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The Covid-19 pandemic has had a huge impact on the tourism sector. Private business entity workers are one of the segments in JKN participation affected by the Covid-19 pandemic.Research is a qualitative research that aims to explore information about the sustainability of the JKN program for private workers during the Covid-19 pandemic.Variables are explored regarding attitudes towards JKN contributions, attitudes towards health care facilities, attitudes towards BPJS Kesehatan and perceived of behavior control. Data collection was carried out by conducting indepth interviews with 2 people who were representatives of 2 private business entities appointed to manage JKN participation for workers.

Abstract Nurse work stress is a condition of the subjective outcome of an individual's life that can be an interaction between an individual and the working environment that can threaten and stress the psychological, physiological, and behavioral behavior of a nurse. Working stress has a negative impact on workers' physical and mental health, decreased performance, lack of career development, and loss of employment. The aim of this study is to find out the relationship between the conflict of double roles and work stress in female nurses at Bhayangkara Hospital, Manado. Research uses analytical descriptive research methods using cross sectional research design. 43 Subjekts were sampled using purposive sampling. Data collection using questionnaires. Analysed with Chi Square statistical tests. Results of the study age of 26-35 years 31 Subjekts (72.1%), the length of work 1-5 years 34 Subjekt (79.1%), number of children 1 child 22 Subjekts (51.2%). The result of the chi square test is given a p value of 0.022, where < α 0.05. The conclusion in this study is that there is a relationship between conflict of double roles and work stress in women nurses at Bhayangkara Hospital, Manado. It is hoped that the hospital will pay attention to the mental health of nurses to improve the quality of services.

Littering has become a problem for environmental hygiene and health threatening people in the red zone. It is feared that it becomes a seductive ethic. The ward head serves as a local government geographically a territory closer to the community being led. As a result of his hand being extended to assist his duty, which includes the administration of environmental order and security surveillance and the dynamics of community life has been observed and faced by the ward's head. The study was aimed at getting information from a facto face perspective on the ethics of the environment community concurred with government policy on keeping the environment clean, including the disposal of trash in its place. This method of research uses qualitative research using data collection techniques through semi structured interviews. The results showed that there was no crucial problem with the people's ethic of removing garbage and local governments had undertaken socialization to maintain community hygiene and that garbage disposal workers had been radiating governments to help transport the garbage on a regular basis. The community's ethical cooperation and the attention of the government have succeeded in turning the neighborhood into a green zone on environmental hygiene.

Exclusive breastfeeding for 6 months and continuing for 2 years in addition to providing adequate complementary foods (MP ASI) has been proven to be an effective intervention that can reduce infant mortality. This study aims to determine the relationship between oxytocin massage and breast milk production in postpartum mothers at the Madiri Rimenda Br Tarigan Midwife Practice, Medan Denai District in 2023. This type of research is research using an analytical survey with a cross sectional method approach. The population was all post partum mothers who visited the Madiri Rimenda Br Tarigan Midwife Practice, Medan Denai District, totaling 34 people. The number of samples used was 34 people obtained using the total sampling technique. The data analysis technique uses chi square. The results obtained in this study were that from 34 respondents, there was an effect of oxytocin massage on breast milk production in postpartum mothers, showing that the p value = 0.000 < 0.05. It is recommended for Health Workers to increase education regarding Exclusive Breastfeeding.

The most common anemia in pregnancy is iron anemia, this is caused by a lack of iron intake in food due to reabsorption disorders, digestive disorders and bleeding. This research aims to determine the relationship between family support and compliance with pregnant women in consuming Fe tablets at PMB Lismayani Lubis, Simalungun Regency in 2023. This type of research is research using an analytical survey with a cross-sectional method approach. The population is all 46 pregnant women visiting PMB Lismayani Lubis, Simalungun Regency. 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 family support and compliance with pregnant women in consuming Fe tablets, showing that the p value = 0.012 < 0.05. It is recommended that health workers increase education regarding the administration of Fe tablets to pregnant women.

The importance of K3 aspects in docking activities not only includes individual safety, but also has a direct impact on productivity and operational continuity. Accidents or incidents that occur during the docking process can not only threaten the lives and health of workers, but can also cause detrimental environmental impacts and hinder the smooth running of the supply chain. The HIRARC method allows identifying various potential hazards that may be associated with an activity or work environment. This approach involves data collection, situational analysis, and determining appropriate mitigation measures. From the results of the identification carried out during ship docking activities at PT. Pelindo Marine Service has 14 activities that have potential danger. With 4 activities that have very low risk, namely maintenance and repair activities in the engine room, ship maintenance in closed rooms, maintenance and repairs in the electrical room, and manual lifting of heavy materials. Then there are 5 activities with low risk, including welding process activities in open spaces, carrying out repair work at height, operating cranes, cleaning ship rooms, and plate cutting (LPG gas cutting) and material grinding processes. 3 activities with medium/medium risk, namely working around waters, working/standing around ships, and stuffing/stripping activities. And there is 1 activity with high risk, namely the ship maintenance process using the welding process in a closed space and 1 activity with very high risk, namely the activity of filling gas cylinders (for cutting and welding equipment). The risks faced include slipping, falling, scratches, shortness of breath, weakness, eye irritation, injuries, minor injuries, serious injuries, sprains, burns, fractures, electrocution and others. And the efforts made to control the risks above include using Personal Protective Equipment with discipline, working according to SOPs, installing K3 signs, providing fire extinguishers, regular inspections and implementing a good ventilation system. Based on the results of risk identification in ship docking activities at PT. Pelindo Marine Services. The importance of effective and continuous implementation of K3 in ship docking activities, in order to maintain the safety, health and welfare of workers and minimize negative impacts on company operations

Children require special attention as the nation's next generation. The World Health Organization stated that the maternal mortality rate worldwide in 2019 was around 295,000 women who died during and after pregnancy and childbirth. The majority (94%) of maternal deaths occur in low and middle income countries (WHO, 2020). At the 2020 National Working Meeting, the maternal mortality rate in Indonesia in 2019 was still 305 per 100,000 live births (Ministry of Health of the Republic of Indonesia, 2020), which is still high when compared to Indonesia's target in the Sustainable Development Goals (SDGs) in 2030, namely 70 per 100,000 live births. (Pusdatin, 2019). The Sustainable Development Goals (SDGs) era began in 2019 with a program to reduce pregnancy-related morbidity and mortality rates, the achievements of which are still very high in the world. The World Health Organization (WHO) projects that every pregnant woman and newborn needs quality care from pregnancy to the postpartum period. Prenatal care in Indonesia plays an important role in providing quality care, because antenatal care includes elements of health promotion, screening, diagnosis and disease prevention. Indonesia is currently one of the 13 countries with the highest proportion of maternal mortality rates in the world. The high maternal mortality rate is caused by complications during pregnancy. According to the World Health Organization (2019), around 287,000 mothers died due to complications during pregnancy and childbirth, such as bleeding 28%, preeclampsia/eclampsia 2%, infection 11%, and indirect causes (2019), obstetric trauma) 5%. Efforts made to minimize and prevent complications during childbirth are to carry out routine pregnancy checks. Antenatal Care (ANC) is a planned program in the form of observation, providing education and treatment for pregnant women to achieve a safe and satisfactory pregnancy and birth. Antenatal pregnancy checks are the frequency of pregnancy checks at existing health facilities, namely doctors, midwives, health centers, hospitals and other private health facilities. Antenatal examinations should be carried out at least four times during pregnancy, namely once in the first trimester, once in the second trimester and twice in the third trimester (Ministry of Health, 2017). Antenatal examination is a follow-up for pregnant women to prepare physically and mentally and save the mother and baby during pregnancy, childbirth and postpartum (Ministry of Health of the Republic of Indonesia, 2018). The importance of pregnancy checks through prenatal examinations, because in general pregnancies proceed normally, but with increasing gestational age it tends to cause dangerous complications (Rukiyah, 2013). Pregnancy checks are important to ensure that the natural process of pregnancy can run normally and continue so that pregnant women have a healthy and safe pregnancy. It is estimated that around 15% to 20% of all pregnant women will experience high risk conditions and obstetric complications that threaten the lives of both mother and fetus if not treated properly. Indonesian Ministry of Health, 2021). OBJECTIVE To analyze the factors related to Antenatal Care Visits at the Corah Pratama Clinic, Munte District, Karo Regency in 2023. METHOD chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. RESULTS There is a relationship between age, knowledge and antenatal care visits at the Corah Pratama Clinic, Munte District, Karo Regency in 2023 and there is no relationship between parity and support from health workers and antenatal care visits at the Corah Pratama Clinic, Munte District, Karo Regency in 2023.

Anaemia is a public health problem that occurs throughout the world, especially in developing countries such as Indonesia, the prevalence of anaemia in women of reproductive age between the ages of (15-49) in the world in 2019 ranged as much as 29.9%. This study aims to determine the relationship between menstrual pattern variables and the incidence of anaemia. The design of this study was cross sectional. The sample in this study was 100 respondents. The hypothesis test used was the Chi-square test. The results of this study are that there is a significant relationship between menstrual patterns and the incidence of anaemia in adolescent girls at SMPN 6 Tapung Kampar Regency in 2023, the value of P value = 0.002 OR (95% CI: 1.778-9.87), and there is a significant relationship between menstrual patterns and the incidence of anaemia in adolescent girls at SMPN 6 Tapung Kampar Regency. It is expected for health workers to be able to make creative and innovative policies in the prevention of anaemia through increasing health education and promotion in schools and fostering the PIK-KRR program (Adolescent Reproductive Health Information and Counseling Center) and UKS (School Health Unit), as well as facilitating adolescents to participate.

This Community Service Program aims to provide information about the legal protection of doctors, and health workers in providing optimal health services. The results of community service outline various factors such as workload, availability of medical facilities and equipment, as well as policies that value work-life balance, into important aspects discussed. In overcoming the challenges of high workloads and maintaining quality of services, it is important for hospitals and relevant stakeholders to create a supportive environment, including providing adequate facilities and implementing policies that take into account doctors' work-life and personal life balance. The benefits of this program provide richer insight into legal protection issues and convenience in practicing medicine in hospitals and their impact on the quality of health services provided by doctors.

Introduction: third-trimester pregnant women at the Karangdoro Health Center in Semarang experience anxiety in facing labour. Stress due to anxiety about facing labour impacts the length of the labour process and the welfare of the fetus. Providing CIE can increase mothers' knowledge and reduce the appearance of psychosocial factors such as ignorance and lack of attention from health workers, which have a negative impact, so that pregnant women are better prepared and anxiety in facing childbirth can be minimized. Objective: to determine the effectiveness of CIE preparation for delivery to reduce anxiety in third-trimester pregnant women facing labour. Method: This study used a quantitative method with a quasi-experimental type of research and a one-group pretest-post-test design. Population: all third-trimester pregnant women at the Karangdoro Health Center Semarangfrom June to July 2023 with 62 respondents. Sample: The sampling technique used accidental sampling and obtained a total sample of 54 respondents. Results: The results of the study were that Communication Information Educational (CIE) for childbirth preparation was effective in reducing anxiety in third-trimester pregnant women facing labour with a value of 0.00 (<0.005), where every single delivery of CIE for childbirth preparation can make third-trimester pregnant women potentially 6,280 times more likely to experience a decrease in the level of anxiety in facing childbirth (Z = 6,280). Of the 54 respondents, 52 (96.3%) experienced a decrease in their level of anxiety, there were no (0%) respondents who experienced an increase in their level of anxiety, and there were 2 (3.7%) respondents with a constant level of anxiety.

K3 system for radiation workers in the conventional radiology room at TK II Pelamonia Makassar. The aim of this research is to determine the completeness and compliance of radiation workers in implementing K3. The K3 system in the Conventional Radiology Room at Tk II Pelamonia Makassar is to use PPE aprons when the radiation is carried out. The PPE apron is used only if the patient requires assistance during the radiation. Radiographers also carry out occupational safety and health training and carry out routine health checks carried out by hospitals. When the radiation is carried out, the radiographer stands behind a wall/screen coated with Pb. Radiographers also always use TLD when on duty or carrying out radiation.

Introduction : Smart hospital is an emerging and fast-developing innovation in the context of a rapid increase of internet users, an increasing demand for high-quality medical resources, and an aging population worldwide. It generally involves the use of the optimized and automated processes built on an information and communications technology (ICT) environment, especially based on the Internet of things (IoT), to offer assessment, consultation, direct treatment, services, and integrated care. This innovation has the potential and has already gained initial evidence to improve healthcare access, efficiency, or even effectiveness. Yet, along with these positive impacts and promises, a number of issues and challenges also appear.Methods: Study This is study quantitative with design survey research. Study This done on the month of June 2023. Instruments used in study This use questionnaire with the HOT-Fit method consisting of the 47 questions divided in 6 groups question namely: Human, Organization, Technology, Knowledge Users Regulations and Benefits. Subject for this study is hospital managers, administration staff and health workers. Data analysis using analysis multivariate .Result: 22 hospital state that digitization service health to a very smart hospital important one of them is applied For increase quality service House hurts and improves satisfaction patient. In application of smart hospital Sick need integrate between technology, service and regulation.Conclusion : Smart hospitals can influence health and medical policies and create new medical values by defining and quantitatively measuring detailed indicators based on data collected from existing hospitals. Simultaneously, appropriate government incentives, consolidated interdisciplinary research, and active participation by industry are required to foster and facilitate smart hospitals.   Keywords: ,   

Proper complementary nutrition is critical for child growth. Currently, UPF consumption is common, affecting IYCFP, where many older persons use CCF. Indeed, CCF has a negative impact on children's growth and development. Many factors contribute to this, one of which is a lack of assistance from other health providers, especially midwives. In Indonesia, midwives are the primary health workers that offer direct care to mothers. According to several sources, midwives continue to provide little support in this area due to insufficient experience and expertise. The purpose of this study is to determine the level of awareness of UPF and ICYFP among midwives. The method employed is a hybrid strategy that employs successive explanation strategies. 114 midwives participated in the online study in 2022. The results of this study showed that there are still many midwives who do not know about UPF and IYCFP education and advocacy. There needs to be government support to conduct comprehensive education in the health sector, including midwives.

Background:The high number of cases of death due to cervical cancer in Indonesia is exacerbated by the arrival of sufferers to health services at an advanced stage of > 70%. Efforts can be made to reduce risk factors for cervical cancer through primary prevention efforts. Purpose:The aim of community service is to increase teenagers' knowledge and attitudes about cervical cancer, with educational methods through audiovisual media. Method: This community service is carried out through audiovisual method counseling. This activity begins with identifying knowledge and attitudes or a pre-test about cervical cancer. The activity continued with counseling using video media about preventing cervical cancer and a post test after the counseling was carried out in one room in the School. Result: The level of knowledge before education was mostly sufficient 72 people (72%) and the attitude category was sufficient 70 (70%). After education there was a good increase in knowledge from 28 (26%) to 91 people (91.0%), while attitudes also existed an increase from 5 people with good attitudes to 87 people (87%). Conclusion:It is hoped that health workers will increase educational activities using audio-visual methods about cervical cancer. The public, especially young women, are expected to seek information from print and electronic media about cervical cancer.  

ABSTRACT The high number of cases of death due to cervical cancer in Indonesia is exacerbated by the arrival of sufferers to health services at an advanced stage of > 70%. Efforts can be made to reduce risk factors for cervical cancer through primary prevention efforts. The aim of community service is to increase teenagers' knowledge and attitudes about cervical cancer, with educational methods through audiovisual media. The level of knowledge before education was mostly sufficient 72 people (72%) and the attitude category was sufficient 70 (70%). After education there was a good increase in knowledge from 28 (26%) to 91 people (91.0%), while attitudes also existed an increase from 5 people with good attitudes to 87 people (87%). The Wilcoxon test results obtained a significant value (p) of 0.000, it can be concluded that cervical cancer prevention education is effective through audio-visual for young women. .It is hoped that health workers will increase educational activities using audio-visual methods about cervical cancer. The public, especially young women, are expected to seek information from print and electronic media about cervical cancer.

Postpartum infections, such as sepsis, are still the main cause of maternal death in developing countries. This study aims to determine the relationship between knowledge about personal hygiene and perineal wound healing in post-partum mothers at the Batang Jambu Pratama Clinic, Sidodadi Village in 2023. The research method used is an analytical survey with a cross-sectional approach. The population was all 32 post partum mothers with birth canal lacerations, and all of them were used as research samples. The results of the research show that there is a relationship between knowledge about personal hygiene and healing of perineal wounds in post-partum mothers, seen from the results of the chi-square test, which showed a p value of 0.003 < 0.005. It is hoped that health workers at the Batang Jambu Pratama Clinic will provide counseling to post partum mothers about personal hygiene so that mothers get information about how to carry out personal hygiene correctly so that perineal wounds can heal in <6 days.

Since the outbreak of the corona virus-19 has made it difficult for all health workers and even lack of rest, causing many health workers to be vulnerable and easily experience stress at work. The purpose of this study was to assess the effect of workload, availability of PPE facilities and organizational support on the work stress of health workers who treat COVID-19 patients at our family hospital. This research was conducted from February 2021 to June 2021. The type of research carried out was explanatory research with quantitative methods. This research was conducted at the Kita Family Hospital with a total of 172 respondents. From the research conducted, it was found that there was an effect of workload, availability of PPE facilities, organizational support, and division of labor on the work stress of health workers who partially handle Covid-19, so it can be concluded that an even distribution of tasks and in accordance with competence will reduce stress. the work of health workers who handle Covid-19 during the pandemic by ensuring the availability of appropriate and sufficient PPE, providing good support, appreciating the efforts and work of health workers, paying attention to the welfare of health workers.

Work stress is one of the main concerns regarding occupational health and safety for the workforce's well-being and health issues. It has been estimated that half of the workforce's absences and occupational accidents at work were caused by work-related stress disruptions. This research aimed to find out the relationship between work stress and occupational accident in the workforce of the harvester palm oil unit. This research was an observational analytic research with a cross-sectional approach. The result of this research showed that there is a positive relationship between work stress and the risk of occupational accidents. Statistical analysis using the Chi-Square test obtained a p-value of 0.005 compared to the degree of significance (p-value <0.05). The recommendations for the company could be used as a reference to train the occupational health and safety workers unit to increase awareness of occupational health and safety.

Stroke is still the main cause of disability in the world. The impact of a stroke relies heavily on the location and extent of damage, and age. Post-stroke is the most difficult period for patients in they personal care. Family support is essential to increase confidence for rehabilitation in post-stroke patients. Rehabilitation  in post-stroke patients is done so that post-stroke patients are able to perform daily activities independently. The aims of this study to determine the relationship family support with increasing muscle strength rehabilitation in  post-stroke adult. The Method : This research was an analytical observational and was conducted in Bukittinggi City on July, 2023. The variables studied family support with muscle strength. This research is a quantitative research with Cross-sectional design. The population in this study were post-stroke patients 50 people and the sample amounted to 42 respondent. Results : The result of this research shows that there is a strong relationship between family support and increasing muscle strength in rehabilitation p-value 0.006<0.05. The conclusion is family support has impact to inceasing muscle strength rehabilitation of post-stroke adult patients. It is recommended for health workers to provide counseling to improve family support in curing stroke patients. The study confirms the importance of family support in terms of information support and awards support to the quality of life of patients with post-stroke.

One of the preventive measures to prevent infectious diseases is the implementation of family PHBS. Family PHBS includes giving birth assisted by health workers, giving the baby exclusive breast milk, weighing the baby every month, the baby getting basic immunizations, using clean water, the family following the family planning program, hypertension sufferers taking medication regularly, TB sufferers being treated regularly, all family members registered with JKN , family members with mental disorders are not neglected, use healthy latrines, and do not smoke in the house.