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Various recent studies have shown that natural active compounds contained in traditional and fermented plants play a crucial role in supporting human health. These compounds include flavonoids, polyphenols, tannins, saponins, alkaloids, organic acids, probiotics, and other phenolic compounds. Detection of these compounds is usually carried out through specific chemical reactions that allow researchers to more precisely identify the bioactive components. Their biological activities are diverse, including antioxidant, antibacterial, anti-inflammatory, and antimicrobial properties, which work to protect the body from cell damage and infection. Natural compounds are considered promising agents for disease prevention and health promotion due to their broad biological activities. The fermentation process has been shown to increase the content of bioactive compounds while lowering the pH of the medium, creating conditions unfavorable for the growth of pathogenic bacteria. Furthermore, probiotics that develop during fermentation play a role in maintaining the balance of the gut microbiota, strengthening the immune system, and improving digestive health. Fermented products are widely recognized as functional foods because they contain beneficial probiotics and enhanced bioactive compounds. These naturally derived products, rich in secondary metabolites, have also been shown to have significant physiological effects, such as lowering cholesterol levels, controlling blood sugar, and maintaining stable blood pressure. This makes natural ingredients and fermented products not only sources of nutrition but also have great potential for development as functional foods and traditional herbal medicines. This highlights the importance of integrating traditional knowledge with modern scientific approaches in developing functional foods and herbal medicines. Therefore, research on natural bioactive compounds and the role of fermentation in enhancing their effectiveness is highly relevant to supporting sustainable public health.  

The activity of strengthening Indonesian language education as a bullying prevention strategy at SDN 02 Simalanggang aims to raise students' awareness of the negative impacts of bullying and the importance of good communication in creating positive relationships, in line with the Sustainable Development Goals (SDGs), particularly SDG 4, which focuses on quality education. This program was carried out on June 20, 2025, involving 200 students and 15 teachers. The methods used include observation, socialization, effective communication training, and counseling for students involved in bullying cases. The results of the activity show a significant increase in students' understanding of bullying and the importance of speaking properly, as well as a 30% reduction in bullying incidents at school. Evaluation was carried out through direct observation, which showed positive changes in students' behavior, both as perpetrators and victims of bullying. This program also reinforces the concepts of effective communication and character education, which have proven to reduce bullying and create a safer and more inclusive learning environment. Based on these results, the activity provides great benefits for students' character development and creates a more supportive school atmosphere, contributing to the achievement of SDGs in quality education. The program involved a series of activities, such as observation to identify bullying incidents, socialization sessions to inform students about bullying and its consequences, and communication training to improve students' skills in handling conflicts constructively. Counseling was also provided to students who were either perpetrators or victims of bullying, helping them to understand the impact of their actions and how to manage emotions and behavior in a more positive manner. After the program, a noticeable shift in behavior was observed, particularly in the way students interacted with one another. A significant reduction in bullying incidents by 30% demonstrates the effectiveness of communication-based interventions.

This research is motivated by the increasing cases of sexual harassment in the university environment which has a serious impact on the psychological condition of victims and the academic climate as a whole. Universities that are supposed to be safe spaces for learning and development are often places where serious violations of human dignity occur. The establishment of the Task Force for the Prevention and Handling of Sexual Violence (Satgas PPKS) is an important step by the government to provide protection, assistance, and a more structured complaint mechanism for victims of sexual violence. This study aims to examine the criminal acts of sexual harassment in universities as well as analyze the role and countermeasures carried out by the PPKS Task Force in handling these cases. The research methods used are normative juridical approaches and empirical juridical approaches. The normative approach is carried out by analyzing relevant laws and regulations, such as the Sexual Violence Crime Law and university regulations related to the prevention of sexual violence. Meanwhile, an empirical approach is carried out through observation and analysis of the implementation of the tasks of the PPKS Task Force in the campus environment. The results of the study show that the PPKS Task Force plays a significant role in providing psychosocial support for victims, conducting socialization related to the prevention of sexual violence, and enforcing anti-sexual violence policies in universities. In addition, the PPKS Task Force also implements various programs such as gender awareness training, legal assistance, and building a complaint system that is more accessible to students. The implications of this study confirm the importance of education and increasing awareness among the academic community regarding the issue of sexual harassment.

This Community Service Program is entitled "Health Education Services to Prevent Hypercholesterolemia in Students at the H. Nur Abdullah Al-Qur'an Memorization Islamic Boarding School." Hypercholesterolemia is a medical condition characterized by high blood cholesterol levels, which can increase the risk of heart disease and stroke. This disease can be prevented and managed with lifestyle changes and appropriate medication. The goal of this Community Service Program is to increase students' awareness and knowledge of hypercholesterolemia and provide education on effective prevention and management methods. This Community Service Program is conducted through health counseling, health checks, and education on healthy lifestyles. The target students in this study were students from the H. Nur Abdullah Al-Qur'an Memorization Islamic Boarding School. Prior to the counseling session, 50 students were given a pre-test questionnaire regarding their knowledge of hypercholesterolemia. After the counseling session, a post-test questionnaire on hypercholesterolemia was administered, which showed an increase in knowledge, as evidenced by the post-test results. Following the counseling and health examinations, the students targeted in this study, from the Nur Abdullah Al- Quran memorization Islamic boarding school, showed increased awareness and knowledge about hypercholesterolemia. Most participants also demonstrated healthier lifestyle changes, such as increasing fruit and vegetable consumption and engaging in regular physical activity. This Community Service Program (PKM) demonstrates that health education and counseling can increase the awareness and knowledge of hypercholesterolemia among the students targeted in this study, from the Nur Abdullah Al-Quran memorization Islamic boarding school. Therefore, the students targeted in this community service session, from the Nur Abdullah Al-Quran memorization Islamic boarding school, can effectively implement prev ention and management strategies to reduce the risk of heart disease and stroke.

This Community Service is entitled Education and Examination of BMI (Body Mass Index) at the Madinatul Munawarah Islamic Boarding School in Bukittinggi City. Body Mass Index is defined as a person's weight in kilograms divided by height in meters. The purpose of this PKM is to increase awareness and knowledge of students in paying attention to their health regarding BMI, as well as providing education on effective prevention and management methods in maintaining ideal weight and height. This PKM is carried out through health counseling, health checks, and education about healthy lifestyles. The students targeted in this study are from the Madinatul Munawarah Islamic Boarding School in Bukittinggi City. Before the counseling, 26 students were given counseling about their knowledge of BMI / Body Mass Index. Then after the counseling, a health check was also carried out through measuring height and weight. The BMI of the students turned out to show BMI figures that could be categorized as follows: the highest normal category of BMI measurement was 14 people out of 26 participants (54%), and followed by the thin category of 7 people out of 26 participants (27%) while the obese were 5 people out of 26 participants (19%) from the results of calculations using the formula. After counseling and health checks, the students targeted in this study were from the Madinatul Munawarah Islamic Boarding School in Bukittinggi City showed an increase in awareness and knowledge about BMI. Most participants also showed changes in a healthier lifestyle, such as increasing consumption of fruits and vegetables, and doing physical activity regularly. This PKM shows that health education and counseling can increase awareness and knowledge of the students targeted in this study were from the Madinatul Munawarah Islamic Boarding School about BMI. Thus, the students targeted in this community service from the Madinatul Munawarah Islamic Boarding School in Bukittinggi City, can carry out effective prevention and management to reduce the risk of overweight disease.

Dyslipidemia is a lipid metabolism disorder characterized by an increase or decrease in blood plasma fat levels. This condition includes high levels of total cholesterol, low-density lipoprotein (LDL), and triglycerides, as well as decreased levels of high-density lipoprotein (HDL). In general, dyslipidemia is divided into two types: primary, which is influenced by genetic factors, and secondary, which is caused by other diseases or an unhealthy lifestyle. Dyslipidemia is one of the major risk factors for cardiovascular disease, making its prevention and treatment very important. In this study, male white mice were used and induced with a high-fat diet to trigger dyslipidemia. The test animals were then divided into six groups: a negative control, a positive control (given simvastatin at a dose of 0.36 mL/day), and three treatment groups with microcapsules of Chinese betel leaf herb ethanol extract (EEHSC) at concentrations of 0.25%, 0.5%, and 0.75%. The treatment was administered orally for 14 days. Cholesterol levels were measured before and after treatment using a digital cholesterol tester and laboratory analysis to ensure more accurate results. The results showed a decrease in cholesterol levels with varying percentages in each group. The negative control decreased by 24.8%, the positive control by 36.1%, the 0.25% EEHSC by 24.1%, the 0.5% EEHSC by 34.7%, and the 0.75% EEHSC by 45.5%. This indicates that the 0.5% EEHSC treatment produced cholesterol reductions almost comparable to simvastatin. Interestingly, the highest effect was observed in the 0.75% group, indicating a dose-dependent response. In contrast, the 0.25% concentration only produced a less than optimal effect. Thus, microcapsules of ethanol extract of the Chinese betel leaf herb have potential as an alternative agent for lowering cholesterol levels, particularly in dyslipidemia. These findings suggest that natural-based therapies could complement conventional treatments in managing lipid disorders.

Stunting remains a significant health problem in rural areas, particularly due to the lack of father involvement in child care. The “Bapakku Hebat” program initiated by the Omben Health Center emerged as a breakthrough to strengthen the role of fathers in stunting prevention efforts through family health posts. This study adopted a qualitative descriptive approach to investigate the implementation, effects, and barriers of the program. The research findings indicated an increase in father involvement in health post activities, nutrition counseling, and child health monitoring. The program successfully reduced the prevalence of stunting risk by 10% in a year by increasing health post coverage and changing family behavior in providing nutrition. Key driving factors included inter-sectoral collaboration with village governments, health cadres, and farming communities that strengthened social networks and local resources. However, challenges remain, such as budget constraints, a lack of male cadres, and the influence of cultural norms that consider childcare as a woman’s responsibility. The “Bapakku Hebat” program shows that active father involvement can increase family awareness of the importance of fulfilling children’s nutrition. These findings emphasize the importance of gender-sensitive family health policies and cross-sectoral support to ensure the sustainability of the program. This research is expected to be a reference for other regions in implementing similar innovations to reduce the prevalence of stunting and improve the quality of child care. Furthermore, the success of the "My Great Father" program also demonstrates the importance of a community-based approach in public health interventions. The direct involvement of community leaders, religious leaders, and farmer groups in the program's outreach and implementation has proven effective in building a sense of ownership and increasing active community participation, particularly among fathers.

In 2025, cadre groups in the working area of Puskesmas Martapura Timur have mostly never been involved in education about health issues including the problem of anemia in pregnant women. This community service expects cadre groups to increase knowledge and skills about Anemia Prevention during pregnancy. The method used is to identify health problems, train health cadres to provide health education about anemia in pregnant women, healthy and nutritionally balanced foods to prevent anemia, self-care during pregnancy, and recognition of signs of anemia in pregnant women with a peer educator approach suitable for the field of health promotion to change knowledge, attitudes, and healthy living behavior. The results of community service showed an increase in knowledge and skills to 90%.

This study aims to determine the implementation of the Smart Society 5.0-based digital literacy program in Ciamis Regency, implemented by the Communication and Informatics Office (Diskominfo). This program is part of the local government's digital transformation to create a smart, inclusive, and adaptive society to the development of information technology. This study uses a qualitative approach with descriptive methods, and data is obtained through in-depth interviews, field observations, and documentation. The analysis is conducted using Charles O. Jones's theory of public policy implementation, which includes three main components: organization, interpretation, and implementation. The results show that organizationally, Diskominfo has a supportive structure and relatively competent human resources, although there are still limitations in the mastery of digital technology among employees. From an interpretation perspective, the digital literacy strategy is implemented through public education, hoax prevention, digital content provision, and social media utilization. Meanwhile, in terms of implementation, supervision is carried out through monitoring, regular reporting, the use of digital applications, and evaluation forums. Some obstacles faced include budget limitations, the digital divide between regions, uneven technological infrastructure, and the lack of specific evaluation indicators. Nevertheless, improvement efforts continue through human resource training, optimization of digital facilities and infrastructure, and cross-sector synergy. This study concludes that the implementation of the Smart Society 5.0-based digital literacy program in Ciamis Regency has been quite successful, but still requires strengthening human resources, evaluation policies, and equitable digital access in rural areas.

This study aims to identify and describe the role of Islamic Education (PAI) teachers in addressing cases of cyberbullying at SMA Al-Islam Krian, as well as to evaluate the effectiveness of the strategies implemented in its prevention and handling. The research employed a descriptive qualitative method, with data collected through observation, in-depth interviews, and documentation. The findings reveal that PAI teachers serve not only as educators but also as moral guides and motivators who instill Islamic values through personal approaches, digital ethics education, and the reinforcement of students' religious character. The strategies implemented include integrating religious values into the learning process, using religious activities to shape character, and participating in conflict mediation among students. Challenges faced include limited digital literacy among teachers, insufficient school policy support, and a lack of awareness among students and parents regarding the impact of cyberbullying. The study concludes that the role of PAI teachers is highly strategic and should be strengthened through training, supportive policies, and collaboration with various stakeholders to create a safe and morally grounded school environment .

WHO (2020) found that in various hospitals around the world the incidence of patient falls per year ranged from 3.2 - 16.6% or 700,000 -1,000,000 in the United States, England, Denmark and Australia. Data in Indonesia recorded 34 cases of patient falls or equivalent to 14% of fall incidents in hospitals in Indonesia, data from Bhayangkara Hospital has a high prevalence of fall risk, reaching 10.07% or around 1,975 people, especially in the hemodialysis room. One of the unexpected events is the incident of a patient falling, caused by various things, this is also related to the knowledge of nurses in preventing the risk of falls in patients. Objective: To find out efforts to improve nurses' knowledge in preventing the risk of falls in the HD room at Bhayangkara Hospital, Lampung Province.The data collection method carried out on August 20, 2024 was through interviews, documentation studies, and observations. From the pre-survey data, it was found that nurses' knowledge was lacking because there were still incidents of patients falling in the hemodialysis room. The results of the Nursing Management problems found were that the prevention of the risk of falling in patients in the HD room of the Bhayangkara Lampung Hospital was not optimal, the number of nurses in the HD room itself was 19 nurses, 11 of whom had undergone training. The activity plan carried out was education about the importance of nurses' knowledge in optimally preventing the risk of falling in patients. The implementation of the activity was carried out on December 14, 2024 by means of education on the prevention of the risk of falling in patients with a Morse fall scale assessment. After education was carried out on the risk of falling in patients in the HD room of the Bhayangkara Lampung Hospital, the results showed an increase in nurses' knowledge about the risk of falling, as evidenced by the pre-test results of 50-70% and the post-test results of 70-90. It is hoped that with the increase in nurses' knowledge, they can optimize the prevention of the risk of falling in the HD room. So that it can make the quality of nurse services to patients more optimal.  

Education plays a fundamental role in shaping character, developing personality, and exploring students' potential. Schools should ideally be safe, comfortable, and conducive spaces for student growth and development. However, reality shows that the school environment is still vulnerable to negative behaviors such as bullying and sexual violence. Bullying is understood as aggressive behavior carried out repeatedly with the aim of harming the victim, whether through physical, verbal, social, or online media (cyberbullying). Meanwhile, sexual violence includes various forms of sexual acts without the victim's consent, which have serious impacts on psychological, social, and academic achievement. Sexual violence in schools not only harms the victims physically but also leaves deep psychological scars that may affect their future. To respond to this problem, KKM Group 30 Bina Bangsa University conducted a socialization activity entitled "Stop Bullying and Sexual Violence" at SMAN X, District Y. The main objective of this activity was to provide in-depth understanding, build awareness, and encourage mutual respect in the school environment. The outreach was conducted through several methods, including presentations by resource persons, educational drama performances depicting real-life cases, and interactive question-and-answer sessions involving active student participation. Interactive sessions are essential to engage students and encourage them to express their thoughts openly. The results of the activities demonstrated high student enthusiasm, increased understanding of the forms and impacts of bullying and sexual violence, and a growing awareness to report victims or witnesses. These activities emphasized that prevention is not solely the responsibility of schools but also requires collaboration between students, teachers, parents, and the wider community. This creates a safe, comfortable learning environment free from all forms of violence.

Background: Stunting is a chronic nutritional problem in toddlers caused by inadequate nutritional intake and recurrent infections, especially in the First 1000 Days of Life (HPK). One of the main factors that influence the incidence of stunting is exclusive breastfeeding and maternal nutritional knowledge. Indonesia still faces a high prevalence of stunting, which if not addressed immediately can impact the quality of human resources in the future.Objective: This study aims to determine the relationship between maternal nutritional knowledge and the duration of exclusive breastfeeding with the incidence of stunting in infants aged 6–12 months in the working area of Kuala Bangka Health Center, Kualuh Hilir District, North Labuhan Batu Regency in 2021.Method: This study used a case control design with a sample of 110 respondents (55 cases and 55 controls) selected by purposive sampling. Data were collected through interviews using a structured questionnaire and processed using the Chi-Square test. Results: The results showed a significant relationship between the duration of exclusive breastfeeding and the incidence of stunting (p = 0.002; OR = 4.394; 95% CI = 1.709–11.295), where infants who were not exclusively breastfed had a 4.4 times greater risk of experiencing stunting than infants who received optimal exclusive breastfeeding. However, there was no significant relationship between maternal nutritional knowledge and the incidence of stunting (p = 0.233). Conclusion: The duration of exclusive breastfeeding was proven to be associated with the incidence of stunting, while maternal knowledge did not show a significant relationship. Stunting prevention efforts should focus on improving the practice of appropriate and comprehensive exclusive breastfeeding, accompanied by practice-based nutrition education that mothers can apply in childcare.

Child marriage remains a serious problem in Indonesia despite the revision of the Marriage Law, which raised the minimum age for marriage to 19 for both men and women through Law No. 16 of 2019. This practice remains widespread, especially in rural areas with a high prevalence due to economic and cultural factors, the existence of marriage dispensation mechanisms, and low legal literacy. The phenomenon of child marriage has multidimensional impacts, including reproductive health risks, high school dropout rates, low quality human resources, economic vulnerability, and psychological problems that can ultimately lead to high divorce rates and intergenerational structural poverty. Through Community Service Activities (PKM), prevention efforts are carried out by providing legal education and outreach regarding the risks of early marriage. Methods used include lectures, presentations, modeling, role plays, and small group discussions involving teenagers, parents, traditional leaders, and religious leaders. The results of the activities showed a significant increase in legal understanding, where 85% of participants were aware of the minimum age for marriage according to the latest regulations. Furthermore, there was increased awareness of the negative impacts of child marriage and a growing commitment from community leaders to continue ongoing outreach. The conclusion of this activity confirmed that marriage law education is an effective strategy in raising public awareness. However, preventing child marriage cannot rely solely on legal outreach; it needs to be strengthened through cross-sector collaboration, integration of materials into the school curriculum, family economic empowerment, and strengthening the role of religious and traditional leaders in shaping social opinion. Therefore, efforts to prevent early marriage require a more holistic, participatory, and sustainable strategy to protect children's rights and realize the development of a quality future generation.

Warfarin (commonly known by its trade name, Coumadin) is an oral anticoagulant that has been widely used for the prevention and treatment of thromboembolic disorders. Despite its clinical benefits, warfarin therapy is complicated by a very narrow therapeutic index and wide inter-individual variability in dose requirements. This variability represents a major challenge for clinicians, as inappropriate dosing may lead to serious adverse outcomes such as bleeding or thrombotic events. A growing body of evidence suggests that genetic polymorphisms are among the most important factors contributing to this variability, particularly those involving the Vitamin K Epoxide Reductase Complex Subunit 1 (VKORC1) gene. VKORC1 encodes a key enzyme that functions as a bottleneck in the vitamin K cycle, playing an essential role in the regeneration of reduced vitamin K (VKH). This active form of vitamin K is required for the γ-carboxylation of vitamin K–dependent clotting factors, including prothrombin and other coagulation proteins. Polymorphisms within VKORC1 can significantly alter the enzyme’s expression and activity, thereby modifying an individual’s sensitivity to warfarin. One of the most clinically relevant variants is the -1639G>A (rs9923231) polymorphism, which reduces VKORC1 transcription and subsequently decreases enzyme activity. Patients carrying the A allele often exhibit increased sensitivity to warfarin and therefore require lower maintenance doses compared to those with the G allele. Understanding these genetic influences not only improves our knowledge of warfarin pharmacogenomics but also highlights the importance of personalized medicine in anticoagulant therapy. Incorporating VKORC1 genotyping into clinical practice could optimize dose prediction, minimize adverse events, and enhance the safety and effectiveness of warfarin therapy. This narrative review aims to provide an in-depth discussion of the complex role of VKORC1 in vitamin K metabolism and its impact on warfarin sensitivity, thereby underscoring the critical relevance of genetic factors in guiding individualized anticoagulation therapy.

Child marriage remains a serious problem in Indonesia despite the revision of the Marriage Law, which raised the minimum age for marriage to 19 for both men and women through Law No. 16 of 2019. This practice remains widespread, especially in rural areas with a high prevalence due to economic and cultural factors, the existence of marriage dispensation mechanisms, and low legal literacy. The phenomenon of child marriage has multidimensional impacts, including reproductive health risks, high school dropout rates, low quality human resources, economic vulnerability, and psychological problems that can ultimately lead to high divorce rates and intergenerational structural poverty. Through Community Service Activities (PKM), prevention efforts are carried out by providing legal education and outreach regarding the risks of early marriage. Methods used include lectures, presentations, modeling, role plays, and small group discussions involving teenagers, parents, traditional leaders, and religious leaders. The results of the activities showed a significant increase in legal understanding, where 85% of participants were aware of the minimum age for marriage according to the latest regulations. Furthermore, there was increased awareness of the negative impacts of child marriage and a growing commitment from community leaders to continue ongoing outreach. The conclusion of this activity confirmed that marriage law education is an effective strategy in raising public awareness. However, preventing child marriage cannot rely solely on legal outreach; it needs to be strengthened through cross-sector collaboration, integration of materials into the school curriculum, family economic empowerment, and strengthening the role of religious and traditional leaders in shaping social opinion. Therefore, efforts to prevent early marriage require a more holistic, participatory, and sustainable strategy to protect children's rights and realize the development of a quality future generation.

Drug abuse among adolescents is a serious problem that requires comprehensive and sustainable prevention efforts. Adolescence is a developmental phase characterized by the search for identity, emotional instability, and high levels of influence from the social environment, including peers. In this context, family education plays a central role as the first line of defense in protecting adolescents from the negative influence of drugs. Through open communication, wise supervision, and consistent love and emotional support, parents can create a safe and supportive environment for their children's mental development. Effective family education includes strengthening moral, religious, and social values, aiming to shape adolescents' character and resilience to environmental pressures. In certain situations, family education also needs to be supported by a scientific approach, one of which is Cognitive Behavioral Therapy (CBT). CBT is a psychological approach that focuses on improving negative thought patterns and behaviors. In the context of discussing drugs, CBT can help adolescents identify the emotional and social triggers that lead them to try illicit substances and equip them with strategies to cope healthily. The integration of family education and CBT therapy creates a comprehensive approach—from the home to professional support—to strengthen adolescents' mental resilience. This collaboration not only reduces the risk of addiction but also encourages adolescents to become more self-aware, emotionally healthy, and productive individuals. Therefore, synergy between families, schools, and mental health professionals is crucial in creating a drug-free generation of young people ready to face the challenges of modern life. Therefore, the active involvement of all parties, including educational institutions and the community, is essential to creating an environment that supports early drug prevention.

Worm infestation due to Soil-Transmitted Helminths (STH) infection remains a public health problem, especially among elementary school children who frequently interact with contaminated soil. This condition is a major concern because it can cause long-term health problems, particularly in terms of physical growth and development of children. This study aims to identify the presence of STH worm eggs and larvae in soil and fecal samples of children in Bekoso Village, Pasir Belengkong District, Paser Regency, East Kalimantan. This study used a descriptive approach with a cross-sectional design. The samples used consisted of 23 soil points taken from oil palm plantations with sandy and loose soil criteria, as well as 16 fecal samples from elementary school children. Fecal examination was carried out using the Kato-Katz method to detect worm eggs, while the soil was examined using the Baermann technique to detect worm larvae. The results showed that 25% of children's fecal samples were infected with worm eggs, with 12.5% containing hookworm eggs, 12.5% Taenia sp. eggs, and 6.25% Ascaris lumbricoides eggs. In soil samples, 60.87% tested positive for Strongyloides stercoralis larvae and 26.09% tested positive for Ascaris lumbricoides eggs. These findings indicate a high risk of STH infection in children in the area. Environmental factors such as soil moisture, soil texture suitable for worm breeding, and poor personal hygiene practices are suspected to be the main causes of the spread of infection. This study emphasizes the importance of education on clean and healthy living behaviors (PHBS) and improving environmental sanitation to reduce cases of worm infection, especially in endemic areas such as Bekoso Village. More comprehensive prevention efforts are urgently needed to address this problem and improve public health, especially among elementary school children.

Acute Respiratory Infection (ARI) is a disease that attacks the respiratory system and is classified as an infectious disease. This disease can be caused by various types of microorganisms such as viruses, bacteria, or fungi, but most cases of ARI are caused by viral infections. ARI includes conditions such as the common cold, bronchitis, pharyngitis, and pneumonia. In developing countries, ARI is a leading cause of death, especially in children under the age of five. Lack of access to health services, poor sanitation, and malnutrition are factors that contribute to this condition. Therefore, efforts to prevent and treat ARI are crucial, both through conventional and alternative medicine. One herbal plant that has long been used in complementary therapy for ARI is Echinacea, which comes from the flowering plant Echinacea purpurea and is native to the United States. Echinacea is believed to have immunostimulant properties, meaning it can stimulate the immune system, thereby helping to prevent and accelerate the healing of upper respiratory tract infections. Several studies have shown that the use of Echinacea can reduce the duration and severity of ARI symptoms, as well as reduce the risk of recurrent infections. However, research findings on the effectiveness and safety of Echinacea continue to show significant variation. Some clinical trials report significant benefits, while others find no significant effect compared to placebo. Therefore, a systematic review aims to gather the latest evidence regarding the effectiveness and safety of Echinacea in the treatment and prevention of acute respiratory infections (ARI). This approach is expected to yield stronger and more reliable conclusions to support the use of Echinacea as a safe and effective alternative therapy.

The Triple Elimination Program is an important initiative to prevent the transmission of HIV, Hepatitis B, and Syphilis from mother to child during pregnancy, childbirth, and breastfeeding. The goal of this program is to improve the well-being of mothers and babies, while reducing the transmission rate of these diseases that can endanger the health of both. This community service activity was carried out in Sungai Maram Village, Sintang, on July 16, 2025. The main target of this activity was 40 pregnant women, who were the objects of the infectious disease education and prevention program. To ensure the effectiveness of this activity, participant knowledge was measured using a pretest and posttest method. The pretest was conducted before the material was delivered to determine the participants' initial level of knowledge, while the posttest was conducted after the material was delivered to measure the extent of the participants' understanding of the information that had been presented. The material presented in this activity covered the three main diseases that are the focus of Triple Elimination, namely HIV, syphilis, and hepatitis B. In addition, participants were also provided with information on ways to prevent transmission of these diseases during pregnancy, childbirth, and breastfeeding. In addition, participants were taught the importance of regular checkups, proper medication use, and steps to protect the health of mothers and babies. The results of this activity are expected to raise awareness among pregnant women about the importance of preventing infectious diseases and provide useful information to maintain their health and that of their unborn babies. Thus, this program not only prevents disease transmission but also contributes to the overall well-being of the community. Furthermore, this activity also aims to strengthen community participation in preventing the transmission of HIV, Hepatitis B, and Syphilis.