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Floods are one of the most frequent hydrometeorological disasters in Indonesia and cause various social, economic, and environmental impacts on communities. In disaster situations, women often face greater vulnerability than men due to limited access to resources, high domestic responsibilities, and minimal protection in disaster policies. Although the government has adopted a gender mainstreaming policy in development, its implementation in disaster management policies remains suboptimal. This study aims to analyze how flood management policies integrate gender perspectives and identify the impacts of floods on women. The study used a qualitative approach using literature study methods and media content analysis to understand the dynamics of policies and women's experiences in disaster situations. The results show that disaster management policies still tend to focus on technical and infrastructure aspects, while women's specific needs are often overlooked, particularly regarding security in refugee camps, access to reproductive health services, and increased domestic burdens during crises. This condition indicates that the integration of a gender perspective in disaster policies still faces various structural and institutional barriers. Therefore, efforts are needed to strengthen the implementation of gender-responsive policies so that disaster management does not only focus on physical mitigation, but is also able to provide fairer and more inclusive protection for all community groups.

The circulation of narcotics as a serious crime in Indonesia faces the reality that some types of narcotics have medical benefits when used in limited quantities and under strict supervision, while cannabis plants remain classified as Class I Narcotics in Law No. 35 of 2009 concerning Narcotics, thereby prohibiting their use in health services. This situation raises legal issues regarding the basis for classification, legal qualifications, and the possibility of updating norms so that cannabis can be used for medical purposes. This study aims to analyze the historical and legal basis for the classification of cannabis, its qualification in the national legal system, and to formulate a normative regulatory concept that allows its use for health services. The method used is normative legal research with a historical and comparative approach, through a literature study of primary and secondary legal materials, which are analyzed descriptively and qualitatively. The results of the study show that the classification of cannabis is rooted in international commitments through the 1961 Single Convention on Narcotic Drugs, which was later ratified and adopted into national law, so that legally cannabis is only permitted for research purposes. however, considering the development of science and practice in various countries, it is necessary to update the norms through the formation of a Ministerial Regulation as mandated by Article 6 paragraph (3) of the Narcotics Law as a limited and controlled first step to open up the use of cannabis in health services without neglecting the principle of preventing abuse.

Law Number 17 of 2023 concerning Health (the 2023 Health Law) serves as a fundamental regulation governing various aspects of health services in Indonesia, including the operations of private hospitals. For private hospitals whose shares are listed on the Indonesia Stock Exchange (IDX), the implementation of the 2023 Health Law has brought significant changes in both legal and operational dimensions. This study aims to examine the legal aspects of implementing the 2023 Health Law on the operations of IDX-listed private hospitals. Employing a normative legal research method with statutory and conceptual approaches, this study analyzes relevant regulations and doctrines. The results indicate that the 2023 Health Law expands the scope of hospitals' legal liability, comprehensively regulates the obligations and rights of both hospitals and patients, and imposes stricter sanctions for violations. Furthermore, the implementation of this regulation impacts the business and financial aspects of listed private hospitals, including expansion opportunities, shifts in cost structures, and stock market responses. However, challenges remain in its application, such as diverse interpretations of certain provisions and hospitals' readiness to comply with the established requirements.

Introduction: Tooth loss is a common oral health problem in the elderly population and can significantly impact quality of life. The use of dentures is an important solution to restore chewing function, aesthetics, and speaking comfort. This literature review aims to analyze the effect of gender on denture use in the elderly population. Method: The research method uses a narrative review approach by searching various scientific databases such as PubMed, Google Scholar, and Science Direct. Result: Consistent pattern exists that older women have a higher prevalence of denture use than men across countries and research settings. Factors influencing this difference include socioeconomic factors, care-seeking behavior, perceived need, aesthetic considerations, and a higher burden of tooth loss in women. Furthermore, denture use is correlated with improved quality of life and overall health. Women tend to have higher aesthetic expectations and satisfaction, while men are more functionally oriented. Conclusion: Shows that gender is an important factor that needs to be considered in planning dental health services for the elderly population.  

Hydrometeorological disasters increase the risk of infectious diseases due to environmental changes, damaged sanitation systems, and limited access to health services. These conditions highlight the need to strengthen community-based early detection systems as part of an early warning strategy. This community service activity aims to enhance the capacity of community health volunteers in the early detection and reporting of infectious diseases through the digitalization of a simple surveillance system. The program was implemented in disaster-affected areas, involving community health volunteers as key partners. The methods included health education on post-disaster infectious diseases, technical training on the use of surveillance instruments, and assistance in implementing health surveillance forms in accordance with guidelines from the Ministry of Health of the Republic Indonesia. The results showed a significant improvement in the knowledge of participants, with ≥80% of volunteers passing the post-test evaluation. In addition, participants demonstrated improved skills in recording, identifying symptoms, and systematically reporting infectious disease cases. The digitalization of surveillance forms facilitated real-time data collection and reporting, enabling faster responses to potential outbreaks. This program contributes to strengthening community-based early warning systems and enhancing the role of community health volunteers as the frontline in post-disaster infectious disease control. The implementation of this initiative is expected to support rapid interventions by health service facilities, improve cross-sector coordination, and serve as a replicable model for strengthening community surveillance systems in other disaster-prone areas.

Malaria remains a major public health challenge in eastern Indonesia, particularly in the remote highland areas Papua, where access to health services is very limited. In early 2008, a suspected malaria outbreak with several deaths was reported in Agisiga District, a remote highland area in Papua. This study aimed to investigate the epidemiological characteristics, diagnostic results, and mortality patterns of the malaria outbreak as a basis for formulating future control strategies. The outbreak investigation was conducted using a cross-sectional design in Agisiga District from January to March 2008. Capillary blood samples were examined using Rapid Diagnostic Tests (RDTs) and thin blood smear microscopy. Malaria-related deaths were traced through verbal autopsy methods and interviews with families and community leaders. Descriptive analysis was performed to describe the demographic, clinical, and parasitological characteristics the cases. A total of 92 suspected malaria cases were identified, with the highest proportion coming from Tomosiga Village (52.2%), followed by Bigasiga Village (40.2%) and Agisiga Village (7.6%). Women accounted for 58.7% of all cases, and the most affected age group was 15–35 years (34.8%). Microscopic examination confirmed malaria infection in 55.0% of samples examined, with Plasmodium vivax predominating (45.0%), while the RDT positivity rate was much lower. The malaria outbreak in Agisiga District was characterized by high mortality, delayed diagnosis, and significant gaps in diagnostic capacity, particularly in remote villages. Strengthening the surveillance system, increasing diagnostic capacity, and improving access to timely treatment are crucial steps prevent similar outbreaks and reduce malaria mortality in the Papuan highlands.

Digital transformation in public health services requires cadres to possess adequate digital literacy and technology adaptation skills. This study aims to analyze the influence of digital literacy and technology adaptation on the effectiveness of cadre performance, with digital competence as an intervening variable in Pekalongan Regency. The study population was health cadres in Pekalongan Regency, with a sample of 90 respondents selected using a technique that was part of the total population of 285 respondents. Sampling used simple random sampling. Data collection was carried out using a questionnaire that had been tested for validity and reliability. Data analysis used [analytical methods, for example: Structural Equation Modeling (SEM) or Path Analysis] to examine direct and indirect relationships between variables. The research results are expected to provide an overview of: (1) the influence of digital literacy on the effectiveness of cadre performance, (2) the influence of technology adaptation on the effectiveness of cadre performance, (3) the influence of digital literacy on digital competence, (4) the influence of technology adaptation on digital competence, (5) the influence of digital competence on the effectiveness of cadre performance, and (6) the role of digital competence as an intervening variable in the relationship between digital literacy and technology adaptation on the effectiveness of cadre performance. The findings of this research are expected to serve as a basis for developing training programs and increasing the capacity of health cadres in the digital era, particularly in Pekalongan Regency.

This study aimed to analyze the effect of parent empowerment in optimizing tummy time on head control in infants aged 0–6 months at community health posts in Jatisampurna, Bekasi. Early motor development requires adequate sensory–motor stimulation, yet many parents have limited knowledge and practice of prone positioning activities. A quasi-experimental one-group pretest–posttest design was employed involving nine healthy infants selected through purposive sampling. Parents received education and practical training on tummy time and were instructed to implement a home program for two weeks with a minimum duration of 30 minutes per day. Head control was assessed before and after the intervention using the Head Control Scale across prone, supine, pull-to-sit, and supported sitting positions. The results demonstrated improvements in head control scores in all positions, with the most notable gains observed in infants who had lower baseline abilities. The findings indicate that repeated prone stimulation enhances postural control through increased neck and trunk muscle activation and improved sensory–motor integration. Parent empowerment also increased knowledge, adherence to home stimulation, and active participation in child development monitoring. This community-based intervention shows potential as a promotive and preventive strategy to support early motor development through family-centered approaches at primary health services.

The digital transformation of health services through the Mobile JKN application was introduced by BPJS Kesehatan to provide easier access for the public in obtaining information, managing membership administration, and receiving health services more quickly and efficiently. This study aims to measure the readiness level of patients at Abdul Manap Regional Hospital, Jambi City, in adopting the Mobile JKN application using the HOT-Fit method, which covers three main components: Human, Organization, and Technology. Data were collected from 360 respondents through questionnaires and analyzed using Partial Least Square Structural Equation Modeling (PLS-SEM). The results indicate that technology factors—including system quality, information quality, and service quality— along with organizational support have a significant effect on system use and user satisfaction, which in turn positively influence the net benefits. The outer loading values of all indicators exceeded 0.7, with Composite Reliability above 0.8 and AVE above 0.6, confirming that the research instruments are valid and reliable. Overall, patients at Abdul Manap Hospital are categorized as ready to adopt Mobile JKN, although improvements in digital literacy and stronger organizational support are still required to optimize its utilization.

This study examines the experience of access to health services and resilience strategies in adolescents with unplanned pregnancies in Makassar, Indonesia. Access to quality reproductive health services is important for adolescents' well-being, but they often face systemic barriers that affect access to health services and outcomes. The study used an Interpretative Phenomenological Analysis (IPA) approach on seventeen adolescent girls aged 15–19 years who had an unplanned pregnancy between June–November 2023. Data were collected through in-depth semi-structured interviews, recorded, verbatim transcribed, and analyzed by a six-stage science process. Two main themes were found: Navigating Closed Doors: Systematic Barriers to Care and Finding Light in Darkness: Resilience and Agency. Participants faced a variety of layered barriers, including a lack of information about health services and rights, geographical and economic constraints, age-based discrimination, parental notification obligations, fear of legal consequences especially related to abortion, family control over decisions, and limitations in adolescent-friendly services. Nonetheless, adolescents show resilience through seeking strategic help, resistance to pressure, spiritual and religious coping, peer support, gradual acceptance of maternal identity, educational sustainability, and positive meaningfulness of difficult experiences. These findings point to the need for a transformation of the health system that not only improves attitudes of health workers, but also addresses structural barriers such as confidentiality, age discrimination, and service availability, while strengthening agency and adolescent coping strategies.

Based on Law No. 11 of 2006 and Qanun Aceh No. 4 of 2010, the Government of Aceh has special authority in implementing prioritized health services for poor communities as part of its special autonomy. In practice, the Aceh Health Insurance (JKA) program provides health coverage for all Acehnese residents, including underprivileged groups, by covering insurance contributions and several referral and companion costs not fully guaranteed by the national health insurance system. This study aims to analyze the implementation system of JKA, examine the responsibility of the Aceh Government in providing health insurance for its citizens, and evaluate the government’s obligation to pay contributions for poor participants. This research uses an empirical juridical method with a sociological approach and utilizes both primary and secondary data. The results show that several provisions in the Qanun as the legal basis for JKA implementation are not fully aligned with field conditions and the Social Security Administrator Law. In practice, the Aceh Government bears insurance contributions and various referral costs for residents, including poor communities. Although the obligation to pay contributions for the poor has been implemented, funding for referral transportation, companions, and their consumption has not been fully covered, especially for inter-regional advanced healthcare services. Therefore, the Aceh Government needs to revise Article 43 of Qanun Aceh No. 4 of 2010 and evaluate the JKA program to ensure more targeted healthcare financing.        

Job satisfaction is one of the important factors that affect the quality of health services, especially in the context of care provided by nurses in hospitals. High job satisfaction can have a positive impact on motivation, performance, and nurse retention, thereby contributing to improved healthcare service quality. Conversely, low job satisfaction can lead to high turnover rates, which can disrupt service continuity and negatively impact patients. This study aims to analyze the relationship between years of service, employment status, and job satisfaction among nurses at RSUD Malingping 2025. The research method used is a quantitative descriptive research method. The population in this study consists of 83 nurses at RSUD Malingping, with a total sampling method applied to collect data from all 83 nurses. The analysis used the Chi-Square test. The results of the test showed that there is a significant relationship between length of service and job satisfaction among nurses (P = 0.007), as well as a significant relationship between employment status and job satisfaction among nurses (P = 0.000). The conclusion drawn is that there is a relationship between length of service and employment status with job satisfaction among nurses at RSUD Malingping in 2025. Recommendations for the hospital include paying more attention to the job satisfaction of nurses and other staff, so that healthcare services at RSUD Malingping can be more optimal.

This study examines the paradoxical phenomenon among adolescents who actively consume mental health content on digital platforms such as Instagram and TikTok but are reluctant to utilize freely available school counseling services. The research aims to identify specific forms of stigma that hinder adolescents from utilizing school counseling services and analyze them using Erving Goffman's stigma theory. The research method employs a qualitative approach with a library research design, analyzing various scientific literature published from 2013-2025 through content analysis techniques. The research findings reveal six main forms of stigma: perception of school counselors as school police, labeling as troubled students, sign of personal weakness, doubts about confidentiality, distrust in counselor competence, and traumatic experiences. The paradox occurs because digital platforms provide anonymity that protects adolescents' virtual social identity, while face-to-face counseling services are perceived as threatening their social identity. Research implications indicate the need for transformation of school counseling services that integrate digital strategies, ongoing campaigns to change negative perceptions, and enhancement of counselor competence in understanding adolescent digital culture to reduce stigma and improve adolescent access to professional mental health services.

Psychology personnel in primary healthcare centers (Puskesmas) play a strategic role in delivering mental health services at the primary level; however, they are frequently confronted with complex and multifaceted job demands. This study aims to examine the effects of workload and work stress on the job performance of psychology personnel in Puskesmas in Surabaya City. A quantitative approach with a correlational cross-sectional design was employed. The study population comprised all psychology personnel working in Puskesmas in Surabaya City, with total sampling applied, resulting in 63 respondents. Workload and work stress were measured using five-point Likert scales, while job performance was assessed based on monthly psychology service reports. Data were analyzed using multiple linear regression analysis. The results indicate that the majority of psychology personnel experienced high workload levels and relatively high work stress, whereas overall job performance was predominantly categorized as good. Regression analysis revealed that workload and work stress simultaneously had a significant effect on job performance, and partially both variables exerted a negative effect on performance. These findings suggest that although psychology personnel are generally able to maintain adequate performance, excessive workload and elevated work stress may potentially undermine performance in the long term if not properly managed. Therefore, this study highlights the importance of systematic workload management and work stress intervention strategies to sustain the quality of psychological services in primary healthcare settings.

This research evaluates the effectiveness of human capital development policies in Indonesia within the education and health sectors during the periods of 2015–2019 and 2020–2024. The analysis focuses on strategic programs implemented by the Ministry of Education and Culture and the Ministry of Health by comparing planned targets with the realization of performance indicators as stated in the Strategic Plan (Renstra) documents. The study employs a qualitative evaluative approach supported by descriptive quantitative data derived from official planning and performance reports. The findings indicate that during the 2015–2019 period, programs emphasizing the expansion of basic education and health services were relatively effective in increasing participation rates and improving equitable access. In contrast, programs aimed at enhancing the quality of human resources, particularly teacher development and institutional capacity building, showed lower levels of effectiveness due to weak performance measurement systems and inconsistent data reporting. During the 2020–2024 period, the effectiveness of most education and health programs declined significantly as a result of external shocks caused by the COVID-19 pandemic. However, health programs with strong financial protection mechanisms, such as the National Health Insurance (JKN), demonstrated greater resilience compared to other programs. The study concludes that the effectiveness of human capital development policies is strongly influenced by the clarity of performance indicators, consistency in program implementation, institutional capacity, and the ability of policies to adapt to external disruptions.

Anxiety is a prevalent mental health issue that affects psychological well-being and daily functioning. In Muslim communities, Islamic spiritual practices are commonly used as coping strategies, yet empirical evidence regarding their effectiveness in reducing anxiety has not been systematically consolidated. This study aimed to synthesize scientific evidence on Islamic spiritual interventions for anxiety reduction. A systematic literature review was conducted in accordance with PRISMA guidelines by searching Google Scholar, PubMed, ScienceDirect, and Elsevier. Observational studies published between 2019 and 2026 that examined Islamic spiritual interventions and reported anxiety outcomes were included and analyzed narratively. Ten eligible articles were identified. The review demonstrates that Islamic spiritual interventions, such as dhikr, prayer, Qur’an recitation, and Islamic spiritual counseling, are consistently associated with reductions in anxiety across diverse populations and settings. Although the magnitude of effects varied, the overall findings indicate a beneficial role of Islamic spiritual practices in anxiety management. These results suggest that Islamic spiritual interventions may be integrated as complementary approaches within mental health and public health services for Muslim populations, while further methodologically rigorous studies are required to strengthen the evidence base.

Personality development is a fundamental aspect in the formation of nursing students as prospective professional nurses, especially in services in the Emergency Unit (ER). The personality of nurses in the ER is reflected in the ability to think critically, effectively communicate, caring attitudes, and professional performance that supports the quality of service. This community service activity aims to increase the knowledge of nursing students about personality development in the ER through educational video media. The method used is health education with a pre-test and post-test design involving 19 nursing students. The results of the activity showed an increase in the average score of student knowledge from 14.58 in the pre-test to 19.16 in the post-test. These findings indicate that educational video media is effective in increasing students' understanding of the role of critical thinking, communication, caring, and performance in the ER. In addition, this activity also contributes to strengthening student readiness to face the challenges of clinical practice in an emergency environment. Thus, the use of video media as an educational means can be an innovative strategy in supporting the personality development of nursing students, as well as strengthening the professional competencies needed in emergency health services.

Stunting is a chronic nutritional problem that affects children's growth and development and remains a major public health challenge. Posyandu plays a strategic role in the prevention and early detection of stunting through community-based basic health services. This community service activity aims to optimize the role of Posyandu as a strategy for preventing and detecting stunting early in Nagreg Village, Banten. The methods used include anthropometric measurements of children aged 0–59 months and health education on nutrition for parents and Posyandu cadres. Data analysis was conducted descriptively based on age groups. The results show that out of 32 children examined, 37.5% showed indications of stunting risk. This finding suggests that the integration of growth monitoring and nutrition education at Posyandu has the potential to be an effective strategy for the prevention and early detection of stunting, as well as to support the improvement of children's health quality. This activity also enhances parents' and Posyandu cadres' understanding of the importance of monitoring nutritional status to prevent stunting more effectively.

Stunting is a chronic nutritional problem that affects children's growth and development and remains a major public health challenge. Posyandu plays a strategic role in the prevention and early detection of stunting through community-based basic health services. This community service activity aims to optimize the role of Posyandu as a strategy for preventing and detecting stunting early in Nagreg Village, Banten. The methods used include anthropometric measurements of children aged 0–59 months and health education on nutrition for parents and Posyandu cadres. Data analysis was conducted descriptively based on age groups. The results show that out of 32 children examined, 37.5% showed indications of stunting risk. This finding suggests that the integration of growth monitoring and nutrition education at Posyandu has the potential to be an effective strategy for the prevention and early detection of stunting, as well as to support the improvement of children's health quality. This activity also enhances parents' and Posyandu cadres' understanding of the importance of monitoring nutritional status to prevent stunting more effectively.

Although JKN aims to provide equitable and quality health services, fraudulent practices, such as phantom billing and diagnosis manipulation, continue to grow, harming BPJS Kesehatan and participants. This study aims to examine the effectiveness of legal sanctions against JKN claim fraud in FKRTL and identify gaps in their implementation. Although regulations are in place, law enforcement remains weak, with administrative sanctions failing to provide sufficient deterrence. The gap in this research lies in the lack of application of criminal sanctions in fraud cases, especially in existing regulations. The novelty of this research is its comparative approach between current administrative sanctions and the potential application of criminal sanctions in the context of healthcare fraud. The research method uses a normative-descriptive approach, analyzing regulations and fraud audit results, and identifying gaps in the implementation of legal sanctions. The results of the study indicate that strengthening criminal sanctions and integrating technology in claim monitoring can increase the effectiveness of fraud prevention. These findings are expected to strengthen regulations and improve the integrity of the JKN system, as well as provide policy recommendations for more effective law enforcement.