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Morbus Hansen, or leprosy, is a chronic infectious disease caused by the bacterium Mycobacterium leprae. There are two types of leprosy, namely MB (Multi Bacillary) and PB (Pauci Bacillary). According to the WHO, the level of disability due to leprosy is divided into three levels: Level 0, Level 1, and Level 3. This study is an analytic observational study using a cross-sectional research design, involving 45 respondents selected through total sampling technique. Data collection was carried out by filling out a questionnaire consisting of questions regarding leprosy medication compliance. Data analysis used the chi-square test and prevalence rate. The results showed no association between medication compliance (p=0.092, PR=2.0) and the incidence of leprosy disability at the Batumarmar Health Center, Pamekasan Regency. The conclusion of this study indicates that although theoretically adherence to medication can lead to disability in leprosy patients, the results of this study show something different. The difference between the results of this study and the theory may be due to other factors affecting disability. The suggestion is that the health center is expected to improve the monitoring system to evaluate patient compliance with treatment. Support from medical personnel and families is also needed to encourage patients to be more consistent in undergoing therapy.

Type 2 diabetes mellitus is a chronic disease caused by metabolic disorders, characterized by impaired insulin secretion and action, with its prevalence continuously increasing. This study aims to describe blood glucose levels and blood pressure in patients with type 2 diabetes mellitus at the Kalibagor Health Center based on respondent characteristics. The method used is descriptive quantitative with a cross-sectional design, involving 50 patients with type 2 diabetes mellitus selected through total sampling technique. Data were collected through random blood glucose tests, blood pressure measurements, and interviews regarding smoking habits and family history. The results showed that 58% of respondents had high blood glucose levels, while 70% had normal blood pressure. Respondents with a family history of diabetes were more likely to experience high blood glucose levels, while smokers had a higher risk of experiencing high blood pressure. This study also found the influence of age, gender, and family history on blood glucose and blood pressure levels. Therefore, further education on healthy lifestyle and risk factor management is needed to prevent further complications in patients with type 2 diabetes mellitus.

Cervical cancer is a deadly disease and ranks as the fourth most common cancer among women, according to the World Health Organization. In Indonesia, it is the second most prevalent cancer affecting women. Visual Inspection with Acetic Acid (VIA) is an early screening method to detect cervical cancer, yet its coverage remains low in several areas of East Java. This study aims to examine the relationship between knowledge and VIA screening behavior among women of reproductive age in the working area of Kowel Public Health Center. The study employed an analytical observational design with a cross-sectional approach. A total of 70 respondents were selected using accidental sampling. Data were collected through questionnaires assessing both knowledge and VIA screening behavior. Data analysis was conducted using the chi-square test. The results showed that 38 respondents had good knowledge, while 32 had poor knowledge. The chi-square test yielded a p-value of 0.494 (p > 0.05) and a prevalence ratio (PR) of 1.684. These results indicate no significant relationship between knowledge and VIA screening behavior. However, respondents with good knowledge were 1.684 times more likely to undergo VIA screening than those with poor knowledge. It is recommended that the Kowel Health Center enhance its educational efforts through more engaging and creative counseling methods using media tools such as brochures, leaflets, posters, and animated videos, delivered both directly and via social media, to attract public interest.

Hypertension is one of the chronic diseases suffered by many people in Indonesia, including in the Kebondalem Health Center area, Pemalang District. In its treatment, some patients choose to use herbal medicine as a complementary therapy in addition to medical treatment. However, patients' understanding of the benefits and risks of using herbal medicine is still not fully known. Objective: This study aims to examine the level of knowledge of hypertensive patients regarding the benefits and risks of using herbal medicine as a complementary therapy at the Kebondalem Health Center, Pemalang District. Method: This study uses a descriptive method with a quantitative approach. The research sample was hypertensive patients who visited the Kebondalem Health Center and met the inclusion criteria. Data were collected through a validated closed questionnaire, then analyzed descriptively. Results: The results showed that most patients had a moderate level of knowledge regarding the benefits of herbal medicine, but were still low in understanding the risks that might arise from using it simultaneously with medical drugs. Some patients also still believe in myths related to herbal medicine without a strong scientific basis.

Anemia is one of the public health problems experienced by many pregnant women in Indonesia, including in Aceh Province. One of the efforts to prevent anemia is by consuming iron tablets (TTD) regularly. This study aims to determine the relationship between the level of education and knowledge of mothers about anemia with the regularity of blood tablet consumption. This study used a quantitative approach with a cross-sectional design. The study sample consisted of 100 pregnant women in the Penanggalan Health Center working area, selected through purposive sampling technique. Data were collected using a structured questionnaire and analyzed using the Chi-Square test. The results showed a significant relationship between the level of education (p = 0.032) and knowledge about anemia (p = 0.005) with the regularity of blood tablet consumption. Mothers with higher education and good knowledge tend to be more regular in consuming blood tablets. Improvement of health education is needed through routine counseling to increase mothers' awareness of the importance of preventing anemia during pregnancy.

Chronic Energy Deficiency (CED) is a manifestation of malnutrition characterized by an inadequate energy intake over a prolonged period in pregnant women, resulting in adverse health outcomes due to a relative or absolute deficiency of one or more essential nutrients. The 2023 SKI results indicate that malnutrition among pregnant women remains a problem, with nearly 3 out of 10 pregnant women experiencing anemia and 17% at risk of CED. According to data from the Jambi City Health Office, Putri Ayu Public Health Center (Puskesmas Putri Ayu) has the highest number of CED cases, with 67 affected pregnant women. The main objective of this study is to explain the underlying factors contributing to the high prevalence of Chronic Energy Deficiency (CED) and to inform the development of evidence-based health interventions aimed at reducing this condition. This study employed a quantitative research method with a case-control design. The sampling technique used was purposive total sampling, involving 78 pregnant women in the Putri Ayu Public Health Center area, Jambi City. Data collection was conducted in October 2024, using a questionnaire as the research instrument. Data were analyzed using the chi-square test. The results showed a significant relationship between CED and parity (p=0.034), anemia (p=0.013), attitude (p=0.000), and the role of health workers (p=0.000). No significant relationship was found between CED and age (p=1.000), pregnancy spacing (p=0.615), and knowledge (p=0.359) in pregnant women. The findings indicate that parity, anemia, attitude, and the role of health workers are significantly associated with the occurrence of CED in pregnant women, while age, pregnancy spacing, and knowledge are not significantly associated.

Diabetes mellitus is a chronic disease that requires proper management, including the use of conventional and alternative medicines such as herbal medicines. Patient knowledge about the benefits, risks, and potential interactions of herbal medicines with conventional medicines is very important to prevent complications. Objective This study aims to describe the level of knowledge of diabetes patients about the use of herbal medicines, including the benefits, risks, and interactions with conventional medicines at the Kebondalem Health Center, Pemalang Regency. This study uses descriptive observational analytic Data were collected through questionnaires distributed to diabetes patients who were treated at the Kebondalem Health Center. Data analysis was carried out quantitatively with percentages to measure the level of patient knowledge.

Many mothers feel anxious and unprepared for childbirth, which can have an impact on their mental and physical health. By improving counseling programs, it is hoped that pregnant women can better understand various aspects of childbirth, reduce anxiety, and improve their mental and physical readiness. The method of implementing the activity is by holding meetings with the community to attend counseling for pregnant women to prepare for childbirth at the Babirik Health Center. This activity was carried out in September 2024 at the Babirik Health Center, Hulu Sungai Utara Regency, South Kalimantan Province. The community service activities carried out through counseling for pregnant women to prepare for childbirth at the Babirik Health Center showed positive results in increasing the knowledge, skills, and readiness of pregnant women in facing childbirth. Overall, this counseling program has succeeded in achieving several main objectives, although there are still several challenges that need to be overcome to increase its effectiveness.

Problems faced by partners related to the role of cadres in attaching P4K stickers at the Babirik Health Center include the lack of community understanding of the importance of the health information provided. Although cadres have tried to attach stickers in strategic locations, community response is often minimal, so that the information is not effective in raising awareness. In addition, cadres also face challenges of limited time and resources, which prevent them from conducting further socialization. The solutions carried out are educating cadres to conduct pregnant women screening; documenting high-risk pregnant women; educating high-risk pregnant women on knowledge; attaching P4K stickers in the homes of high-risk pregnant women. The conclusion from the results of community service activities related to the role of cadres in attaching P4K stickers at the Babirik Health Center shows that this initiative has succeeded in increasing community awareness of maternal and child health. Through the attachment of stickers in strategic locations and the active involvement of cadres, important information about health services becomes more easily accessible and understood by the community. More intensive interaction between cadres and the community shows an increase in requests for information and participation in health programs.

Puskesmas is one of the health services whose traffic is difficult to determine, because it cannot be predicted that people will get sick and need health services. The queuing system at the puskesmas is implemented through several stages, namely the first stage the patient goes to the counter to get a queue number, after that the patient will be called according to the serial number to be served. This has a big impact on patients who were previously queuing because they have to be willing to wait longer to get service. This queue system often causes various kinds of problems and patient dissatisfaction. The Queue Management System at the Sindangkerta Community Health Center has several problems, including long queue waiting times which tend to be detrimental to patients who will receive services. Long queues cause longer waiting times. The queue is not easily accessible to prospective patients, making it difficult to obtain a queue number. This research uses qualitative research methods with a descriptive type. Data collection techniques using direct observation techniques, interviews and documentation. Data analysis techniques using data collection techniques, data reduction, data presentation and drawing conclusions. The results of the research show that the evaluation of the management of the queuing system at the Sindangkerta Community Health Center is quite good, but there are still problems, including long queue waiting times and difficulty for visitors to get a queue number.  

Introduction: Diarrhea is one of the most common diseases affecting children worldwide. Diarrhea is a condition when the sufferer defecates more often than usual, namely defecating more than 3 times a day and the diarrhea sufferer's stool is thinner than usual. Puskesmas Tarus is one of the Puskesmas in Kupang Regency with the highest data on diarrhea cases in 2021 compared to other Puskesmas, namely 132 cases of diarrhea in toddlers. In 2022 diarrhea cases increased, namely 139 until 2023 it continued to increase to 145 diarrhea patients in children under five. Methods : This type of research and research design is quantitative research with Cross Sectional design. the population in this study were all mothers of toddlers in the Tarus Puskesmas Working Area. The population of mothers who have toddlers is 2,110 people. The sampling method is determined by simple random sampling, with mothers or respondents who have toddlers totaling 66 people. Data analysis was performed with the Chi-Square statistical test. Results: The results showed that there was a significant relationship between maternal knowledge (ρ=0.034), hand washing behavior (ρ=0.022), ownership of healthy latrines (ρ=0.007), availability of clean water (ρ=0.029) with the incidence of diarrhea in toddlers in the Tarus Health Center Working Area. Conclusion: It is recommended for mothers to maintain personal hygiene before doing or giving activities to toddlers.

The community movement to assist childbirth operates within a complex context, where social, cultural, and economic factors interact with each other. At the Babirik Community Health Center (Puskesmas Babirik), community service partners face a number of challenges. One of the main issues is the limited human resources, with an insufficient number of medical personnel and volunteers to reach all pregnant women in the area. Ineffective communication between the health center and the community has led to low awareness and participation of pregnant women in existing programs.Based on these challenges, a solution was developed by introducing the Community Movement to Assist Childbirth at Puskesmas Babirik, abbreviated as Germas Tulin. The Germas Tulin program at Puskesmas Babirik has shown a positive impact on community service, especially in supporting childbirth. Through various initiatives, the community actively participates in providing services and support needed during the delivery process. Germas Tulin plays a vital role in creating a safer and more supportive environment for pregnant women, as well as contributing to the improvement of healthcare service quality in the area.

Hypertension is a chronic disease whose prevalence increases with age and significantly affects the quality of life among the elderly. Tulungagung Regency is one of the regions in East Java with a high number of hypertension cases among the elderly, with a prevalence of 35.62%. This study aimed to determine the factors that influence the quality of life of elderly people with hypertension in the Kauman Health Center working area. This research was an analytical observational study using a cross-sectional approach. The population consisted of all elderly individuals with hypertension within the Kauman Health Center’s coverage area. The sample included 140 respondents selected using a simple random sampling technique. The instruments used were questionnaires on individual characteristics, the MMAS-8 for medication adherence, the HPLP-II for healthy lifestyle behaviors, and the WHOQOL-BREF for assessing quality of life. Data were collected through interviews and documentation, then analyzed using univariate and bivariate (chi-square test) methods. The results showed that 64.3% of elderly people with hypertension had a poor quality of life. Factors that had a significant relationship with the quality of life among hypertensive elderly were nutritional intake, physical activity, duration of illness, stress management, and the presence of comorbidities. These findings indicate the need for integrated interventions focusing on promoting healthy lifestyles, improving stress management, and monitoring comorbid conditions to enhance the quality of life in elderly individuals with hypertension. It is expected that this study can serve as a reference in the development of more effective primary health care programs for the elderly population

Pregnancy planning is an important factor in ensuring maternal and fetal health during pregnancy and reducing the risk of complications that can lead to maternal and infant mortality. This study aims to describe the level of public awareness in the Parang Banoa Environment, Parang Banoa Village, Pallangga District, Gowa Regency, regarding safe pregnancy and childbirth planning. The research method used is quantitative with a descriptive approach, data collection techniques in the form of questionnaires processed using the SPSS application. Respondents in this study consisted of 23 families who had pregnant women. The results showed that most respondents, namely 86.9%, planned their pregnancies well, which indicates a high level of awareness of the importance of pregnancy planning. In addition, 86.9% of pregnant women also planned to save for childbirth costs, indicating their financial readiness. However, awareness of planning prospective blood donors is still low, with only 43.5% of respondents planning prospective blood donors during childbirth. The results of the study showed that 100% of respondents had planned transportation for childbirth, with the majority choosing an ambulance or mobile health center car as a means of transportation. In terms of birth attendants, most respondents (73.91%) chose doctors as their birth attendants. Based on these findings, it is recommended that public education be increased regarding planning for prospective blood donors, financial literacy to save on birth costs, and choosing safe transportation. In addition, it is important to continue to strengthen understanding of the importance of choosing competent medical personnel as birth attendants to ensure the safety of the mother and baby during the birth process.

Dengue hemorrhagic fever (DHF) is an infectious disease caused by the dengue virus and transmitted through the bite of the Aedes aegypti mosquito, and it is often found in children aged 2-10 years. One of the factors causing Dengue Hemorrhagic Fever is a decrease in platelet values. This study aims to analyze the correlation between platelet values ​​and severity based on clinical manifestations of Dengue Hemorrhagic Fever at the Gending Health Center. The type of research was correlational analytic with Cross Sectional Design. The population was 44 respondents. The sample used Dengue Hemorrhagic Fever patients by Accidental Sampling. The instrument used is an observation sheet to measure platelet values ​​with the severity of Dengue Hemorrhagic Fever. Data was analysed  with One Way Anova Test. The results of the study obtained platelet values, namely the mean value of 150,454.60, the median value of 151,999.60, the mode value of 152,000, the minimum value of 60,000, the maximum value of 182,000. The degree of severity based on the clinical manifestations of Dengue Fever, the majority of patients were grade 2, namely 26 patients (59.1%). Analysis test using one way anova test obtained p value = 0.000 with a significant value of p value <α = 0.005 which means there is a correlation between Platelet Values ​​and the Degree of Severity Based on Clinical Manifestations of Dengue Fever at the Gending Health Center. Normal platelet values ​​can also be high and low platelet values ​​can also be low due to other factors, namely age, gender, weight and immune factors.

Mojolaban is one of the sub-districts in Sukoharjo Regency, Central Java. Mojolaban Sub-district has a Health Center as its role in the field of public health at the first level with 2 health centers, namely Mojolaban Health Center as the main health center and Jati Malang Health Center as a supporting health center. The 10 largest number of diseases in Mojolaban Health Center is in the elderly. When the elderly experience a degenerative process due to the aging process, one of which is changes in the neurological system so that the elderly experience cognitive decline. The purpose of this program is to help provide education, prevention and maintain these changes so that they do not worsen. The method used is education in the form of counseling and providing leaflets to the Healthy Jaya Abadi Elderly Post Community in Wirun Village. The results of the pre-test and post-test questionnaires to assess understanding showed a significant increase in understanding with an average pre-test value of 20% and an average post-test value of 80%.

The high birth rate is one of the big challenges for the State of Indonesia in the family planning program that is recommended to control population growth, including the application of the Long-Term Contraceptive Method (MKJP) (BKKBN, 2016). In 2023, the total population of Indonesia is 278.8 million people. This number increased by 1.1% compared to 2022 which was 275.5 million people. In Central Kalimantan, in 2023, there will be 327,182 couples of childbearing age (PUS), then 244,374 active family planning (PA) users and 902 new contraceptive devices (PB).. East Kotawaringin Regency itself recorded the most active family planning participants in injectable birth control (82.0%), pills (13.7%), implants (2.9%), condoms (0.3%), AKDR (0.6%), MOP contraception (0.2%), and MOW (0.3%), recorded participants who use MKJP in Kotim only (4%) of the total number of family planning participants (Kotim Health Profile, 2022). Some of the factors that cause the low selection of MKJP include individual perception, husband support, knowledge, education, work and attitude. The purpose of this study is to determine the relationship between the source of information on couples of childbearing age and the selection of long-term contraception at the Baamang 2 Sampit Health Center in 2024. A type of quantitative analytical research with a cross-sectional research design.The population in the study was all family planning acceptors at the Baamang 2 Sampit Health Center. The sample in this study was by accidental sampling technique and a sample of 37 people was obtained. The statistical test of this study is the chi-square test. The results of univariate analysis from 37 people mostly obtained direct sources of information as many as 23 people (62.2%), the majority of those who used Non-MKJP family planning as many as 24 people (64.9%) and the results of bivariate analysis obtained a ρ value of 0.74. There is no relationship between the source of information on couples of childbearing age and the selection of long-term contraception at the Baamang 2 Sampit Health Center in 2024.    

Stunting remains a significant nutritional issue in Indonesia, primarily caused by inadequate dietary intake. Nutritional deficiencies in toddlers often result from insufficient breastfeeding and a lack of proper nutrition from complementary foods. This study aims to evaluate the impact of supplementary feeding (PMT) made from snakehead fish on the nutritional status of stunted toddlers aged 24–47 months. The research employed a total sampling method, involving 15 toddlers within the specified age range. Prior to the intervention, the respondents had an average body weight of 10.77 kg, categorized as severely underweight. Following the administration of snakehead fish-based PMT, their average weight increased to 12.33 kg, falling into the underweight category. Statistical analysis revealed a p-value of 0.000, indicating a significant effect of the snakehead fish-based PMT in improving the nutritional status of stunted toddlers. These findings highlight the potential of local food sources, such as snakehead fish, to enhance maternal and child health efforts—particularly in addressing malnutrition through optimized use of locally sourced PMT in various preparations.

Husband support plays a crucial role in maternal health outcomes during pregnancy. This study aimed to analyze the effect of education using the Alert Husband Program on improving the level of husband support among pregnant women at the Rum Balibunga Community Health Center, Tidore. The study used a pre-experimental one-group pretest-posttest design with a sample of 28 husbands selected through total sampling. The research instrument was a structured questionnaire to measure emotional, informational, and instrumental support. The intervention was conducted through a 60-minute Alert Husband education program, which included presentation of material, interactive discussion, clarification, and joint conclusions. The results showed a significant increase in the level of husband support, from an average score of 45.32 to 62.89 (p = 0.000). The distribution of support categories also showed a significant shift towards better support after the intervention, with 57.2 % of husbands in the good support category. This study concluded that education through the Alert Husband Program was effective in improving husbands' understanding, attitudes, and involvement in supporting pregnant women, making it worthy of recommendation as an educational method in primary health care facilities.

Background: Adequate knowledge about postpartum contraception is essential for postpartum women to prevent unintended pregnancies and maintain reproductive health. However, many postpartum women still have limited knowledge, which can lead to inappropriate contraceptive choices. Visual media is considered an effective educational tool because it can present complex information in a clear and engaging way. Objective: This study aims to analyze the effect of visual media on improving postpartum contraception knowledge among mothers at the Soasio Community Health Center. Methods: A quasi-experimental design with a pre-test and post-test approach was used. The sample consisted of 30 postpartum mothers selected through purposive sampling. Data were collected using a validated questionnaire on contraceptive knowledge. The intervention involved health education using visual media such as videos, posters, and infographics. Data analysis was conducted using the Wilcoxon Signed Rank Test to assess differences before and after the intervention. Results: Before the intervention, most respondents had poor to moderate knowledge, with only a small proportion demonstrating good understanding. After receiving education through visual media, there was a clear improvement, with the majority of respondents achieving good knowledge levels. Statistical analysis showed a significant increase (p < 0.05). Conclusion: Visual media effectively improves postpartum contraception knowledge and can be applied in primary healthcare settings to enhance reproductive health literacy.