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This study analyses the challenges of digitalising registration services at Primary Healthcare Facilities (Fasilitas Kesehatan Tingkat Pertama, FKTP) in East Java, including limitations in human resources, technological infrastructure, and public digital literacy, all of which affect the satisfaction of National Health Insurance (Jaminan Kesehatan Nasional, JKN) patients. Utilising the Systematic Literature Review (SLR) methodology with the PRISMA approach, the study reviews literature from 2024–2025 sourced from databases such as Google Scholar, using keywords related to digitalisation, FKTP, and patient satisfaction. The analysis is based on the ADO (Antecedent, Decision, Outcome) framework. The findings identify three key factors: (1) Antecedents (human resource competence, infrastructure, digital literacy); (2) Decisions (human resource training, facility modernisation, public outreach); and (3) Outcomes (increased patient satisfaction through time efficiency and ease of access). The study emphasises the need to strengthen human resources, provide adequate infrastructure, and educate the public to ensure the sustainability of digital healthcare services at FKTPs in East Java.

Hypertension substantially increases the risk of developing secondary conditions, including stroke, renal disease, coronary heart disease, and heart failure. Early management is therefore essential to prevent complications and adverse outcomes. Evidence indicates that untreated hypertension contributes to approximately 60% of stroke cases. Public knowledge regarding hypertension-related complications remains limited, and many individuals are unable to identify early signs of stroke the most common complication associated with hypertension. This study aimed to assess the knowledge of hypertensive patients regarding stroke risk and management at Santa Elisabeth Hospital Medan in 2024. A descriptive research design was employed. The sample consisted of 67 hypertensive patients attending the outpatient clinic, selected through purposive sampling. Data were presented using frequency distribution tables. The findings revealed that 52.2% of respondents demonstrated poor knowledge, 32.8% had moderate knowledge, and only 14.9% showed good knowledge regarding stroke risk and management. These results underscore the need for patients to adopt healthier lifestyles and for the hospital to strengthen educational efforts by providing more engaging and interactive learning materials for patients and their families.

The advancement of information technology has had a significant impact across various sectors, including healthcare. The digitalization of healthcare services has become a solution to improve efficiency, effectiveness, and accessibility for the public. Puskesmas Selindung still uses a manual patient registration system, which leads to several issues such as long queues, extended waiting times, and the risk of lost or damaged patient records. Based on visit data, the number of patients coming to Puskesmas Selindung has increased each year. Therefore, a digital queue system is needed to optimize the patient registration process. This research aims to analyze and design an Android-based patient registration queue application to improve service efficiency at Puskesmas Selindung. The research methods include system requirements analysis, user interface design, and the development of core features to support the online patient registration process. The implementation of this application is expected to reduce long queues, speed up administrative processes, and make it easier for patients to access healthcare services more effectively and accurately. With this Android-based system, the quality of healthcare services at Puskesmas Selindung is expected to improve significantly.

Food safety is crucial for public health, particularly in rural areas with limited access to information and food additive (BTP) detection tools. The PKK group in Borisallo Village faces challenges due to low awareness about the dangers of BTP such as formalin, borax, Rhodamin B, methanol yellow, and synthetic sweeteners, as well as limited skills in detecting these substances. This Community Service (PKM) program aims to enhance the knowledge and skills of PKK members through education and training on natural BTP detection and food processing. Methods include counseling, demonstrations using organoleptic and household tests, and practicing with natural alternatives for preservatives, sweeteners, and food colorings. Results showed a significant increase in participants' understanding and detection ability, as seen in the pretest and posttest evaluations. The provision of portable stoves and pans also ensures sustainability of the activities. This program strengthens the PKK's role in food safety supervision at the village level and suggests further training, additional detection tools, and more collaboration with health centers and local governments to sustain the initiative.

Nutritional problems in toddlers remain a public health challenge in Indonesia, including in Tarakan City, North Kalimantan. The 2018 Basic Health Research (Riskesdas) data shows a high prevalence of malnutrition, severe malnutrition, and stunting in toddlers, with data showing that based on the body weight index (BB/A) the prevalence of malnourished toddlers is 3.9% while 13.8% of toddlers are undernourished. Based on the height-for-age (H/A) index, there are 11.5% of toddlers with very short nutritional status and 19.3% of toddlers with stunted nutritional status. Meanwhile, based on the weight-for-height (BB/H) index, the proportion of very wasted children is 3.5%, undernourished children are 6.7%, and overweight children are 8% (Riskesdas, 2018). Because of these problems, early nutrition education efforts are needed. This community service activity aims to increase the knowledge of toddler mothers about the importance of balanced nutrition for children, especially through the use of UHT milk as a nutritional supplement, as well as strengthening the role of integrated health posts (Posyandu) in monitoring child growth and development. Thus, this community service activity contributes to raising public awareness of the importance of meeting toddler nutritional needs and is expected to support government programs to reduce the prevalence of stunting in Tarakan City.

This study discusses allegations of abuse of dominant position by Lion Air Group in the domestic aviation market and air cargo services in Indonesia. By controlling more than 50% of the market share, the group is suspected of unilaterally setting ticket prices and logistics costs, which could hinder healthy business competition and harm consumers and competing airlines. This study uses a normative juridical approach with a descriptive qualitative analysis method, supported by secondary data from legislation, KPPU reports, and academic literature related to competition law. The study's findings indicate that the concentrated market structure and weak regulatory oversight contribute to the formation of dominant behavior that harms the market and consumers. Legally, such actions violate Article 25 of Law Number 5 of 1999, as they result in discriminatory practices and unreasonable price control. Synergy between the KPPU and the Ministry of Transportation is needed to strengthen regulations in the aviation sector in order to create a business climate that is more fair, competitive, and oriented towards public welfare.

This study analyzes the burden on health services and the level of regional preparedness during the 2025 flood disaster in North Sumatra Province. Using a descriptive-analytic design with secondary data obtained from official disaster reports, this research examines the number of affected households, displaced populations, mortality, and emergency response status across 18 districts and cities. Findings show significant variations in the magnitude of impacts, with regions experiencing higher numbers of affected populations demonstrating greater pressure on health services, particularly in emergency care, communicable disease prevention, and shelter-based health management. Furthermore, regions that activated emergency response status earlier and demonstrated stronger preparedness were found to experience lower health burdens. These results highlight the importance of integrating disaster preparedness into local health system planning to strengthen resilience against hydrometeorological disasters. The study emphasizes the need for improved intersectoral coordination, enhanced health logistics capacity, and readiness of health personnel to respond effectively to large-scale emergencies.

This community service program aims to improve digital literacy among residents of Sentang Urban Village, Kisaran Timur Subdistrict, Asahan Regency. The main issues addressed include low public awareness of safe and healthy internet usage and the risks of data misuse, hoaxes, and cyberbullying. A participatory counseling method was employed, involving residents directly in discussions, simulations, and digital security practices. The results show a significant increase in participants’ understanding of digital ethics, cybersecurity, and wise internet usage. Additionally, the activity led to the formation of a new social institution called the Internet Safety Awareness Group (KWSIS), which serves as a community-based educational forum. These findings indicate that participatory approaches are effective in fostering digital literacy-based social change.

Anemia in pregnant women remains a global public health problem, particularly in developing countries. Iron supplementation is the main intervention recommended for the prevention and management of anemia during pregnancy. This literature review aims to analyze the effectiveness of iron supplementation in preventing anemia among pregnant women using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. Article searches were conducted through scientific databases and the attached journals, with a publication range from 2019 to 2024. The selection process resulted in 10 articles that met the inclusion criteria. Narrative synthesis showed that iron supplementation, whether administered alone or combined with vitamin C or other supportive nutritional interventions, was effective in increasing hemoglobin levels in pregnant women. Adherence to supplementation and nutritional education support were significant factors influencing the success of the intervention.

Malaria remains a significant health issue in the coastal areas of Yapen Islands Regency, particularly among children who are at high risk of morbidity and mortality. To address this, a community empowerment and mentoring activity was conducted in Kampung Turu, the service area of Serui Kota Health Center, with the aim of increasing knowledge and practices related to malaria prevention through a community-based education approach. The program involved 60 respondents and was carried out in three stages: preparation, implementation, and monitoring and evaluation. The interventions included malaria education, demonstrations on the use of insecticide-treated bed nets, environmental management, and training community health workers as education agents. Pre–post test evaluations showed an improvement in community knowledge and awareness regarding malaria prevention in children. The community empowerment approach was proven effective in promoting positive behavioral changes and enhancing the capacity of parents and health workers to carry out sustainable malaria prevention efforts. This program is expected to serve as a model for public health interventions in coastal areas aimed at reducing the risk of malaria in children.  

The development of information technology offers great opportunities to improve public health services, particularly in managing health data for pregnant women and toddlers. However, at the community level, challenges remain such as manual recordkeeping, limited digital literacy, and the absence of integrated data systems. This community-based digital health data mentoring program aims to enhance the capacity of local cadres and residents to manage health data digitally, accurately, and sustainably. The methods included socialization sessions, training on health data recording applications, and field mentoring over a three-month period in community health posts. The results showed a significant improvement in cadres’ ability to use digital applications (from 45% to 90%) and a 60% reduction in data reporting time. Moreover, the quality of health data collected became more valid and easily accessible to medical staff and local health centers. This program has proven effective in fostering community independence in technology-based health data management and has the potential to be replicated in other regions with cross-sectoral support.

Clean and Healthy Living Behavior (PHBS) is a strategic effort to improve public health from an early age. Elementary schools are ideal environments to instill PHBS values because children are at a developmental stage where habits are easily shaped. However, observations show that many students still have poor hygiene habits, such as not washing hands properly, consuming unsafe snacks, and neglecting school cleanliness.This PHBS education activity through the School Health Program (UKS) aims to improve students’ knowledge, attitudes, and healthy living practices. The implementation methods include interactive health education, handwashing demonstrations, environmental cleanliness simulations, and classroom cleanliness competitions. The evaluation results show a significant increase in students’ PHBS knowledge from 56% to 92%, accompanied by positive behavioral changes such as regular handwashing and proper waste disposal. This program demonstrates that an educational approach through UKS is effective in fostering clean and healthy living habits among elementary school students. It is expected that similar programs will continue sustainably with the involvement of teachers, health workers, and parents to create a healthy and supportive school environment for children’s growth and development.

The community assistance program in understanding BPJS administrative procedures at healthcare facilities aims to improve health literacy and service accessibility for participants of the National Health Insurance (JKN). Many citizens, particularly in rural areas, still face challenges in understanding BPJS registration, referral, and service claim procedures. This activity was carried out through a community-based participatory approach using socialization, service flow simulations, and direct mentoring at healthcare facilities. The results show a significant increase in public understanding of BPJS administrative stages, improved ability to access services independently, and higher satisfaction with healthcare services. The program also strengthened collaboration between communities, health cadres, and BPJS officers in facilitating administrative processes. Therefore, this initiative contributes to improving service efficiency and promoting equitable access to healthcare for all community groups.

Background : The Maternal Mortality Rate (MMR) worldwide reaches 183,000 per 100,000 live births (WHO, 2024). In Indonesia, there were 4,305 reported cases (Ministry of Health RI, 2024), while Central Java Province recorded 315 cases (Central Java Health Office, 2024). In Brebes Regency, there were 54 maternal deaths in 2024 (Brebes Health Office, 2024), and in the Bumiayu Public Health Center area, 2 maternal deaths were recorded (Bumiayu PHC Data, 2024). Objective : To analyze, implement, and provide comprehensive midwifery care for Mrs. A, 25 years old, with anemia in the Bumiayu Public Health Center area in 2025, using the Varney midwifery management approach and the SOAP method. Research Methods : This study used a qualitative descriptive design in the form of a case study. Results : Midwifery care during pregnancy for Mrs.A with anemia was carried out bassed on the mother’s needs. During labor, newborn care, postpartum period, and family planning services, no complications were found. Conclusion: The comprehensive midwifery care provided to Mrs. A with anemia was carried out in accordance with the Standard Operating Procedures (SOP), with both the mother and baby in good condition.

Stunting is a significant public health problem in Indonesia, especially among toddlers. Stunting can have long-term effects on children's quality of life, including physical growth and cognitive development disorders. The Puuwatu Community Health Center in Kendari City has recorded a high rate of stunting. Therefore, it is important to identify the factors associated with stunting in this area. This study aims to identify factors associated with stunting in toddlers in the working area of the Puuwatu Health Center in Kendari City. This study uses an analytical study design with a cross-sectional approach. The sample in this study consisted of 73 respondents, and sampling was conducted using stratified random sampling taken from each urban village. Data were collected through interviews with parents of toddlers experiencing stunting, as well as measurements of the toddlers' nutritional status. Data analysis was performed using the chi-square statistical test to examine the relationship between the variables studied. This study shows that nutritional intake (p value = 0.002), exclusive breastfeeding (p value = 0.000), and income (p value = 0.439) are related to stunting. It can be concluded that there is a relationship between nutritional intake and exclusive breastfeeding with the incidence of stunting, while income is not related to the incidence of stunting in the working area of the Puuwatu Community Health Center.

Diarrhea remains a significant public health problem in Indonesia. Data show a high prevalence among vulnerable groups, including adolescents who have busy daily activities, frequently consume food outside the home, and have low personal hygiene practices. This activity aimed to improve students’ knowledge of Clean and Healthy Living Behavior (PHBS) as an effective strategy for preventing diarrhea. The education was delivered through interactive lectures supported by leaflet media, and its effectiveness was measured using pre-test and post-test assessments. The health promotion titled “Clean and Healthy Living Behavior (PHBS) Among Adolescents: Simple Steps Against Diarrhea” at Subulussalam Integrated Islamic Junior High School showed an increase in participants’ knowledge from 79.6% to 88.2%.

Human Immunodeficiency Virus (HIV) infection leading to Acquired Immune Deficiency Syndrome (AIDS) remains a global public health issue, with 39 million people living with HIV worldwide in 2022. Although X Hospital in Malang City provides a comprehensive care program, internal data shows a significant level of non-adherence to antiretroviral (ARV) therapy, often in the form of irregular consumption or discontinuation of medication without medical recommendation. This observational study with a cross-sectional approach aims to identify the determinants of ARV non-adherence, involving 81 non-adherent AIDS patients at Hospital X through total sampling techniques. The characteristics of the respondents were dominated by males, highly educated, and working in the non-government sector, with the majority using the ARV regimen TLD, COTRIMOXAZOLE. The results of statistical analysis indicate that all eight determining variables tested show a highly significant positive correlation (p < 0.001) with non-compliance, meaning that the more severe the problems with these factors, the lower the patient compliance. Furthermore, the top five factors showed a very strong positive correlation (r > 0.80) with non-adherence, namely motivation/depression, social support, communication with service providers, treatment costs, and age or routine. These findings underscore that these five key determinants must be a crucial focus in designing and implementing targeted intervention strategies to effectively improve patient adherence to ARV therapy.

Cervical cancer remains a major public health problem and is one of the leading causes of cancer-related mortality among women in Indonesia. Early detection through Visual Inspection with Acetic Acid (VIA) is an effective and feasible screening method at the primary health care level. However, the coverage of VIA screening among women of reproductive age (WRA) remains low. Knowledge is considered an important predisposing factor that may influence women’s motivation to undergo VIA screening. This study aimed to analyze the association between cervical cancer knowledge and motivation to undergo VIA screening among women of reproductive age. This study employed a quantitative analytic design with a cross-sectional approach. A total of 105 women of reproductive age were recruited using consecutive sampling at the Payangan Community Health Center, Gianyar Regency, Indonesia. Data were collected using validated and reliable structured questionnaires measuring cervical cancer knowledge and motivation to undergo VIA screening. Univariate analysis was performed to describe respondent characteristics, while bivariate analysis using the chi-square test was applied to examine the association between knowledge and motivation at a significance level of 5%. The results showed that 61.9% of respondents had good knowledge of cervical cancer, while 52.4% demonstrated low motivation to undergo VIA screening. A statistically significant association was found between cervical cancer knowledge and motivation to undergo VIA screening (p = 0.043). Women with higher levels of knowledge tended to have greater motivation to participate in VIA screening. In conclusion, cervical cancer knowledge is significantly associated with motivation to undergo VIA screening among women of reproductive age. These findings suggest that strengthening health education interventions at primary health care facilities is essential to enhance motivation and increase participation in early cervical cancer detection programs.

The use of electronic cigarettes (vapes) among adolescents continues to increase and has emerged as a significant public health concern influenced by the interaction of individual, social, and environmental factors. This study aims to comprehensively riview the factors influencing adolescent e-cigarette use from the perspective of Social Cognitive Theory. A descriptive-narrative literature review was conducted using empirical national and international studies published between 2015 and 2025 and retrieved from Google Scholar, PubMed, and ScienceDirect databases. The synthesis of the literature indicates that adolescent vaping behavior is influenced by social environmental factors, including peer influence and exposure to social media, as well as personal cognitive factors such as knowledge, risk perception, outcome expectations, and self-efficacy. These factors operate thorugh observational learning and reciprocal interactions between individuals, environment, and behavior. This review concludes that Social Cognitive Theory provides a relevant and comprehensive framework for understanding adolescent vaping behavior and offers a foundations for the development of effective health promotion interventions and preventive policies.

Handwashing with Soap (CTPS) is the activity of cleaning hands using clean, running water and soap to remove dirt, oil, and various germs such as viruses, bacteria, and parasites that may cling to the skin. As one of the most effective, simplest, and most affordable methods of preventing infectious diseases, CTPS is highly important to practice consistently, especially among students at Public Elementary School 283 located in Waitomu Hamlet, Leihitu District, Central Maluku Regency. However, observations indicate that after school activities or playtime, several students still show reluctance to wash their hands, which may be influenced by low awareness, limited understanding of hygiene, insufficient supervision, or the absence of strong daily habits related to cleanliness. This issue reflects the need for more structured hygiene education, continuous reminders, and interactive learning methods to instill good handwashing habits. In addition, improving supporting facilities—such as accessible handwashing stations, adequate soap supply, and visual posters—can motivate students to practice CTPS more regularly. Strengthening CTPS awareness and habits is expected to reduce the risk of disease transmission, foster a healthier school environment, and encourage students to adopt lifelong hygiene practices that benefit both their personal well-being and the wider community.