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Stunting is a major indicator of chronic nutritional problems that affect children’s growth and development. In Indonesia, stunting prevalence remains high and is a national public health concern. This study aimed to analyze the relationship between socio-demographic factors and stunting incidence among toddlers in the working area of the Tanoh Alas Health Center, Southeast Aceh Regency, in 2025. This study used an analytical quantitative design with a cross-sectional approach. The sample consisted of 93 mothers with children under five selected through simple random sampling. Data were collected using questionnaires and observation sheets from June 19 to July 3, 2025. Statistical analyses included Chi-Square and multiple logistic regression tests. The results showed that 33.3% of children were stunted, 34.4% had poor access to health services, and 68.8% lived in unhealthy housing conditions. Bivariate analysis indicated significant relationships between maternal age (p = 0.007), maternal education (p = 0.012), maternal occupation (p = 0.002), access to health services (p = 0.001), family income (p = 0.032), and healthy housing conditions (p = 0.007) with stunting incidence. Multivariate analysis revealed that access to health services was the strongest factor associated with stunting (p = 0.010; OR = 4.294; 95% CI: 1.411–13.06). Children with limited access to health services were 4.3 times more likely to experience stunting. The study recommends improving the accessibility and quality of maternal and child health services and strengthening multisectoral interventions and health education programs to prevent stunting.

Stunting is a major indicator of chronic nutritional problems that affect children’s growth and development. In Indonesia, stunting prevalence remains high and is a national public health concern. This study aimed to analyze the relationship between socio-demographic factors and stunting incidence among toddlers in the working area of the Tanoh Alas Health Center, Southeast Aceh Regency, in 2025. This study used an analytical quantitative design with a cross-sectional approach. The sample consisted of 93 mothers with children under five selected through simple random sampling. Data were collected using questionnaires and observation sheets from June 19 to July 3, 2025. Statistical analyses included Chi-Square and multiple logistic regression tests. The results showed that 33.3% of children were stunted, 34.4% had poor access to health services, and 68.8% lived in unhealthy housing conditions. Bivariate analysis indicated significant relationships between maternal age (p = 0.007), maternal education (p = 0.012), maternal occupation (p = 0.002), access to health services (p = 0.001), family income (p = 0.032), and healthy housing conditions (p = 0.007) with stunting incidence. Multivariate analysis revealed that access to health services was the strongest factor associated with stunting (p = 0.010; OR = 4.294; 95% CI: 1.411–13.06). Children with limited access to health services were 4.3 times more likely to experience stunting. The study recommends improving the accessibility and quality of maternal and child health services and strengthening multisectoral interventions and health education programs to prevent stunting.

Tuberculosis (TB) remains a global and national health issue. Sijunjung Regency has seen an increase in TB cases, with fluctuating treatment success rates. Medication adherence is a key factor in treatment success and is influenced by the quality of health care services. This study aims to analyze the quality of services regarding medication adherence among TB patients, explore patients’ perceptions, describe service factors influencing adherence, and understand the role of health workers from the patients’ perspective at Community Health Centers (Puskesmas) throughout Sijunjung District. This study employed a qualitative approach with a phenomenological design. The primary informants consisted of 8 TB patients, plus key informants (2 healthcare workers) and additional informants (2 family members). Data were collected through in-depth interviews, observations, and document reviews. Analysis utilized the Miles & Huberman model.Research results on the quality of healthcare services are related to the level of medication adherence in tuberculosis patients. The dimensions that contribute most to adherence are empathy, assurance, and responsiveness. Positive perceptions are seen in aspects of interpersonal relationships (friendliness, patience, effective communication) and logistical reliability (drug availability), while negative perceptions are related to the lack of privacy in waiting rooms, long administrative waiting times, and inflexible service hours for informal workers. Health service factors that influence adherence include continuous education and information, active supervision and monitoring, ease of service access, and support from healthcare workers. The role of healthcare workers in supporting patient adherence, according to the patient's perspective, is as educators and motivators.Based on this study, high-quality care particularly empathy, assurance, and responsiveness is crucial for patient adherence. Improvements to physical facilities and greater flexibility in service hours are needed.  

Tuberculosis (TB) remains a global and national health issue. Sijunjung Regency has seen an increase in TB cases, with fluctuating treatment success rates. Medication adherence is a key factor in treatment success and is influenced by the quality of health care services. This study aims to analyze the quality of services regarding medication adherence among TB patients, explore patients’ perceptions, describe service factors influencing adherence, and understand the role of health workers from the patients’ perspective at Community Health Centers (Puskesmas) throughout Sijunjung District. This study employed a qualitative approach with a phenomenological design. The primary informants consisted of 8 TB patients, plus key informants (2 healthcare workers) and additional informants (2 family members). Data were collected through in-depth interviews, observations, and document reviews. Analysis utilized the Miles & Huberman model.Research results on the quality of healthcare services are related to the level of medication adherence in tuberculosis patients. The dimensions that contribute most to adherence are empathy, assurance, and responsiveness. Positive perceptions are seen in aspects of interpersonal relationships (friendliness, patience, effective communication) and logistical reliability (drug availability), while negative perceptions are related to the lack of privacy in waiting rooms, long administrative waiting times, and inflexible service hours for informal workers. Health service factors that influence adherence include continuous education and information, active supervision and monitoring, ease of service access, and support from healthcare workers. The role of healthcare workers in supporting patient adherence, according to the patient's perspective, is as educators and motivators.Based on this study, high-quality care particularly empathy, assurance, and responsiveness is crucial for patient adherence. Improvements to physical facilities and greater flexibility in service hours are needed.  

Tuberculosis (TB) is one of the oldest infectious diseases that has been present throughout human history and remains a significant public health problem worldwide today. Technological developments have enabled TB detection using the GeneXpert® MTB/RIF Molecular Rapid Test (TCM). Fast and accurate laboratory testing is essential in healthcare services. This study aims to analyze the timeliness of sputum sample delivery at the Pangala Community Health Center (UPT Puskesmas Pangala), using a qualitative research design, namely a descriptive type of research by observing sputum samples stored at the Pangala Community Health Center (UPT Puskesmas Pangala) before being sent to the reference laboratory. The sample in this study was 36 samples taken by total sampling. The results showed that there were 29 samples sent within a period of <7 days and 7 samples sent within a period of 8-14 days. This finding proves that there is inaccuracy in sending sputum samples at the Pangala Community Health Center (UPT Puskesmas Pangala). It is hoped that future researchers can touch on aspects of sample quality such as sample volume, sample color, and sample consistency.

Drug availability at community health centers is an important indicator of health service quality. Drug shortages or excesses may affect service effectiveness and budget efficiency. This study aimed to determine the level of drug availability at the South City Community Health Center and the Piloloda'a Community Health Center in 2024 based on compliance with the formulary, demand, receipt, and drug availability categories. This study used a descriptive analytical method with a cross-sectional approach. Data were obtained retrospectively from the 2024 Drug Use Report and Request Sheet (LPLPO). Data analysis was conducted by calculating the percentage of compliance with the formulary, demand, and receipt, and by determining drug availability levels using the Indonesian Ministry of Health (2010) formula and the classification of Carolien et al. (2017). The results showed that formulary compliance was 82% at the South City Community Health Center and 67% at the Piloloda'a Community Health Center, both below the 95% standard. Drug demand compliance scores were 151% and 199%, exceeding the 100–120% standard, while drug receipt compliance scores were 71% and 56%, below the 100% standard. Drug availability categories varied from adequate and insufficient to excess stock, with most drug items classified as insufficient stock. In conclusion, drug management at both community health centers has not been fully optimal. Improved coordination between community health centers and pharmaceutical facilities is needed to maintain stable drug availability and support service needs.

Stunting is a condition of growth failure in toddlers due to chronic malnutrition characterized by height below the age standard. This study aims to analyze the dietary patterns of stunted toddlers in the Parigi Community Health Center, Muna Regency, in 2025. The study used a qualitative approach with a phenomenological design. Informants consisted of mothers who had stunted toddlers as key informants and Posyandu cadres as supporting informants selected by purposive sampling. Data collection was carried out through in-depth interviews, observation, and documentation, then analyzed through the stages of data reduction, data presentation, and drawing conclusions with triangulation validity tests. The results showed that feeding practices for stunted toddlers were still not in accordance with recommendations. All informants had carried out Early Initiation of Breastfeeding (IMD), but exclusive breastfeeding was not optimal due to the perception of insufficient breast milk. Complementary breastfeeding (MP-ASI) tended to be given before the age of 6 months, influenced by the assumption that babies were hungry when they cried and cultural habits. The frequency of toddler meals was irregular, the type of food was dominated by porridge, and food variety was still limited. Consumption of animal side dishes, vegetables, and fruit was also not routinely provided. In conclusion, the dietary patterns of stunted toddlers in the study area do not meet the principles of balanced nutrition and are still influenced by family knowledge and habits. Therefore, increased education for mothers and families regarding appropriate feeding practices is needed to support optimal toddler growth and development.

Diarrhea is a significant health issue that leads to a lot of illness and death, ranking third in Indonesia. The causes of diarrhea include inadequate environmental cleanliness, contaminated water sources, and insufficient knowledge in the community. When the community lacks knowledge, it can result in unsuccessful treatment outcomes. This ponder pointed to analyze how mother strengthening and family prosperity information influence loose bowels treatment in Karanganyar Kubu Karangasem Town, Bali. This think about executed a Pre Exploratory Plan, especially utilizing a one gather pre-post test arrange. The subjects of this ponder were moms chosen based on foreordained consideration and avoidance rules, centering on strengthening and family wellbeing. Data to assess the advancement of knowledge was gathered using questionnaires during the pretest, posttest I, and posttest II phases. Members included moms who were portion of family welfare activities in Karanganyar Kubu Karangasem town in Bali. Speculation testing was carried out to compare the comes about from the pretest to posttest I p <0.001, pretest to posttest II p <0.001, and posttest I to posttest II p <0.001, illustrating a noteworthy improvement in information after experiencing instruction through the CBIA strategy.

Health communication plays a crucial role in dental practice, particularly in conveying sensitive clinical information or bad news. Barriers to communication can increase patient anxiety, decrease adherence to therapy, and impact the quality of healthcare services. The SPIKES protocol presents a six-stage, systematic and empathetic communication model for conveying clinical information. This study aims to analyze the implementation of the SPIKES protocol as a health communication model in dental practice. The study used a systematic literature review method with data sources from the Scopus, PubMed, and Web of Science databases for the period 2020–2025. Article selection was carried out using the PRISMA approach based on inclusion and exclusion criteria. The results of the study indicate that the implementation of the SPIKES protocol can improve the clarity of information delivery, strengthen the relationship between healthcare professionals and patients, and reduce patient anxiety. In addition, the empathetic approach in SPIKES contributes to increased patient satisfaction and adherence to treatment plans. In conclusion, the implementation of the SPIKES protocol can support the improvement of the quality of clinical communication in dental practice through the delivery of targeted, humanistic, and patient-centered information.

Diarrhea is a significant health issue that leads to a lot of illness and death, ranking third in Indonesia. The causes of diarrhea include inadequate environmental cleanliness, contaminated water sources, and insufficient knowledge in the community. When the community lacks knowledge, it can result in unsuccessful treatment outcomes. This ponder pointed to analyze how mother strengthening and family prosperity information influence loose bowels treatment in Karanganyar Kubu Karangasem Town, Bali. This think about executed a Pre Exploratory Plan, especially utilizing a one gather pre-post test arrange. The subjects of this ponder were moms chosen based on foreordained consideration and avoidance rules, centering on strengthening and family wellbeing. Data to assess the advancement of knowledge was gathered using questionnaires during the pretest, posttest I, and posttest II phases. Members included moms who were portion of family welfare activities in Karanganyar Kubu Karangasem town in Bali. Speculation testing was carried out to compare the comes about from the pretest to posttest I p <0.001, pretest to posttest II p <0.001, and posttest I to posttest II p <0.001, illustrating a noteworthy improvement in information after experiencing instruction through the CBIA strategy.

Health communication plays a crucial role in dental practice, particularly in conveying sensitive clinical information or bad news. Barriers to communication can increase patient anxiety, decrease adherence to therapy, and impact the quality of healthcare services. The SPIKES protocol presents a six-stage, systematic and empathetic communication model for conveying clinical information. This study aims to analyze the implementation of the SPIKES protocol as a health communication model in dental practice. The study used a systematic literature review method with data sources from the Scopus, PubMed, and Web of Science databases for the period 2020–2025. Article selection was carried out using the PRISMA approach based on inclusion and exclusion criteria. The results of the study indicate that the implementation of the SPIKES protocol can improve the clarity of information delivery, strengthen the relationship between healthcare professionals and patients, and reduce patient anxiety. In addition, the empathetic approach in SPIKES contributes to increased patient satisfaction and adherence to treatment plans. In conclusion, the implementation of the SPIKES protocol can support the improvement of the quality of clinical communication in dental practice through the delivery of targeted, humanistic, and patient-centered information.

The premium healthcare industry in urban areas is experiencing increasing competition along with the increase in healthcare facilities and the increasing public demand for fast, comfortable, and quality medical services. In this context, Columbia Asia Pulomas Hospital is implementing an expansion strategy by increasing facility capacity, modernizing services, and adding a Center of Excellence (COE) as a service differentiation. This study aims to analyze customer retention strategies within the Balanced Scorecard (BSC) framework, focusing on the relationship between customer perspectives, internal processes, learning and growth, and their application to the financial perspective. The research method uses a document-based policy and strategy analysis approach, field findings, and a synthesis of Balanced Scorecard theory and patient experience.The analysis shows that customer retention during the expansion phase is influenced not only by clinical quality, but also by the assurance of doctor time in practice, speed of service, physical comfort, and digitization of queues and administration. The addition of a COE has been shown to increase the perception of service value and expand market share through service specialist differentiation. Within the BSC framework, the customer perspective serves as a leading indicator for achieving the financial perspective, where increased patient retention contributes to increased revenue, ROI growth, and long-term financial expectations. The research implications emphasize that strategies for strengthening human resources, modernizing internal processes, and service innovation are important foundations in ensuring successful hospital expansion and enhancing competitive advantage.

The provision of herbal-based complementary feeding (MP-ASI) has several positive impacts, including improving mothers’ understanding and skills in preparing complementary foods from local food ingredients in accordance with local customs and socio-cultural practices, thereby enabling mothers to independently continue providing local complementary feeding. This study aimed to determine the effect of training on the preparation of herbal-based complementary feeding for mothers of children under three years old on their knowledge and skills in preparing complementary feeding. This study employed a quasi-experimental research design and was conducted at Kanda Public Health Center. The population consisted of all mothers with children under three years old in the working area of Kanda Public Health Center, totaling 245 mothers. The sample size in this study was 35 respondents. The results of the analysis showed that there was a significant difference in mothers’ knowledge before and after the training on complementary feeding preparation, with a significance value of 0.000.

Healthcare is an integral part of health development in Indonesia, which aims to optimally improve public health. Hospitals, as healthcare facilities, are required to provide quality, safe, and patient-centered services. Service quality is a key indicator of service success, as good service impacts patient satisfaction. One of the most important services in hospitals is obstetrics, which directly relates to maternal and infant health, making patient satisfaction a crucial aspect. Midwives, as professional healthcare workers, play a strategic role in providing comprehensive, sustainable, and patient-centered midwifery care. This study aims to analyze the influence of healthcare facilities and midwife performance on patient satisfaction through service quality. The method used is a quantitative study with an analytical approach and a cross-sectional design. The results of the multiple linear regression test indicate that midwife performance has a more dominant influence on service quality than healthcare facilities. Meanwhile, regarding patient satisfaction, service quality is the most dominant factor, followed by midwife performance and healthcare facilities. The conclusion of this study is that service quality reflects the overall patient experience and is a key factor in improving patient satisfaction.

This community service program aims to strengthen the strategic role of Posyandu (Integrated Health Post) as a center for family health education through the innovation of its educational functions. Previously, Posyandu operations in the community tended to be limited to routine basic health services, such as weight monitoring and nutritional status recording, while the crucial aspect of health education remained suboptimal. This limitation has contributed to a lack of public understanding regarding healthy lifestyles and the prevention of chronic diseases or stunting. The methods implemented in this program included problem identification through observation, health socialization and education, specialized training for Posyandu cadres to enhance their communication capacity, and direct mentoring during activity implementation. The results demonstrated a significant increase in family knowledge regarding balanced nutrition and clean and healthy living behaviors (PHBS). Furthermore, Posyandu cadres became more active and skilled in delivering health information communicatively to the community. This program demonstrates that by strengthening its educational function, Posyandu can transform into an effective and sustainable family health learning center, significantly impacting the improvement of community health standards at the frontline level.

Every nation, including Indonesia, has a problem with population growth. A high birth rate is the consequence of an expanding population, which causes childhood malnutrition. Family planning is an attempt to regulate the quantity and spacing of children. The AKDR is the recommended method of contraception. Indonesia's AKDR coverage is still inadequate. Because the husband is the head of the household, his support is crucial since he has the power to decide whether or not to use contraception. At the Ibu Community Health Center, this research aims to explore the connection between husband support and a lack of interest in using IUD contraception among couples of reproductive age. With 25 individuals in the study group, a cross-sectional research design with total sampling methodologies was employed. A survey was used as the research method, and the data was subjected to Chi-Square analysis with SPSS. The chi-square statistical test produced a P-value (asymp. Sig 2-tailed) of 0.000 < 0.05, indicating that there is a correlation between husband support and a low desire among couples of reproductive age to utilize IUD contraception. Consequently, since H0 was disproved and H1 was proven, it can be inferred that there is a link between husband support and couples of childbearing age having a low interest in using IUD contraception.

This study aims to increase the knowledge and awareness of fifth-grade students of SDN 70 Palembang regarding Clean and Healthy Living Behavior (PHBS) through health communication and community empowerment activities. The method used was qualitative research with an interactive approach, which included counseling, demonstrations of six-step handwashing practices, and the use of educational media in the form of banners and leaflets. The results showed a significant increase in students' understanding of PHBS indicators, especially correct handwashing skills and the ability to recognize healthy snacks. Students' enthusiasm in participating in simulations and educational quizzes demonstrated the success of the participatory communication approach. This activity successfully strengthened the role of schools and community health centers in creating a healthier educational environment, by involving students as agents of behavior change. Through this activity, it is hoped that students will be more aware of the importance of maintaining personal and environmental hygiene, and can apply PHBS in their daily lives.

Problems: Based on data from the Batam City Health Office, the 3 Community Health Centers with the highest incidence of anemia include Sei Panas 15.7%, Sambau 10.24%, Nongsa 8.24%. Objective: This study aims to determine the relationship between maternal age and parity with the incidence of anemia in pregnant women in the working area of UPT Puskesmas Sei Panas Batam City in 2024. Methods: This study used a descriptive correlation research design with a cross-sectional research design. The sampling technique used was Non Probability Sampling. Respondents in this study were 66 pregnant women. Results: Based on the Chi- Square test, the age variable obtained a P-value of 0.000 (ρ <0.05) and the parias variable with a P-value of 0.000 (ρ>0.05). This study shows that there is a relationship between age and the incidence of anemia in pregnant women and the relationship between parity and the incidence of anemia in pregnant women in the working area of UPT Puskesmas Sei Panas Batam City in 2024. Conclusion: there is a relationship between age and parity of mothers with the incidence of anemia in pregnant women. Suggestion: It is hoped that prospective mothers understand the ideal safe age and parity in preparing for a healthy pregnancy in order to avoid anemia during pregnancy. And pregnant women must be diligent in consuming Fe tablets and also make 6 ANC visits during pregnancy so that pregnant women's health is monitored, especially their Hb levels.

This studyyaims tooevaluate environmental activities at the Tenggilis Community Health Center by assessing compliance with occupational health and safety, risk management, and environmental health aspects. The method used is descriptiveequalitative with dataacollection through questionnaires, observation,iinterviews, andddocumentation. The analysis was conducted through reduction, presentation, and conclusion drawing. The results of the study show that the Tenggilis Community Health Center has generally met the criteria in each aspect, buttthere are still someeshortcomings. Innthe OSH aspect, training needs to be scheduled immediately. In risk management, all policies need to beeupdated to include the name and signature of theenew head offthe CommunityyHealth Center. In the environmental health aspect, deficiencies were found relateddto the completeness offthe administration of technical approval for wastewater quality standards and permits for B3 waste storage and wastewater treatment plants, which must be resolved immediately.

Stroke often causes hemiparesis, which impairs hand motor skills and independence in daily activities. Mirror therapy is a rehabilitation intervention that stimulates motor function through visual feedback, while patient motivation plays a crucial role in exercise adherence. This study aims to analyze the effect of mirror therapy and patient motivation on hand motor skills in patients with hemiparesis.The study used a quasi-experimental design with a pretest–posttest approach in 30 hemiparesis patients undergoing rehabilitation at the Ciherang Community Health Center. Mirror therapy intervention was administered for 20–30 minutes, three times per week for four weeks. Hand motor skills were measured using Manual Muscle Testing on a scale of 0–5, while patient motivation was assessed using a questionnaire.The results showed a significant increase in hand motor skills after mirror therapy (p < 0.05) and higher patient motivation was associated with greater motor score improvement (p < 0.05). Mirror therapy and patient motivation have been shown to have a positive effect on hand motor skills in hemiparesis patients, so this combined intervention can be considered as part of a stroke rehabilitation program.