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The use of Family Medicinal Plants (TOGA) as a form of approach in stunting prevention has become the main focus of the community service program in Curug Village, Mekar Agung Village. This program intends to increase public knowledge and skills in utilizing TOGA in preventing and reducing the prevalence of stunting in toddlers. The approach used is educational, through socialization and training to mothers at posyandu. The results of this activity have an impact on increasing public awareness and understanding of the importance of balanced nutrition and the role of TOGA in supporting children's health. In addition, this program has also succeeded in building a community that cares more about health issues, especially in efforts to prevent stunting. The implementation of this program involves cooperation between midwives, posyandu cadres, and students, who directly assist the community in implementing TOGA as part of a healthy lifestyle. Thus, this activity is expected to be a model and applied in other regions to reduce stunting rates and improve the quality of public health.

Mother and Child Health (MCH) requires efforts through a holistic approach known as Continuity of Care (COC). Continuity is essential throughout a woman's life cycle, including during pregnancy, childbirth, and the postpartum period. To achieve COC, it can be implemented through monitoring and services such as ANC, INC, PNC, and Newborn Care, as well as connecting health care facilities to ensure prompt and accurate handling of emergencies. The aimofthis research is to provide comprehensive midwifery care for pregnant women in the third trimester, during labor, postpartum, care for the newborn, neonates, and family planning. The study was conducted from April to May 2024 at the Special Regional Hospital for Mother and Child, Pertiwi, Makassar. The caremethod in this research involves interviews, observations, and management of the subject 'scare. The subject in this care is Mrs. “N," a woman in her second pregnancy, who has givenbirth once, is currently at 37 weeks and 6 days gestation. The results of comprehensive midwifery care for Mrs. "N" during the third trimester of pregnancy showed well-preparedness for childbirth. Normal delivery occurred, followed by normal care for the newborn and neonatal care. The conclusion of this research is that comprehensive care allows for data collection, determination of actual and potential diagnoses, and timely referral or collaboration with other health care providers in case of issues.

Hypertension is a condition where blood pressure increases above normal, caused by various factors. The prevalence of hypertension in Indonesia among the population aged 18 years is 34.1%. Hypertensive patients must understand the importance of medication compliance so that effective communication between health care providers is needed.so that patients are able to self-efficacy MethodDescriptive research with cross sectional study subjects were hypertension patients with a sample of 43 people using a purposive sampling technique in accordance with inclusion criteria as secondary data and primary data in the form of a self-efficacy management questionnaire. Resultsafter health education was obtained, the Negative Ranks data showed that respondents' scores from pre-post 5 respondents experienced a decrease in self-efficacy management after health education, while the positive ranks data showed that 22 respondents' scores from pre-post experienced an increase in self-efficacy management after health education was carried out, and the data ties showed that 16 respondents got a fixed score from pre-post after health education, the Wilcoxon statistical test obtained a p value = (0.001) <α (0.05), then the alternative hypothesis (Ha) was accepted .Conclusion: There is an influence of health education on improving the self-efficacy management of hypertension sufferers at Dr. Chalid General Hospital Makassar. Suggestions for patients to be more active in seeking information in increasing self-efficacy in the treatment of hypertension.

Objective: To determine the level of awareness of health workers towards fertility at Tambora Health Center, especially regarding age-related fertility decline. Methods: A survey was conducted on health workers at Tambora Health Center, West Jakarta on May 18, 2024. Participants were given a questionnaire regarding their perceptions and knowledge of fertility issues consisting of seven questions. The instrument has shown good validity, reliability, and consistency with Cronbach's alpha > 0.7. Descriptive analysis was used to describe the data using SPSS. Results: The majority of respondents believed that the most fertile age is 26-28 years (53%). Most respondents believed that there is a slight decline in a woman's ability to conceive at the age of 36-45 years (75%). Twenty-five percent of respondents stated that the chances of success for infertile couples undergoing IVF are 40-100%. Conclusion: Despite rapid progress in the development of fertility in clinical practice, this study shows that awareness of fertility is still low among health workers. There is a need for increased education for health care providers regarding fertility knowledge.

Steps to optimize treatment adherence and care are implemented through health education for patients. Health education is crucial because Diabetes Mellitus is a lifestyle-related disease, necessitating increased knowledge. In the research location, it was found that pre-elderly individuals diagnosed with Diabetes Mellitus were routinely undergoing treatment, but their blood sugar levels remained unstable. Additionally, they rarely engaged in physical activity, their Diabetes Mellitus diet was uncontrolled, and they often did not regularly take diabetes medication. If left unaddressed, this could lead to complications. The objective of this study is to analyze the effect of health education on the knowledge of pre-elderly individuals about Diabetes Mellitus complications at the internal medicine clinic of Palangka Raya General Hospital. Method: This study used a Pre-Experimental design with a one-group pre- and post-test approach. The sampling technique was purposive sampling, with 60 respondents. Results: Based on the Wilcoxon test results, a p-value of 0.000 was obtained, indicating a significance level of p < 0.05, meaning Ha was accepted. This shows that there is an effect of health education on the knowledge of pre-elderly individuals regarding Diabetes Mellitus complications at the internal medicine clinic of Palangka Raya General Hospital. Conclusion: There is an effect of health education on the knowledge of pre-elderly individuals about Diabetes Mellitus complications. This study can be used as a source of information and to establish a counseling corner for providing health education on a weekly basis.

Improper care of the umbilical cord can lead to premature detachment and increase the risk of umbilical cord infection (neonatal tetanus). As long as the umbilical cord has not detached naturally, it needs to be properly cared for. Failure to do so can result in infection characterized by moisture, pus, and a foul odor around the umbilical cord. This review aims to determine the influence of mothers' knowledge on the care of the umbilical cord in newborns. This review aims to investigate the impact of mothers' knowledge on the care of the umbilical cord in newborns. This study utilizes a literature review method, utilizing journal articles obtained from Google Scholar, SINTA, and Garuda databases, published between 2019 and 2023, with full text available in the Indonesian language. Based on the reviewed journals, it was found that 7 journals discovered the influence of maternal knowledge on umbilical cord care in newborns, while 4 journals stated that there are still mothers who perform umbilical cord care incorrectly according to the procedure. Based on the literature review of 10 research journals, respondents' characteristics among postpartum mothers can be classified based on age, educational level, and occupation. All these factors significantly impact a mother's knowledge regarding the care of the umbilical cord in newborns, highlighting the importance of health education in enhancing maternal knowledge.

According to WHO data from 2018, the average percentage of women experiencing breast engorgement during breastfeeding reached 87.06% or 8242 women. However, according to a study by the Indonesian Health Research and Development Agency in 2018, the highest incidence of breast engorgement in Indonesia occurred in working mothers, accounting for 6% of breastfeeding mothers. The aim of this literature review is to determine the extent of the influence of breast care on breast engorgement in breastfeeding mothers. This study utilizes a literature review method by collecting and analyzing 10 full-text Indonesian-language journals from 2019 to 2023 from sources available in databases such as Google Scholar using keywords such as breast engorgement, breast care, and breastfeeding. The inclusion criteria for this work are journals that investigate breastfeeding mothers undergoing breast care. Based on the keywords used, 10 journals that meet the criteria were found, and all of them indicate that breast care has an impact on breast engorgement. In the 10 journals reviewed, breast care is identified as one of the dominant factors in breast engorgement incidence because it can facilitate breast milk flow and reduce the likelihood of breast engorgement.

Inflammation caused by diapers is one of the most common skin diseases in infants and children worldwide. Diaper rash disrupts the baby's (perineal) skin health and can also interfere with the baby's growth and development. This can occur because the baby becomes fussy, especially during urination or bowel movements, and has difficulty sleeping. To obtain a literature review on maternal knowledge regarding perineal care and the occurrence of diaper dermatitis in infants. Articles published on diaper dermatitis were searched in databases and search engines, including Irandoc, SID, Ovid, PubMed, Google Scholar, ScienceDirect, SINTA, Garuda, and IranMedex, from 2019 to 2023, in both Indonesian full-text articles. Ten journals meet the research criteria based on 30 published and identified journals from 2019-2023. The researchers found that the mother's knowledge level is one-factor affecting perineal care and the occurrence of diaper dermatitis in infants. Based on the reviewed journals, it can be concluded that the level of knowledge is crucial in implementing proper perineal care as it is one of the factors that can influence the occurrence of diaper dermatitis in infants, classified by age, education, occupation, or experience. Therefore, health education is vital in improving maternal knowledge in this regard.  

Biosensors are analytical devices that combine biological sensing elements with physicochemical detectors to provide rapid, accurate, and cost-effective solutions for medical diagnostics. Globally, these devices have revolutionized the detection and monitoring of diseases, significantly impacting patient outcomes. In Indonesia, the adoption and development of biosensor technology have accelerated over the past decade, particularly in response to the growing healthcare needs and the government's push for technological innovation. This study aims to review and analyze the development and application of biosensors in Indonesia medical diagnostics sector between 2014 and 2024. The research focuses on identifying key technological advancements, the integration of biosensors into healthcare, the challenges faced in their development and deployment, and the prospects for future growth. The study employs a comprehensive literature review and analysis of scientific publications, industry reports, and government documents related to biosensor technology in Indonesia. The review covers the evolution of biosensing materials, point-of-care testing applications, integration with digital health technologies, and regulatory frameworks. Data were synthesized to provide a detailed overview of the current state of biosensor technology and its impact on medical diagnostics in Indonesia. The findings indicate significant advancements in biosensor technology, particularly in the development of novel nanomaterials, the integration of biosensors with mobile health (mHealth) platforms, and the expansion of point-of-care testing (POCT) for infectious diseases. However, the sector faces challenges, including technological limitations, regulatory hurdles, and economic constraints, which have slowed the widespread adoption of biosensors in clinical settings. Despite these challenges, the future of biosensors in Indonesia appears promising, with continued investment and innovation expected to drive further advancements in this field.

This community service aims to increase family knowledge about circumcision with the long skin short mucosa methods and good and proper post-circumcision wound care so that the healing process occurs quickly. The counselling method provided by lecture and question and answer and using power point media as a tool used a projector. This community service was carried out in collaboration with the Diploma III Nursing Study Program, Faculty of Health Sciences, Abulyatama University in collaboration with the Yaditama Holistic Care clinic. This activity was attended by 15 parents whose children were circumcised. Activities include filling in data on children who will be circumcised at the Yaditama Holistic clinic. The results of this service are that participants understand and understand the latest circumcision methods and the correct way of circumcision and good post-circumcision wound care. The conclusion is that education on long skin sort mucosa circumcision and post-circumcision wound care is very important and can increase participants' understanding.

Abnormal pain is a general term encompassing various health complaints affecting the area between the chest and pelvis (including the abdominal wall and internal organs), with varying intensity, duration, and pain points. The research aims to identify the application of nursing care for acute pain by providing warm compresses to a patient with the initials Ny.W, who experienced abnormal pain in the Lavender ward at Kardinah Regional Hospital, Tegal City. This study applied a descriptive design. Data were collected through several stages, including anamnesis (gathering of medical history), direct observation, physical assessment, and documentation. The research findings indicated that the patient's issue was resolved on the third day, marked by a reduction in pain intensity. Overall, the nursing problem was managed within three days through the intervention of warm compresses as a nursing action.

Pregnancy with breech presentation is where the fetus lies longitudinally in the uterus while the head is at the fundus uteri and in the buttocks position below the uterine cavity (Putri and Ningrum, 2019). Cases of breech presentation both mother and fetus experience a large increase in risk and for labor with breech location have high mortality and morbidity (Putra 2015). The maternal mortality rate (MMR) according to WHO 2021 is 32.9/100,000 KH. ASEAN 2021 MMR is 235/100,000. Indonesian Ministry of Health 2021 AKI 7,389 people, Central Java Health Office 2023 AKI as much as 485. Data from the Brebes Health Office 2022 as many as 50 cases while from the kaliwadas puskesmas area in 2022 there was 1 case of death. Researchers implement comprehensive midwifery care using Varney and SOAP documentation. This study uses descriptive qualitative methods through direct approaches, interviews, observation and documentation. The main informant is Mrs.H while for additional informants there are village midwives, puskesmas midwives, husbands and Mrs.H's family. Based on the results of research obtained from the care of pregnancy, childbirth, postpartum, LBW and family planning, problems were found in the form of pregnancy with breech presentation and cesarean delivery for indications of failed induction.

Healthy lifestyles are habits of doing something, be it food, healthy behavior so as to avoid the disturbance of all kinds of diseases, both physical and non-physical diseases, as well as birth control users must also strive for a healthy lifestyle, such as managing a healthy diet, rest, exercise, eating vegetables and fruits, doing optimal physical activity, not consuming alcohol, and maintaining a healthy body. In this problem, many family planning users do not pay attention to a healthy lifestyle because they think that the family planning tools used have no risk to health, but the use of family planning has side effects on health such as menstruation is not smooth, the body is obese, the body feels warm or feverish, there are blood clots, nausea, bloating, changes in vision, difficulty in getting back to normal, headaches, and others. To be able to attract the attention of the community in implementing a healthy lifestyle for family planning users, it is very necessary to have a system that can help people in changing their unhealthy lifestyle to a healthier one by grouping family planning user data based on variables that have been determined using the clustering method, to group data on healthy lifestyles for family planning users which later the results of this study can be used as input and guidance for a healthy lifestyle for family planning users, so that family planning users are more careful and have a healthy life. Of the 20 data, there are 3 groups, namely group 1 there are 4 data and group 2 there are 4 data and group 3 there are 12 data from the above results it can be seen that in cluster 3 is a group on family planning users based on a lot with a total of 12 data and is located in the contraceptive type group (X) is injectable birth control, and for the lifestyle group (Y), namely Frequent Night Baths and Risk (Z), namely Decreased Bone Strength.  

The postpartum period is a recovery period, postpartum care is needed so that mothers can make psychological adaptations in the postpartum period, Postpartum depression is depression that occurs in women after giving birth, which occurs within a period of 4 (four) weeks, several months or even several years if not treated, the purpose of this community service is to provide education to pregnant women and postpartum mothers regarding the prevention of the dangers of postpartum depression, this activity is to increase mothers' understanding of the dangers of postpartum depression. This community service activity was attended by pregnant women and postpartum mothers at the Kassi-Kassi Health Center which was attended by 18 people. This activity method was carried out twice by providing a pre-test, lecture and continued post-test by filling out a questionnaire. In the evaluation, interviews were conducted with pregnant women and postpartum mothers to determine the dangers of postpartum depression. The results achieved in community service activities at the Kassi-Kassi Health Center were that postpartum mothers gained knowledge about the dangers of postpartum depression and there was an increase in knowledge about the dangers of postpartum depression. The pre-test results were 58.82%, there was an increase in the post-test which showed post-test knowledge of 82.35%. The conclusion is that education for pregnant and post-partum mothers can prevent post-partum depression.

Tuberculosis is one of the world's health problems, especially in developing countries. Treatment regimen with multiple first-line anti-tuberculosis drugs (ATD) such as Isoniazid, Rifampicin, Pyrazinamide, Ethambutol, and Streptomycin remains the most effective for treatment of tuberculosis. Adverse drug reactions (ADRs) to antituberculosis drugs may range from mild gastrointestinal disturbances to serious hepatotoxicity, peripheral neuropathy, and cutaneous adverse effects. We report a 65 year old male patient with a complaint of yellowish discoloration of sclera, nausea and vomiting after three days of initiation of ATD therapy. The patient has been diagnosed with Tuberculosis relapse and has been taking ATD since June 2024. The patient noted epigastric pain. Laboratory examination found an increase in bilirubin level and electrolyte imbalance. The treatment is in the form of discontinuation of ATD, supportive therapy and followed by hepatoprotective supplements. ATD should be discontinued in patients with hepatotoxicity and fixed drug eruption until liver function and clinical symptoms improve. Initiation of ATD administration is carried out by administering one by one regimen. The patient is currently experiencing antituberculosis drug-induced hepatotoxicity, which is managed by providing supportive care and different AT regimens were prescribed.

Mental health has now become a global health problem for every country, where the process of globalization and the rapid progress of information technology has an impact on the social and cultural values ​​of society. Clients with mental disorders have several problems, including a self-care deficit. The method used was assessment, implementation and evaluation with a sample size of 5 respondents with the inclusion criteria being clients who experienced self-care deficits. The results showed that all 5 respondents experienced self-care deficits, the actions taken were identifying the client's abilities, teaching the client in personal hygiene and helping the client to carry out personal hygiene. The nurse's task is to be able to provide professional nursing actions in order to reduce problems and achieve targets to increase the client's independence in carrying out self-care, marked by the client being able to fulfill personal hygiene needs independently.

  Abstract: The Social Security Administering Body (BPJS) is an organizing body whose membership is mandatory. Every company is required to register its workers for a minimum of 6 months, while those who do not work for a company are required to register themselves and their family members with BPJS. Each BPJS participant will be charged a contribution, the amount of which will be determined later. Inactive BPJS membership is a participant whose registration process is hampered and services become payable independently. The aim of the research is to review the causes of Non-active BPJS participants in Cengkareng sub-district. The research method is a quantitative approach. The technique uses saturated sample observations. The research results showed that there were 75 Non-active participants. Of the 75 samples, there were 34 participants who were inactive due to premiums (45.33%), 13 participants because they left of their own accord (17.33%), 7 participants because their children were PPU> 21 years (9.33%), 10 participants were not covered (13 .33%), 11 participants with double data (14.66%). Follow-up of Inactive BPJS membership at the Cengkareng Community Health Center, there were 65 participants (86.67%) taking care of returning BPJS participants and 10 participants (13.33%) continuing at their own expense. Of the number of BPJS participants who registered for treatment at the Cengkareng sub-district health center, their membership status was inactive due to premiums being one of the highest. The follow-up is to pay all arrears and take care of returning the membership to the nearest BPJS. Suggestions In accordance with the vision and mission of BPJS Health to be able to improve the quality of service to participants, BPJS Health must be able to improve the quality of service, especially in the field of information technology which can be made to remind BPJS Health participants, especially those whose membership status is inactive, by using E-mail and Whatsapp.

The quality of health services is one of the important factors in the utilization of health services. Assessment of the quality of good health services is not limited to physical healing of the disease, but also to the attitude, knowledge and skills of officers in providing services, communication, information, courtesy, punctuality, responsiveness and the availability of facilities and physical environment. The research design used in this study was qualitative with in-depth interview techniques to key informants who were used as research objects totaling 1 (one) person, main informants 2 (two) people and supporters in this study totaling 3 (three) people with the characteristics as mentioned above, the total informants were 6 people. The results of the study all patients were satisfied with the physical evidence service (Tangible) about the cleanliness of the room in preventing and controlling infections. Some patients were satisfied with the responsiveness service regarding the collaboration of doctors, nurses and pharmacists in responding quickly to patient complaints. Some patients were satisfied with the reliability service regarding patient admission procedures, examination services, treatment and care. The conclusion is that there is an influence between service quality (Reliability, Responsiveness, Assurance, Empathy, Physical Evidence) on patient satisfaction at the inpatient installation of the Imelda Buruh Indonesia Hospital, Medan.

The aging population will be a problem if the elderly have problems. The increasing number of problems elderly people confront may turn them into persons who need help to maintain their standard of living. Government-run institutions include the Tresna Werdha Social Service Center (BPSTW), where social workers play a crucial role in the delivery of social services. Social facilities for the elderly frequently face challenges with their residents' mobility, emotional and physical health, need for caregivers for daily activities, trouble adjusting, and lack of social interaction. Because it explains the role that social workers play in assisting the elderly, researchers are interested in studying "The Role of Social Workers in Providing Social Services to the Elderly in PSTW". The strategy used gives an objective account of the reality in the field. The descriptive "Qualitative" approach is a research methodology intended to offer a comprehensive examination of the function social workers perform in providing social support to the elderly. To understand and explain the phenomenon is its aim. This study's author focuses on the role that social workers play and the difficulties that they face in providing social services to WBS. Among the research findings gleaned from the interviews are social    

Fibromyalgia is a chronic disorder characterized by widespread muscle pain and fatigue, often accompanied by psychological symptoms such as anxiety and depression. Medication adherence is crucial for managing this condition, yet many patients struggle to follow prescribed regimens. This study aims to explore the role of self-efficacy in medication adherence among fibromyalgia patients through a systematic review and meta-analysis. The researcher conducted a literature search in major electronic databases to identify relevant studies published between 2015 and 2023. Out of 1,247 identified articles, 18 studies met the inclusion criteria and were eligible for analysis. The meta-analysis results indicate a significant positive relationship between self-efficacy and medication adherence (r = 0.42, 95% CI [0.35, 0.49], p < 0.001). Moderator analysis revealed that this relationship is stronger among patients receiving self-efficacy-based interventions compared to those receiving standard care. These findings underscore the importance of integrating self-efficacy enhancement strategies into fibromyalgia management to improve medication adherence, ultimately leading to better patient health outcomes.