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Stunting is a form of malnutrition characterized by height-for-age indicators. The height-for-age (H/A) indicator reflects chronic nutritional issues resulting from prolonged adverse conditions. The aim of this study is to identify the factors influencing the incidence of stunting in children aged 12–59 months in the working area of the Lobu Health Center, Banggai Regency. This research employs a quantitative approach with a cross-sectional study design. The population in this study consists of mothers with stunted children. A total of 85 respondents were selected as the sample using a total sampling technique. The independent variables in this study are maternal education level, family income, and feeding practices. The dependent variable is stunting. Data collection was conducted using questionnaires, and children's height was measured with a microtoise and converted into standard z-scores. The results indicate a significant effect of feeding practices on the incidence of stunting in children aged 12-59 months (p=0.002; r=0.326). Improved feeding practices are associated with a reduction in stunting rates in the working area of the Lobu Health Center, Banggai Regency, emphasizing the need to enhance feeding practices. Therefore, nurses and other healthcare professionals should intensify health promotion efforts regarding proper feeding practices for young children.

Deviations from normal that directly cause pain and death for the mother and baby. The high maternal mortality rate is caused by high risk, namely women with 4T conditions (pregnancies that occur at too young an age, too old an age, too close a pregnancy distance, too many children). This study aims to determine the relationship between knowledge and attitudes of pregnant women about the 4T factors with pregnancy complications in the Tanjung Unggat Community Health Center working area. The research design used in this research is cross sectional analysis. The sampling technique in this research was accidental sampling of 38 people. The results of research conducted on 38 respondents conducted in August 2024 showed that 22 respondents had sufficient knowledge with a p value of 0.002, where there was a relationship between knowledge and high risk pregnancy (4T) at the Tanjung Unggat Health Center. Meanwhile, there were 25 respondents who had a positive attitude and the risk of pregnancy complications with a p value of 0.000, where there was a relationship between attitude and high risk pregnancy (4T) at the Tanjung Unggat Community Health Center. It is hoped that respondents will better understand the concept of high risk of 4T during pregnancy and be more concerned about the mother's health when planning the next pregnancy.

The XYZ Health Center faces challenges in managing the outpatient registration process manually, often resulting in long queues, extended waiting times, and data inaccuracies. To address these issues, this study aims to design and develop an Android-based outpatient registration application. The application is intended to simplify the registration process for patients, allowing them to register for visits without needing to visit the health center in person, while also enabling healthcare staff to manage patient data more efficiently. The methodology employed in this study includes requirements analysis and system design using the Unified Modeling Language (UML). The application features online registration, doctor schedules, visit reminder notifications, and patient data management. This study concludes that the Android-based application can serve as an effective and efficient solution for improving health center services. Further development is recommended to enable integration with other healthcare systems.

Emesis gravidarum is a common condition experienced by pregnant women in the first trimester, which can interfere with health and quality of life. This study aims to evaluate the effectiveness of mint tea and honey in reducing symptoms of nausea and vomiting in pregnant women. This study used a case study design with the subject of a 20-year-old pregnant woman, G1P0A0, who was 9 weeks pregnant and experiencing emesis gravidarum. The intervention was carried out by giving 150 ml of mint tea and honey, once in the morning after meals, for three consecutive days. The study was conducted at Rowosari Health Center on November 19-22, 2024. Measurements were made using the PUQE observation sheet to assess the frequency and intensity of nausea and vomiting before and after the intervention. The results showed a significant decrease in the frequency of nausea and vomiting, from 4 times at the initial visit to 1 time at the third visit. The PUQE score also showed improvement from moderate to mild category. The administration of mint tea and honey proved effective in reducing symptoms of emesis gravidarum in first trimester pregnant women. This non-pharmacological method can be used to reduce nausea and vomiting in pregnant women.

Health centers have an important role in providing effective and efficient health services to the community. However, the problem of long and unorganized queues often hinders the quality of service. This study aims to design and implement a web-based queue management system at the Stabat Lama Health Center. The methods used include system requirements analysis, database design, and software development. This system allows patient registration, queue number retrieval, and automatic patient calling, thereby reducing waiting time and increasing operational efficiency. The implementation results show that this system is able to create a more orderly service flow, minimize errors in the queuing process, and increase patient satisfaction. With the integration of information technology, this system is expected to support the transformation of more modern and responsive health services.

Background: One of the factors that can affect treatment adherence in patients with type 2 diabetes mellitus is glycemic results, if glycemic control is poor then the implementation of treatment compliance can be a motivation for glycemic control. Purpose: This study aims to determine the relationship between treatment adherence and its impact on glycemic control in patients with type 2 diabetes mellitus in the Klatak Health Center working area in 2024. Methods: This study used a cross sectional design with purposive sampling and a sample size of 35 respondents. Data collection using the MTAQDM questionnaire (modified treatment adherence questionnaire in DM patients) and observation sheets and then analyzed using the spearmen rank test. Results: All patients (100%) were in the adherence category following treatment adherence activities and almost all patients (97%) were in the diabetic category. Based on the results of the analysis obtained a P-value of 0.628 (p>0.05) which means that there is no relationship between treatment adherence and the impact of glycemic control, with a correlation of 0.085 which shows a correlation with very weak strength. Conclusion: Respondents who adhere to treatment adherence do not affect their glycemic control and adhere to treatment but HbA1c is not controlled, because many factors can affect it.

The screening and education program on the prevention of degenerative diseases was conducted in the coastal community of Panjang Island, Batam. This initiative aimed to address the high prevalence of degenerative diseases such as diabetes, hypertension, and dyslipidemia through health screenings and community education. The study involved 55 participants, primarily pre-elderly individuals, and included examinations of blood pressure, cholesterol, blood sugar, and uric acid. The results revealed that 65.5% of participants had hypertension (34.5% with Stage 1 and 31% with Stage 2), while 69.1% had high cholesterol levels. Blood sugar screening indicated that 14.5% of participants had elevated glucose levels. Uric acid levels were high in 47.3% of participants, predominantly among women. Additionally, 78% of respondents with comorbidities presented abnormalities in at least one biochemical parameter. Educational sessions resulted in a 26.4% increase in knowledge about disease prevention and healthy lifestyles. The program highlighted the importance of regular health screenings, lifestyle modifications, and community empowerment for sustainable health improvements. Collaboration with local health centers and the establishment of health cadres are recommended for ongoing support and monitoring of degenerative disease prevention efforts.

The Electronic Medical Record Information System (RME) is an information technology solution used to manage patient medical record data digitally, replacing manual recording systems that are prone to errors and data loss. This report discusses the design and implementation of the Electronic Medical Record Information System (RME) at the Community Health Center, which aims to increase efficiency, accuracy and security in managing patient medical records. This system includes recording medical data, treatment history, diagnosis, drug prescriptions, as well as integration with other health service systems. With RME, the medical service process at the Community Health Center is expected to be faster, more transparent and organized. This research uses a web-based system development method with database-based programming, which allows medical record data to be managed centrally and easily accessed by authorized medical personnel. The results of implementing this system show a significant increase in speed of service as well as a reduction in administrative and medical errors.  

Risk factors for pregnancy that cause complications and maternal death include chronic energy deficiency and anemia. The pregnancy rate for pregnant women with chronic energy deficiency at the Bumiayu Community Health Center in 2022 is 56 cases, while the incidence of anemia at the Bumiayu Community Health Center is 22 cases. Research method: the method used in this research is a qualitative descriptive method with a comprehensive case study approach. Comprehensive midwifery care for Mrs S found early pregnancy problems, namely chronic energy deficiency and anemia. The delivery was carried out normally vaginally and the baby was born normally. During the postpartum and birth control period, no complications were found. Comprehensive midwifery care for Mrs S with chronic energy deficiency and anemia was in accordance with midwifery care and no complications occurred.

As the elderly age, there are changes in physical changes that affect all systems, including the musculoskletal system. One of the daily health problems that often interfere with Activity of Daily Living in the elderly is low back pain (LBP)./1. This study aims to determine the relationship between LBP pain levels and ADL in elderly women in the Padang Kandis Health Center working area, Lima Puluh Kota Regency. This study is an observational analytic study with a cross sectional approach. The sampling technique used consecutive sampling technique with a total sample of 45 samples. Data collection using the Visual Analogue Scale (VAS) questionnaire, LBP, Katz Basic Activities Of Daily Living Scale (Index Katz). Data analysis using the Pearson Chi-Square test. The results of the Chi-Square test obtained a significant value (p-value) of 0.000 (p < 0.05). The p-value is smaller than 0.05 (0.000 <0.05), so the test decision is Ha accepted, which means “there is a relationship between the level of LBP pain and ADL in the elderly in the Padang Kandis Health Center working area, Guguak District, Lima Puluh Kota Regency, West Sumatra Province”. This study shows that there is a relationship between the level of LBP pain and ADL.

The Adolescent Information and Counseling Center (PIK-R) is an integral part of the GenRe program, designed specifically to provide adolescents with guidance and information on topics such as marriage readiness, family roles, the KRR TRIAD, life skills, gender, advocacy, and KIE competencies. Based on the 2019 SKAP data, a substantial number of respondents—predominantly those with lower education levels (60.1%) and those living in rural areas (59.22%)—demonstrated limited knowledge about family planning (75.2%), reproductive health (34.4%), GenRe (81.6%), and Adolescent Family Building (87.9%). Furthermore, 9.8% of adolescents were not receiving any related information. Against this backdrop, a study was conducted in 2024 to examine the effect of the PIK-R program on adolescent reproductive health knowledge, attitudes, and behaviors at SMAN 1 Selesai. This analytical cross-sectional study involved 98 students who met the inclusion criteria, with data analyzed using chi-square tests and binary logistic regression. The results showed that the PIK-R program significantly improved knowledge and behaviors related to adolescent reproductive health but did not affect attitudes. It is recommended that supervisors encourage student participation in PIK-R activities, enhance scheduling to maximize exposure to reproductive health education, and perform comprehensive evaluations of the program's effectiveness.

Background: Every child has the right to receive education in a healthy environment in accordance with the 1945 Constitution Article 31 paragraph 1. The health of the school environment, especially the existence of a healthy canteen, is an important component in supporting student growth and development. This study aims to analyze the implementation of healthy canteens in elementary schools in the working area of the Paal V Health Center in Jambi City. Methods: This study is a qualitative study with an analytical descriptive approach. Research data was collected through in-depth interviews, FGDs, observations, and documentation, with informants consisting of school principals, health center staff, teachers, canteen sellers, and students. Results: At SDN 64/IV Jambi City, there is a written policy regarding school healthy canteens. The average canteen handler has used an apron as personal protective equipment (PPE) and maintained hand and clothing hygiene. School canteen facilities are equipped with adequate lighting and the availability of clean water. However, it is still found that plastic containers are used for food containers. The informants agreed that the existence of healthy canteens in schools is very important and suggested that canteens only sell food that is filling and free from harmful chemicals. Conclusion: Schools with higher accreditation have better canteen management than schools with lower accreditation, especially in policies, facilities, and supervision.

Unhealthy pregnancies will affect the health of the mother and baby, which can lead to fatal pregnancies and even obstructed labor and breastfeeding. So in pregnancy, care is needed during pregnancy which needs to be monitored by carrying out routine ANC so that early examination or detection can be carried out since pregnancy. The aim of the research is to find out in depth what factors influence complications in pregnancy at the Terangun Nursing Health Center in 2024. This research uses a descriptive design with a quantitative type of research using case control research and a retrospective approach where the research takes data from the past. . The research sample was pregnant women who experienced complications and who did not experience pregnancy complications. Research results Age influences the occurrence of complications in trimester pregnancies with the results of the chi-square statistical test on maternal age, namely ρ=0.006<0.05. Parity influences the occurrence of complications in the third trimester of pregnancy with the results of the chi-square test, namely ρ=0.020<0.05. Pregnancy spacing influences the occurrence of complications in the third trimester of pregnancy using the chi-square test, namely ρ=0.018<0.05. Research suggestions: It is hoped that health workers, especially midwives in hospitals, will be able to provide counseling and education regarding the danger signs of complications that may occur in the third trimester of pregnancy..

MMR (WHO) in 2022 will reach 91.46/100,000 live births. MMR in Indonesia (2021) 7,389/100,000 KH. Brebes MMR in (2021) is 105 cases and IMR is 259 cases in 2022. Data from the Kaliwadas Health Center in (2022) is 1 case and IMR (2022) is 0 cases. In WHO (2021), there are (73.2%) pregnant women with CED. And in Bebes there will be 64 cases of pregnant women with Chronic Energy Deficiency (KEK) in 2022. Objective: To provide comprehensive care for pregnant women, giving birth, newborns, postpartum and family planning. Research method: Qualitative descriptive research method with a case study approach. Results: Midwifery care during Mrs. N from the results of Mrs. N experienced chronic energy deficiency KEK and was given treatment and care according to his needs. Furthermore, on the third visit, the results of Mrs. N no longer experiences chronic energy deficiencies. Birth of Mrs. N was assisted in accordance with the standards for midwifery services for childbirth (APN). Neonatal Visits and Newborn Visits I to III Baby Mrs. N experienced no complications and neither did postpartum visits I to IV. Family planning midwifery care Mrs. N is a 3-month injectable contraceptive. Conclusion: Comprehensive midwifery care has been provided to Mrs. N with KEK is in accordance with obstetric services and there are no complications.

Providing additional recovery food (PMT), especially for vulnerable groups, is one of the supplementation strategies in overcoming nutritional problems so that cases of malnutrition and malnutrition can be prevented. The aim of this research is to determine the effect of giving supplementary feeding (PMT) biscuits to underweight toddlers on increasing the weight of toddlers at the Rantau Selamat Community Health Center, East Aceh in 2024. This quasi-experimental research uses a one group pre-post test design, namely the existing research design. pretest before being given treatment and posttest after being given treatment. The sample for this research was the entire research population, namely 61 people. Based on the results of this research, the weight status of respondents before the implementation of the PMT program at the Rantau Selamat Community Health Center was underweight for 10 toddlers. The results of the paired T-test statistical test in the second month, the change in toddler's weight before and after PMT-P was shown by the value p=0.000 (p<0.05), so it can be concluded statistically that there is an effect of giving additional food (PMT) on weight status in underweight toddlers (aged 6-33 months). Through this research, it is hoped that it can provide education and increase insight to parents of suffering toddlers to pay more attention to the food intake they consume every day. So that toddlers get adequate nutritional intake in an effort to improve the child's nutritional status.

The problem of anemia in adolescents is still a fundamental problem in the world. Anemia is associated with insufficient food intake and low food quality. Factors that correlate with the incidence of anemia in adolescents both in urban and rural areas are age, sex, health status of toddlers (ARI, diarrhea, tuberculosis), physical activity, nutritional status, breakfast, and diet, parenting and so on. This study aims to determine the anemia in adolescents. This study is an observational analytical study with a cross sectional design. This research was conducted in February-March 2024 in Cinta Damai Village, West Tanjung Jabung Regency. The population in this study were all toddlers aged 12-18 years. A sample of 89 people was taken by total sampling technique. Data collection using questionnaire sheets. The data obtained were analyzed univariately, bivariately using chi square and multivariate tests. The results showed that there was a relationship between infectious diseases (p =), toddler diet (p =) and parenting style (p =) with anemia in adolescents because the p value < 0.05. There was no relationship between giving MP-ASI too early and anemia in toddlers with a value of p = 0.647 > 0.05. The results showed that there was a significant relationship between the incidence of anemia during pregnancy with breakfast (p = 0.003), diet (p = 0.001) and head circumference because the p value < 0.05. There is no significant relationship between the incidence of anemia during pregnancy and chest circumference in newborns at the Jambi Kecil Muaro Jambi Health Center in 2023 with p values of 0.001 > 0.05. The most dominant factor affecting anemia in toddlers is the diet of toddlers with a value of p = 0.001 with OR = 13.108. It is hoped that the results of this study can provide information and recommendations to conduct a series of counseling and counseling activities for mothers of toddlers to prevent and overcome the problem of underweight.

The rush of vaccinations for the community is very important because it can help accelerate the spread of the Covid-19 vaccine, thereby minimizing the number of people infected with Covid-19. The purpose of this Community Service is to help the community be calmer in carrying out a new life in the Covid-19 pandemic called the new normal, by always implementing health protocols, namely wearing masks, washing hands, and maintaining distance.  This activity was supported by a team of lecturers, a team of cadets, volunteers of the Jalapati team, and health workers of the AAL Health unit. Vaccination is carried out for several periods from  October 5, 2020, to April 27, 2022, and in several places, namely at the Al Muttaqiin Kenjeran Mosque, AL-Rodlotul Jannah Gedangan Mosque, AL Ukhuwah Candi Mosque and AL Karomah Kramat Jegu Banyuwangi Mosque;    Masjid At Taqwa Dewaruci Pesapen AAL;  Gresik District Health Office, Slempit Gresik Health Center and Kedamean Gresik Health Center;  Satkes Lanal Malang, Malang City Health Office, Malang Regency Health Office, Batu City Health Office, Pasuruan PKK Chairman, Blitar Health Office, Srengat Blitar Hospital and Kademangan Blitar Health Center; Lamongan Health Office;  Bhinor Paiton Probolinggo Village;  Probolinggo Health Office; Mandangin Sampang Madura;  Halong Pier and Morokrembangan Kalianak Fishing Village;  ICC Propan Raya Paint Factory Sidoarjo Branch; Surabaya Shipping Science Polytechnic; Educity Apartment Perum Pakuwon City Complex; Pasar Turi Station Surabaya. The implementation of vaccination is guided by: Decree of the Director General of Disease Prevention and Control Number HK.02.02/4/ 1/2021 concerning Technical Guidelines for the Implementation of Vaccination in the Context of Overcoming the Corona Virus Disease 2019 (Covid -19) Pandemic, Circular Letter HK.02.01/I/2007/2021 concerning Covid-19 Vaccination for Pregnant Women and Screening Adjustments in the Implementation of Covid-19 Vaccination, as well as Circular Number: HK.02.02/II/252/2022 concerning Vaccination  Covid-19 Advanced Dose (Booster).

This study was conducted at the Thalassemia Center of Azadi Educational Hospital, Kirkuk Health Directorate, Iraq, from June 1, 2024, to October 1, 2024. The study sample included 75 individuals, both males and females, aged between 4 and 67 years, divided into two groups: the first group comprised 50 thalassemia patients, while the control group included 25 healthy individuals. The results indicated a significant effect of thalassemia on the studied variables, as the disease led to increased levels of white blood cells, erythrocyte sedimentation rate, total iron-binding capacity, malondialdehyde, iron concentration, and lipoxygenase enzyme, recording values of 10.9 × 103 cells/mL, 25.36%, 321.84 µg/dL, 721.12 mmol/L, 2788.9 ng/dL, and 226.2 IU/L, respectively. In contrast, thalassemia reduced hemoglobin levels to 8.57 g/L. The gender category significantly affected both malondialdehyde and iron concentrations, while the age category significantly impacted white blood cell levels, total iron-binding capacity, serum iron, and lipoxygenase enzyme. Among the interactions, the most influential factor was found in the group of female patients over 30 years old, who recorded the highest significant concentrations of white blood cells and malondialdehyde, reaching 12.26 × 103 cells/mL and 1090 mmol/L. Conversely, female patients under 15 years showed the highest significant averages for the percentage of erythrocyte sedimentation rate and iron concentration, at 28% and 3270 ng/dL, respectively. Meanwhile, female patients aged 15-30 years exhibited the highest significant concentrations for total iron-binding capacity and lipoxygenase enzyme, at 361.8 µg/dL and 234 IU/L, respectively. Male patients aged 15-30 years recorded the lowest significant hemoglobin concentration, which was 7.33 g/L.

Pregnancy affects various aspects of women's physical and mental health. One factor that often occurs in pregnant women is stress, which can affect the health of the mother and fetus. One of the efforts made to overcome stress in pregnant women is relaxation therapy. Relaxation therapy aims to calm the nervous system and help pregnant women overcome anxiety and tension that often occurs during pregnancy. The activity method consists of preparation, implementation and evaluation. The results of the activity were obtained as many as 90% of participants reported an increase in knowledge about stress management during pregnancy, the results of the DASS-21 questionnaire showed a decrease in the average stress score of 30% and all participants were able to perform breathing relaxation therapy techniques correctly based on facilitator observations. This community service activity succeeded in improving the ability of pregnant women to manage stress through breathing relaxation therapy. The output produced can be used for the sustainability of the program at the Health Center.

Hypertension in the elderly is characterized by an increase in systolic and diastolic blood pressure, namely ≥ 140/90 mmHg consistently and often occurs in the elderly aged ≥ 55 years. Progressive Muscle Relaxation is a technique that can relax tense muscles and create a relaxed feeling so that it can lower blood pressure. This study aims to determine the effect of progressive muscle relaxation on reducing the pain scale in middle-aged elderly with hypertension in the Siulak Gedang Health Center work area in 2024. The research design used was one group pretest and post-test design with a purposive sampling method, namely 16 middle-aged elderly respondents in the Siulak Gedang Health Center work area. The instruments used in data collection were SOP, observation sheets, stethoscopes, sphygmomanometers. The results of the study showed that there was an effect of progressive muscle relaxation therapy on reducing the pain scale in hypertensive patients with the results of the paired sample t-test obtained a p-value = 0.000, because the p-value <0.05.