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Tuberculosis is an infection disease caused by Mycobacterium tuberculosis and most often infects the lungs. Pulmonary TB cases in Indonesia are the third largest in the world. NTT province occupies the 15th position out of 34th in Indonesia. Kupang city ranks first with the highest incidence of pulmonary TB in NTT. One of the factors that influence pulmonary TB is occupation and education level. This study aims to determine the differences in pulmonary TB incidence based on occupation and education level in Kupang City in 2021. This research was conducted at a health center in Kupang City, experimentally with a cross-sectional design, from March until May 2022. The research sample is secondary data of pulmonary TB patients with a total sample of 395 cases with a sampling technique that is total sampling. The result showed that there was no difference in the incidence of pulmonary TB based on occupation where p = 0,958 (p > 0,05) and there was a difference based on education level where p = 0,048 (p< 0,05). Further research is conducted to strengthen the effect of work and education level on the incidence of pulmonary TB.   Keywords: , 

Background: Lower back pain is common in pregnant women, especially in the third trimester, due to physiological changes such as weight gain, shifts in the body’s center of gravity, and ligament relaxation. Prenatal exercise is a non-pharmacological method that improves flexibility, strengthens muscles, and enhances posture, reducing lower back pain. However, its implementation remains limited due to a lack of education and supporting facilities. Objective: This study evaluates the effect of prenatal exercise on lower back pain reduction in third-trimester pregnant women at the Independent Practice of Midwife Novia Br Karo, Sunggal District, Deli Serdang Regency. Method: A pre-experimental design with a one-group pretest-posttest approach was used. The study included 32 third-trimester pregnant women experiencing lower back pain. Prenatal exercise was provided, and pain levels were measured before and after using an observation sheet. Results: Before the intervention, most respondents (53.1%) reported moderate pain. After prenatal exercise, the majority (59.4%) experienced reduced pain in the mild category. The Wilcoxon test yielded a Z value of -3.122 with p = 0.002 (p < 0.05), indicating a significant effect of prenatal exercise in reducing lower back pain. Conclusion: Prenatal exercise effectively reduces lower back pain intensity in third-trimester pregnant women. It should be promoted as a non-pharmacological intervention for pregnancy-related back pain and incorporated into maternal health programs.

The provision of appropriate complementary food for breast milk (MP-ASI) is essential to meet the nutritional needs of infants aged 6-24 months. This study analyzes the relationship between maternal behavior, including knowledge, attitudes, and actions, with MP-ASI provision at the Gumpang Health Center, Gayo Lues Regency, Aceh Province. A quantitative method with a descriptive correlational design and cross-sectional approach was used. The sample consisted of 24 mothers with infants aged 6-24 months, selected through purposive sampling. Data were collected via questionnaires and analyzed using the chi-square test. Results showed that most respondents were aged 26-30 years (45.8%), had a high school education (62.5%), and worked as housewives (37.5%). Bivariate analysis indicated a significant relationship between maternal knowledge and MP-ASI provision (p = 0.007), maternal attitudes and MP-ASI provision (p = 0.003), and maternal actions and MP-ASI provision (p = 0.001). Mothers with good knowledge, attitudes, and actions were more likely to provide complementary feeding according to nutritional guidelines. In conclusion, maternal behavior, encompassing knowledge, attitudes, and actions, significantly influences MP-ASI provision. Strengthening maternal education and implementing community-based interventions are necessary to promote optimal infant nutrition.

Background:PMBA is one of the government programs to reduce child mortality rates and improve the quality of life of mothers in accordance with improvements in maternal behavior in PMBA. PMBA includes IMD, Exclusive Breastfeeding, MP-ASI, Breastfeeding up to 2 years of age. Objective: To find out about the Relationship between Knowledge Level, Attitude and Mother's Behavior towards PMBA 6-59 Monthsin the Working Area of ​​the Yabomaida Health Center, Paniai Regency. Method: This research method is correlational analytic with a cross-sectional approach. The research population consisted of 190 infants and children.withThe research sample consisted of 66 people who had a Relationship between the Level of Knowledge, Attitude and Behavior of Mothers towards PMBA 6-59 Months.in the Working Area of ​​the Yabomaida Health Center, Paniai Regency.The sampling technique used purposive sampling. Data analysis used the Statistical program for social science (SPSS) version 16.0 computer application program and used the chi-square test. Results: the results of the relationship between the level of maternal knowledge of PMBA based on the p value = 0.04 (<0.05), while the mother's attitude towards PMBA based on the p value = 0.03 (<0.05), and the mother's behavior towards PMBA based on the p value = 0.02 (<0.05). Conclusion: There is an influence of PMBA on knowledge and attitudes and PMBA practices in the Yabomaida Health Center work area, Paniai Regency, which obtained the p value <0.05. Suggestion: the need for PMBA 6-59 months in the posyandu counseling andIn the Working Area of ​​the Yabomaida Health Center, Paniai Regency.

The results of the 2018 Riskesdas show an increase in the prevalence of non-communicable diseases (NCDs) compared to 2013 data, such as cancer, stroke, chronic kidney disease, diabetes mellitus, and hypertension. The prevalence of diabetes mellitus increased from 6.9% to 8.5%, while hypertension increased from 25.8% to 34.1% based on blood sugar and blood pressure examinations. In this context, community empowerment is very important to increase awareness of the importance of routine health checks and early detection of NCDs. One strategic effort is the establishment of Posbindu in each region to facilitate public health checks. However, several regions, including Cipta Graha Mandiri Housing in Tasikmalaya City, do not yet have Posbindu due to low community participation in routine health checks and limited procurement of Posbindu by the Health Center. This condition risks making people unaware of their health problems, which can cause serious complications and reduce quality of life. Through this empowerment program, it is hoped that the community will be more active in maintaining their health, carrying out early detection of NCDs, and increasing awareness of the importance of a healthy lifestyle.

Background:Supplemental Feeding (PMT) is an activity of providing food in the form of safe and quality snacks along with other supporting activities by considering aspects of food quality and safety. There are two types of supplementary feeding, namely supplementary recovery feeding and supplementary counseling (PMT). Supplemental feeding (PMT) of local food is one of the strategies for handling nutritional problems in toddlers. The PMT activity needs to be accompanied by nutrition and health education for behavioral change, for example with support for breastfeeding, education and counseling on feeding, cleanliness and sanitation for families. Nutritional status is a state of the body as a result of food consumption and use of nutrients, where nutrients are needed by the body as a source of energy, growth and maintenance of body tissues, and regulators of body processes. Nutritional status is greatly influenced by nutritional intake. Objective: To determine the effect of providing local supplementary feeding (PMT) on the nutritional status of toddlers aged 12-59 months. Method: This type of research uses quantitative research using a pre-experimental design pretest-posttest research design. Results: Based on the results of the study, it was shown that a p-value of 0.41 (> 0.05) was obtained. Conclusion: Provision of Local Supplementary Food (PMT) Has No Relationship with Toddler Nutritional Status at UPTD Siriwini Health Center. Suggestion: It is expected that mothers who have toddlers pay more attention to the growth and development of toddlers.

Background: Hypertension in pregnancy is the leading cause of maternal death due to preeclampsia in pregnancy. Preeclampsia screening in the maternal and child health (MCH) book can be done by cadres. The eradication program involving cadres has not run optimally this is because there are still few cases of pregnancy with preeclampsia detected by Health cadres. Good knowledge is expected to increase cadre action in order to conduct early detection of preeclampsia. Data from the Banyudono Health Center showed that the detection rate of high risk by the community in December 2023 was 10.9%, still far from the target of 20%. Puskesmas Banyudono consists of 6 villages where the village with the most high-risk pregnancies is Kuwiran Village, namely 107 (32.7%) pregnant women in 2023. The purpose of the study was to determine the effect of health education with leaflet media on knowledge about preeclampsia in health cadres in Kuwiran Village, Banyudono Boyolali District. This research design is a pre-experiment with a one group pre-test post-test design. The population of this study were all health cadres in Kuwiran Village, Banyudono Boyolali District in June 2024, totaling 31 respondents. The sampling technique used in this study was total sampling, the research instrument used SAP, leaflets and questionnaires. Data analysis with Wilcoxon. Research results: The age of most cadres is more than 35 years, namely 25 respondents (80.6%), the education is mostly secondary, namely 22 respondents (71.0%), the majority are working, namely 23 respondents (73.2%), the knowledge of health cadres before The majority of health education had sufficient knowledge, namely 16 respondents (51.6%), after health education was in the good category, 20 respondents (64.5%). Statistical test results with Wilcoxon p-value 0.000 <0.05. Conclusion: There is an influence of health education using leaflet media on knowledge about early detection of preeclampsia among health cadres in Kuwiran Village, Banyudono Boyolali District.

Based on the results of the 2022 Indonesian Nutrition Status (SSGI) survey by the Ministry of Health, the prevalence of stunting among children under five in Maluku Province reached 26.1%. This figure puts Maluku province in the 13th place nationally. It was recorded that Maluku province cut the number of stunted children under five by 2.6 points from the previous year. In SSGI 2021, the prevalence of stunting in Maluku reached 28.7%, but this figure is still relatively high because it exceeds the threshold set by WHO of 20%. The purpose of this study is: to determine the relationship between feeding patterns and the incidence of stunting in toddlers in the working area of the Mangoli Health Center, Sula Islands. This study is an analytical observational research using a cross sectional approach. The results of the chi-square test showed that there was a meaningful relationship between feeding patterns, namely the amount of food given to toddlers with a p value = 0.002. because the p value < 0.005 thus H0 is rejected and Ha is accepted, so there is a meaningful relationship between the provision of food to toddlers and the incidence of stunting in toddlers in the working area of the Mangoli Health Center in the Sula Islands Mangoli Health Center.

Diabetes mellitus (DM) is a chronic disease characterized by abnormal blood sugar levels whose prevalence is increasing in Indonesia, including in Tasikmalaya City. Based on the Tasikmalaya City Health Office report in 2023, there were 11,782 DM patients, with 744 cases recorded in the Tawang Health Center working area. Tawangsari Village, namely RW 01, has health problems related to DM where people are less aware of the importance of implementing a healthy lifestyle, especially doing physical activity and limited posyandu services. The purpose of this “SEMANGGI” program is to increase community knowledge and awareness about DM prevention through education and joint gymnastics. The method used was participatory-based, involving health education through lectures, questions and answers, and the completion of pre-test and post-test to measure knowledge improvement. In addition, joint exercises designed to support a healthy lifestyle were conducted. Evaluation results showed a significant increase in community knowledge scores from an average of 2.65 in the pre-test to 4.45 in the post-test (p<0.001). This program demonstrates the effectiveness of participatory-based community empowerment in improving knowledge and promoting a healthy lifestyle to prevent DM. The sustainability of activities like this is needed to optimize its positive impact on public health.

Based on the record owned by the cadre, there are currently 97 babies and toddlers. However, the attendance rate of mothers and toddlers at the Mawar Indah Posyandu  (integrated health service post) averages only 35% each month. This low attendance rate attracted researchers to initiate a community counseling program with goals to increase awareness and participation among mothers of infants and toddlers in the area.  The approach to community empowerment adopted in this study is centered on a public health education campaign, highlighting the critical role of Posyandu in supporting the growth and development of infants and toddlers. The initiative included key steps starting with presenting the benefits of Posyandu for children's growth and developments, engaging participants in a discussion session, and providing door prizes as incentives. The result of the outreach program is attended by 28 mothers along with their children. However, at this level of attendance achieved an average at 28.8%, falling short of the defined success indicators and lower than the previous rate. This outcome was influenced by several factors as outlined in H.L. Bloom’s theory, including environmental factors, individual behavior, healthcare services, and genetic predispositions. The findings indicate that despite efforts to increase awareness and participation, the involvement of mothers with infants and toddlers in the area remains insufficient. Contributing factors include environmental, behavioral, and healthcare service factors. To achieve more optimal results, improvements in these aspects are essential to increase maternal participation in Posyandu programs.

Breast milk (breast milk) is the best nutrition for babies, the low coverage of exclusive breastfeeding is a threat to the growth and development of children, breastfeeding is the right of every mother, and exclusive breastfeeding to newborns is one of the efforts to prevent infectious diseases, malnutrition problems, and infant death. due to many influencing factors, namely the lack of maternal knowledge about breastfeeding, working mothers, lack of support from family, information support from health workers and the surrounding environment. In 2023, in the work area of the Penfui Health Center, there are 177 working mothers who have babies or around 45.45%. The purpose of this study is to analyze factors related to the low coverage of exclusive breastfeeding in working mothers in the Penfui Health Center Area. This study is an analytical survey research using the Cross-Sectional method and a sample of 64 respondents. The data of this study was analyzed using the Chi Square test. The results of the study found that there was a significant relationship between maternal knowledge (p=0.046), information exposure (p=0.020), family support (p=0.044), health worker support (p=0.031) and low coverage of exclusive breastfeeding. There was a relationship between maternal occupation (p0.027) and infant health status (p=0.041), age (p=0.326) there was no significant relationship with low coverage of exclusive breastfeeding in the Penfui Health Center area. The conclusion in this study is that knowledge, information exposure and family support are related to exclusive breastfeeding. and the support of health workers, mothers' work and health status are related to the low coverage of exclusive breastfeeding in the work area of the Penfui Health Center. Mothers should further increase their awareness and willingness to provide exclusive breastfeeding even though they are busy with work to increase the coverage of Exclusive Breastfeeding.

Hypertension is one of the main health problems faced by people around the world, including Indonesia. Hypertension is known as a "silent killer" because it often does not show symptoms until it reaches a serious stage. At the Tamansari Health Center in Tasikmalaya City, hypertension is the highest disease most suffered by the community with a total of 586 cases from January to October 2024. The high prevalence of hypertension in the Tamansari Health Center work area, a prevention and control program is needed through screening or early detection programs and counseling about hypertension. The implementation method carried out in this community service is to provide information using the lecture or counseling method. To measure public knowledge, pre-test and post-test are carried out. In addition to providing counseling, this activity also provides basic health checks. Based on the results obtained, there was a difference in the level of community knowledge before and after the provision of counseling which can be seen from the difference in the average percentage of pre-test and post-test.

The main cause of maternal mortality is bleeding (28%), as well as SDKI 2012 data shows that the highest cause of maternal mortality is bleeding (42%). This is due to three delays that occur, namely being late in recognizing the danger signs and making decisions; late arrival at health facilities; and late in getting services at health facilities. These three delays can be prevented by providing knowledge and understanding to pregnant women about danger signs in childbirth, if you experience immediately coming to the health center or health workers so that delays can be prevented, you immediately get help which can ultimately reduce the case of your death. The purpose of the activity is to increase the understanding and ability of pregnant women to recognize the danger signs of pregnancy early, immediately seek help so that mothers and babies are safe and have an impact on decreasing the Maternal Mortality Rate. The service method used in its implementation is the stage of preparation, implementation, monitoring and evaluation of activities. The results of the activity were obtained to increase the knowledge of mothers and families about the danger signs in pregnancy, early detection of prevention and early actions that must be taken/handled to prevent maternal and child deaths.

Incident fever bloody globally increasing​ sharp. Death consequence fever bleeding in Indonesia from 725 cases in 2020 increased to 1,227 cases in 2022. Study aiming analyze factor affecting​ DHF incidents in the work area Sako Health Center Palembang in 2024. Research conducted in March 2024. Research design quantitative with cross sectional approach. Population that is all KK in the work area Sako Health Center has 9,584 people. A sample of 99 people was taken use cluster random sampling technique with Single-Stage Cluster Sampling. Research results influence knowledge (p value 0.011), influence attitude (p value 0.351), influence behavior clean bathtub (p value 0.603), influence condition container (p value 1.000), influence existence larvae mosquitoes (p value 0.035), influence use wire gauze (p value 0.054) and influence role government (p value 0.095) against DHF incidents in the work area Sako Health Center, Palembang. Multiple logistic regression test results obtained knowledge (p value 0.001), existence larvae mosquitoes (p value 0.022), use wire gauze (p value 0.014) and role government (p value 0.028). There is influence knowledge and existence larvae mosquito to DHF incidents. The most dominant factor to the incidence of dengue fever is knowledge. Recommended For increase effort prevention of dengue fever with do action prevention in a way real and sustainable.

This study aims to examine the contribution of historical science in the effort to revitalize museums as educational institutions and preserve cultural heritage. Museums, as public spaces that store and exhibit historical collections, have an important role in facilitating public understanding of the nation's history. However, in the context of the development of the times and changes in public preferences, museums often face challenges in attracting visitors. The contribution of historical science in museum revitalization includes a more interactive approach, technology integration, and storytelling based on in-depth historical research. Thus, historical science not only functions as a source of information, but also as a basis for creating educational experiences that can connect the current generation with relevant historical values. This study suggests various revitalization strategies that can be applied to increase the attractiveness and function of museums as centers for learning and preserving culture, as well as strengthening historical awareness.

Worms are an infectious disease caused by parasites in the form of worms. According to data from the Papua Province Health Service in 2011, the number of worm cases was 528.8 per 1,000 population, while in the Jayapura City Health Service the number of worm cases in 2011 was 2.48 per 1,000 population. According to data from the Abe Pantai Community Health Center, the prevalence of worms in 2012 was 3.21 per 1,000 population. The prevalence in Hedam Community Health Center, Waena Community Health Center and Kotaraja Community Health Center in 2012 was 1.94 per 1,000 population, 1.25 per 1,000 population, 0.94 per 1,000 population, respectively. Vegetables that are eaten directly are at risk of being contaminated by various types of parasites during planting, harvesting and marketing and have the potential for transmission of infection to humans. This study aims to determine whether or not there is contamination with STH (Soil transmitted helminth) worm eggs contained in fresh vegetables from roadside tent stalls in Abepura District. The type of research used is descriptive research using a laboratory approach. The research sample was 20 samples of roadside tent stall traders in Abepura District taken using Random Sampling Technique. The method for examining worm eggs uses the Sedimentation method. The results of identification of worm eggs in fresh vegetables sold by roadside stall vendors in Abepura District showed that there was worm egg contamination found in 20 samples of fresh vegetables, with 8 samples contaminated or 40% and 12 samples or 60% not contaminated with worm eggs Soil transmitted helminth. The types of Soil Transmitted Helminth worm egg species found were Ascaris lumbricoides (35%), Trichuris trichiura (30%) and Hookworm (30%)

Background: Basic immunization services for children in Indonesia have been integrated starting from Posyandu, Community Health Centers and hospitals, however the overall basic immunization coverage is still below the target set by the government. Data from the Hamparan Perak Community Health Center shows that coverage of all types of complete basic immunization did not reach the target, and Deli Serdang Regency with the lowest IDL coverage in North Sumatra Province is Deli Serdang Regency. Objective: This study aims to analyze the factors that influence maternal compliance in providing complete basic immunization in Hamparan Perak sub-district, Deli Serdang district. Method: The research used quantitative research methods with a cross sectional study design which was carried out in the work area of ​​the community health center in Hamparan Perak sub-district, Deli Serdang district, starting from preparing the thesis to obtaining research results. The population in this study were mothers aged ≥ 18 years in the working area of ​​the health center in Hamparan Perak sub-district, Deli Serdang district. The sampling technique used in this research is probability sampling using simple random sampling with a sample size of 73 respondents. Results: The results of the study showed a significant influence between knowledge (p=0.03) and maternal compliance in providing immunizations, and there was no influence between perception (p=0.47), quality of immunization services (p=0.10), number children (p=0.46), distance to health services (p=0.74) and maternal compliance in providing complete basic immunization in Hamparan Perak sub-district, Deli Serdang district. Conclusion: the factor that most influences maternal compliance in providing complete basic immunization is knowledge. Suggestion: It is necessary to increase the role of health workers in providing good information to the public about the importance of immunization for babies, and it is hoped that this can also increase the public's positive perception of immunization.

Mosques play an important role in the social life of Muslims, more than just a place of worship. In recent decades, mosques have begun to be seen as potential venues for carrying out a variety of activities that can support community well-being, one of which is in the area of health. The purpose of this article is to provide a more in-depth understanding of how places of worship, such as mosques, can play a significant role in improving the overall well-being and health of communities. involving qualitative methods. using several data collection methods that are qualitative in nature, including in-depth interviews, participatory observation, and documentation. In-depth interviews were conducted with mosque administrators, medical personnel, and worshipers to explore their understanding of various aspects of the health program implemented at the mosque. The interviews were semi-structured, where the researcher used flexible interview guidelines to allow informants to explain their experiences more freely. research results This article examines how mosques can function as health centers that not only provide medical services, but also play a role in health education and counseling to worshipers. The research includes an analysis of mosques that have run health programs, such as free health check-ups, counseling on healthy lifestyles, and raising awareness of the importance of health.

Good communication between midwives and pregnant women greatly influences maternal satisfaction in receiving health services from midwives, so that a sense of mutual trust is built between midwives and pregnant women. This mutual trust will have an impact on changes in attitudes for both service providers and service recipients. the proportion of pregnancy checks in North Sumatra Province was 92.4%, while those who did not have pregnancy checks was 7.6%. The ANC K1 coverage rate in North Sumatra Province was 90.0%, while ANC K4 was 85.9%. This shows that ANC coverage in North Sumatra Province is still low because the national ANC target is 95%. The general aim of this research is to analyze the relationship between midwife communication and the level of satisfaction of pregnant women with ANC services at the Gebang Community Health Center, Langkat Regency in 2024. The research method used is quantitative, information about what you want to know is examined using numerical data through a retrospective survey. Conducting a retrospective survey is one method of collecting historical data. This research uses a cross-sectional strategy. The sample for this in-depth research was all midwives in the Gebang Health Center working area, totaling 40 people. Data analysis uses univariate and bivariate analysis. From the statistical test results, it was obtained that p.value = 0.004 and ? = 0.05, where the value of P.value (0.004) < ? (0.05), so it can be concluded that there is a relationship between midwife communication and pregnant women's satisfaction with antenatal care services in Health Center. Gebang Langkat Regency in 2024. Midwives are expected to further improve their good communication skills with patients by participating in training on effective communication methods so that patients feel satisfied with the services provided.

Around 41.8% of pregnant women around the world experience anemia. The prevalence of anemia in pregnant women in the world is estimated at around 57.1% in Africa, 48.2% in Asia, 25.1% in Europe and 24.1% in America. The results of Basic Health Research (Riskesdas) in 2013, the prevalence of anemia in pregnant women in Indonesia was around 37.1%, with hemoglobin levels < 11.0 g/dL approaching the proportion between urban areas 36.4% and rural areas 37.8%. Based on the 2001 Household Health Survey (SKRT), the prevalence of anemia in pregnant women was 40.1%. Meanwhile, the 2004 DKI Jakarta survey showed that the prevalence rate of anemia in pregnant women was 43.5%. The general aim of this research was to determine differences in hemoglobin levels in pregnant women in the first, second and third trimesters at the Gebang Health Center, Langkat Regency in 2024. Hemoglobin examination in pregnant women aims to To find out whether the mother is experiencing blood deficiency or not, namely by checking hemoglobin levels during pregnancy. The method is quantitative research with an analytical survey method using a cross sectional design, namely, a study that concerns risk factors using a retrospective approach. Analysis shows that there are differences in hemoglobin levels in the first, second and third trimesters. The average hemoglobin levels in the first trimester (11.7 g/dL) and II (11.0 g/dL) were still within normal limits, while the hemoglobin in the third trimester (10.2 g/dL) was abnormal. Hemoglobin levels < 11.0 g/dL in pregnant women can be said to be anemia, whereas if hemoglobin levels in pregnant women are > 11.0 g/dL it is not said to be anemia. So it can be seen that hemoglobin levels in the third trimester are lower than hemoglobin levels in the first and second trimesters. Pregnant women are expected to be able to check their pregnancy by carrying out an HB examination.