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Puskesmas is a functional health organization as well as a center for community health development. The Klender urban health center currently uses an online registration system and offline registration. This study aims to determine the online and offline outpatient registration system at the Klender Village Community Health Center in 2023. This research is a qualitative research. In this study, researchers directly observed the process of outpatient registration. Retrieval of research data is done by observation and interviews with registration officers. The results of the study found that online registration uses the Jaksehat application, patients do not need to come to the health center to register, patients come to the health center to validate queue numbers to the polyclinic only. Calling patients who register online is prioritized with a system of calling queue numbers 1-5, 11-15 and so on. Offline registration is done by having patients come directly to the puskesmas and queue to register. For calling patients, register offline after patients register online with queue numbers 6-10, 16-15, etc. The problems found in registration were the separate queues for patients who registered online and offline and there was a mismatch in calling patients according to the serial number of the queue. The conclusion in this study is that online registration of outpatients uses the Jaksehat application and offline registration is carried out using the system used by the puskesmas. It is expected that the puskesmas will separate the queues of patients who have registered online with patients who have registered offline.    

Motor development is the process of growth and development of a child's ability to move. Basically, this development develops in line with the maturity of the nerves and muscles of the child. The form of community service activities carried out is the implementation   of   counseling   to   mothers   about   the   level   of development of children under five to pre-school. The population of preschool children in Indonesia is around 10% of the total population. The quality of growth and development of preschool children in Indonesia needs serious attention because they are the future generation of the nation. For this reason, children need to receive good nutrition, adequate stimulation and access to quality health services. including early detection and intervention of growth and development deviations, so that they can grow and develop optimally in accordance with their genetic potential and be able to compete in the global era

This research explores the experiences of nurses in carrying out their main duties and functions at the Panamas Community Health Center. Qualitative methods with a phenomenological approach are used to gain an in-depth understanding of this phenomenon. Data was collected through in-depth interviews with 12 nurses selected by purposive sampling. Data analysis using the Colaizzi method produced five main themes: (1) Nurses' activities in health services, (2) Tasks carried out by community health center nurses, (3) The importance of good health program management, (4) Management of duties and authority in health services, and (5) Shortage of health and non-health personnel and multifunctionality in health services. Research results show that nurses often have to take over the roles of doctors, administrative staff, and pharmacists due to limited human resources even though these tasks should not be their responsibility. This causes nurses to lose focus in carrying out their main duties, nurses feel that their main role as care providers is disturbed. Nurses also run various health programs and serve as physician assistants, although these roles often exceed their duties. The importance of good health program management was emphasized, as many participants experienced difficulties in achieving targets, reporting and patient monitoring. Management of tasks and authority includes handover of tasks, delegation of daily tasks, and delegation of authority, however socialization to staff has not been comprehensive. Lack of human resources causes nurses to carry out multiple roles which hinders their professional development. This research recommends strengthening competency and further training for nurses, increasing legal awareness regarding the delegation of authority, integrating health management education in the nursing curriculum, as well as increasing the number and qualifications of human resources in community health centers.

Nurses' compliance in carrying out hand hygiene is very important because infection and disease transmission can be caused by health workers who are not compliant in carrying out hand hygiene every time they carry out health service actions. Health workers' compliance in carrying out hand hygiene both before and after carrying out procedures for providing health services can be a problem that must be considered due to various factors that are closely related to compliance in carrying it out. This research was conducted to analyze factors related to health workers' compliance in implementing hand hygiene at the Peulumat Health Center, South Aceh. The design used is descriptive correlation with a cross sectional approach. The total sample was 80 health workers. Data was obtained by interview using a questionnaire. There is an influence on attitudes with results (p 0.003) and length of service (p 0.002) the availability of hand hygiene facilities (p 0.000) which influences the compliance of health workers in implementing hand hygiene at the Peulumat Health Center in South Aceh. Based on statistical tests, it was found that factors that can influence the health of workers in carrying out hand hygiene consist of attitude, length of service, availability of facilities for carrying out hand hygiene. The implication for recommended services is that supervision and motivation of health workers need to be increased to carry out hand hygiene in accordance with recommendations. The research implication is that it is hoped that there will be research with a larger sample size, involving other people as researchers and using video.

The community of Keban Agung Village faces significant challenges related to social welfare and religious engagement. Despite the central role of the mosque as a community hub, participation in religious activities and access to social programs remain limited. This study aimed to enhance social welfare and religious commitment through a mosque-based community service program. The program included activities such as religious competitions, educational support, health services, and social welfare initiatives. A participatory approach was employed, involving local residents and mosque management in the design and implementation of activities. Data were collected through direct observation, interviews, and documentation, and were analyzed descriptively. The results indicated a marked improvement in community participation in religious and social activities, contributing to both social cohesion and spiritual growth. The study highlights the importance of mosque-centered initiatives in addressing community needs and fostering a stronger sense of collective well-being.

The quality of health services is one of the important factors in the utilization of health services. Assessment of the quality of good health services is not limited to physical healing of the disease, but also to the attitude, knowledge and skills of officers in providing services, communication, information, courtesy, punctuality, responsiveness and the availability of facilities and physical environment. The research design used in this study was qualitative with in-depth interview techniques to key informants who were used as research objects totaling 1 (one) person, main informants 2 (two) people and supporters in this study totaling 3 (three) people with the characteristics as mentioned above, the total informants were 6 people. The results of the study all patients were satisfied with the physical evidence service (Tangible) about the cleanliness of the room in preventing and controlling infections. Some patients were satisfied with the responsiveness service regarding the collaboration of doctors, nurses and pharmacists in responding quickly to patient complaints. Some patients were satisfied with the reliability service regarding patient admission procedures, examination services, treatment and care. The conclusion is that there is an influence between service quality (Reliability, Responsiveness, Assurance, Empathy, Physical Evidence) on patient satisfaction at the inpatient installation of the Imelda Buruh Indonesia Hospital, Medan.

This study aims to determine the Effect of Economic Growth and Inflation and Unemployment Rate on the Human Development Index and Poverty in East Kalimantan Province. Inferential data analysis techniques using Partial Least Squares (PLS). The results of the study indicate that the Human Development Index (HDI) has a significant effect on the unemployment rate in East Kalimantan Province, with a probability value smaller than the specified significance level. There are disparities that need to be considered in development in rural areas to ensure equal opportunities for all residents to achieve a better quality of life. Rural areas still face challenges in access to education and health services, as well as regional disparities in development, which need to be addressed through appropriate and sustainable policies. Assistance programs such as Direct Cash Assistance (BLT), National Health Insurance (JKN), and the Family Hope Program (PKH) have helped reduce the burden on the poor by providing access to basic needs. Efforts to improve the quality of education, health, and infrastructure in rural areas are the main focus to create a more prosperous and independent society. Although there has been progress in poverty alleviation, there are still challenges such as regional inequality, quality of education and health, and economic diversification that need to be addressed. Collaboration between the government, private sector, and civil society is needed to create sustainable and effective solutions to overcome poverty in East Kalimantan. Economic growth, inflation, and unemployment rates are interrelated and significantly affect the Human Development Index and poverty rates in East Kalimantan Province. Therefore, comprehensive and sustainable policies are needed to achieve inclusive and equitable development in this region.

The quality of health services is very important to measure how far the Community Health Center is in providing services to patients by looking at the number of BPJS patient visits at the Bukit Lawang Community Health Center, Langkat Regency, which only reached 82.00% in 2020, 77.9% in 2022 and 76.9% in 2023 compared to the target of 95%. Data from the Bukit Lawang Community Health Center, Langkat Regency for the period 2021-2023 showed fluctuations in the number of BPJS patient visits every month. The purpose of this study was to analyze the effect of the quality of public health services on patient satisfaction at the Bukit Lawang Health Center, Langkat Regency in 2023. The research design used a quantitative method with a cross-sectional study approach. The population in this study were all patients who visited the Bukit Lawang Health Center, Langkat Regency in 2023 with an average number of visits of 292 patients per month, the number of samples of 75 people was obtained using a purposive sampling technique. Data analysis used univariate, bivariate and multivariate analysis with logistic regression tests. The results of the study using the chi-square test showed that the variables reliability, assurance, tangible, empathy and responsiveness had a p-value <0.05. The results of the study using the logistic regression test showed that the variables reliability, empathy and responsiveness had a sig. <0.05 and the variables assurance and tangible had a sig.> 0.05. The conclusion of the study is that the variables that significantly affect patient satisfaction are the variables reliability, empathy and responsiveness and the variable that most significantly affects patient satisfaction is the variable reliability.

Maternal mortality rates reflect the risks faced by the mother during pregnancy and childbirth. The high rate of maternal death is likely to occur in high risk pregnant women that can not detected earlier. The role of Puskesmas as primary health care facilities and midwives as the spearhead of service, becomes important in this early detection. Therefore, researchers are interested in the effect of competence on the performance of midwives in maternal health services in Puskesmas Mampu PONED Bandung. To determine Competence of Midwives, The Performance of Midwives and to determine the effect of Competence on the Performance of the midwives in Puskesmas Mampu PONED Bandung. The type of this research is verificative analysis with cases study methods. The sampling method using a total sampling method (census). The entire population will be selected as sample that is midwives who work at Puskesmas Mampu PONED Bandung 77 midwive. After data is collected, the data distribution will be tested using the product moment correlation technique. Then the data will proceed with analysis that consists of two parts: a descriptive analysis and regression analysis. The result of correlation analysis, obtained a very strong relationship between the Performance and Competence of the Midwives (r = 0.972). Then from the regression analysis known that there is an influence on the Performance and Competency of the Midwives (t arithmetic = 35.802). Competence and Performance of midwives in Puskesmas Mampu PONED Bandung is good. There is also a very strong influence between the competence of midwives with performance significantly

The development of health information systems (GIS) is important in this digital era to improve patient data management and provide better care. This research aims to develop a SIK that can help health service providers manage patient data more efficiently and improve care coordination. Development steps include requirements analysis, system design, implementation, and performance evaluation. The developed system has features such as recording patient medical history, scheduling appointments, monitoring health conditions, and communication between health care providers. The evaluation results show that the developed SIK succeeded in increasing efficiency in patient data management and care coordination. Healthcare providers can easily access patient information, plan more coordinated care, and communicate effectively with colleagues. Thus, the development of this SIK is expected to make a significant contribution to improving the quality of health services and patient outcomes through better data management and more coordinated care.

Cross-infection prevention is a crucial aspect of health services, especially in dental clinics that often face high risks of infection transmission. This community service program aims to improve the knowledge and skills of health workers and the community in preventing cross-infection in dental clinics. These activities include counseling, practical training, and evaluation in several dental clinics, with a focus on the implementation of hygiene protocols, the use of personal protective equipment (PPE), and sterilization of medical devices. The results of this program showed a significant increase in the understanding and implementation of cross-infection prevention procedures, as measured by questionnaires before and after the program implementation.

This study examines the influence of patriarchal culture on the career choices of final year female students at Sahid University Surakarta. Using qualitative methods, data was collected through in-depth interviews with seven main informants and two supporting informants. The results showed that patriarchal culture significantly influences the career choices of female college students, with men dominating important positions in academic and professional environments. Female college students face limited career opportunities in education and social fields, while leadership roles are dominated by men. While reproductive health services are generally adequate, the quality of off-campus facilities needs to be improved. Women also feel less safe in public spaces and their participation in public activities and economic decision-making remains limited. This research suggests universities provide mentoring programs and leadership training for female students, offer diverse internship opportunities, and promote gender equality through educational campaigns and supportive policies. This research is expected to provide new insights into the influence of patriarchal culture on women's career choices.

Electronic Medical Records (RME) is an information system used to manage patient medical data electronically, which aims to improve the efficiency and quality of health services in hospitals. This study aims to evaluate the performance and effectiveness of RME in hospitals using the PIECES model. The main focus of the research is on the dimensions of Performance, Information, Economics, Efficiency, and Control to identify the strengths and weaknesses of RME and provide recommendations for improvement. This research uses the Study Literature Review (SLR) method which involves collecting and critically analyzing relevant literature from scientific journals, articles and books. The collected data is evaluated based on the dimensions of the PIECES model to provide a comprehensive picture of RME implementation. The research results show that RME can improve data access speed, system response time, and accuracy of medical information, which supports better clinical decision making. Economically, RME helps reduce operational costs and improve work efficiency. However, challenges such as network reliability, data security, and interoperability still need to be overcome to achieve the full benefits of RME. Dimension Control highlights the importance of strict security policies and user training to ensure safe and effective use.

The success of a hospital in carrying out its functions is marked by the results of quality service. In order for this to be realized, a hospital should be managed professionally by competent human resources and the availability of supporting facilities and infrastructure. One of the factors that influences the success of a hospital is good service quality. Quality health services are health services that can satisfy every user of health services. Another problem faced by partners is negative views of nurses, such as being rude, unfriendly, or unprofessional, which still often appear in the community. When friendliness and attention are absent, a climate of discomfort and reluctance to interact is created, resulting in suboptimal service. Health service providers, in addition to having professional ethics, also need to have good "manners" or etiquette in providing services to service users in this case patients or their families. The importance of the manners possessed by health workers in supporting service quality at Kardinah Hospital, Tegal City because health workers are the spearhead of services provided by the hospital to customers. The success of a hospital in carrying out its functions is marked by the results of quality service quality, one of which is the service provided by health workers

Hypertension is a problem that needs to be watched out for, because there are no specific signs and symptoms of hypertension and some people still feel healthy to do activities as usual. This is what makes hypertension a silent killer, people will realize they have hypertension when the symptoms they feel get worse and check themselves to health services (Purwono et al., 2020). Purpose: This study aims to determine the Relationship between Lifestyle Knowledge in the Elderly and Hypertension at the Anggrek Bulan Negeri Rutong Elderly Posyandu, Hutumuri Inpatient Health Center Work Area, South Leitimur District. Method: The research design used in this study was Quantitative with a correlational method. Results: There was a relationship between Lifestyle knowledge in the elderly and hypertension (ρ-value = 0.000). Conclusion: There is a relationship between Lifestyle and hypertension in the elderly at the Anggrek Bulan Negeri Rutong Posyandu, Leitimur District

Pregnancy is a process in a woman's life, where major changes occur in her physical, mental and social aspects. These changes cannot be separated from the factors that influence them, namely physical factors, psychological factors and environmental, social, cultural and economic factors. One of the nutritional problems of pregnant women is chronic energy deficiency (KEK). Chronic energy deficiency (KEK) is a nutritional problem caused by a lack of food intake over a long period of time, a matter of years. Datar City Health Center is one of the agencies that provides health services for the local community and helps resolve problems with the health and nutritional development of mothers and children to prevent problems with malnutrition in pregnant women. The aim of the research is to make it easier for agencies to manage data and obtain complete information about the nutritional status of pregnant women. From 20 data, 3 groups were obtained, Cluster 1 had 4 data on the nutritional status of pregnant women, Cluster 2 had 4 data on the nutritional status of pregnant women and Cluster 3 had 12 data on the nutritional status of pregnant women. And the largest group obtained was cluster 3 with the data group on the nutritional status of pregnant women found in the gestational age group (X), namely 14-27 weeks old, with screening results (Y) namely adequate nutrition, and the causal factors (Z) that occurred were economic factors

Health tourism is a tourist travel activity to a tourist destination with the aim of receiving treatment or improving health and fitness. This research is a descriptive qualitative analysis by looking at case studies about the potential of health tourism. The research informants are doctors, dentists, nurses and pharmacists, and 5 pharmacists. The data was analyzed using the content analysis method on interview documents. The results of the research show that the importance of understanding and knowledge of health workers is to be able to improve the quality of service when facing tourist visits. When they have a health problem or want to improve their health condition while traveling, the attitude of health workers needs to be improved in terms of their competence which must be developed, services must comply with standards. operational procedures and being friendly and polite to tourists during health services. The conclusion of this research is that the understanding of each health worker is good regarding health tourism.

.Quality of life impairment, eye complications, and total vision loss are complications if cataracts are not detected or detected too late. Early vision problems detection can prevent these complications. “Posbindu” is the first line of health services in the community in Indonesian country, that place could be used to early detection of visual impairment. The community health worker could do early detection cataract if they have this knowledge and skills. The training community health worker have been done with Cataract Early Detection Module. This module contains: knowledge about cataracts, cataracts early detecetion using the "LIHAT" technique, and pre-post cataract surgery care. The training have been done in Gemahsari, Suradadi subdistrict, Tegal district.

Pregnant will experience an increase in blood volume and this causes iron requirements to increase. Iron needs can be met by food consumed daily with the addition of iron supplements and if iron needs are not met it can cause anemia. Anemia in pregnant can increase the risk of premature birth, maternal and child death, and infectious diseases. Anemia can affect the growth and development of the fetus or baby during pregnancy or after. The government's efforts to prevent anemia include improving the quality of health services, financing health insurance, providing 90 blood supplement tablets during pregnancy, and health education about nutrition and preventing anemia. Increasing knowledge is urgently needed to strengthen awareness in increasing knowledge and behavior in preventing anemia in pregnant. One of the efforts made is health education activities regarding the prevention and early detection of anemia in pregnant. The result of this community service activity is that there is an increase in knowledge about anemia in pregnant before and after being given health education

This community service activity aims to improve public understanding of health data protection policies in digital health services. The rapid development of digital health platforms has increased the risk of misuse and leakage of personal health data. The method used includes educational outreach, interactive discussions, and evaluation of participants’ understanding before and after the activity. The results show a significant improvement in participants’ awareness and knowledge regarding the importance of protecting personal health data and understanding applicable regulations. This activity contributes to strengthening digital literacy and encouraging safer use of digital health services. Participants also gained a deeper understanding of relevant laws and the potential consequences of data breaches. By empowering individuals with the necessary knowledge, the activity aims to mitigate the risks associated with digital health services, thus promoting a culture of privacy and security. This community service initiative highlights the vital role of education in fostering a safer digital environment for healthcare and safeguarding sensitive personal information from potential threats.