9, 2024, using a purposive sampling technique and structured questionnaires. The findings revealed that the majority of respondents perceived family support as adequate, accounting for 38 respondents (63.3%), while 29 patients (48.3%) demonstrated a sufficient level of ADL independence. Bivariate analysis using the Spearman rank correlation test showed a correlation coefficient of r = 0.605 with a p-value of 0.000 (< 0.05), indicating a statistically significant relationship between family support and ADL independence. These results confirm that stronger family support is associated with higher levels of independence in daily activities among schizophrenia patients. Therefore, families are encouraged to consistently provide emotional, instrumental, and motivational support to help patients maintain and improve their daily functioning.

Human Immunodeficiency Virus (HIV) infection leading to Acquired Immune Deficiency Syndrome (AIDS) remains a global public health issue, with 39 million people living with HIV worldwide in 2022. Although X Hospital in Malang City provides a comprehensive care program, internal data shows a significant level of non-adherence to antiretroviral (ARV) therapy, often in the form of irregular consumption or discontinuation of medication without medical recommendation. This observational study with a cross-sectional approach aims to identify the determinants of ARV non-adherence, involving 81 non-adherent AIDS patients at Hospital X through total sampling techniques. The characteristics of the respondents were dominated by males, highly educated, and working in the non-government sector, with the majority using the ARV regimen TLD, COTRIMOXAZOLE. The results of statistical analysis indicate that all eight determining variables tested show a highly significant positive correlation (p < 0.001) with non-compliance, meaning that the more severe the problems with these factors, the lower the patient compliance. Furthermore, the top five factors showed a very strong positive correlation (r > 0.80) with non-adherence, namely motivation/depression, social support, communication with service providers, treatment costs, and age or routine. These findings underscore that these five key determinants must be a crucial focus in designing and implementing targeted intervention strategies to effectively improve patient adherence to ARV therapy.

The global increase in life expectancy has significantly contributed to the growth of the elderly population, including in Indonesia, which has now entered the aging population phase with more than 10% of its total population aged 60 years and above. This demographic shift presents challenges in maintaining the quality of life among the elderly, particularly in tropical border regions such as Tarakan City. Karang Anyar Pantai Village, located in West Tarakan District, has a considerable number of elderly residents supported by existing elderly health posts (posyandu lansia). Social and health interventions through elderly exercise programs, nutritional support in the form of mung bean porridge, and regular monthly health check-ups are considered strategic efforts to improve physical health, metabolic function, and psychological well-being among the elderly. This study aims to evaluate the impact of these three interventions on enhancing the quality of life of the elderly in Karang Anyar Pantai. By assessing the effectiveness of these interventions, this research seeks to provide recommendations for improving elderly care programs in similar regions.

The global increase in life expectancy has significantly contributed to the growth of the elderly population, including in Indonesia, which has now entered the aging population phase with more than 10% of its total population aged 60 years and above. This demographic shift presents challenges in maintaining the quality of life among the elderly, particularly in tropical border regions such as Tarakan City. Karang Anyar Pantai Village, located in West Tarakan District, has a considerable number of elderly residents supported by existing elderly health posts (posyandu lansia). Social and health interventions through elderly exercise programs, nutritional support in the form of mung bean porridge, and regular monthly health check-ups are considered strategic efforts to improve physical health, metabolic function, and psychological well-being among the elderly. This study aims to evaluate the impact of these three interventions on enhancing the quality of life of the elderly in Karang Anyar Pantai. By assessing the effectiveness of these interventions, this research seeks to provide recommendations for improving elderly care programs in similar regions.

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

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

Accreditation is the recognition of the quality of hospital services after an assessment has been conducted to determine whether the hospital has met accreditation standards approved by the government. Every note in the medical record must clearly identify the professional care provider (PPA), including the full name and signature, as well as the date and time of writing. The purpose of this study was to determine how the PPA's identity is filled in in medical records based on accreditation standards at Haji General Hospital, Medan. The research method used was qualitative research, with data collection techniques using in-depth interviews and observation. Six informants participated, including doctors, nurses, and medical records officers. The results showed that despite the existence of Standard Operating Procedures (SOPs) for filling in the PPA's identity, incomplete medical records were still found, such as only including a signature without a clear name and an omitted date and time. Incomplete files were returned to the relevant unit for correction. The main obstacle faced was the PPA's limited working time to complete the medical record files. In conclusion, the PPA's identity is not fully compliant with existing SOPs. Therefore, regular monitoring and evaluation, along with training for all PPAs, are needed to ensure optimal completeness of medical record documentation.

Health care facilities are places used for promotive, preventive, curative, and rehabilitative health services carried out by the government and the community. Calculating the germ count on door handles of healthcare facilities is very important, because patients are not aware that the door handles contain and transmit germs that cause infections. This study aims to determine the percentage of germ contamination on door handles of healthcare facilities at X Hospital and X Community Health Center. The type of research conducted is descriptive quantitative with an observational case report approach. This study is a frequency distribution in tabular form using a percentage formula. The number of samples used by the researchers was 8 samples, using 4 sampling points at the Hospital and 4 sampling points at the Community Health Center (Puskesmas): the Emergency Room, Main Door, Pharmacy Room, and Laboratory Room. Data collection by conducting laboratory tests on door handle swab samples was then examined using the ALT method. The results showed that the percentage of door handles that did not meet ALT standards was 3 samples (75%) at X Hospital. Meanwhile, on door handles at health facilities Puskesmas. The percentage of door handles at Puskesmas was obtained 4 samples (100%) at X  Puskesmas. Door handles at health facilities do not meet the standards of the Republic of Indonesia's Minister of Health Decree No. 1204 / MENKES / SK / X / 2004, the decision Ho was accepted H1 was rejected.

This study examines postpartum nursing care for mothers undergoing Sectio Caesarea (SC) with the primary nursing diagnosis of ineffective breastfeeding. The purpose is to evaluate the effectiveness of oxytocin massage intervention in improving breastfeeding outcomes in post-SC mothers. The study was conducted in Mawar Ward, RSUD dr. H. Soewondo Kendal, involving four patients experiencing delayed lactation, difficulty in baby latching, and psychological challenges such as anxiety and lack of confidence. The intervention was based on the Indonesian Nursing Intervention Standards (SIKI), focusing on observation, therapeutic actions, education, and collaboration with healthcare teams and family members. Oxytocin massage was performed 2–3 times daily, complemented by warm compresses, breastfeeding position training, and emotional support. The results indicated significant improvements: increased breast milk production, better baby latching, reduced maternal anxiety, and higher self-confidence in breastfeeding. This evidence-based approach highlights that comprehensive postpartum nursing care—integrating physical, psychological, and family support—plays a crucial role in ensuring breastfeeding success and overall maternal recovery after SC.

Background: Maternal Mortality Rate (MMR) in Indonesia remains a significant health challenge, with the majority of deaths related to preventable pregnancy complications. Empowering pregnant women through increased knowledge and skills in early detection is a key strategy to encourage timely care seeking. Objective: To review and analyze policies and implementation of programs empowering pregnant women in early detection of complications in Indonesia over the past five years (2020–2025), including policy frameworks, implementation models, research findings related to impacts and barriers, and policy recommendations. Methods: A scoping review using the Population-Concept-Context (PCC) approach was conducted. The literature search included scientific publications, national policy documents, and program reports published between 2020–2025. Relevant works included quasi-experimental studies, program reports, and policy documents. Main results: Maternal empowerment programs are driven by national policies to improve maternal health literacy and reduce MMR. Implementation is often integrated into Pregnant Women's Classes (KIH) or through digital media. Educational interventions have shown significant improvements in maternal knowledge of danger signs, but challenges include the low quality and availability of educational materials, as well as issues with outreach to mothers in remote areas. Conclusion: Empowering pregnant women in early detection is an important policy initiative to reduce maternal mortality. However, standardization of the curriculum, strengthening the role of cadres, and increased digital support are needed to ensure equitable reach and effectiveness.

This study aims to examine the relationship between family support and quality of life of patients with diabetes mellitus at the Srandakan Health Center, Bantul, Yogyakarta. Diabetes mellitus (DM) is a chronic metabolic disease that has a significant impact on the physical, psychological, social, and environmental aspects of the patient. The increasing prevalence of DM, especially in the elderly population in Indonesia, demands a more effective and holistic management strategy. Family support has an important role in improving self-care behaviors and adherence to treatment, which has a direct impact on patients' quality of life. This study uses a quantitative correlational analytical design with a cross-sectional approach. An independent variable is family support measured through informational, emotional, instrumental, and appreciative dimensions. Dependent variables are quality of life that include physical, psychological, social, and environmental aspects. The study population consisted of DM patients who visited the Srandakan Health Center. The results of the study are expected to show that supportive family involvement contributes positively to improving the quality of life of patients. These findings provide theoretical and practical implications for the development of nursing care and public health programs, particularly in the context of chronic diseases. This research also emphasizes the importance of comprehensive education and community participation in strengthening the role of the family as the main support system in the management of diabetes mellitus.

This study examines postpartum nursing care for mothers undergoing Sectio Caesarea (SC) with the primary nursing diagnosis of ineffective breastfeeding. The purpose is to evaluate the effectiveness of oxytocin massage intervention in improving breastfeeding outcomes in post-SC mothers. The study was conducted in Mawar Ward, RSUD dr. H. Soewondo Kendal, involving four patients experiencing delayed lactation, difficulty in baby latching, and psychological challenges such as anxiety and lack of confidence. The intervention was based on the Indonesian Nursing Intervention Standards (SIKI), focusing on observation, therapeutic actions, education, and collaboration with healthcare teams and family members. Oxytocin massage was performed 2–3 times daily, complemented by warm compresses, breastfeeding position training, and emotional support. The results indicated significant improvements: increased breast milk production, better baby latching, reduced maternal anxiety, and higher self-confidence in breastfeeding. This evidence-based approach highlights that comprehensive postpartum nursing care—integrating physical, psychological, and family support—plays a crucial role in ensuring breastfeeding success and overall maternal recovery after SC.