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Background: Children who experience dental and oral health problems can experience a decline in quality. At the age of elementary school children, it is necessary for business actors to maintain dental and oral health regularly, both in counseling, examinations and dental and oral health care, by parents, schools and related government agencies. Elementary school age is the ideal time to train children's motor skills, including brushing their teeth. In addition, school age has shown learning sensitivity according to children's curiosity. Objective: To provide dental and oral health education through interactive learning media to students of SDN Inpres Tamamaung 4, Makassar City in 2022. Method: This community service is carried out by providing counseling, using media, namely back and forth worksheets, animated films, and puzzle games that aim to create two-way communication and make students active. Respondents in this community service were 3rd grade students of SDN Inpres Tamamaung 4, Makassar City in 2022. Results: There were 5 respondents (25%) with a good level of knowledge before being given facilities increasing to 14 (70%), there were 5 respondents (25%) with a sufficient level of knowledge before being given facilities decreasing to 4 (20%), and there were 10 respondents (50%) with a level of knowledge before being given facilities decreasing to 2 respondents (10%). Conclusion: Community service activities with the theme "Dental and Oral Health Education Through Interactive-Based Learning Media for Students of SDN Inpres Tamamaung 4, Makassar City in 2022" have been carried out well and received a positive response from the 3rd grade students that we have filtered through screening. It was found that many students have dental and oral problems such as cavities and their lack of knowledge about how to maintain dental and oral health is due to the lack of health socialization held by the school and local health centers.

Background: Diabetes mellitus (DM) is the most common metabolic disorder worldwide. DM is the most common chronic illness in adults. It is estimated that 300 million people will have DM by 2025, and it will reach approximately 439 million and the prevalence is estimated to be 7.7% by 2030. The decrease of blood glucose levels in patients with DM decreases the mortality and morbidity rates significantly.Objective: To identify the potential risk factors of poor glycemic control among patients having type2 Diabetes mellitus in Al-diwaniya city. Methods: A total of 340 patients were included in the study. This was cross sectional study conducted in the Diabetes  Center at Al-diwaniya city, Iraq, from period of 1st of February to the 1st September2023. Based on the cutoff point of Glycosylated hemoglobin of 7, the poor control were the patients with (Glycosylated hemoglobin is ≥ 7) and the good control were the diabetic patient with Glycosylated hemoglobin is <7. A questionnaire developed to gather the demographic, lipid profile, disease characteristics and lifestyles behaviors and filled by the researcher through direct interview. Results: The total number of poor controls was 221 and the good control was 119 patients. There was no significant difference between the two groups regarding sex, age, marital status and occupation. A significant association was observed between the control status and high education level (p=0.001) dyslipidemia (p=0.001), cholesterol level (P=0.002), high TG level (p<0.001), and LDL level (p=0.025). Smoking, Body Mass Index and HDL level were not significant factors (p>0.005). All disease characteristics including the duration, family history of DM, FBS, type of medication were significant factors (p<0.001). Lifestyles  behaviors including  self-monitoring, healthy diet, physical activity, and adherence were significant factors (p<0.001). Conclusion: The most important potential risk factors for poor control diabetes were dyslipidemia, poor adherence and longer duration of diabetes. Enhancement of education of the patients and their healthcare providers on these factors are great benefit in glycemic control.

Stunting is a child's height shorter than a child's height. In Indonesia, stunting's case continues to be a considerable number of health problems because of chronic undernourishment and faltering growth that begins from gestational to 2 years old because of our need to have a stunning program, especially in lives, which is the Walantaka district . This article aims to provide information on stunting prevention to children that most national development students have done through counseling methods in cooperation with the local community center to bring information to the public to bring people through a public health movement. This method is thus very effective in providing information on preventing and reducing stunting events in children. His hope was with his stunting marriage counseling key. Walantaka's awareness of growing children's development is increasingly noted to prevent stunting and lower stunting rates in Indonesia, especially in the Nyapah Villages in Walantaka subdistrict

Hypertension is one of the diseases that perimenopausal mothers are susceptible to. Based on data at the Rajabasa Indah Community Health Center in 2022, the number of elderly hypertensive sufferers undergoing examination was 1050 people, this number has increased compared to 2021, which was 989 people and 2020, which was 793 people. The cause of high levels of hypertension is the lack of public attention to the importance of regular health checks. One effort to reduce hypertension is to give beet juice mixed with lime which contains nitrates and potassium which can reduce hypertension. The aim of the research was to determine the effect of beetroot juice mixed with lime on reducing hypertension in perimenopausal mothers at the elderly posyandu in Rajabasa Village, Bandar Lampung in 2024. Quantitative research type, one group pretest-posttest design. The population of this study was all perimenopausal mothers who experienced hypertension who were registered at the Posyandu for the Elderly, Rajabasa Village, Bandar Lampung, totaling 50 respondents. The sample for this research was 33 respondents. 250ml/day of beetroot juice mixed with lime was given for 7 consecutive days. Data collection used observation sheets, univariate and bivariate data analysis (paired sample t-test).Based on the research results, it is known that the average systolic blood pressure of perimenopausal mothers before being given beet juice mixed with lime was 158.15mmHg with a standard deviation value of 9.111mmHg, a minimum value of 145mmHg and a maximum value of 178mmHg, while the average systolic blood pressure of perimenopausal mothers after being given beetroot juice mixed with lime is 125.91mmHg with a standard deviation value of 8.064mmHg, a minimum value of 110mmHg and a maximum value of 141mmHg with a p-value of 0.000. And it is known that the average diastolic blood pressure of perimenopausal mothers before being given beetroot juice mixed with lime was 99.21mmHg with a standard deviation value of 4.477mmHg, a minimum value of 87mmHg and a maximum value of 105mmHg, while the average diastolic blood pressure after being given mixed beetroot juice lime is 83.03mmHg with a standard deviation value of 5.725mmHg, a minimum value of 74mmHg and a maximum value of 94mmHg with a p-value of 0.000. There is an effect of giving beetroot juice mixed with lime on reducing hypertension in perimenopausal mothers at the elderly posyandu, Rajabasa Village, Bandar Lampung in 2024    

An abcess is a collection of pus in an indefinite space in the body, an abscess can appear on the surface of the skin and can appear in the tissues of an organ. Abscesses occur due to an infectious process or from parasitic bacteria due to foreign bodies, such as splinters, bullet wounds, needles. Many patients come with complaints of pain, swelling, redness, fever and others. Therefore, to overcome this problem, it is necessary to take quick action to help reduce and deal with the problem of abscess disease among the community by using the clustering method do that it can help agencies in conducting socialization so that the communinty knows more about the factors that cause abscess disease and how to handle it. From this research courced at tha Binjai estate Health Center which consists of several variables, namely age, type of abscess disease data that often appears, the abscess disease data that often appears after doing the 2 cluster process is with age is 26-35 years, with the type of abscess disease is dental abscess, and the casual factor is not maintaining dental hygiene.

Background: Implant is a contraceptive method that only contains progestin with a long working period. The effect of the hormone progesterone facilitates the conversion of carbohydrates and sugars into fat, so that fat under the skin increases, in addition, the hormone progesterone also causes increased appetite and decreases physical activity, as a result, the use of implants can cause weight gain. Continuous weight gain can cause obesity. Objective: to determine the relationship between the duration of use of contraceptive implants and weight gain. Method: quantitative research with a cross-sectional approach. This study was conducted in June 2024. The population of Implant acceptors amounted to 56 people, the sampling technique used total sampling. the analysis test used chi square. Results: Respondents with a duration of use <2 years as many as 17 respondents, the majority did not experience weight gain, namely 13 respondents (23.2%). Respondents with a duration of use of implants ≥ 2 years as many as 39 respondents, the majority experienced weight gain, namely 24 respondents (42.9%). Data analysis obtained 0.009 <0.05 Conclusion: There is a relationship between the length of implant use and weight gain in the Taniwel Health Center work area    

This study explores the relationship between mothers' knowledge of menopause and their personal readiness for this life stage at the Binjai Estate Health Center. Menopause, marked by the cessation of menstrual cycles, brings various physical and psychological changes. Adequate knowledge of menopause is essential for women to prepare both emotionally and physically for these changes. Using a quantitative cross-sectional design, the study involved mothers aged 45-55 years who attended the health center. Data were collected through structured questionnaires that evaluated the participants' understanding of menopause, including its symptoms, stages, and health implications, alongside their readiness to face these changes. The results indicated a significant correlation between knowledge and readiness for menopause. Mothers with higher knowledge levels were more prepared, taking proactive steps to manage symptoms and seek healthcare. In contrast, those with less knowledge experienced greater anxiety and uncertainty about the menopausal transition. The study highlights the crucial role of educational programs in equipping women with the knowledge needed to navigate menopause effectively. Health centers, such as the Binjai Estate Health Center, are vital in providing this education and support, thereby enhancing women’s readiness for menopause and improving their overall well-being.    

The study titled " Assessment of Hazard Problems in Workplace Related to Emergency Response Plan for employees in Primary Health Care centers at Babylon City." explores the significance of workplace safety through the implementation of occupational safety policies and regular inspections. The primary research question addresses whether the emergency response plan (ERP) in these healthcare centers is genuinely effective or merely a formality, highlighting that employees lack sufficient information about the ERP. The study aims to evaluate workplace risk problems, including fire alarm systems, emergency exits, regular employee check-ups, and medical waste disposal. Conducted between January 2 and March 30, 2018, in Babylon's primary healthcare centers, this descriptive quantitative study utilized a specially developed assessment tool and data collection through a quarterly supervisory form. Key findings indicate that 85% of the surrounding environment is suitable, 46% of sanitation systems are adequate, 96% of fire extinguishers are available, and 52% of emergency exits are accessible. Recommendations emphasize enhancing employee training on the ERP, conducting regular safety system inspections, and raising awareness of occupational safety's importance among staff.

This research was motivated by the lack of optimal sustainable development in the health sector in the village of Lightninghilir, Baregbeg subdistrict, Ciamis district. The issue of creating a healthy and prosperous society is not an easy matter, so there is a need for cooperation between the village government and each posyandu cadre in each hamlet. This research is descriptive research with a qualitative approach. The data in this research consists of primary and secondary data. The informants in this study were 7 people. Data collection techniques through literature study, interviews, field observations and documentation. Data processing or analysis techniques through data reduction, data presentation and drawing conclusions. The results of this research are: 1) Analysis of Sustainable Development Goals (SDGs) in the Health Sector in Petirhilir Village, Baregbeg District, Ciamis Regency, the results show that the strategy has been implemented but not optimally. 2) The obstacles faced are the lack of capacity of implementing cadres who carry out SDGs data collection to the community and also the public's awareness of the importance of health is still lacking, communication is not running well, the community's economy is limited, and the public is less aware of the importance of health. 3) The efforts made are that the Village Government seeks to coordinate with the community health center to prepare implementing human resources that focus on the health sector by improving environmental quality and optimizing counseling and also the duties of community development cadres and village assistants to carry out house visits.

Hypertension is a Non-Communicable Disease (NCD) characterized by elevated blood pressure above the normal value of 140/90 mmHg. Evaluation of antihypertensive drug use aims to ensure rational and effective medication use in hypertensive patients. Improper medication use can lead to treatment failure. The objective of this study is to evaluate the pattern of antihypertensive treatment among hypertensive outpatients at the Community Health Center (Puskesmas) of Sumberlawang Sub-District, Sragen in 2023. The research was descriptive observational with a cross-sectional study design. Sample selection used purposive sampling based on inclusion and exclusion criteria. The instrument for this study utilized medical records data of hypertensive outpatients at the Community Health Center (Puskesmas) Sumberlawang, Sragen from January to December 2023. Results from the study involving 100 hypertensive patients showed that the majority were female (78%), aged between 51-61 years (40%), with amlodipine being the most frequently used antihypertensive medication (62%), and Calcium Channel Blockers being the most commonly prescribed class of antihypertensive drugs (60%). Evaluation of antihypertensive treatment patterns among 100 patients revealed percentages indicating appropriate indication (100%), patient suitability (100%), correct drug selection (97%), and correct dosage (97%).

Introduction: Hypertension is a chronic condition in which blood vessel walls experience increased blood pressure, requiring a faster heart rate to pump blood throughout the body. The presence of hypertension influences changes in the results of mean arterial pressure, if the mean arterial pressure is more than 100 mmHg it can cause cerebral circulation disorders resulting in cerebral vascular resistance in hypertensive patients. One non-pharmacological effort to overcome and reduce MAP can be done by providing foot massage therapy. Method: This type of research is quantitative research with a pre-experimental one group pre-post test design approach. The instruments used by researchers were a digital spygmomanometer and observation sheet. Results: Descriptive statistical results showed that the average MAP value before giving a foot massage was 112.49 mmHg and the average MAP after giving a foot massage was 108.43 mmHg. Conclusion: The results of the Wilcoxon sign rank test, a non-parametric statistical test, obtained a p value of 0.000 (? = 0.05). So that p < a, it can be concluded that H0 is rejected and H1 is approved, this shows that foot massage therapy can influence the results of mean arterial pressure in elderly hypertensive patients in the Kalijati Health Center working area. This research is expected to provide initial information by carrying out foot massage therapy 6 times in 6 consecutive days as an effort to control hypertension and reduce mean arterial pressure (MAP) results.

Hypertension is a problem that needs to be watched out for, because there are no specific signs and symptoms of hypertension and some people still feel healthy to do activities as usual. This is what makes hypertension a silent killer, people will realize they have hypertension when the symptoms they feel get worse and check themselves to health services (Purwono et al., 2020). Purpose: This study aims to determine the Relationship between Lifestyle Knowledge in the Elderly and Hypertension at the Anggrek Bulan Negeri Rutong Elderly Posyandu, Hutumuri Inpatient Health Center Work Area, South Leitimur District. Method: The research design used in this study was Quantitative with a correlational method. Results: There was a relationship between Lifestyle knowledge in the elderly and hypertension (ρ-value = 0.000). Conclusion: There is a relationship between Lifestyle and hypertension in the elderly at the Anggrek Bulan Negeri Rutong Posyandu, Leitimur District

Pregnancy exercise is an effort to improve the health of mothers and babies during pregnancy. Maternal participation in pregnancy exercise in Indonesia is still low, including in Medan  City, of 168 pregnant women, 140 of them did not take part in pregnancy exercise. Survey results at the Medan Johor Community Health Center showed that pregnant women did not participate in pregnancy exercise due to lack of knowledge and lack of motivation (60%). The aim of this research is to identify factors that influence the implementation of pregnancy exercise in the Medan Johor Community Health Center Work Area, Medan City in 2024. This type of research is an analytical survey using an approach cross-sectional. The population of this study was all 135 pregnant women aged 22 weeks and over. The sampling technique uses the method proportional samplingas many as 101 people. Data analysis uses univariate and bivariate analysis with tests chi square and multivariate with logistic regression. The results of research using logistic regression are known valuesp-value Logistic regression of educational variables 0.808>0.05, knowledge 0.021<0.05, family support 0.000<0.05 and motivation 0.000<0.05. It is recommended that pregnant women actively participate in outreach programs to increase their knowledge and carry out pregnancy checks and participate in pregnancy exercises.  

One of the causes of stunting and wasting problems in toddlers is a lack of nutritional intake over a long period of time. Stunting is caused by malnutrition in the womb and usually begins to appear when the child is two years old. One effort that can be made is to increase knowledge about nutrition and good eating patterns. Adequate nutritional intake does not have to be expensive, and fulfilling adequate food intake is very important for women before marriage. This is because women will be mothers who educate and raise children. Mothers have an important role in choosing food for the family, so knowledge about nutrition is very important. The aim is for the community or target partners to know in advance about the problems that exist in the target location and to introduce solutions to the partner's problems. In this activity, there is education or counseling for mothers of toddlers and cadres about stunting and how to control it. The method used is a demonstration of making local food products as an alternative snack for toddlers. The activity was attended by 34 mothers of toddlers in the Wanaraja Community Health Center area.  The stages carried out from start to finish are an assessment of the local food potential of the local area, a cooking demonstration for making PMT and an evaluation of implementation. The results of the activity showed that 34 mothers of toddlers who took part in the training implemented the creation of local food PMT menus in their respective places. Community health centers need to create a continuous training schedule so that cadre mothers are more motivated to make PMT menus from local food.

A relaxation technique known as slow deep therapy is a non-pharmaceutical method for treating high blood pressure. The same matter goes for rose aromatherapy. The research attempts to relieve pregnant women’s hypertension using rose aromatherapy. This quasi-experimental research used a cross-sectional approach with one group pretest-posttest design. The respondents were 35 individuals taken with a total sampling technique. The results showed that 31 respondents (88.6%) were aged between 20 and 35 years, 20 of them were multigravida (57.1%), and 33 respondents had no concomitant disease (94.3%). Before the implementation of combined slow-deep breathing and rose aromatherapy, the mean score of pre-systolic blood pressure was 138.66 mmHg while the mean of pre-diastolic pressure was 86.69 mmHg. After the intervention, the pre-systolic blood pressure mean was 130.80 mmHg while the pre-diastolic blood pressure was 85.06 mmHg. The Wilcoxon statistic test obtained a p-value of 0.000 lower than 0.05, This means that there is an effect of Slow Deep Breathing therapy combined with Rose Aromatherapy on the blood pressure of pregnant women with hypertension at the Semarang City Health Center. It is hoped that the results of this research can be used as another alternative to reducing blood pressure in pregnant women with hypertension.      

Perennial rupture is an injury to the birth canal that occurs during the birth of a baby, whether using tools or not using tools. Perineal rupture is caused by parity, gestational spacing, maternal age, perineal stiffness, birth position. baby's weight, vacuum extraction, instrument trauma, episiotomy and wrong bowel movements. Perineal rupture if not treated immediately will cause bleeding. The aim of this study was to determine the relationship between birth weight of babies and the incidence of perineal rupture in mothers giving birth in the Sei Langkai Community Health Center working area, Batam City in 2023. This research design used cross sectional, the sample taken in this study was 30 people. The processing technique uses the Fisher Exact Test. The data obtained from the results of statistical tests is p-value = 0.037. The conclusion of the research is that the characteristics of the mothers giving birth are mostly aged 20-35 years with most parity being multiparous. Most babies are born with a weight that is not at risk (< 4,000 gr). There is a relationship between the birth weight of the baby and the incidence of perineal rupture in the Sei Health Center Working Area. Langkai with a p-value of 0.037 so that the p-value < α (0.05). It is hoped that this research can be used as input and consideration in further research.

Pregnancy is a process in a woman's life, where major changes occur in her physical, mental and social aspects. These changes cannot be separated from the factors that influence them, namely physical factors, psychological factors and environmental, social, cultural and economic factors. One of the nutritional problems of pregnant women is chronic energy deficiency (KEK). Chronic energy deficiency (KEK) is a nutritional problem caused by a lack of food intake over a long period of time, a matter of years. Datar City Health Center is one of the agencies that provides health services for the local community and helps resolve problems with the health and nutritional development of mothers and children to prevent problems with malnutrition in pregnant women. The aim of the research is to make it easier for agencies to manage data and obtain complete information about the nutritional status of pregnant women. From 20 data, 3 groups were obtained, Cluster 1 had 4 data on the nutritional status of pregnant women, Cluster 2 had 4 data on the nutritional status of pregnant women and Cluster 3 had 12 data on the nutritional status of pregnant women. And the largest group obtained was cluster 3 with the data group on the nutritional status of pregnant women found in the gestational age group (X), namely 14-27 weeks old, with screening results (Y) namely adequate nutrition, and the causal factors (Z) that occurred were economic factors

Health tourism is a tourist travel activity to a tourist destination with the aim of receiving treatment or improving health and fitness. This research is a descriptive qualitative analysis by looking at case studies about the potential of health tourism. The research informants are doctors, dentists, nurses and pharmacists, and 5 pharmacists. The data was analyzed using the content analysis method on interview documents. The results of the research show that the importance of understanding and knowledge of health workers is to be able to improve the quality of service when facing tourist visits. When they have a health problem or want to improve their health condition while traveling, the attitude of health workers needs to be improved in terms of their competence which must be developed, services must comply with standards. operational procedures and being friendly and polite to tourists during health services. The conclusion of this research is that the understanding of each health worker is good regarding health tourism.

This research is in the background that a balanced scorecard is a management system used to implement strategies, evaluate performance not only from financial aspects, but also involving non-financial aspects. In addition, a balanced scorecard is used to convey the company's vision, strategy, and performance expectations. The purpose of this study is to analyze the performance of the Prambon Health Center seen using the balanced scorecard method. This research uses a descriptive quantitative approach and is conducted at the Prambon Health Center. The results of this study show that the performance of the Prambon Health Center is measured by the balanced scorecard method from a financial perspective on the economic and efficiency ratios in 2021 to 2023 showing good results, and on the effectiveness ratio seen in 2021 to 2023 showing poor results. From a customer perspective, measured using customer satisfaction from 2021 to 2023, it shows good results. From an internal business perspective measured using the ALOS indicator seen from 2021 to 2023 shows good results, The BOR indicator seen in 2021 to 2023 shows poor results, the TOI indicator seen in 2021 to 2023 shows poor results, and the BTO indicator seen in 2021 to 2023 shows good results. The conclusion from the data analysis from the Prambon Health Center measured using a balanced scorecard for the period from 2021 to 2023 is always increasing every year. In 2021 it showed quite good results, in 2022 it showed good results, and in 2023 it showed good results.

Hypertension is a cardiovascular disease and chronic medical condition in which blood pressure increases with systolic 140 mmHg and diastolic 90 mmHg. The longer the patient suffers from hypertension, it will lead to complications such as heart failure, kidney failure, and stroke and also cause physical symptoms such as psychological problems, namely anxiety, which can affect a person's quality of life. The purpose of this study was to determine the relationship between anxiety levels and quality of life in hypertensive patients at Kalijati Subang Health Center. The research method used is quantitative. The sampling technique in this study used purposive sampling and obtained a total sample of 91 people. Data analysis in this study used bivariate analysis with the Spearman RankTest. The study's results obtained a p-value of 0.001 (<0.05), which can be interpreted as a relationship between anxiety and quality of life in hypertensive patients at Piskesmas Kalijati Subang. The conclusion that can be explained is that the level of anxiety is related to the quality of life in hypertensive patients at the Kalijati Subang Health Center. From this study, it is hoped that puskesmas can maintain in intervening with patients who experience anxiety so that the quality of life in hypertensive patients is getting better.