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Background: Anemia is a condition that describes the total number of red blood cells that operate to carry oxygen has decreased to meet the body's physiological needs. Pregnant women are said to be anemic if their hemoglobin (Hb) level is <11g/dL. Anemia in pregnant women is caused by lack of intake of iron-rich foods, lack of vitamin C intake, short pregnancy intervals (parity). Objective: To carry out midwifery care for Mrs M G1P0A0H0, 25 years old, 30-31 weeks pregnant with a mild case of anemia. Methodology: with a midwifery care approach, namely SOAP which includes subjective, objective, assessment, plan, and implementation and evaluation sheets, carried out on 09 September 2024 to 23 September 2024 at the patient's house in Aik Are Hamlet, Ubung Village, Jonggat District. The results of the midwifery care that was carried out on Mrs M G1P0A0H0, 25 years old, 30-31 weeks pregnant with mild anemia, were carried out by giving Fe blood supplement tablets, Vitamin C, Vitamin B complex, and Calcium lactate. After 1 week of midwifery care, the mother experienced improvement. Hb 11.3 gr/dL and no discrepancy was found between theory and case. Conclusion: There was an increase in Hb in pregnant women after consuming Fe tablets, vitamin B complex, Vitamin C, and Calcium lactate for 1 week. Health workers are expected to be able to carry out health promotions about the importance of consuming Fe tablets, Vitamin C, Vitamin B complex, and Calcium lactate to increase iron absorption in the body.

Health is a human right and one of the elements of human welfare that must be realized by the state, the 1945 Constitution of the Republic of Indonesia, Article 34 paragraph (3) emphasizes that the state is responsible for providing equitable and affordable health service facilities for the entire community. This study aims to determine and analyze the legal formulation of patient protection in medical practice, using the normative legal research method, namely through literature/legislation searches (statute approach) with types of data sources, secondary data supported by primary data. The descriptive research type is then analyzed and presented qualitatively. The high level of public awareness of the importance of health has made people increasingly aware and understand their rights as patients in order to obtain good health services from health workers and hospitals. The legal relationship between doctors and patients as regulated in Law No. 17 of 2023 concerning Health is a business agreement relationship (inspaning verbentenis), which gives rise to rights and obligations. The community/patients receiving medical practice services have the right to legal protection so that every mistake in carrying out the medical profession is a form of mistake/violation of the law that is worthy of being prosecuted/filed in court as a form of protection for patients, victims of medical malpractice.

Waste that arises from health care activities, including diagnosing, preventing, and treating diseases, is known as Medical waste, and it poses threats to human and environmental health if adequately addressed. Objectives: This study aimed to identify HCWs' knowledge, attitude, and practice concerning MWM at Al-Imammein Al-Kadhimein Teaching Hospital in Iraq. Patients and methods: An exploratory quantitative descriptive survey was administered to 300 randomly selected healthcare personnel and included questions on knowledge, attitude, and practice about MWM. Results: All statistical analysis was done using SPSS-25 with significance testing done at p-value ≤ 0.05 using the Pearson Chi-square test (X2-test). The cross-tabulation analysis by percentage showed that 55.7% of respondents had good knowledge, 25.3% had moderate knowledge, and 19% had poor knowledge of MWM. In this case, the positive attitude of the participants was 57. 7%, while the negative attitude was 42.3%. While comparing the practices, 46.7% followed good practices, and 53.3% followed poor practices.Conclusions: Overall knowledge, attitude, and practice regarding medical waste management showed average responses from the included participants, necessitating implication for training programs to raise the healthcare personnel's knowledge.

This project is motivated by the high risk of work accidents in the concrete production process, especially at night when there is poor lighting. Based on observations, there were various significant work incidents, such as injuries from sharp objects and being caught in heavy equipment, which indicate the need for increased risk control. This study aims to design personal protective equipment in the form of an innovative safety helmet using the Job Safety Analysis (JSA) method to improve occupational safety and health (K3) at PT Adhi Persada Beton Batching Plant Kebonarum. The methodology used includes hazard identification, risk analysis, and solution development in the form of designing a safety helmet that is adjusted to the ergonomic needs of workers. This study also includes analysis of work accident data, identification of potential hazards, and evaluation of the effectiveness of existing personal protective equipment. The results of the study indicate that the application of the JSA method can identify risks in a more structured manner, as well as produce recommendations for safety helmet innovations that can improve worker protection against potential hazards.

Assessment of the implementation of healthservices for pregnant women can be done by looking at the coverage of K1, K4 and K6 (Ministry of Health of the Republic of Indonesia, 2020). According to data from the Indonesian Ministry of Health on Indonesia’s health profile, in 2021 K4 coverage reached 88.8%, showing an increase compared to the previous year. This increase was caused by new adaptations made due to facing the COVID-19 pandemic situation in 2021. Where in the previous year, there were significant restrictions on routine services, including maternal health services. The aim aof this research is to analyze factors related to antenatal care visits in the Gandapura Community Health Center working area. The type of research used is analytical observational research with the research design used being cross sectional. The research was carried out in November-December 2024. The sample is part of the number and characteristics of the population. The number of samples taken was 30 samples. Each data was tested statistically to see whether there was a relationship between the two variables. For the attitude factor with antenatal care visits, the value was p=0.004, for support from health workers with antenatal care visits, the value was p=0.014, while the husband’s support with antenatal care visits was obtained with a value of p=0.042, so it can be concluede that there is a relationship between attitude, staff support and husband’s support with antenatal care visits for pregnant womwn at the Gandapura health center.

Chronic disease problems in the community are often found, namely Diabetes Mellitus (DM) and blood pressure. The low level of participant compliance in Prolanis activities is caused by many factors, one of the factors that can influence it is the interaction or communication factor between health workers and Prolanis participants. The purpose of this study is to analyze the correlation of health worker communication to participant compliance in participating in Prolanis activities at the Mojolangu Public Health Center, Malang City. The design of this study was quantitative correlational with a Cross sectional approach and observational analytical methods. The population was all Prolanis participants at the Mojolangu Health Center, Malang City, as many as 82 people with a sampling technique using total sampling. The instruments used were a questionnaire on communication between health workers and participants and a checklist of participant attendance in participating in Prolanis activities. The statistical test used in this study was the Spearman rank test calculation. The results of the study showed that some respondents said that communication between health workers at the Mojolangu Community Health Center was in the good category, as many as 41 respondents (50.0%). Most respondents were compliant in participating in Prolanis activities at the Mojolangu Health Center, Malang City, as many as 45 respondents (54.9%) and there was a strong relationship between health worker communication and participant compliance in participating in Prolanis activities at the Mojolangu Community Health Center, Malang City (P = 0.000; r = 0.556). Based on the results of the study, it was concluded that there is a strong relationship between communication between health workers and participant compliance in participating in Prolanis activities at the Mojolangu CommunityHealth Center, Malang City.

Occupational Safety and Health is a field related to the health, safety, and welfare of people working in an institution or at a project site. PT Rindang Tigasatu Pratama is a company engaged in the construction services sector that has been established since 1980 in Kotabumi, North Lampung Regency. The Kalianda Convention Hall construction project is one of the projects carried out by PT Rindang Tigasatu Pratama as a contractor. The results of the observation showed that only 43% of the 44 workers always wore helmets. The use of safety vests was even lower, at 27%. As many as 68% of workers always wore boots. For gloves, only 30% of workers consistently used them. On the other hand, all workers showed a high awareness of the importance of ensuring safe working conditions to ensure safety and smooth work. These findings highlight the need for further efforts to increase awareness and comfort in the use of personal protective equipment among construction workers.

Childbirth not only involves physiological conditions but also involves psychological. Every delivery and delivery method both normal delivery and surgery (cesarean section) gives different experiences to maternity mothers so that in some mothers it can cause stress, fear or anxiety. Anxiety is a feeling of anxiety, worry or discomfort as if something happened that is perceived as a threat followed by certain physiological reactions such as. This study aimed to identify how the behavior of health workers and family support relates to anxiety levels in preoperative cesarean section mothers using descriptive correlation. The sample was 21 respondents at RSU Melati Perbaungan Medan. The sampling technique uses accidental sampling, which is the taking of respondents who happen to be present or available. The instrument was a questionnaire on the behavior of health workers, family support and anxiety levels in preoperative mothers of cesarean sections. The results showed a relationship between the behavior of health workers and family support with anxiety levels in preoperative cesarean section mothers where p < 0.05 and the relationship was strong, this was indicated by the value of r = 0.650. It can be concluded that the behavior shown by health workers and also support from family is very helpful to reduce anxiety in preoperative cesarean section mothers. For this reason, it is hoped that the RSU Melati Perbaungan will improve the quality of services, especially services for preoperative cesarean section mothers so that mothers get support from health workers. And health workers are expected to continue to improve the behavior of officers to increase the confidence of preoperative mothers.

Anemia in pregnant women is a health problem that is often faced in Indonesia. Anemia requires special attention because it can have a significant impact on maternal and neonatal health. Based on data for May 2024 at the Bumisari Village posyandu, there were 67 pregnant women and 46.2% of them had anemia. An effort to increase hemoglobin levels in pregnant women with anemia is by giving them dates which contain high levels of iron. The aim of the research is to determine the effect of giving dates to increase hemoglobin levels in pregnant women with anemia in Bumisari Natar Village in 2024. Quantitative research type, pre-experimental research method with a one group pretest-posttest design approach. The population is all 67 pregnant women recorded in May 2024 with a sample of 31 respondents. 7 dates were given per day for 7 consecutive days. Data collection used observation sheets, univariate and bivariate data analysis (t-test). Based on the research results, it is known that the average hemoglobin level of pregnant women with anemia before consuming dates is 9,652 gr/dl, while the average hemoglobin level of pregnant women with anemia after consuming dates is 11,545 gr/dl. There was an effect of giving dates to increase hemoglobin levels in pregnant women with anemia in Bumisari Natar Village in 2024 (p-value 0.001) with a difference in increase in hemoglobin levels of 1,893 gr/dl. Advice for health workers, especially midwives, is to advise pregnant women to consume dates as a companion to Fe tablets because they can increase hemoglobin levels in pregnant women.

Changes in the health insurance system in Indonesia continue to evolve, one of which is implementing the Standard Inpatient Class (KRIS) policy as a replacement for the BPJS Health class system based on Presidential Regulation (Perpres) Number 59 of 2024. This policy is designed to unify healthcare classes to reduce disparities in healthcare access and quality in Indonesia. However, its implementation is faced with key challenges, including hospital infrastructure readiness, limited human resources, and criticism from various parties, including patients and healthcare providers. This study uses a qualitative approach with descriptive methods to review various policy documents, relevant literature, and legal and social perspectives related to policy implementation. The results show that although KRIS has the potential to reduce disparities in access to health services, its implementation requires more attention to the readiness of health facilities, strengthening management systems, and budget adjustments to support optimal operations. Furthermore, this policy requires the active involvement of the community and health workers in the evaluation and decision-making process so that the policy is more responsive to the real needs in the field. The theoretical approaches used, such as public policy theory and progressive law, highlight the importance of cooperation between the government, healthcare providers, and communities to ensure effective and equitable implementation of KRIS. This research suggests improving hospital infrastructure, continuous training for health workers, and strengthening a transparent monitoring system to ensure the success of this policy. This research is expected to make a positive contribution to the formulation of health policies that are more inclusive and sustainable and can serve as a reference in efforts to realize a more equitable and fair health service system for all Indonesians.

Upper Arm Circumference (LILA) is one of the indicators used in Indonesia to assess the risk of Chronic Energy Deficiency (KEK) in pregnant women and adult women. Chronic lack of energy for a long time causes the immune system to decrease so that the body is susceptible to infectious diseases, the decreased ability to concentrate which occurs is related to a decrease in iron stores. Upper Arm Circumference (LILA) measurement aims to analyze the relationship between Upper Arm Circumference (LILA) and the incidence of Chronic Energy Deficiency (KEK) in students at the Faculty of Public Health, Halu Oleo University. The method used is data analysis, involving measuring LILA and collecting data regarding nutritional status and factors that have the potential to influence KEK. The results of the analysis show that there is a significant relationship between LILA size and the incidence of CED. Of the 50 respondents studied, 52% experienced CED with a LILA size of less than 23.5 cm, which indicates the existence of serious nutritional problems among this population. It is hoped that this research will provide useful information for universities and health workers in efforts to prevent and treat nutritional problems among students.  

Unhealthy pregnancies will affect the health of the mother and baby, which can lead to fatal pregnancies and even obstructed labor and breastfeeding. So in pregnancy, care is needed during pregnancy which needs to be monitored by carrying out routine ANC so that early examination or detection can be carried out since pregnancy. The aim of the research is to find out in depth what factors influence complications in pregnancy at the Terangun Nursing Health Center in 2024. This research uses a descriptive design with a quantitative type of research using case control research and a retrospective approach where the research takes data from the past. . The research sample was pregnant women who experienced complications and who did not experience pregnancy complications. Research results Age influences the occurrence of complications in trimester pregnancies with the results of the chi-square statistical test on maternal age, namely ρ=0.006<0.05. Parity influences the occurrence of complications in the third trimester of pregnancy with the results of the chi-square test, namely ρ=0.020<0.05. Pregnancy spacing influences the occurrence of complications in the third trimester of pregnancy using the chi-square test, namely ρ=0.018<0.05. Research suggestions: It is hoped that health workers, especially midwives in hospitals, will be able to provide counseling and education regarding the danger signs of complications that may occur in the third trimester of pregnancy..

Vaccination attacks for children 6-11 years old is very important in community service activities because they can help speed up the spread of the covid-19 vaccine, thereby minimizing elementary school children contracting Covid-19. The purpose of this community service is to help elementary schools feel calmer in carrying out offline learning, as an effort to avoid learning loss when learning online. This activity was supported by the principal and teachers of SD Krian III and the AAL Health unit Health workers. Vaccination is carried out 2 times, namely the 1st vaccination on January 11, 2022 and the second vaccination on February 16, 2022. The vaccination implementation is guided by the Decree of the Minister of Health of the Republic of Indonesia Number HK.01.07/MENKES/6688/2021 concerning the Implementation of the Corona Virus Disease 2019 Vaccination (Covid- 19) for children aged 6 (six) to 11 (eleven) years, with a vaccination service screening format. The results of the 1st vaccination activity of 610 registrants who vaccinated 609 children, of which 1 was postponed. Vaccination 2 of 452 children, 1 child for vaccine 1 and 451 children for vaccine 2. It is recommended to develop a vaccine attack to elementary school students in areas that have not been vaccinated.

The rush of vaccinations for the community is very important because it can help accelerate the spread of the Covid-19 vaccine, thereby minimizing the number of people infected with Covid-19. The purpose of this Community Service is to help the community be calmer in carrying out a new life in the Covid-19 pandemic called the new normal, by always implementing health protocols, namely wearing masks, washing hands, and maintaining distance.  This activity was supported by a team of lecturers, a team of cadets, volunteers of the Jalapati team, and health workers of the AAL Health unit. Vaccination is carried out for several periods from  October 5, 2020, to April 27, 2022, and in several places, namely at the Al Muttaqiin Kenjeran Mosque, AL-Rodlotul Jannah Gedangan Mosque, AL Ukhuwah Candi Mosque and AL Karomah Kramat Jegu Banyuwangi Mosque;    Masjid At Taqwa Dewaruci Pesapen AAL;  Gresik District Health Office, Slempit Gresik Health Center and Kedamean Gresik Health Center;  Satkes Lanal Malang, Malang City Health Office, Malang Regency Health Office, Batu City Health Office, Pasuruan PKK Chairman, Blitar Health Office, Srengat Blitar Hospital and Kademangan Blitar Health Center; Lamongan Health Office;  Bhinor Paiton Probolinggo Village;  Probolinggo Health Office; Mandangin Sampang Madura;  Halong Pier and Morokrembangan Kalianak Fishing Village;  ICC Propan Raya Paint Factory Sidoarjo Branch; Surabaya Shipping Science Polytechnic; Educity Apartment Perum Pakuwon City Complex; Pasar Turi Station Surabaya. The implementation of vaccination is guided by: Decree of the Director General of Disease Prevention and Control Number HK.02.02/4/ 1/2021 concerning Technical Guidelines for the Implementation of Vaccination in the Context of Overcoming the Corona Virus Disease 2019 (Covid -19) Pandemic, Circular Letter HK.02.01/I/2007/2021 concerning Covid-19 Vaccination for Pregnant Women and Screening Adjustments in the Implementation of Covid-19 Vaccination, as well as Circular Number: HK.02.02/II/252/2022 concerning Vaccination  Covid-19 Advanced Dose (Booster).

The aim of this activity is to provide understanding to buffalo breeders regarding the importance of implementing biosecurity in preventing disease transmission in livestock, increase breeders' awareness of biosecurity measures that must be taken in the livestock environment, and equip breeders with practical knowledge about ways to prevent disease through implementation of biosecurity. This activity was carried out using an outreach method involving the community and the Head of Syota Hamlet and his staff. The methods used in this activity are: Material Presentation and Interactive Discussion. Some common biosecurity applications are access control, animal movement control, cleanliness and sanitation, waste management, health monitoring and vaccination. This socialization activity was successfully attended by around 35 people in the program target area. Most breeders showed an increased understanding of the importance of implementing biosecurity after following the socialization. Farmers claim to be ready to implement biosecurity measures such as quarantining new livestock, managing livestock waste, and providing good sanitation in the livestock environment. Some farmers also asked for further assistance regarding more specific biosecurity implementation, such as how to properly vaccinate livestock. In this socialization, several biosecurity measures were emphasized to be applied to buffalo livestock, including: quarantine of new livestock, cleanliness of pens and the environment, prevention through vaccination, waste management, protection of workers and visitors.

The provision medical records quality cannot be separated from consistent recording in the use of medical symbols and abbreviations.. Symbols and abbreviations have been regulated in SNARS Edition 1.1. The uniform use of medical symbols and abbreviations aims to make the writing of terms understandable and can be used as a communication tool between health workers. Hospitals must have regulations, regarding the symbols and abbreviations used. Based on the results of preliminary studies at PKU Muhammadiyah Gamping Hospital, monitoring and evaluation have never been carried out regarding the use of symbols and abbreviations. Research on the accuracy of the use of symbols and abbreviations has also never been done, so it is necessary to conduct a review of the problem. This study used descriptive observational method with quantitative approach and cross sectional design. A purposive sampling technique used to 100 samples on the emergency room form for inpatients in the first quarter of 2022. The results showed that there was no monitoring and evaluation related to the use of symbols and abbreviations at PKU Muhammadiyah Gamping Hospital. The percentage of correct use of symbols was 27% and the percentage of correct use of abbreviations was 37%. The results of the analysis show that the inaccurate use of medical symbols and abbreviations is caused by the lack of socialization to related health workers, and there is non-compliance with officers in using medical symbols and abbreviations that have been regulated in the applicable guidelines at PKU Muhammadiyah Gamping Hospital.

Background: Telepharmacy is the application of telecommunications technology in the provision of pharmaceutical services over long distances. In remote areas such as East Sumba which have limited access to conventional health services, telepharmacy has the potential to be a solution to increase community access to drug information and pharmaceutical counseling. This research aims to determine the perspective and behavior of pharmaceutical personnel regarding Telepharmacy in East Sumba, especially in terms of providing drug information. Methods: This research is a descriptive observational study with a cross-sectional approach. A total of 27 pharmaceutical workers who practice in East Sumba were selected purposively. Data collection was carried out using an online questionnaire via Google Forms. Results: The results show that the majority of respondents were female (59.3%), under 30 years old (88.9%), and had a pharmacy diploma (33.3%). Pharmaceutical personnel generally have a positive perspective regarding Telepharmacy (82.4%), drug information services (82.7%), pharmaceutical counseling (76.3%), drug therapy monitoring (93.8%), and legal restrictions (89.9%). Consclusion: Research shows that the majority of pharmaceutical workers in East Sumba have a positive view of Telepharmacy.

Midwives are one of the health workers in reducing maternal and infant mortality rates by providing continuous midwifery services, promotion through partnerships and empowering communities with other health workers. The sample in this study was 24 pregnant women in the second and third trimesters consisting of 12 respondents for the control group and 12 respondents for the intervention group. The time of the study was May to June at the Negri Lama Health Center in 2022. The time of the study was May to June at the Negri Lama Health Center in 2022. The results of the bivariate analysis test using Mann Whitney showed a P-Value of 0.022 (P <0.05) so Ho was rejected, which means that there is a significant effect of giving dates on increasing hemoglobin in pregnant women in the second trimester. Pregnant women, especially pregnant women who experience anemia, are expected to routinely consume iron tablets and dates because if consumed properly, dates have many benefits, especially for pregnant women and dates do not have side effects on the fetus or mother so that they can meet the nutritional needs required by the body and can maximize iron absorption.

Colostrum is the first fluid secreted by the mammary glands. The highest content in colostrum is antibodies that are ready to protect the baby when the baby is still very weak. The protein content in colostrum is higher than the protein content in mature milk. The purpose of this study was to analyze the factors of colostrum administration to postpartum mothers in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022. The method in this study is an analytical research type with a research design using cross-sectional, namely a study in which variables including risk factors and variables including effects are observed at the same time. This study uses data taken retrospectively. This research was conducted in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022. The population in this study was 35 people, then the sample was part of all the objects studied and was considered to represent the entire population (Notoatmodjo, 2015). The number of samples used was 29 people using the Accidental Sampling technique. Data collection techniques using questionnaire sheets and respondent observation sheets. Data analysis techniques using the chi-square statistical test show that the p-value shows that p = 0.005 which means Ho is accepted (p value <0.05), so it can be concluded that there is a significant relationship between the knowledge category and the provision of colostrum. Conclusion: This study means that there is a significant relationship between the factors of Knowledge, Family Support, Support, Information Sources, Parity, Role of Health Workers, Provision of Colostrum in Kayu Kul Village, Pegasing District, Central Aceh Regency in 2022.

Exclusive breastfeeding for newborns is an effort to prevent infectious diseases, malnutrition and death in babies and toddlers. The achievement of exclusive breastfeeding is still low, indicating that there are factors preventing mothers from giving exclusive breastfeeding for six months to their babies. The low number of breastfeeding mothers is motivated by the lack of awareness among mothers regarding the importance of breast milk for the growth and development of their children. This study aims to determine the characteristics of mothers who do not provide exclusive breastfeeding at the Bajeng Community Health Center, Gowa Regency. The method used in this research is a descriptive design which is a type of analytical and observational research design with a total sample of 30 people selected using total sampling techniques. The results of the research showed that of the 30 respondents, 24 respondents were able to provide exclusive breastfeeding with the age of 20-35 years and the highest number of domestic workers were 18 respondents or (100%), while in terms of family support the highest number of respondents were able to provide exclusive breastfeeding were 12 respondents or (66.7%). In terms of education, the highest number of mothers who were able to provide exclusive breastfeeding were high school/vocational school education with 17 respondents or (56.7%) and the highest number of mothers who were able to provide exclusive breastfeeding were primigravida mothers with 8 respondents.