Publication Search

Non-communicable diseases (NCDs), such as hypertension and diabetes, are the leading causes of death among the elderly in Indonesia. To address this issue, a community service program was conducted in the working area of the Ariodilla Health Center, Palembang, focusing on NCD screening and health education through senior exercise. The program was attended by 45 elderly individuals who underwent health screenings, including blood pressure, blood sugar, cholesterol, and uric acid measurements. The results showed that 15.5% of the elderly were diagnosed with diabetes mellitus, 75.8% had high cholesterol, and 24.4% had elevated uric acid levels. In addition, senior exercise sessions were conducted to improve physical fitness. This program successfully increased the knowledge and awareness of the elderly regarding NCDs, the importance of regular health check-ups, and maintaining a healthy lifestyle. In the future, similar programs are expected to be expanded to reach more elderly individuals, aiming to prevent serious complications from NCDs.

Background: Infants aged 2 months have begun to learn body movements in the form of gross motor skills. Starting with kicking movements, straightening the hands of sideways movements and then on the stomach until at the age of 1 year the baby can walk independently. Gross motor can develop faster and better when there is stimulus from the surrounding environment. Baby gym can provide a stimulus for gross motor development. Baby gym exercises done with the person closest to the baby will be better for the baby's emotional security. Objective: Providing counseling and practice in mother and baby classes at the kendalsari health center makes mothers who have babies under 1 year old and who will have a baby can apply it at home to train their children's gross motor skills. Methods: the method used in this counseling is to provide leaflets and then education and practice. Giving some questions on the pretest and postest to find out the picture of knowledge in mothers. Results: from this activity an increased understanding of baby gym procedures and their benefits was obtained. 

This research entitle of " Mediating Variables: A Review of the Influence of Service Quality, Customer Experience, and Trust on Loyalty and Satisfaction at the Berbah Public Health Center, Sleman Regency ". The purpose of this study is to find and analyze the influence of service quality, customer experience and trust on loyalty with satisfaction as a mediation variable. To research it uses purposive sampling and accidental sampling of 100 respondents. The tests on this study were conducted with tests of validity, reliability, classical assumptions, hypothesis testing,path analysisand sobel tests. With multiple linear regression analysis in this study obtained results b1 =0.217 showed a positive influence of service quality variables on loyalty, b2 =0.209 showed a positive influence of customer experience variables on loyalty, b3= 0.146 showed a positive influence of trust variables on loyalty, b4 = 0.164 showed a positive influence of satisfaction variables on loyalty. For partial hypothesis testing used t test, obtained a value of tcalculated for the quality of service to loyalty of 4,072, tcount for customer experience to loyalty of 3,648, for trust to loyalty of 2,657 and tcalculate for patient satisfaction to loyalty of 2,657. Then based on the results of calculations through the sobel test, patient satisfaction mediated the relationship between the quality of service to loyalty with at count value of 2,281, patient satisfaction mediated the relationship between customer experience to loyalty with at calculated value of 2,095,patient satisfaction mediated the relationship between trust to loyalty with at count value of 2.0009.

Stunting in Tapanuli Selah district will be 39.4 percent in 2022, and in 2023 it will decrease by 15.6 percent. Community empowerment in the health sector develops Community Resource Health Efforts (UKBM) namely Posyandu. Posyandu organizers are health cadres, elected by the community. Increasing the ability of cadres to manage posyandu activities, especially regarding basic health services to the community, is carried out by training by health workers. Muaratais Health Center was inaugurated on July 15 2023, the newest sub-district expansion in South Tapanuli Regency. The Muaratais Health Center area has 15 villages, in each village there is a posyandu, an average of 4 cadres and there are new cadres who have never attended training. The service team agreed with the Community Health Center to carry out training for posyandu cadres on monitoring the growth of toddlers. Training materials, toddler growth, measuring body length, height and weight using tools available at the posyandu, infant ruler, microtoise, portable electric body weight. The training participants consisted of 20 health cadres, appointed by the community health center to represent the posyandu in their work area. Training activities were carried out for two days in the community health center meeting room. Lecture, question and answer, simulation and demonstration methods. Trainees' knowledge about monitoring toddler growth is getting better. Skills in using the growth monitoring tools available at posyandu category are sufficient. Skills at the advanced stage are continued by the posyandu supervisor.

The advancement of technology and changes in lifestyle have become triggers for deviant behavior, potentially causing mental health issues. Mental health is an increasingly crucial aspect of societal well-being. Optimal mental health impacts individuals' awareness of their potential, their ability to manage life pressures stably, productive performance in work, and active participation in community life. The negative stigma in society towards individuals with mental disorders further exacerbates the number of affected individuals. In Indonesia, this issue is gaining more attention due to its impact on the quality of life for individuals and society as a whole. Mental disorders necessitate a holistic and innovative approach to rehabilitation efforts. Therefore, it is essential to establish specialized rehabilitation centers for individuals with mental disorders, providing support in both physical and mental recovery processes. Well-designed and functional spaces play a key role in enhancing the psychological well-being of individuals, creating an environment that is safe, comfortable, and preserves privacy. By adopting the Behavioral Architecture approach in design, it is expected to create an environment that meets the needs of patients and positively influences the behavior, perceptions, and feelings of everyone involved in the activities.

Medical record data can be used as a benchmark and comparison in the health business to ascertain the rate at which a disease is developing in a given area. It would be beneficial, though, if this data could be transformed into useful information, like illness forecasts. Infectious diseases like malaria are common in tropical and subtropical regions. West Sumba Regency is the region with the highest number of malaria cases, and this figure rises year. Of the different Puskesmas labor locations, Lolo Wano Health Center has the largest number of positive cases of malaria. In order to apply information system technology and prevent malaria early, research was done at the Lolo Wano Community Health Center to predict malaria using the Naïve Bayes approach. This is because the Community Health Center does not currently have a malaria prediction system. Six of the 16 features in the patient dataset—a total of 27 patient data—were malaria symptoms. When there are suitable illness indicators, positive predictions are produced using the outcomes of Naïve Bayes computations. Before the patient proceeds with a direct medical evaluation, these anticipated results may be utilized as a provisional approximation. Naïve Bayes, Center, Prediction, Malaria

Early detection of high risk by health workers through quality antenatal care is one of the efforts to accelerate the reduction of MMR in Indonesia. The aim of this research was to determine "The Effectiveness of Health Education E-Booklets on Pregnant Women's Knowledge About Danger Signs of Pregnancy at the Sonomartani Labura Community Health Center in 2023. The research was conducted using a quasi-experimental research method." The design used is a one group pre test and post test design research design. The research was carried out by knowing the mother's knowledge (pretest) before being given a health education E-booklet for danger signs of pregnancy, then continuing with a final test (posttest) after being given a health education E-booklet. The research results show a P value of 0.000, meaning p 0.05, stating that the health education e-booklet is effective on pregnant women's knowledge about the danger signs of pregnancy at the Sonomartani Labura Community Health Center in 2023.

Anemia in pregnancy is known to occur in pregnant women when iron levels in their blood are low. Pregnant women are said to have anemia if their hemoglobin (Hb) level is <11 grams/dl in the first and third trimesters of pregnancy, in contrast to the second trimester hemoglobin (HB) level <10.5 grams/dl. The aim of the research was to determine the relationship between third trimester pregnant women's knowledge about anemia and compliance with consuming Fe tablets at the Namrole Care Health Center in 2023. This research was quantitative in nature with an analytical survey with a cross sectional research design, which was conducted in the Namrole Maluku Health Center Work Area. The population in this study were all 32 pregnant women in the third trimester. The sampling technique used is Total Sampling. Bivariate analysis uses the Chi Square test with a confidence level of 95%. shows that the p value = 0.000 which means less than A = 0.005, so it can be concluded that there is a significant relationship between the knowledge of third trimester pregnant women about anemia and compliance with consuming Fe tablets at the Namrole Nursing Community Health Center, Kec. Medan Johor in 2023.

Background: Anemia is a body condition where the hemoglobin level in red blood cells is lower than the normal standard. Pregnant women are said to be anemic if their Hb content is <11gr/dL. According to WHO, the prevalence of pregnant women throughout the world who experience anemia is 41.8%. The percentage of anemia in pregnant women in Indonesia is 37.1%. For the Special Region of Yogyakarta, the prevalence in pregnant women is 19.01%, and the highest incidence of anemia is in Bantul Regency (27.67%). Data from the Bantul District Health Service, from 27 Community Health Centers, there are 5 Community Health Centers with the highest number of anemia, namely at Sewon II Community Health Center. From this data, Sewon II Community Health Center is in second place. Objective: To determine the effectiveness of consuming fe tablets with lime juice on increasing Hb levels in mildly anemic pregnant women at the Sewon II Bantul Community Health Center, Yogyakarta. Method: This quasi-experiment research uses a one group pretest-posttest design. The sample in the study consisted of 30 pregnant women. The sampling technique uses total sampling. The research instrument gave lime to pregnant women with mild anemia for 2 weeks. Then the hemoglobin level was checked before and after drinking lime using a hemoglobin meter checking device in collaboration with the Puskesmas lab section. Results: The results of this research are based on univariate analysis of the characteristics of respondents aged 20-35 years as many as 26 (86.3%) respondents, the majority have a high school education as many as 26 (86.7%) respondents, the occupation of respondents is housewives 28 (93.3%) ) respondents. The results of the bivariate analysis showed that there was a significant effect on the average value of increasing hemoglobin levels before (10.21) and after drinking lime (11.23) with an average of (1.02). Conclusion: Based on the research results, it can be concluded that there is an effect of giving lime juice on hemoglobin levels in pregnant women in the second trimester at the Sewon II Bantul Community Health Center.

This study uses empirical juridical research, which is research with field data as the main source of data, such as the results of interviews and observations, with the aim of analyzing and describing the law enforcement model for cases of corruption in the development funds of the Waigete Health Center. as well as identifying and analyzing factors that hinder law enforcement in the case of corruption of the Waigete Health Center development funds. The results of the discussion in this study show that, (1). The Waigete  Health Center uses the Due Process Model which emphasizes the need to ensure that every individual has the right to be treated fairly and has access to an independent court including investigation, prosecution, and fair justice. and the right to appeal, but with strict legal procedures, this model slows down the process of resolving cases.  The crime eradication process focuses more on the interests of the rights of suspects than on the public interest, so according to researchers in the process of resolving corruption cases, this model is not appropriate to use because it emphasizes justice and human rights but also has the potential to slow down the legal process. (2). The factors that hinder law enforcement in handling corruption cases of the Waigete Health Center development fund consist of two factors, namely internal factors, namely the lack of prosecutors who slow down the law enforcement process and reduce the effectiveness of case handling, and external factors, namely the slow examination process and the loss calculation process so as to hinder law enforcement.

Family support is a way to provide assistance to other family members, either morally or materially. Motivation is the feeling or thought that drives someone to behave or engage in activities to achieve goals. Hypertensive patients often neglect regular follow-up visits because they feel fine and have no complaints. This study aims to determine the relationship between Family Support and Motivation for Regular Check-Ups in Hypertensive Patients in the Working Area of Samuda Health Center. Methods: This research used a quantitative method with a descriptive correlational approach. The correlation design utilized a cross-sectional method to determine the correlational relationship between two variables, emphasizing the measurement of both independent and dependent variables at one point in time. The instruments were questionnaires, and the statistical test used was Spearman Rank, which involved 53 hypertensive patients in the Working Area of Samuda Health Center as respondents. Results: The study on Family Support revealed that the highest Crosstabulation result was found in respondents with moderate motivation for regular check-ups, with 21 respondents (75.0%), followed by good motivation with 13 respondents (68.4%), and low motivation with 6 respondents (21.4%). The Spearman Rank statistical test yielded a p-value ≤ 0.000, meaning the p-value was less than 0.05. Thus, H0 was rejected, and Ha was accepted, indicating a significant relationship between Family Support and Motivation for Regular Check-Ups in Hypertensive Patients. Conclusion: There is a significant relationship between Family Support and Motivation for Regular Check-Ups in Hypertensive Patients. It is suggested that healthcare workers enhance family support to improve the motivation for regular check-ups among hypertensive patients in the Working Area of Samuda Health Center through health promotion initiatives.

Hypertension is one of the main cardiovascular risk factors which is the main cause of death in the world, especially in the elderly. Maximizing the utilization of elderly health posts is one strategy in controlling hypertension in the elderly, but the limited knowledge and skills of elderly health cadres, especially in managing hypertension, make the implementation of elderly health posts less than optimal. Sumur Gunung Elderly Health Post is one of the elderly health posts that routinely runs in Sumurejo Village, but services are still limited to measuring blood pressure, weight, and height, educational services still depend on the health center, there is no exercise, and there are no special provisions for the PMT menu. This is due to the limited knowledge and skills of the cadres. The results of BP examinations on 20 elderly people registered at the Sumur Gunung Elderly Posyandu showed that 35% (7 out of 20 elderly people) had blood pressure > 140/90 mmHg. The questionnaire results showed that 46% of elderly people had not regulated their diet, 75% of elderly people had a habit of drinking coffee, 80% of elderly people had not limited the amount of salt consumed, 50% of elderly people smoked, 60% of elderly people did not know how to treat hypertension. Based on this background, the STIKES Kesdam IV/Diponegoro Community Service Team carried out an activity entitled "IbM Empowerment of Antihypertension Cadres at the Sumur Gunung Elderly Posyandu". The activities included field visits, refreshing cadres, mentoring posyandu, hypertension education, and utilization of cucumber infusion water. The target outputs were to achieve increased knowledge and skills of cadres so that they were empowered in efforts to control hypertension, publication of community service results in national journals, and electronic media. The results of this activity obtained 35% of elderly people were detected to have blood pressure > 140/90 mmHg, there was an increase in knowledge and skills of cadres in implementing elderly posyandu according to standards, and the use of cucumber infused water to reduce hypertension in the elderly.

Background:Stunting reflects the condition of children under the age of five, due to malnutrition especially in the first 1000 days of life (HPK), children are very short for their age. In Indonesia, stunting is a major and major problem that is being faced. Toddlers are children over one year old and children under 5 years old. Objective: To determine the factors associated with stunting in toddlers in the working area of ​​the Lagari Inpatient Health Center UPTD, Nabire Regency. Method: The type of research used in this study is quantitative and the design used is observational analytic. Results: analysis test using the chi-square test p-value> 0.05, 0.82 indicates that there is no relationship between education and stunting in toddlers. Analysis test using the chi-square test p-value> 0.05, namely 0.09 indicates that there is no relationship between work and stunting in toddlers. Analysis test using the chi-square test p-value <0.05, namely 0.04 indicates that there is a relationship between income and stunting in toddlers. Analysis test using chi-square test p-value <0.05, which is 0.05 indicates that there is a relationship between knowledge and the incidence of stunting in toddlers. Analysis test using chi-square test p-value <0.05, which is 0.05 indicates that there is a relationship between exclusive breastfeeding and the incidence of stunting in toddlers. Conclusion: Factors that influence stunting in toddlers include: education, employment, income, knowledge and exclusive breastfeeding. There is no relationship between education and employment with the incidence of stunting in toddlers, and there is a relationship between employment, knowledge and exclusive breastfeeding with the incidence of stunting in toddlers. Suggestion: Create a program on stunting, especially the factors that influence stunting to reduce stunting rates and need to increase counseling activities on stunting for mothers of toddlers to increase awareness and understanding of stunting.  

The community service project aims to enhance public knowledge and skills in providing immediate assistance during cardiac emergencies. Conducted in collaboration with the Indonesian Emergency and Disaster Nurses Association (HIPGABI) North Sumatra and the Regional Crisis Center Team North Sumatra, this program focuses on training participants in the fundamental techniques of Basic Life Support (BLS), including cardiopulmonary resuscitation (CPR) and the use of automated external defibrillators (AEDs). The training is specifically designed for the congregation of HKBP Resort Kwala Bekala Church. The involvement of HIPGABI North Sumatra and the Regional Crisis Center Team North Sumatra brings expertise and professionalism, ensuring that the training adheres to national standards and best practices in emergency response. The outcomes of this training are expected to strengthen community resilience and preparedness in dealing with health emergencies in Medan and the surrounding areas.

The volunteer gathering was part of PMI's anniversary activities in North Sumatra and Aceh, centered in the Aek Nauli Girsang Simpangan Bolon area of Simalungun Regency. This activity involved a team of PMI Volunteer members throughout North Sumatra and several Aceh regions. In a series of activities, PMI prepared a team of volunteers to carry out community service activities in the village for 3 days in Tiga Dolok Village, Dolok Parmonangan District, Simalungun Regency. Participants who participated in this service activity were around 60 people who were distributed in each hamlet in the village. The service actions carried out consisted of; socialization of the existence of PMI in general and specifically, namely socialization activities, gathering to the community about PMI, hygiene, health, blood donation, first aid, to disaster management. This activity was carried out with the aim that the village community, especially Tiga Dolok residents, understand how important awareness is in maintaining cleanliness and health amid a pandemic and a continuous rainy season. In addition, the community also needs to understand that PMI is not just a blood donor, but many other activities are carried out to educate and help the community in daily life and society.

Peers have a big influence on changes in individual behavior. Peers can also provide reinforcement, both positive and negative. Peer counseling has the potential to provide positive reinforcement, namely how a friend can become a motivator for other friends. The implementation referred to in this research is the implementation of peer counseling services.This activity will be carried out in 3 stages, namely the initial stage includes surveying community service locations, making proposals and submitting proposals, the second stage is implementing activities where socialization will be carried out about the concept of peers. Then there will be an evaluation of the process of community service activities carried out in a question and answer session for the audience with the presenter or speaker. The final stage is evaluation and reporting of activities. Teenagers are targets in community service activities which are always directed at coordinating with local health workers.The results of the activity show that increasing capacity through peer education in efforts to screen for sexually transmitted infections in adolescents in the Sungai Beliung sub-district in the working area of the Perumnas II Health Center in 2024 has been carried out well.It is hoped that partners can continuously implement media and deliver educational material about STIs by involving teenagers, families and the general public.

Leprosy is an infectious disease that can attack the skin, caused by the bacterium Mycobacterium leprae. Leprosy is an infectious disease with a long incubation time of up to many years. The purpose of this study is to analyze the relationship between personal hygiene and the incidence of leprosy in the working area of the Nania Health Center, Ambon City. Methodology: In this study, the researcher used a quantitative research method with a case control approach. The population and sample were all leprosy patients, namely 21 case respondents and 21 control respondents. Data collection uses questionnaires. Data analysis using the Chi-square Test. Results: The results showed that there was a significant relationship between independent variables, namely bathing habits (p-value = 0.04), towel borrowing habits (p-value = 0.000), and the incidence of leprosy. Discussion: The conclusion in this study is that there is a significant relationship between bathing habits, towel borrowing habits, hand and foot washing habits to the incidence of leprosy in Manguharjo and Ngegong Health Centers. Suggestions for Puskesmas are the need for socialization on how to prevent and treat leprosy and provide education about community stigma that leprosy is not a scary disease.

A child's life is very important, and parental attention is also important. Babies need to get nutrition from food every day in the right amount and good quality every day. One way to optimize child growth and development is by giving formula milk. Objective: To determine the effect of formula milk consumption on the nutritional status of toddlers in the Working Area of ​​the Yaro Health Center UPTD, Jaya Mukti Village, Nabire Regency. Method: This type of research is quantitative research using observational analysis research design and cross-sectional study design. The population in the study was 65 toddlers and the selected sample consisted of 65 toddlers using total sampling. The research instruments included questionnaires, anthropometric measuring instruments (digital scales and length boards), stationery and documentation tools. The analysis used the Release Statistical Program For Science (SPSS) type 16.0 application. Results: The study showed that the BB/TB index p-value was 0.00 (<0.05), the BB/A index p-value was 0.00 (<0.05) and the TB/A index p-value was 0.00 (<0.05). Conclusion: There is an effect of giving formula milk on the nutritional status of toddlers based on anthropometric measurements using the Body Weight/Height (BW/TB), Body Weight/Age (BW/U) and Height/Age (BH/U) indices. Suggestion: For parents to pay attention to the appropriateness of the dosage, frequency of giving and sanitation of serving formula milk to achieve optimal nutritional status.

Approximately 5-10% of children worldwide experience impaired motor development. Disrupted child development will contribute to morbidity that occurs throughout the child's life cycle, the transmission of poverty between generations, and in the long term can hold back the pace of a country's development. The purpose of this study was to determine the factors associated with motor development in toddlers aged 2-3 years at the Nagaswidak Health Center, Palembang. The research design used observational analytic with a cross-sectional approach. The population was all mothers who had toddlers aged 2-3 years in the Nagaswidak Health Center working area in January - March 2024, totaling 32 people. Sampling used the total population technique . Data analysis used the Spearman rank test. The results of the study obtained a relationship between knowledge and gross motor development (p value 0.080) and fine motor (p value 0.135), a relationship between gender and gross motor development (p value 0.144) and fine motor (p value 0.135), a relationship between nutritional status and gross motor development (p value 0.000) and fine motor (p value 0.003). There is a relationship between nutritional status and motor development, there is no relationship between knowledge and gender and motor development. It is expected that all related parties will increase stimulation for children related to motor development.

Hypertension in pregnant women is a health issue that needs to be properly addressed to prevent complications. This study aims to compare the effectiveness of consuming boiled sweet potatoes and banana juice in controlling hypertension in pregnant women at Bojonggede Health Center in 2024. The method used was a case study. Respondent 1 was given 300 grams of boiled sweet potatoes and 10 mg of nifedipine for seven days, while Respondent 2 was given 200 ml of banana juice and 10 mg of nifedipine with the same procedure. Blood pressure measurements were taken on the first and seventh days. The results showed that in the boiled sweet potato respondent, blood pressure decreased from 150/100 mmHg to 140/100 mmHg, while in the banana juice respondent, the reduction was more significant, from 150/100 mmHg to 130/90 mmHg. These findings indicate that banana juice is more effective in reducing blood pressure in hypertensive pregnant women compared to boiled sweet potatoes, making it a potential alternative in hypertension management.