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Nosocomial infections, also known as Healthcare-Associated Infections (HAIs), are infections acquired by patients during their stay in healthcare facilities. These infections remain a serious problem because they can increase morbidity and mortality rates, prolong the length of hospital stay, and raise healthcare costs. One classical yet highly relevant approach to preventing nosocomial infections is Florence Nightingale’s Environmental Theory. This theory emphasizes the importance of maintaining a clean environment, adequate ventilation, proper lighting, effective sanitation, and good personal hygiene to support patient recovery and reduce infection risks. Nightingale believed that environmental factors play a crucial role in improving patient health outcomes and preventing disease transmission. In modern nursing practice, the principles of Nightingale’s theory are still widely applied through infection prevention and control programs, environmental cleanliness standards, and patient-centered care. Therefore, understanding and implementing environmental management in healthcare settings remain essential strategies to reduce nosocomial infection rates and improve the overall quality of healthcare services.

Adolescence is a crucial period in human development, characterized by biological, psychological, and social changes. At this stage, adolescents require proper understanding of reproductive health to prevent risky behaviors and to support the development of healthy and responsible attitudes. This community service activity aimed to improve students’ knowledge of reproductive health through socialization at State Vocational High School (SMKN) 1 Mempura, Siak Regency. The method used was descriptive qualitative with a focus on education through material delivery, interactive discussions, and question-and-answer sessions. The activity was conducted on August 14, 2025, at the SMKN 1 Mempura Hall, involving 39 students out of 50 targeted participants. Data were obtained through observation of students’ participation and documentation of the activity, and were then analyzed descriptively and qualitatively. The results showed that students were enthusiastic in attending the socialization and demonstrated improved understanding of reproductive health concepts, reproductive organ functions, personal hygiene, and the risks of unsafe sexual behaviors. The interactive discussion also revealed students’ willingness to ask questions and share perspectives, reflecting stronger attitudes and confidence in maintaining reproductive health. In conclusion, the socialization of reproductive health at SMKN 1 Mempura successfully enhanced students’ knowledge and awareness. Despite limitations in terms of time allocation and long-term evaluation, this activity provided tangible benefits. Future efforts are recommended to develop sustainable programs supported by additional learning media and closer collaboration with the school.

Oral and dental health problems among elementary school children remain relatively high, particularly dental caries, which is influenced by low levels of knowledge and inadequate toothbrushing skills. Children aged 6–12 years are in the mixed dentition phase and therefore require special attention in maintaining oral hygiene. This community service activity aimed to improve the knowledge and toothbrushing skills of elementary school students through a demonstration method using a dental phantom model. The activity was conducted at SD Inpres Maccini Sombala I in January 2026 and involved elementary school students as participants. The methods applied included oral health education, demonstration of proper toothbrushing techniques using a dental phantom, mass toothbrushing practice, and evaluation through pre-test and post-test as well as direct observation. The results showed an improvement in students’ understanding of the correct timing, frequency, and technique of toothbrushing, namely brushing twice a day after breakfast and before bedtime. In addition, students were able to practice proper toothbrushing techniques more effectively after the demonstration. The use of a dental phantom as an educational medium proved to be effective in increasing students’ interest, understanding, and toothbrushing skills. This activity is expected to help establish good toothbrushing habits from an early age and support promotive and preventive efforts to reduce the prevalence of dental caries among elementary school children.

Hand washing is a major pillar in clean and healthy living behaviors (PHBS). However, there are still children who do not understand the correct handwashing technique so that germ cleaning is not optimal. This community service activity aims to improve students' knowledge and motor skills in practicing the six steps of hand washing according to World Health Organization (WHO) standards. The method used in this activity is interactive counseling combined with live demonstrations. The stages of the activity include providing material through audiovisual media (video/poster), direct demonstrations by instructors, and independent practice by all participants. In addition, a question and answer session was held to ensure student understanding and corrective feedback on inappropriate movements. Evaluation instruments in the form of observation sheets were used to assess the accuracy of the sequence, duration, and coverage of the hand area when washing. The result of this activity was the success of all participants in practicing the six-step sequence of handwashing correctly independently. The involvement of teachers and school health workers also strengthens the sustainability of this practice through regular monitoring. Through this education, it is hoped that early awareness will arise which has become a routine habit to reduce the risk of disease transmission in the school and home environment and support the creation of a culture of clean living from an early age.

Dairy goat farming holds significant economic potential as a rural enterprise alternative, driven by increasing market demand for goat milk, which is known for being low-allergen and highly nutritious. This article presents a case study on Okane Mochi Farm, a dairy goat farming unit located in Ngaglik Village, Gebang District, Purworejo Regency. This study aims to analyze the breeding management strategies, product innovation, and economic impacts generated by the farm. The method used is field observation and descriptive study of the farm's operations. Observations indicate that the success of Okane Mochi Farm is driven by three main factors: (1) Innovation in selecting superior breeds such as Anglo Nubian and Sapera for high milk productivity; (2) Implementation of strict housing management and hygiene standards to maintain milk quality; and (3) Product diversification through flavored pasteurized milk processing and the utilization of livestock waste into organic fertilizer (zero waste). The study concludes that the upstream-downstream integration model applied by Okane Mochi Farm can serve as a reference for sustainable rural economic empowerment models.

The postpartum period is a critical phase with a high risk of complications, particularly perineal wound infection, especially in mothers with premature rupture of membranes (PROM). PROM increases the risk of microbial invasion into the birth canal, making infection prevention essential. Vulva hygiene is a non-pharmacological intervention that can help reduce this risk. This study aimed to evaluate the application of vulva hygiene in reducing the risk of perineal wound infection in postpartum mothers with PROM. This study used a case study design involving four postpartum mothers with PROM treated in the Wijaya Kusuma Ward of RSUD Limpung Batang in 2025. Data were collected through comprehensive nursing assessments, observation of perineal wound conditions, and evaluation of infection risk signs before and after the intervention. The results showed that regular implementation of vulva hygiene led to a reduction in infection risk signs, decreased perineal pain, and improved genital hygiene in all patients. Nursing education and assistance played a crucial role in the success of this intervention. It can be concluded that vulva hygiene is an effective nursing intervention in preventing perineal wound infection in postpartum mothers with PROM.

This study aims to analyze the implementation of performance management at the micro–enterprise AMANAH YOGURT, located in Candimulyo, Kiringan, Boyolali. The business employs 11 workers with specific task divisions: 7 in packaging, 1 in production, 2 in marketing responsible for promotion and advertising, and 1 supervisor who monitors the production process while also assisting in production ac,tivities. The daily production capacity reaches 500 packs during peak demand and 350 packs under normal conditions. This research applies a descriptive qualitative approach through observations and informal interviews with the owner and employees. The findings indicate that AMANAH YOGURT has implemented performance management through the application of production SOP, clear task distribution, informal evaluative communication between the owner and employees, as well as consistent adherence to hygiene standards and product quality. AMANAH YOGURT products have been distributed across Java Island, Bali, and even Mataram through bus logistics, travel services, and direct delivery for nearby areas. Halal certification and BPOM authorization further enhance consumer trust and strengthen the competitiveness of the business.

The health of pregnant and breastfeeding women is a crucial determinant of the quality of future generations, particularly during the first 1,000 days of life. However, nutritional problems, such as deficiencies in iron, protein, and essential vitamins, remain prevalent in many regions, especially in rural areas. These conditions may increase the risk of anemia, impaired fetal growth, and reduced maternal and child health outcomes. This community service program aimed to improve the nutritional status as well as the knowledge and awareness of pregnant and breastfeeding women regarding the importance of balanced nutrition in Sukorejo Village, Bojonegoro Regency. The program was implemented through the provision of free balanced nutritious meals tailored to the nutritional needs of pregnant and breastfeeding women, accompanied by health education activities, including counseling sessions and interactive discussions on healthy dietary patterns, food hygiene, and anemia prevention. Program evaluation was conducted through participatory observation and participant feedback. The results indicated an improvement in participants’ understanding of balanced nutrition and positive behavioral changes in daily food selection and consumption. This community service initiative is expected to serve as a sustainable model for improving maternal and child health and preventing nutritional problems at the village level.

This study aims to describe dietary patterns, food consumption habits, hygiene awareness, and environmental and social factors related to digestive disorders in junior high school students. This study used a descriptive approach with a closed-ended interview method (Yes/No answers) with Thirty-five  junior high school students using 15 questions. The results showed that some students did not have consistent breakfast habits, had a high tendency to consume fried foods and sugary drinks, and demonstrated low awareness of food safety and hygiene habits such as washing hands before eating. In addition, the school environment, peer influence, and psychological well-being influence students’ eating patterns. These factors contribute to digestive problems in some students. Therefore, schools must actively participate in maintaining a clean environment, providing students with healthy food options, and providing ongoing nutritional instruction on digestive health.

This study aims to analyze the optimization of the Yoona Squad Leader wellness community program in strengthening the brand awareness of Yoona Women. The increasing awareness of feminine hygiene and the growing concern regarding the safety of menstrual products serve as the foundation of this research, considering that more than half of Indonesian women report irritation and discomfort related to conventional sanitary pad use (Manoppo, 2022; Putinah et al., 2020). In addition, laboratory findings by the Indonesian Consumers Foundation (YLKI, 2015) revealed traces of chlorine and dioxin in many commercial sanitary pads, indicating potential reproductive health risks. The study employed a descriptive qualitative approach through observation, interviews, and active participation in the marketing division of PT Yoona Digital Indonesia during August–December 2025. The findings show that the Yoona Squad Leader program effectively strengthens all stages of the 5A Customer Path—Awareness, Appeal, Ask, Act, and Advocate—as conceptualized in Marketing 5.0: Technology for Humanity (Kotler, Kartajaya, & Setiawan, 2021). Community-based engagement drives emotional bonding, advocacy behavior, and value-based loyalty through empathy-driven communication. This program successfully empowers women to become advocates for menstrual health awareness while reinforcing brand credibility and consumer trust. The study highlights the strategic importance of community-based marketing as a sustainable approach to building human-centered loyalty and enhancing brand equity in the digital wellness industry.

This study aims to analyze the implementation of performance management at the micro–enterprise AMANAH YOGURT, located in Candimulyo, Kiringan, Boyolali. The business employs 11 workers with specific task divisions: 7 in packaging, 1 in production, 2 in marketing responsible for promotion and advertising, and 1 supervisor who monitors the production process while also assisting in production ac,tivities. The daily production capacity reaches 500 packs during peak demand and 350 packs under normal conditions. This research applies a descriptive qualitative approach through observations and informal interviews with the owner and employees. The findings indicate that AMANAH YOGURT has implemented performance management through the application of production SOP, clear task distribution, informal evaluative communication between the owner and employees, as well as consistent adherence to hygiene standards and product quality. AMANAH YOGURT products have been distributed across Java Island, Bali, and even Mataram through bus logistics, travel services, and direct delivery for nearby areas. Halal certification and BPOM authorization further enhance consumer trust and strengthen the competitiveness of the business.

Operational risk management is an essential aspect in maintaining the stability and sustainability of micro-enterprises operating in the culinary sector, particularly in the fast food industry, which relies heavily on production processes, raw material quality, and human resource skills. This study aims to analyze the types of operational risks that arise in the daily operations of the Kebab Capadocia MSME in Boyolali Regency using a qualitative approach through in-depth interviews and field observations. The COSO Enterprise Risk Management (ERM) Framework was used as the primary theoretical foundation to map risks based on five components: risk identification, risk assessment, control activities, information and communication, and monitoring. The results indicate that the business faces four main risk categories: production process risks, human resource risks, food hygiene and safety risks, and raw material distribution risks. Implemented controls are still informal and not supported by standard operating procedures (SOPs), resulting in recurring risks that impact product quality. These findings contribute to the MSME risk management literature and offer practical recommendations for strengthening operational structures based on systematic risk management.

Personal hygiene is an essential factor in maintaining the health and quality of life of the elderly, as aging is often accompanied by a decline in physical strength, mobility, and cognitive function that can reduce the ability to maintain personal cleanliness independently. Limited understanding of the importance of personal hygiene may increase the risk of infections, skin disorders, and other health complications, making education and awareness crucial for promoting better hygiene behavior. This study used a descriptive correlational design with a cross-sectional approach involving 204 elderly individuals residing at the Pucang Gading Elderly Social Service Home in Semarang and Wening Wardoyo Ungaran, with 135 respondents selected using a non-probability sampling technique. Data were collected using validated and reliable questionnaires measuring the level of understanding and personal hygiene practices and were analyzed using the Somers’d statistical test. The results showed that most respondents were female (60%) and aged between 70–79 years (48.9%). The level of understanding of personal hygiene among the elderly was predominantly in the moderate category (72.6%), and their personal hygiene practices were also mostly categorized as moderate (72.6%). Statistical analysis revealed a p-value of 0.000 (<0.05) with a correlation coefficient (r) of 0.472, indicating a positive and significant relationship between the level of understanding and personal hygiene practices. These findings suggest that improving knowledge through continuous education and guidance from health workers is necessary to enhance awareness, independence, and hygiene behavior among the elderly.

Dermatitis is a common skin disease that can be influenced by various internal and external factors. According to the Puskesmas Sungai Iyu report for 2023-2024, there were 180 cases of dermatitis. This study aims to analyze the factors associated with dermatitis symptoms among shrimp pond workers in Seneubok Aceh Village, Bendahara District, Aceh Tamiang Regency. The independent variables studied include contact duration, years of employment, personal hygiene, and the use of Personal Protective Equipment (PPE), while the dependent variable is dermatitis symptoms, including itching, redness, and rashes. The method used was a correlational analytic study with a cross-sectional design, involving 54 respondents from a total of 112 shrimp pond workers in the village as samples. The population in this study consists of all shrimp pond workers in Seneubok Aceh Village, Bendahara District, Aceh Tamiang Regency. The results show that there is no significant relationship between  the use of PPE (p-value = 0.047) and personal hygiene (p-value = 0.002) with dermatitis symptoms. In conclusion, factors associated with dermatitis symptoms in shrimp pond workers are personal hygiene, and the use of PPE. It is recommended that shrimp pond workers increase the use of PPE, practice good personal hygiene, and limit the duration of contact with pond water to reduce the risk of dermatitis.  

Acute Respiratory Infection (ARI) is one of the most common health problems among elementary school-aged children and contributes to a high morbidity rate. One of the contributing factors to ARI is the low implementation of Clean and Healthy Living Behavior (CHLB) as an early preventive measure. This community service activity was conducted at State Elementary School 18 Dewantara, Aceh Utara District, targeting 10 fifth-grade students. The method used in this activity was health education through interactive lectures and discussions, accompanied by a pre-test and post-test evaluation using questionnaires. The materials provided included the definition of ARI, risk factors, and the implementation of CHLB such as proper handwashing, personal hygiene maintenance, and correct coughing and sneezing etiquette. The results showed an increase in students’ knowledge after the educational session, with the average score rising from 78% to 88%, indicating an improvement of 10%. This demonstrates that the educational method used was effective in improving students’ understanding of ARI prevention. This activity is expected to foster clean and healthy habits among elementary school students and support promotive and preventive health efforts in the school environment.

Clean and Healthy Living Behavior (PHBS) is a promotive and preventive effort aimed at improving the level of public health. The Baduy indigenous community in Leuwi Damar, Kanekes Village, Lebak Regency, Banten Province has local wisdom and traditional lifestyles that influence daily health practices. However, limited access to information and health services is a challenge in implementing PHBS optimally. This article aims to describe the implementation of PHBS education in the Baduy Leuwi Damar community and its impact on community knowledge and attitudes. The method used is a descriptive approach with educational activities through counseling, discussion and simple demonstrations adapted to local culture. Educational material includes personal hygiene, clean water management, environmental sanitation, and healthy living behavior in daily life. The results of the activity showed an increase in public understanding regarding the importance of personal and environmental hygiene, as well as the emergence of a positive attitude towards implementing PHBS without eliminating the traditional values adhered to. PHBS education carried out using a simple cultural and communication approach is considered effective in increasing the health awareness of the Baduy community. Therefore, health education programs based on local wisdom need to continue to be developed as a strategy to improve the health of indigenous communities. .(Riset Kesehatan Dasar,2019).

This study analyzes the strategic role of quality-based marketing models in enhancing the competitiveness of kombucha products, with a specific focus on Rumah SCOBY DBA, produced by the Yayasan Dharma Bintang Akademia. By integrating Total Quality Management (TQM), Quality Assurance (QA), and Quality Control (QC), the research explores how quality-driven frameworks contribute to marketing effectiveness, consumer trust, brand positioning, and sustainable performance in the functional beverage industry. Employing a Systematic Literature Review (SLR) combined with conceptual analysis, the study systematically examined publications from 2015 to 2025 across leading academic databases, focusing on themes of quality management, functional beverage marketing, kombucha production, consumer behavior, and digital strategies. The findings reveal that product quality—characterized by fermentation stability, microbiological safety, and nutritional consistency—serves as the primary driver of consumer purchase intention. Process quality, through standardized SOPs, hygiene protocols, and traceability systems, reinforces credibility, while service quality, including transparent labeling, health education, and digital engagement, strengthens brand trust. Integrating TQM principles into marketing fosters consumer loyalty, differentiates brands in competitive markets, and supports long-term sustainability. This study provides practical guidance for producers, community-based enterprises, and policymakers to adopt quality-driven marketing models, offering a novel conceptual framework tailored to kombucha products and mapping future research directions in functional beverage innovation.

Food safety is an important issue in the prevention of food-borne diseases because contaminated food can cause diseases such as diarrhea, typhoid fever, and food poisoning. Snack food vendors, as direct food handlers, have an important role in maintaining food hygiene and sanitation. Research Objective: To know the description of the sanitary hygiene behavior of snack food vendors in Jakabaring Sport City, Palembang City in 2025. Research Methods: This type of research is descriptive research. The population in this study is all snack food traders around the Jakabaring Sport City lake, Palembang City. The sample in this study was 36 people. The data collection tool is the questionnaire sheet. Data analysis was carriedout by univariate analysis. Research Results: The results of this study show that the characteristics of respondents based on gender are male (25.0%) and female (75.0%), young age < 47 years old (41.5%) and old age ≥ 47 years old (51.8%), the last education of elementary and junior high school is (52.8%) and high school-college (47.2%). Respondents' knowledge was not good (66.7%) and good (33.3%),respondents' attitudes were negative (36.1%) and positive (63.9%), respondents' actions were not good (55.6%) and good (44.4%). Conclusion: Although most traders have a positive attitude towards sanitation hygiene, the low knowledge and inappropriate actions indicate the need for regular education and supervision efforts to improve sanitation hygiene behavior among snack food traders.  

Thaharah represents a core principle within Islamic teachings, encompasses both bodily cleanliness and spiritual sanctity, and functions as an essential requirement for the proper observance of acts of worship, including prayer, tawaf, and the recitation of the Qur’an. This concept extends beyond ritual practice, reflecting a manifestation of faith that encourages Muslims to maintain personal hygiene, environmental cleanliness, and spiritual closeness to Allah SWT. This study aims to explore and critically examine the concept of thaharah in a comprehensive manner, clarify its role within Islamic religious practices, and assess its relevance in fostering clean lifestyle behaviors and appropriate worship practices in accordance with Islamic legal principles in contemporary society. Conceptually, thaharah is divided into two main forms: purification from ritual impurity (hadas) through ablution (wudu), ritual bathing (ghusl), or dry purification (tayammum), and purification from physical impurities (najis) by cleansing the body, clothing, and surrounding environment. The normative foundation of thaharah is reinforced by textual evidence, including Surah Al-Ma’idah verse 6 and prophetic traditions that emphasize cleanliness as an integral part of faith. Thus, thaharah offers a holistic perspective on cleanliness that integrates both worldly and spiritual dimensions of Muslim life.  

Self-health education plays a crucial role in shaping the healthy habits, character, and behavior of elementary school students. This learning emphasizes not only physical hygiene but also the development of social and emotional skills that can prevent negative behaviors such as bullying. This study aims to examine teachers' strategies in implementing self-health education as an effort to prevent bullying behavior in elementary schools. The method used was a literature review by analyzing various relevant scientific sources from 2020–2025. The results of the study indicate that teachers' strategies in implementing self-health education include three main approaches: habituating clean and healthy living behaviors, integrating health values ​​into learning, and fostering social-emotional development through reflective activities in the classroom. These three strategies are effective in fostering students' awareness, discipline, responsibility, and empathy towards their peers. Self-health education also contributes to creating a safe, healthy, and respectful learning environment. Thus, self-health education can be used as a preventive strategy to prevent bullying in elementary schools. Teachers act as role models and facilitators who ensure the values ​​of health, empathy, and social responsibility are integrated into teaching and learning activities.