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Dengue Hemorrhagic Fever (DHF) is an acute infectious disease caused by the dengue virus and transmitted by the Aedes aegypti mosquito. DHF remains a significant public health concern in Indonesia, including in Aceh Province, which reports a high incidence rate annually. North Aceh ranks seventh in the number of DHF cases among all districts/cities in the province. Transmission occurs through the bite of an infected mosquito or when mosquitoes acquire the virus after biting a viremic individual. This study aims to assess environmental and host factors among DHF patients admitted to Cut Meutia General Hospital. A descriptive study with a cross-sectional design was conducted, involving 38 patients aged 1–17 years hospitalized from January 2019 to December 2021. The findings revealed that 78.9% of patients lived in homes without window screens, and 89.5% had water storage containers in their household environment. Regarding host factors, the majority of patients were aged 11–17 years (65.8%) and male (81.6%), with moderate levels of knowledge (55.3%) and preventive behavior (65.8%) toward DHF. These findings highlight the relevance of environmental and individual determinants in the occurrence of DHF and may inform future disease prevention and control strategies in endemic areas.

Tuberculosis (TB) is one of the oldest infectious diseases that has existed throughout the history of human civilization and remains a major public health problem in the world today. Tuberculosis is caused by Mycobacterium Tuberculosis which can result in TB Pleuritis, which is inflammation of the pleura, both the parietal pleura and the visceral pleura, manifested by accumulation of fluid in the pleural cavity. A 20-year-old man came with complaints of coughing for the past 1 month, white phlegm, shortness of breath felt worse for the past 2 days, fever not too high for the past 1 week accompanied by cold sweats at night. The patient feels that it is difficult to gain weight and tends to lose weight this month. Chest X-ray show left massive pleural effusion. Acid fast baccili sputum was negative. USG Thorax show pleural fluids approximately 1600 cc.  Tuberculosis (TB) can cause TB pleutiritis with symptoms of shortness of breath and sometimes chest pain on the side of the pleural cavity where there is fluid.3 Treatment of TB Pleuritis is the same as the treatment of pulmonary TB in general with the 2RHZE/4RH combination. Optimal fluid evacuation is carried out according to the patient's condition.

This study examines consumer protection efforts against the distribution of hazardous illegal traditional herbal medicines in Serang City, Banten. The widespread circulation of such products—particularly those containing Chemical Drugs (Bahan Kimia Obat/BKO) and lacking distribution permits—poses a significant threat to public health. Between 2020 and 2025, the Inspection Division of the Food and Drug Monitoring Agency (BBPOM) in Serang secured and destroyed approximately 706 items, totaling 6,841 units, with an estimated economic value of IDR 91,158,350. The research focuses on two main issues: the mechanisms for protecting consumers from dangerous illegal traditional herbal medicines in Serang City, and the role of BBPOM in supervising their circulation. Employing an empirical juridical method with a qualitative-descriptive approach, the study collected data through literature reviews, documentation, and interviews with BBPOM Serang officials. The findings indicate that consumer protection is carried out through both preventive and repressive measures. Preventive efforts involve pre-market and post-market supervision to ensure that products meet safety and regulatory standards before and after they enter the market. Repressive actions include law enforcement against violations, confiscation and destruction of illegal products, and the imposition of administrative and criminal sanctions on offenders. BBPOM Serang plays a pivotal role in monitoring illegal herbal medicines by conducting regular inspections, surveillance, and investigations of production and distribution facilities, as well as educating the public about the dangers of unsafe products. Nevertheless, supervision efforts are hindered by challenges such as low public awareness regarding product safety and economic pressures that drive some producers and sellers to ignore legal requirements. Strengthening collaboration between regulatory agencies, law enforcement, and community stakeholders is essential to improving consumer protection and ensuring the circulation of safe traditional herbal products in the region.

The prevalence of Chronic Energy Deficiency (CED) in the Riau Islands is a concerning public health issue, with 18.7% of non-pregnant women reported to be affected. In Batam City specifically, 95 cases of undernutrition were recorded in 2024. This study aimed to analyze the relationship between food intake and the nutritional status of women of reproductive age experiencing CED. A descriptive correlational research design with a cross-sectional approach was employed. The study used total sampling, involving 31 women from the Batu Aji KUA in Batam. Data on food intake were collected and compared to recommended dietary standards. The findings indicated that a majority of women had food intake levels below the recommended daily allowance. Despite this, not all of the participants were found to be suffering from CED. Statistical analysis using the Chi-square test revealed a significant association between food intake and nutritional status (p = 0.025, where α = 0.05), suggesting that food intake plays an influential role in determining nutritional outcomes. Furthermore, women whose food intake was lower than the recommended levels were found to have a 0.611 times greater risk of experiencing chronic energy deficiency. These findings emphasize the crucial role of adequate energy and nutrient intake, especially among women of reproductive age, in preventing CED and improving overall health. Improving food consumption patterns in this demographic is essential not only for individual well-being but also as a preventive measure to reduce the risk of stunting in future generations. The study underscores the need for targeted educational interventions to increase awareness about proper nutrition and energy intake among women, particularly those in reproductive age, as a strategy to address undernutrition and its broader public health consequences.

Liver disease is a health problem that often goes undetected in its early stages due to the absence of specific symptoms, despite the liver's vital role in metabolism, detoxification, and maintaining homeostasis. Early detection is crucial to prevent the progression of liver dysfunction. This community service activity aimed to raise public awareness of the importance of early liver disease screening through the examination of lipid ratios (total cholesterol/HDL and triglycerides/HDL) and physical evaluation for clinical signs of liver dysfunction. The program was conducted at the Cengkareng Baptist Foundation and involved 59 adult participants. The screening included basic laboratory tests and direct physical examinations, followed by health education tailored to each participant based on their screening results. Findings revealed that 83.1% of participants had elevated triglyceride/HDL ratios and 28.8% had total cholesterol/HDL ratios above the normal range, although 100% showed no physical signs suggestive of liver disease. These results indicate the presence of underlying metabolic risks that may affect liver function. This program had a positive impact by enhancing public understanding of the importance of a healthy lifestyle and regular check-ups as part of health promotion and disease prevention efforts related to liver health. Keywords: Early Detection, Liver Function, Lipid Ratio, Health Education, Community Service

Transformation service Primary health care (PHC) is a key pillar in improvement results health public globally, especially in high- income countries low and medium . This article analyze approach comprehensive in strengthening PHC through Healthy Indonesia Program (PIS) policy with approach family (PIS-PK), integration digital technology , and policy reform. This study highlight importance continuity service , participation community , readiness source Power humans , and use technology information For support taking decision data -driven and sustainable services . Research This adopt method qualitative with interviews , observations , and reviews document to implementation of PIS-PK in North Gorontalo Regency . Research results show that success PHC transformation is greatly influenced by communication effective policies , availability​ source power , structure adaptive bureaucracy , as well as support digitalization service . Findings this is also associated in a way direct with theory and practice implementation policies , including classical models such as Van Meter and Van Horn and Edwards III .

Suboptimal waste management in Kalijoso Village, Secang District, Magelang Regency, is a critical issue that impacts environmental sustainability and public health. The inefficiency of conventional waste disposal methods has led to increased waste accumulation, soil and water pollution, and the spread of diseases, which has significant consequences for local communities. To address these challenges, the local government and community organizations have embraced the principles of the 3R (Reduce, Reuse, Recycle) through a transformation of traditional waste disposal sites (TPS) into 3R TPS. The new approach focuses on sustainable waste management practices that reduce the amount of waste sent to landfills. One of the key strategies implemented is educational outreach to raise awareness about the importance of waste segregation and recycling. Additionally, training programs have been conducted to teach the community how to process organic waste, particularly through the cultivation of maggots using Black Soldier Fly (BSF) larvae. This method not only helps reduce the volume of organic waste but also provides a practical solution for transforming waste into valuable resources. The maggots cultivated during the demonstration are used as animal feed, which creates a sustainable circular economy within the community. Furthermore, composting organic waste results in high-quality compost that supports local agricultural activities. This has added economic value by reducing the need for chemical fertilizers, while simultaneously improving soil health. The role of the Salakan Hamlet Youth Organization has been instrumental in this initiative. They have successfully managed a waste bank, providing an organized and systematic approach to waste collection and recycling. This initiative has fostered a sense of community responsibility and has not only improved waste management practices but also contributed to the overall economic development of the village.

Tuberculosis is one of the dangerous infectious diseases and is still a public health problem in Indonesia. Nisam District is one of the sub-districts in North Aceh with the highest TB cases in 2024, This study aims to analyze factors related to the incidence of tuberculosis (TB) in Nisam District, North Aceh Regency. The research design used was cross-sectional. The population in this study is all people living in Nisam District, and the sampling in this study used purposive sampling as many as 30 respondents. The results of the study found a relationship between sex (p: 0.002, OR: 55.00, CI: 4.13-732.71), knowledge (p: 0.005, OR: 35.00, CI: 2.98-411.47), behavior (p: 0.023, OR: 15.00, CI: 1.45-155.31), occupancy density (p: 0.002, OR: 115.00, CI: 6.11-2165.95) and floor type (p: 0.013, OR: 14.00, CI: 1.74-112.55) against the incidence of TB. So it is suggested to the Health Office through Promkes that it is expected to increase education on TB prevention based on gender, knowledge, and environmental conditions, while Puskesmas, especially surveillance personnel and TB programs, need to optimize active screening, patient coaching, and cadre empowerment, and the community is encouraged to create healthy housing and increase awareness of TB.  

Background: Sexually transmitted infections (STIs) during pregnancy are a significant public health concern because they can adversely affect maternal and fetal health. STIs such chlamydia, gonorrhea, and syphilis can cause complications including preterm labor, intrauterine growth restriction, and increased risk of low birth weight (LBW) in newborns (Sari, 2020). LBW is defined a birth weight of less than 2,500 grams and is associated with higher infant morbidity and mortality (Nurhidayah, 2021). Despite public health efforts, STIs remain prevalent in reproductive-aged women, and their relationship with LBW requires further investigation in local healthcare settings. Objective: This study aimed to determine the relationship between sexually transmitted infections in pregnant women and the incidence low birth weight newborns. Methods: A quantitative, observational study with a cross-sectional design was conducted. Results: The results indicated a significant relationship between the presence of sexually transmitted infections in pregnant women and the occurrence of low birth weight in newborns. Among the 30 participants, mothers with STIs showed a higher incidence of LBW (p = 0.000), indicating statistically significant association. These findings suggest that STIs in pregnancy can adversely affect fetal growth and contribute to neonatal health risks. Conclusion: Sexually transmitted infections in pregnant women are significantly associated with the incidence of low birth weight in newborns. Screening, early detection, and appropriate management of STIs during pregnancy are crucial strategies reduce the risk of LBW and improve neonatal outcomes. Healthcare providers should integrate STI prevention and treatment programs into routine antenatal care to promote maternal and infant health.

This study examines the relationship between knowledge and attitudes towards tuberculosis (TB) prevention efforts in the working area of the Geureudong Pase Health Center. An observational study with a case control design was conducted during the period September–November 2024, involving 31 respondents. The characteristics of the respondents showed that the majority were 21 years old (69.8%), male (37.0%), had an elementary education (36.7%), and worked as farmers (76.6%). Data analysis includes univariate and bivariate analyses. Univariate analysis was carried out descriptively using a frequency distribution table to see the distribution of respondent characteristics and research variables. Meanwhile, bivariate analysis uses chi-square tests to determine the relationship between knowledge and attitudes and TB prevention efforts. The results of the study show that the level of knowledge has a significant impact on TB prevention efforts. Of the 30 well-informed respondents, only 1 respondent (3.8%) actually made effective prevention efforts. In contrast, as many as 25 respondents (96.2%) with a low level of knowledge had less prevention efforts. In addition, only 4 respondents (13.8%) had good prevention efforts overall. Statistical tests proved that there was a significant relationship between knowledge (p=0.000) and attitudes (p=0.000) towards TB prevention efforts. These findings show the need for educational interventions to increase public knowledge about TB and increase positive attitudes towards its prevention. Thus, increasing socialization and health education is an important step in efforts to control TB in the region.  

Tetanus Toxoid (TT) immunization is a key preventive intervention to protect women of reproductive age and newborns from tetanus infection. Despite its importance, limited knowledge among prospective brides may reduce the effectiveness of TT immunization programs. This study aimed to analyze the effect of TT immunization counseling on the knowledge levels of prospective brides at Wayabula Public Health Center. A quantitative study using a quasi-experimental one-group pretest–posttest design was conducted involving 40 prospective brides selected through total sampling. Data were collected using a structured questionnaire measuring respondents’ knowledge before and after counseling. The Wilcoxon Signed Rank Test was used to analyze differences in knowledge levels. The results showed a significant improvement in knowledge after counseling, with the majority of respondents demonstrating higher posttest scores compared to pretest scores and no respondents experiencing a decrease in knowledge. These findings indicate that counseling plays an important role in enhancing understanding of TT immunization, including its purpose, benefits, and preventive value. In conclusion, TT immunization counseling is effective in improving knowledge among prospective brides and should be integrated as a mandatory component of routine immunization services. Strengthening counseling activities is expected to support informed decision-making, promote positive health behavior, and contribute to the prevention of tetanus in mothers and newborns.

Anemia in pregnant women is a public health problem that remains high in Indonesia and impacts maternal health and fetal development. This study aims to determine the prevalence of anemia and risk factors in pregnant women at the Saritani Community Health Center, Boalemo. The study used a cross-sectional design on 28 pregnant women selected by purposive sampling. Data were collected through interviews using a structured questionnaire and hemoglobin level examination (HemoCue). Descriptive and bivariate analyses using the Chi-Square test were performed, with p < 0.05 as the significance limit. The results showed a prevalence of anemia of 42.9 % . Factors significantly associated with anemia included education level (p = 0.041), adherence to Fe tablet consumption (p = 0.022), parity (p = 0.037), and pregnancy spacing (p = 0.049). Mothers with low education, non-adherence to Fe tablet consumption, high parity, or pregnancy spacing <2 years had a higher risk of developing anemia. Age and diet did not show a significant association.

Background: Maternal nutritional status plays a crucial role in determining both maternal and neonatal health outcomes. According to data from the Indonesian Ministry of Health (2021), the prevalence of anemia among pregnant women reached 48.9%, while in Gorontalo Province, around 30% experienced malnutrition. Poor nutritional status during pregnancy is associated with increased risks of complications, including preterm birth, low birth weight, and higher maternal and neonatal mortality rates. Therefore, nutrition education is considered an essential strategy to enhance knowledge and promote adequate dietary intake among pregnant women.Objective: This study aimed to evaluate the effectiveness of nutrition education in improving the knowledge and nutritional status of pregnant women at the South Bulango Community Health Center. Methods: A quantitative study with a pre-experimental design was conducted involving 30 pregnant women selected through purposive sampling. Inclusion criteria included women aged 18–35 years, free from severe comorbidities, and willing to participate. Data were collected using questionnaires to assess nutritional knowledge, interviews to explore dietary patterns, and anthropometric measurements such as weight, height, and mid-upper arm circumference (MUAC). Data analysis employed descriptive statistics and the Wilcoxon test to assess differences before and after the intervention. Results: Most participants were aged 20–35 years (66.6%), had secondary education (63.3%), and were housewives (60%). Post-intervention results showed a substantial increase in good nutritional knowledge from 13.3% to 60%. Nutritional status also improved progressively across trimesters, with normal MUAC increasing from 33.3% to 60%, while undernutrition declined from 50% to 13.3%. The Wilcoxon test indicated a significant difference (p = 0.000; p < 0.05). Conclusion: Nutrition education effectively enhances both knowledge and nutritional status among pregnant women and should be integrated into routine antenatal care services.

Background: The first visit of pregnant women (K1) is a crucial step in ensuring the health of both the mother and the fetus during pregnancy. Objective: This study aims to explore the relationship between the level of knowledge of pregnant women and the status of the first visit (K1) in the working area of the Dawan II Public Health Center. Method: This study employs a quantitative approach with a cross-sectional design. The study population consists of pregnant women who meet the inclusion and exclusion criteria in the working area of the Dawan II Public Health Center. A total of 22 respondents participated in this study. Data were collected through questionnaires and ANC register books, and then analyzed univariately and bivariately using the Chi-Square test, with a significance level of p<0.05. Result: Univariate results showed that all respondents were aged between 20-35 years (100%), the majority were housewives (45.5%), and had secondary education (59.1%). A good level of knowledge was recorded at 68.2%, yet 59.1% of respondents did not attend the K1 visit. Bivariate analysis indicated a significant relationship between the level of knowledge and the status of the first visit (p=0.01). Conclusion: This study indicates a positive relationship between the level of knowledge of pregnant women and the status of the first visit (K1) at the Dawan II Public Health Center. Therefore, it is important for health workers to implement the standard frequency of ANC visits and to enhance mothers' knowledge about the importance of the K1 visit through effective socialization to prospective brides and couples of reproductive age.

Mother-to-child transmission of HIV, Syphilis, and Hepatitis B remains a public health challenge. Transmission can occur during pregnancy, childbirth, and breastfeeding. To reduce the rate of transmission, the Ministry of Health of the Republic of Indonesia launched the Triple Elimination program through screening pregnant women in integrated antenatal services. However, the use of this examination is influenced by the behavior of pregnant women, including knowledge, attitudes, and actions. To find out the relationship between the knowledge, attitudes, and actions of pregnant women with the use of Triple Elimination examinations at the Kuala Bangka Health Center, North Labuhan Batu Regency in 2022. This study is an analytical observational study with a cross sectional design. The sample consisted of 35 pregnant women who visited the Kuala Bangka Health Center. Data was collected through questionnaires and analyzed using the chi-square test. Most of the respondents had good knowledge (45.7%), positive attitudes (74.3%), and good actions (45.7%). There was a significant relationship between knowledge (p=0.007), attitudes (p=0.003), and actions (p=0.007) with the use of Triple Elimination examinations. Knowledge, attitudes, and actions of pregnant women have a significant relationship with the use of Triple Elimination examinations. Increased education and support in antenatal services is needed to support the success of the mother-to-child elimination program of HIV, Syphilis, and Hepatitis B.

This study explores the integration of AI-driven process optimization in Waste-to-Energy (WtE) systems to enhance urban sustainability. The research focuses on designing a gasification-based WtE system, incorporating AI predictive control to optimize energy conversion processes. The AI system adjusts operational parameters in real-time, improving energy conversion efficiency by 25% and reducing carbon emissions by 40%. Additionally, the system's waste-to-energy conversion rate is projected to increase by 20%, and operational costs are expected to decrease by 30%. Data collection and analysis are carried out using advanced sensors to monitor key parameters such as temperature, gas composition, and energy output, which are then processed by machine learning algorithms for predictive analysis. The results show that the AI optimization significantly enhances system performance, offering a sustainable solution for urban waste management. The study highlights the technical and operational challenges of integrating AI into existing WtE systems, including the need for infrastructure upgrades and scalability considerations. It also discusses the socio-economic impacts, including job creation, reduced energy costs, and improved public health. The findings demonstrate the potential of AI-based WtE systems in reducing waste, generating clean energy, and mitigating climate change, positioning them as a viable solution for sustainable urban development.

Liver disease is an increasingly prevalent health problem among the productive-age population, primarily driven by unhealthy lifestyles, alcohol consumption, obesity, and the risk of hepatitis infection. Liver dysfunction often presents no specific symptoms in its early stages, making early detection challenging. The Community Service Program (PKM) conducted in Grogol Village aimed to raise public awareness about the importance of early liver function screening through SGOT and SGPT enzyme assessments. This activity included education on risk factors as well as on-site liver enzyme testing for participants. Among the 71 participants, 18 individuals (25.35%) had elevated SGOT levels, and 17 individuals (23.94%) showed SGPT levels exceeding normal limits. These findings highlight the importance of early liver function screening in preventing the progression to chronic liver diseases such as NAFLD or hepatitis, and in serving as an indicator of cardiometabolic risk. Therefore, routine liver enzyme testing can serve as a foundation for increasing public awareness about the importance of maintaining liver and metabolic health in a sustainable manner.

The community in Sumberkalong Village, Wonosari District, Bondowoso Regency faces several issues related to the use of Family Medicinal Plants (TOGA), including lack of knowledge, underutilized home gardens, and the absence of active community groups managing TOGA. A participatory approach is needed to address these issues sustainably. This community service activity aims to improve public knowledge and skills regarding the cultivation and utilization of TOGA, promote the optimal use of home gardens, and establish community-based TOGA activist groups. The method used is Participatory Action Research (PAR) through stages of problem identification, participatory planning, collaborative implementation, observation, reflection, and follow-up actions. The results show increased public awareness and enthusiasm in cultivating TOGA, the formation of small TOGA groups, and program sustainability through cooperation between residents and local health cadres.

Sugar Sweetened Beverages are beverages that contain added simple sugar, provide energy but have minimal nutrition. College students often consume these sweet drinks. Knowledge and attitude play an important role in the tendency to consume SSB. This study aims to analyzed the relationship between knowledge and attitude with SSB consumption among health and non-health students of Airlangga University. The research method used a quantitative approach with an observational cross-sectional design. The population includes 426 undergraduate students of Islamic Economics Study Program and Faculty of Public Health semester 4, with a sample of 90 students. Data were collected through a questionnaire that measures knowledge, attitude, and SSB consumption using the Semi-Quantitative Food Frequency Questionnaire (SQFFQ). Bivariate analysis was performed using the Chi Square test. The results showed that most respondents were 19-20 years old, mostly female, and had normal nutritional status. There was a significant difference in knowledge (p < 0.001 ) and attitude (p = 0.032) between health and non-health students. However, no relationship was found between knowledge and attitude with SSB consumption in both groups of student.

Every pregnant woman is strongly recommended to undergo comprehensive and quality antenatal care (ANC) at least four times, consisting of at least once in the first trimester (before 14 weeks of gestation), at least once in the second trimester (14–28 weeks of gestation), and at least twice in the third trimester (between 28–36 weeks and after 36 weeks of gestation), including at least one visit accompanied by the husband or a family member. The first ANC visit is highly recommended to be conducted between 8 and 12 weeks of gestation. The objective of this study is to identify the factors that influence the K4 coverage of antenatal visits among pregnant women at Bontomarannu Public Health Center, Galesong Selatan Subdistrict, Takalar Regency. This research uses a cross-sectional study design. The sample consisted of 60 pregnant women who underwent K4 antenatal examinations at Bontomarannu Public Health Center, selected through random sampling. The results showed that knowledge significantly affected the K4 coverage of antenatal visits (p = 0.000), occupation also had a significant influence (p = 0.004), and distance was another significant factor (p = 0.005). It can be concluded that knowledge, occupation, and distance all influence the K4 coverage of antenatal visits at Bontomarannu Public Health Center, Galesong Selatan Subdistrict, Takalar Regency.