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Breast cancer is a malignant tumor of the breast, lump or single mass often present in the upper outer quadrant region, this lump is hard and irregularly shaped and can be moved. Breast cancer as the most common type of cancer in women. In every year more than 250,000 new cases of breast cancer. The incidence of breast cancer in Putri Hijau Hospital Medan 2014-2022 was 43 cases. The purpose of this study was to determine the relationship between age and parity with breast cancer Kebonjati Bandung Hopital. This research was an Analytical Survey with Cross Sectional approach that is a research where the measurement of free variable and dependent variable is done in the same time. This study used the Total Population method to take a sample where the entire population amounted 43 cases of breast cancer. Techniques of data collection were secondary data that was taken from medical record of Kebonjati Hospital Bandung. Breast cancer stands out at the age of 40-50 years as many as 18 people (41. 9%) and in multiparous parity as many as 21 people (48. 8%). The results showed that the variable age ρ = 0. 036 and parity ρ = 0. 023 < 0. 05, it eans there is a significant relationship between age and parity with breast cancer. Conclusions in this study were respondents who are at high risk of developing breast cancer occurs at the age of 40-50 years and multiparity parity. For health workers are expected to provide health promotion and provide proper and prompt health services in breast cancer disease so that it can reduce mortality.

Healthy behaviours are formed because individuals make decisions and commit to continuing habits that support the improvement or maintenance of health. Self-efficacy gives confidence to individuals to achieve goals to achieve good health conditions, but it is not uncommon for individuals to experience barriers in the commitment process. This study aims to determine the relationship between self-efficacy and barrier to healthy behaviour. Researchers used cross section as a research design to take parameters of 186 respondents taken randomly which then the data will be analyzed in descriptive and inferential correlations. The results showed that there was a significant moderate positive relationship between self-efficacy and obstacles to healthy behaviour. Therefore, it is recommended to provide health services that focus on increasing confidence in individuals in order to reduce the constraints felt and prescribed by individuals and can study other factors that can also reduce barriers in healthy behaviour.

Universal Health Coverage (UHC) is used as an important issue for both developed and developing countries. The purpose of this UHC is to protect the health budget for the community so that their needs and welfare can be met. UHC is given to all people, whether they are able or not economically able. One of the reasons why Indonesia's health quality is still not good is the cost of health services which are considered expensive. Therefore, the UHC program in Indonesia is quite important to deal with this problem. This study aims to analyze the effectiveness of implementing UHC in improving health services in Indonesia. The research design used in this study was a literature review using Google scholar and Pubmed to search for previous related articles. The criteria for related articles used are those published from 2019-2023 and a total of 6 journals have been collected. Based on the six related journals, the results show that UHC appears to be effective in improving the quality of health services in Indonesia. Universal Health Coverage System (UHC) Plan The UHC system has been modified by the government to meet the conditions and goals of a professional, efficient, effective and long-term National Health Coverage. the embodiment of UHC goals carried out by Indonesia, namely the implementation of the National Health Insurance (JKN) which is a concrete step embodiment of the National Social Security System (SJSN).

The hospital is an important organization and is engaged in providing health services  that focus not only on medical service issues but also on non-medical service issues. The hospital guarantees the availability of medical devices to the availability of equipment that can affect the  quality of health services provided, including patient satisfaction. Therefore the purpose of this  study is to determine the analysis of the procurement of medical equipment logistics in hospitals.  The method used in this research is literature review from seven national journals obtained using  online database facilities via Google pages scholar and researchgate. The selected journal is based on its publication published from 2018-2023. The research results show that the analysis of logistics planning and procurement activities of medical devices in several hospitals in Indonesia  have various differences. The difference consists of hospitals that already have a plan logistics is good and some are not running perfectly. Procurement of medical devices that have not been good  due to several factors, one of which is an inadequate budget. So that management or logistics  management of medical devices is needed in hospitals so that medical devices are always available  in accordance with quality standards hospital health. 

Public service is a form of realization of orderly government administration to make it easier for citizens, including marginalized groups of people such as the poor who are cared for by the state (one of them is neglected elderly) in fulfilling various complexities of daily needs. The government gives privileges to neglected elderly in population and health services because in the administrative process they cannot be equated with members of the public in general. The factor of dementia and neglect is an important highlight of special services. Type of this research is descriptive qualitative at the Institution owned by the Provincial Government of DKI Jakarta, Tresna Werdha Social Institution (PSTW) Budi Mulia 3. The results of this study indicate that the population and health services provided by PSTW BM 3 have fulfilled service facilities quite well in terms of Tangible, Dementia elderly get convenience in the process of obtaining a Population Identification Number (NIK) and KTP-El even though it is scheduled once a year. Reliability is quite good in terms of timeliness, Responsiveness The services provided are good, supported by the intensity of coordination, Assurance of data security is well maintained in privacy so that it is safe, and Emphaty for both Dukcapil and Jamkesda are ready 24 hours in receiving service requests from PSTW BM 3 with a follow-up process on work days.

Hospitals in guaranteeing good service quality and patient safety must be proven through accreditation. Accreditation is carried out by submitting an application to the Hospital Accreditation Commission (KARS). Hospital Accreditation is a way of monitoring the implementation of measuring hospital performance indicators. The purpose of writing this scientific article is to find out the importance of improving the quality of hospitals, especially for hospital structures and health workers. The method in this scientific article is to compare cases from several hospital studies that apply the accreditation process and the literature collected at the editing (re-examination) stage. The data is then processed and analyzed and conclusions drawn. The findings from the study of the application of hospitals in the importance of holding accreditation are to improve the quality of hospital services, improve hospital patient safety, increase protection for patients, the public, human resources for hospitals and hospitals as institutions and support government programs in the health sector. It can be concluded that the importance of hospitals carrying out accreditation is to ensure good service quality and patient safety must be proven through accreditation. Accreditation is carried out by submitting an application to the Hospital Accreditation Commission (KARS). Suggestions made for hospital agencies, namely hospitals that have obtained national accreditation status are required to make strategic improvement plans in accordance with the surveyor's recommendations to meet hospital service standards that have not been achieved.

The hospital as a health service institution that organizes individual health services in a complete manner that provides inpatient, outpatient and emergency services. Efforts to improve health services as an agreement on setting long-term goals and visions which then become a common reference in achieving the goals that have been set. The purpose of this theoretical review is to find out how to improve health services in hospitals. The method used is a theoretical review by analyzing and comparing existing theories. The results of this theoretical review are by increasing efforts such as providing adequate infrastructure facilities including from a physical perspective, besides being efficient, fair, timely, secure, integrated, focused, reliable and effective. It can be concluded that efforts to improve the quality of health services as a process of meeting the needs and life expectancy of patients, both internally and externally. Quality can also be associated as a gradual and continuous improvement process. In general, the quality of health services focuses on the concept that health services have three main foundations, namely quality, access and cost.

The roles and functions of quality management, known as total management quality, can be interpreted as a system that helps an organization, hospital, or business entity to oversee every activity and duties and responsibilities needed to maintain the quality or quality of service. Efforts to improve the quality of health services are the most important step to increase the competitiveness of Indonesian businesses in the health sector. The purpose of this theoretical review study is to find out how the role and function of the quality of health services in hospitals. The method used is a theoretical review by analyzing and comparing existing theories. The results of this theoretical review study are the role and function of quality as an effort that is carried out continuously, systematically, objectively, and integratedly in determining problems and causes of health service quality problems based on predetermined standards with effectiveness, efficiency, protection and acceptance of health services. It can be concluded that service quality and good quality will greatly influence health services in hospitals. Patients getting comprehensive health services will increase patient satisfaction in the treatment program so that the quality of health services will increase. Hospitals also need to improve the quality of quality health services. Quality also has a function as a reference or benchmark in managing the quality provided by a hospital. So that in its implementation it is necessary to carry out monitoring and evaluation.

Health is one of the elements of life in building to realize the complete Indonesian human being. The aim of health development is to increase awareness, will and ability to live healthily for everyone in order to achieve the highest level of public health, as an investment for the development of socially and economically productive human resources. The aim of health services is to achieve a level of public health that satisfies the expectations and needs of the community (consumer satisfaction), through effective services by service providers that satisfy the expectations and needs of service providers (provider satisfaction), in service institutions that are delivered efficiently (institutional satisfaction). The interaction of the three main pillars of health services in harmony, harmony and balance, is a combination of the satisfaction of the three parties, and this is a satisfactory health service.

Health is a basic right of all people. The main priority at this time is health services for pregnant women. The selection of birth attendants for pregnant women is something that must be considered. Prior to the tripartite partnership, many people chose to give birth with the help of a dukun than to give birth with a health worker. The process of forming a tripartite partnership, namely collaboration between cadres, traditional birth attendants and midwives, began with the signing of the MoU which was directly supervised by the camat, babinsa and lurah. The existence of cadres and traditional birth attendants who continuously accompany pregnant women makes them trust them to use the services of health workers and give birth at health facilities. There was an increase in the number of birth mothers assisted by midwives who partnered with traditional birth attendants at Poskesdes with an average increase of 2. 8% for the past 2 years. The obstacles in implementing this tripartite partnership are the very low level of education of cadres and traditional birth attendants, the remote location of health services and the financial capacity of postpartum mothers.

Management of labor pain is an attempt to reduce MMR. Labor pain must be treated in an effective way because if the pain is accompanied by a stress reaction, it will have harmful side effects for the mother and also the fetus. The midwife at the Ngesrep Health Center has never used birth balls as an intervention to treat inpartu mothers. The purpose of this study was to determine the effect of using a birth ball on reducing labor pain in the active phase of the 1st stage. This type of research is a quasi-experimental design with one group pretest posttest design. The population in this study were all mothers with an estimated day of birth in July to August 2022 who will give birth at the Ngesrep Health Center Semarang. The sampling technique was purposive sampling and the number of samples was 31 people. Data collection tools used in this study include Standard Operating Procedures (SOP), Birth Ball Techniques, Numerical Rating Scale (NRS), Observation Sheets and birth balls with a diameter of 55 cm or 65 cm. Data analysis was carried out using the paired sample t test. The results of the study obtained a t value of 9.613 which means that every 1 time birth ball intervention with 4 movements for 30 minutes makes the primigravida have the potential to be 9.613 times to be able to reduce labor pain in the active phase of the 1st stage. The p-value is 0.000 <0.05, so the hypothesis (H0) is rejected and (Ha) is accepted, so it can be concluded that there is an effect of using birth balls on reducing labor pain in the active phase of the 1st stage of labor in primigravida at Ngesrep Health Center Semarang. For health services, it is expected that the use of birth balls can be used as an alternative to reduce labor pain in the active phase of the 1st stage of primigravida.

Puskesmas as a provider of basic health services has a very important role in maintaining public health. If it functions properly, the puskesmas will be able to provide quality services for people in need. The success of puskesmas in carrying out their programs is determined by the availability of human resources (HR) that are balanced between medical personnel on one side and promotive and preventive personnel on the other. The relationship between ability, workload, work discipline, and work motivation with the performance of health workers is obtained that there is a relationship between ability, workload, work discipline, and work motivation with the performance of health workers. Research Objectives: The purpose of this study is to analyze the suitability of the main tasks and functions (tupoksi) with education and skills as well as means of supporting work. Research Methods: The author of this article uses a descriptive qualitative method that seeks to describe an object or subject of an inductive nature. Result: Inappropriate tupoksi due to limited health workers in puskesmas, especially limited skills based on the type of education. As a result, there are health workers who are in charge of programs that do not match their skills. Conclusion: The lack of health workers makes the tupoksi incompatible with the educational background of the staff in charge of the program at the Puskesmas.

The period from infancy in the womb to the first few years of birth is known as the Golden Age, which is a golden period in growth and development in human life. The Golden age is also known as a critical time which, if not used properly, will cause permanent damage. Nutritional intake has an important role in the Golden Age period. Not fulfilling adequate nutritional intake at this time will greatly affect the growth and development of children. The provision of complementary food for ASI (MP-ASI) is one of the factors that can influence this growth and development. Given the importance of nutritional intake during this golden period of child development, it is necessary to provide complementary feeding education to mothers. As the smallest and foremost structure in government health services, posyandu cadres are expected to be able to empower mothers to pay attention to children's health, especially in providing MP-ASI. This community service was carried out with the target of posyandu cadres in Padanglampe Village, Pangkep Regency, South Sulawesi. This community service activity uses an action research approach. This activity succeeded in increasing the knowledge and attitudes of the cadres which were measured using questions before and after the intervention. Sustainability coaching is needed for cadres in order to obtain updated knowledge and skills, especially those related to balanced nutrition, so that they have sufficient provisions in empowering family nutrition.

Elderly background is defined as someone who is already 60 years old and above. Posyandu Lansia is an activity in community health services and family health services in a certain community-driven area where they can get health services. This study aims to determine the implementation of posyandu for the elderly  during the Covid-19 period  at the Putri Ayu Health Center, Jambi City. Method: this research method  is  qualitative.  Data collection  was carried out by in-depth interviews of  12 informants,  selection of informants by purposive sampling.  Result: The posyandu for the elderly in the work area of  the putri ayu  health center is not constrained by facilities and infrastructure. The Health Office provides an support in the form of facilities and infrastructure.   Operational costs  have been assigned to the  elderly Posyandu so that it  can run  well.  When Covid 19 occurred, all posyandu activities  of  the elderly stopped.  Conclusion:  Elderly people cannot be done during the Covid-19 pandemic due to the outbreak  and  the government's policy   of limiting activities during the Covid-19 period.

Background : Health problems in the preconception period include anemia, obesity and chronic lack of energy. In Indonesia, cases of Chronic Energy Deficiency are caused by lack of nutritional intake such as energy and protein, so that the nutrients needed by the body are not fulfilled. To prevent the risk of Chronic Energy Deficiency in pregnant women before pregnancy, women of childbearing age must have good nutrition. Maternal nutritional status before pregnancy has a significant influence on the incidence of LBW. Knowledge of nutrition plays an important role in fulfilling one's nutritional adequacy. The level of knowledge will encourage a person to have optimal abilities in the form of knowledge and attitudes. Objective : Knowing the effect of preconception nutrition counseling on the knowledge and attitudes of women of childbearing age. Methods : Quasi experimental with one group pretest-posttest design. The sample in this study was some women of childbearing age who were married in the preconception period from July to September 2022 in Sanggar Buana Village, Seputih Banyak District, Central Lampung as many as 81 people, the sampling technique was purposive sampling. Results : Most of them have knowledge of WUS before being given counseling that is enough 64.2% and after 85.2% have good knowledge. Attitudes before being given counseling were mostly negative 55.6% and afterward were positive 97.5%. There is an effect of preconception nutrition counseling on the knowledge and attitudes of women of childbearing age (p value 0.000). Conclusions and Suggestions: There is an effect of preconception nutrition counseling on the knowledge and attitudes of women of childbearing age. Health services are expected to provide education and counseling, especially regarding preconception nutrition

BACKGROUND: According to afifah (2013), The postpartum period is still a vulnerable period for the survival of new mothers giving birth. Most maternal deaths occur during the postpartum period, so postpartum health services play an important role in efforts to reduce maternal mortality. Postpartum services are health services provided to mothers during the period from 6 hours to 42 days after giving birth. The proportion of health service coverage during the postpartum period decreases over the period of time after giving birth. Births that received complete postpartum health services included KF1 at 81.9%, KF2 at 51.8%, and KF3 at only 32.1%. Considering the importance of bounding attachment between mother and baby and the lack of knowledge regarding this matter, it is important to realize this love. The attraction of affection can be manifested from the fetus that is still in the womb and to strengthen the newborn baby can be done using IMD, the aim of which is very beneficial for changes in the psychology of the mother and baby because affection begins with a mother's touch and hug to her baby when carrying out IMD ( early initiation of breastfeeding).   OBJECTIVE: Analyzing the Relationship between Knowledge of Postpartum Mothers and the Implementation of Bounding Attchment at the Rasminkita Ginting Clinic, Tanjung Morawa District in 202. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. RESULTS: There is a relationship between the knowledge of postpartum mothers and the implementation of Bounding Attachment at the Rasminkita Ginting Clinic, Tanjung Morawa District in 2022. Suggestions are given for research and for research sites and for educational institutions regarding Bounding Attachment.

WHO in 2018 noted that of the 675 million elderly deaths in the world due to degenerative diseases, 225 million (33.33% proportion) were in developed countries and 450 million (66.66 proportions) were in developing countries. The elderly population is estimated at almost 600 million people, which is projected to be 2 billion in 2050. Problems that often occur in the elderly include physical changes: cell decline, changes in the cardiovascular system, decreased respiration. Efforts to improve the health status of the elderly in the community are through Posyandu services for the elderly. Utilization of Posyandu for the Elderly is low even though it provides the benefits needed for the health of the elderly. This study is an analytic observational study with a cross sectional approach to analyze whether or not there is a relationship between knowledge and attitudes of the elderly with the use of posyandu for the elderly. The elderly population in Ujung Labuhan Village, Namorambe District, Deli Serdang Regency in 2021, as many as 72, the sample was taken by purposive sampling with a total of 45 elderly. Data analysis using chi square test. Most of the respondents have a low level of knowledge, namely 26 respondents (57.8%), a small proportion have good knowledge, 19 respondents (42.2%). Most of the respondents had a positive attitude towards the elderly posyandu as many as 23 people (51.1%), a small number of respondents had a negative attitude as many as 22 people (48.9%). Based on the results of the chi square test, it is known that the value of p = 0.000 <0.05 means that there is a relationship between attitudes and the use of posyandu for the elderly. There is a relationship between knowledge and attitudes of the elderly with the use of posyandu for the elderly. The elderly population in Ujung Labuhan Village, Namorambe District, Deli Serdang Regency in 2021. It is hoped that health workers will take a more innovative approach in providing health services to the elderly while still implementing health protocols.

Hospitals as providers of health services for the wider community are required to provide health services with good quality health services. The quality of hospital services can be achieved one of them with SBAR communication, so that the information conveyed can be informative and well received which will improve the handover process so that patient safety can be realized. The purpose of this study was to determine the relationship between effective SBAR communication and the quality of handover implementation in the Inpatient Room of JIH Solo Hospital. The sampling technique used is total sampling. The number of respondents was 90 respondents divided into 72 nurses and 18 midwives who were given observation sheets using the SBAR communication method and observation sheets for the quality of handover implementation. Variable correlation assessment using the chi-square test. The results of the analysis of the relationship between variables are significant with a sig value of 0.000 (p=0.05). Then, the value of the correlation coefficient between variables is very strong, namely 0.979. The use of effective SBAR communication resulted in the majority of respondents namely 79 people or 85.7% being categorized as qualified. In its implementation, the majority of respondents with a total of 87 people (196.7%) were categorized as qualified.

At the beginning of 2020, the world was shocked by the outbreak of a new virus, namely the coronavirus of type (SARS-CoV-2), and the disease is called Coronavirus disease 2019 (COVID-19). It is known, that the origin of this virus came from Wuhan, China, which was discovered at the end of December 2019. In this COVID-19 pandemic situation, the government made a policy of limiting almost all routine services, one example of which is maternal and neonatal health services and service facilities. other health. This causes anxiety in pregnant women so that they delay carrying out pregnancy tests. The type of this research is quantitative research, using the solving method in sample collection. While the testing in this study includes the validity test and reliability test. The findings of this study explain that the results of the reliability test also show that the data is declared reliable because of the value of Cronbach's Alpha > r table. The results showed that online media education was better than offline education in preparing the psychology of pregnant women to face childbirth in the COVID-19 era at Batuceper Health Center in 2022.

The activity of cadres is very important in posyandu activities because if the cadres are not active, the provision of health services and posyandu activity programs cannot run properly. The purpose of this study was to determine the factors related to the activeness of cadres in posyandu activities in the working area of ​​the Kenarilang Health Center, Alor Regency. This type of quantitative research uses a cross sectional study approach. The study population consisted of 210 cadres, with a total sample of 68 cadres using convenience sampling/accidental sampling. Data were analyzed using chi-square statistical test. The results showed that the variables of knowledge (ρ = 0.023), occupation (ρ = 0.022), incentives (ρ = 0.002), and support from community leaders (ρ = 0.043) had a relationship with the activeness of cadres in posyandu activities. Meanwhile, the attitude variable (ρ=0.492) had no relationship with the activeness of cadres in posyandu activities. Puskesmas Kenarilang should improve training on promotive efforts when providing cadres in increasing knowledge about the duties and functions of posyandu. Village and sub-district governments should always provide appropriate incentives as motivation in increasing the activity of cadres in posyandu activities, and it is hoped that community involvement will always support cadres in posyandu activities.