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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).

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.

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.

According to the World Health Organization (WHO), in 2022 there will be 148.1 million children under the age of 5 who are too short compared to their age (stunting), 45.0 million children who are too thin compared to their height (wasting), and 37.0 million children too heavy for his height (overweight). This research aims to determine the relationship between the role of Posyandu cadres and the prevention of stunting cases among mothers of toddlers in the Gedang Village Community Health Center Work Area in 2024. This type of research is quantitative and analytical with a cross-sectional study approach. The sampling technique used in this research was the Accidental Sampling technique. The population in this study was all Posyandu cadres in the Gedang Village Health Center Work Area, totaling 42 people with a sample of 42 people. The location of this research was carried out in the Gedang Village Community Health Center Work Area and was carried out in January-July 2024. The results showed that more than half of 24 (57.1%) of the respondents had a poor role as Posyandu Cadres and more than half of 30 (71.4%) respondents with poor prevention of stunting cases in mothers who have children under five with statistical test results (Chi-Square) obtained p-value 0.003. The research conclusion shows that there is a relationship between the role of Posyandu cadres and the prevention of stunting cases in mothers who have children under five. The researchers' suggestions from the research results can be applied in daily nursing practice, such as providing health education regarding the prevention of stunting in mothers who have children under five. As a reference for the Gedang Village Community Health Center in conducting a review of the role of posyandu cadres in preventing stunting cases by always providing health education to mothers

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.

Efforts to reduce the prevalence of anemia in adolescent girls are carried out by supplementing with Iron Tablets. This research aims to evaluate the program of providing iron tablets to adolescent girls in the work area of the Kebonsari Health Center, Madiun Regency. The research was conducted qualitatively with indepth interview techniques and Focus Group Discussions (FGD), informants were determined by purposive sampling totaling 16 people. The research was conducted in July-September 2023 at the Health Office, Madiun Regency Pharmacy Installation, Kebonsari Health Center, SMPN 2 Kebonsari and MAN 1 Madiun. The data analysis technique used triangulation, processed using reduction and presented in the narrative text. The results of the study were reviewed based on the book "Guidelines for Prevention and Management of Anemia in Adolescent Girls 2016" showing that several aspects were appropriate, including human resources, fund allocation, preparation, distribution, recording and reporting, scope of activities and accuracy of targets and distribution. While aspects that were not appropriate included facilities and infrastructure, monitoring and timeliness. Similar research should be conducted in other schools in the working area of the Kebonsari Health Center, Madiun Regency so that the effectiveness of the implementation of the program can be evaluated and improved.  

Background: Patient safety is one of the dimensions of quality that is the center of attention of health practitioners on a national and international scale. Patient safety is a top priority that must be implemented by hospitals with an optimal role of nurses that can support the patient safety movement. A good safety culture creates an increase in service quality in its implementation, the culture of reporting incidents has not been widely practiced because officers think that reporting incidents can threaten the work of medical staff. The purpose of this study was to determine the description of the implementation of patient safety culture in nurses in the inpatient room at Sanjiwani Gianyar Hospital. Method: The method used in this study was quantitative with descriptive research design. The sampling technique used was Nonprobability Sampling type of total sampling of 94 respondents. The research instrument used was a patient safety culture questionnaire which amounted to 42 questions. Results: The results of this study indicate that the implementation of patient safety culture with the culture category is sufficient (57.4%). Conclusion: The conclusion of this study is that the implementation of a patient safety culture is categorized as a sufficient culture, meaning that nurses have implemented a safety culture but are not optimal in carrying out services according to the SKP.  It is expected for hospitals to further optimize and pay attention to the implementation of patient safety culture.

Tuberculosis is a chronic infectious disease induced by the bacterium Mycobacterium tuberculosis and can attack human organs, especially the lungs. The entry of this antigen causes the release of various pro-inflammatory cytokines which cause liver cells to synthesize acute phase proteins such as C-Reactive Protein (CRP). C-Reactive Protein is a type of alpha globulin protein that appears in the blood in response to inflammation in the body. The aim of this study was to determine the description of CRP in pulmonary tuberculosis patients at the Naibonat Community Health Center. The method used is descriptive with a cross sectional study design method. This research was carried out at the Naibonat Health Center Laboratory, Kupang Regency from February to April 2024. The examination method used was the qualitative latex agglutination method. The results of CRP examination on pulmonary TB patients from a total of 23 respondents obtained reactive results for 8 samples (35%) and non-reactive results for 15 samples (65%). Based on the results of reactive CRP, the highest number was found in males, 6 people (26%), while the highest number was found in the age range 12-25 years, 4 patients (Teenagers) (17%), with the highest length of treatment at 0 -2 months (intensive stage) as many as 6 patients (35%), with the highest patient status being new TB as many as 8 patients (35%), with the highest treatment status being non-resistant as many as 6 patients (26%).

Elderly people have a high risk of suffering from degenerative diseases, one of which is metabolic disorders. This is more widely recognized by the elderly when they are already in severe condition and with complications so that it has an impact on various aspects including increasing morbidity and mortality rates, as well as decreasing quality of life of the elderly and decreasing ability of the elderly to carry out daily activities. Metabolic disorders are caused by increased blood glucose levels in the body known as Diabetes Mellitus (DM) which is one of the health problems of the ten diseases that cause death and disability globally. The implementation of community service activities for Preventive Efforts for the Elderly in Diabetes Mellitus through several stages, namely the survey and field observation stages and counseling for Preventive Efforts for the Elderly in Diabetes Mellitus counseling is carried out for approximately 90 minutes, as well as evaluations in the form of pre-tests and post-tests. The provision of education was carried out on Wednesday, November 14, 2024 at the Antara Health Center, the number of participants was 32 people. Based on the results of the knowledge of the elderly before and after the counseling for Preventive Efforts for the Elderly in Diabetes Mellitus, it was found that 15 elderly people had sufficient knowledge and 17 elderly people had insufficient knowledge. After conducting counseling on Preventive Efforts for the Elderly in Diabetes Mellitus, the results obtained were a sufficient increase of 30 and less than 2 elderly. This means that community service on Preventive Efforts for the Elderly in Diabetes Mellitus is very effective in the elderly in order to prevent an increase in glucose levels. Counseling on preventive efforts for the elderly in diabetes regarding these degenerative diseases is very necessary so that the elderly maintain their health better. The elderly are expected to be able to understand about efforts to prevent and treat degenerative diseases in the elderly with diabetes. Hopefully this community service can be a reference for researchers and further community service, as well as the community.

According to World Health Organization data in 2015, maternal deaths were 216 per 100,000 live births due to complications during pregnancy and childbirth. While in developing countries the maternal mortality rate jumped 20 times higher than in developed countries, reaching 239 per 100,000 live births. Keywords: Husband's support, Mother's attitude, Infant immunization. The time of the study was April to July at the Negeri Lama Health Center in 2022. The sample in this study who were planning to give birth in the month (TTP) at the time of the study from May to June 2022 at the Negeri Lama Health Center were 15 pregnant women in the control group and 15 pregnant women in the intervention group. After the normality test was carried out and the results were normally distributed, a paired t-test could be carried out. The results of the t-test, namely the results of the paired test-test showed p = 0.011 (p <0.05) and t count = 11,768> from t table = 9,200 which proves that there is an effect of giving deep back massage on the level of labor pain in mothers who are giving birth to reduce labor pain.

Hypertension is a disorder characterized by elevated blood pressure originating from abnormalities in blood vessels, leading to impaired delivery of oxygen and nutrients to essential body tissues. Family involvement in assisting relatives afflicted with hypertension constitutes a supportive mechanism to facilitate effective self-care management of the condition.This study aimed to investigate the correlation between familial support and self-care management in hypertensive patients at Tuminting Health Center. Cross-sectional methods. The study sample comprised 49 individuals selected by purposive sampling. A questionnaire was employed as the study instrument. The gathered data was analyzed with the SPSS 16.0 software employing the Chi Square statistical test at a significance level (α) of <0.05. The results indicated that the predominant age group was 56-65 years, including 27 respondents, which represents 55.1%. The majority of respondents were female, totaling 39 individuals, accounting for 79.6%. The most common educational attainment was high school, with 22 respondents, corresponding to 44.9%. The statistical test yielded a P value of 0.0001, which is less than the alpha value (α) of ≤0.05. This study concludes that a correlation exists between family support and self-care management in hypertension patients at Tuminting Health Center. The findings of this study are anticipated to serve as a resource for individuals with hypertension, emphasizing the importance of self-care management to prevent problems and facilitate recovery.

Background The World Health Organization (WHO) estimates that the number of fever cases in children reaches 62%. Management of fever can be in the form of non-pharmacological therapy. One non-pharmacological therapy for fever is to apply a compress using aloe vera. Aloe vera contains lignin and saponin which can vasodilate the skin and reduce body temperature. The aim of this research is to determine the effect of information and actions on giving aloe vera compresses on reducing body temperature in children with fever at the Nassau Kec.Nassau Kab.Toba Tahun 2024. This research is a type of quantitative research with a quasi-experimental research design with a pre-test and post-test design without control with subjects of 30 children aged 3 – 6 years who had a fever at the nassau public health center,nasaau district,toba regency in 2024. Community Health Center. The sampling technique in this research is total sampling, namely a sampling technique when all members of the population are used as samples. The intervention carried out was applying compressaloe vera to the forehead for 15 minutes. Temperature measurement using a digital thermometer. The data analysis used is univariate and bivariate analysis. The test used is the non-parametric Wilcoxon test. The results of this research, namely the results of statistical tests using the Wilcoxon test stated that giving aloe vera compresses had an effect on changes in body temperature in fever sufferers with a p value = 0.002 (α < 0.005) with a temperature decrease of 0.486 ºC. The conclusion of this study is that there is a significant influence on the results of measuring body temperature before and after giving aloe vera compresses to children who have fever at  the nassau public health center,nasaau district,toba regency in 2024.

Background. City Ambon is Mother city province Maluku Which consists of from 5 sub-district, and has a population that is increasing day by day Which not balanced with the area. The density of motorized vehicles is increasing also increased with the presence of various vehicles. This will potentially increase the level of pollution air Which caused by by a number of pollutant Which produced from disposal smoke motorized. Objective. For know quality air ambient at Mardika terminal Ambon city. Methods. Type study This is study descriptive that is study about inspection level nitrogen dioxide (NO 2 ) at the terminal Mardika city Ambon, with study direct to field For to obtain sample Which Then done examination at the Environmental Health Technology Center (BTKL) Laboratory, Ambon. Results. Measurement temperature at the terminal Mardika Ambon Sunday First 39.9 ºC, Sunday second -34.4 ºC, Sunday third 34.2 ºC, Sunday fourth 29.4 ºC. Measurement speed wind in terminal Mardika Ambon on Sunday First 0.3-1.7 m/sec, Sunday second 1.8 m/s, Sunday third 0.3-1.7 m/sec, Sunday fourth 1.2-3.9 m/sec. Measurement level NO 2 in terminal Mardika Ambon that is Sunday First <5.22 µg/Mm³, Sunday second <5.22 µg/Nm³, Sunday third <5.22 µg/Nm³, Sunday fourth <5.22 µg/Nm³. Conclusion. Measurement Temperature, Speed Wind and Nitrogen Dioxide (NO 2 ) all results measurement fulfil standard.

Midwives are one of the health workers in reducing maternal and infant mortality rates by providing continuous midwifery services, promotion through partnerships and empowering communities with other health workers. The sample in this study was 24 pregnant women in the second and third trimesters consisting of 12 respondents for the control group and 12 respondents for the intervention group. The time of the study was May to June at the Negri Lama Health Center in 2022. The time of the study was May to June at the Negri Lama Health Center in 2022. The results of the bivariate analysis test using Mann Whitney showed a P-Value of 0.022 (P <0.05) so Ho was rejected, which means that there is a significant effect of giving dates on increasing hemoglobin in pregnant women in the second trimester. Pregnant women, especially pregnant women who experience anemia, are expected to routinely consume iron tablets and dates because if consumed properly, dates have many benefits, especially for pregnant women and dates do not have side effects on the fetus or mother so that they can meet the nutritional needs required by the body and can maximize iron absorption.

Community Health Centers (Puskesmas) are facilities established to implement promotive, preventive, curative, and rehabilitative health services by the government, local authorities, and the community. The system of drug planning and procurement plays a pivotal role in determining drug availability and the budget allocation required. This study aims to evaluate the process of drug planning and procurement using a combination of the ABC-VEN and Reorder Point (ROP) methods at the Belik Community Health Center, Pemalang Regency. This research is a descriptive analysis employing a retrospective case study design with data collection from January to December 2023 and supported by interviews. The results show that the ABC-VEN combination analysis identified: AV group (1 item; 0.29%; cost IDR 4,662,000), AE (45 items; 12.86%; IDR 271,578,813), AN (7 items; 2.00%; IDR 65,272,502), BV (7 items; 2.00%; IDR 7,825,526), BE (53 items; 15.14%; IDR 70,352,382), BN (11 items; 3.14%; IDR 15,283,936), CV (19 items; 5.43%; IDR 3,687,488), CE (194 items; 55.43%; IDR 42,690,036), and CN (13 items; 3.71%; IDR 2,779,589). Drugs in groups AN, BN, and CN (Additional group) should be prioritized for reduction; AE, BE, and CE (Main group) are second priority; while AV, BV, and CV (Priority group) must always be available. The highest Reorder Point (ROP) was for Dexamethasone at 64,067 tablets, while the lowest was Betason skin ointment with 0 tubes.

The problem of under-five nutrition, especially stunting, is still the focus of the government. Stunting in toddlers can have an impact on physical, mental and emotional development, as well as brain development. Children who suffer from stunting, as adults, will be more susceptible to diseases, both infectious and non-communicable diseases. Jambi Province's stunting prevalence of 13.5% in 2023 has not yet reached the reduction target. Based on SSGI in 2021, the stunting prevalence rate in Jambi City is 14.0%. This study aims to determine the effect of healthy food education on the knowledge of mothers of toddlers. This study is a quasi-experimental study (pre- test and post-test), the respondents were mothers of toddlers in Pinang Merah Village, Jambi City. Data analysis using the Wilcoxon test. The results of the study were an increase in knowledge seen from the results of the pre- test and post-test which statistically proved a significant increase in knowledge (p-value <0.001). It is concluded that there is an effect of healthy food education on the knowledge of mothers of toddlers. It is hoped that local health centers will often carry out counseling or educational activities to the community to increase knowledge, attitudes and behavior so as to increase the degree of public health.

Retention preparation is the process of identifying, assessing, and grouping archives in accordance with the applicable retention schedule, before final action is taken on the archive. This study aims to determine the obstacles to retention preparation from manual to electronic at the Kauman Baru Ponorogo Health Center and the challenges of retention preparation. The research used descriptive qualitative method with data collection method. Data were obtained through observation of 33,445 medical record documents, as well as interviews with medical record officers. The research instrument included an observation sheet with five assessment components. The results showed that retention preparation still faced obstacles, especially in terms of facilities and infrastructure. One of the main obstacles is the limited storage space, which is narrow and not suitable to support the process of digitizing medical records. This study recommends increasing training, providing a new building that is suitable and safe for storage and the process of digitizing medical record documents can run effectively and in accordance with regulations.

The high birth rate in Indonesia is one of the major problems and requires special attention in handling it. One form of special attention from the government in overcoming the high birth rate is implementing comprehensive family planning. The national family planning movement is prepared to build optimal human resources, characterized by increasing community participation in meeting the needs to be able to build prosperous families in the context of family planning services. The purpose of the study was to identify the relationship between family support and the participation of Women of Childbearing Age in the Family Planning Program at the Aramo Health Center, Aramo District, South Nias in 2023. The results of the cross-tabulation study showed a relationship between family support and the participation of women of childbearing age in the family planning program at the Aroma Health Center, South Nias in 2023 with a P value of 0.000 (P value <0.005), so Ho was rejected and Ha was accepted. Suggestions for midwifery services to provide education to increase family support with the participation of women of childbearing age.

Digital transformation in healthcare services encourages technology-based innovations, one of which is the Mobile JKN application. This application is expected to improve service efficiency and patient satisfaction, especially in the registration process at healthcare facilities. However, the extent to which this application positively impacts patient satisfaction still needs further investigation. This study aims to determine the relationship between the use of the Mobile JKN application and patient satisfaction, as well as to identify influencing factors and usage barriers at Puskesmas Kauman Baru, Ponorogo Regency. This research is a descriptive quantitative study involving 50 respondents selected using purposive sampling. Data collection was conducted through questionnaires, observation, and interviews. Data were analyzed descriptively and using Spearman correlation tests with the assistance of SPSS software. The results showed a significant relationship between the use of Mobile JKN and patient satisfaction (ρ = 0.318; p = 0.025). The use of the Mobile JKN application contributed positively to satisfaction, mainly due to ease of access, time efficiency, and the majority of respondents being in the productive age range (20-40 years). The main barriers in using the Mobile JKN application included difficulties faced by the elderly, technical issues, and limited network access. Education and technical support are needed to ensure more optimal implementation across all age groups.