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According to WHO (2015), TT immunization coverage in Africa reached 50%, with TT2 at 60%. In Indonesia, the Making Pregnancy Safer (MPS) program set a target of 95% Antenatal Care (K1) coverage, including TT2 by 2019. Puskesmas data in 2016 showed K1 coverage of 880 with TT1 at 27 (3.1%), and K4 at 739 with TT2 at 64 (8.6%). This study aims to assess premarital knowledge of TT immunization based on age, education, and occupation. Using a descriptive design and total sampling, 32 respondents were involved. Results showed most were under 20 years old (41%), had junior high school education (25%), and worked as entrepreneurs (19%). The lowest knowledge level was found among respondents with primary education (19%) and farmers (3%). It is recommended that midwives at Puskesmas Bestari intensify education to improve premarital knowledge about TT immunization.

X Health Center has implemented EMR on SIMPUS since 2009-2010. However, from the preliminary study, it was found that there were obstacles such as network trouble, long loading when many users were pulling data on the system, and there was no SOP for down time: The purpose of this study is to analyze the implementation of Electronic Medical Records at X Health Center, Semarang City in the aspects of Human, Organization, Technology, Net-benefit.  Methods: This study used a descriptive qualitative approach with interviews, observations and documentation studies. Results: The results of research at X Health Center show that there are problems in implementing EMR at X Health Center, in the human aspect, namely system training is still given only to representative officers such as IT and SIK staff. In the organizational aspect, namely limited facilities and lack of manpower. On the technology aspect, namely internet network instability, inconsistent electricity supply and generator unpreparedness and hardware limitations. While in the net-benefit aspect, the implementation of EMR has an impact on increasing the efficiency and effectiveness of X Health Center services. Conclusion: The implementation of electronic medical records at X Health Center is not yet fully optimal, namely in the aspects of human, organization and technology.    

As a chronic disease, hypertension requires long-term management focused on patient fulfillment, where the active role of individuals in self-care contributes significantly to the prevention of complications and improving quality of life. This study aims to explore knowledge, attitudes, and social support regarding self-management in hypertensive patients. This study is a descriptive study with a cross-sectional design. The population of this study was all hypertensive patients who received treatment at the Pulo Brayan Community Health Center in Medan City in 2025. The study sample consisted of 216 people selected using a simple random sampling technique. Data collection was carried out by distributing questionnaires to hypertensive patients based on the variables of knowledge, attitudes, and social support. The data obtained were then analyzed descriptively. The results showed that 60.6% of respondents with hypertension had a poor level of knowledge regarding hypertension management, while 39.4% had good knowledge. 55.1% of respondents showed a positive attitude towards hypertension management, and 44.9% had a negative attitude. 57.9% of respondents received good social support, and 42.1% of respondents experienced poor social support. In conclusion, most respondents had poor knowledge regarding hypertension management. However, most respondents demonstrated positive attitudes and received good social support in implementing hypertension self-management.

The Student Care for Stunting Program is an innovation by BKKBN in collaboration with universities to support the acceleration of stunting reduction through real work lectures or other community service activities. This program is part of the government's efforts to achieve the target of reducing the stunting rate to 14% by 2024, as mandated by the President. This study identifies the implementation of the BKKBN Student Program for Stunting Prevention in Banten Province, specifically in Kilasah Village, as well as the challenges faced in its implementation. The study employs government action theory and the welfare state theory using a legal-empirical method through a qualitative field approach. Data was collected through literature reviews and interviews, analyzed descriptively and analytically. The results show that the program's implementation has included 15 outreach and mentoring activities. Fifteen adolescents received reproductive health education, 21 pregnant and breastfeeding mothers received nutrition and pregnancy health counseling, and 20 prospective couples participated in socialization on healthy pregnancy planning and the use of the Elsimil application. Growth monitoring was conducted at nine Posyandu centers with a total of 60 infants, and 37 cases of infants indicated as stunted were identified. Challenges faced include the absence of specific regulations regarding the program and resistance from the target groups, particularly adolescents and prospective brides and grooms who struggled to understand the Elsimil app. In conclusion, the program has a positive impact on efforts to accelerate stunting reduction, although improvements are still needed in terms of regulations, coordination, and culture-based education.

The patient, MA, a 2-year-4-month-old boy, was brought by his mother to Simpang Keuramat Primary Health Center with complaints of itchy scalp for the past 4 months. On the itchy area, white scales were observed. Initially, it was only itching, but two weeks later, the parents noticed white patches on the scalp that became thicker and more scaly. The itching was intermittent and worsened with sweating. At first, only a few hairs were broken, but over time it progressed into a round area of hair loss with well-defined borders. The patient bathes twice daily and shampoos every other day. Towels, pillows, and combs used by the patient were not shared with other family members. According to the patient's parents, the child often plays with stray cats around the house. Primary data were obtained through allo-anamnesis, physical examination, home visits, completion of the family folder, and patient records. Assessment was conducted based on the initial holistic diagnosis, process, and outcome of the visits, both quantitatively and qualitatively. Interventions included educating the patient about the causes of tinea capitis, emphasizing the importance of skin hygiene, and explaining that the disease is highly contagious. Therefore, patients were advised to avoid sharing clothing and towels with family members as a preventive measure against transmission.

Exclusive breastfeeding plays a crucial role in reducing neonatal mortality rates, preventing growth disorders, and enhancing immunological resilience. However, adherence to exclusive breastfeeding practices remains below the targeted level. This study aims to analyze the relationship between maternal characteristics, knowledge, and family support with the success of exclusive breastfeeding in infants. A cross-sectional design was used, conducted at the UPTD Sawang Health Center, South Aceh Regency, during February–March 2025. The population consisted of all mothers with infants aged 7–12 months visiting the health center, totaling 120 individuals. A sample of 97 respondents was selected using purposive sampling. Data were collected through a structured questionnaire, followed by data processing that included response completeness checks, variable coding, and data entry. Data analysis comprised univariate analysis to present the frequency distribution of maternal characteristics and knowledge, and bivariate analysis using the Chi-Square (χ²) test with a significance level of α=0.05 to test the hypotheses. The results showed that maternal employment was significantly associated with the success of exclusive breastfeeding (p < 0.001), whereas maternal education (p = 0.566), income (p = 0.915), maternal knowledge (p = 0.351), and family support (p = 0.252) were not significantly related. In conclusion, maternal employment has a significant relationship with exclusive breastfeeding success

Pregnancy is divided into three stages: the first trimester, second trimester, and third trimester. During pregnancy, the body undergoes various changes that can cause discomfort. Common discomforts experienced by pregnant women include varicose veins, back pain, muscle and joint aches, and lower back pain. These discomforts can be alleviated through pregnancy exercise (prenatal yoga or maternity gymnastics). The purpose of this study was to examine the relationship between pregnant women’s knowledge about the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center. The research design used was descriptive quantitative. The population consisted of 35 pregnant women in May 2025, with a total sampling technique. Data were collected using a questionnaire and analyzed using univariate analysis. The results showed that 36 respondents (50.0%) had moderate knowledge, 25 respondents (34.7%) had poor knowledge, and 11 respondents (15.3%) had good knowledge about pregnancy exercise. Overall, most pregnant women had a moderate level of knowledge. Based on the Spearman Rank statistical test with a 95% confidence level, the P-value was 0.000 (< 0.05), indicating a statistically significant relationship. The conclusion of this study is that there is a relationship between pregnant women's knowledge of the benefits of pregnancy exercise and the childbirth process at Ampelgading Public Health Center.

Stunting is a chronic nutritional problem that has a long-term impact on physical growth, cognitive development, and the quality of human resources in the future. This study aims to determine the relationship between family income and nutritional status of toddlers on the incidence of stunting in the Bukit Cening Daik Health Center working area, Lingga Regency, 2024. This study used a cross-sectional design with a sample size of 62 respondents selected through purposive sampling technique. Data were collected using questionnaires and anthropometric measurements, then analyzed using the chi-square test. The results of the analysis showed that there was a significant relationship between family income and nutritional status of children under five with the incidence of stunting (p < 0.05). This finding suggests that economic conditions and nutritional status play an important role in preventing stunting. Therefore, nutrition interventions targeting low-income families need to be strengthened to reduce stunting in the area.  

Non-Communicable Diseases (NCDs) are the leading cause of death globally. The Posbindu PTM program serves as an initiative for early detection and prevention of NCDs through community empowerment. This study aims to analyze the factors influencing the utilization of the Posbindu PTM program in the working area of Palibelo Health Center, Bima Regency. This quantitative research used a cross-sectional approach, involving 100 purposively selected respondents. Data were analyzed using the chi-square test. The results showed that education level and knowledge significantly affected the utilization of Posbindu services (p < 0.05). Respondents with higher education and better knowledge were more likely to use Posbindu services actively. However, lack of information and inadequate socialization were identified as major barriers to optimal utilization. Strengthening public health education and promotion is essential to enhance community participation in the Posbindu PTM program.

The leading causes of maternal mortality are thought to include hemorrhage, sepsis, obstructed labor, and hypertensive disease of pregnancy. For many years, demographic and health surveys have been used to study maternal and perinatal health in developing countries. However, few nationwide population surveys have used formally validated questionnaires. Objectives: The purpose of this study was to determine the validity of maternal self-reports of obstetrical complications. Methods: A cross-sectional study was conducted among 300 women at Two Hospitals and one public health center. A questionnaire recorded mothers’ perceptions of obstetrical complications while hospital medical records. Sensitivity, specificity, predictive values, and percent agreement were obtained for obstetrical conditions. Result: In general, women’s reports of obstetrical complications did not match medical diagnoses. The highest agreement was obtained for reporting eclampsia, with less agreement for postpartum haemorrhage. Conclusion: The validity of the survey questionnaires varies between studies due to differences in the questionnaires. Health surveys based on maternal self-report must be interpreted with consideration of this limitation.

An unhealthy lifestyle can increase the risk of blood vessel damage, heart disease, and hypertension, as well as increase Mean Arterial Pressure (MAP). Objective: This study aims to determine the relationship between lifestyle and Mean Arterial Pressure (MAP) in elderly hypertensive patients based on transcultural nursing at the Rawalele Community Health Center. Method: This study is a correlational analytic study using the Spearman Rank research design. The sampling method used in this study was purposive sampling. The total sample size was 157 respondents. The research instruments used were a lifestyle questionnaire and a digital sphygmomanometer. The Spearman Rank test results obtained a p-value of 0.000. Results: Based on the results of this study, it can be concluded that there is a relationship between lifestyle and Mean Arterial Pressure (MAP) in elderly hypertensive patients based on transcultural nursing at the Rawalele Community Health Center. With a p-value <0.05, it can be said that the variables are significantly correlated or related. This study is expected to provide a comparison for future researchers in educating and understanding lifestyle factors that can influence Mean Arterial Pressure (MAP) in elderly hypertensive patients.

Quality health services are key to improving patient satisfaction among National Health Insurance (JKN) participants. This study aims to systematically review various studies that have been conducted in Indonesia related to the level of JKN patient satisfaction with health services at Community Health Centers. The method used is a literature study by selecting relevant articles published in 2023-2025. Inclusion criteria include articles that discuss the relationship between service quality and JKN patient satisfaction. A total of 11 articles that meet the criteria have been analyzed. The results of the analysis show that the dimensions of service quality that most often influence the level of patient satisfaction are reliability, responsiveness, empathy, and tangibles. Most studies also use a quantitative approach with statistical tests such as chi-square and logistic regression to analyze the relationship between variables. However, not all dimensions always significantly affect the assurance dimension in several studies showing inconsistent results. The conclusion of this study is the importance of improving the quality of health services at Community Health Centers to improve JKN patient satisfaction. Health centers must develop patient-focused service strategies by training human resources, improving service systems, and conducting continuous quality evaluations.  

This research examines the role of health administration in improving the quality of services in community health centers (Puskesmas). The study aims to assess how well-managed administrative systems can contribute to enhancing service delivery in these facilities. Using a systematic literature review approach, data were collected from a range of academic sources published between 2010 and 2024. The findings highlight that effective health administration, including human resource management, transparent policies, and proper health data management, positively influences service quality. The study also reveals that challenges remain, particularly in areas with limited resources, but that improved administration can mitigate these issues. The implications of these findings suggest that policy makers should focus on strengthening administrative practices at Puskesmas through better resource management and enhanced training for staff. Furthermore, the research offers directions for future studies, recommending more field-based research to validate the relationship between health administration and service quality in varying settings.

Background: In 2021, there were 19.5 million diagnosed cases of Type 2 Diabetes Mellitus (T2DM) in Indonesia. In Riau Province, T2DM ranked fifth among the most common conditions treated at community health centers in 2022. Obesity, a major risk factor for T2DM, had a national adult prevalence of 21.8% (Riskesdas 2018) and 24.1% in Riau. At Puskesmas Karya Wanita, 483 new T2DM cases were recorded in 2024, with 434 patients having a BMI ≥ 25 kg/m². The productive age group is particularly at risk for obesity and T2DM, yet screening remains suboptimal. Therefore, research on the relationship between obesity and T2DM at this primary healthcare facility is essential.Objective: To determine the association between obesity and the incidence of T2DM among individuals of productive age at Puskesmas Rawat Inap Karya Wanita, Pekanbaru.Methods: This was a quantitative analytic observational study with a cross-sectional design. The sample included productive age outpatients at the general clinic of Puskesmas Karya Wanita, selected using quota sampling. Data were analyzed using univariate, bivariate (Chi-square test), and Odds Ratio analyses.Results: A significant association was found between obesity and T2DM (p = 0.0029), with an Odds Ratio of 4.517.Conclusion: There is a significant relationship between obesity and T2DM in the productive age group. Individuals with obesity are 4.517 times more likely to develop T2DM compared to those without obesity.

Public service in the Islamic perspective is a comprehensive concept, integrating religious principles with governance practices to achieve justice, efficiency, and public welfare. This concept is based on the Qur'an and Hadith, which emphasize values ​​such as justice (*'Adl*), responsibility (accountability), consultation (*Shura*), and welfare (*Maslahah*). Public service in Islam is not only a transaction, but also has moral and spiritual aspects, where providing the best service is considered as worship and a form of obedience to Allah. The scope of public service in Islam includes various important sectors such as education, health, law, and socio-economic welfare. Islamic history, especially in the era of the Prophet Muhammad SAW and the Khulafaur Rasyidin, shows concrete examples of the application of these principles, such as the construction of mosques as centers of learning, the establishment of hospitals, and the management of Baitul Mal for the fair distribution of resources. In the modern context, especially in Indonesia, Islamic values ​​have proven to play an important role in bureaucratic reform and improving the quality of public services. Despite facing obstacles such as lack of resources and integration between institutions, the application of Islamic principles in public services—as seen in Islamic hospitals and Islamic travel agents—shows the possibility of producing more just, humane, and quality services. Thus, the Islamic approach to public services provides an ethical framework that is flexible, responsive, and focused on the welfare of society.  

Stunting is a chronic nutritional issue that significantly affects children's long-term growth and development. One of its primary causes is the lack of knowledge among mothers and families about balanced nutrition and the skills to manage household income effectively. This community engagement program aimed to enhance the knowledge of mothers and families through leaflet-based education on child nutrition and household income management for stunting prevention.The activity was conducted in the working area of Puruk Cahu Public Health Center, Central Kalimantan, involving 30 housewives with children under five years old. The education was delivered through lectures using both leaflet and PowerPoint media, and the implementation consisted of three stages: preparation, implementation, and evaluation. The results showed that empowering mothers and families through leaflet media is an effective educational strategy. After the intervention, participants showed a significant improvement in understanding the importance of early nutritional intake, the concept of balanced nutrition, and simple strategies for managing household finances to meet their children's nutritional needs. In addition, participants became more aware of the family's active role in ensuring quality food consumption for children and the long-term impacts of malnutrition.It is expected that this increased knowledge will enable mothers and families to become agents of change in preventing stunting and fostering an environment that supports optimal child growth and development.

Wasting affects health and threatens children potential. Direct factors such as food intake need to be maximized to improve nutritional status. This study aims to determine the differences in energy and macronutrient intake, food parenting, and exclusive breastfeeding history in wasting and non-wasting toddlers in the working area of Sidotopo Wetan Health Center Surabaya. This study is a case control study. Total respondents were 88 toddlers aged 7-60 months, consist 44 wasting toddlers taken with total sampling technique and 44 non-wasting toddlers taken with purposive sampling technique with age and gender matching. Energy intake and macronutrients were obtained by 3x24 hour food recall questionnaire, food parenting patterns obtained from filling out FPSQ (Feeding Practices and Structure Questionnaire) and FPSQ-M (Milk Version) questionnaires, exclusive breastfeeding history obtained through interviews with questionnaires, anthropometric data measured using digital scales and microtoas. Data analysis used independent t-test and Mann Whitney test. The results of this study showed there were significant differences in energy intake (p=0.000), carbohydrates (p=0.023), protein (p=0.000), fat (p=0.000), and exclusive breastfeeding history (p=0.003) and there was no significant difference in food parenting (p=0.632) between wasting and non-wasting toddlers. Parents are expected to pay attention to food intake and provide exclusive breastfeeding.

Anemia during pregnancy is a significant health issue that contributes to the incidence of low-birth-weight (LBW) babies. At the Bere-Bere Community Health Center, the prevalence of LBW is 15%, higher than the national average, and the prevalence of anemia in pregnant women is 30%. This study aimed to analyze the relationship between hemoglobin (Hb) levels in pregnant women and the incidence of LBW at the center. A cross-sectional design was used with 30 pregnant women selected via purposive sampling. Hb levels were categorized into anemia (Hb <11 g/dL) and normal (Hb ≥11 g/dL), while birth weight was categorized into LBW (<2500 grams) and normal (≥2500 grams). Data analysis was performed using univariate and bivariate analysis with the Chi-Square test. Results showed that 43.3% of pregnant women experienced anemia and 33.3% of babies had LBW. Of the 13 anemic mothers, 61.5% gave birth to LBW babies, while only 11.8% of mothers with normal Hb levels had LBW babies. The Chi-Square test revealed a significant relationship (p = 0.004, p < 0.05) between maternal Hb levels and LBW incidence. In conclusion, maternal anemia is significantly associated with LBW, highlighting the need for interventions such as iron supplementation, nutrition education, and regular check-ups to prevent anemia and reduce LBW rates.

Background: The second stage of labor is a critical phase associated with risks of maternal and neonatal complications if it lasts too long. Nonpharmacological interventions such as the gymball method have the potential to accelerate labor progress by optimizing the position and mobilization of the mother in labor, but contextual evidence in primary health care facilities in Indonesia is still limited. Objective: This study aims to analyze the effect of the gymball method on accelerating the second stage of labor in laboring mothers at the Mananggu Community Health Center. Methods: This study used a quasi-experimental design with a posttest-only control group approach. The sample consisted of 30 laboring women divided into an intervention group (gymball) and a control group (standard care). The dependent variable was the duration of the second stage of labor. Data were collected using observation sheets and partographs, then analyzed using an independent t-test. Results: The average duration of the second stage of labor in the gymball group was significantly shorter than that in the control group (p < 0.05). Conclusion: The gymball method was proven to be effective in accelerating the second stage of labor. This intervention is safe, low-cost, and feasible to be implemented as part of midwifery care at community health centers to improve the quality of normal delivery services.

Danger signs of pregnancy are signs or symptoms indicating that the mother or fetus is in danger. Knowledge of danger signs of pregnancy is a factor that influences the high Hamilton Anxiety Rating Scale (HARS) score of mothers in labor. This study aims to determine the relationship between mother's knowledge about pregnancy danger signs and HARS scale scores for mothers in childbirth in the Lamasi Health Center Work Area. This is a quantitative study using an observational cross-sectional approach. The population and sample were 32 people using total sampling technique. Data collection used questionnaires and observation sheets. Analysis used chi-square test. The results showed that there was a relationship between the mother's knowledge of pregnancy danger signs and HARS scale scores of mothers in labor in the Lamasi Health Center Work Area with a p value = 0.021 < α value = 0.05. It is hoped that health institutions can increase the knowledge of health workers and the community regarding pregnancy danger signs and the HARS score of mothers in labor.