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The hospital is one of the organizations in the service sector that is engaged in efforts to improve public health. In addition, the hospital as oe of the subsystems of health services provides two types of services for the community, namely health services and administrative services. Therefore, as a hospital service institution, it is required to improve its service quality management continuously and continuously in various fields of service provided. So the Dumai City Hospital should be able to provide good service to pattiens with planned management for class B classified hospitals. The purpose of this study was to find out how the management of outpatient services in the field of pregnancy at the Regional General Hospital in Dumai City. This research method uses qualitative research methods with data collection thechniques using primary data and secondary data obtained from the results of observations, interviews, and documentation that the researcher analyzed in obtaining the data. This study uses the theory of Ratminto about service management, namely planning, implementation, and coordination. The results of the study indicate that the service management of the Dumai City Regional Public Hospital still has obstacles in its services such as training of workers who have not all received training, budget, facilities and infrastructure.

Pesticides are toxic substances that have a negative impact on human health problems. Anemia is one of the chronic effects of pesticide. The effect of pesticides to the farmer’s health, decreasing production or increasing destruction of red blood cells. The purpose of this study was to analyze the relationship of pesticide exposure with anemia in the blood of pesticide spraying workers at PT. X. The research method used is Cross Sectional at PT. X with a total sample of 61 workers was obtained by Simple Random Sampling. Information was obtained through interviews with questionnaire and examination of hemoglobin levels using a portable hemoglobin meter. Based on the results of the analysis using chi square data, it was found that pesticide exposure were associated with anemia (p = 0.011). It is expected that sprayers pay more attention to the impact of using pesticides with health.    

Hyperemesis gravidarum is the frequency of nausea and vomiting in pregnant women up to more than 10 times per day which can affect the general condition and hinder daily activities.The purpose of this study was to find out in-depth information about psychological factors related to the incidence of hyperemesis gravidarum in Harapan dan Doa Hospital of Bengkulu City. This study uses descriptive research design with qualitative methods. Data collection is based on in-depth interviews. Taking research subjects using purposive sampling technique. The main informants consisted of 5 pregnant women who experienced gravidarum hyperemesis and secondary informants consisting of husbands, families of pregnant women, and midwives. The results showed that most mothers received less pregnancy. A small number of informants lacked husband's support. There are pregnant women who lack family support. Most housewives and 1 who work experience stress in work. Health workers are expected to conduct prenatal counseling in first trimester pregnant women, so that pregnant women know the symptoms that lead to hyperemesis gravidarum and timely consultation with health workers, and also can monitor the psychological state of pregnant women that can affect their pregnancy

Urinary tract infection (UTI) in women occurs when bacteria or other microorganisms infect parts of the urinary tract, such as the urethra, bladder, ureters, or kidneys. UTIs are more common in women due to the shorter anatomy of the female urethra and closer to the anal area, which allows bacteria to enter the urinary tract more easily. Community education and detection of urinary tract infections in female workers are important activities to increase awareness, prevention and early detection of this condition. Extension activities provide appropriate knowledge about the causes, symptoms, and steps to prevent UTIs. In addition, early detection through urine examination helps in finding UTI cases early and taking appropriate treatment measures. This activity brings long-term benefits, such as reducing work absenteeism and increasing productivity. By raising awareness and providing good understanding, women workers can take effective prevention measures. Community education and detection of UTIs in female workers is important for improving their health and quality of life, as well as reducing the burden that UTIs place on individuals and society as a whole.

Aides aegypti or Aides albopictus is a type of mosquito that carries and transmits dengue virus to humans. Dengue hemorrhagic fever appears as an Extraordinary Event (KLB), causing panic in the community because it has the risk of causing death and spreads very quickly. Based on records from the Directorate for Prevention and Control of Infectious Diseases (P2PM) until Week 36, the cumulative number of confirmed cases of DHF from January 2022 was reported as 87,501 cases (IR 31.38/100,000 population) and 816 deaths (CFR 0.93%). Sampang Regency, East Java, is currently starting to anticipate the possibility of an outbreak of dengue fever. After the local regency government released three districts that were considered prone to Dengue Hemorrhagic Fever (DHF), namely Sampang District, Omben District and Torjun District. The Health and Family Planning Service (Dinkes-KB) of Sampang Regency, East Java, noted that cases of dengue hemorrhagic fever (DHF) in the area have decreased in 2021 compared to the number of cases that occurred in previous years. This study aims to determine the implementation of dengue hemorrhagic fever (DHF) prevention policies in Sampang District and what are the inhibiting factors. In this study, researchers used a qualitative descriptive method that used data collection such as interviews, observation and documentation studies. Based on the research results in assessing the Implementation of Dengue Hemorrhagic Fever (DHF) Management Policies in Sampang Regency, it has not been maximized when viewed from several indicators of evaluating the implementation of public policies, namely (1) Policy resources such as a lack of health workers, sufficient health facilities and funds, (2) ) the disposition or attitude of the executors is not firm and the lack of community participation in PSN activities, (3) economic, social and political conditions that are not conducive.

This study discusses the rights and obligations of patients and families in the services that have been provided.  The results showed that the granting process was in accordance with the Constitution no.  36 of 2014 concerning Health Workers and the Regulation of the Minister of Health of the Republic of Indonesia Number 4 of 2018 concerning Hospital Obligations and Patient Obligations and other related regulations.  There are several things that need to be improved, such as maximizing providing services to patients who have obligations that must be fulfilled, in order to achieve healing and as a balance of the rights they get, in essence the balance of rights and obligations is an achievement of a fairness of action, in terms of  relationship between two parties (medical personnel and patients).

At the beginning of 2020 the world was shocked by a new virus thought to have originated from Wuhan, China. named 2019 Novel Corona virus. The World Health Organization (WHO) names the new virus as corona virus disease 2019 (Covid-19), that health workers, both doctors, nurses and hospital administration staff, need legal protection from the government. Health workers are willing to devote themselves to serving public health and even sacrifice their lives and those of their families to tackle the spread of Covid-19. The formulation of the problem in this study is How is legal protection for health workers and the Covid-19 acceleration task force? and How is the form of guidance and supervision of the implementation of Covid-19 prevention services, the method used is a normative juridical approach. The work safety of health workers due to the Covid-19 pandemic has not been carried out properly as mandated in laws and regulations, in the implementation of the rights of health workers During the Covid-19 pandemic, it is still neglected and has not been fulfilled. Therefore, the role and responsibility of the government is needed to fulfill the rights of health workers as the frontline.

Dental health is part of overall health. Mother's level of knowledge has an important role in maintaining dental health in her child. Preschoolers are children aged between 4-6 years which is called the "golden age". So that in the preschool period mothers should have taught children how to brush their teeth properly. This service aims to provide education and increase mother's knowledge about brushing teeth to students of Perwanida Kindergarten, West Kotawaringin Regency, Central Kalimantan. This service is carried out by providing education to 50 mothers through speeches using visual aids about proper tooth brushing procedures. Measuring the level of knowledge was carried out using pretest and posttest questionnaires. Mother's knowledge level data were analyzed using MS.Excel and then translated into Good, Adequate, and Poor knowledge level categories. The results of this activity showed that there was an increase in mother's knowledge in the Good category from 53% to 74% and a decrease in mother's knowledge in the Enough category from 45% to 26% and in the Less category 2% to 0%. Based on the results of the education, it can be concluded that Education on the Use of Toothbrushes for Mothers of Perwanida Kindergarten students in West Kotawaringin, Central Kalimantan is said to be successful with an increase in the Good knowledge category. It is recommended that health workers can improve health promotion on how to brush their teeth properly in order to reduce the incidence of dental disease in children.

This study aims to explore the experience of pregnant women in consuming Fe tablets and the role of husband support in the prevention of anemia in Bukittinggi City. The problem faced is the high rate of anemia in pregnant women in this region, which is caused by the low compliance of mothers in taking Fe tablets regularly. With a qualitative approach, in-depth interviews were conducted with pregnant women undergoing the Fe tablet supplement program to understand how their husband's support affected their compliance. The results showed that husband support had an important role in improving pregnant women's compliance, especially through emotional support, reminders, and encouragement in overcoming side effects that mothers often experience during Fe tablet consumption. Husband's support plays a significant role in maintaining the consistency of pregnant women in consuming Fe tablets, which has a positive impact on efforts to prevent anemia. The existence of a husband as a companion provides additional motivation for mothers to be disciplined in undergoing this health program. To increase the effectiveness of the anemia prevention program, it is recommended that health workers involve their husbands in health education for pregnant women regarding the importance of consuming Fe tablets. Maternal and child health programs should include a family approach, especially by increasing husbands' participation in pregnancy classes and counseling sessions, so that support for pregnant women can be maximized.

This study analyzes work posture in cigarette manufacturing at PT Wan Tobacco Cigarette using the Standard Nordic Questionnaire (SNQ) and Rapid Entire Body Assessment (REBA) methods. Manual handling work has the potential to cause health risks due to physical loads and non-ergonomic postures. PT Wan Tobacco Cigarette faces problems with ergonomic risky work activities, especially in the cigarette manufacturing machine section, with worker complaints such as muscle fatigue and health problems in the hands, upper arms, back and neck. The SNQ method is used to identify complaints on the employee's body parts, while the REBA method is used to analyze work posture as a whole. This study focuses on assessing work posture when transferring tobacco to cigarette making machines. The REBA method was chosen because of the complexity and dynamics of employee activities. This research is expected to contribute to improving workers' posture to make it more ergonomic and help PT Wan Tobacco Cigarette control the risk of health problems caused by ergonomic factors. By identifying work posture problems and employee complaints, companies can implement changes in the design of work methods and work stations that are more ergonomic to improve worker comfort and welfare.

   Health workers are noble jobs and professions that are at the forefront in dealing with health problems, especially in the midst of the COVID-19 pandemic crisis. Health workers have to sacrifice their lives to protect the community from the spread of the covid-19 pandemic, health workers are also worried about the covid-19 pandemic, especially many health workers who are exposed to Covid-19 and the death of health workers, especially doctors and nurses. The implementation of safety and health for health workers aims to provide protection for health workers to be healthy, safe, productive, and avoid work accidents and occupational diseases. This research is focused on positive legal policies in Indonesia that regulate legal protection for the right to work safety for health workers who deal with the COVID-19 outbreak. The legal research used is normative legal research, the results of the study show that legal protection and fulfillment of the right to work safety for health workers who deal with the covid-19 pandemic outbreak are regulated in Indonesian laws.  

Antenatal care (ANC) visits are contacts between pregnant women and caregivers in terms of assessing the health and well-being of the baby as well as opportunities to obtain information and provide information to the mother and health workers. If a pregnant woman does not have a pregnancy check-up, it will not be known whether her pregnancy is going well or whether she is experiencing a high risk situation and obstetric complications which are dangerous for the life of the mother and fetus and can also cause high morbidity and mortality. The aim of this research is to determine the relationship between Antenatal Care (ANC) Management and Childbirth Complications at the Pratama Kita Clinic, Langkat Regency in 2023. This type of research uses a correlational research method with a cross sectional approach. The subjects of this study were pregnant women, totaling 49 respondents. Retrieval of data using a questionnaire on the management of antenatal care with labor complications. The analysis was carried out univariately and bivariately. The formula in this study uses the Chi Square formula. The management of antenatal care (ANC) is associated with labor complications with a p value = 0.000. The results of the study showed that there was a relationship between antenatal care (ANC) management and birth complications.

The dominant problem that requires special attention in the elderly is a decrease in health and a problem of poor nutritional intake which can be caused by a lack of knowledge or due to decreased functions of the digestive organs due to the aging process. Bivariate data analysis was used to see the significance of the relationship between the independent variable and the dependent variable which was carried out using the Chi-square (x^2) statistical test. If Ρ=(0.05) > Chi-Square results then Ho is accepted and Ha is rejected, meaning there is no relationship between the research results and theory. If ρ=(0.05) < from the Chi-Square results then Ho is accepted and Ha is rejected, meaning there is a relationship between the research results and theory. The results of the analysis showed that of the 36 respondents the majority had insufficient knowledge about a healthy diet as many as 18 respondents (50.0%), respondents who had sufficient knowledge about a healthy diet as many as 17 respondents (47.2%) and respondents who had good knowledge about diet healthy as much as 1 respondent (2.8%). The research obtained in Sumber Mufakat Village, Kabanjahe District, shows that the majority are elderly (60-74) as many as 20 respondents (55.6%), the majority have basic education (SD-SMP) as many as 33 respondents (91.66%) , the majority worked as farmers as many as 31 respondents (86.11%), the majority received information from health workers as many as 22 respondents (61.1%), the majority had less knowledge as many as 18 respondents (50.0%) and the majority had a positive attitude as many as 20 respondents (55.6%), where the level of education greatly influences a person's level of knowledge. This shows that the higher a person's level of education, the higher their level of knowledge. The majority of elderly people have less knowledge about a healthy diet, as many as 18 respondents (50.0%). preventing diabetes mellitus where the better the knowledge of the elderly, the better the attitude of the elderly in preventing diabetes mellitus in Sumber Mufakat Village, Kabanjahe District, 2018 with a p value = 0.00.    

Human resources referred to are the provision of resources both in terms of quantity and quality of medical personnel and health workers. So far, it can be easily found that the local government has difficulty in fulfilling these personnel, especially specialist doctors. In several years, the formation of civil servants with the formation of medical specialists did not register. This is of course the obligation of the government, both the central and regional governments, to provide these resources so that not only can the hospital be built, but the human resource aspect cannot be fulfilled.  

The process of healing a good cesarean section wound is the return of the former abdominal wall incision and the general recovery of the mother's condition as before. At RSHB in 2022 the number of cesarean section deliveries is 80% per 55 deliveries, a poor healing process will cause infection in the wound area so that mothers will be delayed in caring for their children. This study aims to determine the relationship between early mobilization and wound healing process by cesarean section at RSHB.This study uses analytic observation, data collection techniques using observation sheets. The population in this study were post-cesarean section mothers at RSHB, when the researcher was in April 2022. The sampling technique was accidental sampling which was carried out by meeting or visiting as many as 30 people. Data processing is done through the process of editing, coding, tabulating, scoring and analysis.The results of the study found that there were 5 people (16.65%) who did not mobilize and 20 people (66.7%) did mobilization and 5 (16.65%) people did not experience a good healing process. The result of the chi-square test has a result of 0.00, which means that Ho is rejected, Ha is accepted, so there is a significant relationship between early mobilization and the wound healing process for cesarean section surgery.The results of the study can be concluded that there is a relationship between early mobilization and the process of wound healing by cesarean section at RSHB. It is hoped that health workers will apply more early mobilization.

Sport is one of a person's physical and psychological activities that is useful for maintaining and improving the quality of one's health after exercise. In office workers with very dense routines from morning to late, faced with deadlines, light mobilization, sitting too long, poorly trained muscles and wrong work positions will cause various complaints such as low back pain, neck complaints, shoulder complaints and not only limited to physical, but more susceptible to various diseases, such as coronary heart disease,  high blood pressure, diabetes miletus, stroke etc. This research uses Literature Review research which is one method with collecting literature data, analyzing theories, structured evaluations, classifying and categorizing evidence-based that has existed or been produced before. The results of maintaining health in a busy life order must still be considered, by exercising and maintaining a lifestyle. To maintain motion is to sustain life, to increase the ability to move is to improve the quality of life.  

Cholelithiasis or gallstones are pieces of solid material that form in the gallbladder. Gallstone disease or cholelithiasis is often found in various countries, including Indonesia. One of the collaborative actions to overcome the problem of cholelithiasis is cholecytectomy surgery. This case study aims to determine the application of perioperative care in patients with a diagnosis of cholelithiasis by laparotomy for cholecystectomy. The method in this study was a case study in cholelithiasis patients by providing intervention and care at the pre-operative, intra-operative and post-operative stages. The results of this case study indicate that the application of perioperative care by intervening reduces preoperative anxiety, controls bleeding and controls infection during surgery, prevents falls and reduces postoperative pain. It can be concluded that the application of perioperative care as an action performed by operating room nurses as well as surgeons and anesthesiologists in order to prepare patients for surgery with the aim of ensuring intraoperative patient safety. For health workers, both doctors and nurses, they always provide education related to a healthy lifestyle. Nurses monitor perioperative patients, educate patients and provide nursing care. In addition, it also informs the team about changes in patient status, and evaluates post-surgery.

This study aims to evaluate the level of patient satisfaction with home care services in West Java. The research method used is qualitative study with survey and face-to-face techniques on 10 home care patients and 10 patient families in West Java. The results of the study showed that patients and patient families were very satisfied with the home care services because they provided comfort and fulfilled patient needs. In addition, healthcare workers who worked in the field of home care felt connected and useful in providing personal care focused on the patient. However, the study also identified several challenges in home care services, such as coordination between healthcare workers and families, as well as accessibility and quality of home care services. Therefore, support and cooperation from various parties, such as patient families, the community, and the government, are needed to improve the quality of home care services and ensure that patients receive the best care at home.

The hospital also has the main task of providing complete individual health services with efforts to heal, recover, improve, prevent, referral services, research and development and community service. The purpose of writing this scientific article is to find out and review theoretically from various literature and strategies to improve patient satisfaction and quality of service in hospitals. The method used is a theoretical study by analyzing and comparing existing theories. The results of this theoretical study, namely the strategies carried out by increasing human resources, the speed of staff response, and satisfaction can be identified by comparing the expectations and experiences of the performance of health service providers. By doing this strategy can provide a desire of patient hope. It was concluded that strategies to increase patient satisfaction and health quality can realize patient expectations arising from the actions of health workers as the performance of health services and during a good treatment process. In the strategy carried out the patient will evaluate and assess the product or service quality that has been received. Hospital agencies also need to improve service quality strategies to realize patient expectations. Patient satisfaction in assessing quality or good service, and is an important measurement that is fundamental to the quality of service. This is also because by providing information on the success of quality service providers, the values ​​and expectations of patients will increase.

Efforts to prevent dengue fever by controlling the transmission of dengue fever virus by eradicating dengue mosquito vectors with the implementation of 3 M where the role of health workers is very important in this case. The purpose of this study was to determine the relationship between the role of health workers and Dengue Fever Prevention in Gampong Seupeu, Kuta Baro District, Aceh Besar Regency. This research method uses an analytic design with a cross sectional approach with a population of 256 family heads (KK) and a sample size of 72 family heads (KK), the sampling technique is stratified random sampling. Data collection using a questionnaire. This study was conducted on July 6-17, 2023 with univariate and bivariate analysis using the chi-square test. The results showed that of the 72 respondents most of the prevention efforts against dengue hemorrhagic fever in the category, the role of health workers was less as many as 42 people (58.3%) and played as many as 30 people (41.7%). the role of health workers (p=0.007) with efforts to prevent dengue hemorrhagic fever. Conclusion there is a role of health workers with efforts to prevent dengue hemorrhagic fever. It is recommended at the research site to hold health counseling about dengue hemorrhagic fever, so that people can know about dengue hemorrhagic fever and how to prevent dengue hemorrhagic fever.