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Tuberculosis (TB) is a contagious illness triggered by Mycobacterium tuberculosis, with transmission influenced by not only personal behaviors but also by the physical condition of the home environment. Environmental risk factors include flooring, wall material, ceiling structure, indoor temperature, humidity levels, air ventilation, habits of opening windows, and housing density. This research aimed to explore the correlation between individual behavior and the quality of home environmental conditions with pulmonary TB incidence in the Sematang Borang Health Center’s coverage area, Palembang, in 2025. A descriptive observational design was employed, involving 91 participants from Lebung Gajah Subdistrict. The sample consisted of both confirmed pulmonary TB patients (PCR positive) and individuals without TB (PCR negative), selected through purposive sampling. Data were processed using univariate analysis to describe frequency distributions and respondent characteristics. The study found that 35.2% of respondents were diagnosed with pulmonary TB, while 64.8% were not. Most participants were between 46 and 65 years old (42.9%), predominantly female (59.3%), and had a senior high school education (40.7%). In terms of TB-related knowledge and behavior, 59.3% had good knowledge, 63.7% held a positive attitude, and 50.5% practiced proper prevention measures. Nevertheless, more than half (56.0%) of the housing conditions failed to meet health standards for a safe home environment. These findings highlight that while the community shows generally good awareness and preventive behavior regarding TB, many still reside in environments that may contribute to TB transmission. Therefore, continuous health education, proactive contact tracing, and targeted health campaigns for at-risk groups—especially among those with lower educational backgrounds—should be prioritized.

Early pregnancy among adolescents remains a significant public health problem and contributes to long-term medical, psychological, and social risks. Low knowledge and preventive attitudes towards reproductive health are among the factors contributing to the high rate of early pregnancy. This study aims to analyze the effect of peer education on adolescent attitudes towards early pregnancy prevention in the Ibu Community Health Center (Puskesmas Ibu) working area of West Halmahera Regency. The study design used a quasi-experimental approach with a pretest–posttest with a control group involving 40 respondents, consisting of 20 respondents in the intervention group and 20 respondents in the control group. The research instrument was an attitude questionnaire with a Likert scale that had undergone validity and reliability testing. Analysis was performed using the Wilcoxon test and the Mann–Whitney U Test at a significance level of 0.05. The results showed a significant increase in attitudes in the intervention group after receiving peer education, while the control group showed no significant change. Comparison of score changes between the two groups also showed a significant difference. These findings indicate that peer education is effective in improving adolescent attitudes towards early pregnancy prevention. This program is recommended as a community-based intervention strategy in primary health care and schools to support adolescent pregnancy prevention efforts.

In the evolving dynamics of Indonesia's economy, unsecured loans or Kredit Tanpa Agunan (KTA) have rapidly grown as a popular financial solution. The ease of application and fund disbursement makes these products especially attractive to micro-entrepreneurs and lower-middle-income communities. However, behind the convenience lies a serious issue: a high rate of default or breach of contract (wanprestasi). This problem is exacerbated by the low level of legal literacy among the public, leading to a lack of understanding of their rights and obligations in financing agreements. Most individuals are also unaware that there is a faster, simpler, and low-cost legal mechanism available for resolving civil disputes—namely, the Small Claims Court procedure, as regulated by the Supreme Court Regulation (Perma) No. 4 of 2019. This mechanism can be utilized by the general public, especially clients of microfinance institutions and credit cooperatives, to resolve civil conflicts involving claims of up to IDR 500 million without going through complex litigation. To address this issue, this community engagement activity aimed to improve public legal understanding of the Small Claims Procedure through participatory-based training. The training involved 50 participants from microfinance institutions and savings and loan cooperatives. The methods used included legal counseling, mock court simulations, group discussions, and case studies to provide participants with practical knowledge of the procedures and benefits of filing small claims. The results of the activity indicated that 78% of participants reported a better understanding of the Small Claims mechanism after the training, and 65% stated they were more inclined to use it compared to conventional litigation routes. This training had a positive impact on raising legal awareness, potentially reducing default rates, and contributing to the development of a more inclusive, fair, and sustainable financial system.

The integration of digital technology in education serves as a strategic solution to enhance learning access, particularly for students in regions with limited educational infrastructure, such as Sorong City, Southwest Papua. This community service program was designed to introduce and provide training to junior high school students in the use of the Thunkable application as a tool for mobile-based learning media. Thunkable is a visual drag-and-drop platform that enables users to design functional mobile applications without the need for prior programming knowledge. The method employed in this activity is based on the Research and Development (R&D) approach using the 4D model, which consists of four stages: Define, Design, Develop, and Disseminate. In the Define stage, the needs and digital readiness of the target group were assessed. The Design and Develop stages involved creating a training module and conducting hands-on workshops where students were guided step-by-step to create simple educational apps. In the final Disseminate stage, the outcomes were evaluated and shared for broader use. The results of this initiative revealed high levels of enthusiasm among the participants. Students were actively engaged and demonstrated the ability to independently design simple learning applications by the end of the training. This indicates that the use of Thunkable not only increases students' digital literacy but also enhances their self-directed learning, creativity, and technological confidence. Overall, this activity illustrates the potential of mobile learning tools to support inclusive and adaptive education in remote communities. By equipping students with practical digital skills, it lays the foundation for long-term educational innovation and empowerment. Therefore, the use of Thunkable can be considered an effective and accessible alternative to foster meaningful learning experiences across diverse educational contexts.

The purpose of this study was to understand the effect of using Canva-based learning media on the creativity of eleventh-grade students in economics. The background of this study stems from the low level of student learning creativity caused by the minimal use of innovative and engaging media in the learning process. Creativity is an important aspect in economics learning because it encourages students to think critically, create solutions, and understand abstract concepts more contextually. Static and monotonous learning media such as blackboards and textbooks often do not sufficiently stimulate student interest and participation. Therefore, a more interactive and visual approach is needed, one of which is using Canva. Canva is an online graphic design platform that allows teachers and students to easily create presentations, infographics, and other visual materials. Using Canva in learning can provide a more enjoyable learning experience and motivate students to be actively involved. This study used a quantitative method with a one-group pretest-posttest pre-experimental design. Data analysis was carried out by comparing creativity scores before and after treatment. Student creativity was measured using a test instrument that included aspects of fluency, flexibility, originality, and elaboration. The study subjects were 34 11th-grade students at SMAN 1 Tulungagung. The results showed a significant difference in scores between the pretest and posttest results, indicating that the use of Canva-based learning media had a positive impact on increasing student creativity. Students became more active in expressing ideas, more daring to experiment with concepts, and better able to present learning outcomes visually and attractively. These findings support constructivism theory, which states that effective learning occurs when students actively construct knowledge through meaningful experiences.

Background: Anemia during pregnancy remains a major public health concern in Indonesia, contributing to increased maternal and fetal morbidity. Iron supplementation often faces challenges in compliance and side effects, prompting the need for natural alternatives. Natural honey has been shown to help increase hemoglobin levels due to its iron, folate, and antioxidant content. Objective: This community service aimed to educate pregnant women on the benefits and utilization of natural honey as a complementary strategy to prevent anemia. Method: The activity was conducted at PMB CH Mala in Palembang City using health education sessions, demonstrations, and distribution of printed educational materials. Participants' knowledge and hemoglobin levels were assessed pre- and post-intervention using a questionnaire and digital hemoglobinometer. The intervention lasted for 2 weeks, with honey consumption recommended at 2 tablespoons daily. Results: There was a notable improvement in participants' knowledge about anemia and the role of honey. Preliminary observations also showed a slight increase in hemoglobin levels among pregnant women who regularly consumed honey during the intervention period. Conclusion: Educational intervention on the use of natural honey proved effective in improving knowledge and potentially supporting anemia prevention among pregnant women. Further studies are recommended to evaluate long-term outcomes and larger-scale implementation.

Motor development in infants is a crucial process that occurs gradually and follows the principles of age-appropriate development. Each fundamental motor stage—such as tummy time, rolling over, sitting, crawling, standing, and walking—must be passed through sequentially to ensure optimal motor concept development. Skipping or insufficient stimulation of these stages may lead to difficulties in understanding functional body movements. One of the main causes of delayed motor development includes a lack of motor stimulation time, overly restrictive parental supervision, and low levels of motivation and stimulation provided to the child. Tummy time, or placing the baby in a prone position while awake, is a proven effective form of motor stimulation that supports the development of the baby’s neck, back, and arm muscles. This activity also assists infants in reaching subsequent developmental milestones such as rolling over and crawling. This Community Service Program (PkM) was conducted at the Physioroom Clinic and was attended by 15 mothers with infants aged 3 to 6 months. The objective of the program was to enhance mothers’ knowledge regarding the importance of tummy time in supporting infant motor development. The program's implementation included educational sessions, tummy time practice demonstrations, group discussions, and interactive Q&A sessions. To measure the increase in participant knowledge, a pre-test and post-test were administered before and after the activity.The results of this PkM activity showed an increase in the average knowledge score from 6.4 in the pre-test to 8.6 in the post-test. This improvement demonstrates the program’s effectiveness in educating mothers about the benefits of tummy time for infant motor development. It is hoped that the mothers will consistently apply this stimulation at home to optimally support their children's growth and development.

Prenatal exercise is a program designed specifically for pregnant women, featuring movements tailored to their condition, aimed at reducing discomforts during pregnancy and preparing them both physically and mentally for childbirth. The lack of awareness among pregnant women regarding prenatal exercise is likely a contributing factor to their limited participation. This study aims to explore the level of knowledge pregnant women have about prenatal exercise at Alisah Clinic, Medan, during the period of March to May 2025. The research employed primary data collection using a total sampling technique, with questionnaires as the instrument, involving 30 pregnant women as subjects. Data analysis was conducted using frequency distribution in percentages. The results showed that the majority of respondents with knowledge about prenatal exercise were aged 20–35 years, accounting for 19 individuals (63.4%), while the minority were aged over 35 years, totaling 3 individuals (10%). Based on education level, most respondents had completed high school (14 individuals or 46.6%), and the fewest had completed elementary school (3 individuals or 10%). Regarding occupation, the majority were housewives (17 individuals or 26.6%), and the minority were private employees (3 individuals or 3.3%). It is recommended that Alisah Clinic, Medan, use this scientific paper as a reference and input for midwifery practice, particularly in providing health education to pregnant women. Future researchers are advised to conduct broader studies with more comprehensive methods and variables to improve and refine this research.  

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

Community-based education is an approach that positions society as an active participant in the educational process, integrating local culture, values, and social dynamics into learning. One such model that reflects these principles is the Wustho educational model, which originates from the Islamic pesantren system. This model offers a balanced integration between religious and general education, emphasizing the role of community and character development as essential elements of student success. This research aims to explore the influence of the Wustho model on students’ academic achievement at SMP PGRI 1 Ciambar, Ciambar Sub-district, Sukabumi Regency. The study involved 150 students across different grade levels, using a qualitative descriptive research approach. Data collection techniques included participatory observation, in-depth interviews with teachers, school leaders, and parents, as well as document analysis of academic performance records.The findings indicate that the implementation of the Wustho model has a positive impact on student achievement, both in academic and behavioral aspects. Students showed improvement in learning motivation, discipline, and active engagement in religious and community-based learning activities.¹ This model also strengthens moral values and spiritual awareness, which in turn enhances students’ holistic learning outcomes.² Moreover, collaboration between schools, families, and community figures plays a crucial role in reinforcing the effectiveness of this educational approach.³ The presence of religious instruction embedded within daily learning experiences helps students to better contextualize academic content in real-life situations.⁴In conclusion, the Wustho educational model offers a meaningful contribution to the development of community-based education practices, especially in rural or religiously active areas. Its focus on moral education, community involvement, and the integration of spiritual and secular knowledge demonstrates its relevance and effectiveness in improving student learning outcomes. It is recommended that similar models be adapted in other educational settings where community values are strongly upheld.

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

Background: Anxiety before childbirth is a psychological disorder often experienced by pregnant women, especially in the third trimester of pregnancy. Fear of pain, worry about the condition of the fetus, and uncertainty about the delivery process are the main triggering factors. If not handled properly, this anxiety can have serious consequences, such as increased stress hormones (cortisol), sleep disorders, high blood pressure, and even labor complications. Therefore, interventions are needed that not only focus on physical aspects, but also support mental and emotional balance. Objective: The purpose of this activity is to provide education and practical training to pregnant women on anxiety management before childbirth through the application of complementary therapies, and to evaluate the effectiveness of this approach in increasing the readiness and calmness of participants. Method: The activity was carried out at PMB Lismarini, Tulungagung, involving 20 pregnant women in their third trimester. Education was carried out interactively using visual media and group discussions. Next, participants participated in the practice of three types of complementary therapies: (1) deep breathing relaxation with diaphragmatic breathing techniques, (2) aromatherapy using lavender as a relaxation agent, and (3) classical music with a slow rhythm played during the session. Results: This activity showed positive results. Eighty-five percent of participants experienced an increase in knowledge scores after the educational session, and 60% showed a significant decrease in anxiety levels based on questionnaire results. Most participants also reported feeling calmer, more prepared, and more confident in facing childbirth. The satisfaction rate with the activity reached 90%, indicating that the methods implemented were well-received by participants. Conclusion: Complementary therapy combined with education is effective in helping pregnant women manage anxiety before childbirth. This activity emphasizes the importance of a holistic approach to antenatal care.

This study aims to compare the effectiveness of the Deep Learning and Differentiated Instruction models in improving junior high school students’ mathematical problem-solving and reasoning abilities. The background of this research stems from the low level of mathematical literacy among Indonesian students, which demands innovative and reflective learning approaches. A quasi-experimental method was used with a Nonequivalent Control Group Design. The sample consisted of two eighth-grade classes at SMP Negeri Satu Atap 01 Ciseeng, each receiving different instructional treatments: one class was taught using the Deep Learning approach, and the other using the Differentiated Instruction approach. The instruments employed included mathematical problem-solving tests, observation sheets, and student perception questionnaires. The data analysis results indicated that the class taught with the Deep Learning model experienced a more significant improvement in mathematical reasoning ability compared to the class using Differentiated Instruction. These findings suggest that Deep Learning-based instruction is more effective in promoting students’ higher-order thinking skills. It encourages deeper engagement with mathematical concepts, fosters critical and analytical thinking, and allows students to construct knowledge through meaningful learning experiences. However, Differentiated Instruction remains relevant in providing learning comfort and addressing diverse student needs, making it beneficial in inclusive classroom settings. The theoretical and practical implications of this research highlight the importance of integrating both depth of thinking (Deep Learning) and flexibility in learning (Differentiation) within mathematics instruction. Such integration could offer a balanced learning environment that supports both cognitive development and emotional engagement, leading to more effective and equitable mathematics education. In conclusion, this study recommends educators and curriculum developers to consider incorporating Deep Learning strategies to enhance students’ mathematical reasoning while maintaining the adaptive and student-centered principles of Differentiated Instruction. Future research could explore hybrid learning models that combine the strengths of both approaches to maximize student outcomes in mathematics learning.

Antenatal Care (ANC) is an essential component of maternal health services that plays a vital role in maintaining the health of the mother and fetus during pregnancy and delivery. In Indonesia, coverage of ANC services K1 has reached 100%, but coverage of K4 has only reached 78% and has not met the national target. A case study in Sidenreng Rappang Regency showed better results with K1 coverage of 98% and K4 reaching 97%, although there is still room for improvement. This quantitative study with a cross-sectional design aims to analyze the relationship between maternal knowledge, attitudes, and husband's support factors on the utilization of ANC services at the Compong Village Health Post. The study population included 190 mothers with toddlers registered at the Compong Village Health Post. Sampling was carried out using the Slovin formula with a 95% confidence level and a 5% margin of error, resulting in 127 respondents as the research sample. The data collection method was carried out through a structured questionnaire containing questions about respondent characteristics, level of knowledge, attitudes towards ANC, and level of husband's support. Data analysis used the Chi-Square statistical test with a significance level of p<0.05 to determine the relationship between the independent and dependent variables. The results revealed several important findings. First, there was a significant relationship (p=0.002) between maternal knowledge and utilization of ANC services. Second, maternal attitudes also showed a significant relationship (p=0.001) with the frequency of ANC visits. Third, husband's support was shown to have a significant influence (p=0.003) on maternal participation in ANC programs. These findings confirm the multifactorial role in determining ANC service utilization. Practical implications of this study include recommendations for improving health education programs that not only target pregnant women but also actively involve husbands.

Tuberculosis (TB) is an infectious disease caused by infection with bacteria from the Mycobacterium tuberculosis complex group. TB prevention efforts are crucial, especially for individuals at high risk of exposure, to disrupt the chain of transmission of this disease. The intervention aimed to increase community understanding of TOSS TB (Find, Treat, Treat Until Cured) so that it can be applied in daily life. It is expected that after the intervention, participants' knowledge will increase, as will their ability to demonstrate the practices taught appropriately. Data collection was conducted through a mini-survey of the community in the local Community Health Center (Puskesmas) working area. The data obtained were then analyzed using the Blum Paradigm to identify factors contributing to the problem. Problem prioritization was carried out using the non-scoring Delphi method, while root cause analysis was conducted using a fishbone diagram. During the intervention process, pre- and post-tests were conducted to evaluate changes in the level of knowledge of villagers before and after the intervention. For program monitoring and evaluation, the PDCA (Plan-Do-Check-Act) cycle approach and a systems approach were used. The analysis using the Blum Paradigm showed that lifestyle was the primary contributing factor to the problem. After the intervention, three participants were able to repeat the material effectively, demonstrating a better understanding of TB prevention. Based on these results, it can be concluded that the intervention was successful and is expected to encourage improvements in public health in the village. Furthermore, this program is also expected to serve as a model for other public health interventions, thereby expanding the positive impact of TB control efforts in other areas. Thus, public awareness and knowledge about TB can continue to increase, which in turn will contribute to reducing TB incidence in Indonesia and improving the overall quality of life of the community.

Every air traveler needs to understand the importance of dangerous goods. By understanding the nature and risks of these items, precautions can be taken to prevent accidents and ensure safe travel for all. In practice, numerous passengers have experienced delays at security checkpoints due to carrying prohibited or restricted items such as lighters, sharp tools like scissors, aerosols, and high-capacity power banks. These incidents not only disrupt airport operations but also highlight gaps in public awareness regarding aviation safety regulations.This study aims to examine the influence of knowledge about dangerous goods on flight safety, with a focus on passengers traveling through El-Tari Airport in Kupang, East Nusa Tenggara. A quantitative research method was employed by distributing 100 structured questionnaires to respondents using purposive sampling, targeting passengers with prior flight experience. Data analysis techniques included simple linear regression, T-tests, and the coefficient of determination (R²) to assess the relationship between knowledge levels and safety behavior. The findings show that knowledge about dangerous goods (variable X) significantly influences passenger safety behavior (variable Y), evidenced by a p-value of 0.000. This indicates a strong and positive correlation, where better knowledge leads to more responsible behavior during air travel. The R-square value of 0.530 suggests that 53% of variations in safety behavior can be explained by knowledge, while the remaining 47% may be influenced by other factors such as attitudes, past experiences, signage visibility, and staff communication.These findings underscore the urgent need for intensified public education efforts at airports through visual campaigns, digital information, and pre-flight reminders. Improving passenger knowledge about dangerous goods can significantly enhance overall flight safety and reduce the risk of delays or violations. Future research could explore the role of demographic factors or the effectiveness of current educational strategies.

Financial literacy includes an understanding of personal financial management, financial future planning, investment, and financial risk management. On the other hand, marriage readiness involves interpersonal skills, financial responsibility, and the ability to face challenges and conflicts in domestic life. The research method used in this research is Survey and Participatory Observation. Surveys were conducted before and after the workshop to measure the level of increase in participants' understanding regarding financial literacy and household readiness. This survey is designed to cover various aspects, including understanding of financial management, planning for the financial future, and knowledge about preparing for a household. Apart from surveys, participatory observation was also carried out during the workshop. This observation aims to understand in depth the interactions between KKN-T Kel 09 students and the Madiredo Pujon Malang Village Community. By directly observing workshop activities, researchers can see how participants respond to the material presented, the extent of their understanding of these topics, and how the interactions between participants and workshop facilitators are. The survey results showed a significant increase in the Madiredo Community's understanding of financial literacy after attending the workshop.

As shipping activities through various modes of transportation increase, the need for adequate understanding of dangerous goods is becoming increasingly important, especially among the younger generation. Unfortunately, many students still do not understand the classification and risks associated with transporting these goods. This community service activity aims to increase awareness and understanding of high school students in the Philippines regarding the classification of dangerous goods and the importance of safety in the shipping process. The activity was carried out through an interactive outreach method that included visual presentations, case studies, and simple simulations to make the material easier to understand and apply. The material provided refers to international standards, namely the International Maritime Dangerous Goods (IMDG) Code and ICAO Technical Instructions (ICAO-TI), which are important references in the classification and handling of dangerous goods globally. Evaluation was carried out through pre-tests and post-tests to measure the level of student understanding before and after the activity. The results showed a significant increase in students' ability to recognize symbols, types of dangerous goods, and initial actions to be taken when faced with these goods. These findings confirm that the right educational approach can increase early awareness among students as potential actors in the logistics chain. It is hoped that similar programs can be implemented widely and sustainably in various educational institutions to minimize the risk of sending dangerous goods due to a lack of public knowledge.

Micro, Small, and Medium Enterprises (MSMEs) play a critical role in Indonesia’s economy, yet their level of tax compliance remains relatively low due to limited knowledge and administrative capacity. This research aims to analyze the effectiveness of the CORTEX (Corporate Tax Extension) training program in improving tax compliance among MSMEs in collaboration with the Regional Directorate General of Taxes, Central Java I. The study employs a qualitative descriptive method, using interviews and observations from a series of CORTEX training sessions conducted in Semarang. The findings reveal that participants showed increased awareness, understanding, and willingness to comply with tax obligations after attending the training. Improved interaction between MSME actors and tax authorities also contributed to more transparent reporting and better administrative practices. This study highlights the importance of targeted education and capacity-building initiatives in bridging the compliance gap. The implications suggest that similar training programs, when conducted systematically and supported by local tax offices, can significantly boost voluntary compliance rates and contribute to broader fiscal sustainability.

According to WHO (2015), TT immunization coverage in Africa reached 50%, with TT2 at 60%. In Indonesia, the Making Pregnancy Safer (MPS) program set a target of 95% Antenatal Care (K1) coverage, including TT2 by 2019. Puskesmas data in 2016 showed K1 coverage of 880 with TT1 at 27 (3.1%), and K4 at 739 with TT2 at 64 (8.6%). This study aims to assess premarital knowledge of TT immunization based on age, education, and occupation. Using a descriptive design and total sampling, 32 respondents were involved. Results showed most were under 20 years old (41%), had junior high school education (25%), and worked as entrepreneurs (19%). The lowest knowledge level was found among respondents with primary education (19%) and farmers (3%). It is recommended that midwives at Puskesmas Bestari intensify education to improve premarital knowledge about TT immunization.