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The high consumer interest in food makes culinary businesses play a crucial role in meeting consumer purchasing interest in culinary. This is a crucial concern and task for all parties, both the government and food producers, to maintain the safety of the food they produce. Both in terms of nutrition, hygiene, safety, halal certification, and so on must be a serious concern for producers. One of the government's programs to ensure food products are safe for public consumption is by issuing distribution permits in the form of PIRT (home industry food) permits and Halal Certification, which are official guarantees from the government, so that food products can be distributed and are safe for consumption by all consumers. PIRT is issued through a supervisory body, namely the Health Office located in a Regency. Along with this, various opportunities to improve marketing performance arise through the marketplace platform. This community service approach uses an empowerment approach to the benefits of PIRT, Halal Certification and digital marketing through the marketplace platform to increase consumer trust in products and marketing performance. Through this service, the product value increases, by obtaining PIRT permits and Halal Certification, and the STIE Gentiaras student product has a wider marketing reach through the marketplace platform.

Breech presentation is a condition in which the fetus is in an elongated position with the head at the uterine fundus and the buttocks in the lower part of the uterine cavity. This condition can increase the risk of labor complications, especially if accompanied by serotinus (post-term pregnancy). Based on data from the Indonesian Ministry of Health (2021), the maternal mortality rate caused by breech presentation and serotinus in Indonesia was recorded at 1,309 cases. In Central Java, the incidence of breech presentation reached 11.5% (Central Java Health Office, 2021). This study aims to determine the implementation of comprehensive midwifery care for Mrs. D, aged 24 years, with breech presentation and serotinus at Mrs. S's PMB in the Kaliwadas Community Health Center area in 2023. The research method used a qualitative descriptive design with a case study approach. Data collection was carried out through interviews, observations, physical examinations, documentation studies, and medical record searches. The results of midwifery care showed that during pregnancy, Mrs. D had a good quality of life. Mrs. D underwent three antenatal care (ANC) visits, during which signs of pregnancy complications suggestive of serotinus were detected. Delivery was performed via cesarean section due to serotinus and breech presentation. During the neonatal period, three visits were conducted, with the baby's examination results within normal limits. During the postpartum period, four visits were conducted, during which the mother's condition was generally good, but at the third postpartum visit, problems with breastfeeding were discovered. Mrs. D was also known not to be using postpartum contraception. The results of this study emphasize the importance of early detection and appropriate management of breech presentation and serotinus pregnancies to prevent complications that endanger the mother and baby. Comprehensive midwifery care covering pregnancy, labor, postpartum, and newborn care is an integral effort to ensure the safety of mothers and babies.  

Health problems are a major problem in developing countries, including Indonesia. The Community Health Center (Puskesmas) is a first-level health service facility that organizes and coordinates promotive, preventive, curative, rehabilitative, and/or palliative health services in its working area. The purpose of this study is to understand the function of Puskesmas management in assessing the performance of Puskesmas in the working area of ​​the Mantup Puskesmas. The type of research used is qualitative descriptive research, the location of the study is the Mantup Puskesmas, Mantup District, Lamongan Regency, the informants in this study were the head of the Puskesmas, the person in charge of cluster 1, the person in charge of cluster 2, the person in charge of cluster 3, the person in charge of cluster 4 and the person in charge of cross-cluster Puskesmas Mantup. Data collection was carried out through in-depth interviews, observation and document searches, data analysis techniques using data reduction, data presentation, drawing conclusions. The results of the research for planning at the Mantup Puskesmas have been implemented well. Organizational efforts have been suboptimal, as some sub-health centers only have midwives as regional supervisors. Implementation is suboptimal due to limited staffing at sub-health centers. Supervision at Mantup Health Center has been functioning well and is being implemented regularly, but performance data is not yet available.Timely input into the existing application, considering the large number of applications that must be completed by service officers and program implementers at the Mantup Community Health Center. Suggestions included establishing a regional development team at the Assistant Community Health Center to optimize village activities, advising the Health Office on integrating health service applications at the Community Health Center, and innovations to improve Community Health Center performance.  

One of the health issues in Talaga Tomoagu village, Bolangitang Barat district, North Bolaang Mongondow regency, is stunting or slow growth in children of the same age, which remains high. Based on data from the Talaga Tomoagu village Health Office, the prevalence of stunting in 2022 was 1.82%, in 2023 it increased to 5.08%, and in 2024 it further increased to 6.67%. Cases of stunting in children and toddlers are a common issue that needs to be addressed in Indonesia due to the lack of balanced nutritional intake. The aim of this program is to provide innovative healthy nutrition menus with children's food preparations (nuggets) made from moringa leaves to prevent stunting. The method used in this program is to provide direct educational counseling and demonstrations on making moringa leaf-based complementary food nuggets. The results of this innovative program show that education on healthy nutrition menus affects mothers' knowledge about stunting and its prevention efforts. After being provided with education and training on making food based on moringa leaves, the results significantly influenced the mothers' knowledge about balanced nutrition as a prevention of stunting issues in the village of Talaga Tomoagu.

Iron deficiency anemia (ADB) is anemia that arises due to reduced iron supply for erythropoiesis, due to empty iron stores (depleted iron stores) which ultimately results in reduced hemoglobin formation. This study aims to determine the effect of giving blood supplement tablets on HB levels in female students suffering from anemia at SMAN 1 Tambakboyo, Tuban Regency. The research design used a pre-experiment using a one group pre test post test approach, with a total sampling technique on a population of 34 female students suffering from anemia in class X and analyzed using the Wilcoxon test. The instruments in this research were Standard Operating Procedures (SOP), hemoglobin level observation sheets and Easy Touch GCU brand hemoglobin measuring equipment. The results of the study showed that the average HB level before 10.17 g/dl and after 15.46 g/dl given blood supplement tablets was normal. The results of the Wilcoxon test obtained a significant value of p=0.000 (p<0.05), which means that there was a significant difference in the HB levels of class X female students before and after being given blood supplement tablets. Health workers, especially in school health offices, should provide blood supplement tablets at the right time so that female students can take the blood supplement tablets regularly and finish them.

This paper discusses the quarantine clearance out handling process through the SSM Single Submission System for the issuance of the Port Health Quarantine Certificate PHQC on the MT Jupiter Star ship managed by PT Semesta Sejahtera Lestari, Lampung Branch. Quarantine clearance out is an important stage in ensuring that ships departing from the port meet all health requirements and are free from the threat of diseases that can be transmitted to other areas. This process begins with the submission of an application by the ship's agent through the SSM System, which is designed to facilitate interaction between various related agencies, including the KKP Port Health Office, Customs, Immigration, and Ksop. After the application is submitted, quarantine officers will conduct a health inspection of the ship, including an examination of the crew and other health documentation. The results of this inspection are then recorded in the system and, if all requirements are met, a PHQC will be issued. This paper also identifies the challenges faced in the process, such as data integration between agencies that is sometimes less than optimal, and the importance of improving coordination between related parties to ensure a smooth clearance out process. Ultimately, the implementation of the SSM system is expected to increase efficiency and transparency in the process of issuing port health certificates, which in turn supports the smooth running of international shipping and trade activities. In writing this paper, the author used field research and library research methods.

E-Puskesmas is a solution to problems caused by manual systems. It was created to streamline the method of reporting data to the Health Office and digitize the process of providing health services to the community at the Puskesmas. In addition, the online reporting system facilitates the dissemination of information effectively and efficiently. This study aims to determine the impact of using E-Puskesmas in improving the effectiveness of health services at the Pancur Community Health Center in Tanjungpinang City. The research method used is descriptive research with a qualitative approach conducted through observation, interviews, and documentation. The results of the study indicate that the implementation of E-Puskesmas has brought significant improvements in managing patient data, appointment scheduling, and reporting processes to the Health Office. Health workers find the system beneficial for storing accurate data, reducing paperwork, and enabling faster coordination with other health facilities. However, the use of the system is still hampered by unstable or slow internet or Wi-Fi networks, which often delay data input and retrieval during busy operational hours. This issue not only reduces efficiency but also causes frustration among staff who rely on the system for daily activities. The conclusion of this study highlights that the use of E-Puskesmas is effective in supporting digital health services but remains suboptimal due to technical challenges. Improving internet connectivity is critical to ensuring seamless operation and maximizing the benefits of the system. The study recommends that the local government and relevant stakeholders enhance the quality of network infrastructure and provide regular technical support and training for Puskesmas staff. By addressing these challenges, the Pancur Community Health Center can improve the stability of its operations and ensure that the E-Puskesmas application delivers optimal results in supporting high-quality, efficient, and technology-driven health services for the community.

HB 0 immunization in Bandar Baru Health Center, Sibolangit District is still low at 39.0%. The low HB 0 immunization in infants is related to predisposing factors such as knowledge and attitudes, supporting factors, namely the place of delivery and reinforcing factors that support the family. This study aims to analyze predisposing, supporting and reinforcing factors related to the provision of HB 0 immunization in the Bandar Baru Health Center area, Sibolangit District. This type of research is a survey using an explanatory research approach. The population in this study were all mothers who had babies at the Bandar Baru Health Center, Sibolangit District, as many as 68 people and a sample of 68 people. Data were obtained by means of interview questionnaires and observations, analyzed using Multiple Logistic Regression statistical tests at = 5%. The results of the study showed that there were significant predisposing factors such as knowledge and attitudes, supporting factors were the place of delivery, reinforcing factors were family support for HB 0 immunization in the Bandar Baru Health Center area, Sibolangit District and the variable that most influenced HB 0 immunization in the Bandar Baru Health Center, Sibolangit District where the workforce was a variable with Exp B = 12,733. It is possible for health workers to provide socialization to mothers about HB 0 immunization to increase HB 0 immunization, the Deli Serdang Regency Health Office should further improve implementation and provide education to the community about the HB 0 program and the community at the Bandar Baru Health Center, Sibolangit District must carry out hepatitis B prevention.

Malaria is an infectious disease caused by Plasmodium parasites and transmitted through the bites of female Anopheles mosquitoes. It remains a serious public health issue in various endemic regions, particularly in developing countries. This study aims to identify the factors associated with malaria incidence and evaluate the effectiveness of prevention and control programs that have been implemented. A quantitative approach with a descriptive correlational research design was used, involving secondary data from the Health Office reports and primary data collected through field surveys in the endemic area of PT. Tandan Sawita Papua, Keerom Regency. The results showed that malaria incidence is associated with the use of mosquito nets and the use of mosquito repellents. The study concludes that an integrated approach to malaria control is essential, including community education, environmental improvements, and sustainable health policy support.

Pneumonia is an acute respiratory infection that remains a major public health issue in Indonesia, particularly among infants and children. West Java is among the provinces with a high number of cases, and in 2024, Tasikmalaya City reported 2,178 cases, with Cilembang Public Health Center (Puskesmas Cilembang) recording the highest number. This study aims to evaluate the P2 ISPA (pneumonia) surveillance system at UPTD Puskesmas Cilembang. A descriptive-evaluative method was used, involving interviews, document reviews, and observations with surveillance and P2 ISPA program officers at the Tasikmalaya City Health Office and Puskesmas Cilembang. The findings indicate that the pneumonia surveillance implementation at Puskesmas Cilembang is fairly adequate, although improvements are needed to better align with current guidelines and government regulations.

The objective of this research is to understand how the stunting reduction policy is implemented by the Health Office in West Seram Regency. The issue to be addressed in this research is: How is the implementation of the stunting reduction policy by the Health Office in West Seram Regency? This research involved eight informants. Data were collected through in-depth interviews, observation, and documentation. The collected data were analyzed using a descriptive qualitative analysis technique with a case study approach. Based on the policy implementation theory by Edward III, which includes four variables: Communication, Resources, Disposition, and Bureaucracy. The findings of this research indicate that the implementation of the stunting reduction policy has been carried out, but it is not yet optimal. In terms of communication, policy communication has been conducted through various media, but it has not reached the entire community. Limited resources, especially nutrition personnel and supporting facilities, are the main obstacles. The disposition of implementers is fairly good, but the lack of incentives hampers work motivation. Regarding bureaucracy, the appointment process of bureaucrats is carried out based on competence with reporting systems through the e-PPGBM application, but cross-sectoral coordination remains ineffective.

Background : The maternal mortality rate in the world is about 303,000 out of 91.45/100,000 KH (WHO, 2022). In ASEAN, the maternal mortality rate in developing countries is 250 per 100,000 (ASEAN Secretariat, 2022). In Indonesia, the maternal mortality rate in 2022 is 183/100,000 KH (Indonesian Ministry of Health, 2022). In Central Java Province, the maternal mortality rate in 2022 was 76,93/100,000 KH (Central Java Health Office, 2022). In Brebes Regency, the maternal mortality rate in 2022 was around 105 cases (Brebes Health Office, 2022). Kaliwadas Health Center in 2022 recorded 1 case of maternal mortality (Health Profile of Kaliwadas Health Center in 2022). Objective : Provide comprehensive midwifery care for pregnant women, maternity, newborns, postpartum and family planning (KB) using the Varney and SOAP management approaches. Research Methods: The method used in this research is a qualitative descriptive method with a comprehensive case study approach. Results : Pregnancy midwifery care that has been given to Mrs. Y aged 20 years with Chronic Energy Deficiency and CPD has been given management according to the needs of the mother, In labor, newborn, postpartum until family planning Mrs. Y did not have complications and there were no gaps between theory and practice. Conclusion: Comprehensive midwifery care given to Mrs. F with Chronic Energy Deficiency (SEZ) and CPD has been carried out in accordance with Standard Operating Procedures (SOP) with the condition of the mother and baby is good.

Stunting is a chronic nutritional problem in toddlers caused by a lack of nutritional intake for a long time so that the child becomes too short for his age. Based on the results of the Indonesian Nutrition Standards Survey (SSGI) in 2022 in Riau province, it reached 17.0%. The prevalence rate of stunting in Pekanbaru reached around 16.8% in 2022. According to the Health Office in 2022, Lima Puluh Health Center recorded the highest prevalence of stunting at 4.47% or 60 cases. One of the risk factors that contributes to stunting is the low coverage of complete basic immunization, which can prevent infectious diseases that can interfere with children's growth and development. However, the lack of public knowledge and awareness of the importance of complete basic immunization increases the risk of infection. The long-term impacts of stunting include cognitive impairment, developmental delays, and low productivity in the future. Knowing the relationship between the completeness of basic immunization and the incidence of stunting in toddlers aged 24-36 months in the Lima Puluh Health Center work area, Pekanbaru City. to determine the relationship between the completeness of basic immunization and the incidence of stunting in toddlers aged 24-36 months in the Lima Puluh Health Center work area, Pekanbaru City. From the results of data analysis, a relationship has been found between the completeness of immunization and the incidence of stunting in toddlers aged 24-36 months in the Lima Puluh Health Center work area (p-value = 0.03; OR of 11.66; (95% CI = 1.22-110.95). Completeness of basic immunization is related and is a risk factor for stunting in toddlers aged 24-36 months in the Limapuluh Health Center work area.

Tuberculosis is one of the dangerous infectious diseases and is still a public health problem in Indonesia. Nisam District is one of the sub-districts in North Aceh with the highest TB cases in 2024, This study aims to analyze factors related to the incidence of tuberculosis (TB) in Nisam District, North Aceh Regency. The research design used was cross-sectional. The population in this study is all people living in Nisam District, and the sampling in this study used purposive sampling as many as 30 respondents. The results of the study found a relationship between sex (p: 0.002, OR: 55.00, CI: 4.13-732.71), knowledge (p: 0.005, OR: 35.00, CI: 2.98-411.47), behavior (p: 0.023, OR: 15.00, CI: 1.45-155.31), occupancy density (p: 0.002, OR: 115.00, CI: 6.11-2165.95) and floor type (p: 0.013, OR: 14.00, CI: 1.74-112.55) against the incidence of TB. So it is suggested to the Health Office through Promkes that it is expected to increase education on TB prevention based on gender, knowledge, and environmental conditions, while Puskesmas, especially surveillance personnel and TB programs, need to optimize active screening, patient coaching, and cadre empowerment, and the community is encouraged to create healthy housing and increase awareness of TB.  

The World Health Organization (WHO) in 2023 estimates that currently the global prevalence of hypertension is 43% of the total world population. Meanwhile, the hypertension report at the Pelawan Health Center in 2021 was 301 cases, in 2022 there were 324 cases, in 2023 there were 397 cases. The purpose of the study was to analyze the factors that influence medication compliance in elderly people with hypertension in the Pelawan Sarolangun Health Center Working Area. The research design used Analytical Survey method with Cross Sectional approach. The population in this study were all elderly hypertensive patients in the Pelawan Sarolangun Health Center Working Area, namely 73 patients who were all made into research samples with total population techniques. Data analysis using univariate analysis, bivariate with chi-square test. The results showed that there was an effect of motivation p = 0.006, family support p = 0.004 and health worker support p = 0.031. The conclusion of this study is that there is an influence of motivation, family support, health worker support. The dominant factor, namely family support, influences compliance with taking medication in elderly people with hypertension in the Pelawan Sarolangun Health Center Working Area. It is suggested that the Pelawan Sarolangun Community Health Center is expected to be taken into consideration and input for the health center to be active in field counseling activities and use social media as a promotional medium to increase the acceleration of healing of hypertension in the elderly, so as to improve health status in the elderly.

This study aims to evaluate the implementation of the Healthy School program at TK Negeri Pembina 2 Merangin based on school sanitation standards. The evaluation focused on three main aspects: the availability and quality of facilities, the habituation of clean and healthy living behavior (PHBS), and school sanitation management. This research used a qualitative descriptive method with a case study approach. Informants included school principals, teachers, UKS officers, the Education Office, the Health Office, and parents. Data collection techniques included in-depth interviews, observations, and documentation. The results showed that while most sanitation facilities were available, they did not fully meet the standards. PHBS habituation was initiated but not evenly distributed. Managerial support from the school, especially budget allocation for facility maintenance and health education, needs improvement. This evaluation provides valuable input for schools and local governments to improve school sanitation policies.

Chronic Energy Deficiency (CED) is a manifestation of malnutrition characterized by an inadequate energy intake over a prolonged period in pregnant women, resulting in adverse health outcomes due to a relative or absolute deficiency of one or more essential nutrients. The 2023 SKI results indicate that malnutrition among pregnant women remains a problem, with nearly 3 out of 10 pregnant women experiencing anemia and 17% at risk of CED. According to data from the Jambi City Health Office, Putri Ayu Public Health Center (Puskesmas Putri Ayu) has the highest number of CED cases, with 67 affected pregnant women. The main objective of this study is to explain the underlying factors contributing to the high prevalence of Chronic Energy Deficiency (CED) and to inform the development of evidence-based health interventions aimed at reducing this condition. This study employed a quantitative research method with a case-control design. The sampling technique used was purposive total sampling, involving 78 pregnant women in the Putri Ayu Public Health Center area, Jambi City. Data collection was conducted in October 2024, using a questionnaire as the research instrument. Data were analyzed using the chi-square test. The results showed a significant relationship between CED and parity (p=0.034), anemia (p=0.013), attitude (p=0.000), and the role of health workers (p=0.000). No significant relationship was found between CED and age (p=1.000), pregnancy spacing (p=0.615), and knowledge (p=0.359) in pregnant women. The findings indicate that parity, anemia, attitude, and the role of health workers are significantly associated with the occurrence of CED in pregnant women, while age, pregnancy spacing, and knowledge are not significantly associated.

How well the ergonomic work tool fits the human size determines how comfortable and uncomfortable it is to use it. Determining the suitability of the work tool with the anthropometry of the employees of the Belu District Health Office is the purpose of this study. Descriptive methods combined with quantitative approaches are used in this kind of research. 30 participants are the population and sample used in this study, which includes seven types of chairs and all sampling techniques. The findings of the study showed that, among the staff of the Belu District Health Office, 12 (40%) were male and 18 (60%) were female in terms of anthropometric measurements. The dimensions of the 7 types of chairs used by male employees are categorized as appropriate because the height of the chair legs with the height of the employee's knees are included in the anthropometric measurements. While for female employees, the appropriate one is a computer chair because the height of the chair legs can be adjusted according to the needs of female employees in anthropometric measurements. The most common type of complaint is in the mild category with 17 people (56.7%), the moderate category with 12 people (40%), and the severe category with 1 person (3.3%).

Pneumonia remains one of the leading causes of mortality among children under five years old worldwide. Population density is presumed to be one of the factors influencing pneumonia incidence, particularly in regions with high population growth and mobility, such as Bali Province. This study aimed to analyze the relationship between population density and pneumonia incidence among under-five children in Bali Province during the 2021–2023 period. This research was a descriptive quantitative study with a correlational design. Data on population density and under-five pneumonia cases were obtained from reports by the Bali Provincial Health Office and the Central Bureau of Statistics (BPS). Spatial visualization was performed using Epi Map version 7.2.5.0, and correlation analysis was conducted using R Studio. Descriptive analysis showed an increase in both population density and the number of under-five pneumonia cases in Bali Province during 2021–2023. Population density rose from 11,641 people/km² to 12,096 people/km², while pneumonia cases increased from 2,677 to 5,743. However, Spearman correlation analysis indicated no statistically significant relationship between population density and pneumonia incidence, with rho values of 0.5667 and p-values of 0.1206 for 2021 and 2022, and a rho of 0.2333 with a p-value of 0.5517 in 2023 (p > 0.05). No significant relationship was found between population density and pneumonia incidence among children under five in Bali Province.

 Immunisation is the stage of prevention of infectious diseases such as ‘hepatitis, tuberculosis, polio, tetanus, diphtheria, pertussis, and measles’ Knowledge of parents, especially mothers, plays an important role in the success of immunisation programmes, where education level affects knowledge about the importance of immunisation. The following study aimed to analyse the correlation between parents' education level and knowledge in providing complete basic immunisation to children. The following quantitative approach uses a Cross Sectional design, on 88 respondents selected through Purposive Proportional Random Sampling using a questionnaire in the form of a questionnaire and obesrvasion. Data were collected through questionnaires and analysed using the Chi-Square test. The results showed a significant relationship between education level and parental knowledge in providing complete basic immunisation at Bangetayu Health Centre, Semarang City (p-value <0.05). Thus, the higher the level of education of parents, the better their knowledge in providing complete basic immunisation to children. This study highlights the importance of complete basic immunisation to prevent disease. Health offices and health centres need to improve education through counselling and information distribution. Parents' awareness plays an important role in ensuring children are fully immunised. This study is useful for parents in increasing knowledge, health centres in improving services, and researchers as a reference for further studies.