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One of the nutritional problems that occur in children under five is stunting, also known as chronic nutritional problems due to insufficient fulfillment for long periods of time. A child under five is considered to have stunted nutritional status if his height is less than minus two median standard deviations of the World Health Organization (WHO) growth standards. Stunting is caused by direct causes, namely nutritional intake, infectious diseases, exclusive breastfeeding, indirect causes, namely sanitation, education, parental knowledge, income, number of family members, resources, technology, and the environment. This study aims to determine the factors that affect the incidence of stunting. This study aims to determine the factors that affect the incidence of stunting. This type of research is observational research analytic case control approach. The research samples were 49 stunted children (case Group) and 49 children without stunting (control group) in the working area of Bukit Gadeng Public Health Center, Bahagia District, South Aceh Regency, Aceh province. The Data were analyzed by performing Chi-square analysis test and the value of (OR) Odds ratio. The results showed a significant value of maternal knowledge (p-value=0.00); (OR=72.45), environmental sanitation hygiene (p-value=0.001); (OR= 2.14), history of exclusive breastfeeding (p-value=0.00); (OR= 19.37), history of infectious diseases (p-value=0.064); (OR= 3.45). Conclusion maternal knowledge, environmental sanitation hygiene, and history of exclusive breastfeeding affect the incidence of stunting and infectious disease history does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency. Knowledge, sanitation hygiene, and Exclusive, breastfeeding, affect the incidence of stunting and infectious disease does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency.

Lack of nutrients during pregnancy can cause fetal growth disorders because during pregnancy there is an increase in energy and nutrient metabolism, this increase is aimed at fetal growth and development. There are many factors that cause chronic energy deficiency, including age and knowledge. The aim of this research is to determine the relationship between age and knowledge and chronic energy deficiency in pregnant women at the Glagah Community Health Center, Pakuniran District. This research method uses correlational analytics with a cross-sectional approach which was carried out on 29-31 July 2024. The sample for this research was pregnant women at the Glagah Community Health Center, Pakuniran District, totaling 50 respondents. The technique used in this research is Total Sampling, to collect data using a questionnaire. The research results showed that 40.0% of mothers experienced CED during pregnancy and 60.0% of mothers did not experience CED. The results of this study show that there is a relationship between age and CED in pregnant women with statistical test results of p=0.000 (<0.05) and there is no relationship between knowledge and CED in pregnant women with statistical test results of p=0.426 (<0.05). The conclusion is that there is There is no relationship between age and knowledge with chronic energy deficiency in pregnant women at the Glagah Community Health Center, Pakuniran District.

Mild anemia in pregnant women remains a common health problem at the primary healthcare level and may negatively affect both maternal health and fetal development. One non-pharmacological approach to managing anemia is the utilization of local food sources rich in iron, such as spinach. This study aimed to determine the effectiveness of spinach extract in increasing hemoglobin levels among pregnant women with mild anemia at Poskesdes Wiritasi. This study employed a quasi-experimental design using a one-group pretest–posttest approach without a control group. The sample consisted of 30 pregnant women diagnosed with mild anemia who were selected through purposive sampling. The intervention involved the regular administration of spinach extract for 14 consecutive days. Hemoglobin levels were measured before and after the intervention using a standard hemoglobin testing device. Data were analyzed to assess differences in hemoglobin levels before and after the intervention. The results showed a significant increase in hemoglobin levels following the administration of spinach extract. These findings indicate that spinach extract has a positive effect on improving hemoglobin levels in pregnant women with mild anemia. Therefore, spinach extract may serve as an effective, safe, and easily applicable local food–based nutritional intervention for the prevention and management of mild anemia among pregnant women at the village healthcare level.

Bridge infrastructure is a vital component of transportation systems that is vulnerable to structural damage caused by dynamic loads, environmental factors, and aging. Early crack detection is crucial to prevent structural failures that may lead to catastrophic consequences. This study aims to develop a non-destructive detection method based on acoustic sensors to identify cracks in bridge structures with higher sensitivity and accuracy compared to conventional visual inspections. The research was conducted through laboratory experiments and field tests using acoustic sensors, data acquisition devices, and signal analysis software. The procedure included sensor installation on a bridge model, simulation of artificial cracks with varying sizes and positions, recording of acoustic wave signals, and data analysis using frequency spectrum, amplitude, and waveform pattern approaches. The results show significant differences between normal and cracked conditions in the frequency spectrum, where cracks produced amplitude anomalies at specific frequencies. Amplitude analysis revealed a positive correlation between crack size and acoustic signal intensity, while waveform pattern analysis demonstrated the influence of crack position on distortion levels. Cracks located at the center generated the highest distortion, followed by joints and edges. These findings confirm that acoustic sensors, particularly fiber-optic-based ones, offer advantages such as high sensitivity, reliability under complex environmental conditions, and the ability to detect subsurface cracks. The implications of this research highlight the potential development of an acoustic sensor-based structural health monitoring system integrated with real-time analysis software, thereby supporting preventive maintenance, extending infrastructure lifespan, and enhancing transportation safety.

Malaria is an infectious disease caused by Plasmodium sp which is transmitted by the Anopheles mosquito. The spread and endemicity of malaria is greatly influenced by the existence of breeding sites for Anopheles mosquitoes as a result of human behavior. Papua still has the highest malaria endemic status in Indonesia. West Koya Community Health Center, based on data from the Jayapura City Health Service, has the highest number of malaria cases with the highest API figure of the 13 Community Health Centers. The aim of the research was to determine the influence of community behavior on malaria at the Koya Barat Health Center. This type of analytical research uses a crosectional study. The population is 14,442 people who visited the Koya Barat Health Center in 2022, with a sample size of 100 people calculated based on the Slovin formula. Data were analyzed bivariately using the chi square test and risk factor analysis calculating prevalence ratio (RP) values ​​with confidence intervals (CI 95%). Based on the results of the chi square test, it was found that the knowledge variable had an influence with a ρ-value = 0.049 ≤ 0.05, meaning that there was an influence of the respondent's knowledge on the incidence of malaria. Risk analysis obtained RP = 1.441; 95% CI (0.783 – 1.854) which is interpreted to mean that respondents with poor knowledge have a 1.144 times chance of suffering from malaria compared to respondents with good knowledge but it is not significant because the lower and upper values ​​exceed 1. Meanwhile, the results obtained for the attitude and action variables have no effect on However, malaria is a risk factor because the RP value is > 1 but is not significant because the 95% CI exceeds 1. 

Anemia during pregnancy remains a widespread public health issue, especially due to iron deficiency. The purpose of this study was to explore the relationship between maternal age, number of antenatal care (ANC) visits, and compliance with iron supplement intake with the incidence of anemia among pregnant women at Turi Health Center in Lamongan Regency. This research employed a cross-sectional approach involving 55 pregnant women who were chosen using a multistage random sampling technique. Information was collected through interviews and hemoglobin level measurements conducted using a digital hemoglobin meterThe results indicated that 69.1% of the participants belonged to the non-risk age category, 34.5% exhibited moderate adherence to iron tablet intake, and 60% were found to be anemic. Statistical analysis revealed a significant correlation between maternal age (p = 0.004), number of ANC visits (p = 0.014), and compliance with iron supplement tablets (p = 0.000) with the level of anemia. This indicates the presence of a statistically significant association between maternal age, frequency of ANC visits, and level of compliance with iron supplement tablet consumption related to the incidence of anemia in pregnant women. Therefore, pregnant women are advised to have frequent ANC and consume iron supplement regularly to prevent anemia.

This study analyzes the relationship between the provision of additional food (PMT) and the incidence of stunting in toddlers aged 24–36 months in the Pajarakan Health Center working area. Using a quantitative approach with a cross-sectional design, the sample consisted of 73 toddlers selected randomly. Data were collected through questionnaires and height measurements, then analyzed using the Chi-Square test. The results showed a significant relationship between the provision of PMT and the incidence of stunting (p-value 0.001). This finding is expected to increase mothers' awareness in paying attention to parenting patterns and child nutrition.

Work discipline is a behavior that must be instilled in every individual inside and outside the organization. Employee performance is influenced by several factors, including work discipline. The purpose of this research is to identify the relationship between work discipline and employee performance at Puskesmas Pintukota Kota Bitung.This research uses quantitative research with a cross sectional study design. Data analysis using Chi-Square with a level of significance (a < 0.05). The population in this study were all employees. With a sample size of 42 respondents obtained by total sampling technique.The statistical test obtained a value of <p=0.012 & 0.001 (a<O.002) on the work discipline variable. This means that Ha is accepted or there is a significant relationship between work discipline and employee performance. The conclusion of this research is that there is a relationship between work discipline and employee performance. The results of this research are expected that Puskesmas employees can maintain and improve work discipline so as to get good performance results in achieving each program that is arranged.

Occupational Health and Safety (K3) is an effort to provide safety guarantees and improve the health status of workers/laborers by preventing work-related accidents and diseases, controlling  workplace hazards,  health  promotion, treatment and  rehabilitation. Occupational Health and Safety efforts include workforce, work methods/methods, work tools, work processes and work environment. In the PTM room at the West Baktiya Health Center, the space is quite narrow due to the large number of patients visiting, so there is untidiness in the room even though the AC and windows are used. However, having 2 tables in the room makes the room increasingly narrow and difficult to work comfortably. This research aims to find out an overview of the implementation of Occupational Safety and Health in the PTM room. This research is a qualitative descriptive research with a case study design. The subjects of this research were 3 officers in the PTM room. The object of this research is the implementation of K3 and PTM rooms at the West Baktiya Community Health Center. Data was collected by participant observation and semi-structured interviews with informants. The risk factors for the PTM room at the West Baktiya Health Center, seen from occupational safety and health factors, are that it is quite clean, no animals were found that cause disease transmission such as cockroaches, rats and others. There are no occupational safety and health signs and standard operational procedures related to occupational safety and health, while fire prevention in the PTM room at the West Baktiya Public Health Center and the West Baktiya Community Health Center itself is quite good with APAR. There needs to be signs regarding occupational safety and health and SOPs regarding occupational safety and health, especially in the PTM room.

This report aims to identify and address the problem of stunting in prospective brides and grooms in the Piyeung Health Center area, Aceh Besar. Stunting is a serious health problem that can affect the growth and development of children. Through the counseling activities carried out, the author seeks to increase the knowledge and awareness of prospective brides and grooms regarding the importance of good nutrition before and during pregnancy to prevent stunting. The methodology used in this report is Quasy Experiment. The results of this activity indicate an increase in understanding of nutrition and reproductive health among prospective brides and grooms. The conclusion of this report emphasizes the importance of appropriate and sustainable nutritional interventions to prevent stunting, as well as the need for support from various parties to improve the quality of public health. It is hoped that this report can be a reference for related parties in efforts to prevent stunting in the future.

deaths each year. An additional 1.5 million deaths could be prevented if global immunization coverage increased. Providing information to mothers can improve knowledge of post-immunization care for infants. The implementation method is through counseling on post-immunization care for infants, namely handling fever at home. This activity involves health workers at the Lhok Beuringen Health Center. This Community Service was carried out in Mataram Maneh village. The implementation time was in November 2024. Participants in this Community Service activity were mothers who had children aged 1-12 months in Mataram Maneh village with a total of 20 people. The activity was carried out in stages (1) providing an explanation of the purpose of the activity; (2) providing knowledge about the importance of immunization (3) providing knowledge about how to handle post-immunization impacts. The results of the activity showed that there was an increase in mothers' knowledge about post-immunization care for infants. After participating in this activity, mothers can apply this knowledge as much as possible to babies in post-immunization care for infants. The community service activity aims to educate mothers in Matang Maneh village, Tanah Jambo Aye District, North Aceh Regency, and to determine the level of knowledge of mothers about immunization and its benefits, the method I use is quantitative by distributing questionnaires after and before the presentation, the results of immunization counseling in Matang Maneh village, Tanah Jambo Aye District, North Aceh Regency, showed an increase. before being given counseling 30% knew, after counseling increased to 80%.

One of the complementary therapy treatments that can be used for independent and natural interventions is foot hydrotherapy (warm water foot soak). Warm water foot soak therapy plus a mixture of salt is useful for blood pressure lowering therapy in hypertension. The purpose of this study was to determine the effect of warm water foot soak therapy with a mixture of salt on lowering blood pressure in elderly hypertensive patients. The type of research is Quasy-experiment using one group pretest posttest design. The number of samples was 16 respondents taken using the Purposive Sampling technique. The results of the study showed that the average blood pressure before the warm water foot soak therapy with a mixture of salt was systolic 169.62 mmHg and diastolic 102.25 mmHg. The average blood pressure after the warm water foot soak therapy with a mixture of salt was systolic 143.12 mmHg and diastolic 91.88 mmHg. The results of the statistical test showed that there was an effect of warm water foot soak therapy mixed with salt on reducing blood pressure in elderly hypertensive patients in the Siulak Mukai Health Center Work Area in 2024 (p-value = 0.001).

Pneumonia is an acute respiratory infection that remains a major public health issue in Indonesia, particularly among infants and children. West Java is among the provinces with a high number of cases, and in 2024, Tasikmalaya City reported 2,178 cases, with Cilembang Public Health Center (Puskesmas Cilembang) recording the highest number. This study aims to evaluate the P2 ISPA (pneumonia) surveillance system at UPTD Puskesmas Cilembang. A descriptive-evaluative method was used, involving interviews, document reviews, and observations with surveillance and P2 ISPA program officers at the Tasikmalaya City Health Office and Puskesmas Cilembang. The findings indicate that the pneumonia surveillance implementation at Puskesmas Cilembang is fairly adequate, although improvements are needed to better align with current guidelines and government regulations.

A 55-year-old female patient came to the Non-Communicable Diseases Polyclinic of Banda Baro Health Center with complaints of headaches that had been felt since ± 7 days ago. The headache was felt as if it was throbbing all over the head. The headache was felt to be worse when the patient was active and stressed and reduced when the patient rested. This headache complaint had disrupted the patient's daily activities. The patient also complained of a stiff neck accompanied by weakness. The patient had been diagnosed with hypertension since 5 years ago but did not take medication regularly. The therapy received by the patient was Amlodipine 1 x 5 mg. From the results of the examination, BP was 145/90 mmHg, HR: 82 x / i, RR: 19 x / i, temperature: 36.5 ° C. Primary data was obtained through anamnesis and physical examination by conducting home visits, filling out family folders, and filling out patient files. The assessment is carried out based on the initial holistic diagnosis, process, and end of visit. Interventions carried out include education on the importance of a healthy lifestyle, taking medication regularly to control blood pressure and complications that can occur due to high blood pressure.

Community health services are the most important part of supporting community health. Puskesmas is a health institution that is very close to the community. Therefore, it is important to pay attention to supporting facilities and infrastructure in the medical records work unit such as work equipment, work procedures, work processes or systems, work environment, employee physiology and psychology so that medical records officers more productive at work. Based on observations made at the West Baktiya Community Health Center, it was found that the area of the medical records unit was 5 x 5 m2 with a ceiling height of 3 m, using a white ceramic floor, there were 6 windows, 1 door, 2 staff work desks and 3 cupboards for Save correspondence and other important documents. Lighting in the medical records unit room is 259 lux, noise is 53.3-62.0 dB, temperature in the medical records unit room is 33.1oC and humidity is 70%. In the medical records unit room there are no chemical substances in solid, liquid or gas form, and there are also no vectors or disease-carrying animals such as flies, mosquitoes, cockroaches and rats. The aim of this activity is to provide outreach regarding ergonomics in the medical records work unit at the West Baktiya Community Health Center. The implementation method consists of planning, implementation actions, evaluation and activity report preparation stages. The result of this service is that it can increase the knowledge of medical records officers and other healt

Hepatitis is an inflammation of the liver cells that can be caused by various factors, such as alcohol consumption, autoimmune disorders, drugs, or toxins. Viral infections, such as hepatitis A virus (HAV), hepatitis B virus (HBV), hepatitis C virus (HCV), hepatitis D virus (HDV), and hepatitis E virus (HEV). WHO estimates that by 2022, about 254 million people worldwide will be chronically infected with hepatitis B, with 1.2 million new infections occurring each year. In the same year, hepatitis B caused the deaths of about 1.1 million people, mostly due to cirrhosis and liver cancer. Hepatitis is very dangerous, therefore pregnant women really need to know about Hepatitis B disease and have positive behavior about Hepatitis B so that they can take precautions to prevent transmission to both the mother and the fetus. The purpose of this study was to determine the effect of using leaflets as educational media on increasing the knowledge and behavior of pregnant women about Hepatitis B in the Melintang Health Center Working Area. This type of research uses the Quasy Experimental Design method with pre-test and post test groups where observations are made twice, namely experiment and after experiment. Observations made before the experiment, namely observation 1 (O1) called the pre-test and after the experiment, namely observation 2 (O2) called the post test. Based on the results of the study, it was found that there was an effect of using leaflets as educational media on increasing knowledge (P = 0.000) and behavior (p = 0.000) of pregnant women about Hepatitis B in the Melintang Health Center Working Area in 2025. So it can be concluded that there is an effect of using leaflets as educational media on increasing the knowledge and behavior of pregnant women about Hepatitis B in the Melintang Health Center Working Area in 2025.

Hepatitis is an inflammation of the liver cells that can be caused by various factors, such as alcohol consumption, autoimmune disorders, drugs, or toxins. Viral infections, such as hepatitis A virus (HAV), hepatitis B virus (HBV), hepatitis C virus (HCV), hepatitis D virus (HDV), and hepatitis E virus (HEV). WHO estimates that by 2022, about 254 million people worldwide will be chronically infected with hepatitis B, with 1.2 million new infections occurring each year. In the same year, hepatitis B caused the deaths of about 1.1 million people, mostly due to cirrhosis and liver cancer. Hepatitis is very dangerous, therefore pregnant women really need to know about Hepatitis B disease and have positive behavior about Hepatitis B so that they can take precautions to prevent transmission to both the mother and the fetus. The purpose of this study was to determine the effect of using leaflets as educational media on increasing the knowledge and behavior of pregnant women about Hepatitis B in the Melintang Health Center Working Area. This type of research uses the Quasy Experimental Design method with pre-test and post test groups where observations are made twice, namely experiment and after experiment. Observations made before the experiment, namely observation 1 (O1) called the pre-test and after the experiment, namely observation 2 (O2) called the post test. Based on the results of the study, it was found that there was an effect of using leaflets as educational media on increasing knowledge (P = 0.000) and behavior (p = 0.000) of pregnant women about Hepatitis B in the Melintang Health Center Working Area in 2025. So it can be concluded that there is an effect of using leaflets as educational media on increasing the knowledge and behavior of pregnant women about Hepatitis B in the Melintang Health Center Working Area in 2025.

People with mental illness are people who have physical, mental, social, growth, development, and quality of life problems. Family can be a key factor in healing. Families must have cognitive, affective and psychomotor abilities. The purpose of the study was to find out the correlation between knowledge about mental disorders with the ability of families to care for people with mental disorders at the Poigar Health Center, Poigar District. The study used descriptive analytic method with cross sectional approach. The sample was 33 respondents with non probability sampling, total sampling technique. Data collection was carried out by distributing questionnaires. The data that has been collected was then processed by running the SPSS computer program version 25.0 to be analyzed with the chi square statistical test with a significance level (α) of 0.05. The results of the study with the chi square test showed a p-value of 0.000 with a significant level <0.05. The p-value (0.000) is smaller than α (0.05) so that H0 is rejected and Ha is accepted. The conclusion is that there is a significant correlation between knowledge about mental disorders with the ability of families to care for people with mental disorders.

Stunting is a condition of growth failure in toddlers due to chronic malnutrition that occurs over a long period of time, especially in the first 1,000 days of life. Several major risk factors for stunting that are often found in Posyandu include the nutritional status of pregnant women, parenting patterns, exclusive breastfeeding, and environmental sanitation. To analyze the Identification of Risk Factors for Stunting in Toddlers: A Study in the Working Area of ​​the Aek Godang Health Center, North Padang Lawas. The type of observational study with a cross-sectional design, the study population was 139 people. This study used samples from all mothers who had stunted toddlers in Hulu Sihapas District, North Padang Lawas Regency, with the total sampling method. Data collection used a research questionnaire. Data were analyzed univariately, bivariate (chi-square), and multivariate (logistic regression) with the enter method. Newborn weight (p = 0.001) and healthy toilets (p = 0.001) significantly influenced the risk of stunting, with low birth weight and poor sanitation increasing the risk of growth disorders in toddlers. This study shows that newborn weight (p = 0.001) and healthy toilets (p = 0.001) have a significant effect on the risk of stunting in toddlers. Babies with low birth weight and environments with poor sanitation increase the likelihood of stunting. More attention is needed to monitor newborn weight and increase access to healthy latrines to reduce the prevalence of stunting. The government and health workers are expected to strengthen nutrition and sanitation programs at the community level. 

Background: Providing complementary foods too early for infants under 6 months of age is an indicator that the mother has failed to provide exclusive breastfeeding, which has an impact on the low coverage of exclusive breastfeeding. The purpose of this study was to determine the relationship between maternal knowledge and attitudes towards providing complementary foods for infants under 6 months of age in the Kawatuna Health Center Work Area, Palu City.Method: This type of research is descriptive research. The method used is a descriptive correlational method which is a study that is directed to explain the relationship between two variables. Namely the independent variable with the dependent variable. The number of samples is 26 using the Slovin formula. Data collection uses a questionnaire.Results: The results of the study showed that 26 respondents. Mothers with good knowledge were 6 respondents (26.0%) in good maternal attitudes where maternal knowledge is an important aspect of good growth and development and mothers with good knowledge about maternal attitudes will fulfill the provision of Complementary Food for Breast Milk Well while mothers with less knowledge were 7 respondents (49.7%).Conclusion: This study states that there is a relationship between knowledge and attitudes of mothers regarding the provision of Complementary Foods in the Kawatuna Work Area. The results of the chi square test analysis show that the P value = 0.000 because the P value ≤ 0.05 then Ha is accepted and H₀ is rejected, meaning that there is a relationship between knowledge and attitudes of mothers.