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Stunting is a chronic nutritional issue that significantly affects children's long-term growth and development. One of its primary causes is the lack of knowledge among mothers and families about balanced nutrition and the skills to manage household income effectively. This community engagement program aimed to enhance the knowledge of mothers and families through leaflet-based education on child nutrition and household income management for stunting prevention.The activity was conducted in the working area of Puruk Cahu Public Health Center, Central Kalimantan, involving 30 housewives with children under five years old. The education was delivered through lectures using both leaflet and PowerPoint media, and the implementation consisted of three stages: preparation, implementation, and evaluation. The results showed that empowering mothers and families through leaflet media is an effective educational strategy. After the intervention, participants showed a significant improvement in understanding the importance of early nutritional intake, the concept of balanced nutrition, and simple strategies for managing household finances to meet their children's nutritional needs. In addition, participants became more aware of the family's active role in ensuring quality food consumption for children and the long-term impacts of malnutrition.It is expected that this increased knowledge will enable mothers and families to become agents of change in preventing stunting and fostering an environment that supports optimal child growth and development.

Digital developments in the financing system for issuing Drug Examination Result Certificates (SKHPN) have had a significant impact on improving administrative governance in the health and legal sectors in Indonesia. This study uses an empirical legal approach with a juridical-sociological method to analyze the use of information technology in payment mechanisms and governance of SKHPN services. Data were collected through in-depth interviews, direct observation, questionnaire distribution, and studies of regulations, including Law Number 17 of 2023 concerning Health and Government Regulation Number 28 of 2024. The findings show that the digitalization process of financing has a positive impact on shortening bureaucratic channels, accelerating service verification, and encouraging budget transparency and accountability. The implementation of an integrated health information system as regulated in Articles 371 to 378 of Law Number 17 of 2023 also strengthens service management through real-time and traceable digital recording. Meanwhile, PP No. 28 of 2024 emphasizes the importance of using electronic payment systems, transparency of financial reporting, and public involvement in service supervision. Although there are still obstacles such as limited infrastructure and low digital literacy, digitalization in SKHPN financing has proven to be a strategic step in realizing adaptive, open and inclusive public services in accordance with the direction of technology-based health policies.

Micro Small and Medium Enterprises (MSMEs) are experiencing the impact of the Covid-19 pandemic. The decline in consumer purchasing power is a challenge for SMEs in carrying out their business production. One of the opportunities for MSME actors to survive in the current pandemic is by maximizing online sales. But not a few MSME actors who still do not understand to use online sales. Therefore, it is necessary to empower the community of MSME actors in trying online markets or other options by empowering MSME actors in branding superior products. By using and managing the right digital media, it is hoped that business actors can increase public interest in products. Digital media that can be used include Instagram, Facebook, WhatsApp, Youtube, GrabFood/Go-Food or other platforms. Business actors can also carry out brand awareness offline, that is, they can develop innovations that do not yet exist, such as promotions by distributing brochures, creating attractive menu lists or creating price tags. The approach method used in community service this time is in the form of mentoring business actors regarding the development of MSME business innovations where members go directly to the field. This MSME assistance activity was carried out. The process of SME Mentoring activities is in the form of interviews with business owners to find out the current situation of their business conditions, members help make snack box orders, make banners/banners and price tags as an effort to carry out brand awareness, and members also provide medical equipment in the form of masks, hand sanitizer, and plastic gloves to business managers as a form of attention to always maintain health protocols when interacting with customers.

Community-based waste management is a strategic step toward achieving sustainable development in Gresik Regency, Indonesia. This policy aims to reduce waste volume, raise community awareness, and support the vision of a Green Regency. This study evaluates the implementation and effectiveness of community-based waste management policies using a qualitative case study approach. Data were collected through in-depth interviews, participatory observation, and document analysis, then analyzed thematically to identify supporting and hindering factors influencing program success. The findings indicate that while progress has been made, significant challenges remain, including low levels of socialization, limited infrastructure, and weak inter-agency coordination. Community participation depends heavily on local leaders and facilitators, and the sustainability of institutions such as waste banks and management groups has yet to be evenly distributed. Adequate infrastructure, such as integrated waste processing facilities (TPS3R), is crucial and needs enhancement. Barriers like a lack of technical experts, cultural habits of indiscriminate waste disposal, and insufficient funding hinder the achievement of policy objectives. This evaluation underscores the necessity for increased education, institutional strengthening, and improved infrastructure to accelerate behavioral change and boost community participation. The results are expected to inform local government strategies for more effective implementation toward realizing a sustainable and environmentally friendly Gresik. An integrated and holistic approach is essential for optimizing waste management, creating a cleaner, healthier, and sustainable environment.

This community service program was implemented to strengthen the digital literacy and competencies of health cadres in Simogirang Village, Prambon Sub-district, Sidoarjo Regency, particularly in the recording and management of Posyandu (integrated health service post) data. The initiative responded to ongoing issues stemming from manual documentation methods, which were prone to human error, inefficiency, and lack of integration with regional health information systems. To address these challenges, the program delivered an IT-based training module using a combination of direct instruction, demonstrations, and hands-on simulations. The training emphasized the use of accessible and cost-effective tools such as Google Forms and Google Sheets, designed in alignment with the principles of adult learning (andragogy) and Kurt Lewin’s change management model to facilitate behavioral adaptation and technology acceptance among the participants. A total of 25 health cadres participated in the program. Pre- and post-training evaluations demonstrated significant improvement in digital skills, with 80% of participants achieving a minimum of 85% accuracy in completing digital forms and managing records. In addition, a prototype digital system based on Google Workspace was successfully piloted in two Posyandu locations. This system enhanced the timeliness, accuracy, and integration of health data reporting to local health centers (Puskesmas), offering a scalable and sustainable solution for grassroots healthcare data management. Despite the positive outcomes, the program also identified key challenges, notably limited internet infrastructure and varying levels of prior digital exposure among cadres. These findings underscore the need for continuous mentoring, support from local government stakeholders, and potential investment in digital infrastructure. Overall, the initiative contributes to Indonesia’s broader goals of digital transformation in public health, particularly at the village level.

Background: Antimicrobial resistance (AMR) is an increasing global health challenge, especially due to the irrational use of antibiotics. Increasing public awareness of the dangers of AMR is an important step in prevention and control efforts. A counseling program on AMR awareness has been implemented as part of the Community Service Program by Bali International University students in Punggul Village, Badung Regency, Bali Province. Method: This community service activity was carried out on September 5, 2023 and was attended by more than 50 participants, the majority of whom were housewives. The methods used included the presentation of educational materials, interactive sessions, and local culture-based campaigns to increase public understanding regarding the proper and wise use of antibiotics. Results: Evaluation through posttest showed that there was fair knowledge (73.0%) and positif attitude of participants (100%) regarding the importance of rational use of antibiotics. In addition, this activity had a positive impact on students as implementers, especially in improving communication skills, leadership, and community empowerment. Conclusion: This program showed that a community-based educational approach that is sensitive to the local context has significant potential in raising awareness of AMR. Active involvement of young people as agents of change can be a sustainable strategy to support AMR control efforts at the local and global levels.

Patient compliance with hypertension treatment is an important factor, as hypertension is a disease that cannot be cured but must always be controlled to prevent complications that could lead to death. The aim of this health promotion is to increase public understanding of the signs, prevention, and control of hypertension. The activity methodology uses a one-group pre-post design by measuring knowledge before and after the counseling session. The instrument used was a knowledge questionnaire related to the signs, prevention, and control of hypertension. The results achieved after conducting the counseling titled "Recognize, Prevent, and Control Hypertension" in the community showed an increase in knowledge from 63% to 83%.

Low birth weight (LBW) is a major concern in Indonesia due to its impact on neonatal health and growth. One of the contributing factors is maternal anemia during pregnancy, which limits oxygen and nutrient supply to the fetus. This study aimed to determine the relationship between maternal anemia and the incidence of LBW in the working area of the Cimerak Health Center, Pangandaran Regency. This research used a retrospective case-control design involving 124 mothers, divided into 62 cases and 62 controls. The results of the chi-square test showed a significant relationship between maternal anemia and the incidence of LBW (p = 0.000). It is concluded that maternal anemia is associated with a higher risk of LBW, thus emphasizing the need for improved maternal care and anemia prevention strategies.

Reproductive health is an important aspect in improving the quality of life of the community, but the level of knowledge about reproductive health is still relatively low due to cultural factors, social norms, and limitations of the educational methods used. This study aims to analyze the effectiveness of the peer educator method in increasing the level of reproductive health knowledge of the community in the Akelamo Community Health Center, Tidore. This study used a pre-experimental design with a one-group pretest-posttest approach. The study sample consisted of 24 respondents selected using a total sampling technique. The intervention was carried out through reproductive health education using the peer educator method in small groups. Measurements of knowledge levels were carried out before and after the intervention using a standardized questionnaire. Data analysis used the Wilcoxon test with a significance level of p < 0.05 . The results showed an increase in the average knowledge score from 56.3 before the intervention to 78.5 after the intervention. Statistical tests showed a significant difference between the levels of knowledge before and after the intervention (p = 0.001). These results indicate that the peer educator method is effective in increasing public reproductive health knowledge .

Background: Coal mining is one of the industrial sectors with broad impacts on environmental conditions and public health. Communities living near mining areas are at risk of exposure to air pollution, water contamination, ecosystem disruption, and increased disease burden, particularly respiratory illnesses. Objective: This study aims to systematically review scientific evidence on the impact of coal mining on health and the environment in communities living around mining areas in Indonesia. Methods: This literature review analyzed seven scientific publications from 2014 to 2024, obtained from university repositories and accredited national journals. Inclusion criteria included studies conducted in Indonesia, relevance to health and/or environmental issues, and complete data presentation. Each article was thematically extracted and analyzed. Results: The studies revealed that coal mining activities contribute to increased cases of ARI (acute respiratory infections), pharyngitis, digestive disorders, and even potential exposure to natural radioactivity. Environmental impacts included air pollution from coal dust, decreased water quality, and unmanaged mining residues. Some studies also highlighted significant public health costs, despite companies having obtained environmental certifications. Conclusion: The health and environmental impacts of coal mining on surrounding communities are real and multidimensional. Therefore, a cross-sectoral approach involving environmental monitoring, public education, and evidence-based policymaking is needed to minimize long-term risks.

Coastal environmental pollution, especially due to plastic waste, has become a serious threat to marine ecosystems and public health. Nambo Beach in Kendari City, Southeast Sulawesi, is one of the areas affected by the lack of waste management and low public awareness. This community service activity aims to increase community awareness and participation in maintaining beach cleanliness through clean-up actions and environmental education. The methods used include collecting rubbish by students and providing education to visitors through poster media. The results of the activity show that there is community enthusiasm for this activity as well as increased understanding of the importance of protecting the environment. Visual education has proven effective in conveying environmental messages, while beach clean-up actions encourage direct behavior change. This activity proves that collaboration between academics and the community can create a positive impact and needs to be implemented sustainably as part of a participatory-based waste management strategy in coastal areas.

Digital transformation in health services faces significant challenges, particularly the gap between rapid technological advancements and the readiness of institutional work culture. This study investigates the cultural lag experienced during the implementation of digital systems at the East Nunukan Health Center. Using an observational qualitative approach, it examines health workers' responses to digital applications such as e-Puskesmas and various Health Information Systems. The findings reveal substantial resistance to change, attributed to factors like limited digital literacy, inadequate infrastructure, and the persistence of traditional work patterns. Despite the introduction of digital systems, healthcare practices remain largely dependent on manual methods, highlighting the disconnect between technological progress and the socio-cultural preparedness of healthcare organizations. The study concludes that this cultural lag within healthcare institutions can significantly impede the effectiveness of digital transformation efforts. To address these issues, the research advocates for ongoing training, improvement of supporting facilities, and the adoption of strategies that align with local work culture. This research provides valuable insights into the socio-cultural dynamics affecting the digitization of public services, especially in border regions with limited technological access.

This article comprehensively examines the impact of inflation on the welfare of Indonesian society from a public economics perspective. High inflation has been proven to erode purchasing power, widen economic inequality, and worsen quality of life, especially for fixed- and low-income groups. Rising prices of basic necessities force households to sacrifice spending on education and health, increasing the risk of poverty and lowering the human development index. Inflation also creates economic uncertainty, hampers investment, and triggers social conflict due to public unrest. Empirical studies indicate that every 1% increase in inflation can reduce real purchasing power by up to 2.3% and increase the number of poor people. To mitigate these regressive effects, integration of monetary, fiscal, and adaptive social protection policies is required. The experience of Indonesia and other countries underscores the importance of inter-institutional synergy and evidence-based interventions to maintain price stability and equitable welfare. In conclusion, inflation control should be seen as a long-term investment in human development and social justice, not merely as a macroeconomic stability target.

Malaria remains a significant public health issue both globally and in Indonesia, particularly affecting high-risk groups such as infants, young children, and pregnant women. The increasing incidence of malaria is closely linked to environmental and behavioral factors. This study aims to examine the relationship between community behavior and environmental conditions with malaria incidence at the Arso City Health Center, Keerom Regency. A quantitative, cross-sectional design was used, allowing analysis of variables at a single point in time. The sample was selected through simple random sampling based on inclusion and exclusion criteria. Findings revealed that there is no significant relationship between the habit of going outside the house and malaria incidence (p = 0.07). However, there is a significant relationship between the use of mosquito repellent and malaria incidence (p = 0.000). Similarly, using mosquito nets and gauze also showed a significant relationship with reduced malaria cases. Environmental aspects such as mosquito breeding sites and unsealed house walls were also found to be significantly associated with malaria occurrence. These results suggest that both behavioral factors—particularly protective measures—and environmental conditions contribute to malaria transmission in the community. Public health efforts should prioritize education on preventive behaviors and improvements in living environments to reduce malaria risk.

This study discusses the impact of plastic waste imports from the Netherlands on environmental security in Indonesia. The practice of cross-border waste trade has become a sensitive issue in international relations, especially when developing countries such as Indonesia receive an abundance of waste from developed countries. This study uses a descriptive qualitative approach with data collection techniques through documentation and literature studies. The analysis focuses on regulations, dynamics of the recycling industry, and the ecological impact of incoming waste. The results show that most of the imported plastic waste cannot be processed safely and contains hazardous contaminants such as microplastics and heavy metals. This waste pollutes the soil, rivers, and seas, and enters the food chain through marine fish consumed by the community, thus threatening food security and public health. The state's response, although it has included re-export steps and policy revisions, is still weak in terms of supervision and law enforcement. In conclusion, plastic waste imports are a form of non-traditional threat to Indonesia's environmental security that requires stronger structural, diplomatic, and institutional responses.

Type 2 diabetes mellitus is a chronic metabolic disease that is increasingly found in the productive age population and can have a major impact on quality of life, especially due to risk complications such as heart disease, nerve disorders, retinopathy, and kidney damage. Early symptoms are often not recognized because they are considered minor complaints, such as fatigue or frequent urination, so many cases are not diagnosed in the early stages. The Community Service Program (PKM) implemented in Grogol Village aims to increase public awareness of the importance of early detection of diabetes through fasting blood sugar screening activities. This activity uses the Plan-Do-Check-Act (PDCA) approach, including checking glucose levels with the Point-of-Care Testing (POCT) tool, as well as counseling on risk factors and prevention of diabetes. Of the 71 participants involved, 19 people (26.76%) were identified as having diabetes, 8 people (11.27%) had prediabetes, and the rest had blood sugar levels within normal limits. These results indicate that early screening is very important to prevent diabetes progression and severe complications, and is a foundation for building public awareness to maintain metabolic health sustainably.

Early marriage is a complex social issue that requires special attention due to its negative impacts on individual development, health, and family stability. In Indonesia, policies related to early marriage are regulated in Law No. 16 of 2019, which sets the minimum age for marriage. The Office of Religious Affairs (KUA) Medan City plays a crucial role in addressing and preventing early marriage through various policies and programs, one of which is youth counseling and the certificate of marriage eligibility program. This study aims to analyze KUA Medan City's policies on handling and preventing early marriage and to assess the effectiveness of these programs. The research was conducted using a qualitative approach through an internship at KUA Medan City, involving observation and interviews with relevant stakeholders. The findings show that KUA Medan City has implemented policies to address early marriage effectively, although there are several challenges in its implementation, such as a lack of public understanding regarding the legal marriage age and low interest in participating in marriage counseling programs. In conclusion, while significant efforts have been made, there is still a need to raise public awareness and expand access to services provided by KUA to reduce the incidence of early marriage in the area.

This study examines the causes and impacts of hazardous and toxic waste (B3) spills in Bekasi Regency, West Java. B3 waste such as used oil, batteries, and heavy metals can pollute the environment and harm public health. Key causes include lack of treatment facilities, violations of disposal procedures, and weather factors like flooding. The research uses normative legal approaches. The findings of this study underscore the necessity of managing hazardous waste in compliance with established regulations, enforcing environmental laws rigorously, and ensuring active involvement from both government institutions and the public in monitoring efforts. The application of the strict liability principle is considered highly important in providing a deterrent effect against polluters through legal accountability.

Cervical cancer is a significant public health problem globally, including in Indonesia. This disease ranks fourth as the most common cancer in women in the world, with an estimated 604,000 new cases and 342,000 deaths in 2020. Analyzing the current condition of cervical cancer in Indonesia including prevalence, risk factors, impacts, prevention efforts, and treatment based on data to provide a comprehensive picture of the situation of cervical cancer in Indonesia. Cervical cancer is defined as a malignant tumor in the cervix that attacks the epithelial layer and has the potential to spread. Human Papilloma Virus (HPV) infection is the main cause of cervical cancer. In addition, several supporting risk factors include risky sexual behavior, long-term use of oral contraceptives, smoking habits, nutritional deficiencies (especially vitamins C, E, and folic acid), and poor personal hygiene. The Indonesian government has attempted to identify the disease early through the Visual Inspection of Acetic Acid (IVA) method used for early detection of cervical cancer in women aged 30 to 50 years. However, community participation in this program still needs to be improved sustainably. Treatment for cervical cancer can include surgery (eg cryosurgery, LEEP, hysterectomy), radiation, and chemotherapy. Cervical cancer remains a major health challenge in Indonesia. Improved education programs, participation in early detection of IVA, and strengthening of the health system as a whole are needed to effectively reduce morbidity and mortality caused by this disease.

Acute Otitis Media (AOM) is a common middle ear infection in children, particularly in rural areas. This study aims to explore the clinical characteristics of AOM in children treated at rural health centers (puskesmas) and to examine the barriers to effective management. A descriptive qualitative method was employed through a literature review analyzing symptoms, stages, risk factors, and treatment approaches. The findings reveal that AOM in children often begins with an upper respiratory tract infection and presents with sudden ear pain, high fever, sleep disturbances, and ear discharge. Risk factors include young age, poor environmental conditions, and limited access to healthcare services. Management of AOM depends on its clinical stage and requires accurate diagnosis. However, in rural puskesmas, a lack of diagnostic tools and limited public awareness often leads to delayed treatment. Therefore, it is essential to provide health workers with basic ENT training, ensure the availability of diagnostic equipment, and educate parents to enable early detection and prevent complications that could affect a child’s development.