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Exclusive breastfeeding as early as possible can prevent infant death. Exclusive breastfeeding can prevent as many as 60% of the 10 million infant deaths that occur in developing countries every year, according to the World Health Organization (WHO). The percentage of exclusive breastfeeding coverage in Southwest Aceh district is 68%, but one of the factors that can increase this percentage is social support from families and health workers. The aim of the research is to determine the influence of social support on exclusive breastfeeding in the Blangpidie Community Health Center working area. Observational analytical survey research method with a cross-sectional approach. The population in the study was 87 breastfeeding mothers using the total sampling technique. The research was conducted from March 12 to March 21, 2023. The results of the simple logistic regression test analysis showed that the results showed that mothers who received social support-emotional (26%), and social support-assessment (35%), were able to influence mothers to continue to provide exclusive breastfeeding. Support from families and health workers is important to increase the prevalence of exclusive breastfeeding.

Communication in health services is a supporting factor for health workers in expressing their roles and functions professionally. One of the competencies that must be possessed by medical personnel, whether doctors, nurses, midwives or other medical personnel, is the ability to communicate effectively and be easy to understand. Communication skills will underlie efforts to solve patient problems to facilitate the provision of assistance, both in medical and psychological services. These communication skills cannot simply be acquired without training. Therefore, this communication seminar in health services was carried out. This activity was attended by 271 students from various universities in Indonesia. The outcome of this seminar is to improve communication skills, especially for students, to become better. The activity which took place on January 25 2024 went very well. This was reflected in the enthusiasm of the participants in the discussion session. In the presentation session, the material was delivered by a practitioner and lecturer at the STIKES Griya Husada Sumbawa Nursing Study Program, Mr. Nikodimus Margo Rinenggantyas, S.Kep, Ns., M.Kep.

Background: Errors in inputting medical record data are still found in health services. The phenomenon that occurs in the use of electronic medical records is still an obstacle for health workers due to the complexity of the system. So research to reduce errors in inputting electronic medical record data needs to be done. Aims: This study was conducted to examine errors in inputting medical record data. The error of medical record data is influenced by technological stress factors. In addition, technological stress which is a mediator variable is also influenced by three factors, namely technology that is realistically more advanced, compatibility and complexity. Methods: . Information collected through questionnaires distributed to health workers who meet certain criteria and using electronic medical records. A total of 200 individuals in the sample were selected, selected using nonprobability sampling techniques. To test the validity of the Strucktural Equation Model (SEM) Analysis used with the Amos method Results: The results of data analysis in this study show that technological stress has a positive impact on electronic medical record data errors. In addition, relatively more advanced technology and complexity also positively affect technology stress and compatibility negatively affect technology stress Conclusion: The application of technology for hospital administration must be easy to use without the need for more learning and compatibility between work, technology used, and people who use it to reduce stress on technology in order to facilitate the input of medical records.

In Indonesia, the Job Creation Law has had a major impact on workers, especially in terms of policies that tend to favor companies. The emphasis on labor flexibility and the ease with which companies can restructure can reduce job security, wages, and workers' rights. Inequalities in labor contract negotiations arise as the power differential between companies and workers widens. Thus, modern slavery practices often emerge to make workers feel marginalized. This is due to the lack of legal protection, which is detrimental to their health. Therefore, this study aims to provide an explanation of the effect of government regulation in the form of omnibus law and investment policies on the welfare of workers in terms of wages and working time. To achieve this goal, this research uses a political economy perspective with two derivative theories, namely the theory of oligarchy and neoliberalism. Then, in collecting data, this research will use the big data analytics method that will collect data containing tweets from Indonesians on social media X that contain certain keywords. This method consists of several stages consisting of data cleaning processing, data transformation into tabular form, and data visualization. Besides big data, this research also uses literature review methods to collect data from books, journals, and articles related to this research topic.

Clean and Healthy Living Behavior (PHBS) is a form of healthy living orientation in individual, family, and community culture, which aims to improve, maintain, and protect their health both physically, mentally, spiritually, and socially. PHBS Clean and Healthy Living Behavior aims to provide learning experiences or create conditions for individuals, groups, and families, by opening channels of communication, information, and education to improve knowledge, attitudes, and behavior so that people are aware, willing, and able to transmit clean and healthy living behavior. Healthy. Through PHBS, it is hoped that people can recognize and overcome their problems and can implement a healthy lifestyle by maintaining, maintaining, and improving their health. A preliminary survey of PBHS indicators in Lawe Loning Aman Village, Lawe Sigala-Gala District, Southeast Aceh Regency, revealed that there are still many people in Lawe Loning Aman Village, Lawe Sigala-Gala District, Southeast Aceh Regency who have not implemented PHBS. This research aims to analyze the impact of health promotion on changes in clean and healthy living behavior (PHBS) in the household environment in Lawe Loning Aman Village, Lawe Sigala-Gala District, Southeast Aceh Regency, in 2023. Meanwhile, for data collection, the type of research used is quantitative with this Quasi-experiment research design using one group pretest-posttest. The instrument used was an observation sheet which was distributed to 30 respondents. The results of data analysis show that health promotion has an impact on several changes, namely the behavior of weighing babies every month (p = 0.000), hand washing behavior (p = 0.000), the behavior of using clean water (p = 0.000), the behavior of using healthy toilets (p = 0.000), mosquito larva eradication behavior (p=0.000), fruit and vegetable consumption behavior (p=0.000), physical activity behavior (p=0.000), non-smoking behavior (p=0.005). Apart from that, two variables cannot be directly influenced by health promotion, namely delivery behavior with the help of health workers (p=0.489) and exclusive breastfeeding behavior (p=0.320). Based on the findings of this research, it is recommended that health workers and other health promotion organizers improve PHBS behavior in the home environment and again interventions can be carried out aimed at further improving hygiene to avoid various diseases.

This study explores the impact of community health workers (CHWs) on improving healthcare access for vulnerable populations. By examining programs in urban and rural settings, the research highlights how CHWs facilitate education, outreach, and navigation of healthcare services. The findings indicate that CHWs play a vital role in bridging gaps in healthcare access, ultimately leading to better health outcomes for underserved communities.

Anesthesia practice in Indonesia faces challenges related to the implementation of professional standards and ethics as well as legal issues that often arise. This study aims to examine the implementation of professional standards and ethics in anesthesia practice in Indonesia today and to identify legal issues that often occur and how to resolve them. This study uses a normative legal research method by analyzing primary and secondary legal materials. The results of the study indicate that although there are guidelines and codes of ethics that regulate anesthesia practice, their implementation in the field still faces obstacles such as lack of understanding of health workers, excessive workload, lack of support from hospital management, and less than optimal supervision and sanctions. Legal issues that often arise include negligence in administering anesthesia, lack of informed consent, violations of the professional code of ethics, and problems in the doctor-patient relationship. Efforts that have been made to overcome these problems include improving education and training, improving standard operating procedures, strengthening supervision and sanction mechanisms, developing non-litigation dispute resolution channels, improving communication and doctor-patient relationships, and increasing support from hospital management. However, these efforts are still not fully optimal and require further evaluation and improvement. The importance of individual awareness of each anesthesiologist to comply with professional standards and ethics and strengthening ethics education are also key factors. Close collaboration between various related parties is needed to improve the quality of anesthesia practice in Indonesia while prioritizing patient safety and welfare.    

Background: Hospitalization anxiety in children is quite large (60-80%), this is happen if a children had experienced unpleasant events. Hospitalization anxiety needs to be a special concern for health workers because this problem can interfere with the child's growth and development, the healing process and worsen the child's condition. Storytelling therapy for children has many benefits for developing imagination, empathy, establishing closeness, fostering interest in reading and becoming a medium of learning for children. Objective: This research aims to describe the process of providing story telling therapy to preschool aged in anxiety of hospitalization. Method: This study used a case study research design with 2 child patient subjects. The Visual Facial Anxiety Scale (VFAS) measured children's anxiety. This research was conducted in children's rooms at Kardinah Regional Hospital Tegal City. Results: Both research subjects experienced a decrease in hospitalization anxiety. Subject 1 experienced "moderate" became "none" anxiety scale.  Subject 2 experienced "moderate high" became "mild" anxiety scale.

Hypertension, often called the "silent killer," is a leading non-communicable disease contributing to high mortality and morbidity, particularly in the elderly. As individuals age, peripheral blood vessel elasticity decreases, increasing vascular resistance and leading to systolic hypertension, commonly seen in older adults. Hypertension requires long-term treatment, which can result in non-compliance among elderly patients. Family support plays a crucial role in assisting and encouraging adherence to treatment regimens. This quantitative correlation study, with a cross-sectional approach, aimed to examine the relationship between emotional family support and treatment compliance in elderly hypertensive patients. The study was conducted at the Sei Agul Health Center, with a sample size of 65 elderly individuals selected using the Slovin formula and purposive sampling technique in October 2023. The Morisky Medication Adherence Scale (MMAS-8) was used to measure treatment compliance, while the emotional support instrument was developed by the researcher. Data were analyzed using the chi-square test, showing a significant relationship between emotional family support and treatment compliance (p-value < 0.05). The findings conclude that emotional support from family positively influences the compliance of elderly patients undergoing hypertension treatment at the Sei Agul Health Center. Health workers are encouraged to involve families in supporting hypertensive patients to enhance treatment outcomes.

Providing Complementary Food with Breast Milk (MP-ASI) to babies must pay attention to the recommended Nutritional Adequacy Rate (AKG) based on age group and food texture that is appropriate to the development of the toddler's age. This research aims to determine the relationship between maternal knowledge and attitudes and the provision of complementary foods for breast milk (Mp-Asi) in children aged 6 - 24 months at the Laubaleng Community Health Center, Karo Regency in 2023. This type of research is research using an analytical survey with a cross sectional method approach. The population is all mothers who have children aged 6 - 24 months, totaling 46 people. The number of samples used was 46 people obtained using the total sampling technique. The data analysis technique uses chi square. The results obtained in this study were that from 46 respondents, there was a relationship between maternal knowledge and the provision of complementary foods for breast milk (MP-ASI) in children aged 6 - 24 months, showing that the p value = 0.023 < 0.05. It is recommended for Health Workers to increase education regarding Complementary Feeding for Breast Milk (MP-ASI).

This study aims to determine the effect of classical music therapy on pain intensity in active phase in-partu mothers during the first stage of labor at the Independent Midwife Practice of Pertiwi Sengkang, Wajo Regency. This type of research is quantitative research using the Pre-experimental design method "One Group pretest - posttest design". The sampling technique used in this study used total sampling with a total sample of 30 mothers giving birth at the Pertiwi Sengkang Midwife Independent Practice, Wajo Regency, while data analysis used the Wilcoxon Signed Rank test. The results of the study showed a p-value of 0.000 (p <0.05) which means that the alternative hypothesis is accepted. This means that the alternative hypothesis is that there is an effect of classical music therapy on pain intensity in active phase in-partu mothers during the first stage of labor at the independent practice of midwives in Pertiwi Sengkang, Wajo district. By him, it is hoped that health workers, especially midwives as birth attendants, can help mothers in childbirth to meet their needs for comfort in controlling pain and can use classical music therapy in the delivery process which helps mothers in labor to reduce pain during labor.

This journal discusses interventions carried out by social workers to treat someone who experiences anxiety disorders. Anxiety disorder is a type of mental health disorder such as feelings of fear, anxiety, restlessness and excessive worry that cannot be controlled and occur continuously so that they interfere with daily activities. There are many cases in Indonesia regarding people who have anxiety disorders. This must be treated and cannot be ignored, because if it is not treated, the sufferer will experience severe depression and even commit suicide. One of the professions responsible for this problem of social dysfunction is the social worker profession. Therefore, the aim of this journal is to explain the interventions carried out by social workers in treating someone who experiences anxiety disorders. This research method uses a qualitative approach with a literature study method. The social worker's intervention strategy uses the CBT (Cognitive Behavior Therapy) method which aims to eliminate the client's negative thoughts and be able to think rationally, apart from that, using behavior modification learning theory, namely systematic desensitization classical conditioning therapy by carrying out relaxation exercises so that the client is calmer when facing problems. conditions that make him anxious. The results of this research are interventions that social workers can carry out for people with anxiety disorders.

The prevalence of gout in Indonesia is the fourth largest country in the world whose population suffers from gout. 35% of gout occurs in men over the age of 45 years. Joint disease in those aged 55-64 years is 45%. Age 65-74 years 51.9%. Age ≥ 75 years 54.8%. The incidence of joint disease based on diagnosis by health workers in Indonesia is 7.3 and based on diagnosis or symptoms 24.7% (RISKESDAS, 2018). This type of research is quantitative using a quasi-experimental research method with pre-test and post-test with control methods. The population of all elderly people suffering from gout who underwent examination and treatment in the Batu Aji Health Center UPT area, namely 140 people as of April 2021. The number of samples in this study was 30 people, divided into 15 elderly people in the experimental group and 15 elderly people in the experimental group. Control. Based on the results of research and data processing that has been carried out by researchers, regarding the effect of boiling bay leaf water on reducing uric acid levels in the elderly in the Batu Aji Health Center UPT area, Batam City in 2021 with a total of 30 respondents, consisting of 15 intervention groups and 15 control groups . The research carried out not only provides conclusions but also provides suggestions to various parties to help improve health and prevent complications in gout patients.

Background: To achieve optimal use of exclusive breastfeeding, it is stated in the Government Regulation of the Republic of Indonesia number 33 of 2012 concerning exclusive breastfeeding that health workers and health service facility providers are obliged to provide information and education on exclusive breastfeeding to mothers and/or family members. of babies who are cared for from the pregnancy check up to the end of the exclusive breastfeeding period. Method: The research carried out was a Narrative Literature Review (NLR). Results: There were 10 selected scientific articles ranging from 2017 to 2023. To increase the success of exclusive breastfeeding, appropriate health promotion strategies are needed, such as creating special Standard Operating Procedures (SOPs) for the promotion of exclusive breastfeeding, the availability of media and educational tools such as posters, leaflets, and providing training for health workers to increase the knowledge of health workers, especially midwives, as close contacts in providing counseling during pregnancy, postpartum and newborns. Conclusion: Health promotion during pregnancy can increase the success of exclusive breastfeeding.    

Non-Communicable Diseases (NCDs) such as hypertension, diabetes mellitus and heart disease are the main causes of morbidity and mortality in the elderly (elderly). The elderly need early detection and health promotion to reduce the risk of NCD complications and improve quality of life. This activity aims to increase awareness and understanding of elderly people in Barusari Village regarding the importance of early detection and control of NCDs, as well as providing health education through community-based health promotion. Implementation Method: Free Health Check: Carry out a health check to detect early signs of NCDs, such as measuring blood pressure, blood sugar levels, and checking cholesterol. Community-Based Health Promotion: Holding a health promotion campaign involving community leaders, elderly families, and health workers to create an environment that supports a healthy lifestyle for the elderly. Results: Increased public awareness about the importance of early detection and prevention of NCD complications. Elderly people who take part in health checks gain knowledge about their health conditions and are given referrals to health facilities if necessary. Conclusion: This activity was successful in increasing elderly participation in early detection and health promotion, as well as forming a community that is more concerned about controlling NCDs in the elderly group.

Anemia is a condition of hemoglobin (Hb) levels in the blood (Hb<11gr/dl) which is caused by a lack of nutrients needed for the formation of Hb. This research aims to determine the factors that influence the incidence of anemia in pregnant women in the third trimester at the Laubaleng Community Health Center, Karo Regency in 2023. This type of research is research using an analytical survey with a cross sectional method approach. The population is all pregnant women in the third trimester of the Laubaleng Community Health Center, Karo Regency, namely 58 people. The number of samples used was 58 people obtained using the total sampling technique. The data analysis technique uses chi square. The results obtained in this study were that from 58 respondents, there was an influence between maternal age and the incidence of anemia in third trimester pregnant women, showing that the p value = 0.001 < 0.05. There is an influence between maternal education and the incidence of anemia in pregnant women in the third trimester, showing that the p value = 0.021 < 0.05. There is an influence between maternal knowledge and the incidence of anemia in pregnant women in the third trimester, showing that the p value = 0.010 < 0.05. There is an influence between maternal parity and the incidence of anemia in third trimester pregnant women, showing that the p value = 0.038 < 0.05. It is recommended for health workers to increase education regarding anemia in pregnant women.

To achieve recovery, TB sufferers must have self-confidence about how serious the condition and symptoms of the disease are and the impact on daily life. So that TB sufferers are able to carry out treatment for a long period of time and TB sufferers have the confidence to recover from the disease. The aim to be achieved in this research is to analyze the success factors for treatment of pulmonary TB sufferers at the Imelda Workers Indonesian RSU in 2023. This type of research uses a descriptive analytical survey with a cross sectional design. The population in this study were all category I pulmonary tuberculosis patients who visited the Imelda Workers Indonesian Hospital from January to September 2023, a total of 118 people were sampled using the accidental sampling method while the sample was 91 people. Data analysis was carried out using univariate, bivariate and multivariate analysis. Based on the results of the chi-square test, it is known that patient success influences knowledge, family support, supervision of taking medication and support from health workers with a value of p = 0.001, meaning that there is an influence of knowledge, family support, supervision of taking medication and support from health workers on the success of TB treatment. Lungs. From the results of the multivariate analysis, it is known that the most influential variable in this study is the medication monitoring variable with an OR value of 15.104. The conclusion in this study is that medication-taking supervisors are the dominant factor influencing the success of pulmonary TB treatment at the Indonesian Imelda Workers RSU. The advice given is in the form of instructions for using a daily insulated medicine box, using a smart calendar during treatment which is brought to you every time you come for treatment and in the current digital era, using the mHealth application is also very helpful in providing TB information notifications and reminders to take medication regularly for sufferers and PMOs.

Immunization is an act of providing immunity to children against diseases that can be prevented by immunization before the age of 12 months, namely tuberculosis, polio, hepatitis B, diphtheria, pertussis, tetanus and measles. Complete and regular basic immunization by receiving all types of basic immunization when children are less than 11 months old can reduce morbidity and mortality rates for toddlers by around 80-95%. Incomplete basic immunization, maximum can only provide 25-40% protection. The role of a mother in the immunization program is very important, because the use of health facilities by babies/children is related to factors that influence the mother. The aim of this study was to determine the relationship between factors that influence mothers on basic immunization status in babies aged 12-24 months. This research uses a descriptive correlation design with a cross sectional approach. The number of samples in this study was 40 people. Sampling was taken using the total population. This research was conducted in Nauli Village, Sigumpar District, Toba Regency in 2023. The instrument in this research was a questionnaire. Data analysis used chi-square. From the research results, it was concluded that there was a significant relationship between maternal age with a value of p=0.001, education with a value of p=0.004, employment with a value of p=0.001, number of children with a value of p=0.000, and knowledge with a value of p=0.000 on basic immunization status . From this research, it is hoped that health workers will improve the quality of health services, health promotion efforts in the form of social support, namely improving the quality of health education, providing motivation in utilizing health services, especially immunization.

Background: Cervical cancer is the fourth most common disease of the female reproductive system worldwide. The incidence of cervical cancer in the world is entering a critical period, where every year the incidence of cervical cancer is increasing. Until now, cervical cancer is the leading cause of death in developing countries. Aim: To find out about women's knowledge and attitudes towards cervical cancer. Method: Scoping review using Arksey and O'Malley frameworks, using databases from PubMed, EBSCO and Wiley. Result: A total of 14 articles from 2016-2021 used critical appraisal from JBI (Joanna Briggs Institute). Women's knowledge and attitudes towards cervical cancer have six themes. The first theme is knowledge about cervical cancer which consists of knowledge about risk factors, signs and symptoms and early detection of cervical cancer. The second theme is the attitude of women towards cervical cancer consisting of positive and negative attitudes. The third theme is the factors that influence knowledge consisting of age, education, family income and sexual frequency. The fourth theme of factors that influence attitudes is age and education. The fifth theme of information sources consists of mass media, family and friends, health workers and health services. Theme six is the barriers to accessing information and services consisting of a lack of awareness and the high cost of vaccination. Conclusion: Knowledge about cervical cancer in women is still low. Women only have a general idea of cervical cancer. However, women show a good attitude about cervical cancer screening, because cervical cancer can cause death and if early diagnosis of the disease is very helpful in preventing disease.      

Pregnancy and childbirth are natural events. Even though it is a natural event, sometimes pregnancy and childbirth are accompanied by risks in the form of complications for both the mother and baby. Complications of pregnancy, childbirth and postpartum are major health problems for women's health, because they are the biggest cause of maternal and infant mortality. The aim of this service is to socialize the importance of pregnancy checks to health workers in order to detect early danger signs of pregnancy. Data was collected through initial data observation and analysis of documents related to the socialization program. The results of this service activity show that the socialization program has been implemented well for pregnant women in the Kamonji Community Health Center working area and it has been proven that Antenatal Care visits have increased. During the process of this activity there were several obstacles such as pregnant women who were not willing to come to the activity location, pregnant women who happened to be busy with the socialization activity schedule. The final results show that pregnant women are aware of the importance of carrying out pregnancy checks with health workers to find out the danger signs of pregnancy. This activity is routinely carried out on an ongoing basis so that it can support health policy programs.