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Indonesia is one of the countries with a high rate of hoax news dissemination in the world, particularly through social media, which has a wide reach and high speed of information distribution. This phenomenon poses serious challenges to information literacy and the quality of democracy, requiring collective efforts to address it. One emerging initiative is citizen journalism conducted through the Instagram account TurnBackHoax.id, managed by the Indonesian Anti-Slander Society (MAFINDO). This study aims to identify the elements of citizen journalism developed by this account in preventing the spread of hoax news. The research method used is descriptive qualitative, with the primary data source being posts on the TurnBackHoax.id Instagram account. Data were analyzed to uncover the roles, processes, and strategies used by the account managers. The results show that the account managers are ordinary citizens who are members of MAFINDO, not professional journalists, but have received training in identifying and verifying suspected hoax information. They utilize reports from the public, source tracing, and digital verification techniques to determine the authenticity of news. The TurnBackHoax.id account actively publishes its findings on social media, complete with explanations and evidence to confirm whether information is factual or hoax. Research findings indicate that identified hoaxes cover a wide range of areas, including social, cultural, political, and economic issues. This activity reflects the practice of citizen journalism, which positions the public as active subjects in the production and distribution of accurate information. In conclusion, TurnBackHoax.id plays a significant role in building a healthy information ecosystem in Indonesia. This initiative demonstrates that active citizen participation in journalism can be an effective strategy to reduce the spread of hoaxes, improve digital literacy, and strengthen community resilience to disinformation.

The Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are critical indicators in assessing the quality of public health services. In 2024, both MMR and IMR in Lamongan Regency remained relatively high, indicating the need for strengthened health interventions. Health workers, especially midwives, play a vital role in improving maternal and child health. One of the government’s strategies to reduce maternal and infant mortality is expanding midwife service coverage at primary health facilities and ensuring the presence of village midwives as the frontline providers across the region. Village midwives are expected to meet established service standards to ensure the quality of maternal and child health care. Service effectiveness and efficiency are commonly measured through indicators such as first antenatal visit coverage (K1), fourth antenatal visit coverage (K4), postpartum visit coverage (KF3), and delivery assistance by health workers. However, in Lamongan Regency, the performance of village midwives has not been optimal, with several indicators falling short of set performance targets.This study aimed to analyze the relationship between the quality of work life and the performance of village midwives in Lamongan Regency in 2025. The research used a quantitative method with a cross-sectional study design. The study population comprised all village midwives in Lamongan Regency, with a sample of 80 respondents selected randomly. The independent variable in this study was the quality of work life, while the dependent variable was village midwife performance. Data were collected through questionnaires and analyzed using the chi-square statistical test. The results showed no significant relationship between the quality of work life and the performance of village midwives in Lamongan Regency in 2025. These findings suggest that other factors beyond work life quality may influence midwives’ performance.  

The Clean and Healthy Living Behavior (PHBS) movement serves as a benchmark in health development efforts to improve community behavior. An individual’s health status is closely related to their behavior—the better the health-related behavior, the better the health status. This community service project aims to explore the knowledge and behavioral quality of PHBS among coastal communities in Labuan Sumbawa Village, specifically in Padak and Pasir hamlets, where all residents were the target population of the program. The implementation was carried out through a door-to-door approach, supported by undergraduate students from the Nursing and Public Health study programs. The activity was integrated with the subjects they had studied in class, namely Health Promotion, Health Education, and Community-Based Health Promotion in Coastal and Remote Areas. The expected outcomes of this community service include the application of PHBS practices in daily life, particularly in the household setting. Community members are expected to adopt handwashing practices before and after activities, especially after defecating, urinating, and before eating.

Cough and flu are common health problems experienced by the public, with high prevalence across various age groups. The widespread practice of self-medication in the community highlighted the need for proper education regarding the rational and appropriate selection of medications. This educational activity was conducted at two strategic locations: the Car Free Day (CFD) in Solo and Taman Jaya Wijaya in Mojosongo. The method involved direct socialization, distribution of educational leaflets, and interactive question-and-answer sessions. The education focused on the differences between dry and productive coughs, appropriate medication choices, flu medicine content, and the use of natural remedies such as herbal treatments. A total of 41 participants from diverse backgrounds joined the activity enthusiastically. The results showed an increase in public understanding of cough classifications, medicine components, and the importance of reading drug labels before purchase. The sessions also emphasized the need to match medications with symptoms and advised consulting healthcare professionals if symptoms did not improve within three days. Positive responses from participants indicated that direct education effectively raised awareness and encouraged more rational and safe self-medication practices.

Cough and flu are common health problems experienced by the public, with high prevalence across various age groups. The widespread practice of self-medication in the community highlighted the need for proper education regarding the rational and appropriate selection of medications. This educational activity was conducted at two strategic locations: the Car Free Day (CFD) in Solo and Taman Jaya Wijaya in Mojosongo. The method involved direct socialization, distribution of educational leaflets, and interactive question-and-answer sessions. The education focused on the differences between dry and productive coughs, appropriate medication choices, flu medicine content, and the use of natural remedies such as herbal treatments. A total of 41 participants from diverse backgrounds joined the activity enthusiastically. The results showed an increase in public understanding of cough classifications, medicine components, and the importance of reading drug labels before purchase. The sessions also emphasized the need to match medications with symptoms and advised consulting healthcare professionals if symptoms did not improve within three days. Positive responses from participants indicated that direct education effectively raised awareness and encouraged more rational and safe self-medication practices.

The COVID-19 pandemic has accelerated the vaccination program in Indonesia as an effort to mitigate the health crisis. However, this emergency has also opened up opportunities for the widespread circulation of illegal and counterfeit vaccines, threatening public safety. This article aims to analyze the legal implications of this phenomenon through a normative-empirical approach using case studies. Three main cases are analyzed: the 2016 national counterfeit vaccine case, the 2021 illegal COVID-19 vaccine sales case in North Sumatra, and the falsification of COVID-19 vaccine certificates that occurred between 2021 and 2022. The analysis focuses on identifying legal loopholes, weaknesses in the oversight system, and their consequences for human rights protection and the integrity of public health programs. The results show fragmented oversight of vaccine distribution, weak transparency in the vaccine supply chain, and legal sanctions that have not provided a significant deterrent effect on perpetrators of health crimes. These conditions not only threaten individual safety but also undermine public trust in the national vaccination program. Inconsistent law enforcement and weak inter-agency coordination have exacerbated the situation. Therefore, efforts are needed to strengthen stricter regulations, increase synergy between supervisory and law enforcement agencies, and secure an integrated and transparent health information system. These measures are expected to ensure the security of vaccine distribution and enhance the accountability of the vaccination program in Indonesia, thus optimally protecting the public's right to health.

Dengue Hemorrhagic Fever (DHF) remains a significant public health challenge in Indonesia, with the increasing prevalence of cases every year. One of the key methods of controlling the spread of DHF is to target the vector, Aedes aegypti mosquitoes, by eradicating their larvae. However, the widespread and continuous use of chemical larvicides has raised concerns regarding the development of mosquito resistance and environmental pollution. This community service activity aimed to provide students at Duta Karya Vocational High School with knowledge and practical skills to use natural, eco-friendly alternatives for controlling mosquito larvae, focusing on papaya seeds (Carica papaya) and alum as natural larvicides. The methods for this activity included interactive counseling, a demonstration on how to produce larvicides using papaya seeds and alum, and an engaging question-and-answer session. Thirty 12th-grade students from the Pharmacy class participated in this activity. The results revealed that the activity was highly effective in increasing the students' understanding and practical ability to independently create and apply natural larvicides. The students expressed a high level of enthusiasm and interest in the topic, actively participating in the discussions and demonstrations. As a result of this community service, the school has expressed interest in incorporating this activity into its School Health Unit (UKS) work program, which will further promote the use of natural, sustainable methods for controlling mosquito populations. The students, now equipped with the necessary skills, are ready to become "jumantik" cadres—community health volunteers responsible for monitoring and preventing mosquito larvae development. This initiative also raised awareness about utilizing organic waste, such as papaya seeds, to create valuable products for the prevention of DHF.

Stunting remains a chronic nutritional issue and a significant public health challenge in Indonesia, particularly in rural areas such as Jurang Village, Temanggung Regency. One of the key contributing factors to the high prevalence of stunting is the low level of maternal knowledge regarding balanced nutrition and the appropriate practice of providing supplementary feeding (Pemberian Makanan Tambahan or PMT) for children under five. This study aims to evaluate the effectiveness of PMT menu leaflet media as a tool to increase mothers’ knowledge and awareness regarding stunting prevention. The research was conducted through a series of community-based surveys during Posyandu (integrated health post) activities across several neighborhood units (Rukun Warga or RW). These surveys identified cases of stunting and assessed the educational needs of mothers with young children. Based on the findings, a culturally and contextually adapted leaflet was developed, containing essential information about stunting, its early signs, the importance of PMT, and practical, nutritious recipes made from locally available ingredients. To expand accessibility, the leaflet also included a QR code linked to a digital e-book featuring 54 variations of PMT menus. The educational materials were distributed through door-to-door visits, accompanied by the direct provision of supplementary food, enabling immediate practice of the knowledge shared. Post-intervention results showed a significant improvement in maternal understanding of stunting and nutrition, as well as positive feedback regarding the clarity, relevance, and usefulness of the leaflet. The culturally tailored approach and integration of digital resources further enhanced engagement and knowledge retention. In conclusion, the PMT leaflet proved to be an effective, practical, low-cost, and replicable educational intervention to support community-based stunting prevention efforts in Jurang Village. This approach offers a promising model for similar rural areas facing high stunting rates across Indonesia.

This study examines the financial management practices in public health systems, focusing on funding, budgeting, and resource allocation. The objective is to explore the relationship between financial management strategies and healthcare service quality, particularly in low- and middle-income countries. A literature review methodology was used to analyze various studies published between 2010 and 2023. The findings indicate that stable funding, transparent budgeting, and efficient resource allocation significantly enhance healthcare outcomes. These practices ensure that critical services, such as maternal and child health care, are prioritized, thereby improving access to essential services. The study highlights the importance of adopting comprehensive financial strategies to address challenges in public health systems. The implications of this research emphasize the need for policy reforms to improve financial management practices, particularly in resource-limited settings. Future research should investigate the specific financial strategies that can be applied to enhance healthcare delivery in diverse healthcare environments.

Pulmonary tuberculosis remains a pressing public health problem, particularly in the work area of the Duduk Health Center (UPT Puskesmas). Effective management of this disease requires a thorough understanding of the characteristics of the causes of pulmonary TB in patients. This study aims to classify pulmonary TB cases based on the main causes such as diabetes mellitus, irritant factors, pleural effusion, and family environmental conditions. The research method used is a clustering technique with the K-Means algorithm. The data used are data on pulmonary TB patients in 2020–2025 with variables of age, gender, and causative factors collected from medical records. The analysis process was carried out using MATLAB R2014b software. The clustering model was carried out in 3, 4, and 5 clusters to compare the level of segmentation efficiency. Based on the calculation results, the model with 5 clusters showed the lowest cluster variance value of 0.4889 compared to the 3-cluster model (0.7333) and 4-cluster models (0.6151), which indicates that the division into 5 clusters produces the most compact and representative data group. Each cluster shows a different combination of characteristics of pulmonary TB patients, for example: (1) elderly male patients with comorbid diabetes; (2) adolescent females with the negative influence of environmental factors; (3) adult males exposed to irritants; (4) patients with pleural effusion; and (5) groups with multiple factors. The results of this study can provide strategic input for the Finished Community Health Center UPT in formulating more targeted and targeted intervention policies in order to prevent, control, and handle pulmonary tuberculosis cases in a sustainable and effective manner.  

The implementation of Electronic Medical Records (EMR) represents a major advancement in health information systems, playing a vital role in improving service efficiency, data security, and the quality of medical documentation. This study utilizes a literature review approach to assess EMR implementation in hospitals by analyzing findings from 20 relevant journals. Literature sources were obtained from indexed national scientific publications, with a focus on the benefits, challenges, and critical success factors of EMR adoption. The results reveal that EMR use can enhance service efficiency by up to 40%, expedite medical decision-making, and increase the accuracy of patient data. Additionally, EMR reduces the risk of data loss, facilitates coordination among healthcare professionals, and supports more effective integration of medical information. Despite these benefits, EMR implementation encounters several challenges, such as inadequate technological infrastructure, resistance from some healthcare personnel toward digital systems, and the need for ongoing training to ensure optimal use. If not addressed properly, these barriers may limit the system’s effectiveness. Key factors influencing successful implementation include strong management commitment, early involvement of end-users during the planning phase, and system flexibility to meet specific clinical requirements. Therefore, EMR implementation should adopt a holistic approach that integrates human resource readiness, technological capacity, and clear regulatory frameworks. With well-structured strategies, consistent institutional support, and comprehensive training programs, EMR has the potential to be a driving force in the digital transformation of healthcare. This transformation can lead to sustainable improvements in service quality, patient data security, and operational efficiency in hospital settings.

The coverage of complete basic immunization remains a serious public health concern, particularly in rural areas such as Suka Raya Village, Pancur Batu Subdistrict, where only 26.2% of infants have received full basic immunizations. Low maternal knowledge and negative attitudes are among the primary barriers contributing to this issue. This community service activity was designed to increase the knowledge and attitudes of mothers regarding the importance of complete basic immunization through structured health education. The activity involved 42 mothers with infants aged 9–12 months and was conducted in July 2025 at the Suka Raya Village Hall. The method consisted of interactive lectures, distribution of educational leaflets, and direct discussions facilitated by health educators. Pre- and post-intervention questionnaires were used to assess changes in knowledge and attitudes. The results showed a significant improvement: mothers with good knowledge increased from 47.6% to 85.7%, and those with positive attitudes increased from 42.9% to 83.3%. The findings support that community-based health education interventions can effectively enhance maternal understanding and behavioral intentions toward completing their children's immunization schedules. It is recommended that similar educational activities be regularly implemented and supported by local health institutions and cadres. This initiative demonstrates the importance of empowering mothers at the grassroots level to improve child health outcomes.

This research investigates the correlation between public debt and several indicators of economic stability in Iraq for the period from 2004 to 2023. It analyzes the development of both internal and external public debt in the Iraqi economy during this period and examines the relationship between public debt (internal and external) and key economic indicators, such as the Gross Domestic Product (GDP) and the inflation rate. The study utilizes standard statistical methods to analyze these relationships and provide a comprehensive overview of the effects of public debt on economic stability. The findings highlight a negative and significant impact of the growth rate of public debt on the inflation rate, both in the short term and long term, suggesting an inverse relationship between them. Similarly, the analysis shows a negative and significant effect of public debt growth on the unemployment rate, both in the short and long run, again indicating an inverse relationship. The study further discusses how the Iraqi government’s growing dependence on public debt, particularly external debt, can have an impact on the nation's economic policies. These results emphasize the complex dynamics between public debt and economic stability in Iraq, demonstrating how changes in debt levels can influence inflation and unemployment rates. The research underscores the need for effective debt management strategies to maintain economic stability and promote sustainable growth. Additionally, the findings suggest that public debt, if not managed carefully, can undermine key economic indicators and hinder the long-term stability of the economy, making it crucial for policymakers to consider the balance between debt levels and economic health.

Nutritional problems in toddlers remain a major challenge in Indonesia, particularly in rural areas such as Paga Village, Sikka Regency. Nutritional problems are not only caused by a lack of nutritious food intake but are also exacerbated by the high incidence of infectious diseases, inadequate parenting, low public nutrition knowledge, limited access to health services, and low socioeconomic conditions. These factors directly and indirectly impact children's nutritional status. One intervention effort that can be implemented to address this problem is through the provision of locally-based food supplements (PMT), which aims to improve children's nutritional intake and encourage food independence and sustainable family nutritional security. This study aims to determine the effect of providing locally-based food supplements as a nutritional intervention on improving the nutritional status of toddlers experiencing malnutrition. The research method used was an observational analytic approach with a cross-sectional design approach. The sample in this study were toddlers with malnutrition status who received an intervention in the form of local food-based PMT. The results showed an improvement in nutritional status in toddlers after receiving PMT. A total of 46 toddlers who were initially malnourished experienced an improvement to normal nutritional status after the intervention. These results indicate that providing locally-based food supplements has a positive effect on the nutritional status of toddlers. In conclusion, local food-based PMT has proven effective as a nutritional intervention in improving the nutritional status of toddlers in Paga Village. Such programs need to be further developed and supported by various parties to reduce the prevalence of malnutrition in the community and strengthen local food self-sufficiency.

This study aims to examine the legal aspects of the Aceh People's Health Insurance Program (JKRA) by analyzing it as a hybrid between an insurance agreement and a social insurance agreement. The method used is a normative juridical approach, with qualitative analysis based on relevant laws and legal concepts. Data sources consist of primary, secondary, and tertiary legal materials. The results show that JKRA has two main characteristics. On the one hand, JKRA fulfills the elements of an insurance agreement, such as the existence of an insurer and an insured, premium payments, protection against risks, and the uncertainty of insured events. On the other hand, JKRA also reflects the characteristics of social insurance, namely being mandatory, non-profit-oriented, managed by the government, and applying the principle of mutual cooperation through a cross-subsidy mechanism. This dual character indicates that JKRA is a unique form of regional health insurance scheme that integrates private and social approaches. However, in its implementation, there are a number of legal issues that require serious attention. Some of the main problems found include the need for regulatory harmonization between JKRA and the National Health Insurance (JKN), ensuring the sustainability of funding through the Aceh Revenue and Expenditure Budget (APBA), and alignment with national health policies, especially after the enactment of Law Number 17 of 2023 concerning Health and Government Regulation Number 28 of 2024. Therefore, comprehensive legal regulations are needed so that the implementation of JKRA can run optimally and in line with the integrated national health insurance system, ensuring the sustainability of health services for the people of Aceh in a fair and sustainable manner.

This study examines adolescents' perceptions of the representation of premarital pregnancy in the film Dua Garis Biru (Two Blue Lines), and its impact on their views on relationships, responsibility, and moral values. Film is positioned as a mass communication medium capable of shaping public opinion and effectively conveying social messages, particularly to adolescents. The approach used was a qualitative reception study method, involving eight adolescent informants as the main participants. Data collection techniques were conducted through in-depth interviews, then analyzed using thematic coding using NVivo software, to identify patterns of perception and meaning that emerged from participant responses. The results showed that most adolescents viewed Dua Garis Biru as an educational film that portrayed the realities of adolescent life honestly and touchingly. The film was deemed successful in conveying messages about the importance of responsibility, self-control, and awareness of the consequences of premarital relationships. Furthermore, an understanding of the need for open sexual education and healthy communication between children and parents emerged. The adolescents also highlighted the representation of gender inequality and the greater social pressures felt by women in situations of premarital pregnancy. The film was considered not only entertainment, but also a learning medium capable of shaping adolescents' emotional, moral, and social awareness. The film's reflective and contextual storytelling encourages young audiences to better understand the social realities around them. Thus, Dua Garis Biru (Two Blue Lines) makes a significant contribution in conveying social and moral educational values to adolescents.  

Money laundering is a serious crime that has a significant impact on economic and social stability, as well as the integrity of the financial system. This crime is often associated with serious crimes such as corruption, narcotics, and terrorism. Money laundering poses a major threat to national security, conceals the origin of illicit funds, and undermines a healthy economic system. To combat this crime, Indonesia has imposed criminal sanctions based on Law Number 8 of 2010, which aims to provide a deterrent effect on perpetrators and prevent similar crimes from occurring in the future. However, the effectiveness of these criminal sanctions remains a critical challenge, given the various difficulties in their enforcement, such as the complexity of tracking the flow of funds, limited law enforcement resources, and the increasingly sophisticated modus operandi of perpetrators who often work together with international networks. This study seeks to examine the effectiveness of criminal sanctions in combating money laundering and identify obstacles in their implementation. The research method used is juridical-normative research with a legal regulatory framework. Primary data was obtained through literature review and examination of legal documents, while secondary data came from relevant literature, reports, and academic studies. The urgency of this research stems from the importance of evaluating and strengthening the application of criminal sanctions to protect the national financial system from the risk of money laundering. Without concrete steps to increase the effectiveness of sanctions, money laundering crimes will continue to proliferate and pose a threat to the national economy, weaken the legal system, and erode public trust in efforts to combat economic crime.

Silicotuberculosis is a complex lung disease, a combination of silicosis and tuberculosis (TB). Silicosis is a disease caused by the inhalation of silica particles, which can lead to pulmonary fibrosis, while TB is an infectious disease caused by Mycobacterium tuberculosis. Long-term exposure to silica dust can cause silicosis and also increase the risk of TB infection, especially in countries with a high TB burden. Workers exposed to silica dust in the mining, construction, and manufacturing industries are among the groups most at risk. The diagnosis of silicotuberculosis is often difficult because the clinical and radiological symptoms of the two diseases often overlap. Symptoms, such as chronic cough, shortness of breath, and chest pain, can be very similar in silicosis and TB, often delaying a correct diagnosis. The pathophysiology of silicotuberculosis involves impaired function of macrophages, immune cells that play a role in fighting infection, and a compromised immune response due to silica exposure. These disruptions facilitate the progression of TB infection, further worsening the patient's health. Primary management of silicotuberculosis includes controlling TB infection with standard anti-tuberculosis drug therapy (OTT) and preventing silica exposure. Preventing occupational exposure to silica dust is crucial to reducing the risk of developing the disease. The prognosis of the disease is greatly influenced by the severity of pulmonary fibrosis and delay in diagnosis. The more severe the fibrosis, the worse the prognosis. Therefore, preventing silica dust exposure, along with routine TB screening for high-risk workers, is crucial to reducing the incidence of silicotuberculosis. Furthermore, education about the risks of the disease is crucial to raise awareness among workers and the general public.

Black sticky rice tapai is a traditional Indonesian fermented food that has long been consumed by the public for its distinctive taste and high cultural value. However, with the increasing demand for functional foods and natural-based products that can support health, attention for black sticky rice tapai has shifted from being simply a traditional food to an object of scientific study in the nutraceutical field. Black sticky rice, the basic ingredient for tapai, contains important bioactive compounds such as anthocyanins, flavonoids, B-complex vitamins, and soluble fiber, which have been shown to play a role in lowering cholesterol levels, inhibiting LDL cholesterol oxidation, and increasing HDL cholesterol levels in the blood. The fermentation process further enhances the biological activity of these compounds, making black sticky rice tapai have a higher therapeutic value than ordinary black sticky rice. The purpose of this study was to examine the potential of black sticky rice tapai as a natural, tradition-based solution for lowering cholesterol levels, while also supporting the development of local foods into modern health products that are safe, effective, and affordable. The study was conducted using a descriptive literature review method of various scientific articles, textbooks, and relevant research results that discuss the nutritional content of black sticky rice, the benefits of fermentation, and the effect of active components on lipid metabolism. The study results show that regular consumption of black glutinous rice tapai has the potential to lower total and LDL cholesterol levels and increase HDL through a combination of antioxidant effects, cholesterol binding by fiber, and increased fat excretion. In addition, the potential of black glutinous rice tapai as a nutraceutical is also relevant in supporting the preservation of local-based culture and food independence.

The study aims to analyze the legal gaps related to the regulation of new types of narcotics that have not been registered. This research employs a normative legal research method, which focuses on analyzing the existing legal provisions as stated in the relevant laws and regulations. The purpose is to examine how these legal frameworks address the emergence of new types of narcotics, especially those not yet registered in Indonesia. With the rapid development of synthetic drugs and other new narcotic substances, existing laws often struggle to keep up with emerging challenges. The normative legal research approach is particularly suitable for this study because it enables a critical examination of how the current legal system responds to these developments and whether it provides adequate legal tools to address such issues. Through this approach, the study will explore the gaps in existing positive law and assess how these legal voids impact the implementation of anti-drug policies and law enforcement in Indonesia. One key issue identified is the inability of current narcotics laws to effectively regulate or prevent the circulation of new, unregistered substances. This lack of legal recognition creates challenges for law enforcement agencies in controlling the distribution and use of such narcotics. Furthermore, the study will analyze the implications of these legal gaps on public health, law enforcement practices, and the overall effectiveness of anti-drug efforts in Indonesia. By identifying the shortcomings in the regulation of new narcotics types, the research aims to provide recommendations for improving legal frameworks and ensuring that laws evolve in tandem with emerging drug trends. Ultimately, this study contributes to enhancing the legal response to narcotic-related issues and supports the development of more effective drug control policies in Indonesia.