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The background of this research is based on Cervical cancer, a disease that poses a serious threat to women's health in Indonesia. Early detection through prevention programs such as IVA (Visual Inspection with Acetic Acid) is a crucial step in reducing the number of cervical cancer cases. In this effort, an effective communication strategy from the Pasar Minggu District Health Center plays a very important role. This study focuses on the prevention program and communication strategies implemented at the Pasar Minggu District Health Center. This study uses a qualitative approach with a descriptive study method. Data collection techniques were carried out through in-depth interviews with Health Center officers, observations of socialization activities, and documentation. The results show that the communication strategies implemented by the Pasar Minggu District Health Center include informative, educational, and persuasive communication strategies. The Health Center utilizes various communication channels such as social media and direct counseling. Obstacles faced include low levels of public health literacy, stigma against IVA examinations, and limited human resources.

Stunting is one of the chronic nutritional problems that remains a serious challenge in Indonesia, particularly in rural areas. This condition not only affects children's physical growth but also their cognitive development and long-term productivity. The low level of public awareness regarding balanced nutrition and proper parenting practices is a major factor contributing to the high prevalence of stunting. Therefore, community empowerment through village forums as a platform for advocacy, education, and cross-sector collaboration is essential. This activity aims to enhance the capacity of village communities to understand, prevent, and address stunting through participatory approaches. The methods applied include training for posyandu cadres, group discussions, and the establishment of village stunting forums involving community leaders, health workers, and local government officials. The results indicate a significant improvement in public knowledge and awareness regarding stunting prevention. The village forum also serves as a coordination center for policy advocacy and the implementation of nutrition programs at the local level. Thus, community empowerment through village forums has proven to be an effective strategy to strengthen community participation and enhance synergy between government, health institutions, and local residents in reducing stunting prevalence at the village level.

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

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.

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).

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.

The Village health cadres play a vital role in the success of the Posyandu (Integrated Health Service Post) program as the frontline of community-based health services. However, challenges such as limited managerial capacity, insufficient resource support, and lack of continuous mentoring often hinder the effectiveness of the program’s implementation. This article aims to describe the process and outcomes of mentoring village health cadre organizations in improving their program management skills at the Posyandu. The research employs a qualitative approach using content analysis from activity reports, interviews, and field documentation. The results show that structured, participatory, and continuous mentoring significantly enhances cadres’ skills in planning, implementing, and evaluating Posyandu activities. Moreover, mentoring improves cadres’ motivation and sense of responsibility toward program sustainability. Support from village governments, local health centers (puskesmas), and communities plays a crucial role in maintaining the effectiveness of mentoring. Therefore, a collaborative mentoring model is an effective strategy to strengthen the capacity of village health cadres in managing Posyandu programs at the village level.

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.

Pregnancy is a natural process that occurs from conception to the growth of the fetus in the womb. Lemon aromatherapy is an alternative method to reduce nausea and vomiting. When essential oils are inhaled, volatile molecules will carry the aromatic elements contained in the oil to the tip of the nose. The aim is to determine the effect of lemon aromatherapy on the frequency of reducing nausea and vomiting in pregnant women in the first trimester at the Biru-Biru Community Health Center. This study used the Quasy Experiment method with a One Group Pretest Posttest Design by conducting a Pretest before giving treatment and a Posttest after giving treatment. The population of this study were pregnant women who experienced nausea and vomiting in pregnant women in the first trimester at the Biru-Biru Community Health Center. Sampling was carried out using a total sampling technique, resulting in 30 pregnant women experiencing nausea and vomiting. The results obtained from the study, respondents who did not experience nausea and vomiting after being given lemon aromatherapy were 14 people, 11 people experienced mild nausea and vomiting, and 5 people experienced moderate nausea and vomiting. The analysis used in this study was the Wilcoxon test, which obtained a value (p = 0.000 < 0.05) and there was an effect of lemon aromatherapy on the frequency of reducing nausea and vomiting in pregnant women at the Biru-Biru Community Health Center.

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.

Background: Diarrhea remains one of the leading causes of morbidity and mortality among children under five in Indonesia. Household environmental conditions, such as water quality, latrine sanitation, waste management, and environmental cleanliness, are important risk factors influencing the incidence of diarrhea. Darussalam Health Center is one of the working areas with a relatively high number of diarrhea cases among children under five. Objective: This study aims to analyze the relationship between environmental factors and the incidence of diarrhea among children under five in the working area of Darussalam Health Center. Methods: This study employed an observational analytic design with a cross-sectional approach. A total of 120 children under five were selected using purposive sampling based on inclusion criteria. Data were collected through interviews using a structured questionnaire and observation of household environmental conditions. Data analysis was performed using the chi-square test and logistic regression. Results: The incidence of diarrhea among children under five was 32.5%. Environmental factors significantly associated with diarrhea were water quality (p = 0.001; OR = 3.98; 95% CI = 1.82–8.71), latrine sanitation (p = 0.004; OR = 3.21; 95% CI = 1.45–7.09), and waste management (p = 0.012; OR = 2.54; 95% CI = 1.22–5.28). Lighting and home ventilation factors were not significantly related. Conclusion: Environmental factors, particularly water quality, sanitation, and waste management, are strongly associated with the incidence of diarrhea among children under five in the working area of Darussalam Health Center.

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.

Nutritional problems among adolescent girls remain relatively high and can affect reproductive health, particularly before entering marriage. One of the factors suspected to be associated with nutritional status is the frequency of visits to adolescent health posts (Posyandu Remaja). This study aimed to determine the relationship between the frequency of visits to adolescent health posts and the nutritional status of adolescent girls in the working area of Dinoyo Public Health Center. The research design employed was correlational analytic with a cross-sectional approach. The sample consisted of 80 adolescent girls registered at adolescent health posts in the Dinoyo Public Health Center area, selected using total sampling technique. Data were collected using observation sheets and analyzed using the Spearman rank correlation test. The results showed that there was no significant relationship between the frequency of visits to adolescent health posts and the nutritional status of adolescent girls (r = -0.083, p = 0.462). It can be concluded that an increased frequency of visits to adolescent health posts does not directly correlate with improvements in the nutritional status of adolescent girls in the Dinoyo Public Health Center area.

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.