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One of the vulnerable groups facing the double burden of malnutrition is children living in Child Social Welfare Institutions (LKSA), such as the LKSA Christian Orphanage Foundation in Malang City. This LKSA holds a C-level accreditation status, indicating limited resources and inadequate facilities to support children's well-being. Preliminary research revealed that many children are unaware of their nutritional status and have not received regular health check-ups or nutritional monitoring. To address this issue, the GAES Program (Grow And Eat Smart) was developed with the goal of increasing awareness about the double burden of malnutrition and enhancing education on the importance of regular nutritional status monitoring for children. The GAES Program consists of three main activities: distribution of nutritional measurement tools (scales and height measuring instruments), education on the importance of routine nutritional monitoring, and training in anthropometric screening techniques. The program's results showed that out of the 13 participating children, 7 children (54%) were identified as undernourished, while 6 children (46%) had good nutritional status. In addition, all participants successfully understood the educational material delivered during the sessions and were able to perform anthropometric measurements independently as an initial step in screening their nutritional status. Through this initiative, it is expected that both the children and the LKSA management will become more aware of the importance of regular nutritional monitoring and take early preventive actions. Furthermore, health professionals and local health centers (Puskesmas) are encouraged to provide continuous support and interventions at the LKSA to improve the nutritional status of children and adolescents. Such efforts are essential to prevent the long-term health impacts of the double burden of malnutrition and to ensure a healthier future for children living in social welfare institutions.

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 recent years, rapid advancements in digital technology have significantly transformed global healthcare delivery. The COVID-19 pandemic acted as a catalyst, accelerating the integration of information technology into healthcare systems, particularly through the increased adoption of telemedicine. In the field of internal medicine, which often involves long-term care and management of chronic illnesses, telemedicine presents a promising solution to enhance service accessibility, improve care efficiency, and sustain favorable clinical outcomes. This study aims to conduct a narrative review to explore the impact of telemedicine on patient clinical outcomes, healthcare worker workload, and healthcare system efficiency within internal medicine practice. The review is based on an analysis of peer-reviewed literature published between 2020 and 2025, sourced from major databases including PubMed, Scopus, and Web of Science. Article selection was based on relevance to the topics of telemedicine and internal medicine, contextual applicability, and full-text availability. The findings of the review reveal that telemedicine contributes positively by expanding access to care, reducing travel time and logistical barriers for patients, accelerating clinical response times, and decreasing patient congestion in healthcare facilities. These outcomes are particularly beneficial for patients with chronic conditions who require regular monitoring and consistent communication with healthcare providers. However, the implementation of telemedicine also introduces new challenges, including increased administrative responsibilities and digital workload for healthcare professionals. The study underscores the importance of equipping healthcare systems with adequate digital infrastructure, implementing supportive and flexible policies, and providing comprehensive training for healthcare workers. These measures are crucial to ensure the successful and sustainable adoption of telemedicine in internal medicine. Overall, telemedicine holds strong potential to reshape the future of internal medicine, provided that its integration is strategically managed to balance technological advancement with human-centered care.

Baby massage is a form of multisensory stimulation that involves touch, movement, as well as auditory and visual stimuli, which is known to provide various physiological and psychological benefits for babies, including increased breastfeeding frequency. This study aims to determine the relationship between infant massage and the frequency of breastfeeding in babies aged 1–6 months in the working area of the Lambai Health Center, North Kolaka Regency. The type of research used is an analytical survey with a cross-sectional approach. The sampling technique was carried out in total sampling, involving the entire population of infants aged 1–6 months who met the inclusion criteria. Data collection was carried out through observation and structured interviews with infant mothers, as well as recording breastfeeding frequencies before and after infant massage interventions. Data analysis uses relevant statistical tests to test the relationships between variables. The results showed a significant relationship between infant massage and increased breastfeeding frequency, with a p-value of 0.000 (p < 0.05), indicating that infant massage had an effect on increasing breastfeeding activity in infants. The conclusion of this study is that infant massage has a positive relationship with the frequency of breastfeeding in infants aged 1–6 months. These findings support the use of infant massage as a simple but effective intervention in supporting breastfeeding success, especially in the early stages of life. This study recommends that the practice of infant massage can be socialized more widely to health workers and parents as part of the promotion of maternal and child health. The implementation of regular baby massage has the potential to improve the nutritional status and optimal growth and development of the baby.

Stunting is a chronic nutritional problem in toddlers that remains a global concern, including in Indonesia. This condition is characterized by height that is not appropriate for age due to long-term malnutrition, repeated infections, and environmental and social factors. The impact of stunting not only affects physical growth but also cognitive development, future productivity, and increases the risk of degenerative diseases in adulthood. Various factors contribute to stunting, including biological factors such as the child's gender and behavioral factors such as maternal knowledge about nutrition and health. This study aims to analyze the relationship between child gender and maternal knowledge and the incidence of stunting in toddlers. The research design used a quantitative cross-sectional approach. A sample of 73 respondents was selected using a stratified proportional sampling technique. Data collection was conducted through structured interviews using questionnaires and anthropometric measurements of toddlers. Data analysis was performed using univariate analysis to describe frequency distributions, and bivariate analysis using the chi-square test with a 95% confidence level. The results showed no significant association between child gender and stunting (p > 0.05). This indicates that biological factors such as gender are not the primary determinant of stunting in the study area. Conversely, there was a significant relationship between maternal knowledge and the incidence of stunting in toddlers (p < 0.05), indicating that mothers with low levels of knowledge are at greater risk of having stunted children. These findings emphasize the importance of improving maternal knowledge through ongoing nutrition education programs, health counseling, and promotive-preventive activities at community health centers. These interventions are expected to prevent stunting and other health problems in toddlers and support the achievement of the national stunting reduction target.

Pharmacist professionalism is a key component in ensuring the quality of pharmaceutical services, encompassing not only compliance with technical and scientific standards but also a deep commitment to moral and ethical principles. In the Indonesian cultural context, the concept of "medicine as a trust" (obat sebagai amanah) reflects a profound sense of responsibility, where medicine is viewed not merely as a commodity, but as a mandate that must be preserved with integrity and accountability in health care practices. This article conceptually explores the relationship between pharmacist professionalism and the moral value of trust within the framework of the Nusantara constitutional theory. This theory emphasizes the integration of legal, cultural, and moral dimensions in shaping professional conduct in Indonesia. Using a descriptive-critical approach through literature review, this study investigates how trust functions as both a legal expectation and a cultural imperative in the practice of pharmacy. The findings highlight that trust must be internalized as a core value in pharmaceutical services—manifested through ethical decision-making, transparency in drug management, and a commitment to prioritizing patient welfare. Pharmacists are not only required to uphold professional standards, but also to carry out their duties as custodians of public trust. To realize this vision, the integration of the value of trust into pharmacy education, legal regulations, and clinical practice is essential. Educational institutions, professional organizations, and regulatory bodies must work collaboratively to instill this value as part of a pharmacist’s identity. In doing so, the profession can contribute more effectively to building a health care system that is just, culturally grounded, and centered on the well-being of the people.

Background : Self-management of hyperglycemia refers to a series of efforts carried out independently by individuals suffering from diabetes or hyperglycemia to manage and control their health condition. These efforts include regulating diet, physical activity, medication adherence, blood glucose monitoring, and preventive measures to avoid complications. Such complications may include vascular issues like heart disease and stroke, as well as neuropathic problems such as nerve damage. Proper implementation of self-management practices can help stabilize blood glucose levels and significantly improve the overall quality of life for patients. General Objective : This study aims to examine the effect of self-management on the risk of complications in patients with hyperglycemia in the working area of the Kandangan Health Center, Kediri Regency.Research Method : This research utilized a quasi-experimental design with a one-group pretest-posttest approach accompanied by a control group. The sampling technique applied was probability sampling using simple random sampling, involving a total of 45 respondents. The research instruments included the Diabetes Self-Management Questionnaire (DSMQ) and observation sheets to assess the risk of complications. The study population consisted of all hyperglycemic patients residing in Putuk Hamlet, Banaran Village, Kandangan District, Kediri Regency. Data processing was carried out through editing, coding, and tabulation, followed by data analysis using the Wilcoxon statistical test. Results : The Wilcoxon test results showed a significance value of p = 0.000 (p < 0.05), indicating a significant effect of self-management on reducing the risk of complications in hyperglycemic patients. Therefore, the alternative hypothesis (H1) was accepted. Recommendation : The implementation of self-management in hyperglycemic patients is essential to prevent long-term complications. Thus, healthcare professionals, especially nurses, are encouraged to provide continuous education regarding diabetes self-management. This will enable patients to manage their health conditions independently and reduce the risk of further complications.

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.

The Student Care for Stunting Program is an innovation by BKKBN in collaboration with universities to support the acceleration of stunting reduction through real work lectures or other community service activities. This program is part of the government's efforts to achieve the target of reducing the stunting rate to 14% by 2024, as mandated by the President. This study identifies the implementation of the BKKBN Student Program for Stunting Prevention in Banten Province, specifically in Kilasah Village, as well as the challenges faced in its implementation. The study employs government action theory and the welfare state theory using a legal-empirical method through a qualitative field approach. Data was collected through literature reviews and interviews, analyzed descriptively and analytically. The results show that the program's implementation has included 15 outreach and mentoring activities. Fifteen adolescents received reproductive health education, 21 pregnant and breastfeeding mothers received nutrition and pregnancy health counseling, and 20 prospective couples participated in socialization on healthy pregnancy planning and the use of the Elsimil application. Growth monitoring was conducted at nine Posyandu centers with a total of 60 infants, and 37 cases of infants indicated as stunted were identified. Challenges faced include the absence of specific regulations regarding the program and resistance from the target groups, particularly adolescents and prospective brides and grooms who struggled to understand the Elsimil app. In conclusion, the program has a positive impact on efforts to accelerate stunting reduction, although improvements are still needed in terms of regulations, coordination, and culture-based education.

As a chronic disease, hypertension requires long-term management focused on patient fulfillment, where the active role of individuals in self-care contributes significantly to the prevention of complications and improving quality of life. This study aims to explore knowledge, attitudes, and social support regarding self-management in hypertensive patients. This study is a descriptive study with a cross-sectional design. The population of this study was all hypertensive patients who received treatment at the Pulo Brayan Community Health Center in Medan City in 2025. The study sample consisted of 216 people selected using a simple random sampling technique. Data collection was carried out by distributing questionnaires to hypertensive patients based on the variables of knowledge, attitudes, and social support. The data obtained were then analyzed descriptively. The results showed that 60.6% of respondents with hypertension had a poor level of knowledge regarding hypertension management, while 39.4% had good knowledge. 55.1% of respondents showed a positive attitude towards hypertension management, and 44.9% had a negative attitude. 57.9% of respondents received good social support, and 42.1% of respondents experienced poor social support. In conclusion, most respondents had poor knowledge regarding hypertension management. However, most respondents demonstrated positive attitudes and received good social support in implementing hypertension self-management.

X Health Center has implemented EMR on SIMPUS since 2009-2010. However, from the preliminary study, it was found that there were obstacles such as network trouble, long loading when many users were pulling data on the system, and there was no SOP for down time: The purpose of this study is to analyze the implementation of Electronic Medical Records at X Health Center, Semarang City in the aspects of Human, Organization, Technology, Net-benefit.  Methods: This study used a descriptive qualitative approach with interviews, observations and documentation studies. Results: The results of research at X Health Center show that there are problems in implementing EMR at X Health Center, in the human aspect, namely system training is still given only to representative officers such as IT and SIK staff. In the organizational aspect, namely limited facilities and lack of manpower. On the technology aspect, namely internet network instability, inconsistent electricity supply and generator unpreparedness and hardware limitations. While in the net-benefit aspect, the implementation of EMR has an impact on increasing the efficiency and effectiveness of X Health Center services. Conclusion: The implementation of electronic medical records at X Health Center is not yet fully optimal, namely in the aspects of human, organization and technology.    

The leading causes of maternal mortality are thought to include hemorrhage, sepsis, obstructed labor, and hypertensive disease of pregnancy. For many years, demographic and health surveys have been used to study maternal and perinatal health in developing countries. However, few nationwide population surveys have used formally validated questionnaires. Objectives: The purpose of this study was to determine the validity of maternal self-reports of obstetrical complications. Methods: A cross-sectional study was conducted among 300 women at Two Hospitals and one public health center. A questionnaire recorded mothers’ perceptions of obstetrical complications while hospital medical records. Sensitivity, specificity, predictive values, and percent agreement were obtained for obstetrical conditions. Result: In general, women’s reports of obstetrical complications did not match medical diagnoses. The highest agreement was obtained for reporting eclampsia, with less agreement for postpartum haemorrhage. Conclusion: The validity of the survey questionnaires varies between studies due to differences in the questionnaires. Health surveys based on maternal self-report must be interpreted with consideration of this limitation.

Non-Communicable Diseases (NCDs) are the leading cause of death globally. The Posbindu PTM program serves as an initiative for early detection and prevention of NCDs through community empowerment. This study aims to analyze the factors influencing the utilization of the Posbindu PTM program in the working area of Palibelo Health Center, Bima Regency. This quantitative research used a cross-sectional approach, involving 100 purposively selected respondents. Data were analyzed using the chi-square test. The results showed that education level and knowledge significantly affected the utilization of Posbindu services (p < 0.05). Respondents with higher education and better knowledge were more likely to use Posbindu services actively. However, lack of information and inadequate socialization were identified as major barriers to optimal utilization. Strengthening public health education and promotion is essential to enhance community participation in the Posbindu PTM program.

Pregnancy is divided into three stages: the first trimester, second trimester, and third trimester. During pregnancy, the body undergoes various changes that can cause discomfort. Common discomforts experienced by pregnant women include varicose veins, back pain, muscle and joint aches, and lower back pain. These discomforts can be alleviated through pregnancy exercise (prenatal yoga or maternity gymnastics). The purpose of this study was to examine the relationship between pregnant women’s knowledge about the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center. The research design used was descriptive quantitative. The population consisted of 35 pregnant women in May 2025, with a total sampling technique. Data were collected using a questionnaire and analyzed using univariate analysis. The results showed that 36 respondents (50.0%) had moderate knowledge, 25 respondents (34.7%) had poor knowledge, and 11 respondents (15.3%) had good knowledge about pregnancy exercise. Overall, most pregnant women had a moderate level of knowledge. Based on the Spearman Rank statistical test with a 95% confidence level, the P-value was 0.000 (< 0.05), indicating a statistically significant relationship. The conclusion of this study is that there is a relationship between pregnant women's knowledge of the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center.

The patient, MA, a 2-year-4-month-old boy, was brought by his mother to Simpang Keuramat Primary Health Center with complaints of itchy scalp for the past 4 months. On the itchy area, white scales were observed. Initially, it was only itching, but two weeks later, the parents noticed white patches on the scalp that became thicker and more scaly. The itching was intermittent and worsened with sweating. At first, only a few hairs were broken, but over time it progressed into a round area of hair loss with well-defined borders. The patient bathes twice daily and shampoos every other day. Towels, pillows, and combs used by the patient were not shared with other family members. According to the patient's parents, the child often plays with stray cats around the house. Primary data were obtained through allo-anamnesis, physical examination, home visits, completion of the family folder, and patient records. Assessment was conducted based on the initial holistic diagnosis, process, and outcome of the visits, both quantitatively and qualitatively. Interventions included educating the patient about the causes of tinea capitis, emphasizing the importance of skin hygiene, and explaining that the disease is highly contagious. Therefore, patients were advised to avoid sharing clothing and towels with family members as a preventive measure against transmission.

Exclusive breastfeeding plays a crucial role in reducing neonatal mortality rates, preventing growth disorders, and enhancing immunological resilience. However, adherence to exclusive breastfeeding practices remains below the targeted level. This study aims to analyze the relationship between maternal characteristics, knowledge, and family support with the success of exclusive breastfeeding in infants. A cross-sectional design was used, conducted at the UPTD Sawang Health Center, South Aceh Regency, during February–March 2025. The population consisted of all mothers with infants aged 7–12 months visiting the health center, totaling 120 individuals. A sample of 97 respondents was selected using purposive sampling. Data were collected through a structured questionnaire, followed by data processing that included response completeness checks, variable coding, and data entry. Data analysis comprised univariate analysis to present the frequency distribution of maternal characteristics and knowledge, and bivariate analysis using the Chi-Square (χ²) test with a significance level of α=0.05 to test the hypotheses. The results showed that maternal employment was significantly associated with the success of exclusive breastfeeding (p < 0.001), whereas maternal education (p = 0.566), income (p = 0.915), maternal knowledge (p = 0.351), and family support (p = 0.252) were not significantly related. In conclusion, maternal employment has a significant relationship with exclusive breastfeeding success

Stunting is a chronic nutritional problem that has a long-term impact on physical growth, cognitive development, and the quality of human resources in the future. This study aims to determine the relationship between family income and nutritional status of toddlers on the incidence of stunting in the Bukit Cening Daik Health Center working area, Lingga Regency, 2024. This study used a cross-sectional design with a sample size of 62 respondents selected through purposive sampling technique. Data were collected using questionnaires and anthropometric measurements, then analyzed using the chi-square test. The results of the analysis showed that there was a significant relationship between family income and nutritional status of children under five with the incidence of stunting (p < 0.05). This finding suggests that economic conditions and nutritional status play an important role in preventing stunting. Therefore, nutrition interventions targeting low-income families need to be strengthened to reduce stunting in the area.  

An unhealthy lifestyle can increase the risk of blood vessel damage, heart disease, and hypertension, as well as increase Mean Arterial Pressure (MAP). Objective: This study aims to determine the relationship between lifestyle and Mean Arterial Pressure (MAP) in elderly hypertensive patients based on transcultural nursing at the Rawalele Community Health Center. Method: This study is a correlational analytic study using the Spearman Rank research design. The sampling method used in this study was purposive sampling. The total sample size was 157 respondents. The research instruments used were a lifestyle questionnaire and a digital sphygmomanometer. The Spearman Rank test results obtained a p-value of 0.000. Results: Based on the results of this study, it can be concluded that there is a relationship between lifestyle and Mean Arterial Pressure (MAP) in elderly hypertensive patients based on transcultural nursing at the Rawalele Community Health Center. With a p-value <0.05, it can be said that the variables are significantly correlated or related. This study is expected to provide a comparison for future researchers in educating and understanding lifestyle factors that can influence Mean Arterial Pressure (MAP) in elderly hypertensive patients.

Quality health services are key to improving patient satisfaction among National Health Insurance (JKN) participants. This study aims to systematically review various studies that have been conducted in Indonesia related to the level of JKN patient satisfaction with health services at Community Health Centers. The method used is a literature study by selecting relevant articles published in 2023-2025. Inclusion criteria include articles that discuss the relationship between service quality and JKN patient satisfaction. A total of 11 articles that meet the criteria have been analyzed. The results of the analysis show that the dimensions of service quality that most often influence the level of patient satisfaction are reliability, responsiveness, empathy, and tangibles. Most studies also use a quantitative approach with statistical tests such as chi-square and logistic regression to analyze the relationship between variables. However, not all dimensions always significantly affect the assurance dimension in several studies showing inconsistent results. The conclusion of this study is the importance of improving the quality of health services at Community Health Centers to improve JKN patient satisfaction. Health centers must develop patient-focused service strategies by training human resources, improving service systems, and conducting continuous quality evaluations.