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Modern healthcare services are undergoing transformation toward a more humanistic and patient-centered approach, emphasizing hospitality based services in hospitals. However, many healthcare institutions, particularly in outpatient settings, have not fully adopted this concept. Patients often experience psychological distress, and when coupled with an unsupportive physical environment, their comfort and overall experience may be diminished. These conditions can negatively affect perceptions of service quality, patient satisfaction, and loyalty toward hospital services. This study aimed to analyze the influence of patients’ psychological conditions and the physical environment on hospitality-based services, with patient experience as an intervening variable, at the internal medicine outpatient clinic of BM Hospital. A quantitative research design using a cross-sectional approach was employed. The study involved 200 respondents selected through purposive sampling. Data were collected using structured questionnaires with Likert-scale items and analyzed with Structural Equation Modeling Partial Least Squares (SEM-PLS). The results showed that patients’ psychological conditions, the physical environment, and patient experience simultaneously and significantly influenced hospitality-based services. Hypothesis testing confirmed that both psychological conditions and the physical environment had a direct and significant impact on hospitality-based services. Furthermore, patient experience played a mediating role, strengthening the relationship between these factors and perceived service quality. The findings highlight the need for hospitals to integrate psychological support and a conducive physical environment into outpatient care delivery. Enhancing these dimensions can improve patient experience, foster greater satisfaction and comfort, and build stronger loyalty toward hospital services

One of PT Pertamina Patra Niaga Fuel Terminal Sanggaran's CSR initiatives is the community-based turtle conservation program, or Turtle Conservation and Education Center Serangan (TCEC), which focuses on biodiversity and community empowerment. With the help of this program, turtles in Serangan Village that are in danger of going extinct will continue to exist. Serangan Village is a top priority when conducting CSR initiatives in the areas of biodiversity and social empowerment because it is part of the company's operational region. The program's main objective is to raise and care for turtles at TCEC, including feeding hatchlings and turtles, examining turtles' health, monitoring, turtle socialization and education, turtle inhealth training, saving turtles from South Bali's beaches and many more. The Poins of SDGs Goal 4 Quality Education, Goal 8 Decent work and Growth Economic, and Goal 15 Life on Land are achieved in part because to this program. 19 local workers were employed by this program, which earns $200 million annually. In order to carry out its duties and responsibilities, the Conservation Office and Turtle Education has an organizational structure filled by managers from traditional villages. The Turtle Conservation and Education Center was initially founded as a result of a village community movement that has a focus on turtle conservation in collaboration with WWF, BKSDA (Nature Conservation Agency; Indonesia), Udayana University Bali and is under the auspices of the traditional village of Serangan. The TCEC released almost 20,000 baby turtles as part of conservation efforts to ensure their survival. A number of G20 Summit attendees paid TCEC Serangan a visit, which demonstrated how the world acknowledged its struggle with turtle conservation. TCEC Serangan is the recipient of numerous national and international honors, including the Kalpataru (the award given to individuals or groups for their services in preserving the environment in Indonesia).

This study aims to examine in depth the level of effectiveness and obstacles faced in the use of RME. This study uses a qualitative descriptive approach that aims to describe in depth the effectiveness and obstacles in the use of RME at the Baleendah Health Center. Data collection techniques were carried out through triangulation, namely, observation, interviews, and documentation. The informants in this study consisted of three people, namely the Head of the Puskesmas, medical records officer, and a doctor. Overall, the results showed that the implementation of RME at the Puskesmas received full support from the management, including aspects of funding, training, technology, and regular evaluation of the problems faced. RME has become the main focus because it is considered more effective and efficient than manual systems, especially in accelerating and improving the accuracy of services. However, the implementation still encountered a number of obstacles, such as internet network disruptions in the early stages, which have now been resolved by adding devices at certain points. The limited number of IT experts is also an obstacle because it slows down the handling of technical problems. In addition, server disruptions still occur because data storage is centralized at Diskominfo along with 62 other Puskesmas in Bandung Regency, which causes delays in data access.

Pregnant women with Chronic Energy Deficiency (KEK) are in a condition that can affect the health of both the mother and the fetus. KEK in pregnant women increases the risk of Low Birth Weight (LBW) babies, premature birth, maternal and infant mortality. Various efforts have been made to address KEK during pregnancy, yet its prevalence remains high. The aim of this community service is to improve the knowledge and nutritional fulfillment of pregnant women with KEK, as well as the prevention and management of KEK, through education for pregnant women with KEK and also explaining how to improve the nutrition of pregnant women. The target of this community service activity is pregnant women with KEK at the UPTD Camplong Health Center. The implementation of community service was carried out using a quasi-experimental approach with a pre-test and post-test design in the form of questionnaires for all pregnant women. The goal of this activity is to increase pregnant women's knowledge about KEK and balanced nutrition fulfillment. The results and benefits obtained from this community service activity include educating about fulfilling a balanced diet and improving nutrition, as well as increasing knowledge and insight for the community, especially pregnant women with KEK. The conclusion of this community service activity is that education and assistance can be an effective strategy to improve the health of pregnant women with KEK.

The Web-Based Information System for Family Planning (FP) Participant Registration at the Wee Karou Community Health Center in West Sumba Regency aims to simplify the registration process for FP participants, improve efficiency, and provide easier access for the community to FP services. Previously, the registration process was conducted manually, which often led to delays, data processing errors, and time inefficiency. Therefore, an information system is needed to digitalize the registration and data management processes of FP participants. This system is developed using web-based technology that enables the Wee Karou Health Center to conduct online FP participant registration, monitor program progress, and generate reports more quickly and accurately. The main features of the system include online FP participant registration, participant data management, service schedule monitoring, and the generation of statistical reports related to FP services. The implementation of this system is expected to reduce data entry errors, accelerate the registration process, and enhance transparency and data accuracy. In addition, it provides convenience for the community to register without having to visit the health center directly. Thus, the Family Planning services at Wee Karou Community Health Center are expected to become more optimal, effective, and efficient in supporting government programs for population control and better family planning.

Community Health Centers (Puskesmas) serve as the frontline for basic healthcare services for the community. However, the services at Waimangura Community Health Center are not yet fully optimal due to several obstacles, particularly in patient data recording, which is essential for registering every individual who visits for health check-ups, registration, and medical record management. Therefore, an information technology-based system is needed to enhance the effectiveness and efficiency of services. This research aims to implement a healthcare service system at Waimangura Community Health Center using the CodeIgniter 3 framework by applying the MVC (Model, View, Controller) method. The MVC method was chosen because it can separate application logic, display, and data management, making the system more structured, easier to develop, and maintaining consistency. The research stages include needs analysis, system design, implementation, and testing. The implementation results show that the built system is capable of assisting officers in patient registration, medical record data management, and information services. Patients also benefit from more transparent and efficient services. Based on the trial results, the system operates according to user needs and can improve the quality of healthcare services at the Waimangura Community Health Center. Thus, the implementation of CodeIgniter 3 with the MVC method has proven effective in building a structured, easily maintainable healthcare service system that can be further developed to support digital-based healthcare services.

Perceived Barrier Analysis Affecting the Interest of Women of Reproductive Age  in Participating in the Family Planning Program in The Working Area of The Jati 1 Health Center. The number of women participated in the family planning program in the Jati 1 Health Center work area was 12% while the target was 80%. One component of the HBM that discusses obstacles to family planning is perceived barriers. The purpose of this study was to analyze perceived barriers that influence the interest of women in participating in the family planning program in the Jati 1 Health Center work area. This research method uses a qualitative analytical description.The study was conducted in the Jati 1 Health Center work area in 2022. The number of main informants in this study was 4 respondents and 4 triangulation informants. The sampling method was snowball sampling. The results showed that women's interest in participating in the family planning program related to perceived barriers was fear of the side effects of family planning and myths believed by the surrounding community made women not interested in participating in the family planning program.This study concludes that there is an influence between knowledge about family planning, number of children, and husband's support on the interest of women in participating in the family planning program in the work area of Jati 1 Health Center.

Patient satisfaction refers to the degree of emotion felt by an individual, arising from an assessment of the quality of medical care received, compared to initial expectations. Suspected dissatisfaction among visitors to the Huta Padang Community Health Center, Asahan Regency, appears to be due to the inadequacy of the primary care facilities provided at the institution. Information gathering was conducted from July to August 2023. This analytical study aimed to measure patient satisfaction with essential health care at the Regional Technical Implementation Unit (UPTD) of the Huta Padang Community Health Center, Asahan Regency. The target group of the study included all polyclinic patients visiting the Saribudolok Community Health Center. Respondents were selected using a purposive sampling technique, with a total of 64 participants. The study findings were summarized through a frequency distribution table, followed by statistical data processing via a Chi-square test at a 95% significance level (α = 0.05). The analysis revealed a relationship between primary care quality and patient satisfaction, indicated by a p-value of 0.018. Therefore, it is recommended for Community Health Center leaders to actively improve the standards of assistance provided, for example by providing encouragement or incentives for staff to carry out their duties optimally, so that they can realize patient anticipation.

Prenatal exercise plays a vital role in maintaining the physical and mental well-being of pregnant women. This activity helps reduce common discomforts such as back pain, enhances stamina, and strengthens pelvic muscles in preparation for childbirth. However, knowledge among pregnant women regarding safe and effective exercises remains limited. The lack of structured information often leads to uncertainty and discourages participation in physical activities during pregnancy. This condition highlights the need for well-directed and comprehensive physiotherapy education. This community service program was conducted in Building B of the Kedungkandang Community Health Center and involved 15 participants. A holistic approach was employed, combining interactive counseling to convey the theoretical benefits and safety of exercise, group discussions to share experiences, and practical demonstrations. The exercises demonstrated were carefully selected to be simple, safe, and easy to perform independently at home, ensuring continuity beyond the educational sessions. The results indicated a significant improvement in participants’ knowledge, as evidenced by the comparison between pre-test and post-test scores. This improvement reflects the growing awareness among pregnant women of the importance of maintaining fitness through structured and safe physical activity. Continuous education through a community physiotherapy approach is necessary to ensure consistent implementation of prenatal exercise and to support long-term behavioral changes toward better maternal health.

Globally, 33% of all productive women aged 15-49 have anemia problems. Anemia is a condition where there is a deficit of erythrocyte cells, which is often found in all age groups, including women of childbearing age (WUS) and young women, namely 29% of young women and non-pregnant women and 38% of pregnant women have problems with anemia. This research aims to determine the effect of giving papaya fruit to young women who suffer from anemia on increasing hemoglobin in the work area of the Jabi Village Community Health Center, Batam City in 2024. This research was conducted using the Pre-Experiment method using the One Group Pretest Posttest Design approach. The sample for this research was 16 young women. The results of this study showed that the majority of young women experienced moderate anemia, as many as 10 young women (62.5%). After giving papaya to young women for 10 days, it was found that the majority of young women were not anemic, as many as 10 young women (62.5%). Based on the results of the Paired Sample T Test statistical test, show that the p-value is 0.000 < 0.05, so it can be concluded that there is an effect of giving papaya fruit to young women who experience anemia on increasing hemoglobin in the working area of the Jabi Village Community Health Center, Batam City in 2024. It is hoped that the Health workforce can minimize anemia in young women by giving them papaya.

Indonesia is the fourth country in the world with the largest population. This problem can be a burden on the state in national development dan economic growth. To see the relationship of husbdan support dan trust of patients with the use of IUD contraception in the village of Patam Lestari Mentarau Puskesmas working area of Batam City. Methods this study is a quantitative study, using observational analytical design with cross sectional approach. The population in this study is PUS who use MKJP contraception in the working area of Patam Lestari Mentarau Health Center Batam City. The number of samples was 73 PUS dan using cluster rdanom sampling technique. Data collection tools using observation sheets dan questionnaires. Data analysis using chi-square test. Result most of PUS who get husband’s support with IUD contraceptive use are 41 people (91.1 %), while PUS who believe in IUD contraceptive use are 36 people (97.3%), the results of chi square statistical test for Husband’s support obtained p-value 0.000 < 0.05 dan for patient trust obtained p value 0.000 < 0.05. There is a significant relationship between the husband support dan the trust of patients with the use of IUD contraception in the village of Patam Lestari Mentarau Puskesmas working area Batam.

Hypertension is a "silent disease" with a high prevalence that can be triggered by modifiable risk factors such as stress and smoking. Sei Langkai Community Health Center shows the highest hypertension service rate (20.12%) in Batam City with Sei Langkai Village having 50% of hypertension sufferers from the health center's working area. The purpose of this study was to analyze the relationship between stress and smoking with the incidence of hypertension in Sei Langkai Village, the Working Area of ​​UPTD Sei Langkai Community Health Center, Batam City. This research method is an analytical observational study with a cross-sectional design. The accessible population is residents aged >17 years in RW 17 RT 05 Sei Langkai Village (334 people). A sample of 75 respondents was selected using a cluster random sampling technique. Data collection used the Perceived Stress Scale (PSS) questionnaire to measure stress and the Fagerstrom Test for Nicotine Dependence (FTND) to measure smoking dependence, as well as blood pressure observations. Data analysis used the chi-square test and Spearman correlation. The results showed a significant association between stress and hypertension (p=0.001; PR=5.688; 95% CI: 2.200-14.705). Of the 47 respondents experiencing stress, 87.2% had hypertension. There was a significant association between smoking and hypertension (p<0.001; r=0.585). Of the 28 respondents with heavy smoking habits, 96.4% had hypertension. The study concluded that stress and smoking are significantly associated with hypertension. Respondents with stress had a 5.688-fold higher risk of developing hypertension. The more severe the smoking habits, the higher the risk of hypertension.

Tuberculosis (TB) is an infectious disease caused by the bacterium Mycobacterium tuberculosis. It is transmitted through the air, specifically through droplets expelled by sufferers when coughing or sneezing. TB is divided into two main types: pulmonary TB, which attacks the lungs, and extrapulmonary TB, which can affect other organs such as the pleura, lymph nodes, skin, bones, and meninges. In the Community Health Center (Puskesmas) work area, 77 new cases of pulmonary TB were recorded from January to April 2025. Meanwhile, coverage of Tuberculosis Prevention Therapy (TPT) only reached 44.7%, still below the national target of at least 50%. This condition indicates the need for increased health promotion activities and community diagnostic approaches as promotive and preventive measures, in order to increase TPT coverage and reduce the incidence of TB. The results of the respondent questionnaire showed that the level of public knowledge about TB reached 64.6%, positive attitudes at 94%, and preventive behavior at 72%. Based on these findings, it is recommended that outreach activities be conducted regularly to improve public understanding, which can ultimately encourage behavioral changes and reduce TB cases.

The purpose of this research is to analyze the innovation in emergency health services through the implementation of the Ambulans Hebat program in Semarang City, to analyze the challenges and obstacles faced in the implementation of the Ambulans Hebat service, and to analyze the quality of emergency health services provided by Ambulans Hebat. This research is descriptive qualitative in nature, using interview techniques with 9 informants and a questionnaire with 96 respondents. The results of this research show that the Ambulans Hebat program in Semarang City demonstrates innovation through digital technology (GPS, applications) that enhances response and coordination, an integrated command center for efficient information flow, and medical personnel training, although it requires better data integration, signal strengthening, and broader training; however, challenges such as limited fleet and medical personnel, weak inter-agency coordination, and traffic impacts necessitate additional units, integrated systems, and infrastructure innovations; quality evaluation indicates a 15-minute response time, high patient satisfaction, and successful initial handling, but requires route optimization, expanded satisfaction surveys, and additional technical training.

Type 2 Diabetes Mellitus is a chronic metabolic disease with a continuously increasing global prevalence. Understanding the characteristics of patients is essential for early detection, clinical management, and prevention of complications. Objective: To identify the characteristics of patients with type 2 diabetes mellitus at Dukuh Kupang Primary Health Center, Surabaya, based on age, gender, routine check-ups, duration of illness, body mass index (BMI), and complications. Methods: This descriptive observational study employed a cross-sectional approach and was conducted from January to February 2025. A total of 30 respondents were selected using purposive sampling. Data were obtained from medical records and supplemented by questionnaires. Results: Most patients were aged >60 years (57%), female (60%), had a normal BMI (50%), and adhered to routine medical check-ups (97%). The majority had been diagnosed for more than 5 years (53%) and experienced complications (83%), with neuropathy being the most common type (73%). Conclusion: Patients with DM type 2 at Dukuh Kupang Health Center were predominantly elderly, female, had a normal BMI, and experienced neuropathic complications.

Hypertension is a condition where blood pressure is persistently above the normal limit. This condition is a risk factor that can cause damage to vital organs, including the heart, brain, retina, kidneys, aorta, and peripheral blood vessels. This case study aims to describe the implementation of these management efforts in a 45-year-old female patient with hypertension in Blang Dalam Geunteng Village, Nisam District, North Aceh. Mrs. H, a 45-year-old woman, came to the General Clinic of Nisam Community Health Center with a primary complaint of headache since one week before the visit. The headache felt like a throbbing pain throughout the head and was intermittent. This complaint was quite disruptive to the patient's daily activities, especially when doing light household chores. In addition, the patient complained of a throbbing sensation in both eyes that began to be felt simultaneously with the onset of the headache. This complaint appeared mainly when waking up in the morning. The patient has a history of hypertension that has been diagnosed since 2024. Family history shows that the patient's biological mother also suffered from hypertension and one of the patient's siblings was also diagnosed with high blood pressure but had not started treatment. Physical examination showed a blood pressure of 150/90 mmHg. Data were collected through anamnesis, physical examination, supporting procedures, home visits, and family documentation. The holistic assessment included quantitative and qualitative aspects of the initial visit, the process, and the outcome of the visit. Interventions included hypertension education, medication adherence, a healthy lifestyle, and family support for blood pressure management and lifestyle. This case study demonstrates the importance of a holistic and continuous family medicine approach in the management of patients with grade II hypertension, particularly those with familial risk factors.

(MMR) refers to the number of deaths of women that occur during the pregnancy period or within 42 days after delivery. According to WHO in (2022) MMR is an indicator that states the number of maternal deaths for 303,000 per 100.000 live births, According to the Brebes health office (2022) MMR 177.94/ 100.000 live birth, IMR 197 cases. According to data obtained from the Sirampog Health Center daring 2022, the maternal mortality rate was recorded at one case, and eleven infant dealths. The study aims to provide comprehensive midwifery care to patients with a history of cesarean section, using a qualitative descriptive case study approach. Based on integrate midwifery care carried out on patients who had a history of cesarean section, the results were obtained, namely Mrs. Saya’s pregnancy with an indication of CPD as well as high blood pressure and ureine protein approaching positive one. Delivery was carried out by secarean section as an effort to prevent complications in the mother anda baby. During the neonatal care period up to 28 days of age, no abdormalities or problems were found. During the postpartum period up to 42 days, on problem or complications were found. Mrs. I  chose to use an IUD as a contraceptive.

Iron deficiency anemia is a significant public health problem in pregnant women, because it can cause maternal and fetal complications. Compliance with iron tablet consumption is often low due to limited knowledge, side effects, and cultural misconceptions. Leaflet-based education is a low-cost intervention that has the potential to improve understanding and compliance. This study aims to analyze the effect of leaflet education on the adherence of iron tablet consumption in pregnant women at the Pujon Health Center, Batu. The research design used a quasi-experiment with a pretest-posttest control group design. A total of 40 pregnant women were divided into an intervention group (n = 20) that received leaflet education and a control group (n = 20) that received standard counseling. Compliance was measured over four weeks through self-consumption records and tablet count calculations, while knowledge was assessed with a structured questionnaire. Data analysis used the Chi-square test with a significance level of p < 0.05. Results showed a significant improvement in adherence in the intervention group, with 70% of pregnant women complying compared to 15% in the control group (p = 0.001). Leaflet education also increased knowledge scores and consistency of iron tablet consumption. The conclusion of this study confirms that leaflet education is effective in increasing iron supplementation adherence, so it is recommended to be integrated into routine antenatal services to prevent anemia and support maternal and fetal health.

Drug abuse among university students is a serious phenomenon that affects the social, moral, and intellectual aspects of the younger generation. Students, who are ideally positioned as agents of change and drivers of national development, are often found to be vulnerable to drug abuse. This study aims to analyze the implementation of Law No. 35 of 2009 on Narcotics in preventing drug abuse among university students in Lampung Province, as well as to identify its inhibiting factors. The research employs a normative juridical and empirical juridical approach, using primary and secondary data obtained through interviews, field studies, and literature reviews. Key informants include the Narcotics Directorate of the Lampung Regional Police, P4GN Unila, the Vice-Rector III for Student Affairs and Alumni at Unila, and lecturers from the Criminal Law Department at Unila. The findings show that the Lampung Regional Police have implemented preventive strategies such as counseling, campaigns, urine tests, and drug abuse education on campuses, as well as repressive strategies through law enforcement against students involved in narcotics distribution, with 283 recorded cases over the past five years. However, the effectiveness of implementation is still hindered by limited campus facilities (counseling centers, safe reporting systems), the lack of regulatory responsiveness to digital challenges, and low student trust in law enforcement. Therefore, prevention efforts need to be strengthened through cross-sectoral synergy, policy updates, and the enhancement of the role of universities in creating a safe, healthy, and drug-free campus environment.

Cervical cancer is a malignant tumor that grows in the cervix caused by infection with the Human Papilloma Virus, acquired through sexual intercourse. Indonesia ranks 8th in the highest incidence of cancer in Southeast Asia, the highest prevalence of cancer is Yogyakarta Province where Sleman Regency ranks the highest IVA positive at 2.5% and Halis IVA at the Pakem Health Center is suspected of cervical cancer reaching 13 out of 22 positive IVA results. This achievement is still very low, because there is still low public awareness to carry out early detection of cervical cancer. To determine the relationship between attitude and behavior for early detection of cervical cancer. Quantitative research with a Case Control approach. A sample of 160 women with a proportional sampling technique. Data collection was in the form of filling out questionnaires online using Google Forms with chi square test data analysis and logistic regression. There was a relationship between positive attitude p-value=0.017 and OR of 3.462, women aged >35 years p- value=0.038, multipara parity p-value=0.007, with early detection behavior of cervical cancer. Parity provided a great chance of 7,038 times that women performed early detection behaviors of cervical cancer (CT 95%= 0.187-264,350). To improve early detection examinations, health workers can design health education and promotion models, increase educational socialization to cadres, the public and the community continuously and sustainably.