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This study aims to examine how social interactions between stakeholders at Sunan Kalijaga State Islamic University (UIN) Yogyakarta affect the performance of outsourced security guards. In the context of higher education, outsourced security guards hold a strategic position in maintaining campus security, so the dynamics of social relationships involving them, both with internal and external parties, are important aspects to examine. The research approach used was qualitative, combining field observation methods, in-depth interviews with seven key informants, and documentation review. Data analysis was carried out through the stages of reduction, presentation, and drawing conclusions using the Miles and Huberman model. The results show that open communication, regular appreciation, and structured coordination contribute significantly to improving motivation, discipline, and the quality of security services. Healthy competition between members encourages increased professionalism, while conflicts that arise in daily interactions can be managed effectively through a persuasive approach and collective support from colleagues and superiors. These findings confirm that the performance of outsourced officers is not solely determined by formal work systems or hierarchical instructions, but also by the quality of social relationships established in the work environment. Thus, positive social interactions play a crucial role in creating optimal performance and can serve as a model for relevant managerial practices for other higher education institutions.

This research aims to comprehensively describe and understand the utilization of the SINKARKES system (Ship and Health Information System) in the issuance of the Ship Sanitation Control Exemption Certificate (SSCEC) and the First Aid for Accidents (P3K) Certificate for vessels managed by PT. Surya Samudera Indah Batam. Compliance with ship sanitation and health standards is a mandatory prerequisite for preventing disease spread and ensuring occupational safety in accordance with prevailing regulations. The research methodology employed is field research (field research) to observe direct operational procedures in the field, supplemented by literature review (library research) to strengthen the theoretical and regulatory foundations of the Ministry of Health. The findings indicate that the process of issuing the certificates through SINKARKES begins with agent login access to the official application (sinakarkes.kemkes.go.id) using a registered company account. Subsequently, the agent submits an application for SSCEC and P3K issuance, followed by the completion of data and the uploading of mandatory supporting documents. These documents include the Maritime Health Declaration (MDH), previous SSCC/SSCEC certificates, the P3K certificate, crew list, voyage memo, and the list of last ports of call. Once the documents are verified, the Special Health Quarantine Officer (KarKessus) proceeds to conduct a physical survey onboard the vessel. The main obstacle encountered is poor internet network connectivity in the port area, which often leads to data input failures and double entry errors during certificate printing.

Procedures for Issuing Port Health Quarantine Clearance (PHQC) and Ship Health Book for the MT. Venus Ship at Kuala Tanjung Port by PT. Seroja Jaya Agensi. Every ship entering the port must be in good health, free from disease outbreaks and pests. Issuance of ship health documents is the responsibility of the Health Quarantine Agency (BKK). PT. Seroja Jaya Agensi, as the agency company, acts on behalf of the ship owner in processing ship health documents at Kuala Tanjung Port. This study aims to determine the procedures for issuing Port Health Quarantine Clearance (PHQC) and Ship Health Book for the MT. Venus Ship. The procedure begins with the ship agent submitting an application to the BKK, followed by a sanitation inspection by health officers, issuance of a Certificate of Free Practice (CoP), and recording or issuing the ship health book. These documents are the primary requirements for the ship's clearance process. The research methods used were field research and library research. The results showed that the document issuance procedure involved close coordination between the ship's agent and relevant agencies, and required careful attention to the completeness and validity of the ship's documents.

(MMR) refers to the number of deaths of women that occur during the pregnancy period or within 42 days after delivery. According to WHO in (2022) MMR is an indicator that states the number of maternal deaths for 303,000 per 100.000 live births, According to the Brebes health office (2022) MMR 177.94/ 100.000 live birth, IMR 197 cases. According to data obtained from the Sirampog Health Center daring 2022, the maternal mortality rate was recorded at one case, and eleven infant dealths. The study aims to provide comprehensive midwifery care to patients with a history of cesarean section, using a qualitative descriptive case study approach. Based on integrate midwifery care carried out on patients who had a history of cesarean section, the results were obtained, namely Mrs. Saya’s pregnancy with an indication of CPD as well as high blood pressure and ureine protein approaching positive one. Delivery was carried out by secarean section as an effort to prevent complications in the mother anda baby. During the neonatal care period up to 28 days of age, no abdormalities or problems were found. During the postpartum period up to 42 days, on problem or complications were found. Mrs. I  chose to use an IUD as a contraceptive.

Traditional herbal medicine MSMEs face challenges in increasing the appeal of their products among the younger generation who prefer fresh and modern drinks. To overcome this, innovation in the presentation of herbal medicine is needed to make it more practical, hygienic and attractive. One solution is the manufacture of a microcontroller-based portable box cooler that can maintain the freshness of herbal medicine at an optimal temperature. This box cooler is equipped with an automatic cooling system controlled by a microcontroller, ensuring the jamu stays fresh and high quality for a longer period of time. A temperature sensor monitors and adjusts the cooling conditions as needed, so that the herbs remain at their best when served. In addition, the automatic dispenser system helps regulate the volume of herbs dispensed precisely, reducing wastage and maintaining flavour consistency. With its portable and efficient design, this box cooler is perfect for use in various locations such as bazaars, cafes, offices, or community events. This innovation not only improves the efficiency and competitiveness of MSMEs, but also reinforces the image of jamu as a modern and contemporary healthy drink, making it more attractive to young consumers.

Non-Communicable Diseases (NCDs) are major health problems that are influenced by genetic, physiological, environmental, and behavioral factors of individuals. One of the most common NCDs is Diabetes Mellitus (DM). Based on data from the Semarang City Health Office in 2023, there are 5,991 cases of DM that not only affect the elderly, but also adolescents, adults, and pre-elderly groups. This condition shows that type 2 DM is a serious challenge that affects the quality of life of sufferers. This study aims to analyze the relationship between family support and quality of life of type 2 DM patients at the Mangkang Semarang Health Center. The research method used is quantitative with a correlative descriptive design. A sample of 120 respondents was obtained through accidental sampling techniques, while data was collected by standardized questionnaires. The results showed that the average age of the respondents was 54 years old with the majority being female (55.2%) and having an elementary school education level (53.3%). The average family support score was 81.38, while the average quality of life of patients reached 86.15. This study concluded that patients with type 2 diabetes generally received good family support and had a positive quality of life. Furthermore, there is a positive relationship between family support and quality of life, where the greater the support provided, the more optimal the quality of life of type 2 DM patients.

Tuberculosis (TB) is a contagious disease, caused by Mycobacterium tuberculosis, primarily affecting the lungs, but also capable of involving other organs. According to data from the Indonesian Ministry of Health, pediatric TB cases increased by 20.9% in 2021. Similarly, at the Aceh Provincial Health Office reported an 87.3% rise in TB cases in the same year, with North Aceh being one of the regions with the highest prevalence. This study aims to describe the nutritional status of children diagnosed with TB at Cut Meutia Hospital. A descriptive research design was employed, using medical record data of pediatric TB patients. The sampling of technique used was total sampling, comprising 53 children. The findings showed that among the 53 pediatric pulmonary TB cases, most were male (28 children or 52.8%). The most affected age group was school-aged children (29 children or 54.7%). Regarding nutritional status, the majority had good nutrition (32 children or 60.4%). Pulmonary TB was the most prevalent form of TB, found in 41 children (77.4%). When analyzed by age and gender, pulmonary TB was the predominant type across all groups. In conclusion, pulmonary TB was the most common form of TB, predominantly affecting school-aged boys with good nutritional status.

Based on data from the South Nias District Health Office, the number of hypertension cases at Bawomataluo Public Health Center increased steadily from 2022 to 2024. This condition posed a high risk of leading to severe complications such as heart disease, stroke, kidney failure, and damage to other organs. This study aimed to examine the factors influencing compliance with blood pressure control among hypertensive patients within the working area of Bawomataluo Public Health Center in the year 2025. This research employed a quantitative method using an analytic survey design with a cross-sectional approach. The population consisted of 185 individuals who had been diagnosed with hypertension over the past six months (from July to December 2024). A purposive sampling technique was used to select 127 participants. Data analysis included univariate, bivariate, and multivariate analyses. Using logistic regression with the forward method, the results showed that knowledge had a significance value of 0.002 with an Exp(B) of 5.680; family support had a significance value of 0.000 with an Exp(B) of 6.740; motivation had a significance value of 0.000 with an Exp(B) of 6.947; and self-confidence had a significance value of 0.001 with an Exp(B) of 5.706. Among these, motivation was identified as the most dominant factor due to having the highest odds ratio (Exp(B)). The findings indicated that knowledge, family support, motivation, and self-confidence significantly affected compliance with blood pressure control among hypertensive patients at Bawomataluo Public Health Center. Motivation emerged as the most influential factor. It was recommended that the health center actively provide support and encouragement to patients suffering from hypertension.

Background: The scheduling of work of health workers, especially radiographers in type B hospitals, is a complex challenge due to the variety of radiology modalities, variations in the number of human resources, and the provisions of working hours regulations from the Ministry of Health of the Republic of Indonesia. Manual scheduling that is still in use tends to cause workload inequality, conflicts between employees, and operational inefficiencies. Objective: This study aims to design and develop an Artificial Intelligence (AI)-based radiographer shift scheduling system that is able to prepare work schedules automatically, fairly, flexibly, and integratedly, in accordance with hospital service regulations and needs. Research Method: This type of research is Research and Development (R&D). The development process is carried out through the stages of needs analysis, designing Python and Flask-based systems, simulating tests on data, and expert validation then the data collected and described from the initial mapping and also mapping potential problem-solving. Results: The system successfully manages morning, noon, night, and holiday shift schedules based on competence, fair rotation, and maximum working hours provisions. By showing a significant difference between user perceptions before and after using the system, which reflects improved efficiency, fairness, and ease of access to schedules. Respondents expressed satisfaction with the override feature and integrated notifications. Conclusion: The development of an AI-based radiographer shift scheduling system has proven to be feasible and effective in overcoming managerial problems of work scheduling in hospitals. This system is able to increase efficiency, transparency, and user satisfaction, and has the potential to be widely applied to various types of hospitals in Indonesia.

Employee work motivation is a crucial element in determining the quality of public services, especially in the health sector. This study aims to analyze factors related to employee work motivation at the Health, Population Control, and Family Planning Office of Marowali Regency. This study uses a quantitative approach with a cross-sectional design. The sample consisted of 39 respondents selected through the purposive sampling method. The research instrument is in the form of a structured questionnaire, and data analysis is carried out bivariously using the chi-square test and Fisher's Exact Test if the test assumptions are not met. The results showed that the work environment did not have a significant relationship with work motivation (p = 0.129). In contrast, the benefits variable showed a significant relationship (p = 0.009), and workload also had a significant effect on work motivation (p = 0.004). These findings indicate that employees' work motivation is significantly influenced by benefits and workload factors, while the work environment does not have a significant impact. The practical implication of this study is the need for managerial attention to a fair incentive system and a proportionate distribution of workload to increase employee work motivation. Increasing work motivation is expected to encourage the efficiency and effectiveness of public services in the health sector. This research contributes to the development of evidence-based human resource policies in the regional health service sector.

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.

Central Java Province targets a 16% reduction in stunting by 2023, with the prevalence having been reduced from 31.2% in 2018(Riskesdas, 2018) to 20.8% in 2022 (SSGI). The causes of stunting in Central Java include a lack of knowledge about balanced nutrition, proper parenting, and lack of access to proper drinking water and sanitation. This study aims to determine the implementation of the Central Java Provincial Health Office strategy in reducing stunting rates. The study used a qualitative design with descriptive methods and in-depth interviews, involving samples from the Health Office, TP-PKK, and Head of Puskesmas through snowball sampling techniques. The results showed that implementation at the Puskesmas level has not been optimal, with low community participation. Semarang City has many stunting reduction programs, in contrast to Brebes Regency. The overall provincial target has been achieved, but operational funding constraints hinder optimal program implementation.

Stunting is one of the growth disorders that occur in childhood under two years. Stunting events can be influenced by two factors, namely direct factors and indirect factors. Based on data from the Tual City Health Office, the number of stunting cases in Tual City was recorded in 2021 as many as 308 cases and 74 cases in North Dullah District. The purpose of this study is to find out the picture of risk factors for stunting events in children aged 9-24 months in the puskesmas work area in North Dullah District of Tual City for the period 2021. This research is quantitative research, a type of observational descriptive research with a cross sectional design. The sample in this study was children aged 9 months to 24 months who experienced stunting and domiciled in North Dullah District for the 2021 period as many as 71 children and then given questionnaires to be filled out.  The data obtained is presented in the form of a table accompanied by explanations and arranged and grouped according to the purpose of the research. The results showed that in the North Dullah Health Center of Tual City, as many as 71 children aged 9-24 years experienced stunting, as many as 47 stunting children (66.2%) aged 9-24 months did not experience BBLR (not at risk), the sex of stunting children aged 9-24 months who were most found was male, namely as many as 47 children (66.2%), most children did not get exclusively breast milk, namely as many as 45 children (63.4%) and most children were immunized as many as 41.  children (57.7%). The most maternal education level is high school as many as 32 people (45.1%) and many parents' incomes are in the low category of 68 cases (95.8%).  

The high consumer interest in food makes culinary businesses play a crucial role in meeting consumer purchasing interest in culinary. This is a crucial concern and task for all parties, both the government and food producers, to maintain the safety of the food they produce. Both in terms of nutrition, hygiene, safety, halal certification, and so on must be a serious concern for producers. One of the government's programs to ensure food products are safe for public consumption is by issuing distribution permits in the form of PIRT (home industry food) permits and Halal Certification, which are official guarantees from the government, so that food products can be distributed and are safe for consumption by all consumers. PIRT is issued through a supervisory body, namely the Health Office located in a Regency. Along with this, various opportunities to improve marketing performance arise through the marketplace platform. This community service approach uses an empowerment approach to the benefits of PIRT, Halal Certification and digital marketing through the marketplace platform to increase consumer trust in products and marketing performance. Through this service, the product value increases, by obtaining PIRT permits and Halal Certification, and the STIE Gentiaras student product has a wider marketing reach through the marketplace platform.

Breech presentation is a condition in which the fetus is in an elongated position with the head at the uterine fundus and the buttocks in the lower part of the uterine cavity. This condition can increase the risk of labor complications, especially if accompanied by serotinus (post-term pregnancy). Based on data from the Indonesian Ministry of Health (2021), the maternal mortality rate caused by breech presentation and serotinus in Indonesia was recorded at 1,309 cases. In Central Java, the incidence of breech presentation reached 11.5% (Central Java Health Office, 2021). This study aims to determine the implementation of comprehensive midwifery care for Mrs. D, aged 24 years, with breech presentation and serotinus at Mrs. S's PMB in the Kaliwadas Community Health Center area in 2023. The research method used a qualitative descriptive design with a case study approach. Data collection was carried out through interviews, observations, physical examinations, documentation studies, and medical record searches. The results of midwifery care showed that during pregnancy, Mrs. D had a good quality of life. Mrs. D underwent three antenatal care (ANC) visits, during which signs of pregnancy complications suggestive of serotinus were detected. Delivery was performed via cesarean section due to serotinus and breech presentation. During the neonatal period, three visits were conducted, with the baby's examination results within normal limits. During the postpartum period, four visits were conducted, during which the mother's condition was generally good, but at the third postpartum visit, problems with breastfeeding were discovered. Mrs. D was also known not to be using postpartum contraception. The results of this study emphasize the importance of early detection and appropriate management of breech presentation and serotinus pregnancies to prevent complications that endanger the mother and baby. Comprehensive midwifery care covering pregnancy, labor, postpartum, and newborn care is an integral effort to ensure the safety of mothers and babies.  

Health problems are a major problem in developing countries, including Indonesia. The Community Health Center (Puskesmas) is a first-level health service facility that organizes and coordinates promotive, preventive, curative, rehabilitative, and/or palliative health services in its working area. The purpose of this study is to understand the function of Puskesmas management in assessing the performance of Puskesmas in the working area of ​​the Mantup Puskesmas. The type of research used is qualitative descriptive research, the location of the study is the Mantup Puskesmas, Mantup District, Lamongan Regency, the informants in this study were the head of the Puskesmas, the person in charge of cluster 1, the person in charge of cluster 2, the person in charge of cluster 3, the person in charge of cluster 4 and the person in charge of cross-cluster Puskesmas Mantup. Data collection was carried out through in-depth interviews, observation and document searches, data analysis techniques using data reduction, data presentation, drawing conclusions. The results of the research for planning at the Mantup Puskesmas have been implemented well. Organizational efforts have been suboptimal, as some sub-health centers only have midwives as regional supervisors. Implementation is suboptimal due to limited staffing at sub-health centers. Supervision at Mantup Health Center has been functioning well and is being implemented regularly, but performance data is not yet available.Timely input into the existing application, considering the large number of applications that must be completed by service officers and program implementers at the Mantup Community Health Center. Suggestions included establishing a regional development team at the Assistant Community Health Center to optimize village activities, advising the Health Office on integrating health service applications at the Community Health Center, and innovations to improve Community Health Center performance.  

Introduction:This study examines facilities and infrastructure, which are crucial components in supporting the smooth running of hospital processes, particularly in the pharmacy department. Adequate facilities and infrastructure are essential for effective operational activities, although in reality, some healthcare facilities still do not meet established standards. Common problems encountered include limited storage space, inappropriate equipment, and a lack of professional pharmacists. The purpose of this study was to determine the drug storage facilities and infrastructure at M. Natsir Solok Regional General Hospital. The method used was descriptive quantitative, involving 15 logistics officers as respondents. Data were collected through observation, questionnaires, and documentation, then analyzed using SPSS. The results showed that storage facilities maintained appropriate temperatures in 60% of cases and inappropriate temperatures in 40%. Appropriate lighting in 53.3% and inappropriate lighting in 46.7% of cases, and appropriate ventilation in 73.3% and inappropriate ventilation in 26.7%. Regarding infrastructure, 26.7% of stainless steel shelves are in compliance, 60% of pharmacy cabinets, 53.3% of drug refrigerators, and 53.3% of cold storage facilities. In conclusion, the facilities and infrastructure at M. Natsir Solok Regional Hospital largely meet standards, but improvements are needed in ventilation, lighting, and the use of stainless steel shelves

The number of school-age adolescent girls in Banggai Regency, Central Sulawesi, still faces serious challenges related to nutritional problems such as anemia and chronic energy deficiency (SEZ). Low nutritional literacy and unbalanced food consumption habits also worsen their nutritional status, especially during puberty when nutritional needs increase significantly. This service activity aims to increase the understanding and awareness of young women on the principles of balanced nutrition through a participatory educational approach. The implementation of the activity was carried out at SMP Negeri 2 Bunta, Simpang Raya District, involving 30 students in grades VII and VIII as well as UKS supervisory teachers. The intervention included providing material on "Fill My Plate", the 4 pillars of balanced nutrition, and the risk of nutritional disorders in adolescents. The material was delivered in the form of interactive counseling using leaflet media, accompanied by knowledge measurement through pre-test, post-test, and one-week post-activity evaluation. The results of the activity showed a significant increase in students' understanding of the principles of balanced nutrition, with the knowledge score of the good category increasing from 40% to 87%. Most of the participants were able to mention the composition of the meal portion, the importance of breakfast, restrictions on fast food consumption, and the need to drink enough water every day. This activity also has an impact on increasing the capacity of teachers in assisting and monitoring the health status of students through the UKS program. Teachers become more active in conducting periodic counseling and recording the nutritional development of female students on a regular basis. School-based balanced nutrition counseling has been proven to be effective in improving adolescent nutritional literacy. This educational model can be replicated in other regions with cross-sectoral support such as education offices, health centers, and village governments, to support the achievement of sustainable development goals in the health sector.

This research aims to examine the contribution of PT. Seroja Jaya Agensi in the PHQC issuance mechanism, while also identifying obstacles and alternative solutions in the implementation of the INSW system in Bojonegara. The issuance of Port Health Quarantine Clearance (PHQC) based on the Indonesia National Single Window (INSW) system at the Bojonegara Health Quarantine Office is a vital aspect in efforts to control the health risks of foreign vessels entering Indonesian waters. The role of agencies, especially PT. Seroja Jaya Agensi Merak Branch, is crucial in ensuring the smoothness of the PHQC issuance procedure in accordance with applicable regulations. This agency activity includes coordination between the ship, health quarantine officers, and other authorized institutions to ensure that incoming vessels are free from the threat of infectious diseases. During the onshore practice, the author collected data using field research and literature study methods, by reviewing journals and other relevant sources that support the study theme. The results of the study show that the agency's role is quite crucial in supporting smooth administration, although there are still problems related to inter-agency coordination and technical understanding of INSW that need to be improved. This research is expected to contribute positively to improving the health surveillance system for foreign vessels, particularly to optimize the implementation of INSW for greater effectiveness.

The Child Identity Card (KIA) is an official document issued to children aged 0–17 years as a form of early recognition and protection of legal identity. The issuance of the KIA aims to support orderly population administration, facilitate access to public services, and strengthen child protection in various social, educational, and health aspects. In Bintan Regency, this policy has been implemented since 2017 and was reinforced through Regent Regulation No. 6 of 2022. However, in 2024, the KIA ownership rate only reached 53.48%, the lowest figure in the Riau Islands Province. This figure indicates a serious gap between policy and implementation in the field. In fact, the Bintan Regency Population and Civil Registration Office's Work Plan (Renja) set the KIA ownership target for 2024 at 65%, with the final realization being only 62%. This study aims to examine the factors influencing the low KIA ownership rate. The study used a descriptive qualitative approach with data collection techniques through in-depth interviews, observation, and documentation. Informants consisted of Disdukcapil officials and the community as service recipients. The implementation model used was Merilee S. Grindle's theory, which emphasizes six critical variables in policy success, including resources, communication, and implementer characteristics. The results of the study indicate that despite an increase in demand for KIA due to administrative requirements in education services, BPJS, and social programs, significant obstacles remain. These obstacles include limited outreach, a lack of service infrastructure in coastal and remote areas, and technical constraints such as a suboptimal online system. Therefore, acceleration strategies are needed, such as increasing the intensity of cross-sector outreach, integrating KIA services into integrated health post (Posyandu) and school programs, adding mobile services, and training local human resources.