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Gross motor development in children aged 1–3 years is a crucial aspect of growth and development, influenced by various factors, one of which is nutritional status. Good nutritional status plays a role in optimizing children's growth and development, including gross motor skills. This study aims to analyze the relationship between nutritional status and gross motor development in children aged 1–3 years at the Posyandu within the working area of Situ Udik Community Health Center (Puskesmas). This study employs a quantitative design with a cross-sectional approach. The research sample consists of children aged 1–3 years selected using a random sampling technique. Nutritional status was measured using an anthropometric approach, specifically weight-for-age (W/A), while gross motor development was assessed using the validated Denver Development Screening Test (DDST II) observation sheet. Data analysis was conducted using the chi-square statistical test to determine the relationship between nutritional status and gross motor development. The results indicate a significant relationship between nutritional status and gross motor development in children aged 1–3 years (0.013, p ≤ 0.05). Children with good nutritional status tend to have optimal gross motor development compared to those with undernutrition or overnutrition. These findings suggest that good nutritional status is a supporting factor in early childhood gross motor development. Therefore, regular monitoring of nutritional status and parental nutrition education are essential steps in supporting children's optimal growth and development.

Background: The elderly are an important part of the population which is increasing in number in various countries. In facing the various problems and challenges faced by the elderly, family support is very important in helping them. This support not only provides confidence and motivates the elderly to overcome the difficulties they face, the type of support provided by family members can vary from informational support, emotional support, to practical instrumental support. All of these forms of support have a significant contribution to the independence of the elderly in carrying out daily activities. The independence of the elderly is also greatly influenced by their psychological condition or mental status. Various mental disorders such as stress, depression, and fear, as well as emotional conditions such as aggression, anger, and numbness, can significantly affect an elderly person's ability to live independently. Research Objective: to identify a description of the level of independence of elderly people in providing daily activities. Research Method: The research method used in this research is cross sectional. The total sample was 74 elderly people aged 60 years and over. The instrument uses a questionnaire and the measurement instrument uses the Barthel index. The researcher's data analysis technique uses Spearman Rho. Results: shows family support for the elderly, 47 respondents (63.5%) received high family support, 27 respondents (36.5%) received sufficient family support, there were 23 respondents (31.1%) who fell into the category of dependency and 51 respondents (68.9%) were in the independent category. Using Spearman Rho analysis, the results show that the p value = 0.000 < α = 0.05 and the r value = 0.849, meaning that there is a positive and significant relationship between family support and the independence of the elderly in financing daily activities in the Cikembar District Health Center Work Area. Sukabumi Regency. Conclusion: Increasing family support for the elderly is very necessary for the independence of the elderly. Recommendation: It is hoped that the results of this research can become a reference for future researchers, and it is hoped that the community health center will provide intensive counseling to families so that they provide greater support to the elderly.

Stunting is still a health problem in Indonesia, especially in children over 12 months. Maternal education through booklets is an important innovation in preventing it. Objective: Analyze the effect of booklet education on the knowledge of mothers of toddlers. Quasi-experimental method with pretest and posttest on 18 mothers of stunting toddlers. The results of the research show a significant increase in maternal knowledge after being given education. The results of statistical tests show that there is a positive influence from education using booklets on increasing mothers' understanding of stunting in the work area of ​​Benteng Sukabumi City Health Center.

Mental disorders are changes in a person's mental function that can cause suffering and hinder the fulfillment of their role in society. This study aims to analyze the relationship between the level of knowledge of family members about mental disorders and the stigma they have towards the condition in the Caringin Health Center work area.Objective: The general objective of this study is to determine the relationship between family members' knowledge about mental disorders and the stigma of family members in the Caringin Health Center work area. Method: This study used a correlational method with a sample size of 44 people selected through cluster random sampling techniques. Results: The results showed that the majority of respondents had a sufficient level of knowledge, namely 20 people (45.5%). Meanwhile, good and low levels of knowledge were found in the same number, each 12 people (27.3%). In terms of stigma, most respondents showed a moderate level of stigma, namely 27 people (61.4%), while respondents with a low level of stigma numbered 8 people (18.2%). Statistical tests using Spearman Correlation produced a P-Value = 0.014, which is smaller than 0.05.

Currently, the issue of stunting in toddlers remains quite high and can be triggered by poor feeding practices. According to the Biaro Health Center report in 2022, of the 3,036 toddlers, 172 (5.67%) were stunted. In 2023, from 3,096 toddlers, the number of stunted children increased to 227 (7.33%). The purpose of this study was to determine the effect of nutrition education on the feeding practices of mothers with stunted toddlers aged 6 – 59 months in the working area of Puskesmas Biaro, Agam Regency in 2024. This study is a pre-experimental research with a pretest-posttest one-group design. The research was conducted from August to December 2024 in the Biaro Health Center working area. The population of this study was all mothers of stunted toddlers aged 6 – 59 months in October 2024 in the Biaro Health Center working area, totaling 39 individuals, with a sample size of 16. Sampling was done using purposive sampling. Data were collected using questionnaires and analyzed with univariate and bivariate analysis using paired t-test. The results showed that the average feeding practice score of mothers with stunted toddlers aged 6 – 59 months before nutrition education was 35.0 with a standard deviation of 5.657, and after the education, it was 49.94 with a standard deviation of 4.864. The statistical test results indicated a significant effect of nutrition education on the feeding practices of mothers with stunted toddlers aged 6 – 59 months, with a p-value of 0.000 (p < 0.05). The conclusion is that nutrition education has an effect on the feeding practices of mothers with stunted toddlers aged 6 – 59 months. It is recommended that health workers provide routine nutrition education to improve the feeding practices of mothers with stunted toddlers.

The Maternal Mortality Rate (AKI) is still a problem for maternal and child health in Indonesia. The high maternal mortality rate shows that the health of mothers and children is still low. Risk factor detection is one of the efforts to capture how a mother in pregnancy has an influence on her health during pregnancy, childbirth and the postpartum period. The purpose of this service is to empower pregnant women in carrying out early detection of high risk of pregnancy to improve maternal and child health, in addition to helping partners (puskesmas) in efforts to detect early pregnancy risk. The service method is carried out by providing counseling and identifying risk factors with the Poedji Rochjati scorecard. This service was carried out on 14 pregnant women at the C.H. Martha Tiahahu Health Center. In the risk of pregnancy in the Low Risk Pregnancy (KRR) category with a score of 2 of 6.43% (6 pregnant women). In the pregnancy risk category with High Risk Pregnancy (KRT) with a score of 6 - 10 amounting to 7.50% (7 pregnant women). In the pregnancy risk category with Very High Risk Pregnancy (KRST) with a score of > 12 of 1.7% (1 pregnant woman).

Postpartum complications in the form of bleeding can be anticipated through breastfeeding as early as possible. Early breastfeeding affects the speed of uterine recovery as before. To be able to provide early breastfeeding, counseling about breastfeeding on demand is needed for pregnant women so that their knowledge increases and can be applied after giving birth. The purpose of this study was to determine the effect of counseling about breastfeeding on demand on uterine involution in post-placental IUD acceptors at Bantul 2 Health Center. This study used a quasi-experimental study with a static group comparison research design. The study population was 51 post-placental IUD acceptors at Bantul 2 Health Center. Purposive sampling is a sampling technique used with data analysis of ANOVA and ANCVA tests. The average TFU of the intervention group was higher than the control group, which was 8.39 compared to 7.92. The results of the ANOVA test obtained a p-value of 0.002 <0.05, so it was concluded that there was an effect of counseling about breastfeeding on demand on uterine involution in post-placental IUD acceptors. For post-placental IUD acceptors, breastfeed on demand to regulate the spacing of births while improving the health of mothers and babies.

Visual Inspection with Acetic Acid (VIA) is a simple, inexpensive, and effective method for cervical cancer screening. However, the interest of women of reproductive age (WRA) in undergoing VIA tests remains low. It is believed that knowledge and attitude significantly influence their interest in undergoing VIA screening. This study aims to analyze the relationship between knowledge and attitude of women of reproductive age and their interest in undergoing VIA tests in the working area of Mensiku Public Health Center, Binjai Hulu District, Sintang Regency, West Kalimantan Province, in 2024. The study employed a cross-sectional design with a quantitative approach, with a sample of WRA selected through purposive sampling. Data were collected using a structured questionnaire and analyzed using chi-square statistical tests. The results showed a significant relationship between knowledge level, attitude, and the interest in undergoing VIA tests. Women with good knowledge and positive attitudes had a higher interest in undergoing VIA screening compared to those with poor knowledge and negative attitudes. Therefore, improving knowledge and fostering positive attitudes toward VIA tests are essential to increase the interest of WRA in undergoing this screening, which could serve as an initial step in preventing cervical cancer.

The postpartum period is a critical time for both the mother and newborn, where healthcare is essential to avoid the risk of mortality. This study aims to analyze the behavior of postpartum mothers and Acehnese families in postpartum care at the Beutong Health Center, Nagan Raya Regency in 2024. A quantitative research method with a descriptive design was used, and the sampling technique applied was total sampling, with a population of 40 postpartum mothers. Data collection was carried out through interviews using a questionnaire. The results showed that 77.8% of mothers and families were aware of the nutrition needed for postpartum mothers, 58.3% understood the process of uterine involution, and 100% of postpartum mothers knew daily activities to accelerate recovery. The family's supportive attitude towards postpartum care was evident in their dietary recommendations, such as providing vegetables (83.3%) and fish (80.5%), forbidding the mother from leaving the house (100%), and administering algae (88.9%). However, 30.6% of postpartum mothers did not consume vegetables regularly. These findings highlight the importance of improving family understanding and support in postpartum care to accelerate the recovery of mothers and babies. The implication of this research is expected to improve postpartum care programs at Beutong Health Center.

Diabetes Mellitus is a condition that continues to worsen and requires adjustments to one's way of life, especially regarding diet. This adjustment can cause anxiety for the individual who experiences it, so self-management is needed in the diabetes treatment process. Objective: To determine the relationship between self-management and the anxiety level of diabetes mellitus patients who are on a diet at the Jampangtengah Community Health Center, Sukabumi. Method: Cross-sectional research with 79 samples using purposive sampling. Data analysis was carried out using the chi-square test. Results: The statistical test shows a p value = 0.000 (<0.05), which means there is a significant relationship between self-management and the anxiety level of diabetes mellitus patients who are on a diet in the working area of ??the Central Jampang Health Center, Sukabumi Regency. Conclusion: There is a relationship between self-management and the anxiety level of diabetes mellitus patients who are on a diet.

High uric acid which causes joint pain is a disease where there is a buildup of purine which causes the joints to become inflamed to the point of swelling. Gout which occurs in people of course when they have a disease that causes gout they will undergo medical treatment to reduce uric acid levels and the pain that occurs in the elderly due to high levels. And most people assume that by taking medication they assume that the pain will disappear, according to Ilham (2019) that to reduce joint pain you can do ginger compress therapy on the joint pain, because the spicy effect of ginger can reduce pain in the joints. Objective: To determine the effect of ginger compress therapy on the level of joint pain in the elderly. Method: The design in this research uses a quasi-experiment using a one group pretest posttest design approach. Results: based on the results of statistical tests using the Paired Samples Test, the resulting P value is 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of ginger compress therapy on the level of joint pain in the elderly in the working area of ??the Central Jampang Community Health Center. Suggestion: It is recommended for future researchers to measure the influence of respondent characteristics such as age, gender, education level, length of time suffering from joint pain, type of work and type of medication used.

Immunization is a strategic and cost-effective effort to reduce the morbidity and mortality of children in the world. Immunization saves around 2 to 3 million lives each year. During the COVID-19 pandemic, immunization coverage has declined dramatically. The number of children with incomplete immunization status has increased. This community service is expected to increase the knowledge of posyandu cadres about Tracking Children with Zero Dose and Missed Dose Immunization. The training provided by implementing modules and animated videos prepared by the Ministry of Health is effective in increasing the knowledge of posyandu cadres in the Alas Health Center Work Area, Sumbawa Regency. This shows that modules and videos are good media in conveying information to training participants. Increased knowledge of posyandu cadres after receiving the training materials provided, Knowledge of health cadres increased, a significant increase before training only 10% of posyandu cadres had high knowledge of immunization, while after training it increased to 90%.  

Diabetes Mellitus (DM) is one of the diseases whose prevalence continues to increase in the world, so it can be said that DM has become a problem that needs attention. Indonesia is in 9th position with a total of 563 million sufferers. Central Java Province recorded 647,093 DM sufferers and in Pemalang Regency, DM is ranked first with a total of 18,579 sufferers at the Belik Health Center in Belik District, Pemalang Regency in 2022. The purpose of this study was to analyze the DM disease prevention and control policy program at the Belik Health Center. The Belik Health Center has 2 DM disease management programs, 2 programs, namely the Posbindu (Integrated Development Post) program and the Prolanis (Chronic Disease Management Program). Method: this study is a study with a qualitative method and a case study approach. Results: This study was conducted by means of in-depth interviews and direct observation to the research site, interviews with key informants and triangulation to obtain information related to services and implementation of DM prevention and control programs in the Belik Health Center area.

Stunting is a public health problem caused by chronic malnutrition and recurrent infections, especially in toddlers. This study aims to analyze the relationship between giving additional blood supplements (TTD) during pregnancy and the incidence of Stunting in toddlers at the District Health Center, Tasikmalaya West Java. The research used a correlational design with a cross-sectional approach on 133 respondents from pregnant women and toddlers aged 24–35 months. The research results showed that 52.6% of toddlers experienced Stunting, while 72.2% of mothers did not comply with taking TTD during pregnancy. Data analysis using the Chi-Square test did not find a significant relationship between adherence to TTD consumption and the incidence of Stunting (p-value = 0.568). This study emphasizes the importance of a holistic approach in dealing with Stunting, including nutritional education, pregnancy monitoring, and increasing awareness of the importance of consuming TTD.

Smoking can cause socio-economic problems, health issues, and even death. The activity aims to improve the understanding and skills of UKS mentor teachers about the importance of smoke-free areas (KTR) and smoking cessation efforts in schools, as well as follow-up on the implementation of KTR in schools with the Public Health Center. The intervention was carried out through a one-day training with lecture and question-and-answer discussion methods. The target of this activity was UKS mentor teachers at the junior high school level and PTM officers from the Public Health Center as many as 32 participants. The results of the activity: 1. Increased knowledge and awareness of teachers about the negative impacts of smoking on health, as well as creating a smoke-free environment in schools. 2. Changes in attitudes and behavior with a commitment from teachers not to smoke and strengthening the smoke-free policy program. 3. Increased student involvement in peer support programs for anti-smoking campaigns in the school environment. 4. Establishing cooperation between schools, parents, communities, and health agencies to create an environment that supports a healthy lifestyle. 5. The existence of a monitoring and evaluation system for student development in avoiding smoking and the impact of the UBM program in the school environment. 6. Improved health and quality of life by reducing the number of students and teachers who smoke, thereby creating a healthier and more conducive school environment for learning. These impacts are expected to contribute to efforts to improve health and well-being in the school environment and build a healthy living culture among students and staff.

In health care, the interaction between nurses and patients is essential to build good relationships, increase trust, and meet patient needs and expectations. The success of nursing services depends on the ability of nurses to communicate effectively. One of the causes of unexpected events (KTD) is due to communication errors both verbally and in writing between multidisciplinary and between shifts. Bedside handover can reduce patient safety incidents caused by miscommunication and strengthen employment relations between nurses, thus creating a more collaborative work environment. The purpose of this community service activity in this study is to improve the interaction of nurses when handover to the management of patient-centered care. Data collection techniques are carried out using questionnaires, interviews and direct observations in the treatment room of Karunia Kasih Hospital. In analysing the problems of the data obtained in this study, researchers used Fishbone Analysis which outlined existing problems and analysed using the method of USG (urgency, seriousness, growth) to determine the priority of the problem. The implementation carried out was changing the traditional handover method to bedside handover with the SBAR technique, revising the SOP, conducting socialisation about bedside handover conducting supervision and auditing the implementation of bedside handover. From the data analysis on observations, it can be concluded that bedside handover is an effective strategy to improve interaction between nurses and patients. The results of the analysis of the observation data can conclude that bedside handover is an effective strategy to improve the interaction between nurses and patients in patient-centred care. 

This research aims to analyze the influence of work engagement, work environment, and organizational learning on organizational commitment at the Nawangan Community Health Center. The sample in this study was 50 respondents who worked at the Nawangan Community Health Center. The data collection technique used was a survey method with the research instrument used was a questionnaire. The results of the instrument test stated that the data in this study was proven to be valid and reliable. The Classical Assumption Test states that the data in this study is normally distributed and produces a regression model that is free from multicollinearity and heteroscedasticity. The results of this research prove that: (1) Work Engagement has a positive and significant effect on Organizational Commitment, (2), Work Environment has a positive and significant effect on Organizational Commitment, (3) Organizational Learning has a positive and significant effect on Organizational Commitment

Globally, the prevalence of anemia in pregnant women in 2019 was 35.6%. The prevalence of anemia in developing countries is relatively high, such as Southeast Asia at 47.8%, compared to developed countries such as America at 18.9%. Efforts that can be made to prevent anemia include education, giving pregnant women biscuits and giving Fe tablets. This activity was carried out at the Bangun Rejo Village Health Center, Dusun VII, Tanjung Morawa District. The method used in this service is to provide education directly to pregnant women at the Bangun Rejo Village Health Center. The results of this activity were carried out in stages starting from preparation to evaluation. After implementing health education, giving pregnant women biscuits and giving Fe tablets, there was an increase in knowledge and consumption of Fe. Therefore, with this community service project, it is hoped that all pregnant women can increase awareness and Fulfill nutrition and balanced nutrition, regularly consume Fe tablets.

Pharmaceutical services are carried out to achieve definite results in improving the quality of life of patients in the form of direct and resposibels services related to pharmaceutical preparations. In implementing pharmaceutical services, health centers already have a standard that is used as a guideline in its implementation. The consequences of implementing pharmaceutical services that do not comply with standards are medication errors and inappropriate use of drugs, there are expired drugs and overlapping budgets. The purpose of this study was to analyze the implementation of pharmaceutical service standards in health centers, BMHP and clinical pharmacy services based on PMK No. 74 of 2016 at the Paduraksa Health Center, Pemalang District. This study is a non-experimental study with a descriptive design that will provide an analytical description of the implementation of pharmaceutical service standards at the Paduraksa Health Center, Pemalang District based on the guidelines in the Minister of Health Regulation Number 74 of 2016. The population and sample in this study were all pharmaceutical personnel who were responsible for managing pharmaceutical service standards at the Paduraksa Health Center, by conducting interviews in the form of questions and answers by giving questions verbally to pharmacists or pharmaceutical personnel at the Paduraksa Health Center, Pemalang Regency. The data in the variable analysis looked at the percentage of compliance with standards based on the Minister of Health Regulation No. 74 of 2016.  

Globally, at least 100 million girls are at risk of female circumcision each year or almost 6,000 children every day. Female circumcision in Indonesia is generally based on traditions or cultures that are passed down from generation to generation. This study aims to determine the effectiveness of the Peer Education Model on the level of knowledge of mothers and babies about the practice of Female Genital Mutilation. The research method is Quasi Experiment with one group pretest and posttest without control design. The sample size is 50 people according to the inclusion criteria. data with the T statistical test (paired t test). Research results The level of knowledge of the intervention group before the intervention Most have poor knowledge of 12 respondents (48%) and After the intervention, almost Most have good knowledge of 17 respondents (68%). The level of knowledge of the control group before the intervention Most have poor knowledge of 14 respondents (56%) and after the intervention Most have poor knowledge of 14 respondents (56%). It is expected that health workers provide health education and always carry out monitoring and evaluation at the Health Center or other health service centers to conduct continuous home visits.