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Typhoid fever is a significant health issue caused by the Salmonella Typhi bacteria, leading to symptoms such as fever, abdominal pain, diarrhea, muscle pain, and serious complications if not treated promptly. A common challenge faced by society is limited access to medical professionals, especially in remote areas, and delays in recognizing symptoms. To address this problem, this study designs and implements a web-based expert system using the Certainty Factor (CF) method, which helps diagnose typhoid fever quickly and accurately. The Certainty Factor method is used to calculate the certainty level of the symptoms experienced by the patient, providing a diagnosis result in the form of early-stage typhoid, mild typhoid, or severe typhoid. The system was developed using PHP programming language and MySQL database, and tested at RSUD Djoelham Binjai City. The research data was obtained from patients at RSUD Djoelham Binjai with a case study on patient number 22. The processing of symptoms through Certainty Factor calculation showed that the patient is most likely to have severe typhoid with a certainty value of 0.9443 or 94.43%. This result proves that the Certainty Factor method can be used to assist in providing an accurate early diagnosis of typhoid fever with a high degree of accuracy.

The development of information technology has brought significant changes to the medical device procurement process, particularly within government institutions such as the Health Office. The procurement of appropriate, efficient, and objective medical devices is crucial to supporting optimal medical services, yet the decision-making process is often constrained by limited budgets and the complexity of multiple assessment criteria. This study aims to design and implement a decision support system (DSS) based on the TOPSIS (Technique for Order Preference by Similarity to Ideal Solution) method to provide recommendations for medical device procurement at the Binjai Health Office. The DSS evaluates six main criteria: price, quality, durability, ease of maintenance, medical necessity, and safety level, using procurement data from the 2022–2024 period. The TOPSIS method is applied to calculate the relative closeness of each alternative to the ideal solution, enabling decision-makers to rank medical device options objectively and systematically. The findings show that the DSS successfully prioritizes procurement alternatives, helping stakeholders allocate budgets more effectively and transparently. In addition, the system minimizes subjective bias by integrating quantitative analysis with clearly defined criteria. The system is implemented in a web-based environment with MySQL as the database, ensuring accessibility and scalability for future use. Overall, this research demonstrates that integrating TOPSIS into a decision support system can enhance the efficiency, accuracy, and accountability of medical device procurement in public health agencies. The study is expected to contribute to improving budget management and strengthening the quality of health services through better resource allocation.

The low level of understanding among elementary school students regarding common diseases and their prevention can increase the risk of both communicable and non-communicable diseases from an early age. Therefore, effective health education efforts are essential to instill healthy habits in children. This community service activity aimed to improve the knowledge of elementary school students in the working area of Labuhan Sumbawa Public Health Center about common diseases and preventive measures through an interactive educational approach. The methods used included health counseling with visual media, engaging educational games, and small group discussions to encourage active participation. The activity was conducted in June 2025, involving 30 students from two elementary schools selected purposively. The educational content focused on dengue fever, diarrhea, influenza, helminthiasis, and acute respiratory infections (ARI), along with prevention strategies such as maintaining personal hygiene, consuming nutritious food, and the importance of immunization. Evaluation was carried out through pre-test and post-test assessments to measure the improvement in students’ understanding. The results showed a significant increase in students’ knowledge of the delivered material. Additionally, students demonstrated high enthusiasm and active involvement during the sessions, particularly in the educational games. These findings indicate that an interactive educational approach is effective in enhancing students’ understanding of disease prevention. This program is expected to serve as a model for sustainable health education in other elementary schools to prevent diseases from an early age and support the implementation of clean and healthy living behaviors within the school environment

Diabetes mellitus continues to be an alarming health challenge, especially in the context of public health, where there are so many cases of diabetes mellitus that patients do not know how to manage and prevent it. The aim of this community service program is to integrate local community empowerment with herbal innovations, especially clitoria ternatea and diabetic foot exercises as a holistic way to manage blood glucose levels. The program was delivered in RW XIII of Beringin village, Ngaliyan sub-district and included health education components and training sessions, including the production of herbal products. The initiative changed participants' knowledge and attitudes towards diabetes and enabled them to take control of managing their condition. This model proves that combining traditional herbal innovations with physical activity at the community level can effectively prevent and help manage diabetes mellitus at minimal cost.

Hypertension is a non-communicable disease (NCD) with a high prevalence in Indonesia and is a major cause of serious complications, such as stroke, kidney failure, and heart disease. The high incidence of hypertension makes this disease a primary focus of NCD control efforts at the primary healthcare level. The Ulee Kareng Community Health Center has implemented a sustainable hypertension control program for the past three years with the aim of reducing the incidence of complications and improving patients' quality of life. This study aims to evaluate the implementation of the hypertension control program using a logic model framework that encompasses five aspects: input, process, output, outcome, and impact. The research method used is descriptive analytic with a mixed methods approach, combining quantitative and qualitative data to obtain a comprehensive overview of program implementation. The results indicate that the hypertension control program at the Ulee Kareng Community Health Center has had a positive impact. In terms of output and outcome, there has been an increase in patient compliance with therapy prescribed by healthcare professionals, a decrease in blood pressure in the majority of patients, and a decrease in the number of hypertension-related complications. This indicates that the program is quite effective in achieving its intended goals. However, several challenges remain. The main problems lie in the suboptimal data recording system and the suboptimal delivery of health education. To improve the program's effectiveness in the future, recommendations include strengthening the monitoring and evaluation system, increasing the capacity of health workers and cadres through training, and developing innovative media and educational strategies to make information more easily understood and applied by the public.

The development of digital technology has had a significant impact on the health sector, including eye examination services. This study discusses the development and implementation of a Digital Optoscope-based Eye Diagnostic application designed using a web platform (HTML). This application provides two main features: visual acuity testing and astigmatism testing, which can be accessed independently by users through digital devices such as laptops, tablets, or mobile phones. Users only need to follow the visual instructions presented interactively on the screen, then perform the test according to the procedure. The testing method is carried out by displaying font size settings according to the Snellen chart standard and radial astigmatism patterns. The results of each test session are automatically recorded and can be saved for further analysis. In addition, users can perform repeated tests to improve the accuracy of self-diagnosis, and the system will provide lens type recommendations based on the measurement results obtained. The trial results show that this application is able to provide convenience, efficiency, and initial accuracy in the process of examining vision disorders. This is very useful, especially for people in remote areas or with limited access to professional eye health services. Thus, the Digital Optoscope-based Eye Diagnostic application has the potential to be an innovative solution for the early digital detection of vision disorders. This study recommends further development, particularly in clinical validation, testing on a wider sample size, and integration with electronic medical record systems to enhance its benefits in comprehensive public health services. Furthermore, collaboration with medical professionals is crucial to ensure diagnostic accuracy. With this approach, the app is expected to become a reliable tool for continuous eye health monitoring.

Anemia in pregnant women remains a major public health issue in Indonesia, including in Bukittinggi City. According to the Bukittinggi Health Office report in 2022, the prevalence of anemia among pregnant women reached 42%. This condition increases the risk of pregnancy complications such as bleeding, preterm delivery, low birth weight, and even maternal and infant mortality. Families play an essential role in supporting pregnant women, particularly in ensuring compliance with iron tablet consumption and providing nutritious food. This community service program aimed to improve family knowledge of anemia prevention through participatory health education. The methods included problem identification, focus group discussions, interactive education, simulation of nutritious meal planning, and accompaniment by community health cadres. The results showed a 35% increase in family knowledge based on pre- and post-test results. Furthermore, positive behavioral changes were observed, such as improved compliance with iron tablet consumption and the establishment of family support groups for pregnant women as new social institutions. This program demonstrated that participatory family-based education is effective in increasing knowledge and fostering social transformation for anemia prevention.

Anemia during pregnancy remains a significant public health challenge, with iron supplementation recommended as the primary preventive strategy. However, compliance with iron tablet consumption among pregnant women continues to be low in many settings. This study aims to review existing literature to identify barriers that hinder adherence to iron supplementation. A systematic literature review was conducted by screening publications from 2015 to 2025, retrieved from major databases such as PubMed, Scopus, and ScienceDirect. Thematic synthesis was applied to analyze findings across selected studies. Results revealed three major categories of barriers: internal factors such as limited knowledge, perceived low risk of anemia, and side effects; social factors including lack of family support, cultural norms, and insufficient counseling from health providers; and systemic factors such as limited supplement availability and inadequate quality of antenatal services. These findings highlight that compliance is not merely an individual issue but also shaped by social and structural contexts. Implications suggest the need for multidimensional interventions, involving health education, family engagement, and strengthened health system support to improve maternal adherence to iron supplementation.

Self-medication is a form of pharmaceutical service that allows the public to treat mild symptoms independently without a doctor’s prescription. While beneficial, improper self-medication practices can pose health risks such as drug resistance and misuse of prescription-only medicines. If not carried out carefully, it may lead to further issues such as bacterial resistance and dependency. This study aims to evaluate the self-medication services at Sehat Farma Pharmacy in Banjarharjo. A descriptive method was employed using interviews and direct observations to provide a comprehensive overview of self-medication practices in the field. Informants included a pharmacist, pharmaceutical vocational staff, and patients engaged in self-medication. The results indicate inconsistencies in the service flow, including the provision of prescription-only medications without proper medical consultation. There is a need to improve the understanding and adherence to appropriate service standards to enhance the safety and effectiveness of self-medication practices.

Basic immunization is one of the main pillars in the effort to control infectious diseases, which is important for the health of children from an early age. In order to achieve optimal health, immunization helps prevent diseases such as diphtheria, tetanus, whooping cough, polio, and measles that can cause serious complications or even death. The immunization program implemented at Posyandu Terkini 1 in Mario Village has a positive impact on public health, with an immunization coverage rate showing 97.90% in the South Sulawesi region. This study focuses on factors that influence the utilization of basic immunization at Posyandu Terkini 1 in Mario Village. In a quantitative research design with a cross-sectional approach, researchers involved the entire population consisting of 89 infants and toddlers in Mario Village through a total sampling method. Using the Chi Square test, this study identified factors related to the utilization of immunization services, namely maternal knowledge, maternal attitudes, family support, and support from health workers. The results showed that these factors significantly influenced the utilization of basic immunization, while access to immunization services did not show a significant relationship. This research makes an important contribution to the development of public health policies, particularly in increasing community participation in immunization programs. With a more integrated approach, particularly in educating the community about the benefits of immunization and the importance of support from families and health workers, it is hoped that immunization coverage in villages will be broader and more equitable. These findings will be published in the Jurnal Kesehatan (Health Journal) to provide further insights for relevant stakeholders in improving the quality of immunization services. Furthermore, this study also emphasizes the importance of the active role of health workers in educating parents, especially mothers, about the benefits of immunization and the vaccine schedule.

This article presents a systematic literature review on the application of good governance principles in Indonesia from 2019 to 2025. It explores the development of good governance concepts, including key principles such as transparency, accountability, participation, law enforcement, and public service effectiveness. The study also addresses the significant challenges faced in implementing these principles, such as pervasive corruption, a complex bureaucratic culture, and disparities in human resource capacity across regions. The methodology applied in this research is a systematic literature review, complemented by bibliometric analysis using VOSviewer, which maps the relationships between key concepts and trends identified in the related research. The findings reveal that the principles of good governance have been integrated across various sectors, such as local government, education, healthcare, environmental management, and digital services, showing the broad scope of its application. However, despite these efforts, challenges such as widespread corruption, bureaucratic resistance, digital infrastructure gaps, and low public participation—especially in remote and rural areas—remain significant barriers. This study emphasizes the need for a comprehensive and integrated approach to overcoming these obstacles, suggesting that institutional strengthening, technological innovation, inclusive public participation, and sustained political commitment are essential to realizing good governance. Furthermore, the research contributes to the development of more effective and sustainable governance policies, offering insights for enhancing governance practices and strategies in Indonesia moving forward. The study advocates for long-term solutions to improve governance effectiveness and ensure equitable and inclusive public services.

Acute Respiratory Tract Infection (ARI) is a health problem that still occurs frequently, especially in areas with limited access to health information and knowledge. One effort that can be made to overcome this problem is by providing health education to the community. Health education conducted using interesting and easy-to-understand media, such as audio-visual media, has been proven to be able to increase public understanding more effectively. This study aims to determine the effect of the use of audio-visual media in health education on increasing the knowledge of the Batu Merah B Hamlet community regarding ARI. This study used a quasi-experimental design with a one-group pretest-posttest approach, in which 50 people were selected purposively as the research sample. Data were collected using questionnaires before and after the health education intervention using audio-visual media. Data analysis was performed using the Wilcoxon test to examine differences in knowledge before and after the intervention. The results showed a significant increase in knowledge after the health education intervention (p < 0.05). The average score of community knowledge increased from 60.2 in the pretest to 83.5 in the posttest. This improvement demonstrates the effectiveness of audiovisual media in conveying information related to acute respiratory infections (ARI) and facilitates public understanding and retention. Therefore, it is recommended that health education using audiovisual media be used more widely in health promotion activities to achieve better results and accelerate changes in public health behavior. Health education using audiovisual media also provides a more interactive and engaging learning experience, thereby increasing community engagement in the learning process.

Molluscum contagiosum (MC) is a skin infection caused by the Molluscipox virus and is common in children and adults with active sexual activity. The disease is characterized by the appearance of small, smooth, papule-shaped lesions that have a hollow in the center (umbiliation). MC transmission takes place through direct contact with contaminated lesions or objects, such as towels and clothing, so the spread is quite wide globally. The diagnosis is established through an anamnesis, clinical examination, and physical evaluation. MC therapy is generally supportive, but in certain cases medical measures such as excision and curettage are required to remove the lesion effectively. The use of topical creams containing Fusidic acid, such as Fucilex cream, is often recommended to prevent secondary infections and speed up the postoperative healing process. Proper and prompt treatment is essential to prevent further complications and speed up the patient's recovery. MC has a psychosocial impact, especially on children, so education to parents and health workers is an important part of the treatment strategy. Prevention can be done through increased personal hygiene and avoidance of contact with contaminated objects. The study emphasizes the importance of a holistic approach in diagnosis, therapy, and education to reduce the prevalence of MC and its impact on public health.

Background: Immunization is one of the most effective public health interventions to reduce infant morbidity and mortality from preventable diseases. However, incomplete infant immunization coverage remains a significant problem, particularly in areas with limited maternal knowledge and access to health information. The Maternal and Child Health (KIA) book serves as an educational tool designed to improve mothers’ understanding of child health services, including immunization schedules. Education using the KIA book is expected to enhance maternal awareness and support the completeness of infant immunizations.Objective: This study aimed to determine the influence of education using the KIA book on the completeness of infant immunizations. Methods: This study employed a pre-experimental design with a one-group pretest–posttest approach. Data on the completeness of infant immunizations were collected before and after the educational intervention using immunization records. The data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05.Results: The results showed a significant improvement in the completeness of infant immunizations after education using the KIA book. Statistical analysis revealed a Wilcoxon signed-rank test value of p = 0.000, indicating a significant influence of KIA book-based education on immunization completeness.Conclusion: Education using the KIA book has a significant positive influence on the completeness of infant immunizations. The KIA book is an effective educational medium to improve maternal knowledge and compliance with infant immunization schedules. Integrating KIA book-based education into routine maternal and child health services is recommended to enhance immunization coverage.

Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by the dengue virus and transmitted through the bite of the Aedes aegypti mosquito. The high risk of dengue transmission is greatly influenced by the density of mosquito larvae which correlates with environmental conditions and community behavior. This study aims to describe the density level of Aedes aegypti mosquito larvae in the working area of the Gandus Health Center in Palembang City in 2025 through the measurement of House Index (HI), Container Index (CI), Breteau Index (BI), Larvae-Free Numbers (ABJ), and Density Figure (DF). The method used was descriptive observational with a purposive proportional random sampling technique on 100 households in three RTs. Data was collected through direct observation using checklist sheets. The results showed that the HI was 66%, CI was 44%, BI was 107%, and ABJ was only 34%, which indicates that the larval density is very high and far below the WHO standard (≥ 95%). The DF value is in the range of 7–9, reinforcing the finding of high vector density. This condition shows that the area is at high risk of dengue transmission. Interventions are needed in the form of regular mosquito nest eradication (PSN), increasing public education, and strengthening the role of jumantic cadres in sustainable vector control.

Stunting is a major public health problem that has long-term impacts on the quality of human resources, affecting physical growth, cognitive development, and socio-economic outcomes. The Indonesian government has identified the acceleration of stunting reduction as a national priority, requiring cross-sector collaboration and active community participation. This article aims to describe the implementation and outcomes of a Community Service Program (Community Service) based on a collaborative approach to support stunting reduction efforts in Kelurahan Laksamana. The program employed a participatory method through health education, interactive discussions, and partnership strengthening among the community, health workers, and educational institutions. The results indicate an increased level of community awareness and understanding regarding stunting, the importance of routine health check-ups, and the role of families in stunting prevention. Furthermore, the program strengthened partnerships and enhanced community trust in local health services. This community service activity contributes positively to building collective awareness and serves as a strategic initial step toward sustainable stunting reduction at the local level.

Based on global reports, there were 247 million malaria cases in 2021, increasing from 245 million cases in 2020. In Indonesia, the Ministry of Health recorded 254,055 malaria cases in 2020. Three provinces—Maluku, Papua, and West Papua—have not yet achieved malaria elimination. Malaria is an acute febrile disease caused by the Plasmodium parasite, transmitted to humans through bites of infected female Anopheles mosquitoes. It remains a significant public health problem due to its impact on morbidity, mortality, and productivity in endemic areas. This study aimed to examine the relationship between nutritional status and malaria incidence among patients in the working area of Senggo Health Center. An analytical descriptive approach with a cross-sectional study design was applied. The study population included all malaria patients examined at Senggo Health Center, Citak Mitak District, Papua, totaling 559 patients in February. A sample of 243 respondents was selected using the Table for Determining Needed Size of a Random Sample. Results showed that most respondents suffered from mild malaria, and the majority had normal nutritional status. Statistical analysis indicated a significant relationship between nutritional status and malaria incidence in the Senggo Health Center area. Respondents with poor nutritional status were more likely to experience malaria with severe symptoms compared to those with normal or good nutritional status. These findings highlight the critical role of nutrition in malaria prevention. Nutritional interventions should be integrated with vector control measures and public health education to reduce malaria incidence and improve community health. Improving nutritional status, particularly in endemic regions, is essential for enhancing immunity, reducing disease severity, and supporting overall malaria control efforts. Nutritional status significantly influences malaria incidence. Public health programs targeting nutritional improvement are necessary to complement existing malaria control strategies, reduce case numbers, and promote better health outcomes in endemic areas.

Anemia is a public health problem widely experienced by adolescents, particularly in developing countries, including Indonesia. Low levels of knowledge about anemia contribute to its high prevalence. This study aimed to determine the effectiveness of educational videos in improving knowledge about anemia among adolescents at SMP Plus At-Thoiba Pekanbaru. This research employed a quasi-experimental design with a one-group pretest-posttest approach. The population consisted of all eighth-grade students at SMP Plus At-Thoiba Pekanbaru, totaling 17 respondents, selected through total sampling. The instrument used was an anemia knowledge questionnaire. Data were analyzed using the Wilcoxon Signed Rank Test due to non-normally distributed data. The results showed an increase in the mean knowledge score from 9.59 before the intervention to 12.41 after the intervention. The Wilcoxon test yielded a p-value of 0.000 (p < 0.05), indicating a significant difference between pretest and posttest scores. A total of 94.1% of respondents experienced an increase in knowledge after watching the educational video. The study concludes that educational videos are effective in increasing adolescents’ knowledge about anemia. This medium can serve as an appropriate alternative in school health promotion programs to prevent anemia among adolescents.  

Myofascial pain syndrome (MPS) is a condition characterized by muscle or fascia pain, involving sensory, motor, or autonomic functions, linked to myofascial trigger points (MTrPs). Motor symptoms can include muscle weakness, limited movement, and stiffness. Sensory symptoms may involve tenderness, referred pain, hyperalgesia, or allodynia, while autonomic symptoms include sweating, changes in skin temperature, and salivation. MPS occurs due to increased sympathetic nervous system activity, which worsens pain. Physical therapy is vital in improving movement and function, with Active Exercise Therapy being a recommended treatment. MPS affects 36% of 431 patients, with pain intensity often developing within a week, and in Indonesia, it reaches 40% within a year. MPS is more common in females than males. Active Exercise Therapy, which can be performed at home or work, is essential for preventing MPS. On July 31, 2025, a community service activity was held at RT VIII Tanjung Mas Village, Semarang Utara, with 29 participants. The event included blood pressure checks, blood sugar tests, BMI measurements, and counseling on the importance of exercise therapy to prevent muscle fatigue, particularly in the neck area. The therapy, focusing on improving tendon and ligament strength and muscle strength, helps maintain joint stability and increase the range of motion. Strength training includes isotonic exercises and progressive resistance training, tailored to each individual's needs. The event provided education on managing muscle pain and fatigue through targeted exercise routines and home programs. These initiatives emphasize muscle recovery, physical health, and overall wellness, ensuring participants can manage and prevent MPS effectively. The event highlighted the critical role of regular physical activity in improving quality of life and preventing long-term musculoskeletal pain.

Various recent studies have shown that natural active compounds contained in traditional and fermented plants play a crucial role in supporting human health. These compounds include flavonoids, polyphenols, tannins, saponins, alkaloids, organic acids, probiotics, and other phenolic compounds. Detection of these compounds is usually carried out through specific chemical reactions that allow researchers to more precisely identify the bioactive components. Their biological activities are diverse, including antioxidant, antibacterial, anti-inflammatory, and antimicrobial properties, which work to protect the body from cell damage and infection. Natural compounds are considered promising agents for disease prevention and health promotion due to their broad biological activities. The fermentation process has been shown to increase the content of bioactive compounds while lowering the pH of the medium, creating conditions unfavorable for the growth of pathogenic bacteria. Furthermore, probiotics that develop during fermentation play a role in maintaining the balance of the gut microbiota, strengthening the immune system, and improving digestive health. Fermented products are widely recognized as functional foods because they contain beneficial probiotics and enhanced bioactive compounds. These naturally derived products, rich in secondary metabolites, have also been shown to have significant physiological effects, such as lowering cholesterol levels, controlling blood sugar, and maintaining stable blood pressure. This makes natural ingredients and fermented products not only sources of nutrition but also have great potential for development as functional foods and traditional herbal medicines. This highlights the importance of integrating traditional knowledge with modern scientific approaches in developing functional foods and herbal medicines. Therefore, research on natural bioactive compounds and the role of fermentation in enhancing their effectiveness is highly relevant to supporting sustainable public health.