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This study aims to examine the effect of employee competence, behavioral control, and trust on employee performance at the Bojonegoro District Health Office with Organizational Citizenship Behavior (OCB) as an intervening variable. The background of this study is related to the importance of employee performance in achieving public service organizational goals, particularly in the health sector. This study uses an explanatory quantitative method with a Partial Least Squares Structural Equation Modeling (PLS-SEM) approach. The research sample consisted of 100 employees at the Bojonegoro District Health Office. The results of the analysis show that the influence of employee competence on employee performance is not significant, but employee competence has a significant influence on OCB. Behavioral control has a significant effect on employee performance, but its effect on OCB is not significant. Trust has a significant effect on OCB, but its direct effect on employee performance does not. OCB is proven to have a significant effect on employee performance. Therefore, OCB plays an important role as a mediator in improving employee performance. This study provides a theoretical contribution by clarifying the relationship between variables in the context of public service-based government organizations. In practical terms, the results of this study are expected to form the basis for recommendations to improve the quality of human resources and develop managerial strategies at the Bojonegoro District Health Office in order to support the effectiveness and efficiency of public services.

Diseases in primary health services exhibit complex spatial-temporal dynamics due to urbanization and population mobility. Conventional surveillance approaches are difficult to capture these patterns adaptively. Machine learning (ML) based on spatio-temporal modeling offers a solution with the ability to detect disease clusters automatically and with high precision. Research Objectives: This research aims to develop a machine learning model to detect disease hotspots from primary service data in Indonesia, with a focus on improving prediction accuracy, interpretability, and relevance of health policies. Methodology: The primary service dataset for 2024 (5,343 entries) was analyzed using three ML models Gradient Boosting Machine (GBM), Temporal Random Forest (TRF), and Multi-EigenSpot with spatial (village) and temporal (week, month) features. Performance evaluation includes predictive (AUC, F1-score) and spatial (Moran's I, Spatio-Temporal Correlation Index) metrics. Results: The results showed that Multi-EigenSpot achieved the best performance (AUC=0.91; F1=0.86), with the detection of dominant hotspots in Sungai Asam and Beringin Villages. Moran's I value of 0.63 indicates a strong spatial autocorrelation, while STCI=0.57 indicates moderate temporal stability. Conclusions: ML-based spatio-temporal models are effective in identifying hidden disease patterns and have the potential to be integrated into national digital surveillance systems. This approach supports precision public health by providing a scientific basis for real-time location- and time-based intervention policies.

 Communicable diseases remain one of the leading public health burdens in Indonesia, particularly in densely populated residential areas and communities with inadequate sanitation. Poor housing conditions including insufficient ventilation, overcrowding, excessive humidity, inadequate lighting, and improper waste and wastewater management have been shown to increase the risk of respiratory infections, diarrhea, and other environment-related diseases. This literature review aims to identify effective environmental health strategies for preventing communicable diseases by synthesizing findings from 11 scientific articles published between 2014 and 2025. The review shows that basic sanitation, indoor air quality, waste management, and the implementation of the Community-Based Total Sanitation (STBM) program are key determinants in reducing disease incidence. Additionally, successful interventions depend heavily on clean and healthy living behaviors (PHBS) and active community participation. These findings highlight the importance of a comprehensive approach that integrates physical environmental improvements, health education, and community empowerment to create healthy settlements and sustainably reduce the risk of communicable diseases.

This study examines how integrating local ecological wisdom and eco-literacy education fosters environmental awareness, behavioral transformation, and health outcomes among Indonesian primary school students. The research responds to the ecological paradox of rapid technological growth amid worsening environmental degradation, where youth eco-literacy remains below 45%, indicating a gap between environmental knowledge and sustainable action. The study aims to develop a culturally responsive model of sustainability education that connects environmental ethics, cultural identity, and public health. Using a qualitative case study design, the research was conducted at SD Islam Kreatif Mutiara Anak Sholeh, Sidoarjo, East Java, from July to August 2025, involving 60 students and six teachers. Data were collected through semi-structured interviews, observations, and document analysis. Four major themes emerged: (1) cultural narratives as catalysts for environmental awareness, (2) eco-literacy as experiential and behavioral transformation, (3) collaborative learning as collective environmental agency, and (4) eco-health as psychosocial and physical well-being. Findings show that integrating Majapahit-era ecological values and local storytelling into eco-brick and composting projects enhanced students’ responsibility, cooperation, and emotional balance. The study synthesizes Eco-pedagogy, Constructivism, and Eco-health frameworks into a Culturally Responsive Eco-Health Pedagogy, demonstrating that sustainability learning rooted in culture and participation promotes both environmental and health outcomes. This model contributes to the global Education for Sustainable Development (ESD) 2030 agenda by linking culture, ecology, and well-being in primary education.

The community in Cibangkong Village, Pekuncen District, Banyumas Regency, still widely uses jamu (traditional herbal medicine) as part of their daily healthcare practices, often in combination with modern medical drugs. Limited understanding of the potential interactions between herbal and pharmaceutical medicines may pose health risks. This community service activity aimed to improve public knowledge and awareness regarding the dangers of drug–herb interactions through educational and interactive approaches. The implementation methods included health education sessions and group discussions. Participants of the activity were members of Muslimat NU 1 Pekuncen. The results showed a 60% improvement in community understanding, based on simple pre-test and post-test evaluations. The community also became more cautious and motivated to consult healthcare professionals before consuming jamu together with prescription medicines. This activity successfully increased public awareness about the safe and responsible use of both modern and traditional medicines.

Exclusive breastfeeding in Indonesia is not optimal, the main problem is the low level of public awareness. Support from trained cadres helps in the success of exclusive breastfeeding activities for mothers. This activity aims to re-establish the role of breastfeeding cadres in mentoring pregnant women's classes so as to increase the success of exclusive breastfeeding. This community service program uses methods and media in the form of structured counseling, focus group discussions and practice of exclusive breastfeeding education techniques, breastfeeding techniques, breast milk pumping techniques and exclusive breastfeeding for working mothers. The implementation of the activity was carried out in 32 breastfeeding cadres in 2 villages in the Arjasa Health Center working area. The results of the activity were an increase in cadre understanding of lactation management with a pre-test value of 31% and a post-test of 60%. During the mentoring of breastfeeding cadres, observations were made of cadres when providing education to pregnant women regarding lactation preparation and an average practice value of 63% was obtained. The revitalization of breastfeeding cadres was followed up with the commitment of the Arjasa Health Center to continue the activities that had been running with breastfeeding assistance from pregnancy to breastfeeding.

Infections caused by pathogenic microorganisms remain a major health challenge. One preventive promotive effort to reduce infection incidence is through the use of traditional medicinal plants, such as celery (Apium graveolens L.) which is known to have antimicrobial activity. This community service program aimed to increase the knowledge of PKK cadres in Klender Urban Village regarding the antimicrobial benefits of celery through educational outreach. The activity was held on June 12, 2025, involving 14 PKK cadres as participants. Evaluation was carried out using pre-test and post-test questionnaires, analyzed using the Wilcoxon test. The results showed a significance value of 0.002 (p<0.05), indicating a significant increase in knowledge after the intervention. The average percentage of correct answer increased by 37.2%. Additionally, all of participants demonstrated  good knowledge levels in the post-test and none were in the poor category. These findings indicate that education through outreach is effective in improving community understanding of celery’s antimicrobial potential. Local plant-based education is expected to be a sustainable preventive strategy to improve public health.Keywords: education, celery, antimicrobial, knowledge PKK cadres

Background: Stunting remains one of the leading public health problems in Indonesia, including in Blang Teue Village, Lhokseumawe City, where the prevalence reaches 27.6%. Purpose: This community service program aimed to develop an innovative community-based production model for locally sourced complementary feeding (MP-ASI) through the empowerment of PKK women’s groups and Posyandu cadres. The program focused on improving nutritional knowledge, production skills, and digital capabilities related to child growth monitoring. Methods: The Participatory Action Research (PAR) approach was employed through several stages, including identification of local food resources, training on the production of nutrient-dense complementary foods made from mackerel and moringa leaves, and digital education for promotion and child growth recording using Google Sheets. Results: The program demonstrated significant improvements, including an increase in knowledge related to stunting prevention (participants in the “good” category rose from 5% to 72.5%), enhanced production skills for NABUNG complementary food (85%), and improved digital literacy among Posyandu cadres in creating educational media and recording child growth data. Conclusion: This program successfully developed an innovative community-based MP-ASI production model that not only supports stunting prevention but also strengthens digital literacy and fosters community independence in managing child nutrition

The National Health Insurance Program (Jaminan Kesehatan Nasional or JKN) is a government initiative aimed at ensuring equitable, accessible, and affordable healthcare services for all Indonesian citizens. Since its implementation in 2014, the program has covered more than 90% of the population; however, several challenges remain, particularly concerning the quality of services at primary healthcare facilities such as community health centers (puskesmas). This study aims to analyze the quality of JKN services at the Cengkareng Public Health Center, West Jakarta, using the five dimensions of service quality proposed by Parasuraman: tangibles, reliability, responsiveness, assurance, and empathy. The research employed a descriptive qualitative method through in-depth interviews, direct observations, and document analysis involving healthcare workers and JKN patients. The findings indicate that the overall service quality at Puskesmas Cengkareng remains suboptimal. The tangibles and assurance dimensions are relatively good, while reliability, responsiveness, and empathy are still lacking. Major complaints include long waiting times, poor doctor–patient communication, and unfriendly staff attitudes. These findings highlight the need for improving human resource professionalism, strengthening service management systems, and conducting periodic evaluations to enhance the overall quality and patient satisfaction among JKN participants.  

Introduction: Stunting remains a major public health problem in Indonesia, including in Blang Teue Village, North Aceh, where the prevalence of children at risk of stunting reaches 28% (Public Health Center, 2023). The main contributing factors are mothers’ limited knowledge of locally sourced complementary feeding (MP-ASI) and restricted access to nutrition education media. This community service program aimed to empower the community by developing QR Code-based interactive educational posters as an accessible and user-friendly nutrition learning tool. Methods : The method employed was Community-Based Participatory Research (CBPR) with a Participatory Action Research (PAR) approach, involving 30 respondents (mothers of toddlers), health cadres, village officials, lecturers, and students. Results : The results indicated a significant improvement in mothers’ knowledge regarding local MP-ASI, where the percentage of respondents with high knowledge increased from 20% to 67% after the intervention. Utilization of QR Code media was also high, with 60% of respondents accessing it intensively, and a positive relationship was found between the intensity of media utilization and knowledge level (83% of high-intensity users achieved high knowledge). Conclusion : This program not only enhanced community knowledge and skills but also fostered the emergence of local leaders from health cadres and PKK members, as well as promoted social transformation through strengthened digital literacy and the use of local food in stunting prevention.

Background: Hospitals are a key pillar of the healthcare system, providing complex services to improve public health. Nursing care is an essential part of hospital function, aiming to maintain optimal public health. Nursing care is a professional service focused on individuals, families, groups, and communities, both in health and illness. Purpose: evaluation efforts for the implementation of supervision using the coaching method at Bunda Denpasar Women's and Children's Hospital.. Method: The training method will be conducted face-to-face for one month in four sessions. The sessions consist of a pre-test assessment, lectures, video screenings, targeted mentoring, and a post-test assessment. Results: Based on the pre-test results, the effectiveness of supervision was 65, and after the coaching intervention, the post-test score was 97. Conclusion: This demonstrates that the use of coaching in supervision improves performance and service delivery. Supervision in the nursing context is the process of monitoring and guidance carried out by direct superiors, such as ward heads, to ensure the implementation of nursing care meets established standards.

Introduction: Conditions in Indonesia based on data from the 2019 Nutrition Status Study of Toddlers in Indonesia (SSGBI) are still relatively high, where the prevalence of stunting is 27.67%. The GADHIES model aims to clarify and facilitate work steps in carrying out health promotion and can complement the shortcomings of each of these models. The purpose of this service is to improve the competence of village midwives in health promotion by empowering the community to use local ingredients in making healthy and nutritious food as an effort to prevent stunting, as well as increase public awareness of the dangers of stunting in children. Method: The implementation of this activity goes through three stages of activities, namely planning, implementation and monitoring evaluation. During the planning, a Focus Group Discussion (FGD) began first between the PKM team, the Puskesmas and village midwives. The implementation of the gadhies model health promotion model training for stunting prevention was carried out for 2 days which was attended by 15 village midwives, with 3 resource persons, lecture methods and interactive discussions using power point media, gadhies model posters, gadhies health promotion pocket books, and also the Gadhies Model Training Module. After carrying out this training activity, the team conducted monitoring and evaluation to see the improvement of midwives' competence on the gadhies model health promotion method. Results: There was a significant increase in midwife's competence in health promotion from 2 (13.3%) during the pretest to 14 (93.3%) during the posttest. There was a significant increase in maternal satisfaction with health promotion services by midwives from 4 (26.7%) to 15 (100%) after midwives received health promotion training on the Gadhies model.

Hypertension is a non-communicable disease with a high prevalence in Indonesia, including in Tasikmalaya City, and shows a trend of increasing cases from year to year. This condition requires planned promotive and preventive efforts that involve community participation. This study aims to increase public knowledge about hypertension and the importance of physical activity as a preventive measure through the SERASI (Senam Raga Sehat, Cegah Hypertensi) program. The methods used include community-based health education, blood pressure checks, pre- and post-tests to measure changes in knowledge, and structured healthy exercise activities. The results showed a significant increase in knowledge after the intervention, reflected in the difference in pre- and post-test scores with a p value of 0.000 (p < 0.05). In addition, healthy exercise activities increased community participation and involvement, and encouraged the formation of sustainable physical activity habits. Overall, the SERASI program has proven effective in increasing community knowledge, awareness, and behavioral changes towards hypertension prevention, thus potentially supporting risk factor control and improving the quality of local community health. These findings are relevant for planning sustainable local and national community-based public health programs.

Pulmonary tuberculosis remains the leading cause of death worldwide, and the spread of Mycobacterium tuberculosis through droplets is a major contributing factor. Education on proper cough etiquette is an important behavior-based prevention strategy to reduce the spread of this disease. This literature review aims to analyze the effect of cough etiquette education on preventing pulmonary TB transmission. This study used a literature search through Google Scholar and the Garuda portal for publications from 2020–2025, resulting in five articles meeting the inclusion criteria. The results indicate that cough etiquette education can improve public knowledge, skills, and awareness in preventing pulmonary TB transmission. This educational intervention has proven effective in various target groups, such as the general public, families of TB patients, and school-age children. In conclusion, cough etiquette education is an important component of pulmonary TB transmission prevention strategies and is highly feasible for widespread implementation in public health programs.

The GEBRAK (Mosquito Nest Movement) program is a community service activity that aims to increase public awareness and ability to prevent the spread of Dengue Hemorrhagic Fever (DHF) through the eradication of mosquito nests. This activity was carried out in Jambean Hamlet, Kras District, Kediri Regency, involving 20 families. The methods used include health counseling, direct education at residents' homes, and sowing of Abates powder. The results of the activities showed an increase in public understanding of dengue prevention and active participation in the implementation of the program. This program is expected to be a model for other regions in efforts to control dengue vectors. This activity took place in partnership with the UPTD of the Kras Health Center and residents of Jambean Village, Kras District, Kediri Regency, East Java

Human resource development is the process of preparing individuals to take on higher or different responsibilities within an organization, including enhancing intellectual abilities to support efficient task performance. This study aims to determine the extent to which human resource development contributes to improved employee performance at the East Lombok Regency Health Office. The qualitative, descriptive approach involved eight informants, consisting of officials familiar with the implementation of human resource development and staff who had participated in the program. The results indicate that education and training conducted by the East Lombok Regency Health Office have supported improved employee performance, as evidenced by more structured task implementation, public health monitoring surveys, and a decrease in maternal and infant mortality rates. However, in terms of human resource management, there are still shortcomings, with an average of 28 health workers per health facility, both civil servants and non-civil servants, reflecting an imbalance in workforce needs. Furthermore, the implementation of human resource development is supported by leadership commitment, inter-agency collaboration, and budget support from the provincial and central governments. However, it is hampered by limited qualified personnel, frequent policy changes, and the impact of natural disasters.

This study aims to describe the implementation and outcomes of training on making herbal elixir beverages from nine spice butterfly pea ingredients for exercise mothers as an effort to improve knowledge and skills in processing healthy drinks. The activity was motivated by the limited use of herbal beverages after exercise and the low level of public understanding regarding the benefits of butterfly pea flowers and traditional spices as natural stamina enhancers. The study applied a descriptive qualitative approach through observation and documentation conducted from November 22 to December 5, 2025. A total of 25 exercise mothers participated in the training, which consisted of demonstrations and direct practice in preparing elixirs using dried butterfly pea flowers combined with ginger, turmeric, galangal, lemongrass, cinnamon, cloves, betel leaves, and brown sugar. The results show that participants were able to follow all training stages properly and demonstrated increased understanding of herbal benefits, ingredient functions, dosage accuracy, and processing procedures. Achievement indicators reveal that 92 percent of participants were able to independently prepare the elixir according to the demonstrated steps, 84 percent were able to explain the function of each ingredient correctly, and all groups successfully produced elixir products with color, aroma, and taste that met the expected standards. Participants also responded positively and expressed interest in reapplying the recipes at home and developing flavor variations for personal consumption or small scale business opportunities effectively.

The personal care product industry, particularly bath soap, is becoming increasingly competitive as public awareness of health and hygiene grows. Lifebuoy is a long-trusted bath soap brand, but according to data from the Top Brand Index 2021–2024, Lifebuoy is experiencing a significant downward trend. This situation indicates a problem in consumer purchasing decisions, making it crucial to examine the factors influencing it. This study aims to analyze the influence of advertising and brand image on purchasing decisions for Lifebuoy bath soap in Semarang City, with purchase intention as an intervening variable. This study used a quantitative approach with explanatory research. The population in this study was all Lifebuoy bath soap users in Semarang City. The sample was determined using a non-probability sampling method using the Lemeshow formula, resulting in 96 respondents. Data analysis techniques used Descriptive Statistical Analysis, Measurement Model Evaluation (Outer Model), and Structural Model Evaluation (Inner Model) using the SmartPLS 0.4 application. The results of the study indicate that advertising has a direct influence on purchasing decisions, brand image has a positive and significant influence on purchasing decisions, advertising does not have a significant direct influence on purchase intention, brand image has a positive and significant influence on purchase intention, purchase intention has a positive and significant influence on purchase decisions, purchase intention mediates the relationship between advertising and purchase decisions, and purchase intention mediates the relationship between brand image and purchase decisions.

Cough self-medication was a common practice among the community because it was perceived as quick and practical; however, it posed a risk of irrational drug use when not supported by adequate knowledge. The phenomenon of many customers at Gracia Pharmacy Mengwi Badung purchasing cough medicines without consulting a pharmacist prompted the need for research on the relationship between knowledge level and self-medication behavior. This study aimed to analyze the relationship between the level of knowledge and cough self-medication behavior at Gracia Pharmacy Mengwi Badung. The study used a quantitative descriptive method with a cross-sectional approach. The research population consisted of all customers who purchased cough medicine without a doctor’s prescription, with a total sample of 30 respondents meeting the inclusion criteria through purposive sampling. The research instrument used a questionnaire. Data were collected through direct interviews and observations. Data analysis was conducted using quantitative descriptive techniques. The results showed that most respondents had a good level of knowledge (60%) and demonstrated good self-medication behavior (56.7%). Statistical analysis revealed a positive and significant relationship between knowledge level and self-medication behavior for cough (r = 0.612; p = 0.004).

Food safety is crucial for maintaining public health, especially in rural areas that face limitations in knowledge and resources to detect harmful substances in food products. The PKK Group of Borisallo Village, Gowa Regency, has great potential to become an agent of food safety education and monitoring. However, they still face limitations in understanding the impact of pathogenic microbes, pesticide residues, and harmful chemicals such as formalin, borax, and synthetic dyes. This Community Service Program (PKM) aims to enhance the knowledge and skills of PKK members through education and training on detecting harmful substances using simple organoleptic methods and household tests. The activities include counseling, self-detection demonstrations, and providing supporting tools such as portable stoves and frying pans for home practice. The results show a significant improvement in participants' knowledge, especially regarding the characteristics of contaminated food and natural inspection techniques. The PKK group also showed high enthusiasm in disseminating food safety information. This program enhances the capacity of PKK as agents of change, strengthens the culture of food safety at the household level, and supports sustainable education through collaboration with the village government and health centers. It is hoped that this can be replicated in other villages.