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Mental health is an important indicator of the overall public health status. Mental health surveillance through screening serves as a strategy for early detection of mental disorders and continuous case monitoring. In Indonesia, approximately 630,827 individuals or about 2.0% of the population aged >15 years are reported to have mental health problems based on provincial data. This study was conducted at Cilembang Public Health Center, Tasikmalaya City, using a mixed-method approach that combines quantitative and qualitative methods. The quantitative sample was selected using total sampling, involving 35 new cases of people with mental disorders (ODGJ) recorded in 2024. Meanwhile, qualitative subjects were selected through purposive sampling, involving surveillance officers engaged in the mental health program. The qualitative findings cover the input, process, and output components of the surveillance implementation. Results show that the mental health surveillance program at Cilembang PHC is supported by various health personnel, funding from the BOK program, and the SIMKESWA digital system integrated with the Ministry of Health. Active surveillance is carried out through community and school screenings using the SDQ and SRQ-20 instruments, followed by diagnosis, counseling, and initial management. The program exceeded the target for identifying severe ODGJ cases. However, screening among individuals aged ≥15 years has not been optimally implemented due to competing program priorities.

Baby blues syndrome is a common condition experienced by mothers after childbirth and can negatively impact both the mother and her baby. Several contributing factors include lack of mental preparedness due to young maternal age and limited parenting experience, as well as the number of children a mother has. This study aimed to identify the factors associated with the occurrence of baby blues syndrome at the Teling Community Health Center in Manado. This was an observational analytic study using a cross-sectional design. The sampling technique applied was simple random sampling with a total of 59 respondents. Data collection was conducted using the Edinburgh Postpartum Depression Scale (EPDS) questionnaire. Data were analyzed using the SPSS program and the Chi-Square test at a significance level of α = 0.05. The results revealed a significant relationship between maternal age and the occurrence of baby blues syndrome (P-value = 0.000 < α 0.05), as well as between parity and baby blues syndrome (P-value = 0.008 < α 0.05). In conclusion, maternal age and parity are significantly correlated with the occurrence of baby blues syndrome at the Teling Health Center. It is recommended that nurses, as healthcare providers, address not only the physical needs of postpartum mothers but also their psychological well-being. Early identification of emotional disturbances and collaboration with other healthcare professionals in providing counseling and promoting bonding between mother and baby during the postpartum period are essential to ensure optimal maternal mental health and healthy infant development

Labor preparation aims to prepare for the needs during pregnancy and labor. The close relationship between maternal knowledge and attiudes towards childbirth is very important to improve the preparation of primigravida mothers to undergo the birth process smoothly and safely. The purpose of the study was to determine the relationship between knowledge and attitudes of primigravida mothers with labor preparation in the manganitu Health Center working area. The study was conducted using purposive sampling method. Data collection was done by means of a questionnaire. Furthermore, the collected data were processed using the SPSS computer program to be analyzed with uni statistics and chi square test. The result of the study there is a relationship between knowledge and labor preparation p value=<.001 where the p value is smaller yhan the value of a=0.05 and there is a relationship between attitude and labor preparation p value=<.001 where the p value is smaller than the value af a=0.05. The conclusion of this study is that there is relationship between knowledge and attitude of primigravida mothers with labor preparation in the Manganitu Health Center working area

Hypertension is a common non-communicable disease with a high prevalence and a significant risk of severe complications if not detected and managed early. In Dusun 02, Tanjung Baru Village, under the jurisdiction of the Tanjung Baru Health Center in Ogan Komering Ulu Regency, many residents are unaware of their blood pressure status and lack knowledge about risk factors and prevention. This community service activity aimed to increase public awareness through health education and conduct blood pressure screening for early detection of hypertension. The methods included educational sessions on hypertension, healthy lifestyle promotion, and on-site blood pressure checks for targeted residents. The results demonstrated an increase in participants’ understanding of hypertension and identified several individuals with elevated blood pressure who had not been previously diagnosed. In conclusion, educational intervention combined with direct screening is an effective approach to raise awareness and enable early detection of hypertension in rural communities.

Background : The maternal mortality rate in the world is about 303,000 out of 91.45/100,000 KH (WHO, 2022). In ASEAN, the maternal mortality rate in developing countries is 250 per 100,000 (ASEAN Secretariat, 2022). In Indonesia, the maternal mortality rate in 2022 is 183/100,000 KH (Indonesian Ministry of Health, 2022). In Central Java Province, the maternal mortality rate in 2022 was 76,93/100,000 KH (Central Java Health Office, 2022). In Brebes Regency, the maternal mortality rate in 2022 was around 105 cases (Brebes Health Office, 2022). Kaliwadas Health Center in 2022 recorded 1 case of maternal mortality (Health Profile of Kaliwadas Health Center in 2022). Objective : Provide comprehensive midwifery care for pregnant women, maternity, newborns, postpartum and family planning (KB) using the Varney and SOAP management approaches. Research Methods: The method used in this research is a qualitative descriptive method with a comprehensive case study approach. Results : Pregnancy midwifery care that has been given to Mrs. Y aged 20 years with Chronic Energy Deficiency and CPD has been given management according to the needs of the mother, In labor, newborn, postpartum until family planning Mrs. Y did not have complications and there were no gaps between theory and practice. Conclusion: Comprehensive midwifery care given to Mrs. F with Chronic Energy Deficiency (SEZ) and CPD has been carried out in accordance with Standard Operating Procedures (SOP) with the condition of the mother and baby is good.

The First 1000 Days of Life (HPK) period is a crucial time that greatly influences a child's physical and cognitive development. During this period, fulfilling nutritional needs, especially through exclusive breastfeeding and appropriate complementary feeding, is very important. This community service activity aims to improve mothers' understanding of the importance of exclusive breastfeeding for mothers and babies. This community service activity was carried out by providing education to 12 breastfeeding mothers at the Sinar Kasih Integrated Health Post, Allang Asaude Village, Waesala Health Center area, Huamual District, West Seram Regency, through the distribution of leaflets and interactive question and answer sessions. The results showed that this activity succeeded in improving the understanding of the counseling participants about the benefits of exclusive breastfeeding for babies and mothers. This education is expected to encourage better exclusive breastfeeding practices, which will have a positive impact on children's health in the future.

Stunting is a condition of impaired growth and development in children. It is a social issue that frequently occurs in communities, particularly in developing countries like Indonesia. This research aims to explain the implementation of stunting reduction programs conducted in the Kota Selatan District and to identify the inhibiting factors in the implementation of these programs in Gorontalo City. This study uses a qualitative research method with a descriptive approach, which allows for a more detailed understanding of the issues being examined.Based on the research findings, the stunting prevention and reduction program in the Kota Selatan District has been implemented properly. The program involved cross-sector collaboration, including the district head, the Gorontalo City Health Department, and the Kota Selatan Community Health Center. As of 2024, the number of children experiencing stunting in the district was recorded at 42. However, several factors were identified as problems with effective implementation. These include the lack of community awareness and participation, which hinders program effectiveness, the aid distribution that is not well-targeted and poor coordination and communication between institutions. These factors collectively slow down the stunting program's implementation process.

The marmet technique is a technique used to express breastmilk. This technique provides a relaxing effect and also reactivates the milk ejection reflex (MER) so that milk begins to drip. With the MER activated, breast milk will often spray out by itself. The marmet technique is a massage using two fingers. This method is often referred to as back to nature because it is simple and does not require cost. The purpose of the study was to determine the effect of the marmet technique on the smoothness of breast milk in postpartum mothers in the working area of the Mowewe health center in 2021. This type of pseudo-experimental research uses a nonequivalent control group design model. The research sample was the experimental group who were given treatment with marmet massage techniques on postpartum mothers as many as 10 people and the control group was those who were not given marmet massage treatment on postpartum mothers as many as 10 people. The results showed that there was no effect of marmet technique on the smoothness of breast milk in postpartum mothers in the working area of Mowewe health center. The difference between the average pretest and posttest in the control group using the paired sample t-test test obtained a t value = 3.240 and a p value = 0.010 (p < 0.05). It is hoped that the results of the study will serve as a source of information and add insight into the marmet method for smooth breastfeeding for postpartum mothers.  

Perineal wounds are a common condition experienced by postpartum mothers after vaginal delivery and can potentially cause pain, discomfort, and the risk of infection if not properly cared for. Effective, safe, and culturally appropriate perineal wound care is a crucial need in postpartum care, especially at the primary health care level. Green betel leaves (Piper betle L.) are known to have antiseptic and anti-inflammatory properties that have the potential to support the wound healing process. This study aims to analyze the effect of green betel leaf water baths on the perineal wound healing process in postpartum mothers in the Sikui Community Health Center (UPT) work area. This study used a quantitative quasi-experimental design with a one-group pretest–posttest approach. The study was conducted in June–July 2025 with 18 postpartum mothers with grade I and II perineal wounds as respondents. Wound condition assessment before intervention was carried out using the REEDA instrument as a baseline condition, while healing results were evaluated based on clinical outcomes and the duration of perineal wound healing. Data analysis was conducted descriptively. The results showed that all respondents experienced clinical perineal wound healing after the green betel leaf water bath intervention. The majority of postpartum mothers experienced wound healing in less than one week, with a median healing time of 5.5 days. In conclusion, green betel leaf water bath has the potential to support the perineal wound healing process in postpartum mothers. This intervention can be considered a safe, easy-to-implement, and relevant complementary therapy for integration into postpartum care in primary healthcare settings.

This study examines the relationship between knowledge and attitudes towards tuberculosis (TB) prevention efforts in the working area of the Geureudong Pase Health Center. An observational study with a case control design was conducted during the period September–November 2024, involving 31 respondents. The characteristics of the respondents showed that the majority were 21 years old (69.8%), male (37.0%), had an elementary education (36.7%), and worked as farmers (76.6%). Data analysis includes univariate and bivariate analyses. Univariate analysis was carried out descriptively using a frequency distribution table to see the distribution of respondent characteristics and research variables. Meanwhile, bivariate analysis uses chi-square tests to determine the relationship between knowledge and attitudes and TB prevention efforts. The results of the study show that the level of knowledge has a significant impact on TB prevention efforts. Of the 30 well-informed respondents, only 1 respondent (3.8%) actually made effective prevention efforts. In contrast, as many as 25 respondents (96.2%) with a low level of knowledge had less prevention efforts. In addition, only 4 respondents (13.8%) had good prevention efforts overall. Statistical tests proved that there was a significant relationship between knowledge (p=0.000) and attitudes (p=0.000) towards TB prevention efforts. These findings show the need for educational interventions to increase public knowledge about TB and increase positive attitudes towards its prevention. Thus, increasing socialization and health education is an important step in efforts to control TB in the region.  

Anemia in pregnant women is a public health problem that remains high in Indonesia and impacts maternal health and fetal development. This study aims to determine the prevalence of anemia and risk factors in pregnant women at the Saritani Community Health Center, Boalemo. The study used a cross-sectional design on 28 pregnant women selected by purposive sampling. Data were collected through interviews using a structured questionnaire and hemoglobin level examination (HemoCue). Descriptive and bivariate analyses using the Chi-Square test were performed, with p < 0.05 as the significance limit. The results showed a prevalence of anemia of 42.9 % . Factors significantly associated with anemia included education level (p = 0.041), adherence to Fe tablet consumption (p = 0.022), parity (p = 0.037), and pregnancy spacing (p = 0.049). Mothers with low education, non-adherence to Fe tablet consumption, high parity, or pregnancy spacing <2 years had a higher risk of developing anemia. Age and diet did not show a significant association.

Background: Maternal nutritional status plays a crucial role in determining both maternal and neonatal health outcomes. According to data from the Indonesian Ministry of Health (2021), the prevalence of anemia among pregnant women reached 48.9%, while in Gorontalo Province, around 30% experienced malnutrition. Poor nutritional status during pregnancy is associated with increased risks of complications, including preterm birth, low birth weight, and higher maternal and neonatal mortality rates. Therefore, nutrition education is considered an essential strategy to enhance knowledge and promote adequate dietary intake among pregnant women.Objective: This study aimed to evaluate the effectiveness of nutrition education in improving the knowledge and nutritional status of pregnant women at the South Bulango Community Health Center. Methods: A quantitative study with a pre-experimental design was conducted involving 30 pregnant women selected through purposive sampling. Inclusion criteria included women aged 18–35 years, free from severe comorbidities, and willing to participate. Data were collected using questionnaires to assess nutritional knowledge, interviews to explore dietary patterns, and anthropometric measurements such as weight, height, and mid-upper arm circumference (MUAC). Data analysis employed descriptive statistics and the Wilcoxon test to assess differences before and after the intervention. Results: Most participants were aged 20–35 years (66.6%), had secondary education (63.3%), and were housewives (60%). Post-intervention results showed a substantial increase in good nutritional knowledge from 13.3% to 60%. Nutritional status also improved progressively across trimesters, with normal MUAC increasing from 33.3% to 60%, while undernutrition declined from 50% to 13.3%. The Wilcoxon test indicated a significant difference (p = 0.000; p < 0.05). Conclusion: Nutrition education effectively enhances both knowledge and nutritional status among pregnant women and should be integrated into routine antenatal care services.

The World Health Organization (WHO) in 2023 estimates that currently the global prevalence of hypertension is 43% of the total world population. Meanwhile, the hypertension report at the Pelawan Health Center in 2021 was 301 cases, in 2022 there were 324 cases, in 2023 there were 397 cases. The purpose of the study was to analyze the factors that influence medication compliance in elderly people with hypertension in the Pelawan Sarolangun Health Center Working Area. The research design used Analytical Survey method with Cross Sectional approach. The population in this study were all elderly hypertensive patients in the Pelawan Sarolangun Health Center Working Area, namely 73 patients who were all made into research samples with total population techniques. Data analysis using univariate analysis, bivariate with chi-square test. The results showed that there was an effect of motivation p = 0.006, family support p = 0.004 and health worker support p = 0.031. The conclusion of this study is that there is an influence of motivation, family support, health worker support. The dominant factor, namely family support, influences compliance with taking medication in elderly people with hypertension in the Pelawan Sarolangun Health Center Working Area. It is suggested that the Pelawan Sarolangun Community Health Center is expected to be taken into consideration and input for the health center to be active in field counseling activities and use social media as a promotional medium to increase the acceleration of healing of hypertension in the elderly, so as to improve health status in the elderly.

This study aims to analyze the effect of work discipline and knowledge management on employee performance at the Technical Implementation Unit (UPT) of Lubuk Pakam Health Center. The research uses a quantitative approach with surveys and questionnaires distributed to 67 employees as the sample. The results show that work discipline and knowledge management simultaneously have a positive and significant effect on employee performance with an F-value of 19.336 (p < 0.05) and an R Square of 0.377, indicating that both variables contribute significantly to performance improvement. These findings highlight the importance of enhancing work discipline and effective knowledge management to achieve optimal employee performance at the Lubuk Pakam Health Center.

Anemia during pregnancy remains a major public health concern and is commonly associated with iron deficiency. Iron (Fe) tablet supplementation is a key strategy to prevent anemia; however, adherence among pregnant women remains suboptimal. This study aimed to analyze the relationship between family support and adherence to iron tablet consumption among second-trimester pregnant women in the working area of UPT Puskesmas Mandomai. A quantitative analytic study with a cross-sectional design was conducted involving 30 pregnant women selected using total sampling. Data were collected using a structured questionnaire assessing respondents’ characteristics, family support, and adherence to iron tablet consumption. Univariate analysis was performed to describe variable distributions, while bivariate analysis was conducted using Kendall’s tau-b correlation test. The results showed that 50% of respondents were non-adherent to iron tablet consumption, and 50% reported receiving no family support. Bivariate analysis revealed a statistically significant and very strong association between family support and adherence to iron tablet consumption (τ = −0.928; p < 0.001). The negative correlation reflected the coding direction, indicating that better family support was associated with higher adherence. These findings suggest that family support plays an important role in promoting adherence to iron supplementation during pregnancy. Family-centered approaches in antenatal care may enhance adherence and contribute to the prevention of anemia among pregnant women.

Stunting, also known as growth failure in children, is a condition caused by a child's nutritional needs not being met for a long time, specifically during the first 1,000 days of life. The first 1,000 days of life are the first 270 days (nine months) in the mother's womb plus the first 730 days (two years) of a baby's life after birth. Education is a learning process aimed at developing the potential or quality of thought patterns and knowledge of an individual or group. One of the goals of education is to increase public knowledge. The target group for the first 1,000 days of life is pregnant women. The purpose of this study was to determine the effect of education on pregnant women's knowledge about the first 1,000 days of life at the Tombulilato Community Health Center, Bone Raya District, Gorontalo City. The type of research used is Quasi Experiment with a two group pretest and posttest design approach. The sample in this study were 32 pregnant women in the intervention group and 32 in the control group. Data collection was done through a questionnaire. Data were analyzed using a paired T test with a 95% confidence interval (CI) and α <0.05. The results of the study showed that Educational Intervention had a significant effect on the knowledge of pregnant women (p = 0.000) in the First 1000 Days of Life in the Tombulilato Health Center area, Bone Raya District. It is hoped that more practical information will be provided to the community, especially prospective mothers, in preparing a quality next generation, especially in the First 1000 Days of Life. As well as optimizing Posyandu services, and involving the participation of families such as husbands and parents when socialization and information provision are carried out.

Every pregnant woman is strongly recommended to undergo comprehensive and quality antenatal care (ANC) at least four times, consisting of at least once in the first trimester (before 14 weeks of gestation), at least once in the second trimester (14–28 weeks of gestation), and at least twice in the third trimester (between 28–36 weeks and after 36 weeks of gestation), including at least one visit accompanied by the husband or a family member. The first ANC visit is highly recommended to be conducted between 8 and 12 weeks of gestation. The objective of this study is to identify the factors that influence the K4 coverage of antenatal visits among pregnant women at Bontomarannu Public Health Center, Galesong Selatan Subdistrict, Takalar Regency. This research uses a cross-sectional study design. The sample consisted of 60 pregnant women who underwent K4 antenatal examinations at Bontomarannu Public Health Center, selected through random sampling. The results showed that knowledge significantly affected the K4 coverage of antenatal visits (p = 0.000), occupation also had a significant influence (p = 0.004), and distance was another significant factor (p = 0.005). It can be concluded that knowledge, occupation, and distance all influence the K4 coverage of antenatal visits at Bontomarannu Public Health Center, Galesong Selatan Subdistrict, Takalar Regency.  

The coverage of exclusive breastfeeding at the Sikan Community Health Center from 2018-2019 decreased from 50.8% to 28%. Lack of knowledge and the intensive promotion of formula milk are among the causes of the low exclusive breastfeeding rate. The purpose of this study was to determine the relationship between socioeconomic factors and the level of maternal knowledge about exclusive breastfeeding in the Tokorondo Community Health Center Work Area. This study used an analytical method with a cross-sectional approach. The population was 46 mothers with toddlers aged 6-12 months in the Sikan Community Health Center work area. The sample in this study was 36 people, the sampling technique was consecutive sampling. The results showed that exclusive breastfeeding was more common in mothers with low education (60%), unemployed mothers (23.5%), high income (50%), and well-informed (100%). Conclusion: There is a relationship between the level of knowledge and exclusive breastfeeding (p<0.001), while education (p=0.217), occupation (p=1.000), and income (p=0.436) have no relationship with exclusive breastfeeding. It is hoped that health workers can be a source of information about the importance of exclusive breastfeeding for babies up to 6 months of age and after six months of age. After six months, it is continued with the provision of complementary foods while continuing to provide breast milk until the age of 2 years and there is support from the family, especially the husband, as an effort to increase the coverage of exclusive breastfeeding.

Fish plays a vital role in early childhood development due to its high nutritional value, yet consumption among preschoolers in Indonesia remains low. This study explores the effectiveness of combining hypnoparenting and storytelling as a complementary nursing strategy to promote fish consumption in young children. A quasi-experimental design with a pretest–posttest control group was used, involving 30 preschoolers divided into experimental and control groups. The experimental group received a four-week intervention integrating hypnoparenting and storytelling, while the control group received standard education. Dietary intake was assessed using a Food Frequency Questionnaire (FFQ). Results showed a significant increase in fish consumption in the experimental group (p = 0.000), with no significant change in the control group (p = 0.102). The Mann-Whitney U test also confirmed a significant difference between the groups (p = 0.000). These findings suggest that integrating hypnoparenting and storytelling is an effective, family-centered complementary nursing approach to promote healthier eating habits. This innovative method offers potential in supporting preschool children’s nutrition and overall development through engaging and parent-involved strategies.

Tetanus Toxoid (TT) immunization is a key preventive intervention to protect women of reproductive age and newborns from tetanus infection. Despite its importance, limited knowledge among prospective brides may reduce the effectiveness of TT immunization programs. This study aimed to analyze the effect of TT immunization counseling on the knowledge levels of prospective brides at Wayabula Public Health Center. A quantitative study using a quasi-experimental one-group pretest–posttest design was conducted involving 40 prospective brides selected through total sampling. Data were collected using a structured questionnaire measuring respondents’ knowledge before and after counseling. The Wilcoxon Signed Rank Test was used to analyze differences in knowledge levels. The results showed a significant improvement in knowledge after counseling, with the majority of respondents demonstrating higher posttest scores compared to pretest scores and no respondents experiencing a decrease in knowledge. These findings indicate that counseling plays an important role in enhancing understanding of TT immunization, including its purpose, benefits, and preventive value. In conclusion, TT immunization counseling is effective in improving knowledge among prospective brides and should be integrated as a mandatory component of routine immunization services. Strengthening counseling activities is expected to support informed decision-making, promote positive health behavior, and contribute to the prevention of tetanus in mothers and newborns.