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Measles Rubella (MR) immunization coverage in Indonesia remains below the national target of 95%, with coverage in 2024 reaching only 82.3% and showing a decline compared to the previous year. A lower coverage was observed in the working area of Pekanbaru Kota Public Health Center, where only238 out of 547 eligible children (41.3%) received MR immunization. Low immunization coverage may reduce herd immunity and increase the risk of measles and rubella outbreaks. This study aimed to analyze factors influencing MR immunization uptake among children under five in the working area of Pekanbaru Kota Public Health Center in 2025. This quantitative study employed a cross-sectional design involving 40 mothers of children aged 9–60 months selected through accidental sampling. Data were collected using structured questionnaires assessing maternal knowledge, attitudes, family support, support from health workers, and travel time to health facilities. Univariate and bivariate analyses were performed using the Chi-Square test at a 95% confidence level (α = 0.05). The results showed that 67.5% of respondents had provided MR immunization to their  children.  Significant associations  were  found  between  maternal knowledge (p = 0.033), maternal attitudes (p = 0.037), family support (p = 0.002), and health worker support (p = 0.015) with MR immunization uptake, while travel time to health facilities was not significantly associated (p = 0.053). In conclusion, maternal knowledge and attitudes, family support, and health worker support are significant factors influencing MR immunization uptake, highlighting the need to strengthen health education and family involvement to improve MR immunization coverage.

Low levels of maternal knowledge and appropriate nutritional practices, combined with limited continuity of nutrition education from health workers, remain significant risk factors for maternal and child health problems, including stunting. The GEMPITA Program (Gerakan Edukasi MPASI Tepat dan Aman / Safe and Appropriate Complementary Feeding Education Movement) was implemented as a community service initiative to improve nutritional knowledge, skills, and practices among families in the working area of Teratak Public Health Center. The program employed structured methods, including socialization, education, training, demonstrations, mentoring, and non-formal monitoring and evaluation. The target participants were mothers with children aged 6–24 months, as well as health workers and community health cadres. Program effectiveness was assessed using pretest posttest measurements and direct observation of behavioral changes. The results demonstrated a significant improvement in maternal knowledge regarding appropriate complementary feeding, enhanced skills in age-appropriate food preparation, and improved hygienic and nutritious feeding practices. In addition, the capacity of health workers to deliver nutrition education was strengthened. Overall, the GEMPITA Program proved effective in improving family nutrition practices and reinforcing the role of the public health center in stunting prevention through a sustainable community empowerment approach.

Data from the 2020 LFSP (Long Form Population Census) recorded a maternal mortality ratio of 189 per 100,000 live births, while the infant mortality rate was recorded at 16.85 per 1,000 live births. The causes of maternal mortality were hemorrhage, preeclampsia/eclampsia, infection, prolonged labor, and miscarriage. Meanwhile, the majority of infant deaths were due to low birth weight, asphyxia, and infection at birth. Stunting remains a particular concern in Tegal City. Various measures have been taken, and the stunting rate has decreased to around 13.8% according to data from early 2025. This PKM is expected to increase public knowledge on caring for pregnant women, women in labor, postpartum women, and newborns, as well as preventing stunting in children, thereby reducing maternal and infant mortality rates. The methods used in this activity include health education and outreach with a promotive and preventive approach, targeting pregnant women and mothers with infants and toddlers. Community service was held on Wednesday, December 17, 2025, from 8:30 a.m. to 12:00 p.m. at the Boegenvil Health Center in Cabawan Village, Tegal City, with 53 participants. The results of this activity showed an increase in the level of knowledge of the participants, from 11 people with a good level of knowledge to 41 people after receiving counseling, with 3 participants still having a low level of knowledge.

Data from the 2020 LFSP (Long Form Population Census) recorded a maternal mortality ratio of 189 per 100,000 live births, while the infant mortality rate was recorded at 16.85 per 1,000 live births. The causes of maternal mortality were hemorrhage, preeclampsia/eclampsia, infection, prolonged labor, and miscarriage. Meanwhile, the majority of infant deaths were due to low birth weight, asphyxia, and infection at birth. Stunting remains a particular concern in Tegal City. Various measures have been taken, and the stunting rate has decreased to around 13.8% according to data from early 2025. This PKM is expected to increase public knowledge on caring for pregnant women, women in labor, postpartum women, and newborns, as well as preventing stunting in children, thereby reducing maternal and infant mortality rates. The methods used in this activity include health education and outreach with a promotive and preventive approach, targeting pregnant women and mothers with infants and toddlers. Community service was held on Wednesday, December 17, 2025, from 8:30 a.m. to 12:00 p.m. at the Boegenvil Health Center in Cabawan Village, Tegal City, with 53 participants. The results of this activity showed an increase in the level of knowledge of the participants, from 11 people with a good level of knowledge to 41 people after receiving counseling, with 3 participants still having a low level of knowledge.

Non-health facility deliveries remain a significant maternal health problem in rural areas, increasing the risk of complications for both mothers and newborns. Cigobang Village, Karang Tengah, Babakan Madang District, is one of the areas where home deliveries assisted by non-health personnel are still practiced. This community service activity was conducted through the Village Community Health Development (PKMD) program involving 103 respondents, there were 8 pregnant women (100%) who still planned to give birth at home assisted by non-health personnel. The objective of this activity was to improve community awareness and knowledge regarding safe delivery practices in health facilities. The methods included a community health assessment using questionnaires, maternal health education sessions, and interactive discussions with pregnant women, families, and community health cadres. The results showed that despite the implementation of health education, some pregnant women still planned home deliveries assisted by non-health personnel due to cultural beliefs, accessibility issues, and financial considerations. The PKMD activities contributed to increased community knowledge; however, continuous education and multisectoral collaboration are required to promote safer delivery practices.

Breast milk (ASI) is the best source of nutrition for newborns because it contains complete, safe, and stable nutrients, thus supporting optimal growth and development of infants. However, some breastfeeding mothers still do not fully understand the sufficiency of breast milk and its benefits for babies. Therefore, health education efforts are needed to improve the knowledge and understanding of breastfeeding mothers regarding breastfeeding. Health education is an educational activity aimed at inviting and encouraging the community to be willing to take actions that can maintain and improve health. This health education activity on the sufficiency of breast milk for breastfeeding mothers was held on January 24, 2026, at the Sungai Durian Community Health Center (UPTD). The method used in this activity was the delivery of material through health counseling accompanied by a measurement of the level of knowledge using pretest and posttest questionnaires. After the presentation of the material, breastfeeding mothers were asked to complete a posttest questionnaire to assess their understanding of the material that had been provided. The measurement results showed a significant difference between the pretest and posttest scores, indicating an increase in knowledge of breastfeeding mothers after being provided with health education. Thus, it can be concluded that health education activities about breast milk sufficiency are effective in increasing the understanding of breastfeeding mothers regarding the importance of providing sufficient breast milk for babies.

Maternal Mortality Rate (MMR) remains a major global health issue that requires serious attention. Based on the Indonesian Health Survey (Survei Kesehatan Indonesia/SKI), Indonesia’s MMR in 2022 was recorded at 195 per 100,000 live births and decreased to 189 per 100,000 live births in 2023. Although this decline indicates some progress, the figure remains far from the Sustainable Development Goals (SDGs) target of fewer than 70 maternal deaths per 100,000 live births by 2030. Therefore, various promotive and preventive efforts are needed to reduce MMR, one of which is by improving pregnant women’s compliance in attending antenatal classes. This study aimed to examine the relationship between pregnant women’s knowledge and family support and their compliance in attending antenatal classes in the working area of Sinaboi Public Health Center. This research employed a quantitative analytic method with a cross-sectional design. The total number of respondents was 136 pregnant women. The results of the univariate analysis showed that 78 respondents (57.4%) had good knowledge, 74 respondents (54.9%) received family support, and 106 respondents (78.0%) were compliant in attending antenatal classes. The Chi-square test results indicated a significant relationship between pregnant women’s knowledge and compliance in attending antenatal classes (p-value = 0.03), as well as a significant relationship between family support and pregnant women’s compliance in attending antenatal classes (p-value = 0.02). This study is expected to serve as a reference for health workers and future researchers in enhancing education and family involvement to encourage active and regular participation of pregnant women in antenatal classes.

Background: The postpartum period is a critical phase requiring optimal nutritional intake for maternal recovery and ensuring the quality of breast milk. In densely populated urban areas such as Semampir District, dietary quality is often influenced by the level of nutrition knowledge and household economic conditions. Objective: This study aims to analyze the relationship between nutrition knowledge and household food security with dietary quality among postpartum mothers in Semampir District, Surabaya. Methods: This was an observational analytical study with a cross-sectional design. A total of 340 postpartum mothers were selected using simple random sampling. Nutrition knowledge was measured through a structured questionnaire, food security was assessed using the Household Food Insecurity Access Scale (HFIAS), and dietary quality was measured using the 3-level Balanced Diet Index derived from 24-hour food recall data. Data were analyzed descriptively and through the Chi-Square correlation test. Results: The findings indicated that the majority of respondents possessed a good level of nutrition knowledge (average correct answers >75%), with the highest score in anemia prevention (81.2%) and the lowest in the functional role of Vitamin A (75.9%). Dietary quality assessment revealed that most respondents were in the [Select: Moderate/Poor] category based on IGS scores. Bivariate analysis showed a significant relationship (p < 0.05) between both nutrition knowledge and household food security with the dietary quality of postpartum mothers. Conclusion: Good nutrition knowledge and stable food security contribute positively to the dietary quality of postpartum mothers. Targeted nutritional education regarding micronutrients and strengthening food access at the household level are essential to optimize maternal health during the postpartum period in urban settings.

Based on the 2017 Indonesian Demographic and Health Survey (SDKI), one of the SDGs targets by 2030 is to reduce the maternal mortality rate to 70 per 100,000 live births. The maternal mortality rate in Indonesia is 305 per 100,000 live births (Ministry of Health, 2017). This community service activity aims to determine the effect of postpartum care counseling on postpartum mothers' knowledge about the use of the KIA handbook. The implementation method involved community outreach and counseling in the target area, with the active participation of community leaders and residents. The results showed that education influenced postpartum mothers' knowledge. Counseling provided to postpartum mothers increased knowledge, leading to changes in knowledge before and after counseling. This activity is expected to be sustainable as a promotive and preventive effort in public health

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.

Stunting remains a chronic nutrition problem that requires strengthening community-based interventions, particularly through optimizing the role of posyandu cadres. This article aims to describe nutrition education and child growth monitoring for cadres as a strategy to prevent stunting at Posyandu Delima. The method employed was a participatory community empowerment approach based on health education. The activities were conducted through several stages, including needs assessment, development and delivery of nutrition education, hands-on practice in child growth monitoring, cadre mentoring, and evaluation with reflective feedback. The results showed an improvement in cadres’ knowledge and skills in interpreting growth indicators, identifying early risks of nutritional problems, and delivering structured nutrition education to caregivers of under-five children. Strengthening cadre capacity contributed to better quality of child growth monitoring and reinforced the role of posyandu as a community-based primary health service. In conclusion, integrated nutrition education and child growth monitoring are effective in supporting stunting prevention efforts and are aligned with national policies on strengthening maternal and child health services.

Stunting remains a chronic nutrition problem that requires strengthening community-based interventions, particularly through optimizing the role of posyandu cadres. This article aims to describe nutrition education and child growth monitoring for cadres as a strategy to prevent stunting at Posyandu Delima. The method employed was a participatory community empowerment approach based on health education. The activities were conducted through several stages, including needs assessment, development and delivery of nutrition education, hands-on practice in child growth monitoring, cadre mentoring, and evaluation with reflective feedback. The results showed an improvement in cadres’ knowledge and skills in interpreting growth indicators, identifying early risks of nutritional problems, and delivering structured nutrition education to caregivers of under-five children. Strengthening cadre capacity contributed to better quality of child growth monitoring and reinforced the role of posyandu as a community-based primary health service. In conclusion, integrated nutrition education and child growth monitoring are effective in supporting stunting prevention efforts and are aligned with national policies on strengthening maternal and child health services.

Bacillus Calmette–Guérin (BCG) immunization is a mandatory basic immunization that must be administered to infants before two months of age as a preventive measure against tuberculosis. Timely administration of the BCG vaccine is crucial to ensure optimal protection and to maintain continuity of subsequent immunization schedules. Maternal knowledge is one of the factors influencing the timeliness of immunization. The achievement of BCG immunization at Muara Fajar Community Health Center in 2025 was 76.1%, still below the annual target of 90%. This study aimed to determine the relationship between maternal knowledge and the timely administration of BCG immunization among infants aged 0–2 months in the working area of Muara Fajar Public Health Center, Pekanbaru City. This study employed a quantitative method with a cross-sectional design. A total of 59 mothers with infants aged 0–6 months were selected using accidental sampling. Data were collected through questionnaires assessing maternal knowledge of BCG immunization and the timeliness of BCG vaccine administration. Data analysis was conducted using the Chi-square test with a significance level of p<0.05. The results showed that most mothers were aged 26–35 years (59.3%), had a senior high school education (52.2%), and were housewives (71.2%). Nearly half of the respondents had low knowledge levels (47.5%), while 54.2% of infants received BCG immunization on time. The Chi-square test revealed a significant association between maternal knowledge and timely BCG immunization (p=0.001). This study concludes that maternal knowledge plays a crucial role in ensuring timely BCG immunization in infants.  

Background: The Maternal and Child Health (MCH) Book plays an essential role in enhancing pregnant women's knowledge of pregnancy health and labor preparation. However, its utilization remains suboptimal, which may affect a mother's readiness for childbirth. Objective: This study aims to analyze the relationship between pregnant women's knowledge of the MCH Book and their birth preparedness at the Mamajang Health Center in Makassar in 2025. Method: This research employs a quantitative design using purposive sampling with 86 pregnant women as respondents. Data were collected using a knowledge questionnaire about the MCH Book and a birth preparedness questionnaire. Data analysis was conducted using the Chi-Square statistical test. Results: The majority of pregnant women demonstrated good knowledge of the MCH Book (75.6%) and were categorized as prepared for childbirth (70.9%). Statistical testing indicated a significant relationship between pregnant women's knowledge of the MCH Book and their birth preparedness (p = 0.001). Conclusion: There is a significant relationship between pregnant women's knowledge of the MCH Book and their birth preparedness at the Mamajang Health Center in Makassar. Health workers are expected to enhance education and optimization of MCH Book utilization to support birth preparedness.

Pregnancy complications remain a major health problem contributing to high maternal morbidity and mortality rates in Indonesia. Factors influencing the occurrence of pregnancy complications include the level of maternal knowledge and advanced maternal age. Advanced age increases the risk of pregnancy disorders due to decreased reproductive function, while low knowledge limits a mother’s ability to recognize danger signs and take appropriate preventive measures. This study aimed to determine the relationship between knowledge level and advanced maternal age and the occurrence of pregnancy complications in the working area of Bonebobakal Public Health Center, Banggai Regency. This study employed a quantitative analytic design with a cross-sectional approach involving 41 pregnant women selected through total sampling. Data were collected using questionnaires and interviews and analyzed using the Chi-Square test. The results showed a significant relationship between maternal knowledge level and maternal age with the occurrence of pregnancy complications. Health education and regular pregnancy monitoring are necessary to reduce the risk of complications and improve maternal and fetal safety..

The Maternal Mortality Rate (MMR) is primarily caused by pregnancy complications that are actually preventable through early detection; however, maternal understanding of the Maternal and Child Health (MCH) Handbook remains very low. This community service aims to empower pregnant women at Sarfina Primary Clinic, Medan, by enhancing their MCH Handbook literacy. The implementation utilized a Community-Based Participatory Action (CBPA) approach conducted over four weeks, involving 30 pregnant women. The activity stages included a pre-test, interactive education, self-assessment simulations, and a post-test. Evaluation results indicated a significant surge in health literacy; pregnant women's knowledge in the "Good" category drastically increased from 13.3% to 86.7%, while the "Poor" knowledge category was successfully eliminated from 50% to 0%. In conclusion, this educational and simulation intervention proved highly effective in transforming pregnant women's behavior, making them proactive individuals in the early detection of pregnancy danger signs which is expected to reduce the risk of pregnancy complications and reduce maternal mortality rates.

Background: Compliance with routine infant immunization is essential for the success of vaccination programs and the prevention of vaccine-preventable diseases. However, adherence to immunization schedules remains suboptimal due to limited parental knowledge, concerns about vaccine safety, and the limited effectiveness of conventional health education. Audio-visual media offer a promising solution by delivering information in a more engaging, clear, and consistent manner. Objective: This study aimed to evaluate the effectiveness of audio-visual educational media in improving adherence to basic immunization among infants in the service area of the Rum Balibunga Community Health Center. Methods: A quasi-experimental design with a one-group pretest-posttest approach was used. The sample included 40 mothers with infants aged 0-12 months selected through purposive sampling. Participants received an educational video on basic immunization. Adherence was assessed before and after the intervention based on completeness and timeliness according to the national schedule. Data were analyzed using univariate and bivariate methods, with the McNemar test for paired categorical data. Results: There was a significant improvement in immunization adherence after the intervention. Statistical analysis confirmed a meaningful difference before and after exposure, indicating the effectiveness of audio-visual media. Conclusion: Audio-visual education is an effective strategy to improve infant immunization adherence and can be widely applied in primary healthcare settings.

Pregnancy is a crucial period that requires intensive maternal health monitoring. Prenatal exercise is a non-medical intervention that is beneficial for improving physical fitness, reducing pregnancy complaints, and preparing mothers for childbirth. This study aims to determine whether there is a relationship between the knowledge and attitudes of pregnant women and the implementation of prenatal exercise at the Dolik Community Health Center. This study design was quantitative descriptive analytic with a cross-sectional approach. The sample consisted of 28 pregnant women selected using purposive sampling. Data were collected through a structured questionnaire regarding knowledge, attitudes, and implementation of prenatal exercise, then analyzed using the Chi-Square test. The results showed that the majority of pregnant women had good knowledge (60.7 %) and a positive attitude towards prenatal exercise (64.3%). Bivariate analysis showed a significant relationship between knowledge and implementation of prenatal exercise (p = 0.021) and between attitude and implementation of prenatal exercise (p = 0.034). Mothers with good knowledge and positive attitudes were more likely to regularly participate in prenatal exercise. This study shows a relationship between knowledge and attitudes and implementation of prenatal exercise, so increasing education and fostering positive attitudes are important strategies to encourage participation of pregnant women.

Background: Breastfeeding is a crucial practice that provides optimal nutrition and immunity for infants while supporting maternal health. However, inadequate knowledge and limited understanding about the importance of breastfeeding often lead to low motivation among pregnant women in preparing for breastfeeding. Providing structured education is expected improve pregnant women’s readiness and commitment to breastfeeding after childbirth. Objective: This study aimed to determine the effect of providing education about the importance of breastfeeding on the motivation of pregnant women in preparing to breastfeed at the Paguat Community Health Center UPTD. Methods: This study employed a pre-experimental design with one-group pretest–posttest approach. A total of 30 pregnant women were selected as the sample using purposive sampling techniques. Data on mothers’ motivation to prepare for breastfeeding were collected before and after the educational intervention using a structured motivation questionnaire. The data were analyzed using the Wilcoxon signed-rank test to assess differences in motivation levels before and after the intervention. Results: The results of the Wilcoxon signed-rank test showed a p-value of 0.000 (p < 0.05), indicating a statistically significant effect of breastfeeding education on the motivation of pregnant women in preparing breastfeed. The findings demonstrate that educational interventions significantly increased maternal motivation following the provision of education. Conclusion: Providing education about the importance of breastfeeding has a significant positive effect on the motivation of pregnant women in preparing to breastfeed. Therefore, breastfeeding education should be strengthened and routinely implemented during antenatal care services to improve maternal readiness and support successful breastfeeding practices.

Exclusive breastfeeding is the provision of only breast milk without any other food or drink from birth to six months of age. The practice of exclusive breastfeeding is very important in supporting infant growth and development and reducing infant morbidity and mortality. However, the coverage of exclusive breastfeeding is still not optimal, including for mothers with first-born children (first-born toddlers). This study aims to determine the determinants of exclusive breastfeeding in first-born toddlers in the work area of ​​Dewantara Health Center, North Aceh with variables of knowledge, attitude, and support for breastfeeding. This study uses a quantitative research type with a cross-sectional design. The population in this study were all mothers who had their first-born children (first-born toddlers) in the work area of ​​Dewantara Health Center, as many as 30 people. The sampling technique used total sampling so that the entire sample population was used. Data collection was carried out using a questionnaire and analyzed using the Chi-Square test. The results showed no significant relationship between maternal knowledge and exclusive breastfeeding (p=0.241), no relationship between maternal attitudes and exclusive breastfeeding (p=0.786), and no relationship between breastfeeding support and exclusive breastfeeding (p=0.850). The conclusion of this study is that knowledge, attitudes, and support for breastfeeding are not significantly related to exclusive breastfeeding in first-born toddlers. It is recommended that health workers improve breastfeeding education and support, and strengthen family support for the success of exclusive breastfeeding.