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The main problem in empowering fish farming communities in Dawuhan Village, Poncokusumo District, Malang Regency is how to empower communities through the Peti Koin Bermantra Program in Dawuhan Village, Malang Regency, such as low managerial capacity, weather constraints, high feed prices, and limited market access, which have an impact on the suboptimal economic improvement of the community. This study aims to analyze the implementation of the Peti Koin Bermantra Program in empowering fish farming communities to improve their economic welfare. The study uses a qualitative method with a descriptive approach, as well as the community empowerment theory of Hashemi, Schuler, and Riley (1996). The results show that the Peti Koin Bermantra Program contributes positively to improving community welfare through eight empowerment indicators, such as increased mobility, small-scale purchasing power, ability to make larger purchases, involvement in major decisions, freedom, political and legal awareness, participation in public protests and political campaigns, economic security, and contribution to family support. The success of the program was supported by collaboration between facilitators, the East Java Provincial Marine and Fisheries Service, and the Malang Regency Fisheries Service, although there were still obstacles in terms of capital, group management, and product innovation. To support the sustainability of the program,

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.

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.

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.

This study analyzes the role of the Golkar Party of Serang City in the formulation and oversight of Regional Regulation Number 11 of 2019 on the Implementation of Tourism Business Governance using the Institutional Analysis and Development (IAD) framework. The study aims to examine how political party institutions perform their functions in local legislative processes, particularly in terms of public representation, interest articulation, and policy oversight. A qualitative case study approach was employed, involving in-depth interviews with party actors and members of the Regional House of Representatives (DPRD), as well as document analysis of relevant policy materials. The findings reveal that Golkar’s role in the formulation and supervision of the regulation was predominantly carried out by its legislative faction through informal mechanisms, while the party’s organizational structure played a limited institutional role. The process of absorbing public aspirations was relatively constrained and tended to favor groups with close social and political ties, indicating that the party has not fully exercised its functions of public articulation and accountability. From the perspective of the IAD framework, this condition reflects weaknesses in internal rules, actor capacity, and interaction mechanisms within the party as a political institution in the policy arena. Therefore, strengthening Golkar’s institutional capacity is essential to enable a more substantive, responsive, and inclusive role in local legislative and policy oversight processes

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.

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

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.

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.

Posyandu, as a form of community-based health efforts, plays a crucial role in improving maternal and child health. However, its implementation in the Mutiara Community Health Center (Puskesmas Mutiara) in Asahan Regency still faces various challenges, such as low cadre capacity, suboptimal service quality, and limited community participation. This community service activity aims to strengthen cadre capacity through Posyandu revitalization as an effort to improve the quality of basic health services. A total of 63 Posyandu cadres participated in the activities, which were implemented through counseling, education, and coaching using revised service standard guidelines. This program was implemented through four stages: preparation, implementation, analysis of results, and evaluation. Improvement in cadre knowledge was measured using pretests and posttests. The results of the activity showed a significant increase in the level of knowledge of cadres, as seen in the change in assessment categories from the majority being in the "poor" category during the pretest to "sufficient" and "good" in the posttest. This indicates that the education and coaching provided were effective in improving cadres' understanding and skills. Increasing cadre capacity is expected to improve the quality of Posyandu services, increase public trust, and support efforts to reduce morbidity and mortality in the Mutiara Community Health Center's work area. Cross-sector collaboration and ongoing mentoring are needed to maintain the sustainability of Posyandu revitalization.

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. 

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.  

Background: Maternal mortality rate (MMR) in Indonesia remains a serious problem, with preeclampsia as one of its main causes. Based on data from Sungai Durian Primary Health Center in 2024, there were 60 cases of preeclampsia (6%) as well as an increasing trend of cases and variations in the nutritional status of pregnant women. Objective: This study aims to determine the relationship between the nutritional status of pregnant women and the incidence of preeclampsia at Sungai Durian Primary Health Center, Sintang. Methods: This is a quantitative research study with a cross-sectional design. Data were collected using observation sheets from medical record data, specifically data on pregnant women with nutritional status and preeclampsia, with a population of 555 pregnant women and a sample size of 232 women. Data analysis was performed using the Spearman Rank test. Results: There were 59 cases (25.4%) of mild preeclampsia and 104 cases (44.8%) of severe preeclampsia. There were variations in the nutritional status of pregnant women: 35 women (15.1%) were undernourished, 132 women (56.9%) had normal nutrition, 25 women (10.3%) were overweight, 24 women (10.3%) had obesity class I, and 16 women (6.9%) had obesity class II. The Spearman Rank test results showed p 0.000 (<0.05), concluding that there is a significant relationship between the nutritional status of pregnant women and the incidence of preeclampsia. Conclusion: There is a relationship between the nutritional status of pregnant women and the incidence of preeclampsia at Sungai Durian Primary Health Center, Sintang.

This study aims to conduct an in-depth analysis comparing the legal mechanisms of constitutional amendment in Indonesia and South Africa. The research employs a normative juridical method with a comparative law approach. Primary data is sourced from the authoritative texts of the 1945 Constitution of the Republic of Indonesia (UUD 1945) and the Constitution of the Republic of South Africa, 1996. Data analysis is conducted qualitatively using content analysis techniques on provisions related to constitutional amendments in both supreme legal documents. The research findings reveal fundamental differences in the constitutional amendment paradigms of both countries. First, Indonesia adopts a rigid amendment system implemented by the People's Consultative Assembly (MPR) with very strict quorum and approval requirements. Second, South Africa adopts a more flexible and differentiated system, where Parliament acts as the constituent authority, with varying approval levels depending on the substance of the amended provisions ranging from simple majority to two-thirds, and even involving the Provincial Council for certain matters. Third, despite different approaches, both countries affirm the principle of constitutional supremacy. These mechanistic differences reflect Indonesia's strategic choice to prioritize consensus and constitutional stability, while South Africa emphasizes constitutional adaptability and responsiveness to socio-political developments.

The development of information technology (IT) has become a crucial element in improving operational efficiency and business competitiveness in the digital era. This study aims to design an information technology infrastructure strategy for a local skincare company that currently still faces obstacles due to fragmented communication processes and manual data recording. The research method uses the Ward and Peppard framework, supported by SWOT and Value Chain analysis to identify the internal and external business environment and formulate an IS/IT strategy that aligns with the business strategy. The research approach is descriptive qualitative through interviews, observations, and literature studies. The analysis results indicate that the main problem lies in the lack of infrastructure capable of integrating production, distribution, and inventory management processes. Based on these findings, this study recommends designing an infrastructure strategy that supports the implementation of the integrated system "Sivendor". This system functions as a hub that connects workflows between production vendors, warehouses, and sales departments. In conclusion, this study produces a blueprint for an adaptive IT infrastructure strategy as a technical foundation to minimize data errors, improve operational efficiency, and support real-time decision-making.

The prevalence of chronic diseases in Jambi City has tended to increase in the last three years, especially hypertension and diabetes mellitus. Chronic diseases that are high risk, high volume and high cost have an impact on the household economy of sufferers who tend to incur health costs that exceed the family's financial capacity (catastrophic). The existence of the Chronic Disease Management Program (Prolanis) from BPJS Health should contribute to reducing the number of chronic diseases, reducing the burden of disease and improving the social relations of chronic disease sufferers, however the coverage of Prolanis activity is still low and several responses from community experience indicate there are problems with the acceptability of the program. This research aims to measure the level of community acceptability of health interventions and social relations in the Prolanis practice as assessed by analyzing affective attitudes, burden, ethics, intervention coherence, costs, perceived effectiveness and self-confidence of chronic disease sufferers in Jambi City in 2023. The research was conducted with Quantitative research methods use a cross-sectional design. Respondents were selected based on a purposive sampling technique totaling 180 respondents spread across five Puskesmas work areas in Jambi City. The research instrument is a questionnaire. The research results show that the indicators of burden, ethics and effectiveness are the most dominant factors in influencing the acceptability of Prolanis participants. As a recommendation, it is suggested to the government and BPJS Health to increase public understanding of the importance of using Prolanis in an effort to reduce the number of chronic diseases in Jambi City.

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.  

In today's digital era, the freight forwarding industry has become one of the fastest-growing sectors. The rapid growth of the digital economy has increased the need for fast, safe, and efficient delivery services. However, intense market competition in this industry has pushed companies to build a strong brand image. This is related to the increasingly fierce competition in the freight forwarding sector, such as JNE, SPX Standard, Tiki, and Pos Indonesia. This research is useful for companies and academics: it can serve as a shared reference for examining the influence of brand image on service usage decisions, in the development of theories and concepts in marketing and Islamic economics. The purpose of this study is to analyze the influence of brand image on the decision to use J&T Express's freight forwarding services. The research method used was quantitative, with a survey approach. A questionnaire was distributed to 117 respondents who were active users of J&T Express services. Data analysis was conducted using multiple linear regression with the help of SPSS version 26 software. The results showed that brand image had a positive and significant effect on the decision to use services, with a significance value of 0.015 (<0.05).

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.

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.