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Exclusive breastfeeding is important for the quality of children's health. However, the proportion of exclusive breastfeeding at the Deli Serdang City Health Center has only reached 45.6%, still far from the World Health Organization (WHO) target of 50%. Nurse self-efficacy is one of the important elements that influences nursing behavior. This study aims to determine factors related to breastfeeding self-efficacy. This research was cross-sectional, with a sample of 147 mothers obtained by purposive sampling. Breastfeeding Self-Efficacy (BSE) was measured using the Breastfeeding Self-Efficacy Short-Form. Data analysis used the Chi-Square test. The results of the study showed that there was a significant relationship between breastfeeding problems (p value=0.001), family support (p value=0.001), and support from health workers (p value=0.001) with breastfeeding self-efficacy. It was concluded that breastfeeding problems, family support, and support from health workers were factors related to breastfeeding self-efficacy in breastfeeding mothers. Therefore, health workers and families are expected to provide support to mothers when they have breastfeeding problems.  

Tanarawa Village, located in Waiblama Subdistrict, Sikka Regency, holds great potential in the plantation and crop sectors despite its hilly and undulating terrain. This potential can be harnessed to enhance the economic well-being of the community while addressing the high stunting rate in the area, where the stunting rate at the Tanarawa Health Center reached 33.5% in 2023. To address this issue, an empowerment program was implemented through a demonstration garden aimed at improving community skills and knowledge in sustainable agriculture. The program included training on the creation of garden beds and the cultivation of nutrient-rich plants such as spinach, water spinach, and mustard greens. The methods used included participatory observation, in-depth interviews, and partnership approaches with local residents. The program successfully provided nutritious vegetables for families, particularly for children affected by stunting, and raised community awareness of the importance of nutritional intake. Additionally, the demonstration garden program offered economic benefits by reducing spending on vegetables and optimizing the use of vacant land.

Background: Type 2 diabetes mellitus is a disease with various causes or chronic metabolic disorders such as carbohydrates, lipids and proteins characterized by high blood glucose levels due to a lack of responsiveness of the body's cells to insulin, which will cause several impacts on the body. Objective: This research aims to determine the relationship between instrumental support and the quality of life of type 2 DM patients at the Ngemplak Simongan Community Health Center. Method: This research is a quantitative, cross sectional study involving 54 respondents who are members of Prolanis DM type 2 using a simple random sampling technique. Results: The research shows that the majority of respondents are elderly (<65 years) 24 (44.4%), women 34 (63, 0%), junior high school education 15 (27.8%), good instrumental support 53 (98.1%), and high quality of life 52 (96.3%). Conclusion: There is a relationship between instrumental support and quality of life (p-value 0.001), the strength of the relationship is moderate (r = 0.429) and the direction of the correlation is positive. The better the instrumental support, the higher the patient's quality of life.

Social interaction an important role in the lives of the elderly because in the elderly there are various declines in body abilities and five senses which can influence and limit the activities and movements of the elderly. Lack of social interaction in the elderly can be a factor in reducing the quality of life of the elderly. Purpose: This study aims to determine the relationship between social interaction and quality of life in the elderly. Method: Quantitative research method uses a correlational design. The research population was the total number of elderly people in the Kedurang District Health Center Working Area in Durian Sebatang Village, 75 people. The sampling technique uses purposive sampling. Data were collected using quality of life and social interaction questionnaires. Analysis uses the Chi–Square Test (c2). Result: The research results showed that (1) of the 43 respondents, the majority (51.2%) had poor interaction and (48.8%) respondents had good interaction. (2) Of the 43 respondents, (51.2) had good quality of life and (48.8%) had poor quality of life. The results of the chi-square test (Continuity Correction) obtained a value of c2=5.254 with asymp.sig(p) = 0.022 < 0.05. This result shows that there is a significant relationship between social interaction and quality of life. Conclusion: it can be concluded that there is a significant relationship between social interaction and quality of life in the elderly

Pregnancy is the process of fetal growth and development that occurs in the uterus from conception to the onset of labor. In the first trimester, mothers usually experience nausea and vomiting starting at around 8 weeks and ending at 12 weeks. Emesis gravidarum is nausea and vomiting that can cause discomfort and the frequency of nausea and vomiting occurs approximately 5 times a day, which occurs in the first trimester of pregnancy. This study aims to determine the Effect of Mozart Classical Music Therapy on the Level of Emesis Gravidarum in Pregnant Women in the First Trimester. The research design used in this study was pre-experimental with a one group pretest & posttest design approach. The population in this study were all pregnant women in the first trimester in the Jakenan Health Center Area, Pati Regency. The population used was 30 pregnant women in the first trimester. The number of pregnant women samples used in this study was 30 pregnant women, the instrument used was an observation sheet, the results of which will be analyzed using the Wilcoxon sign rank test method. The results showed that most of the frequency of emesis gravidarum before being given Mozart classical music intervention was in the moderate category, as many as 16 respondents (53.3%). Most of the frequency of emesis gravidarum after being given Mozart classical music intervention was in the mild category, as many as 20 respondents (66.7%) and almost some were moderate, as many as 10 respondents (33.3%). Data analysis shows that there is a difference in the level of emesis gravidarum before and after being given classical Mozart music therapy, a p value of 0.000 <α 0.05 is obtained, which means that classical Mozart music has an effect on reducing the frequency of emesis gravidarum in pregnant women in the first trimester in the Jakenan Health Center area, Pati Regency. It is hoped that health workers such as health center officers and midwives will improve their education and handling of reducing Emesis gravidarum in pregnant women non-pharmacologically.

According to the United Nations Childrens Funds and the World Health Organization, children should only be breastfed for six months and solid foods given after the child is six months old and continue to be breastfed until the child is two years old. According to WHO, the data on exclusive breastfeeding globally has not increased significantly, namely around 44% of babies aged 0 to 6 months worldwide who received exclusive breastfeeding during the period 2015 to 2018 from 50% of the breastfeeding target (WHO, 2019). Based on the results of interviews with 15 mothers of toddlers, 7 of them said that their children were not given exclusive breast milk due to the lack of milk production so that their babies quickly starved and fussy. 5 mothers of toddlers said that the 3-month-old child could have been given complementary foods for breast milk and 3 other mothers of toddlers said that the heavy workload that made the breastfeeding mother had given MP-ASI from an early age. The general purpose of this study is to see the relationship between maternal knowledge and exclusive breastfeeding in infants aged 6 – 12 months in the working area of the Namrole Health Center, South Buru Regency. This study is an analytical observational research using a cross sectional approach. The results of the chi-square test showed that there was a good relationship between the mother's knowledge about exclusive breastfeeding and exclusive breastfeeding in toddlers with a p value = 0.000. because the p value < 0.005 thus H0 is rejected and Ha is accepted, so there is a good relationship between maternal knowledge and the provision of Exclusive Breastfeeding to toddlers in the working area of the Namrole care center. Knowledge Most of the mothers of babies are in the poor category, which is 56.9%, most of the mothers of babies do not give exclusive breastfeeding, which is 69%, There is a clear relationship between maternal knowledge and exclusive breastfeeding in the work area of the Namrole Health Center.

Digital health interventions hold promise for patient-centered care, as they enable remote monitoring of patients and can be used to easily remind patients to take their medications. This study used a literature review technique with research collecting 30 research publications related to the use, opportunities and challenges of digital health in the treatment of tuberculosis. The literature review technique aims to evaluate and analyze previous research to provide context, show gaps in research, and support arguments for the research to be conducted. Several conclusions from this literature review research include: (1) Digital health has a significant role as an intervention in the management of tuberculosis patients. (2) Digital health offers great opportunities to improve the management and treatment of tuberculosis patients. The opportunity for digital health as an intervention for tuberculosis patients is very promising and can have a significant impact on various aspects of managing this disease. (3) Although digital health offers many opportunities for managing tuberculosis, there are also various challenges that must be faced in its implementation, including: challenges of technology access, patient compliance and engagement, data security and privacy, integration with traditional health systems, costs and funding, quality content and information as well as cultural and language barriers.

Recording drug stock cards is an important process in managing drug inventory at Batua Health Center, Makassar City. This study aims to evaluate the drug stock card recording system and its effectiveness in inventory monitoring. The methods used include in-depth interviews with informants, direct observation, and document analysis related to drug recording. The results showed that all aspects of the recording system were well fulfilled, reflecting a structured and accurate system, as well as the use of distribution books to verify the suitability of the data. Although the recording system was considered efficient, some informants recommended improvements in the layout of the storage space to increase accessibility. In conclusion, the application of technology in drug stock management needs to be improved to increase the efficiency and accuracy of inventory management at Puskesmas Batua.

The process of aging in the course of human life is a natural thing. A common problem experienced by elderly people related to physical health is that they are susceptible to various diseases, due to reduced body resistance in dealing with external influences. Low back pain or lower back pain is a feeling of discomfort that can cause various kinds of disorders that can cause health problems in human life. So it is important for people to understand about low back pain. Therefore, there is a need to increase knowledge and understanding at community health centers about low back pain, including signs of symptoms, prevention and treatment for the elderly at Posyandu, Kedungkandang Village. The method used is to provide physiotherapy education in the form of health promotion about low back pain to elderly posyandu participants using posters as an educational medium. Questions and answers to participants to measure effectiveness and provide independent training education. The activity ran smoothly and was easily understood by the elderly at the Posyandu, Kedungkandang Village and could increase participants' knowledge about cases of low back pain.

Nguter is one of the villages in Nguter Subdistrict, Sukoharjo Regency, Central Java. The geographical location of Nguter Subdistrict is at an altitude of 104 meters above sea level. One of the healthcare facilities in Nguter Village is the Nguter Community Health Center (Puskesmas). From January to July 2024, the number of low back pain cases treated at Nguter Community Health Center reached 285 people. This figure is considered quite hi gh, as it continues to show a significant increase each year. The goal of this program is to provide education on William Flexi Exercise for myogenic low back pain in the elderly, helping alleviate the complaints of lower back pain. The method used involves counseling sessions through lectures and leaflets for the Elderly Posyandu Community in RW 07, Nguter Subdistrict, Sukoharjo Regency, Central Java. The result of this community service program is that the elderly understood the material provided and are able to perform the exercises independently at home.

The increased of Maternal Mortality Rate (MMR) can be lowered through by various efforts, one of them with quality Antenatal Care (ANC). Quality of ANC services can be given by several health workers who work together in giving services to patients through the Interprofessional Collaboration (IPC). IPC or interprofessional collaboration can improve health service quality. The purpose of this study is to find out an overview of the level of perception of health workers about IPC on ANC services in Lubuk Buaya Health Center. This study is descriptive research using crosssectional design. The study sample is 30 health workers who are determined by the total sampling method. Data collection use the Collaborative Practice Assessment Tools (CPAT) questionnaire. The results of the study can be found that all health workers (100%) have a high perception of IPC in ANC services with components of connection among members, coordination and division of roles, and missions, goals, and objectives have the highest percentage (100%) and decision-making and conflict management components have the lowest percentage (10%). All health professions consist of GPs, midwives, nurses, dentists, pharmacists, nutritionists, and ATLM have a high perception (100%) of IPC on ANC services. The dentist professions have a high perception of all eight components, meanwhile other professions have a high perception of the seven components of perception and have a moderate perception in one component of perception, that is the components of decision making and conflict management. In general, health workers have a high perception of IPC in ANC services, but there are still a moderate perception in one components of perception so efforts are needed to improve IPC competence in that component.

As cities in Indonesia continue to develop, there will inevitably be ignorance of the elderly's knowledge of their own health. For example, elderly people with working backgrounds are generally at risk of lower back pain, pinched nerves, complaining of various muscle tension problems and so on which can disrupt their daily activities. This problem is caused by incorrect positioning while working, such as frequently pushing, lifting, bending, sitting or standing for long periods of time and unergonomic body posture while working. Physiotherapy outreach activities related to increasing knowledge of daily activity disorders, efforts to educate the elderly regarding activity disorders, especially about definitions, signs of symptoms, causes, prevention, and daily activity activity therapy independently after work to reduce the symptoms suffered. This outreach activity uses leaflets as media, containing educational material for the elderly, then education and training depending on the location of the disorders the elderly complain of. The counseling activities at the Mobile Health Center Posyandu which are held every day by the Kendalsari Community Health Center, Malang City, went smoothly, the response was good, full of enthusiasm. The results obtained show the results of the pretest so that there is increased knowledge among workers which shows that workers have knowledge and insight regarding prevention and independent treatment after work. The results obtained showed that most of them were mild complaints, so that the majority of complaints involving disruption of daily activities were experienced by women, 68% of which were indicated by questionnaires for 25 elderly people at the Kendalsari Community Health Center and Posyandu for the Elderly in Malang City.

Background: The Ministry of Health reported that in 2022 there were approximately 143,000 cases of dengue fever in Indonesia. According to data from the Jambi Provincial Health Profile in 2022, there were 1,381 cases of DHF, which caused 9 deaths, based on data from the Jambi City Health Office, the highest number of DHF cases in Jambi City in 2022 was 36 cases at the Paal V Health Center. The Paal V Health Center has made efforts to eradicate DHF, but cases still appear high, this is influenced by several factors such as knowledge and attitudes. The purpose of this study was to determine the effectiveness of posters and videos on dengue prevention on the knowledge and attitudes of the community in the working area of Puskesmas Paal V, Jambi City. Methods: Quantitative research design with an experimental approach. Total samples of 30 poster media and 30 video media were selected using accidental sampling technique. The variables in this study are poster media, videos, knowledge and attitudes. Data collection using questionnaires and data processing in the form of bivariate and univariate analysis. The test used in this study is the Wilcoxon test if the data is not normally distributed and the paired t-test if the data is normally distributed. Results: There is an effect of posters and videos on knowledge with a p-value of poster media (p-value=0.001) and video media (p-value=0.001). There is an effect of poster and video media on attitude with a p-value of poster media (p-value=0.049) and video media (p-value=0.041). Conclusion: Based on the results of the research that has been done, video media is more effective than poster media on knowledge and attitudes about the prevention of dengue hemorrhagic fever (DHF). Therefore, in order to use video media as a medium in conducting counseling about dengue hemorrhagic fever (DHF).

Reproductive organs are sensitive organs and require special care. Good care in maintaining the cleanliness of reproductive organs is beneficial in maintaining reproductive health. Maintaining the health of reproductive organs begins with maintaining personal hygiene, including vaginal hygiene which aims to keep the vagina clean, normal, healthy and free from the possibility of diseases including vaginal discharge. The use of boiled betel leaf water for women of childbearing age who experience symptoms of vaginal discharge has almost all had an effect on decreasing. The problems found in Sungai Tabuk Kota Village RT 03 & RT. 04, based on the results of the study, are the low knowledge of women about reproductive health and many women who do not care about the cleanliness of their own reproductive organs. One of the successes of community service activities is teaching the community to make boiled betel leaves by maintaining reproductive hygiene. The implementation of this service is by teaching mothers how to process boiled betel leaves (REDARIH) to maintain reproductive health. The target is all women of productive age to menopause in RT 03 & 04 in Sungai Tabuk Kota Village. The implementation of this program was carried out on Monday, August 19, 2024 at PAUD Ceria RT. 04 Tabuk River, Banjarmasin City at 10:00 WITA – finished. This activity was attended by community leaders, coordinating midwives, village midwives, health workers from the Health Center (program holders), village midwives, integrated health post cadres, mothers of productive age to menopause, mentors and also midwifery students.

Acute Respiratory Infection (ARI) is a significant public health issue, particularly in areas with suboptimal environmental conditions. Community Health Centers (Puskesmas), as the primary healthcare providers, play a crucial role in managing ARI cases. This study aims to analyze the prescribing patterns of medications for ARI patients at Pekanbaru Community Health Center to evaluate whether the prescribed treatments adhere to existing guidelines and to provide recommendations. The sample for this study comprises ARI patients who sought treatment at Pekanbaru Community Health Centers in March 2024. Secondary data from the monthly report of Pekanbaru Community Health Centers in March 2024 was used as the research instrument. The collected data was analyzed by calculating the percentage of medication usage. Based on the findings from Pekanbaru Community Health Centers, the following conclusions were drawn: Most patients consuming ARI medications were female, with 80 respondents, compared to 70 males. The age group with the highest number of ARI medication consumers was [missing data]. Paracetamol 500mg was the most commonly prescribed medication at the health center."

One of the health transformation programs by the Indonesian Ministry of Health is the transformation of the primary health care system. One form of integrated transformation of primary health services is by establishing prime posyandu. Posyandu Prima is a revitalization program for posyandu or poskesdes or supporting community health centers that already exist in the village. Saptomulyo village does not have a supporting community health center but does have a village health post. The aim of this community service is to revitalize existing posyandu and village health posts so that they become prime posyandu with the hope of improving the health status of the people of Saptomulyo Village.Methods for implementing activities include: Coordination with village officials using the brainstorming method, Formation of a prime posyandu organization using brainstorming and discussions, recruitment of cadres with interviews and discussions with candidates, training of cadres and community health center officers/nurses/midwives with lectures, questions and answers, discussions and demonstrations, as well as collecting public health data in Saptomulyo Village using surveys .The result of the activity was the implementation of Posyandu Prima socialization/training activities for Posyandu Prima cadres and administrators as well as health posyadu cadres and all participants were declared to have passed. There are prime posyandu locations and buildings ready to open services

The nutritional health status of the prospective bride is a reflection of the physical well-being of the prospective bride due to the fulfillment of nutritional needs in the body. The prospective bride's nutrition can influence reproductive health to prepare for reproduction from preconception, pregnancy, childbirth and postpartum. Knowledge about nutrition plays an important role in fulfilling a person's nutritional adequacy. The aim of this research was to determine the relationship between knowledge of balanced nutrition and the nutritional status of prospective brides and grooms at the Kemalaraja OKU Community Health Center UPTD. This type of research is descriptive research with a cross sectional approach carried out in June - July 2024. The sample size of 17 female catins was determined using a total sampling technique. Data analysis in this study used univariate and bivariate analysis using the chi-square test to determine the relationship between nutritional knowledge and the nutritional status of prospective brides and grooms at the Kemalaraja OKU Health Center UPTD. The results of univariate analysis showed that the average age range was 24-28 years (47.1%), good nutritional knowledge (64.7%), normal nutritional status (70.6%). There is a relationship between knowledge of balanced nutrition and catin nutritional status (p = 0.000). From this research, it can be concluded that there is a relationship between knowledge of balanced nutrition and catin nutritional status in the working area of ​​the Kemalaraja OKU Public Health Center UPTD. It is recommended that prospective brides and grooms increase their nutritional knowledge by looking for information about balanced nutrition.

Hyperemesis gravidarum is excessive nausea and vomiting in pregnant women to the point that it interferes with daily work because it generally becomes worse, due to dehydration. The aim of this study was to determine the relationship between nutritional status and hyperemesis gravidarum in pregnant women at the Langsa Lama Health Center, Langsa City in 2023. Case control research design, population of 68 pregnant women. The research results showed a relationship between nutritional status and the incidence of hyperemesis gravidarum in pregnant women at the Langsa Lama Health Center, Langsa City. Pregnant women with poor nutritional status will experience hyperemesis gravidarum 7.5 times compared to pregnant women with good nutritional status.  It is recommended that health workers, especially those at Community Health Centers, always inform pregnant women about hyperemesis gravidarum and risk factors for hyperemesis gravidarum. Pregnant women are expected to always seek information about hyperemesis gravidarum and risk factors for hyperemesis gravidarum.

Tujuan utama dari penelitian ini untuk mengetahui apakah Perilaku Inovatif memiliki efek mediasi pada hubungan antara Disiplin kerja , Budaya kerjam dan Pelatihan dengan kinerja. Data dikumpulkan dari 170 tenaga Kesehatan pada 10 Puskesmas yang berada di Wilayah Kabupaten dan Kota Madia Pekalongan, Provinsi Jawa Tengah. Responden dipilih dengan menggunakan teknik purposive sampling. Pemodelan persamaan struktural digunakan untuk menganalisis data yang dikumpulkan. Studi ini mengungkapkan: 1) Disiplin kerja berpengaruh signifikan terhadap perilaku Inovatif, 2) Budaya kerja berpengaruh signifikan terhadap kinerja, 3) Pelatihan mempunyai pengaruh signifikan terhadap kinerja , 4) Disiplin kerja berpengaruh signifikan terhadap kinerja, 5) Budaya kerja berpengaruh signifikan terhadap perilaku inovatif, 6) Pelatihan mempunyai pengaruh signifikan terhadap perilaku inovatif 6) Perilaku inovatif mampu memediasi hubungan Disiplin kerja, Budaya kerja, dan Pelatihan dengan kinerja. Penelitian ini merekomendasikan kinerja Pegawai Puskesmas di Pekalongan dapat ditingkatkan dengan meningkatkan disiplin kerja, Budaya kerja, dan Pelatihan melalui efek tidak langsung melalui variabel Perilaku Inovatif dari pegawai. Kata kunci: Disiplin kerja, Budaya kerja, Pelatihan, Perilaku Inovatif, Kinerja.   Abstract The main objective of this study was to determine whether Innovative Behavior has a mediating effect on the relationship between Work Discipline, Work Culture,  and Training with performance. Data were collected from 170 Health workers at 10 Health Centers located in the Regency and City of Pekalongan, Central Java Province. Respondents were selected using purposive sampling techniques. Structural equation modeling was used to analyze the collected data. This study revealed: 1) Work discipline has a significant effect on Innovative behavior, 2) Work culture has a significant effect on performance, 3) Training has a significant effect on performance, 4) Work discipline has a significant effect on performance, 5) Work culture has a significant effect on innovative behavior, 6) Training has a significant effect on innovative behavior 6) Innovative behavior is able to mediate the relationship between Work Discipline, Work Culture, and Training with performance. This study recommends that the performance of Health Center Employees in Pekalongan can be improved by improving Work Dicipline, Work Culture, and Training through indirect effects through the Innovative Behavior variable of employees.

Hypertension is a condition that is often encountered. Hypertension is a condition when blood pressure rises. Risk factors that can cause hypertension are age, race, gender, lifestyle, sodium consumption, smoking, alcohol consumption, stress level, and education. The urgency of this research is that the number of hypertension patients at the Purwodiningratan Surakarta Health Center experiences a spike every year. Based on a preliminary study at the Community Health Center, data was obtained that the number of hypertension patients in the last five year period experienced a spike, then fell, then spiked again. The objective problem of this research is the increase in hypertension patients, so it is necessary to research the relationship between knowledge, attitudes and family support and efforts to control hypertension. The importance of this research is a manifestation of efforts to control hypertension which continues to experience a surge using interview methods and distributing leaflets with the aim of a community approach. The aim of the research is to analyze the magnitude of the impact of the hypertension control program using the swallow method (interviews and leaflets). The research approach used cross sectional. The sample was 77 hypertensive patients at the Community Health Center. The sampling technique used the accidental sampling method based on inclusion and exclusion criteria. The statistical test uses a linear regression test at a significance level of 0.05.