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Chronic Energy Deficiency (CED) in pregnant women is a nutritional problem that has serious impacts on the health of both the mother and the fetus, such as increased risk of preterm birth, low birth weight, and labor complications. In Jambi City, CED cases have continued to rise year by year. This study aims to identify the determinants of CED among pregnant women in the working area of Putri Ayu Public Health Center, Jambi City. This study employed a quantitative approach with an analytical observational design using a cross-sectional method. The sample consisted of 82 pregnant women selected through purposive sampling. Data were collected using questionnaires and anthropometric measurements using MUAC. Data were analyzed using the Chi-Square test to examine the relationship between independent variables and the incidence of CED. The study found that the prevalence of Chronic Energy Deficiency (CED) among pregnant women was 28%. Statistical analysis revealed that infectious diseases (p=0.000), personal hygiene (p=0.009), environmental sanitation (p=0.037), education (p=0.004), occupation (p=0.000), and income (p=0.040) were significantly associated with CED in pregnant women. There is a significant relationship between infectious diseases, personal hygiene, environmental sanitation, education, occupation, and income with Chronic Energy Deficiency (CED) in pregnant women at Putri Ayu Public Health Center, Jambi City. It is expected that efforts to address chronic energy deficiency (CED) among pregnant women at Putri Ayu Public Health Center can be carried out through an integrated approach, including improvements in personal hygiene, environmental sanitation, prevention of infectious diseases, as well as enhancement of education, employment, and family income.

The incidence of chronic diseases is not comparable to the ratio of chronic disease service utilization in Jambi City. Data from BPJS Kesehatan Jambi states that Talang Banjar Health Center is a health center with the lowest achievement of the Controlled Chronic Disease Management Program Participant Ratio (RPPT) of 0.55% from ≥ 5%. It is suspected that the behavior of chronic disease sufferers influences this figure. The study aims to analyze the behavior of health service utilization by chronic disease patients in the work area of Talang Banjar Health Center, Jambi City. Quantitative research with a cross-sectional study design. The research sample was selected through the Total Sampling Technique, namely all prolanis participants who have been registered at Talang Banjar Health Center, Jambi City, totaling 75 respondents. Data analysis using the chi square test. The results of the study showed that there was a relationship between Education (p = 0.049), knowledge (p = 0.000), accessibility (p = 0.043), and perception of disease (0.020) with prolanis utilization. There is no relationship between age (p = 0.254), gender (p = 0.383), occupation (p = 1.000), and health worker attitudes (p = 0.320) with the utilization of prolanis health services. It is concluded that education, knowledge, accessibility and perception of disease factors influence patient behavior in utilizing Prolanis services.

Nutritional status is the body's condition as a result of the utilization, absorption, and use of food. One of the health and social problems Indonesia is facing is the low nutritional status of its people. Nutrition deficiencies in young students will hinder mental development and brain intelligence in the future. The purpose of this study was to obtain an overview of the nutritional status of students at SD Negeri 1 Tataaran II, South Tondano District, Minahasa Regency.This research uses a descriptive survey. The population of this research are fourth and fifth grade students at Sekolah Dasar Negeri 1 Tataaran II, South Tondano District, totaling 40 students. The sampling technique used was a total population sampling, thus the sample population was 40 students. The instruments used in this study were a weighing scale, anthropometry equipment, and a list of the students’ names. Based on the research results, it was found that the nutritional status based on weight-for-age tended to be good, with 27 students (67.5%) falling into this category. The nutritional status based on height-for-age tended to be normal, with 27 students (67.5%) also in this category, and the nutritional status based on weight-for- height tended to be good, with 27 students (67.5%). In conclusion, the nutritional status of students at SD Negeri 1 Tataaran II, South Tondano District, tends to be sufficient and they generally have a good nutritional status. It is recommended that, to improve nutritional status at the household level, families should consume a diverse and balanced nutritious diet. The school, in collaboration with the health department or community health center, should routinely monitor the nutritional status of students Nutritional status is the body's condition as a result of the utilization, absorption, and use of food. One of the health and social problems Indonesia is facing is the low nutritional status of its people. Nutrition deficiencies in young students will hinder mental development and brain intelligence in the future. The purpose of this study was to obtain an overview of the nutritional status of students at SD Negeri 1 Tataaran II, South Tondano District, Minahasa Regency.This research uses a descriptive survey. The population of this research are fourth and fifth grade students at Sekolah Dasar Negeri 1 Tataaran II, South Tondano District, totaling 40 students. The sampling technique used was a total population sampling, thus the sample population was 40 students. The instruments used in this study were a weighing scale, anthropometry equipment, and a list of the students’ names. Based on the research results, it was found that the nutritional status based on weight-for-age tended to be good, with 27 students (67.5%) falling into this category. The nutritional status based on height-for-age tended to be normal, with 27 students (67.5%) also in this category, and the nutritional status based on weight-for- height tended to be good, with 27 students (67.5%). In conclusion, the nutritional status of students at SD Negeri 1 Tataaran II, South Tondano District, tends to be sufficient and they generally have a good nutritional status. It is recommended that, to improve nutritional status at the household level, families should consume a diverse and balanced nutritious diet. The school, in collaboration with the health department or community health center, should routinely monitor the nutritional status of students

The SEBLAK program (Birth Certificate, Birth Registration, and Family Card) initiated by RS dr. Mohammad Zyn represents an innovation in digital-based civil registration services, aimed at improving efficiency, effectiveness, and transparency in public services related to population administration. This innovation integrates the processes of data collection, verification, and the issuance of administrative documents automatically through a digital system directly connected to the Department of Population and Civil Registration (Disdukcapil). Consequently, procedures for obtaining documents such as birth certificates and family cards can be carried out more quickly, easily, and without bureaucratic obstacles, while also providing more accurate and reliable data. The overall success of this program is supported by several key factors, including adequate technological infrastructure, continuous training for officers and the community, and effective socialization through various media and community forums. A qualitative approach was used to evaluate the implementation process and its impact on the community and hospital staff. Data were collected through in-depth interviews, observations, and documentation, then analyzed using the Miles and Huberman (1994) model. The results indicate that the implementation of this digital system can significantly reduce the time and costs associated with document processing, improve data accuracy, and strengthen public trust in government services. Beyond operational aspects, the SEBLAK program also positively impacts increasing access to administrative services for communities in remote and hard-to-reach areas. This aligns with the goal of expanding digital services inclusively and reinforcing the role of hospitals as the initial point and center for civil registration services while enhancing community participation in fulfilling their administrative rights. However, challenges remain, including technical infrastructure limitations, a lack of sufficient training for human resources, and the need to improve data security capacity. Therefore, continuous capacity building for human resources and infrastructure development are crucial to ensure the sustainability and success of this program, which can serve as a model for innovative public services that other institutions in Indonesia can adopt.    

This study investigates doctor–patient communication strategies in overcoming verbal and non-verbal language barriers within the Pain Clinic of RSUD Genteng Banyuwangi, a public hospital in East Java, Indonesia. Pain clinics pose unique communicative challenges, as patients often struggle to express their discomfort clearly due to limited health literacy, cultural norms, or emotional inhibitions. This research aims to identify and analyze the communicative methods employed by doctors to facilitate accurate information exchange and build therapeutic rapport with patients experiencing chronic pain. Utilizing a qualitative approach, this study applies Conversation Analysis (CA) to naturally occurring doctor–patient consultations recorded through non-intrusive video methods. Verbal and non-verbal interactions were transcribed and analyzed to uncover recurring communicative patterns. The data were interpreted through sociolinguistic and pragmatic lenses to account for the local language diversity and cultural context of Banyuwangi. Findings reveal that doctors employ multiple strategies to clarify meaning and adapt communication: repetition, strategic questioning, utterance correction, and linguistic adaptation. Additionally, doctors interpret and respond to patients' non-verbal cues, including vocal tone, facial expressions, and body gestures, to supplement incomplete verbal communication. These strategies not only enhance diagnostic accuracy but also promote empathy, trust, and patient-centered care. The study concludes that effective communication in pain clinics must account for linguistic diversity, cultural sensitivities, and emotional dynamics. Adaptive and empathetic communication fosters better understanding, reduces the risk of diagnostic error, and improves treatment outcomes. The findings offer practical implications for clinical training and healthcare policy, particularly in multicultural and linguistically diverse settings.

Tuberculosis (TB) is the ninth leading cause of death worldwide, surpassing HIV/AIDS. In 2016, TB-related deaths among HIV-negative individuals reached 1.3 million, while deaths among those with HIV-TB co-infection totaled 374,000. Indonesia ranks among the top five countries with the highest TB burden, accounting for approximately 5.8% of global TB cases. The TB prevalence rate in Indonesia in 2016 was 391 per 100,000 population, with nearly half of the cases occurring among women of reproductive age. It is estimated that 1–3% of pregnant women have TB, and some are also co-infected with HIV. The national target for TB elimination by 2030 is to reduce incidence to 65 per 10,000 population and mortality to 6 per 100,000 population. However, in Mimika District, the TB incidence remains high at 707 per 10,000 population, with a mortality rate of 27 per 100,000 population.This community service program aimed to improve knowledge regarding the prevention of pulmonary TB transmission from adults to toddlers living in the same household, in order to break the chain of transmission. The activity was conducted from July to September 2024 in Kamoro Jaya Subdistrict, under the jurisdiction of Wania Health Center, with 90 participants consisting of mothers with toddlers and community health volunteers (Posyandu cadres).Methods used included lectures, group discussions, and demonstrations. The educational material focused on the prevention of TB transmission in children. Participants completed a questionnaire before the activity. The results showed an increase in knowledge regarding the prevention of pulmonary TB in children.

Traditional Bakera treatment or a kind of traditional spa is a treatment carried out by postpartum mothers, all traditional Bakera treatment methods use herbal plants. The purpose of this study was to determine how to utilize bakera in postpartum mothers in the Taratara Health Center work area. The type of research used was descriptive qualitative research, with informants consisting of 2 postpartum mothers, 1 village head, and 1 health worker domiciled in Taratara village. The results of the study through in-depth interviews with researchers with 4 informants showed that traditional Bakera treatment has benefits for the healing process of postpartum mothers such as helping to smooth blood circulation, removing toxins that are not needed by the body, accelerating the healing of external wounds after giving birth, helping to warm the body, accelerating the healing of internal wounds, helping to remove dirty blood after giving birth, facilitating breast milk production, increasing appetite, and facilitating the digestive tract.

The implementation of health information systems such as SIMKES (Sistem Informasi Manajemen Kesehatan) plays a crucial role in enhancing administrative efficiency and service delivery in primary healthcare centers. However, user satisfaction remains a key indicator of system effectiveness, especially in outpatient service units. This study aims to evaluate the satisfaction level of health personnel toward the implementation of SIMKES at the outpatient unit of Teguhan Health Center, Ngawi, Indonesia. Employing a descriptive quantitative method, this research involved a census of 17 respondents using a validated questionnaire based on the End-User Computing Satisfaction (EUCS) model, which comprises five dimensions: content, accuracy, format, ease of use, and timeliness. The data were analyzed using frequency distribution and mean scoring to categorize satisfaction levels. Results showed that the overall satisfaction score was 73.58, indicating that users were generally satisfied with the system. All five EUCS dimensions were categorized as satisfactory, with the highest rating in the format dimension and the lowest in timeliness. Despite the overall positive assessment, users reported issues related to system speed, technical bugs, and limited guidance for system navigation. The findings suggest that while SIMKES supports outpatient service delivery effectively, improvements are needed in system responsiveness and user support to enhance satisfaction and usability. This study contributes to the ongoing evaluation and development of health information systems in resource-limited primary care settings.

Acute bronchitis, a common respiratory infection, is a significant medical problem, especially among adults, characterized by the sudden onset of a persistent cough, with or without sputum production. Symptoms are self-limiting, usually mild, and resolve spontaneously within 1 to 3 weeks. Current epidemiological data in Indonesia for bronchitis are not recorded with certainty. Still, the incidence of acute respiratory infections with symptoms similar to acute bronchitis is recorded as the highest in Papua at 10.5%, and in Jakarta itself only recorded at 2.7%. This case study discusses a 20-year-old man with complaints of cough with phlegm for 1 week before coming to the health center with thin, white sputum that worsens with activity and exposure to air pollution. Complaints are accompanied by fever and headache. The patient is a light smoker and lives with the patient's brother, who has similar complaints and is also an active smoker in a house with minimal ventilation in a polluted environment due to street dust. Physical examination of the thorax found coarse rhonchi in both lung fields, which led to the diagnosis of acute bronchitis. Based on this case, it was found that the importance of complete and comprehensive treatment of acute bronchitis in men is expected to be a guide to promote treatment and prevention in cases of acute bronchitis.

The prevalence of hypertension in Indonesia has increased, in 2013 the prevalence of hypertension was 25.8% while in 2018 the prevalence of hypertension increased by 34.1%. In addition to pharmacological techniques, hypertension management can use non-pharmacological techniques, one of which is deep breathing relaxation techniques. The purpose of this study was to analyze the effect of deep breathing relaxation techniques on blood pressure in hypertension patients at the Industrial Health Center. This study used the Pre-Experiment one group pretest and posttest method. The sampling technique was random sampling with a sample size of 46 people who met the inclusion criteria. The instruments used were digital tension, SOP for deep breathing relaxation techniques, and observation sheets. Data analysis used the Wilcoxon statistical test. Blood pressure before the relaxation technique averaged systolic 157.83. Blood pressure after the relaxation technique averaged systolic 137.65. The results of the Wilcoxon blood pressure test in hypertension patients before and after deep breathing relaxation techniques (p = 0.000). There is an effect of deep breathing relaxation techniques on blood pressure in hypertension patients at the Industrial Health Center.  

This study aims to conduct an analysis of the management information system implemented at the community health center (Puskesmas). In fulfilling its operational functions, Puskesmas typically utilizes a management information system to support data processing and the delivery of healthcare services. To enable healthcare personnel to perform their duties more effectively and efficiently, the system must operate in an optimal condition. Ensuring such efficiency requires a systematic evaluation to identify existing issues, thereby allowing for targeted improvements and further system development. The evaluation was carried out using a heuristic evaluation approach focused on usability aspects, referencing ten standard indicators. Data were collected through the distribution of questionnaires to clinical staff at Puskesmas. The results of the analysis identified 15 usability-related issues distributed across 4 key usability aspects. These issues were subsequently categorized into low and medium priority levels for improvement. The findings from this study may serve as a foundation for system refinement, feature enhancement, and overall development of the management information system at Puskesmas Depok I, Sleman, ultimately aiming to improve user experience in terms of accessibility and operational convenience.

Complete basic immunization, including DPT-HB 1,2,3, plays a vital role in reducing infant morbidity and mortality from vaccine-preventable diseases. However, immunization coverage remains suboptimal, partly influenced by maternal knowledge and attitudes. This study aims to determine the relationship between mothers’ knowledge and attitudes and the provision of DPT-HB 1,2,3 immunization at Mersip Public Health Center in 2023. This quantitative research used a descriptive analytic method with a cross-sectional approach. The study involved 134 respondents selected through purposive sampling. Bivariate analysis using the chi-square test showed a significant relationship between mothers' knowledge (p = 0.000) and attitudes (p = 0.008) with the administration of DPT-HB 1,2,3 immunization. The study concludes that better maternal knowledge and positive attitudes are associated with a higher likelihood of complete DPT-HB 1,2,3 immunization for their babies. These findings highlight the need for enhanced health promotion by healthcare providers targeting mothers in the Mersip area.

The Maternal Mortality Rate (MMR) in Indonesia is still high and is a major challenge in the health system, especially in the labor phase. This study aims to analyze the implementation of the BPJS patient labor referral system in reducing MMR at the Gunung Tinggi Health Center. The study used a qualitative method with a case study approach to health workers at the Gunung Tinggi Health Center. The results of the study showed that the availability of competent health workers, adequate facilities and infrastructure, and a referral system integrated with BPJS have made a positive contribution to labor services. However, challenges were still found in the form of late responses from referral hospitals, geographical constraints, and low public health literacy regarding the importance of referrals. This study concludes that strengthening the coordination system between facilities and educating the community is very important in increasing the effectiveness of the referral system and reducing maternal mortality.  

Pregnancy is a physically and mentally challenging phase for a woman. Changes in hormones, physical condition, and demands from the social environment can cause stress and anxiety. The purpose of this study was to investigate the use of mindfulness techniques as a way to cope with stress for pregnant women. This study used a qualitative methodology with a case study approach, involving three participants from a pregnant women's class held at Padangsari Community Health Center. Data were collected through observation, semi-structured interviews, and case study analysis, then the data were analyzed using thematic and narrative approaches. The findings of this study show that of the three participants, only one managed to apply mindfulness consistently, characterized by understanding and awareness of the changes she was experiencing, acceptance of the emotions that arose, and active engagement in the pregnancy experience. Meanwhile, the other two participants showed limitations in aspects of mindfulness, including self-observation, emotional disclosure, and social support, especially from their spouses. External factors such as the role of the husband as a support system and internal factors related to personality and daily routines influenced how effective the mindfulness application was. This study concludes that the application of mindfulness can help pregnant women manage stress and improve their emotional health, but also requires support from the environment and regular practice.  

Digital transformation in health education opens up innovative opportunities to improve clean and healthy living behavior skills in the adolescent population. This study aims to analyze the effectiveness of education through digital media in improving clean and healthy living behavior skills in guidance studio students in Malaysia. The research method uses a mixed-method approach with a participatory action research design that integrates cooperative learning as the main strategy. The subjects of the study involved 32 students of Sanggar Bimbingan Kampung Pandan Malaysia consisting of 18 male students and 14 female students with an age range of 12-16 years. The intervention was carried out for 12 weeks using the "PHBS Digital Learning" application platform that integrates interactive multimedia features, quizzes, virtual simulations, and group discussion forums. Data collection was carried out through validated pre-test and post-test instruments with a Cronbach's Alpha reliability of 0.847. The results showed a significant increase in the composite knowledge score of 56.0% with a very large effect size (Cohen's d = 4.22), while practical skills increased by an average of 63.2% across all indicators. The digital platform facilitated 847 discussion posts with high engagement levels, reaching an average usage duration of 47.3 minutes per session. The transformation of student attitudes experienced a substantial increase from an average score of 2.3 to 4.2 on a scale of 1-5, with behavioral sustainability maintained by up to 78.1% of students in the follow-up evaluation. This study proves that digital media has high effectiveness in improving clean and healthy living behavior skills through the integration of cooperative learning and digital technology that creates a comprehensive and sustainable learning ecosystem.

This research was carried out at the Multipurpose Health Center, Sako District, Palembang City. The purpose of this study is to find out the health services provided to Healthy Indonesia Card (KIS) patients at the multivehicle health center and to find out what factors are obstacles in providing maximum service to Healthy Indonesia Card (KIS) patients at the health center. The method used in this study is a descriptive method with a qualitative approach. Data collection techniques include primary data collection in the form of interviews and field observations, as well as secondary data collection in the form of documentation and literature studies. The determination of informants in this study uses the purposive sampling technique. The result of the analysis of this study is Health Services for KIS Patients at the Multiwahana Health Center, Sako District, Palembang City based on PERMENKES Number 04 Article (3) of 2019 concerning Minimum Service Standards (SPM). Health is assessed from the number of quality goods/services, quantity and quality of infrastructure. Health human resources and procedures for meeting standards are running well, this can be seen from the free services provided to KIS participants, namely KIS participants get basic health services at the Puskesmas free of charge, including examinations, treatments, immunizations and maternal and child health services. The provision of medicines at the Puskesmas ensures the availability of essential medicines needed by KIS participants. However, the flow of procedures and services at the multipurpose health center is quite clear, simple, not convoluted, and the officers are friendly. Then, the inhibiting factor in providing services to KIS patients is that there are still many people or patients who are not interested in the Healthy Indonesia Card program.

WHO in 2015 also recorded that the number of cases of emesis gravidarum reached 12.5% ​​of all pregnancies in the world, while the incidence of hyperemesis gravidarum was between 0.3-3.2% of all pregnancies in the world. The aim of this research is to determine the effect of lemon aromatherapy on nausea and vomiting in pregnant women at the Public Health Center of Mersip in 2024. The research was conducted using a quasi-experimental approach with one group pre-post test. The location of this research was carried out at the Public Health Center of Mersip and when this research was carried out in January 2024. The population in this study was all 184 pregnant women who were or visited the Public Health Center of Mersip from November 2023 to January 2024. pregnant women, and a sample of 34 people using purposive sampling technique. The data analysis used is univariate and bivariate analysis using the Paired T-Test.The majority of 21 respondents (61.8%) before being given lemon aromatherapy, the majority of 20 respondents (58.8%) experienced moderate nausea and vomiting after being given lemon aromatherapy, and there was a significant difference between nausea and vomiting before and after using lemon aromatherapy as shown by a p value of 0.000. The conclution of these reaseach is an effect of lemon aromatherapy on nausea and vomiting at the Public Health Center of Mersip. It is hoped that lemon aromatherapy can be considered as a permanent SOP for the care of pregnant women with nausea and vomiting and lemon can be recommended as an intervention in midwifery care for pregnant women with nausea and vomiting.

Background: The elderly aged 60-69 years in Banda Aceh are 15,820. The coverage of the lowest number of elderly visits to elderly posyandu in the city of Banda Aceh is the Jaya Baru Health Centre (5.5%), the Lampaseh Health Centre (6.5%), and the Kuta Alam Health Centre (7.7%). Objective: This study aims to analyse factors related to the participation of the elderly in the Banda Aceh City Health Centre. Research Method: The type of research uses a cross-sectional design. The population in this study includes all older people in 3 (three) Banda Aceh City Puksesmas, namely Jaya Baru, Lampaseh, and Kuta Alam. The sample in this study amounted to 98 older people. Results: there was no relationship between accessibility and elderly posyandu participation (t= 1,356; p=0.176), there is a relationship between the availability of facilities and infrastructure and the participation of the elderly posyandu ( (t= 3.496; p=0.001), ), there was a relationship between motivation and support for elderly families (t=2.294; p=0.022), there was a relationship between the knowledge of the Posyandu program (t= 5.197; p=0.000), there was no relationship between the role of health workers and the participation of elderly posyandu at the Banda Aceh City Health Center (t=0.257; p=0.797), The factor that most affects the participation of elderly posyandu in Banda Aceh City is the knowledge of the posyandu program (t= 5.197; p=0.000). Conclusion: knowledge of the elderly posyandu program, the availability of infrastructure, motivation and support of elderly families affect the participation of posyandu in Banda Aceh City

Anemia in pregnant women is one of the contributing factors to stunting in toddlers. The consumption of iron (Fe) tablets by pregnant women requires supervision from family members to support the success of the stunting reduction program in Bangli Regency. Iron tablet intervention in pregnant women has been proven to reduce the risk of complications, lower the incidence of low birth weight in infants, and decrease maternal mortality during childbirth. This study used a cross-sectional survey design, involving 48 pregnant women. Data collection was conducted using total sampling during the period from January 2024 to January 2025 at Kintamani IV Public Health Center. Bivariate data analysis was carried out using the chi-square test. The results of the study showed that 68% of pregnant women experienced mild anemia. Most pregnancies were in the third trimester (39%), and 43% of the participants were in their first pregnancy. The majority of the pregnant women had good knowledge levels. There was a significant relationship between pregnant women’s knowledge and their adherence to consuming iron tablets, with a p-value of 0.019. The odds ratio (OR = 5.014) indicated that pregnant women with good knowledge were five times more likely to adhere to iron tablet consumption compared to those with limited knowledge. Support and monitoring of the nutritional status of pregnant women are essential to reduce the incidence of low birth weight and stunting among toddlers in Selulung Village, Kintamani District.  

Training and career development play a crucial role in improving the performance of health center (puskesmas) employees to deliver optimal healthcare services. This study aims to analyze the influence of training and career development on employee performance at puskesmas and to identify challenges in their implementation. The method used is a literature review with a descriptive-analytical approach based on previous studies related to training, career development, and human resource performance in the health sector. The results show that relevant and continuous training enhances employee efficiency, accuracy, and mental readiness, while clear and sustainable career development increases motivation, loyalty, and employee engagement. The synergy between training and career development is key to successfully improving employee competence and motivation sustainably. However, program implementation faces challenges such as budget constraints, lack of policy support, geographic barriers, and less operational HR development policies. Therefore, strategic and integrated HR management is essential to improve the quality of healthcare services at puskesmas.