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Baby massage is a form of multisensory stimulation that involves touch, movement, as well as auditory and visual stimuli, which is known to provide various physiological and psychological benefits for babies, including increased breastfeeding frequency. This study aims to determine the relationship between infant massage and the frequency of breastfeeding in babies aged 1–6 months in the working area of the Lambai Health Center, North Kolaka Regency. The type of research used is an analytical survey with a cross-sectional approach. The sampling technique was carried out in total sampling, involving the entire population of infants aged 1–6 months who met the inclusion criteria. Data collection was carried out through observation and structured interviews with infant mothers, as well as recording breastfeeding frequencies before and after infant massage interventions. Data analysis uses relevant statistical tests to test the relationships between variables. The results showed a significant relationship between infant massage and increased breastfeeding frequency, with a p-value of 0.000 (p < 0.05), indicating that infant massage had an effect on increasing breastfeeding activity in infants. The conclusion of this study is that infant massage has a positive relationship with the frequency of breastfeeding in infants aged 1–6 months. These findings support the use of infant massage as a simple but effective intervention in supporting breastfeeding success, especially in the early stages of life. This study recommends that the practice of infant massage can be socialized more widely to health workers and parents as part of the promotion of maternal and child health. The implementation of regular baby massage has the potential to improve the nutritional status and optimal growth and development of the baby.

Anxiety experienced by pregnant women is a common psychological problem and can have a significant negative impact on maternal health and fetal development. This anxiety can be caused by various factors, including physical changes, concerns about the delivery process, and new responsibilities as parents. Therefore, it is important to find effective ways to address this anxiety. One non-pharmacological approach that can be implemented is the use of lemon aromatherapy, which is known to have calming and relaxing properties. This activity aims to increase the knowledge and skills of pregnant women in utilizing lemon aromatherapy as a method to reduce their anxiety. This activity was held in June 2025 at PMB Lismarini, involving 20 pregnant women who actively participated in this program. The method used in this activity included several stages: education on the benefits of aromatherapy, demonstrations on how to use it, hands-on practice using lemon aromatherapy, and evaluation conducted through pre- and post-tests to measure changes in participants' anxiety levels. The results of this activity showed a significant decrease in participants' anxiety levels. Previously, many pregnant women were in the severe and moderate anxiety categories, but after participating in the activity, they shifted to mild anxiety and even no anxiety. Lemon aromatherapy has been proven effective in providing relaxation and reducing emotional tension experienced by pregnant women. Therefore, this activity is expected to become a promotional educational model in maternal health services. Through this approach, it is hoped that pregnant women will better understand and utilize aromatherapy as a way to maintain their mental health during pregnancy. Furthermore, this activity can also provide health workers with insight into the importance of non-pharmacological approaches in supporting the mental health of pregnant women.

Low back pain, also known as low back pain, is a common condition characterized by pain or discomfort in the lower back area, which is between the lower ribs and the buttock folds. This condition can be mild to severe, and can be temporary or chronic. One of the nonpharmacological methods that is often used to reduce the intensity of pain is ice packs. Ice packs are able to provide an analgesic effect by lowering local blood flow and reducing inflammation in the area experiencing pain. This study aims to determine the effectiveness of ice packs in reducing low back pain in office administration employees. The research design uses an experimental method with a one group pre-test–post-test design approach. The research sample consisted of 25 respondents who were administrative employees at the Helvetia Health Institute. Pain intensity measurements were taken before and after the administration of ice packs to determine the effect of this therapy on low back pain. The results showed a decrease in the intensity of low back pain with an average value before treatment of 51.63 and after treatment decreasing to 38.8. Statistical analysis yielded a significance value (p) of 0.004 < 0.05, which showed that ice packs had a significant effect on reducing low back pain in administrative employees. Regular application of ice packs can be a simple, safe, and effective intervention that can be done independently at home by employees to reduce pain. This study provides recommendations for health workers to promote ice pack therapy as a non-pharmacological pain relief method, especially for office workers who often experience low back pain due to static work positions.

Sugar level disease or commonly called diabetes mellitus is a degenerative disease that rarely heals, often affecting health so that the quality of life can decrease. The purpose of writing this study is to find out what demographic relationship factors have an impact on the Quality of Life of Patients with Sugar Mellitus Disease or also known as Diabetes Mellitus at Hospital X. This quantitative research uses a research design on the cross sectional method. The research sample totaling 47 respondents was selected through total sampling techniques. Data was collected through the WHOQol-Bref survey instrument. The data analysis in this study applied the kendal test and the Chi-Square  test to test the relationship between the variables studied. After the research was carried out, a result was obtained that showed demographic factors, namely the age factor to the quality of life had a relationship and as seen from the kendal test with a value of Sig. 0.003 which was below 0.05), other demographic factors there were gender factors that had a relationship with quality of life which was shown through the chi-square test where  the Continuity Correction value sig = 0.022 < 0.05), In addition to demographic factors of age and gender, there are also demographic factors that have a relationship with quality of life, namely the work factor shown in the Chi-square  Test with a value of Continuity Correction sig = 0.008 < 0.05), and there are demographic factors, namely education factors and marital status factors that are not related to the quality of life of people with sugar level disease or diabetes mellitus. For the education factor shown in the kendal test where the sig value = 0.871 > 0.05), and marital status is shown in the Chi-square test based on the Pearson Chi-Square Sig value = 0.594 > 0.05), there are also demographic factors that have a relationship with quality of life, namely the long-suffering factor shown by the Chisquare test with the Pearson Chi-Square Sig value = 0.014 < 0.05). To break the chain of diabetes mellitus, actions are carried out for health workers to be able to anticipate, including periodic socialization to the community about the dangers of diabetes mellitus so that it can help people improve their quality of life by maintaining a healthy diet.

Preoperative anxiety is common for patients, especially those who will undergo spinal anesthesia. The level of anxiety can vary, from mild anxiety to panic attacks, which can potentially affect the outcome of surgery and the recovery process. To overcome this problem, rose aromatherapy with a diffuser offers a non-pharmacological solution. A study was conducted in the Operating Room of PKU Muhammadiyah Gamping Hospital to determine the effect of rose aromatherapy on the level of anxiety of pre-operative patients with spinal anesthesia. This study used a pre-experimental one group pretest posttest design, which showed that rose aromatherapy can significantly reduce anxiety levels in patients who will undergo surgery with spinal anesthesia. This study involved 30 respondents selected through a purposive sampling technique. Data were collected using a questionnaire and analyzed statistically using the Wilcoxon Signed Rank Test. The results of the analysis showed a significance value of 0.000, which means that there is a significant effect of giving rose aromatherapy on the level of patient anxiety. In other words, the alternative hypothesis (Ha) is accepted and the null hypothesis (H0) is rejected. Conclusion, rose aromatherapy is proven to be effective in reducing pre-operative anxiety in patients with spinal anesthesia at PKU Muhammadiyah Gamping Hospital. This study is expected to be an additional reference for future research and provide valuable information for health workers in pre-operative anxiety intervention efforts.

Pregnancy is a critical phase in a woman's life that demands comprehensive support from her closest environment, especially from her husband. This study aims to describe the role of husbands in accompanying their wives during pregnancy, identify factors that influence the level of involvement, and understand the impact on the physical and psychological health of pregnant women. The research approach used was qualitative with the type of phenomenological study, which was conducted in Kotabaru District, South Kalimantan. The main informants consisted of purposively selected pregnant women and postpartum mothers, complemented by triangulation from husbands, health workers, and community leaders. Data were collected through in-depth interviews, non-participatory observation, and documentation, and analyzed thematically. The results showed that husbands' assistance included involvement in pregnancy check-ups, assistance with household chores, provision of financial and emotional support, and roles in preparing for childbirth. However, this involvement was influenced by the husband's knowledge, culture, communication, and working conditions. Intact support from husbands was shown to have a positive impact on pregnant women's sense of comfort, confidence, mental readiness, and physical health. This study emphasizes the importance of holistic involvement of husbands in the pregnancy process and the need for a family and culture-based approach in preparing for childbirth.

Iron deficiency anemia (ADB) is anemia that arises due to reduced iron supply for erythropoiesis, due to empty iron stores (depleted iron stores) which ultimately results in reduced hemoglobin formation. This study aims to determine the effect of giving blood supplement tablets on HB levels in female students suffering from anemia at SMAN 1 Tambakboyo, Tuban Regency. The research design used a pre-experiment using a one group pre test post test approach, with a total sampling technique on a population of 34 female students suffering from anemia in class X and analyzed using the Wilcoxon test. The instruments in this research were Standard Operating Procedures (SOP), hemoglobin level observation sheets and Easy Touch GCU brand hemoglobin measuring equipment. The results of the study showed that the average HB level before 10.17 g/dl and after 15.46 g/dl given blood supplement tablets was normal. The results of the Wilcoxon test obtained a significant value of p=0.000 (p<0.05), which means that there was a significant difference in the HB levels of class X female students before and after being given blood supplement tablets. Health workers, especially in school health offices, should provide blood supplement tablets at the right time so that female students can take the blood supplement tablets regularly and finish them.

Background: Incomplete electronic medical record filling by doctors can hinder effective action or treatment by other health workers. This non-compliance problem includes incomplete filling and writing of less specific diagnoses, which can potentially lead to errors in nursing action planning. Purposes: This study aims to test the influence of management commitment and team orientation on compliance in filling electronic medical records with competence as an intervening variable in the inpatient installation of Hermina Hospital, Depok. Methods: This research method is quantitative with a cross-sectional study design. The population is doctors at Hermina Hospital Depok who work in the inpatient installation totaling 133 people. The results of the sample calculation obtained 100 respondents. The data collection technique used a questionnaire, and the analysis method used SEM-PLS. Result: The results of the study showed that management commitment, team orientation, and doctor competence had a simultaneous effect on compliance in filling electronic medical records at Hermina Hospital, Depok. Management commitment and team orientation had a significant effect on doctor competence, which in turn also had a direct effect on compliance in filling out medical records. In addition, doctor competence mediated the relationship between management commitment and team orientation on compliance. Improving doctor competence is the main key to ensuring compliance. Conclusion: The conclusion of this study confirms that to improve compliance in filling electronic medical records at Hermina Hospital, Depok, attention is needed to management commitment and team orientation. Improving doctor competence is the main key in ensuring compliance, with competence functioning as a mediator between management commitment and team orientation towards compliance.

Obesity in women of childbearing age is a growing health problem, not only due to dietary patterns and lack of physical activity, but also due to the influence of social and cultural factors. This study aims to gain a deeper understanding of the experiences, perspectives, and habits of women of reproductive age who are obese within the context of local social and cultural norms. Using a qualitative phenomenological approach, data was collected through in-depth interviews with five primary informants who are obese, as well as triangulation informants from community health workers and healthcare professionals. The results of the study indicate that perceptions of obesity are still predominantly viewed from the perspective of physical appearance rather than health. Social factors such as family eating patterns, snacking habits, comments from others, and lack of physical activity are triggers for obesity. Meanwhile, local culture has a varied influence—some communities are beginning to adopt slim body ideals, while others remain neutral. Obesity also impacts self-confidence, social stigma, and limitations in daily activities. However, most informants expressed hope for a healthier life. This study recommends interventions that consider local cultural values and involve family and community support in obesity prevention effort.

The use of formula milk for infants is still common in the early stages of life and has the potential to hinder successful breastfeeding, even though the benefits of breast milk have been widely proven. Education and lactation counseling are considered important strategies to support breastfeeding practices and reduce the unnecessary use of formula milk. However, empirical evidence on the effectiveness of lactation counseling in reducing the intensity of formula milk use is still limited, especially in the context of primary health care in Indonesia. This study aims to analyze the effectiveness of lactation counseling in reducing the intensity of formula feeding in infants. This study uses a quantitative approach with a one-group pretest–posttest pre-experimental design. The sample consisted of 20 mothers who had infants and met the inclusion criteria in the Popayato Community Health Center working area, selected using total sampling technique. The intervention took the form of structured lactation counseling provided by health workers. The intensity of formula feeding was measured before and after the intervention using a structured questionnaire. Data analysis was performed descriptively and bivariately using the Wilcoxon Signed Rank Test. The results showed a decrease in the intensity of formula feeding after lactation counseling. The Wilcoxon test showed a significant difference between the intensity of formula feeding before and after education (p = 0.000). Lactation counseling was proven to be effective in reducing the intensity of formula feeding in infants. This educational intervention has the potential to be an important promotional strategy in maternal and child health services to support more optimal breastfeeding practices..

E-Puskesmas is a solution to problems caused by manual systems. It was created to streamline the method of reporting data to the Health Office and digitize the process of providing health services to the community at the Puskesmas. In addition, the online reporting system facilitates the dissemination of information effectively and efficiently. This study aims to determine the impact of using E-Puskesmas in improving the effectiveness of health services at the Pancur Community Health Center in Tanjungpinang City. The research method used is descriptive research with a qualitative approach conducted through observation, interviews, and documentation. The results of the study indicate that the implementation of E-Puskesmas has brought significant improvements in managing patient data, appointment scheduling, and reporting processes to the Health Office. Health workers find the system beneficial for storing accurate data, reducing paperwork, and enabling faster coordination with other health facilities. However, the use of the system is still hampered by unstable or slow internet or Wi-Fi networks, which often delay data input and retrieval during busy operational hours. This issue not only reduces efficiency but also causes frustration among staff who rely on the system for daily activities. The conclusion of this study highlights that the use of E-Puskesmas is effective in supporting digital health services but remains suboptimal due to technical challenges. Improving internet connectivity is critical to ensuring seamless operation and maximizing the benefits of the system. The study recommends that the local government and relevant stakeholders enhance the quality of network infrastructure and provide regular technical support and training for Puskesmas staff. By addressing these challenges, the Pancur Community Health Center can improve the stability of its operations and ensure that the E-Puskesmas application delivers optimal results in supporting high-quality, efficient, and technology-driven health services for the community.

The 2023 Indonesian Health Survey stated that the proportion of exclusive breastfeeding in Sumatera Utara Province was quite low, namely 43.9%. The low coverage of exclusive breastfeeding is closely related to the lack of knowledge of postpartum mothers, which is a predisposing factor that encourages mothers to only give breast milk for 6 months to their babies. The purpose of this study was to determine the factors related to postpartum mothers' knowledge of exclusive breastfeeding in the Tuntungan Health Center work area, Pancur Batu Subdistrict. This study was an observational analytic study with a cross-sectional design. The sample in the study were postpartum mothers in the Tuntungan Health Center work area who met the inclusion and exclusion criteria, namely 50 people. The data collected were primary data obtained through questionnaires distributed to postpartum mothers. Bivariate analysis was carried out using the chi-square test to determine the relationship between the independent and dependent variables. Based on the study conducted, it is known that there is a relationship between age (p-value = 0.015), education (p-value = 0.026), and parity (p-value = 0.008) with postpartum mothers' knowledge of exclusive breastfeeding. There is no relationship between occupation (p-value = 0.224) and postpartum mothers' knowledge of exclusive breastfeeding. It is recommended that health workers in the Tuntungan Health Center work area, Pancur Batu Subdistrict, to improve the knowledge of postpartum mothers, especially for young mothers (<20 years) and primigravida mothers. It is also recommended that postpartum mothers improve their knowledge through various media, especially social media.

Digital transformation in health services faces significant challenges, particularly the gap between rapid technological advancements and the readiness of institutional work culture. This study investigates the cultural lag experienced during the implementation of digital systems at the East Nunukan Health Center. Using an observational qualitative approach, it examines health workers' responses to digital applications such as e-Puskesmas and various Health Information Systems. The findings reveal substantial resistance to change, attributed to factors like limited digital literacy, inadequate infrastructure, and the persistence of traditional work patterns. Despite the introduction of digital systems, healthcare practices remain largely dependent on manual methods, highlighting the disconnect between technological progress and the socio-cultural preparedness of healthcare organizations. The study concludes that this cultural lag within healthcare institutions can significantly impede the effectiveness of digital transformation efforts. To address these issues, the research advocates for ongoing training, improvement of supporting facilities, and the adoption of strategies that align with local work culture. This research provides valuable insights into the socio-cultural dynamics affecting the digitization of public services, especially in border regions with limited technological access.

Contraception is used to control population growth and ensure the availability of natural resources, thereby maintaining the quality of human life. Contraceptive methods can be categorized into two types: long-term contraceptive methods (LTCMs), such as intrauterine devices (IUDs), implants, female sterilization (tubal ligation or MOW), and male sterilization (vasectomy or MOP); and short-term contraceptive methods (non-LTCMs), such as condoms, injections, and oral contraceptive pills. The aim of this study is to examine and explain the relationship between spousal support and the role of healthcare workers in the selection of long-term contraceptive methods among women of reproductive age in the working area of the Kefa Utara Village Maternity Post, North Central Timor Regency. This research is quantitative with a cross sectional approach. The sampling technique used accidental sampling with a total of 106 WUS respondents. Data analysis using Chi Square test analysis. The results showed that women of reproductive age who did not get husband's support were higher (57.50%) than those who got husband's support (42.50%). Chi-Square test showed a significant relationship between husband's support and the selection of LTCMS (p < 0.05) with an Odds Ratio (OR) value of 2.690. In addition, health workers who played a role in the selection of LTCMS were greater (67.90%) than health workers who did not play a role (32.10%). The Chi Square test results also showed a significant relationship between the role of health workers and the selection of LTCMS (p < 0.05) with an 0R value of 3.733.

Acute Otitis Media (AOM) is a common middle ear infection in children, particularly in rural areas. This study aims to explore the clinical characteristics of AOM in children treated at rural health centers (puskesmas) and to examine the barriers to effective management. A descriptive qualitative method was employed through a literature review analyzing symptoms, stages, risk factors, and treatment approaches. The findings reveal that AOM in children often begins with an upper respiratory tract infection and presents with sudden ear pain, high fever, sleep disturbances, and ear discharge. Risk factors include young age, poor environmental conditions, and limited access to healthcare services. Management of AOM depends on its clinical stage and requires accurate diagnosis. However, in rural puskesmas, a lack of diagnostic tools and limited public awareness often leads to delayed treatment. Therefore, it is essential to provide health workers with basic ENT training, ensure the availability of diagnostic equipment, and educate parents to enable early detection and prevent complications that could affect a child’s development.

HB 0 immunization in Bandar Baru Health Center, Sibolangit District is still low at 39.0%. The low HB 0 immunization in infants is related to predisposing factors such as knowledge and attitudes, supporting factors, namely the place of delivery and reinforcing factors that support the family. This study aims to analyze predisposing, supporting and reinforcing factors related to the provision of HB 0 immunization in the Bandar Baru Health Center area, Sibolangit District. This type of research is a survey using an explanatory research approach. The population in this study were all mothers who had babies at the Bandar Baru Health Center, Sibolangit District, as many as 68 people and a sample of 68 people. Data were obtained by means of interview questionnaires and observations, analyzed using Multiple Logistic Regression statistical tests at = 5%. The results of the study showed that there were significant predisposing factors such as knowledge and attitudes, supporting factors were the place of delivery, reinforcing factors were family support for HB 0 immunization in the Bandar Baru Health Center area, Sibolangit District and the variable that most influenced HB 0 immunization in the Bandar Baru Health Center, Sibolangit District where the workforce was a variable with Exp B = 12,733. It is possible for health workers to provide socialization to mothers about HB 0 immunization to increase HB 0 immunization, the Deli Serdang Regency Health Office should further improve implementation and provide education to the community about the HB 0 program and the community at the Bandar Baru Health Center, Sibolangit District must carry out hepatitis B prevention.

The Maternal Mortality Rate (MMR) in Indonesia is still high and is a major challenge in the health system, especially in the labor phase. This study aims to analyze the implementation of the BPJS patient labor referral system in reducing MMR at the Gunung Tinggi Health Center. The study used a qualitative method with a case study approach to health workers at the Gunung Tinggi Health Center. The results of the study showed that the availability of competent health workers, adequate facilities and infrastructure, and a referral system integrated with BPJS have made a positive contribution to labor services. However, challenges were still found in the form of late responses from referral hospitals, geographical constraints, and low public health literacy regarding the importance of referrals. This study concludes that strengthening the coordination system between facilities and educating the community is very important in increasing the effectiveness of the referral system and reducing maternal mortality.  

The impact of vaginal discharge is very fatal if it is slow to be treated, not only can it lead to infertility and pregnancy outside the womb due to blockage of the fallopian tubes, vaginal discharge can also be an early symptom of uterine cancer which can lead to death. The purpose of the study was to produce a model and determine the most influential factors on health literacy in preventing vaginal discharge in adolescents. This type of research is quantitative with a cross sectional research design. The population of this study were all adolescents in Puspasari Village, Bogor Regency. The research sample amounted to 90 people. Determination of sample size using purposive sampling. Research data collection using a questionnaire. The results showed that there was an influence of health promotion by 21.42%, the role of midwives by 22.66%, family function by 16.88%, social environment by 11.04% and self efficacy by 9.65% on health literacy in preventing vaginal discharge in adolescents. Based on the R-Square value, the direct effect of health promotion, the role of midwives, family function, social environment and self efficacy on health literacy in preventing vaginal discharge in adolescents is 81.65% while 18.35% is explained by other variables not studied. It is hoped that the role of health workers in providing counseling related to the prevention of vaginal discharge, such as making breakthroughs for the renewal of vaginal discharge prevention.

Background: The elderly aged 60-69 years in Banda Aceh are 15,820. The coverage of the lowest number of elderly visits to elderly posyandu in the city of Banda Aceh is the Jaya Baru Health Centre (5.5%), the Lampaseh Health Centre (6.5%), and the Kuta Alam Health Centre (7.7%). Objective: This study aims to analyse factors related to the participation of the elderly in the Banda Aceh City Health Centre. Research Method: The type of research uses a cross-sectional design. The population in this study includes all older people in 3 (three) Banda Aceh City Puksesmas, namely Jaya Baru, Lampaseh, and Kuta Alam. The sample in this study amounted to 98 older people. Results: there was no relationship between accessibility and elderly posyandu participation (t= 1,356; p=0.176), there is a relationship between the availability of facilities and infrastructure and the participation of the elderly posyandu ( (t= 3.496; p=0.001), ), there was a relationship between motivation and support for elderly families (t=2.294; p=0.022), there was a relationship between the knowledge of the Posyandu program (t= 5.197; p=0.000), there was no relationship between the role of health workers and the participation of elderly posyandu at the Banda Aceh City Health Center (t=0.257; p=0.797), The factor that most affects the participation of elderly posyandu in Banda Aceh City is the knowledge of the posyandu program (t= 5.197; p=0.000). Conclusion: knowledge of the elderly posyandu program, the availability of infrastructure, motivation and support of elderly families affect the participation of posyandu in Banda Aceh City

The health sector, especially hospitals, relies heavily on the competence and professionalism of human resources to provide high quality services. Strategic development of human resources (HR) is the key to achieving organizational goals and improving service quality. This narrative literature review discusses strategic HR development in the hospital environment with a focus on three main pillars: training programs, leadership development, and performance evaluation. Findings show that training helps health workers adapt to advances in technology and medical innovation; leadership development drives accountability and collaboration which is critical in complex environments; and performance evaluation supports continuous improvement by identifying development needs and aligning individual contributions with organizational goals. The integration of these three strategies increases professionalism, operational efficiency and service quality in hospitals. Future research is recommended to examine how this HR development strategy can be adapted in various health care contexts to ensure its sustainability and effectiveness.