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The objectives of this community service activity are: First, to increase members' understanding of the concepts of leadership and effective organizational governance. Second, to strengthen the capacity of youth in entrepreneurship. Third, to equip them with the skills to develop innovative and adaptive work programs tailored to local needs. The methods used in this activity include workshops focused on delivering theoretical material, practical technical guidance or training applied to train participants in effective leadership and good organizational management, and mentoring methods implemented using a participatory approach. The evaluation of the activity showed significant improvements in knowledge, skills, and attitudes across three aspects that have historically hindered partners: education, social issues, and economics. In conclusion, there was a significant improvement overall after the community service activity, at 56%. The highest level of understanding among participants is the importance of leadership as a driving force for the organization, but to develop an entrepreneurial attitude as a foundation for independence and competitiveness, continuous reinforcement is needed so that Karang members can be prepared as an independent generation.

Anemia in pregnant women is a health problem that contributes significantly to Low Birth Weight (BBLR), a serious issue in Indonesia with a prevalence exceeding 15% according to WHO, and is a major contributor to the high Neonatal Mortality Rate. This study aims to examine the relationship between anemia in pregnant women and the incidence of BBLR at the Sungai Durian Health Center, Sintang Regency. Using a case control analytical research design with secondary data from medical records in 2024, the sample used was 116 respondents, consisting of 58 pregnant women with BBLR babies as the case group and 58 pregnant women with normal birth weight babies (BBLN) as the control group, which were taken by total sampling technique. Data analysis was carried out using the Chi-Square test and the Odds Ratio (OR) with a significance level of 95%. The results of the study show that the incidence rate of BBLR at the Sungai Durian Health Center in 2024 is 25.8%, and the incidence of anemia in pregnant women is 46.6%. Statistical tests showed a significant relationship between anemia in pregnant women and the incidence of BBLR (p < 0.05). Pregnant women with anemia had a 21.758 times greater risk of giving birth to a BBLR baby compared to non-anemic mothers (OR=21.758; CI 95% = 1.45–7.08). The study concluded that there was a relationship between the nutritional status of pregnant women and the incidence of preeclampsia at the Sungai Durian Sintang Health Center.

Stunting in toddlers is a chronic nutritional problem caused by lack of nutritional intake due to feeding that does not meet basic needs. UNICEF data in 2024 shows that the infant mortality rate for toddlers is 48 per 1,000 live births and the neonatal mortality rate is 23 per 1,000 live births. Conditions that cause mortality and morbidity in infants and toddlers include malnutrition, sepsis, pneumonia, and premature birth (WHO, 2023). Factors that cause stunting include nutrition, health, environment, and socio-economy, such as malnutrition in pregnant women and children, recurrent infections, poor sanitation, and limited access to health services and nutritious food (Sari, 2023). The effects of stunting include brain development inhibitions, weakened immune systems, delayed psychosocial and motor development, and suboptimal physical growth. Based on a preliminary study at the Sungai Raya Dalam Health Center, there were 134 children under five who were stunted. This study aims to determine the relationship between maternal nutritional status during pregnancy and the incidence of stunting in toddlers aged 0–24 months. The research design used case control with a retrospective approach, involving 58 mothers with toddlers aged 0–24 months. The results showed that mothers with nutritional status with KELK had a higher risk of giving birth to stunted toddlers (72.7%) compared to mothers with good nutritional status (19.1%). The Fisher Exact test yielded a value of p = 0.000 (p < 0.05), which means that there is a significant relationship between the nutritional status of pregnant women and the incidence of stunting.

Anemia in pregnancy remains a common public health problem and may lead to adverse outcomes for both the mother and the fetus, highlighting the need for effective and practical interventions. This study aimed to analyze the effect of cassava leaf (Manihot esculenta) consumption on hemoglobin levels among second-trimester pregnant women at UPT Puskesmas Rum Balibunga. A quasi-experimental study with a pretest–posttest design without a control group was conducted. The sample consisted of 30 second-trimester pregnant women with mild anemia, selected using purposive sampling. The intervention involved daily consumption of cassava leaves for 14 consecutive days. Hemoglobin levels were measured before and after the intervention using standardized examination tools. The results demonstrated a significant increase in hemoglobin levels following cassava leaf consumption, with a mean increase of 1.2 g/dL. These findings suggest that cassava leaves, which are rich in iron, vitamin C, and protein, can enhance hemoglobin synthesis and serve as a local food-based nutritional intervention. Therefore, cassava leaf consumption can be recommended as an alternative or complementary strategy for preventing and managing anemia among second-trimester pregnant women in primary healthcare settings. 

Communal land in Kenagarian Tarantang has undergone conversion into tourism areas, bringing impacts on local environmental conditions. This study aims to explain the forms of communal land conversion into tourist areas, environmental conditions after conversion, and its impact on the environment in Kenagarian Tarantang. The research employed a quantitative associative approach involving 50 respondents randomly selected from 789 households. Data were collected through questionnaires, field observations, and interviews, then analyzed using simple regression analysis. The results showed that communal land conversion occurred intensively for homestay construction and tourism facilities with a total score of 1121 in the good category. Environmental conditions were generally well-controlled with a score of 983 in the very good category, although there were impacts such as reduced vegetation and decreased water quality. Regression analysis confirmed a significant influence between communal land conversion and environmental conditions at 18.49 percent with a significance value of 0.002. Community participation in maintaining the cleanliness of tourism areas was very good, however, stricter government supervision, reforestation programs, and adequate waste management are needed to prevent ecosystem degradation in the future.

Penelitian ini bertujuan untuk mengkaji bagaimana karakter pendidikan yang mengedepankan penghargaan terhadap keberagaman, pemanfaatan media digital, dan penerapan Kurikulum Berbasis Cinta Kasih dapat saling menguatkan dalam upaya meningkatkan kualitas proses pembelajaran di Madrasah Ibtidaiyah. Dengan menerapkan metode tinjauan pustaka, penelitian ini mengumpulkan berbagai sumber akademik yang membahas tentang nilai toleransi, pendidikan multikultural, inovasi teknologi dalam pembelajaran, serta pendekatan pedagogi berbasis kasih sayang dan empati. Hasil penelitian menunjukkan bahwa pendidikan karakter yang menitikberatkan pada keberagaman dapat membangun rasa saling menghormati antar siswa. Di sisi lain, media digital berperan penting dalam memberikan proses pembelajaran yang lebih menarik, interaktif, dan sejalan dengan perkembangan teknologi saat ini. Lebih lanjut, Kurikulum Berbasis Cinta memperkaya pendidikan dengan memperkuat aspek spiritual, emosional, dan moral, sehingga pembelajaran tidak hanya sebatas hasil akademik saja. Penggabungan ketiga pendekatan tersebut dinilai efektif untuk menciptakan lingkungan belajar yang inklusif, bersahabat, dan sesuai dengan tahap perkembangan siswa. Pada akhirnya, madrasah mempunyai peluang untuk melahirkan generasi yang religius, toleran, dan berkarakter kuat dalam menghadapi perubahan sosial budaya saat ini.

This study employs the formalism theory. Furthermore, aligning with it, the used of  qualitative method  to embark the information inherently exists as linguistic. It bears relevance to the focus of this research, that being novels, with the researcher endeavoring to scrutinize the characters' perspectives, viewpoints, and conduct within their fictional environment. The novel, The Awakening is utter the journey of unique married woman, Mrs. Edna Pontellier, to unfold the secret of ‘Edna’. From the analysis indicated there were two major ironies which majorly decorated the progress of the story, and those are ‘life and death’ and ‘innocence and maturity’. By bringing ‘Edna’ the main character, into a consciousness, she would awaken from seemingly an innocent woman through challenging journey to acknowledge maturity in herself.  Even though, ironically, in order to maintain her ’life’ in the end she has to face ‘death’ but at least she had been tried to complete her journey to be an whole self.  

Measles remains a significant public health problem, particularly among school-aged children. Outbreak Response Immunization (ORI) is a key strategy to prevent measles outbreaks; however, its effectiveness depends greatly on community participation and cross-sectoral support. Data from Tanah Garam Primary Health Center in 2025 showed that measles-rubella ORI coverage among primary school children was still low, reaching only 44.15% of the 5,060 targeted children. This community service activity aimed to support the optimization of measles ORI implementation through an educational and community-based assistance approach. The methods included health education for parents and teachers, assistance during school-based ORI implementation, and monitoring and evaluation of immunization coverage. The results indicated improved community understanding of the importance of measles immunization, increased support from schools, and strengthened coordination between the primary health center and schools. This community service activity contributes to promotive and preventive health efforts and supports the prevention of measles outbreaks in the working area of Tanah Garam Primary Health Center.

Background: Sexually transmitted diseases (STDs) are infectious diseases transmitted through sexual contact including vaginal, anal, oral intercourse and are caused by bacteria, viruses, and parasites, either directly or indirectly. Half of the 15-24 year olds contribute to sexually transmitted infections in the world. Objective: so that adolescents in Bangun Rejo Village are able to independently maintain their reproductive health to avoid sexually transmitted diseases. Method: Providing education about the prevention of sexually transmitted diseases in adolescents. The number of adolescents is 30 people. Population: all adolescents in Hamlet II, Bangun Rejo Village. Sample: all populations or total sampling. Data is frequency distribution. Results: before education, adolescents' knowledge about the prevention of infectious diseases was mostly lacking as many as 12 people (40%) and a minority of good as many as 7 people (23.3%), while after education, the results obtained were a majority of good as many as 16 people (53.3%) and a minority of less as many as 5 people (16.7%). Conclusion; There was an increase in knowledge after education about early disease prevention about sexually transmitted diseases in adolescents in Bangun Rejo Village. Suggestion: Provide counseling facilities for adolescents regarding sexually transmitted infections.

Sexually transmitted diseases (STDs) are infectious diseases transmitted through sexual contact including vaginal, anal, oral intercourse and are caused by bacteria, viruses, and parasites, either directly or indirectly. Half of the 15-24 year olds contribute to sexually transmitted infections in the world. So that adolescents in Bangun Rejo Village are able to independently maintain their reproductive health to avoid sexually transmitted diseases. Method: Providing education about the prevention of sexually transmitted diseases in adolescents. The number of adolescents is 30 people. Population: all adolescents in Hamlet II, Bangun Rejo Village. Sample: all populations or total sampling. Data is frequency distribution. before education, adolescents' knowledge about the prevention of infectious diseases was mostly lacking as many as 12 people (40%) and a minority of good as many as 7 people (23.3%), while after education, the results obtained were a majority of good as many as 16 people (53.3%) and a minority of less as many as 5 people (16.7%). Conclusion; There was an increase in knowledge after education about early disease prevention about sexually transmitted diseases in adolescents in Bangun Rejo Village. Provide counseling facilities for adolescents regarding sexually transmitted infections.

Low Birth Weight (LBW) is one of the leading causes of neonatal mortality and contributes to an increased risk of growth and developmental disorders in later life. Maternal nutritional status during pregnancy and the utilization of antenatal health services are important factors influencing fetal growth and development. Pregnant women with poor nutritional status are at higher risk of delivering low birth weight infants due to insufficient intake of essential nutrients required during pregnancy. In addition, inadequate utilization of antenatal care services may result in delayed detection and management of pregnancy-related complications. This study aimed to determine the relationship between maternal nutritional status and the utilization of health services with the incidence of LBW. The research employed an observational analytic design with a cross-sectional approach. The study population consisted of all women who delivered in the working area of Puskesmas X in 2026. A total of 80 respondents were selected using purposive sampling. Data were collected from maternal and child health (MCH) books and medical records and analyzed using the Chi-square test. The results showed a significant relationship between maternal nutritional status and the incidence of LBW (p=0.002), as well as between the utilization of health services and the incidence of LBW (p=0.004). It can be concluded that maternal nutritional status and compliance with antenatal visits are significantly associated with LBW, highlighting the need to improve nutritional monitoring and the quality of antenatal care services.

Hypertension is a common health problem in the elderly that can affect quality of life. Hypertension in Batam city is a non-communicable disease that ranks 2 and with a percentage of 30.9%. The World Health Organization (WHO) said that there are 50 70% of hypertensive patients who do not comply with prescribed medications. Compliance with taking antihypertensive drugs is important to maintain blood pressure stability. Non-compliance in using antihypertensive drugs is one of the risk factors for increasing morbidity and uncontrolled hypertension events that can worsen the quality of life of hypertensive patients. This study aims to find out "The Relationship between Compliance with Taking Hypertension Medication and the Quality of Life of the Elderly in the Working Area of the Sei Lengkai Health Center in 2024". The research design used in this study is cross sectional. Data collection uses secondary data with the population of hypertension patients in Batam city in 2023 and primary data, namely a questionnaire on adherence to taking hypertension medication and quality of life for the elderly. Sampling was done using a purposive sampling technique with a total of 93 elderly people. The measuring tools in this study are the Morisky Medication Adherence Scale (MMAS-8) and WHOQOL-BREF questionnaires. Based on the results of the analysis, it is known that the p value is 0.003, this states that there is a relationship between compliance with taking hypertension medication and the quality of life of the elderly in the Sei Langkai Health Center Work Area in 2024. The conclusion of this study is that adherence to taking antihypertensive medication is positively related to the quality of life of the elderly, so efforts are needed to increase medication adherence to support a better quality of life in the elderly. It is hoped that families and health workers will provide support and education to the elderly to maintain compliance in taking their medication to improve their quality of life

Pneumonia is a lung infection that causes the air sacs to fill with fluid or pus. This disease can be caused by bacteria, viruses, fungi, or parasites, with varying degrees of severity depending on the cause and condition of the sufferer. Symptoms include cough, fever, and shortness of breath. Data obtained from the Batam City Health Office of pneumonia in 2023, there were 1,509 cases of pneumonia, the most cases were found in Batam City (1,182 cases), while the fewest cases were recorded in Lingga Regency (5 cases). This Professional Scientific Paper aims to provide medical-surgical nursing care with the application of chest physiotherapy to Ms. N to reduce the amount of sputum for pneumonia sufferers in the inpatient room at Harapan Bunda Hospital, Batam City in 2025. The method used in this Professional Scientific Paper is a case study conducted based on the stages of nursing care including assessment, data analysis, diagnosis, intervention, implementation, and nursing evaluation. The results showed a decrease in sputum production on the third day, a decrease in fever, and an improvement in sleep patterns. Patients are expected to understand that chest physiotherapy can reduce sputum production.

Background: Maternal mortality according to WHO (2024) is 287,000, in Indonesia (2024) 183/100,000 live births, in Central Java (2024) 3,149 live births, in Brebes (2024) there were 54 cases of maternal mortality. At Bantarkawung Community Health Center (2024), there were no maternal deaths. One of the causes of maternal mortality is postpartum hemorrhage. Postpartum hemorrhage can be caused by anemia in mothers during pregnancy. Objective: It is hoped that the researcher can provide comprehensive midwifery care for Mrs. L in accordance with midwifery service standards, covering pregnancy, childbirth, newborns, neonates, postpartum, and family planning, using the midwifery management approach according to Varney and SOAP. Research method: The method used is qualitative descriptive with a comprehensive case study approach. Findings: During the researcher's assistance with anemia cases, the researcher did not find issues that required further in-depth investigation, but there were some occurrences resulting from anemia, one of which was the mother experiencing retained placenta. From the assistance process conducted by the researcher, the midwifery findings have been applied comprehensively, from pregnancy stages to family planning, in accordance with midwifery service standards.  

Anxiety in laboring mothers is a psychological factor that can influence the course of labor, particularly during the second stage, and increase the risk of complications such as perineal rupture. Along with obstetric factors, the quality of labor guidance is crucial in preventing perineal trauma. This study aimed to analyze the relationship between maternal anxiety, labor guidance, and the incidence of perineal rupture at Obi Hospital, South Halmahera. Using an observational analytical design with a cross-sectional approach, the study involved 50 laboring mothers undergoing vaginal delivery, selected through purposive sampling. Data collection took place from February to April 2024, with maternal anxiety measured using a standardized anxiety questionnaire. Labor guidance and perineal rupture were assessed through observation sheets and clinical examinations. Data analysis was conducted univariately and bivariately using the Chi-Square test with a significance level of p < 0.05. The results showed a significant relationship between maternal anxiety and labor guidance (p < 0.05), as well as between maternal anxiety and perineal rupture (p < 0.05). Additionally, labor guidance was significantly associated with the incidence of perineal rupture (p < 0.05). Mothers with higher anxiety levels tended to receive poor labor guidance and had a higher risk of perineal rupture. The study concludes that maternal anxiety significantly impacts labor guidance and perineal rupture, emphasizing the need for holistic care that addresses both psychological and physical aspects of childbirth.

Smoking behavior among adolescents in Indonesia remains a serious public health challenge with increasing prevalence. Adolescence is a vulnerable period where psychological factors and the social environment significantly influence the decision to smoke. This study aims to review the factors influencing smoking behavior among adolescents based on the Health Belief Model (HBM) theoretical framework. This study is a literature review that analyzes various research findings related to the determinants of smoking behavior using HBM components. The analysis shows that all dimensions of HBM play a role in shaping smoking behavior. Self-efficacy and perceived susceptibility were found to be the strongest predictors. Although adolescents have a good perceived severity of the dangers of smoking, they are often hindered by high perceived barriers, such as peer pressure and psychological dependence. Consistent cues to action and perceived benefits are proven to encourage prevention and smoking cessation efforts. Adolescent smoking behavior is strongly influenced by individual beliefs in self-ability and health risks. Health interventions should focus on strengthening self-control and managing social influences to reduce the number of adolescent smokers.

Premarital sexual behavior among adolescents remains a public health concern influenced by social change, technological development, and social environment. This study aims to analyze factors associated with adolescent premarital sexual behavior based on the Health Belief Model (HBM). A systematic literature review was conducted on eight studies published between 2019 and 2025, including journal articles, undergraduate theses, and a doctoral dissertation. The findings were analyzed by categorizing the results into six HBM components: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. The results indicate that perceived susceptibility is the most consistently associated component with adolescent premarital sexual behavior. Perceived severity, perceived barriers, cues to action, and self-efficacy also show significant associations in several studies, whereas perceived benefits demonstrate the weakest and most inconsistent relationship. Overall, adolescent premarital sexual behavior is shaped by the interaction between risk perception, environmental support, and individual confidence in behavioral control. These findings confirm that the Health Belief Model remains a relevant framework for designing adolescent health promotion and preventive interventions.

Cervical cancer remains a major public health problem and is one of the leading causes of cancer-related mortality among women in Indonesia. Early detection through Visual Inspection with Acetic Acid (VIA) is an effective and feasible screening method at the primary health care level. However, the coverage of VIA screening among women of reproductive age (WRA) remains low. Knowledge is considered an important predisposing factor that may influence women’s motivation to undergo VIA screening. This study aimed to analyze the association between cervical cancer knowledge and motivation to undergo VIA screening among women of reproductive age. This study employed a quantitative analytic design with a cross-sectional approach. A total of 105 women of reproductive age were recruited using consecutive sampling at the Payangan Community Health Center, Gianyar Regency, Indonesia. Data were collected using validated and reliable structured questionnaires measuring cervical cancer knowledge and motivation to undergo VIA screening. Univariate analysis was performed to describe respondent characteristics, while bivariate analysis using the chi-square test was applied to examine the association between knowledge and motivation at a significance level of 5%. The results showed that 61.9% of respondents had good knowledge of cervical cancer, while 52.4% demonstrated low motivation to undergo VIA screening. A statistically significant association was found between cervical cancer knowledge and motivation to undergo VIA screening (p = 0.043). Women with higher levels of knowledge tended to have greater motivation to participate in VIA screening. In conclusion, cervical cancer knowledge is significantly associated with motivation to undergo VIA screening among women of reproductive age. These findings suggest that strengthening health education interventions at primary health care facilities is essential to enhance motivation and increase participation in early cervical cancer detection programs.

Proses belajar siswa muslim tidak hanya melibatkan kemampuan berfikir (akal), tetapi juga kemampuan dalam mengelola perasaan (emosi). Ketidakseimbangan antara emosi dan akal dapat mengganggu fokus, ketekunan, hingga hasil belajar siswa. Penelitian ini bertujuan untuk mengkaji keseimbangan emosi dan akal pada siswa muslim dalam proses belajar, serta peranan lingkungan pesantren dan pendidik dalam membentuk keseimbangan tersebut. Penelitian ini menggunakan pendekatan kualitatif dengan metode observasi langsung dan kajian Pustaka. Observasi langsung dilakukan di Pondok Pesantren KMI Ibnu Abbas Klaten yang menaungi santri setingkat SMP dan SMA. Data dari observasi diperkuat dengan kajian pustaka dari berbagai penelitian dan berbagai teori psikologi Pendidikan. Hasil penelitian menunjukkan bahwa santri yang mengendalikan emosinya dengan baik, cenderung lebih focus, tenang, dan tekun dalam proses pembelajaran. Santri tersebut juga mampu menerima teguran tanpa menunjukkan reaksi emosional yang berlebihan. Peran guru, ustadz dan musyrif yang mengedepankan keteladanan, keseimbangan antara kelembutan dengan ketegasan, serta penanaman adab sebelum ilmu terbbukti memberikan kontribusi yang besar tehadap keseimbangan emosi dan akal santri. Kesimpulan penelitian ini menunjukkan bahwa keseimbangan emosi dan akal yang didukung oleh nilai-nilai islam berperan penting dalam peningkatan hasil belajar siswa muslim.

The prevalence of hypertension in Jambi City has continued to increase over the past five years, including in the Simpang Kawat Community Health Center (Puskesmas Simpang Kawat). Meanwhile, the cost of hypertension care and treatment for the community is relatively high, especially if complications arise and are not covered by insurance, which can lead to catastrophic expenses that weaken households' economic conditions. This community service activity aims to provide education and outreach regarding hypertension and its impact on healthcare costs. Thirty people with hypertension in the Simpang Kawat Community Health Center (Puskesmas Simpang Kawat) participated in the activity. The core activities included providing information about hypertension and its consequences on healthcare costs, anti-hypertension exercises, outreach regarding the risk of catastrophic expenses, and explanations of various government support programs. The results showed that 80% of participants experienced a significant increase in knowledge, and there was a difference in knowledge levels between before and after the implementation of the Community Health Center (PPM) (p=0.000). The government and the Community Health Center are recommended to strengthen campaign efforts to encourage the community to adopt a healthy lifestyle and actively participate in health programs that can help reduce healthcare costs and avoid catastrophic expenses