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Iron deficiency anemia is a significant public health problem in pregnant women, because it can cause maternal and fetal complications. Compliance with iron tablet consumption is often low due to limited knowledge, side effects, and cultural misconceptions. Leaflet-based education is a low-cost intervention that has the potential to improve understanding and compliance. This study aims to analyze the effect of leaflet education on the adherence of iron tablet consumption in pregnant women at the Pujon Health Center, Batu. The research design used a quasi-experiment with a pretest-posttest control group design. A total of 40 pregnant women were divided into an intervention group (n = 20) that received leaflet education and a control group (n = 20) that received standard counseling. Compliance was measured over four weeks through self-consumption records and tablet count calculations, while knowledge was assessed with a structured questionnaire. Data analysis used the Chi-square test with a significance level of p < 0.05. Results showed a significant improvement in adherence in the intervention group, with 70% of pregnant women complying compared to 15% in the control group (p = 0.001). Leaflet education also increased knowledge scores and consistency of iron tablet consumption. The conclusion of this study confirms that leaflet education is effective in increasing iron supplementation adherence, so it is recommended to be integrated into routine antenatal services to prevent anemia and support maternal and fetal health.

Maternal and child health is an important indicator of public health development. However, at Posyandu Cendana, Bekasi, the optimal utilization of services remains low. Challenges include limited community knowledge, particularly among mothers, regarding the importance of posyandu services, low awareness of routine check-ups, and insufficient understanding among cadres in delivering clear and accessible health information. To address these issues, this community service program is designed in the form of socialization activities with participatory and educational approaches. The program covers maternal and child health education, practical training on child growth monitoring, the importance of immunization, balanced nutrition, and reproductive health. The stages include problem identification with cadres and posyandu managers, implementation through interactive lectures, group discussions, and field practice, as well as evaluation using pre-tests, post-tests, and observations of community participation. The program involves lecturers, students, posyandu cadres, and local officials to ensure sustainability. The expected outcomes include improved maternal knowledge of posyandu roles and publication of results in mass media and scientific journals.

In today’s fast-paced digital era, health information is no longer obtained solely through direct visits to health facilities but can also be accessed through information technology such as E-Health platforms and social media. Through these digital tools, mothers not only gain basic knowledge about child health but also acquire essential information, such as how to prevent stunting, maintain optimal nutrition during the first 1,000 days of a child’s life, and improve maternal health. Easily accessible information has become an important resource for parents, especially mothers, in supporting the maximum growth and development of their children from an early age. This community service activity, entitled Optimizing Maternal and Child Health in the Technological Era, aimed to improve participants’ knowledge while also shaping positive attitudes toward the use of information technology and social media. Through this program, participants were encouraged to be more skillful and selective in accessing accurate health information, thus supporting efforts to maintain maternal and child health both within the family and in the school environment. The activity was carried out at TK IT Al-Andalusia, Gowa Regency, involving parents, teachers, and the school community. The results showed that the program was implemented successfully and smoothly, receiving very positive responses from participants. They were highly enthusiastic throughout the sessions, from lectures to interactive discussions. Furthermore, participants expressed their hope that similar activities could be conducted regularly and on an ongoing basis. In this way, the benefits achieved can be sustained, leading to improved health outcomes and the development of healthier lifestyles in schools and the wider community.

The prevalence of stunting globally in 2021 reached 171 million to 314 million. In Indonesia, the results of the Indonesian Nutritional Status Survey (SSGI) showed that the stunting rate in 2019 was 27.7%, in 2021 it was 24.4%, and in 2022 it was 21.4%. Child stunting is a health concern in Indonesia. Causes of stunting in children include poor nutrition, low exclusive breastfeeding rates, low birth weight (LBW), and maternal factors in providing nutrition from pregnancy to 59 months of age. Research reports that stunting is influenced by parents' lack of knowledge about balanced nutrition. Knowledge plays a vital role in the life and development of individuals and society.Purpose This study aims to determine the relationship between maternal knowledge about balanced nutrition and the incidence of stunting in toddlers in the Jambu Village area, Mlonggo District, Jepara City. Method This research is a quantitative correlational study with a cross-sectional design. The population in this study were mothers with toddlers in the Jambu Village area, Mlonggo District. The sampling technique used total sampling to obtain a sample of 34 respondents. Measurement of the level of knowledge of nutritional balance by providing questions with multiple choices of true and false and for stunting using Microtois and Anthropometric Table. Data processing using SPSS with a computer using the Spearman Rho statistical test.The results of the study showed that the majority of respondents had good nutritional balance knowledge, amounting to 16 (47.1%), while 17 (50.0%) respondents did not experience stunting.There is a relationship between maternal knowledge about balanced nutrition and the incidence of stunting in toddlers in Jambu Village, Mlonggo District, Jepara Regency.

Indonesian people's understanding of immunization and early detection is still different, so babies and toddlers have not received immunizations in health services. Husband's support has an important role in providing support and motivation so that mothers come to every posyandu activity. Data from the 2020 Indonesian Health Profile shows that diarrhea is the second largest contributor to death after pneumonia (lung infection) in babies aged 29 days - 11 months, namely 9.8% and in the group of toddlers aged 12-59 months, 4.5% of total deaths. . The aim of the research is to determine the relationship between maternal knowledge and husband's support with the provision of Rotavirus immunization in Merjosari Village, Malang City. The research design is an analytical method with a cross sectional approach which was carried out on a sample of 80 respondents in Merjosari Village, Malang City. The data collection tools used were a mother's knowledge questionnaire with 17 question items, a husband's support questionnaire with 12 statement items. The results of research on maternal knowledge showed that of the 80 respondents, the majority of mothers' knowledge was good with 52 respondents (65%) being given rotavirus immunization. The results of the Chi-Square test in this study show that there is a relationship between maternal knowledge and immunization for babies in Merjosaroi Village, Malang City with a value of p=0.000; 0.05.  The results of research on husband's support showed that of the 80 respondents, the majority supported rotavirus immunization, 61 respondents (76.3%). The results of the Chi-Square test in this study show that there is a relationship between saumi support and immunization for babies in Merjosaroi Village, Malang City with a value of p=0.001; 0.05. Based on the results of this research, community health centers and cadres can carry out the activities needed to increase mothers' knowledge about rotavirus immunization and husband support, such as providing counseling to mothers, holding programs that demonstrate immunization activities and encouraging mothers to come to the posyandu for immunization.

Preterm birth remains a global health concern, with 1 in 10 babies worldwide born prematurely. In Indonesia, the preterm birth rate is 29.5%, with 19% in Central Java and as high as 30% in Kendal Regency. Preterm infants require specialized care, making maternal readiness a crucial factor in ensuring optimal home care. This study aimed to analyze the effect of educational interventions using a booklet on mothers’ knowledge and skills in caring for preterm infants. A quantitative quasi-experimental design with a pre- and post-test control group was employed. A total of 20 respondents were selected using purposive sampling. Bivariate analyses were conducted using the McNemar test for paired data and the chi-square test for unpaired data. The results showed a significant improvement in mothers’ knowledge after receiving education with the booklet (p < 0.05), whereas the lecture and leaflet methods showed no significant difference (p > 0.05). However, there was no significant improvement in caregiving skills in either the booklet group or the lecture and leaflet group (p > 0.05). In conclusion, booklet-based education effectively enhances maternal knowledge regarding preterm infant care but does not significantly improve caregiving skills. This highlights the need for practice-based interventions, such as hands-on training and demonstrations, to strengthen maternal competence in managing preterm infant care at home.

Early marriage remains a significant issue in Indonesia, including in South Sulawesi, with negative impacts on health, education, and social welfare. These impacts include high school dropout rates, reproductive health issues, and increased maternal and infant mortality rates. This community service activity aims to provide education and counseling to second-semester students of the Faculty of Business at Universitas Mega Buana Palopo regarding the dangers of early marriage and the importance of future planning. The methods used in this activity include lectures, group discussions, and individual counseling. Through the lectures, students were provided with information about the health, social, and psychological risks associated with early marriage. Group discussions aimed to enhance students' understanding and awareness of the importance of education and future planning before marriage. Additionally, individual counseling was conducted to provide more personalized support related to issues students might face. The results of the activity showed an increase in students' knowledge and awareness of the negative impacts of early marriage, as well as a positive attitude toward preventing early marriage. This activity is expected to serve as a sustainable campus-based early marriage prevention model that can be applied to other universities. With proper education and counseling, it is hoped that students will make wiser decisions regarding marriage and future planning. Improved knowledge will reduce the prevalence of early marriage and mitigate its negative effects on individuals and society.

The pregnancy period is a crucial time for ensuring the health of the mother and fetus through the provision of balanced nutrition. However, nutritional issues such as anemia and chronic energy deficiency (CED) are still commonly found among pregnant women. The use of local nutritious foods, such as moringa leaves (Moringa oleifera), can be a potential solution to support nutritional needs. This community service activity aims to improve the knowledge and skills of pregnant women in preparing healthy menus and balanced eating patterns using moringa leaves. The activity was carried out through interactive lectures, coaching on menu preparation, cooking demonstrations of moringa leaf dishes, and evaluation through pre-tests and post-tests. The participants were pregnant women in the working area of the Wara Selatan Health Center in Palopo City, totaling 25 people. The results showed an increase in participants' nutritional knowledge, with an average pre-test score of 55 rising to 82 in the post-test. Participants were also able to prepare a balanced daily menu based on moringa leaves and produce several processed products, including moringa soup, moringa fritters, and moringa pudding. It can be concluded that the healthy menu coaching activity using local moringa leaves effectively improves the knowledge and skills of pregnant women regarding balanced nutrition. The use of local foods such as moringa leaves has the potential to support the improvement of maternal nutritional status in a simple, economical, and sustainable manner.

The incidence of pneumonia has a significant impact on the health of toddlers because the disease can cause death. One of the factors influencing the incidence is the lack of maternal knowledge about early detection of pneumonia. The purpose of this study was to determine the effect of health education with booklet media on mothers' knowledge about early detection of pneumonia toddlers in Bandungrejosari Village, Janti Health Center area, Malang City. This study used preexperimental design with one group pretest-posttest design approach with population of 111 people. The sampling technique used was proportional random sampling, the sample size was 42 respondents. The research instrument used a questionnaire. Data analysis using the Wilcoxon signed rank test. The statistical test results obtained p-value of 0.000 <0,05, which means that there is an effect of health education with booklet media on mothers' knowledge about early detection of pneumonia toddlers in Bandungrejosari Village, Janti Health Center area, Malang City. Based on the results of this study, the provision of health education with booklet media needs to be done so that it can improve mothers' knowledge about early detection of pneumonia toddlers. Future researchers can also use control group as a comparison in this study.

Anemia in pregnant women remains a major public health issue in Indonesia, including in Bukittinggi City. According to the Bukittinggi Health Office report in 2022, the prevalence of anemia among pregnant women reached 42%. This condition increases the risk of pregnancy complications such as bleeding, preterm delivery, low birth weight, and even maternal and infant mortality. Families play an essential role in supporting pregnant women, particularly in ensuring compliance with iron tablet consumption and providing nutritious food. This community service program aimed to improve family knowledge of anemia prevention through participatory health education. The methods included problem identification, focus group discussions, interactive education, simulation of nutritious meal planning, and accompaniment by community health cadres. The results showed a 35% increase in family knowledge based on pre- and post-test results. Furthermore, positive behavioral changes were observed, such as improved compliance with iron tablet consumption and the establishment of family support groups for pregnant women as new social institutions. This program demonstrated that participatory family-based education is effective in increasing knowledge and fostering social transformation for anemia prevention.

Basic immunization is one of the main pillars in the effort to control infectious diseases, which is important for the health of children from an early age. In order to achieve optimal health, immunization helps prevent diseases such as diphtheria, tetanus, whooping cough, polio, and measles that can cause serious complications or even death. The immunization program implemented at Posyandu Terkini 1 in Mario Village has a positive impact on public health, with an immunization coverage rate showing 97.90% in the South Sulawesi region. This study focuses on factors that influence the utilization of basic immunization at Posyandu Terkini 1 in Mario Village. In a quantitative research design with a cross-sectional approach, researchers involved the entire population consisting of 89 infants and toddlers in Mario Village through a total sampling method. Using the Chi Square test, this study identified factors related to the utilization of immunization services, namely maternal knowledge, maternal attitudes, family support, and support from health workers. The results showed that these factors significantly influenced the utilization of basic immunization, while access to immunization services did not show a significant relationship. This research makes an important contribution to the development of public health policies, particularly in increasing community participation in immunization programs. With a more integrated approach, particularly in educating the community about the benefits of immunization and the importance of support from families and health workers, it is hoped that immunization coverage in villages will be broader and more equitable. These findings will be published in the Jurnal Kesehatan (Health Journal) to provide further insights for relevant stakeholders in improving the quality of immunization services. Furthermore, this study also emphasizes the importance of the active role of health workers in educating parents, especially mothers, about the benefits of immunization and the vaccine schedule.

Anemia during pregnancy remains a significant public health challenge, with iron supplementation recommended as the primary preventive strategy. However, compliance with iron tablet consumption among pregnant women continues to be low in many settings. This study aims to review existing literature to identify barriers that hinder adherence to iron supplementation. A systematic literature review was conducted by screening publications from 2015 to 2025, retrieved from major databases such as PubMed, Scopus, and ScienceDirect. Thematic synthesis was applied to analyze findings across selected studies. Results revealed three major categories of barriers: internal factors such as limited knowledge, perceived low risk of anemia, and side effects; social factors including lack of family support, cultural norms, and insufficient counseling from health providers; and systemic factors such as limited supplement availability and inadequate quality of antenatal services. These findings highlight that compliance is not merely an individual issue but also shaped by social and structural contexts. Implications suggest the need for multidimensional interventions, involving health education, family engagement, and strengthened health system support to improve maternal adherence to iron supplementation.

Background: Immunization is one of the most effective public health interventions to reduce infant morbidity and mortality from preventable diseases. However, incomplete infant immunization coverage remains a significant problem, particularly in areas with limited maternal knowledge and access to health information. The Maternal and Child Health (KIA) book serves as an educational tool designed to improve mothers’ understanding of child health services, including immunization schedules. Education using the KIA book is expected to enhance maternal awareness and support the completeness of infant immunizations.Objective: This study aimed to determine the influence of education using the KIA book on the completeness of infant immunizations. Methods: This study employed a pre-experimental design with a one-group pretest–posttest approach. Data on the completeness of infant immunizations were collected before and after the educational intervention using immunization records. The data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05.Results: The results showed a significant improvement in the completeness of infant immunizations after education using the KIA book. Statistical analysis revealed a Wilcoxon signed-rank test value of p = 0.000, indicating a significant influence of KIA book-based education on immunization completeness.Conclusion: Education using the KIA book has a significant positive influence on the completeness of infant immunizations. The KIA book is an effective educational medium to improve maternal knowledge and compliance with infant immunization schedules. Integrating KIA book-based education into routine maternal and child health services is recommended to enhance immunization coverage.

Exclusive breastfeeding is a key strategy to improve child health and nutrition, yet its practice in Indonesia remains suboptimal. This study aimed to analyze the relationship between husbands’ knowledge about exclusive breastfeeding and mothers’ motivation to breastfeed in Ie Masen Kayee Adang Village, Syiah Kuala District, Banda Aceh City. Using a cross-sectional design, data were collected from 50 husbands whose wives were breastfeeding infants aged 0–12 months through questionnaires distributed directly and via Google Form. The instrument’s validity and reliability were tested and met the required standards. Data were analyzed using the Chi-Square test. The results showed that most husbands had a high level of knowledge (68%), and most mothers demonstrated high motivation to breastfeed (64%). The Chi-Square analysis indicated a significant relationship between husbands’ knowledge and mothers’ motivation (p = 0.039). These findings suggest that involving husbands as active partners in health promotion and breastfeeding education programs can increase maternal motivation and improve exclusive breastfeeding practices. This study highlights the importance of family-centered interventions to strengthen breastfeeding support and enhance maternal and child health outcomes.

A parenting seminar on maternal and child mental health organized by KPM UI Bunga Bangsa Cirebon students in Pegagan Village is a form of community service aimed at raising awareness and understanding of the importance of mental health in parenting. The limited knowledge of mental health issues in rural communities, coupled with high levels of stress experienced by parents, often negatively impacts parenting practices. This has the potential to hinder optimal child development, both physically, psychologically, and socially. Therefore, this activity was designed with a participatory approach, where the community is not merely an object but is also involved from the beginning of the planning process. This process includes coordination with village officials, seminars, and monitoring and evaluation stages, so that the community feels ownership and plays an active role in the program. The seminar featured speakers from psychology and legal academics who explained the relationship between parental mental health and fulfilling legal obligations to protect children's rights. The material presented emphasized how parental stress and emotions can affect child development, as well as the importance of parents' ability to manage the pressures of everyday life. Participants gained an understanding of strategies for maintaining mental health, including good time management, building open communication within the family environment, and strengthening social support as an emotional support system. The results of the activity showed an increase in participants' awareness of the importance of mental health not only as an individual need, but also as a moral, social, and legal responsibility in creating a healthy, safe, and resilient family environment. Therefore, this parenting seminar can be seen as an effective educational strategy, not only strengthening parents' capacity to raise children but also building sustainable local support networks for the well-being of families and communities.

Preeclampsia is one of the most serious complications in pregnancy, characterized by hypertension and proteinuria, and it poses a significant risk of maternal and fetal morbidity and mortality if not detected and managed promptly. Early detection is crucial, yet clinical diagnosis often faces challenges due to the variability of symptoms and uncertainty in medical decision-making. To address this issue, this study aims to develop an expert system for diagnosing preeclampsia by employing the Dempster-Shafer method, which is known for its ability to handle uncertainty and incomplete information in complex domains such as healthcare. A case study was conducted at Bidadari General Hospital, where data on clinical symptoms and patient medical records were collected and analyzed. The development process of the expert system followed systematic stages, including knowledge acquisition from obstetrics specialists, designing the knowledge base, constructing inference rules, and integrating the Dempster-Shafer algorithm for decision support. The system was subsequently tested using real-case scenarios of pregnant women suspected of having preeclampsia. Evaluation results demonstrated that the system achieved an accuracy rate of 92% in differentiating between preeclampsia and eclampsia, based on belief and plausibility measures combined with symptom analysis. These findings indicate that the proposed system can effectively support medical personnel by providing diagnostic recommendations with a high degree of reliability. In addition, the system offers efficiency in the clinical workflow by minimizing diagnostic errors and reducing delays in treatment initiation. Therefore, this expert system has the potential to become a valuable clinical decision support tool for early detection, risk assessment, and management of preeclampsia. Future development may focus on expanding the knowledge base, integrating real-time patient monitoring data, and enhancing usability to ensure broader applicability in diverse healthcare settings.

Background: Stunting is a chronic nutritional problem in toddlers caused by inadequate nutritional intake and recurrent infections, especially in the First 1000 Days of Life (HPK). One of the main factors that influence the incidence of stunting is exclusive breastfeeding and maternal nutritional knowledge. Indonesia still faces a high prevalence of stunting, which if not addressed immediately can impact the quality of human resources in the future.Objective: This study aims to determine the relationship between maternal nutritional knowledge and the duration of exclusive breastfeeding with the incidence of stunting in infants aged 6–12 months in the working area of Kuala Bangka Health Center, Kualuh Hilir District, North Labuhan Batu Regency in 2021.Method: This study used a case control design with a sample of 110 respondents (55 cases and 55 controls) selected by purposive sampling. Data were collected through interviews using a structured questionnaire and processed using the Chi-Square test. Results: The results showed a significant relationship between the duration of exclusive breastfeeding and the incidence of stunting (p = 0.002; OR = 4.394; 95% CI = 1.709–11.295), where infants who were not exclusively breastfed had a 4.4 times greater risk of experiencing stunting than infants who received optimal exclusive breastfeeding. However, there was no significant relationship between maternal nutritional knowledge and the incidence of stunting (p = 0.233). Conclusion: The duration of exclusive breastfeeding was proven to be associated with the incidence of stunting, while maternal knowledge did not show a significant relationship. Stunting prevention efforts should focus on improving the practice of appropriate and comprehensive exclusive breastfeeding, accompanied by practice-based nutrition education that mothers can apply in childcare.

Background: Anemia in pregnancy is a public health problem that can increase the risk of serious complications, such as premature birth, maternal and infant mortality, and impaired fetal growth and development. One effort to prevent anemia is by consuming iron tablets (iron supplements). However, the success of this intervention is greatly influenced by the behavior of pregnant women in consuming these tablets, which includes knowledge, attitudes, and actions. If pregnant women have a good understanding and attitude, and implement iron tablet consumption appropriately, the risk of anemia can be reduced. Objective: This study aims to determine the relationship between iron consumption behavior (based on knowledge, attitudes, and actions) with the incidence of anemia in pregnant women at the Kuala Bangka Community Health Center, North Labuhan Batu Regency, in 2022. Method: This study used a descriptive analytical design with a cross-sectional approach. The study sample consisted of 20 pregnant women selected by purposive sampling. Data were collected through a questionnaire covering knowledge, attitudes, and actions of pregnant women regarding iron consumption, as well as the incidence of anemia. Data were analyzed using the Chi-Square test. Results: The majority of respondents had sufficient knowledge (45%), insufficient attitudes (70%), and insufficient iron consumption actions (70%). Moderate anemia was found in 70% of respondents. Bivariate analysis showed a significant relationship between knowledge (p=0.005), attitudes (p=0.001), and practices (p=0.000) and the incidence of anemia in pregnant women. Conclusion: There is a significant relationship between iron consumption behavior (knowledge, attitudes, and practices) and the incidence of anemia in pregnant women. Increased education and support for pregnant women regarding the importance of proper iron consumption to prevent anemia during pregnancy is needed.

Pregnancy is a physiological process accompanied by significant physical and psychological changes in pregnant women. One of the most common complaints, particularly in the third trimester, is back pain and decreased physical fitness. Prenatal exercise is a non-pharmacological method proven effective in improving fitness, reducing discomfort, and preparing both physically and mentally for childbirth. This community service program aimed to enhance the knowledge and skills of pregnant women in Kedungjaya Village, Kedawung Sub-district, Cirebon Regency, through education and practical sessions on prenatal exercise. The method included a 60-minute educational session covering the definition, objectives, benefits, and precautions before performing prenatal exercise, followed by a 90-minute practical session guided by a qualified instructor. The results showed an increase in participants’ understanding of the benefits of prenatal exercise and their ability to implement it independently. This program is expected to improve maternal fitness, reduce physical complaints during pregnancy, and optimize physical and psychological readiness for labor.

The high mortality and morbidity rates of infants in Indonesia remain a serious public health problem. One of the main causes of this condition is the emergence of infectious diseases that can actually be prevented through basic immunization. Diseases such as diphtheria, pertussis, tetanus, tuberculosis, poliomyelitis, measles, and hepatitis B are types of diseases that can be prevented by immunization, yet many children still have not received complete immunizations. This study was conducted to determine the relationship between maternal knowledge levels and the completeness of basic immunization status of children aged 12–24 months in RW 13 Kp. Sapan, Sumbersari Village. This study used a quantitative approach with a cross-sectional design and was conducted in August 2024. A total of 39 mothers with children aged 12–24 months became the study respondents through a total sampling technique. Data collection was carried out using a questionnaire, and the data obtained were analyzed using the Chi-square test. The results showed that the majority of mothers had a sufficient level of knowledge, namely 21 mothers (53.8%). In addition, the majority of toddlers, 28 children (71.85%), had received complete basic immunizations. The results of statistical analysis showed a significant relationship between maternal knowledge and the completeness of children's basic immunizations with a p value of 0.006 (p < 0.05). This indicates that the higher the mother's knowledge regarding the importance of immunization, the greater the likelihood of the child receiving complete basic immunizations. Therefore, it is important for mothers to continue to increase their knowledge about immunizations through various sources of information such as books, counseling, or consultations with health workers, so that efforts to prevent infectious diseases in children can be optimally achieved.