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In 2025, cadre groups in the working area of Puskesmas Martapura Timur have mostly never been involved in education about health issues including the problem of anemia in pregnant women. This community service expects cadre groups to increase knowledge and skills about Anemia Prevention during pregnancy. The method used is to identify health problems, train health cadres to provide health education about anemia in pregnant women, healthy and nutritionally balanced foods to prevent anemia, self-care during pregnancy, and recognition of signs of anemia in pregnant women with a peer educator approach suitable for the field of health promotion to change knowledge, attitudes, and healthy living behavior. The results of community service showed an increase in knowledge and skills to 90%.

This study aims to analyze the authority structure between the Ministry of Maritime Affairs and Fisheries (KKP) and Regional Governments in managing coastal areas through marine spatial utilization following the enactment of Law Number 6 of 2023 concerning the Stipulation of Government Regulation in Lieu of Law Number 2 of 2022 concerning Job Creation into Law. The main instrument studied is the Confirmation of Conformity of Marine Spatial Utilization Activities (KKPRL), which functions as a licensing instrument and a control mechanism to ensure that marine spatial utilization activities remain directed, integrated, and aligned with the principles of ecological, social, and economic sustainability. The research approach used is a juridical-empirical approach with a qualitative descriptive analysis method. Through this approach, the research not only examines legal norms but also captures the practice of implementing authority in the field. The results show that although the Job Creation Law is oriented towards simplifying business licensing, several problems remain that have implications for the effectiveness of coastal governance. These issues include disharmony between central and regional regulations, overlapping authority between the Ministry of Marine Affairs and Fisheries (KKPRL) and regional governments, and weak synchronization between national policies and regional instruments such as the Coastal and Small Islands Zoning Plan (RZWP3K). In addition to regulatory constraints, this study also highlights institutional and technical aspects. Limited human resource capacity in the regions, a lack of understanding of KKPRL procedures, and minimal inter-agency coordination hamper the effectiveness of coastal management. These conditions result in slow investment realization, conflicts over spatial use, and potential coastal environmental degradation. Therefore, this study recommends a strategy for harmonizing authority through improving vertical-horizontal coordination, strengthening the institutional capacity of regional governments, and developing derivative regulations consistent with the principles of good governance.

This study aims to analyze the role of organizational culture in optimizing employee performance in Lebak Bulus Village, South Jakarta. A strong organizational culture is considered to have a significant contribution in improving the effectiveness of government officials and the quality of public services to the community. This study uses a qualitative descriptive approach with a phenomenological method, which emphasizes an in-depth understanding of the experiences, views, and behaviors of employees in carrying out their duties in their work environment. The research focuses on actors (employees), social situations, and activities that occur within the village environment. Data collection techniques were carried out through observation, in-depth interviews with key and primary informants, and documentation. Data validity was tested through triangulation of sources and techniques to increase the validity of the research results. The results show that the organizational culture in Lebak Bulus Village has strengths in the aspects of innovation and risk-taking, orientation towards results, orientation towards people, and stability. However, several weaknesses were still found, such as low individual initiative, lack of attention to detail, weak team orientation, minimal levels of aggressiveness, and limited employee experience and accuracy. Opportunities for improvement can be pursued through ongoing training and the digitalization of public services, although challenges remain, including a passive work culture and resistance to policy change. Overall, organizational culture plays a crucial role in supporting employee performance improvement, but a sustainable strategy is needed to strengthen professionalism and build a more adaptive and progressive work culture. Efforts to address identified weaknesses, such as improving communication between employees, developing leadership skills, and enhancing discipline in carrying out tasks, are essential for the continued development of a positive organizational culture. Furthermore, awareness of the importance of collaboration across organizational divisions must be instilled to create a more productive and efficient work environment.

Background: HIV/AIDS is an infectious disease that attacks the immune system and is a global health problem. Pregnant women are among the vulnerable groups for HIV infection, so HIV testing during pregnancy is an important step in preventing mother-to-child transmission. However, the utilization of HIV testing by pregnant women is still low in various regions, including at the Peureulak Community Health Center, East Aceh Regency. HIV testing in pregnant women can reduce the risk of vertical transmission and provide an opportunity for appropriate treatment. Objective: This study aims to analyze the relationship between pregnant women's knowledge about HIV/AIDS and the utilization of HIV testing at the Peureulak Community Health Center. Methods: This study used an observational analytical design with a cross-sectional approach. The study sample consisted of 50 pregnant women selected by purposive sampling. Data were collected through a questionnaire consisting of questions about knowledge about HIV/AIDS and utilization of HIV testing. The collected data were analyzed using the chi-square test to see the relationship between the two variables. Results: The results showed that the majority of pregnant women had insufficient knowledge about HIV/AIDS (56%). Utilization of HIV testing is also still low, with 52% of pregnant women not undergoing testing during pregnancy. Bivariate analysis showed a significant association between pregnant women's knowledge of HIV/AIDS and their utilization of HIV testing (p = 0.002). Mothers with good knowledge were more likely to undergo HIV testing (72.7%) than mothers with poor knowledge (28.6%). Conclusion: Good knowledge of HIV/AIDS influences the utilization of HIV testing by pregnant women. Further education is needed to increase pregnant women's awareness of the importance of HIV testing to prevent transmission to the baby.  

Background: Stunting is a chronic nutritional problem in toddlers caused by inadequate nutritional intake and recurrent infections, especially in the First 1000 Days of Life (HPK). One of the main factors that influence the incidence of stunting is exclusive breastfeeding and maternal nutritional knowledge. Indonesia still faces a high prevalence of stunting, which if not addressed immediately can impact the quality of human resources in the future.Objective: This study aims to determine the relationship between maternal nutritional knowledge and the duration of exclusive breastfeeding with the incidence of stunting in infants aged 6–12 months in the working area of Kuala Bangka Health Center, Kualuh Hilir District, North Labuhan Batu Regency in 2021.Method: This study used a case control design with a sample of 110 respondents (55 cases and 55 controls) selected by purposive sampling. Data were collected through interviews using a structured questionnaire and processed using the Chi-Square test. Results: The results showed a significant relationship between the duration of exclusive breastfeeding and the incidence of stunting (p = 0.002; OR = 4.394; 95% CI = 1.709–11.295), where infants who were not exclusively breastfed had a 4.4 times greater risk of experiencing stunting than infants who received optimal exclusive breastfeeding. However, there was no significant relationship between maternal nutritional knowledge and the incidence of stunting (p = 0.233). Conclusion: The duration of exclusive breastfeeding was proven to be associated with the incidence of stunting, while maternal knowledge did not show a significant relationship. Stunting prevention efforts should focus on improving the practice of appropriate and comprehensive exclusive breastfeeding, accompanied by practice-based nutrition education that mothers can apply in childcare.

Background: Anemia in pregnancy is a public health problem that can increase the risk of serious complications, such as premature birth, maternal and infant mortality, and impaired fetal growth and development. One effort to prevent anemia is by consuming iron tablets (iron supplements). However, the success of this intervention is greatly influenced by the behavior of pregnant women in consuming these tablets, which includes knowledge, attitudes, and actions. If pregnant women have a good understanding and attitude, and implement iron tablet consumption appropriately, the risk of anemia can be reduced. Objective: This study aims to determine the relationship between iron consumption behavior (based on knowledge, attitudes, and actions) with the incidence of anemia in pregnant women at the Kuala Bangka Community Health Center, North Labuhan Batu Regency, in 2022. Method: This study used a descriptive analytical design with a cross-sectional approach. The study sample consisted of 20 pregnant women selected by purposive sampling. Data were collected through a questionnaire covering knowledge, attitudes, and actions of pregnant women regarding iron consumption, as well as the incidence of anemia. Data were analyzed using the Chi-Square test. Results: The majority of respondents had sufficient knowledge (45%), insufficient attitudes (70%), and insufficient iron consumption actions (70%). Moderate anemia was found in 70% of respondents. Bivariate analysis showed a significant relationship between knowledge (p=0.005), attitudes (p=0.001), and practices (p=0.000) and the incidence of anemia in pregnant women. Conclusion: There is a significant relationship between iron consumption behavior (knowledge, attitudes, and practices) and the incidence of anemia in pregnant women. Increased education and support for pregnant women regarding the importance of proper iron consumption to prevent anemia during pregnancy is needed.

This study aims to investigate the extent to which communication and occupational health and safety (OHS) influence employee performance at PT Sinergi Aitikom, South Jakarta, both partially and simultaneously. The research problem is based on the importance of effective communication and the implementation of OHS in creating a safe, productive work environment, and supporting the achievement of optimal performance. The research approach uses a quantitative method with an associative design, which allows for analysis of relationships between variables. The independent variables include communication (X1) and occupational health and safety (OHS) (X2), while the dependent variable is employee performance (Y). The study population is all 81 employees of PT Sinergi Aitikom, and because the number is relatively small, a saturated sampling technique is used so that the entire population becomes the research sample. Data analysis was conducted through validity and reliability tests, classical assumption tests, regression analysis, correlation coefficients, coefficients of determination (R²), and hypothesis testing using t-tests and F-tests. The results showed that the OHS variable significantly influences employee performance, as indicated by a calculated t-value of 10.698, which is greater than the t-table (1.990), with a significance value of 0.000 (<0.05). Furthermore, the F-test results reinforced this finding, with a calculated F-value of 304.857, which is greater than the F-table (3.11), and a significance value of 0.000 (<0.05). This proves that communication and OHS simultaneously have a strong influence on employee performance. The coefficient of determination (R²) of 0.887 indicates that 88.7% of the variation in employee performance can be explained by communication and OHS, while the remaining 11.3% is influenced by other factors outside this study. Thus, effective communication and sound OHS implementation have proven to be key factors in improving employee performance in the company.

This research employs a qualitative library research method to examine the crucial role of investment in the renewable energy sector in sustaining national economic development in the globalization era. In the current global context, the transition toward environmentally friendly energy sources is not only a necessity but also a strategic priority for many countries, including Indonesia. Conventional reliance on fossil fuels, which are increasingly limited and harmful to the environment, has pushed policymakers and stakeholders to seek sustainable alternatives. Renewable energy sources—such as solar, wind, hydro, and bioenergy—are widely recognized as long-term solutions to reduce environmental degradation and carbon emissions. Investment in the renewable energy sector does not merely contribute to environmental preservation but also carries significant socioeconomic benefits. It has the potential to generate new employment opportunities, encourage technological innovation, and strengthen national energy security. These impacts create a multiplier effect on the economy, thereby supporting inclusive growth and sustainable development. Furthermore, renewable energy investment can enhance national competitiveness and resilience in facing global energy transitions, as well as align with international commitments to climate change mitigation. This study, through a comprehensive review of scholarly journals, reports, and other credible sources, finds that the renewable energy sector is instrumental in realizing a sustainable and globally adaptive economic structure. Nevertheless, the success of this transition depends heavily on government efforts to optimize policies and regulatory frameworks that are supportive, transparent, and attractive to both domestic and international investors. Therefore, it is imperative for the government to strengthen investment incentives, streamline bureaucratic procedures, and promote public-private partnerships. The findings highlight that renewable energy investment is not only an environmental necessity but also a key driver of long-term national economic sustainability.

Community diagnosis is a strategic step that aims to identify fundamental problems in the community, determine problem priorities, and formulate appropriate solutions to overcome them. One of the identified health issues is a significant increase in cases of mumps (epidemic parotitis), an acute infectious disease caused by the mumps virus, a member of the Rubulavirus genus. This increase in cases was recorded in the Puskesmas work area from the beginning of the year to November 2024. This phenomenon raises concerns regarding the potential for widespread health problems at the community level. Therefore, this intervention activity was carried out with the hope of reducing the incidence of mumps in the Puskesmas work area.The methodology applied in this activity includes data collection through mini surveys, analysis of health determinants using the Blum Paradigm, determination of problem priorities through the Delphi method, and identification of root causes using a fishbone diagram. Based on the results of this analysis, the interventions implemented include counseling on mumps and preventive measures, as well as demonstrations of proper hand washing. The results of the intervention showed a significant increase in knowledge, where all participants (n=40, 100%) obtained a post-test score of ≥ 7, indicating a good understanding of the material presented. In the demonstration session, a number of participants were also able to demonstrate the steps for washing hands according to the correct procedure. From the results of the analysis, it was found that the increase in mumps cases in this area was closely related to community lifestyle factors. Therefore, this intervention is expected to not only increase community knowledge about mumps, but also encourage the implementation of clean and healthy living behaviors, especially in the practice of washing hands, as a preventive measure to reduce the number of transmissions and accelerate case handling.

In the midst of increasing organizational competition, issues of low organizational commitment remain prevalent, including at the Office of Public Works, Spatial Planning, Housing, and Settlement Areas of Bali Province, as indicated by a high absenteeism rate and ineffective work behaviors. These problems are suspected to be influenced by inadequate training methods, low self-efficacy among employees, and a lack of job satisfaction. The present study explores the extent to which employee training and perceived self-efficacy contribute to fostering organizational commitment, with job satisfaction positioned as an intervening construct. Conducted within the context of the Public Works, Spatial Planning, Housing, and Settlement Agency of Bali Province, the research engaged a workforce population of 610 individuals. Through the application of the Slovin formula, a representative sample of 86 respondents was identified. Data were gathered through a combination of structured questionnaires, in-depth interviews, and document review. Analytical processing was undertaken using path analysis to model the causal relationships among variables. The empirical evidence revealed that both training initiatives and self-efficacy perceptions have a favorable and statistically significant relationship with employees’ commitment to the organization. These two factors were also found to positively affect job satisfaction. Furthermore, job satisfaction emerged as a critical determinant that reinforces organizational commitment. The analysis further supports the mediating role of job satisfaction, demonstrating that the influence of training and self-efficacy on organizational commitment is also conveyed indirectly through improved job satisfaction levels. The findings of this study highlight the importance of investing in employee development through effective training programs and boosting self-efficacy to enhance job satisfaction.

The effectiveness of reporting within the reporting information system at Community Health Centers (Puskesmas) is crucial for supporting data‑driven decision‑making, health‑program planning, and performance monitoring. Accurate and timely reporting enables healthcare administrators to analyze trends, allocate resources efficiently, and improve patient outcomes through evidence‑based interventions. This article analyzes the factors influencing reporting effectiveness at Puskesmas in Serang Regency, including technological, human‑resource, and organizational factors. The study employs a literature‑review and case‑analysis approach, highlighting challenges and offering recommendations to improve reporting effectiveness. The results indicate that limitations in infrastructure, staff competency, digital literacy, as well as management support and policy, are key factors that must be addressed to optimize the reporting system in Serang Regency’s Puskesmas. Technological barriers—such as inadequate hardware, software, and internet connectivity—often hinder the seamless collection and transmission of health data. Human‑resource challenges, including insufficient training and low digital literacy among staff, can lead to data‑entry errors and delays. Organizational factors—such as clear policies, standard operating procedures, and a supportive management culture—are also essential for sustaining high‑quality reporting practices. Furthermore, the integration of health informatics and continuous quality‑improvement initiatives can enhance the reliability and usability of reported data, ultimately supporting better health outcomes at the community level. The study concludes that a holistic approach—encompassing technological upgrades, ongoing staff development, and strong organizational leadership—is necessary to ensure the effectiveness and sustainability of reporting systems in primary‑healthcare settings.

Worm infestation due to Soil-Transmitted Helminths (STH) infection remains a public health problem, especially among elementary school children who frequently interact with contaminated soil. This condition is a major concern because it can cause long-term health problems, particularly in terms of physical growth and development of children. This study aims to identify the presence of STH worm eggs and larvae in soil and fecal samples of children in Bekoso Village, Pasir Belengkong District, Paser Regency, East Kalimantan. This study used a descriptive approach with a cross-sectional design. The samples used consisted of 23 soil points taken from oil palm plantations with sandy and loose soil criteria, as well as 16 fecal samples from elementary school children. Fecal examination was carried out using the Kato-Katz method to detect worm eggs, while the soil was examined using the Baermann technique to detect worm larvae. The results showed that 25% of children's fecal samples were infected with worm eggs, with 12.5% containing hookworm eggs, 12.5% Taenia sp. eggs, and 6.25% Ascaris lumbricoides eggs. In soil samples, 60.87% tested positive for Strongyloides stercoralis larvae and 26.09% tested positive for Ascaris lumbricoides eggs. These findings indicate a high risk of STH infection in children in the area. Environmental factors such as soil moisture, soil texture suitable for worm breeding, and poor personal hygiene practices are suspected to be the main causes of the spread of infection. This study emphasizes the importance of education on clean and healthy living behaviors (PHBS) and improving environmental sanitation to reduce cases of worm infection, especially in endemic areas such as Bekoso Village. More comprehensive prevention efforts are urgently needed to address this problem and improve public health, especially among elementary school children.

Penelitian ini bertujuan untuk menganalisis struktur intrinsik naskah drama “Kecoa Tengah Malam” karya Bode Riswandi dengan menggunakan pendekatan strukturalisme. Pendekatan strukturalisme merupakan teori yang memfokuskan karya sastra sebagai sebuah struktur yang utuh berdasarkan unsur intrinsik yang terdapat dalam karya sastra. Penelitian ini menggunakan metode deskriptif kualitatif dengan teknik studi pustaka dan teknik analisis teks terhadap unsur intrinsik seperti tema, alur, tokoh dan penokohan, latar, gaya bahasa, sudut pandang, dan amanat. Hasil analisis cerpen ini mengangkat tema pengkhianatan dalam rumah tangga serta kehancuran harga diri seorang suami yang lumpuh, dikemas melalui simbolisme satire dan sindiran tajam terhadap norma sosial. Alur yang digunakan adalah alur maju (linier). Tokoh-tokohnya, yaitu Dr. Marus, Cicilia, Kristian, dan Atun, memiliki karakter yang memperkuat konflik moral dan emosional. Latar tempat utama berpusat pada sebuah rumah mewah milik Dr. Marus. Latar waktu berlangsung antara malam hingga pagi, mempertegas intensitas perubahan psikologis tokoh-tokohnya, sementara latar suasana ditampilkan dalam nuansa ketegangan dan ketidaknyamanan. Gaya bahasa bersifat simbolik dan tragis, memperdalam pesan yang disampaikan. Sudut pandang yang digunakan adalah orang ketiga. Amanat dalam naskah ini menekankan pentingnya menjaga moralitas, kesetiaan, dan empati dalam kehidupan pernikahan.

Hypertension is a chronic disease characterized by persistently elevated blood pressure. This condition occurs when the arteries narrow, obstructing blood flow and increasing pressure on the vessel walls. As a result, the heart is forced to work harder to pump blood throughout the body. If this condition is not properly controlled, it can lead to serious complications such as damage to the blood vessels, heart, kidneys, and even the brain. Therefore, effective management of hypertension is crucial, not only with pharmacological treatment but also through non-pharmacological interventions such as regular exercise. One recommended form of light exercise is brisk walking, which involves brisk walking at moderate intensity. This exercise is known to reduce peripheral resistance when the body's muscles contract, which in turn helps control blood pressure and increase cardiac output. This case study aims to determine the effectiveness of brisk walking therapy on the risk of decreased cardiac output in hypertensive patients. The intervention was carried out on hypertensive patients through home visits three days a week, with one meeting each morning. Patients were given brisk walking therapy with a specific duration and intensity according to their condition. Evaluation was carried out by measuring blood pressure before and after the intervention using a standard observation sheet. After three interventions, there was a significant decrease in blood pressure in patients. This indicates a positive effect of brisk walking on the cardiovascular system of hypertensive patients. Brisk walking is an effective and easy-to-do non-pharmacological therapy to help lower blood pressure and reduce the risk of decreased cardiac output in hypertensive patients. It is hoped that this therapy can become part of a self-help intervention carried out continuously in the patient's home environment.

This study aims to assess the impact of using Talking Stick game as a learning media on students' learning outcomes and scientific communication skills in science lessons. This study was conducted using the Systematic Literature Review (SLR) method, by analyzing various relevant previous studies from elementary to secondary education levels. The research findings indicate that the Talking Stick learning technique can significantly improve student learning outcomes. This model has also been proven effective in improving science communication skills, conceptual understanding, active participation, and students' courage to express opinions during the learning process. The Talking Stick method emphasizes collaboration and involvement between students in a fun and interesting atmosphere. The use of various supporting media, such as question cards, posters, audio visuals, and student worksheets (LKS), increases the effectiveness of this method. The use of alternating sticks in question and answer sessions encourages students to be more confident and actively involved in the learning process. This also provides benefits for the development of students' critical thinking skills and emotional skills, which are very much in line with the needs of learning in the 21st century. The findings of this Talking Stick model research are recommended as an innovative strategy in science learning. Teachers are advised to combine it with interesting learning media to make the learning process more meaningful and enjoyable. tested the effectiveness of this method in various educational conditions. Furthermore, consistent application of the Talking Stick method can create an inclusive learning environment that is responsive to individual student needs. In the context of science learning, which often demands understanding of abstract concepts and problem-solving, this method can bridge the gap between theory and practice through active and reflective interaction.

This community service program aims to improve the quality of services at Puskesmas (community health centers) through intensive assistance in content creation and digital communication media. The main issue addressed is the low digital literacy among healthcare workers at Puskesmas in managing effective communication media to reach the public. This has led to low community participation in health programs run by Puskesmas. Therefore, this program is designed to enhance healthcare workers' skills in utilizing digital technology for health promotion and improving communication effectiveness with the public. The program implementation involves several stages: (1) an initial survey to assess the condition of existing communication media, (2) training on creating engaging and informative health education content, (3) workshops on graphic design and health promotion video creation, (4) guidance on using social media platforms to disseminate health information, and (5) continuous evaluation and monitoring to ensure the sustainability of the program. This activity involves 25 healthcare workers from 5 selected Puskesmas, with a mentoring duration of 6 months. The results show significant improvements, including: an increase in healthcare workers' ability to create digital content from 30% to 85%, a 200% increase in public engagement with health information, and a 150% increase in the coverage of health promotion services. Additionally, the program has produced 120 pieces of health education content, 15 health promotion videos, and 8 successful digital campaigns that have successfully enhanced public participation in health programs. The long-term impact of this program is the increased public awareness of preventive health and improved access to Puskesmas services. This program can also be replicated in other regions as a model for improving the quality of primary healthcare services through optimal use of digital technology, which can accelerate the achievement of national health development goals.

Ridan Permai Village, within the Bangkinang City Community Health Center (Puskesmas) jurisdiction in Kampar Regency, faces a serious problem related to adolescents' lack of access to health information and services, particularly regarding reproductive health. Survey results revealed that adolescents rarely receive regular health education or checkups, even though they are a vulnerable group to various health problems and behavioral disorders due to their identity-searching phase. The lack of reproductive health education in schools and the community also exacerbates this situation, leading adolescents to tend to obtain information from invalid or incorrect sources. Through the Community Service (PKM) program, a team of lecturers and students conducted a series of activities at SMPN 1 Padang to increase adolescents' knowledge and awareness of reproductive health. Three main approaches were used: direct education, outreach through interactive discussions, and distribution of leaflets as a continuous information medium. In addition, a question-and-answer session provided a space for students to openly share their questions and experiences without embarrassment. This approach was designed to create a participatory, educational atmosphere. These activities aimed not only to increase adolescents' knowledge but also to empower them to prevent the risk of health problems and behavioral disorders. The expected outcome of this activity is increased understanding of reproductive health among adolescents, as well as the formation of collective awareness for maintaining health and positive behaviors among adolescents. Sustainability of the program is also being pursued by involving teachers and school officials as partners in health education. This activity is also expected to serve as an educational model that can be replicated in other schools in Kampar Regency.

This study addresses the issue of inadequate financial reporting by Regional Government Organizations (Organisasi Perangkat Daerah/OPD) in Nganjuk, where financial statements are expected to meet user needs in fulfilling transparency and accountability requirements. The research investigates the influence of four key factors—accounting standards, information systems, internal controls, and the competence of human resources—on the quality of financial statements. Furthermore, it examines the moderating role of organizational commitment in strengthening or weakening the relationships between these factors and financial reporting quality. The study adopts a quantitative research design, with data collected through structured questionnaires distributed to 53 OPD offices, involving 212 randomly selected respondents. Data were analyzed using classical assumption tests to ensure validity and reliability, followed by Moderated Regression Analysis (MRA) employing SPSS software. The findings reveal that information systems, internal controls, and competent human resources have a significant positive effect on the quality of financial reports. In contrast, accounting standards show no significant direct impact. Moreover, organizational commitment plays a moderating role in enhancing the positive effects of information systems, internal controls, and human resource competence on report quality. However, it does not moderate the relationship between accounting standards and financial reporting quality. These results highlight the importance of both technical and human resource aspects in improving financial statement quality within OPDs. While adequate systems and controls are crucial, the study underscores that the presence of strong organizational commitment is a determining factor in maximizing their effectiveness. The research suggests that efforts to improve financial reporting should not only focus on compliance with standards but also on strengthening commitment, training, and the integration of information systems and internal control mechanisms

Mental disorders are health problems that affect individuals, families, and communities, where the negative stigma given by families to members with mental disorders can influence the acceptance and support they receive. This study aimed to determine the relationship between family stigma and family acceptance toward people with mental disorders (PWMD) in the working area of Ladang Tuha Public Health Center, Pasie Raja Subdistrict, South Aceh. The research employed a descriptive-analytic design with a cross-sectional approach, involving 65 families selected using the total sampling technique. The instruments used were the Internalized Stigma of Mental Illness (ISMI) questionnaire and a family acceptance questionnaire, analyzed using the Chi-Square test with a significance level of 0.05. The results showed that the majority of respondents had low stigma (67.7%) and poor acceptance (61.5%), with a p-value = 0.000, indicating a significant relationship between family stigma and family acceptance toward PWMD. The study concluded that the lower the family stigma, the better the acceptance toward PWMD; thus, educational efforts and family empowerment are needed to reduce stigma and improve acceptance.

Type II diabetes mellitus (Type II DM) is a chronic disease that requires long-term self-care skills to prevent serious complications. However, many patients have difficulty managing blood sugar levels independently due to a lack of structured and ongoing education. The Student Creativity Program (PKM) aims to improve the self-care skills of Type II DM patients through an educational approach based on the Self-Care Deficit theory from Dorothea Orem. The activity was carried out in Bonto Ramba, the working area of the Tamalanrea Makassar Health Center, involving 35 participants (33 women and 2 men). Interventions were carried out through interactive counseling, demonstrations of diabetic foot wound care, practice simulations, and the distribution of easy-to-understand educational media. Evaluation was carried out using a pre-post test to measure knowledge improvement and an observation sheet to assess the ability of self-care practice. Results showed a significant improvement in participants' self-care knowledge and skills after the intervention. In addition, family involvement in assisting patients has also increased, strengthening the sustainability of self-care behavior. Participants gave positive feedback on the method of delivering material that was contextual and relevant to daily life. The supportive-educational approach used has been proven effective in empowering patients and building awareness of the importance of self-control of health conditions. This program not only contributes to improving the quality of life of Type II DM patients, but also strengthens the role of the family as the main support in the treatment process. In conclusion, structured education based on Orem theory can be used as an intervention model that can be replicated in other areas with high prevalence of DM, as a promotive and preventive strategy in community-based management of chronic diseases.