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On average, 85-90% of pregnant women in Indonesia experience severe labor pain and 7-15% of those who do not experience labor pain. Labor pain results in increased activity of the sympathetic nervous system which causes an increase in blood pressure, pulse rate, respiration, nausea, vomiting, and diaphoresis. Data shows that 15% of mothers in Indonesia experience birth complications and 21% are caused by experiencing very severe pain. The aim of the research was to analyze the effect of cold compresses on first stage labor pain. The research design used a quasi-experimental one group pre-posttest. The population, namely all mothers giving birth at PMB Andina in May 2024, totaled 30 respondents. The sampling technique uses total sampling. Statistical tests use the Wilcoxon test. The research results obtained were that the average labor pain before the cold compress was 5.13 and the average labor pain after the cold compress was 4.00, meaning there was a decrease in the level of pain by 1.13. The significant value was found to be p: 0.001 < 0.05, meaning that there was an effect of cold compresses on labor pain in mothers giving birth at PMB Andina Palembang. It is hoped that health workers can improve maternal care during childbirth, one of which is by providing complementary services in the form of cold compresses.

This study examines microeconomic activities in the form of part-time plywood manufacturing in Jerukgiling Village, Kendal Regency, which has been running for two years and involves ten workers. Plywood production is carried out by housewives as an additional job after completing household chores and activities in the rice fields. With a price of Rp1,200 per sheet, plywood production provides additional income for families in the village. The raw materials for making plywood come from sengon and jagon wood, provided by Mr. Gunawan, a boss from Brayu Hamlet, Kertosari Village, Singorojo Subdistrict, Kendal District. The production process is carried out in a special place that is now available, unlike before when it was done in each house. Plywood is collected every day with a production quantity of 200-300 pieces, although payment is made at a later date. The study also found that working hours are flexible, with production activities extending into the evening. The health center routinely checks the health of the workers every month to ensure that their health conditions are maintained. The analysis concludes that this plywood-making business not only provides economic benefits, but also provides flexibility for housewives in carrying out their dual roles. The main resource person for this research was Mrs. Karomah, one of the workers, who provided a detailed description of the dynamics and challenges faced in running a plywood-making business while taking care of their children

Introduction: Haemoglobin levels are low (< 12 gr/dl) in adolescent women cause less blood (Anemia) causes to reduced focussing their study. JuFe programme is an innovation programme held by public health office of Cianjur through giving Fe tablets to adolescent women in Cianjur with consume Fe tablets every friday simultaneously in high schools. Objective: To determine the relationship between knowledge, attitude and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Method: This research used cross sectional study research design. The sampling technique is non random sampling are 35 peoples. The research instrument used a questionnaire, Results: This study found a relationship between knowledge (p=0,000), attitude (p=0,000), and compliance (p=0,000) with haemoglobin levels. Conclusion: there are the relationship between knowledge, attitude, and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Suggestion: It is the best health workers and teachers to increase education to adolescent women about low haemoglobin (Anemia) and implementing JuFe Programme routinely.

Background: Medical waste is a significant health danger and environmental pollution problem due to its hazardous composition. The expertise and practice of healthcare staff in the proper removal of medical waste is essential for good medical waste management. The purpose of this study was to analyze the knowledge, attitudes, and practices related to medical waste management among healthcare workers in hospitals in Karbala/Iraq. Materials and Methods: descriptive cross-sectional study was conducted using a questionnaire distributed to health care providers in two selected hospitals in Karbala/ Iraq. Results: The results showed the good level of knowledge, attitudes and practices of healthcare providers towards medical waste. There is statistical significance between health care providers' knowledge, attitudes and practices towards medical waste, and their educational level and training courses. In addition to the recording of the statistical significance that were between knowledge with attitudes and practices. The levels can be categorized as positive but it is important to focus on increasing and improving the training of health care providers as it is the basis of the medical waste treatment process. Conclusion: increasing knowledge is one of the best tools to maintain proper workflow in isolating medical waste and maintaining the safety of employees, patients, and the environment.

Hypertension is a condition when the systolic blood pressure in the human body is ≥140 mmHg and diastolic blood pressure ≥90 mmHg. Hypertension is dangerous because it has an impact on cardiovascular disease. The aim of this research is to determine the relationship between nutritional knowledge, fat intake and smoking behavior with the incidence of hypertension in the community in the Kondodewata Community Health Center working area.The type of research used was quantitative with a cross sectional design. The population in this study was 238 people aged >15 years with a research sample of 75 people using a simple random sampling technique. The instruments used were questionnaires for nutritional knowledge and smoking behavior, while the Food Recall for Fat Intake was then processed in the form of univariate analysis and bivariate analysis with p value = 0.05.The results of this study show that there is a relationship between nutritional knowledge and the incidence of hypertension in the Kondodewata health center working area with p value = 0.014. There is a relationship between fat intake and the incidence of hypertension in the Kondodewata health center working area with p value = 0.000. There is no relationship between smoking behavior and the incidence of hypertension in the Kondodewata health center working area with p value = 0.072.The conclusion of this study shows that nutritional knowledge and fat intake are related to the incidence of hypertension in the Kondodewata health center working area. Meanwhile, smoking behavior has no relationship with the incidence of hypertension in the Kondodewata Community Health Center working area. It is recommended that health workers in the Kondodewata health center work area provide education to the public regarding nutritional knowledge, fat consumption patterns and the dangers of smoking.

Human resource management that has been applied in the management of the Islamic Malahayati Hospital is very good so that the Islamic Malahayati Hospital gets a different assessment compared to other hospitals in Medan which implemented the integrated ISO 9001;2008 management system. This study aims to determine how the existing resource management in the Islamic Malahayati Hospital. This type of research is a quantitative study with a cross-sectional study approach. The population in this study were all nurses at Islamic Malahayati  Hospital as many as 190 civil servant nurses with a sample of 129 people. The sampling technique in this study used proportional random sampling. Data analysis was performed by univariate, bivariate with chi-square test and multivariate analysis with logistic regression. There is a relationship between recruitment and selection (p-value = 0.000), training and promotion (p- value 0.000), job appraisal, and salary management (p values = 0.000), with the performance of nurses at the Islamic Malahayati Hospital. Promotion and training have the greatest relationship with nurse performance with an OR value of 15,934. It is recommended to the hospital to increase the training and promotion of health workers, especially by involving more employees, in this case, nurses in training activities or increasing their capacity, and it is necessary to have a promotion or increase in positions that are in accordance with the work of nurses so that nurses are more active and more motivated in improving their performance while working in the hospital.    

Introduction: Mothers are susceptible to experiencing postpartum blues syndrome during the postpartum period, or the period after giving birth. Rapid mood swings, feelings of sadness, worry, anxiety, and tiredness are signs of this syndrome, and mothers may feel more emotional and anxious, which can impact their mental health. Method: This type of research is quantitative analytical with a cross sectional approach. The population was postpartum mothers and the sample was 38 people with the inclusion criteria being postpartum mothers in the immediate postpartum to early postpartum categories who had previously had routine pregnancy checks in the Garut Regency Development Health Center working area. Data processing was carried out computerized with bivariate data analysis using the Chi Square statistical test. Results: The results of the study stated that 25 respondents had good husband support and 13 respondents had less husband support. Of the 38 respondents, 24 experienced postpartum blues . The results of this study stated that there was a link between husband's support and the incidence of postpartum blues , with a p value of 0.007. Conclusion: there is a connection between husband's support and the incidence of post partum blues, so that people can provide information to each other in preventing post partum blues . Health workers can also continue to be proactive in providing education to someone who plays the role of husband regarding the importance of maintaining the health of post partum mothers both physically and mentally for reproductive health and the health of mother and child .  

Introduction: According to the Indonesian Health Profile (2021), preeclampsia or eclampsia, bleeding, and COVID-19 caused the highest number of maternal deaths in 2021. In 2022, the maternal mortality rate in Indonesia reached 183 deaths per 100,000 live births, with preeclampsia as the main cause. One of the most common maternal health problems in Indonesia is preeclampsia, which has a high incidence rate and causes dangerous complications for the mother and baby. Research and prevention efforts continue to be needed to reduce maternal mortality in Indonesia. Apart from disorders during pregnancy, we as academics who continue to be pro-active in community service activities in our field, must also pay attention to post-partum health. The incidence of postpartum blues in Indonesia will reach 50-70% in 2023. According to WHO, around 10% of pregnant women and 13% of new mothers experience mental health disorders, especially depression. Risk factors that increase the possibility of postpartum blues are the mother's young age, lack of support from her husband, and a difficult economic situation. Method: The method used in this activity is lecture and discussion, using power points and leaflets. Target: Women of Childbearing Age (WUS), pregnant women and post partum mothers. Results: After the educational activity, participants asked several questions, such as how to know whether a pregnant woman is experiencing problems, how many times should she have an examination, and what should the family do if the mother seems stressed after giving birth. With the aim of improving the welfare of pregnant women and babies, Family Centered Maternity Care (FCMC) is a midwifery approach that involves the family. This approach provides good social support to pregnant women, which can help them deal with stress and anxiety that may occur during pregnancy, childbirth and the postpartum period. In addition, pregnant women and their families are given the opportunity to actively participate in decision-making regarding health care, so that they can take responsibility for their own health. Conclusion: When Women of Childbearing Age (WUS) have good knowledge, attitudes and behavior, they will produce a generation of healthy and intelligent children. Health workers and the public must pay attention to the four Ts: too young, too old, too much, and too close. Antenatal visits and postpartum visits, which are types of physical examinations during pregnancy, are well carried out in first-level health facilities.

Posyandu is a basic health activity organized by, by and for the community assisted by health workers in a Puskesmas work area. The aim of this research was to determine the determinants of mothers' participation in bringing toddlers to posyandu in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency. The research design uses a mixed method with an explanatory approach. Quantitative designs use cross sectional, qualitative designs use a narrative approach. The population in this study was 459 mothers who had toddlers aged 12-59 months in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency, with a quantitative sample of 82 mothers, for the qualitative sample 3 mothers who had toddlers, 1 midwife, 1 religious figure/ or ustad. Quantitative data analysis uses univariate, bivariate and multivariate analysis, qualitative analysis uses familiarization analysis, Identifying athematic framework, indexing, charting, imapping and interpretation. The results of this study show that there is an influence on the variables of the role of health workers (p=0.025), religion (p=0.000), infrastructure (p=0.000), culture (p=0.002), AEFI (p=0.004). Multivariate research results show that there is an influence of religion (p=0.002), culture (0.011), AEFI (0.005). The results of mixed method research show that the most influential factor is religion. The conclusion of this research is that there is no determining influence on the role of health workers, infrastructure, and there is an influence of religion, culture, KIPI on the participation of mothers in bringing toddlers to posyandu in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency. It is recommended to the sub-district head of Pidie sub-district to send an outstanding midwife to school in each village in order to meet the needs of midwives who live in the village..

Diabetes mellitus, which is a non-communicable disease, can be prevented by utilizing the power of prevention. Diabetes mellitus prevention behavior includes various aspects such as healthy eating patterns, sufficient physical activity, and regular health checks. It is important for the public to understand the risk factors for diabetes mellitus in order to improve prevention and early detection efforts in at-risk community groups. The aim of this research is to analyze the relationship between factors that influence diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. This research uses quantitative methods using observational analytics and a cross-sectional approach. The population in this research is the people of Mlagiarjo Village aged 20-79 years. The research sample was 197 respondents. This research was analyzed using univariate tests and bivariate tests. The results of the research showed that there was a relationship between knowledge, diet, physical activity, family history, family support, support from health workers, and access to health services (P-value = 0.024) with diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. . However, there is no relationship between attitudes and diabetes mellitus prevention behavior in Mtahuarjo Village, East Semarang District, Semarang City. It is important for health workers to provide education regarding diabetes mellitus prevention behavior to the public.

Based on Indonesian epidemiological data, 66.3% of 97% of cases are irritant contact dermatitis. Data from the Jambi Provincial Health Service in 2020, the percentage of contact dermatitis was 4.98% and in 2022 it will increase by 5.96%. The aim of this research is to determine the factors associated with symptoms of contact dermatitis in sorting officers at Talang Gulo TPA, Jambi City in 2024. This research is a quantitative study using a cross sectional study design. The technique used in this research sample was total sampling, the sample size was 40 respondents. From the results of this study, the symptoms of contact dermatitis in sorting officers were 12% symptomatic and 70% asymptomatic. Factors related to symptoms of contact dermatitis in sorting officers at Talang Gulo TPA were skin cleanliness (p value = 0.000), personal hygiene (p value = 0.001), and cleanliness of clothing (p value = 0.003) and those that were not related to dermatitis symptoms contact, habit of using APD (p value = 0.142). It was found that skin cleanliness, personal hygiene, and cleanliness of clothing were related to symptoms of dermatitis at Talang Gulo TPA, Jambi City.

This study aims to determine the relationship between health facility measures and reference service measures on the quality of service for patients participating in BPJS Health at the Sukodono Community Health Center, Sidoarjo. This research also aims to describe the quality of BPJS Health services at the puskesmas. The results of previous research show that the quality of BPJS Health services at the Sukodono Community Health Center still needs to be improved, especially in the aspects of waiting time, patient satisfaction and communication with health workers. This research uses survey methods and data to find out how the quality of BPJS Health services at the Sukodono Community Health Center and how health facility actions and referral service actions influence service quality. It is hoped that the results of this research can become a reference for improving the quality of health services provided by the Sukodono Community Health Center, so that people who use BPJS Health services can receive better and more effective services.

This study aims to analyze how the number of job placements and workload in increasing employee motivation and productivity at PT. Clean Healthy. With the unit of analysis are employees at PT. Clean Healthy. This study used descriptive qualitative research method. The data collection methods used were observation, documentation studies, and in-depth interviews with informants. The collected data is analyzed descriptively with the flow of documentation studies, reducing data, presenting data, drawing conclusions. In order to obtain the validity of the data, an analysis is carried out through the validity of trust, the validity of transferability, the validity of dependence, and the validity of certainty. From the results of this study, it can be concluded that from the results of interviews with key informants, the role of balance between the number of job placements and workload is very important in an effort to increase employee motivation and productivity at PT. Clean Healthy. Increasing motivation and work productivity is very important to strive for optimal achievement of company goals. Effectiveness and Efficiency are very important considerations in implementing a balance between the number of workers in each job placement position at PT. Clean Healthy with the workload delegated to every employee at PT. This Healthy Clean. Then from the results of interviews with informants, researchers found information that said that in some job placement positions at PT. Bersih Sehat is said to still be unbalanced in the number of workers. Then from the results of interviews with informants, researchers found information that said that in some job placement positions at PT. Bersih Sehat is said to have a workforce that is still not balanced with the workload it delegates. So that it can have an impact on increasing their motivation and work productivity. Thus PT. Bersih Sehat is considered necessary to review its application to the number of workers in each job placement so that it can be balanced with its workload as an effort to increase the motivation and work productivity of its employees.

Since welding workshops are an unofficial industry, there is still a lack of effective implementation of occupational safety and health regulations in this field. Welders often experience eye hazards such as sparks, foreign objects, infrared and UV radiation. The purpose of this study is to describe how well welding workshop workers in Medan Tembung District comply with the use of personal protective equipment (PPE). This study uses a quantitative descriptive method. The results of data analysis for the Alpha Cronbach questionnaire trial in this study showed that the data met the requirements with a score of 0.928. Up to 55 welding workshop employees from all welding workshops in Medan Tembung District, Medan City participated in the total sampling of this study. After the descriptive analysis, the data is displayed as a frequency distribution.  According to the results of the study, of the 55 welding workshop employees who participated in the survey, 50.9% had a low level of knowledge. The majority of respondents (80%) have a negative attitude towards the use of personal protective equipment (PPE), and more than half (58.2%) do not use PPE in the workplace. The results of the data analysis show that the majority of employees ignore the need to wear personal protective equipment (PPE) in the workplace because they do not know it or have a negative attitude towards it. Thus, this study suggests that welding businesses need to provide complete personal protective equipment, and also educate on the importance of using PPE and the Government also needs to increase supervision for small and medium enterprises, especially in welding workshops related to occupational health and safety.

This research delves into strategies aimed at enhancing occupational safety and health practices within pilotage operations at Semayang Port, operated by PT. Pelindo Balikpapan. Given the inherently high-risk nature of port activities, particularly pilotage, ensuring the safety and well-being of workers is paramount. This research is motivated by the imperative to curtail workplace incidents and bolster operational efficiency through the implementation of robust strategies. A SWOT analysis was employed to comprehensively assess the strengths, weaknesses, opportunities, and threats inherent in the port's existing occupational safety and health system. The findings of this analysis revealed that a 'Turn Around' strategy, situated in Quadrant II of the SWOT matrix, presents the most viable course of action. This strategy effectively leverages external opportunities to mitigate internal weaknesses, thereby optimizing the overall safety and health posture. By adopting the 'Turn Around' strategy, PT. Pelindo Balikpapan is poised to elevate the standards of occupational safety and health within its pilotage operations at Semayang Port. Consequently, this is expected to lead to a reduction in accidents and a commensurate improvement in overall operational performance.

An adequate understanding on health workers on use antibiotics can prevent the treatment ineffective. Increased risk for the security patient and the spread resistence. The purpose of this research that is, to know the knowledge of midwives in provision of antibiotics for the patient. The kind of research non experiment by using the method case study a qualitative approach. The data using a method of in- depth interviews. The determination of inform with purposive technique. Inform were 6 people consisting of 3 informants midwives and 3 informants patients. Based on the results of the study, the knowledge of midwives' knowledge of rationality in the administration of antibiotics based on 4 T (exact patient, precise indication, proper drug, correct dose) and 1 W (side effect) is still not appropriate because in midwife antibiotics using empirical therapy, the use of antibiotics for empirical therapy is the use of antibiotics in cases of infection that have not been known to the type of bacteria the cause. And rician drug information submitted is the name of the drug, the purpose of therapy, how to take medication with a time interval of 3 x 1 in a day, the drug should be spent and back in case of abnormalities when taking the drug.

Mining is a crucial sector in the global economy, yet it faces high risks and serious potential hazards for workers. According to statistical data from the Ministry of Energy and Mineral Resources, the number of mining accidents in 2023 increased significantly compared to 2021 and previous years, totaling 217 incidents. Therefore, the effective implementation of occupational health and safety management systems (OHSMS) is necessary to protect worker safety and health. The purpose of this writing is to review the implementation of occupational health and safety management systems (OHSMS) in mining companies, covering policy establishment, K3 planning, K3 plan execution, K3 performance monitoring and evaluation, as well as review and enhancement of OHSMS performance. This review employs a Literature Study method, sourcing data and articles from Google Scholar, PubMed, and ScienceDirect. Based on the literature study, the analysis of Occupational Health and Safety Management System implementation reveals that, on average, mining companies have their own policies established. Regarding K3 planning, each company has its own K3 planning strategy. However, the execution of K3 plans shows varying levels of implementation across different companies. In terms of performance monitoring and evaluation, companies assess K3 performance using specific indicators and undertake necessary improvements. Finally, review and performance enhancement efforts are undertaken for continuous improvement.

Medical tourism is a new form of tourism and medical services by getting health services according to expectations to a certain area. In an effort to develop the health system and competition as well as the impact of health globalization, it is possible that medical tourism will lead to intense competition between hospitals in providing quality services and superior service products provided by these hospitals in attracting patients to come for treatment. Assessing the potential for the development of medical tourism in Indonesia and analyzing government regulations on the development of a medical tourism strategy in Indonesia. The method used is normative juridical, or legal research conducted by examining legal literature as primary material. Some things that must be considered in developing hospitals in Indonesia that have the potential to develop medical tourism services are tariffs, service quality, hospital accreditation, marketing, access to treatment from the aspect of transportation, availability of health workers and types of treatment. The central government, the ministry of health and local governments as policy or regulatory makers in terms of medical tourism in Indonesia play an important role. There needs to be regulations or policies that regulate matters related to medical tourism so that it is not just a discourse.    

The number of workplace accidents in Indonesia continues to increase every year. In 2019, there were 210,789 cases of workplace accidents, which rose to 221,740 cases in 2020, and further increased to 234,370 cases in 2021. The welding process involves various risks of workplace accidents that may occur at different stages. Starting from selecting and moving products, workers can be scratched by materials or even hit by them. The purpose of this research is to determine whether there is a relationship between knowledge and workplace accidents among welding workshop workers using a qualitative method. Conclusion: There is a significant correlation between an individual's knowledge of Occupational Health and Safety (OHS) practices and their performance in the work environment. The better the welders' knowledge of OHS, in terms of basic knowledge, understanding of concepts, and application in the field, the lower the risk of workplace accidents.

Community Health Centers (Puskesmas) are the main place for the public to get basic health services. In certain conditions, the Health Center will receive visits from patients who arrive with the same number of origins at the same time. This has an impact on health services experiencing a decline and not maximizing the health of health workers in checking patients' health. So, comprehensive services are not obtained, and there are even patients who queue for too long. In order to minimize this occurrence, simulations are carried out to predict the number of possible visits that will occur in the future. The method used in this study is Monte Carlo. This research is intended so that the information provided by the Health Center related to the prediction of the number of patient visits that are likely to occur in the next year or in the future can be done validly and accurately. The data used is data on the number of patient visits in 2021, 2022, and 2023. As a result of this study, a prediction of the number of patient visits was obtained so that the Health Center could implement the next action that was useful for improving the quality of services needed