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Early and exclusive breastfeeding is very important for a child's survival, and to protect them from various diseases to which they are susceptible and which can be fatal, such as diarrhea and pneumonia. The aim of this study was to determine the relationship between exclusive breastfeeding and the incidence of diarrhea in infants aged 6-12 months in the Tolamaera Community Health Center Working Area, Gunungsitoli Idanoi District, Gunungsitoli City, North Sumatra Province. This research is an analytical research using a cross sectional design, a sample of 75 people taken by total sampling. Analysis was carried out univariately and bivariately using the chi square test with a p- value <0.05. The results of this study show that there is a relationship between exclusive breastfeeding and the incidence of diarrhea in babies aged 6-12 months in the Tolamaera Community Health Center Working Area, Gunungsitoli Idanoi District, Gunungsitoli City, North Sumatra Province with a p value = 0.000. It is hoped that midwives in the Tolamaera Community Health Center Working Area, Gunungsitoli Idanoi District, Gunungsitoli City, North Sumatra Province, can provide education about exclusive breastfeeding to the community, especially to mothers of babies and for mothers. It is hoped that they will try to provide exclusive breastfeeding to babies up to 6 months old.    

Introduction: Mothers are susceptible to experiencing postpartum blues syndrome during the postpartum period, or the period after giving birth. Rapid mood swings, feelings of sadness, worry, anxiety, and tiredness are signs of this syndrome, and mothers may feel more emotional and anxious, which can impact their mental health. Method: This type of research is quantitative analytical with a cross sectional approach. The population was postpartum mothers and the sample was 38 people with the inclusion criteria being postpartum mothers in the immediate postpartum to early postpartum categories who had previously had routine pregnancy checks in the Garut Regency Development Health Center working area. Data processing was carried out computerized with bivariate data analysis using the Chi Square statistical test. Results: The results of the study stated that 25 respondents had good husband support and 13 respondents had less husband support. Of the 38 respondents, 24 experienced postpartum blues . The results of this study stated that there was a link between husband's support and the incidence of postpartum blues , with a p value of 0.007. Conclusion: there is a connection between husband's support and the incidence of post partum blues, so that people can provide information to each other in preventing post partum blues . Health workers can also continue to be proactive in providing education to someone who plays the role of husband regarding the importance of maintaining the health of post partum mothers both physically and mentally for reproductive health and the health of mother and child .  

Introduction: According to the Indonesian Health Profile (2021), preeclampsia or eclampsia, bleeding, and COVID-19 caused the highest number of maternal deaths in 2021. In 2022, the maternal mortality rate in Indonesia reached 183 deaths per 100,000 live births, with preeclampsia as the main cause. One of the most common maternal health problems in Indonesia is preeclampsia, which has a high incidence rate and causes dangerous complications for the mother and baby. Research and prevention efforts continue to be needed to reduce maternal mortality in Indonesia. Apart from disorders during pregnancy, we as academics who continue to be pro-active in community service activities in our field, must also pay attention to post-partum health. The incidence of postpartum blues in Indonesia will reach 50-70% in 2023. According to WHO, around 10% of pregnant women and 13% of new mothers experience mental health disorders, especially depression. Risk factors that increase the possibility of postpartum blues are the mother's young age, lack of support from her husband, and a difficult economic situation. Method: The method used in this activity is lecture and discussion, using power points and leaflets. Target: Women of Childbearing Age (WUS), pregnant women and post partum mothers. Results: After the educational activity, participants asked several questions, such as how to know whether a pregnant woman is experiencing problems, how many times should she have an examination, and what should the family do if the mother seems stressed after giving birth. With the aim of improving the welfare of pregnant women and babies, Family Centered Maternity Care (FCMC) is a midwifery approach that involves the family. This approach provides good social support to pregnant women, which can help them deal with stress and anxiety that may occur during pregnancy, childbirth and the postpartum period. In addition, pregnant women and their families are given the opportunity to actively participate in decision-making regarding health care, so that they can take responsibility for their own health. Conclusion: When Women of Childbearing Age (WUS) have good knowledge, attitudes and behavior, they will produce a generation of healthy and intelligent children. Health workers and the public must pay attention to the four Ts: too young, too old, too much, and too close. Antenatal visits and postpartum visits, which are types of physical examinations during pregnancy, are well carried out in first-level health facilities.

Posyandu plays a crucial role in improving community welfare in various regions, and the presence of health cadres as the spearhead of Posyandu implementation. The purpose of this activity is to enhance the ability of Posyandu cadres in providing services through effective communication skills improvement. The methods used in this activity include lectures, discussions, question-and-answer sessions, as well as pre-tests and post-tests. The results of this activity show a significant increase in the effective communication skills of Posyandu cadres. This increase can be seen from the gain score values that improve the effective communication skills of Posyandu cadres. Participant S achieved the highest gain score value of 0.9 and a percentage increase of 90.0%.

Posyandu is a basic health activity organized by, by and for the community assisted by health workers in a Puskesmas work area. The aim of this research was to determine the determinants of mothers' participation in bringing toddlers to posyandu in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency. The research design uses a mixed method with an explanatory approach. Quantitative designs use cross sectional, qualitative designs use a narrative approach. The population in this study was 459 mothers who had toddlers aged 12-59 months in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency, with a quantitative sample of 82 mothers, for the qualitative sample 3 mothers who had toddlers, 1 midwife, 1 religious figure/ or ustad. Quantitative data analysis uses univariate, bivariate and multivariate analysis, qualitative analysis uses familiarization analysis, Identifying athematic framework, indexing, charting, imapping and interpretation. The results of this study show that there is an influence on the variables of the role of health workers (p=0.025), religion (p=0.000), infrastructure (p=0.000), culture (p=0.002), AEFI (p=0.004). Multivariate research results show that there is an influence of religion (p=0.002), culture (0.011), AEFI (0.005). The results of mixed method research show that the most influential factor is religion. The conclusion of this research is that there is no determining influence on the role of health workers, infrastructure, and there is an influence of religion, culture, KIPI on the participation of mothers in bringing toddlers to posyandu in the Sakti Community Health Center Working Area, Sakti District, Pidie Regency. It is recommended to the sub-district head of Pidie sub-district to send an outstanding midwife to school in each village in order to meet the needs of midwives who live in the village..

Diabetes Mellitus (DM) or what is commonly called diabetes is a chronic metabolic disorder caused by the insulin hormone in the body which cannot be used effectively to regulate blood sugar balance, thereby increasing the concentration of sugar levels in the blood. The aim of this community service is to increase community knowledge regarding diabetes mellitus. The benefits of community service activities are providing education about diabetes. The location of the community service activities is at BTN Bukit Permai in the Kerka Community Health Center Unit 1 Sumbawa area. This community service activity has been carried out well involving public health students and nursing students, in carrying out outreach activities to the community with the title "Productive Healthy Living Free of Diabetes with Health Education about Diabetes Mellitus in the Pkm Unit 1 Sumbawa Working Area" on Saturday 29 June 2024

Article 37 Minister of Health Regulation No. 06 of 2012 regulates the prohibition of the use of medicinal chemicals in traditional medicine, however in the field traditional medicines are still found that contain medicinal chemicals. In the 2022-2023 period in Surakarta, 571 items of traditional medicine were found containing medicinal chemicals. The problem that will be discussed in this research is how to regulate the circulation of traditional medicines containing medicinal chemicals and forms of consumer protection for traditional medicines containing medicinal chemicals in Surakarta. This research is empirical research using a sociological and legislative approach. This research is qualitative in nature where data is collected through interviews which are then analyzed descriptively. From the research results, it was concluded that there are regulations regarding the distribution of traditional medicines, but these regulations have not been effectively implemented in the community. Apart from that, it is known that the POM Center in Surakarta has provided legal protection for consumers of traditional medicines containing medicinal chemicals. The form of protection provided is in the form of pre-market and post market regarding the distribution of traditional medicines, apart from that it also provides sanctions to producers who violate the provisions.

Tebing Tinggi is experiencing rapid development, with the youth population becoming an important asset because they will be the next generation in shaping the quality of life in the future. This study aims to design a youth center that can be a place for recreation and develop talent interests through various activities for teenagers so they can grow in a positive and healthy environment both indoors and outdoors. The research method used is a quantitative approach, where a survey is carried out using a questionnaire and also concept exploration by collecting information which includes a literature review and analysis of related case studies. Next, the collected data is analyzed to produce a design concept. The theme raised is metaphorical architecture to create architecture that symbolizes inspiration, creativity and collaborative growth with teenagers. The research results found that the design aspect involved the use of symbols and creative elements that convey messages, as well as paying attention to symbolic meanings that could inspire teenagers. Symbolic principles communicate positive messages, provide unique experiences, and allow for flexibility in the use of space. Symbolic architecture is applied through the metaphor of nerve cells, with the concept of togetherness and unity where the building and outdoor space are connected to each other, thereby optimizing outdoor space to avoid negative space and creating connections for visitors. The nerve cell metaphor is applied to the shape of the building which can be seen through the facade and bird's eye view with the presence of a plaza in the site plan and easy access to reach the entire building with the pavement around the site. Apart from that, transparent material is also an architectural element that is used to create a connected visual impression.

Flies are vectors for disease transmission, especially mechanically and through their vomit and feces. Items, especially food, are usually contaminated by human feces, rubbish, the saliva of sick people, scars from animal carcasses and other things that are covered in flies. Flies can throw feces on food so that the food becomes contaminated with fly eggs and larvae. Disruption of comfort, eyesore, itching of the skin, causing discomfort, decreased appetite. To determine the density and identification of flies in the Waiheru Perumnas market, Baguala District, Ambon City. Type of descriptive research that describes a condition based on observation and examination of the Ambon Environmental Health Engineering Center (BTKL) Laboratory. The aim of descriptive research is to describe the density and identification of flies in the Waiheru Perumnas market, Baguala District, Ambon City. Measuring the density of flies in the Waiheru Perumnas market, Baguala District, Ambon City is based on 3 points, 10 measurements at each point in the morning, at the first point (los fish) amounted to 87 flies, at point II (vegetable stall there were 55 flies and at point III (fruit stall) there were 45 flies. Identification of fly types resulted in 3 types of flies identified, namely Musca Domestica (house fly), Cliphora Sp (green flies) and Sarcophaga (meat flies). The density of flies in the Waiheru Perumnas market, Baguala District, Ambon City, based on the installation of fly grills based on the 10 highest points, was 187 flies and at the 5 highest points was 134 flies with 23 flies caught in the fly trap. From the results obtained, it can be seen that the density of flies is very high so it is necessary to deal with fly breeding sites and fly control measures.

In connection with the need for a financial information system, the Karangawen II Demak Community Health Center is a research object that requires such an information system. This is because in carrying out its operational activities, the Karangawen II Demak Community Health Center has not used an adequate financial information system so that track records of income receipts, shopping expenditures and financial balances have not been recorded properly. This of course has an impact on the smooth operational activities of the Karangawen II Demak Health Center and also has an impact on the assessment of current assets owned by the Karangawen II Demak Health Center. To overcome this problem, this financial information system will be developed on a web basis so that it is hoped that it can help the operational activities of the health center. 

This study aims to determine the relationship between health facility measures and reference service measures on the quality of service for patients participating in BPJS Health at the Sukodono Community Health Center, Sidoarjo. This research also aims to describe the quality of BPJS Health services at the puskesmas. The results of previous research show that the quality of BPJS Health services at the Sukodono Community Health Center still needs to be improved, especially in the aspects of waiting time, patient satisfaction and communication with health workers. This research uses survey methods and data to find out how the quality of BPJS Health services at the Sukodono Community Health Center and how health facility actions and referral service actions influence service quality. It is hoped that the results of this research can become a reference for improving the quality of health services provided by the Sukodono Community Health Center, so that people who use BPJS Health services can receive better and more effective services.

Public service is crucial for fulfilling community basic needs, particularly in healthcare. Puskesmas Porong, a healthcare institution in Sidoarjo District, serves as the primary focus of this study. With a vision to provide quality and professional healthcare services to the community, Puskesmas Porong plays a pivotal role as the primary healthcare center in Porong Subdistrict. Despite adequate facilities including 46 inpatient beds and coverage of 10 surrounding villages, challenges persist. High patient influx poses significant issues such as long waiting times for services, attributed to insufficient staff and resources. Moreover, limited community participation in providing feedback is a concern, hindering the identification of issues and optimal solutions for healthcare service improvement.This qualitative research aims to analyze healthcare service quality at Puskesmas Porong, employing interviews with key stakeholders including the head of the health center, medical staff, administrative personnel, and patients. Additionally, observation and documentation methods were utilized to gather comprehensive data on service provision, patient satisfaction, and facility conditions. Results reveal that while operational procedures are generally adhered to, discrepancies exist between management perceptions and patient experiences. Patients highlight shortcomings in BPJS utilization, medical equipment adequacy, and diagnostic accuracy, underscoring the need for targeted improvements to enhance service quality and community trust.

The factors that influence the nutritional status of children under five are very substantial to be studied. This aims to find out what factors are related so that power action and efforts to improve nutrition can be taken in the community. Because health is a form of human right which is explicitly mandated by the 1945 Constitution. Education and time for mothers and the health of parents, especially mothers, are one of the causes of malnutrition in toddlers. This study aims to determine the relationship between maternal characteristics and the nutritional status of children under five at the Padang Garugur Public Health Center, Padang Lawas Regency. The research procedure was by measuring body weight, mothers of children under five were given a nutritional status questionnaire. Data analysis using the Chi-square test showed that from 45 samples. The majority of children's nutritional status is good (77.8%). There is a relationship between mother's knowledge and nutritional status of children under five at the Padang Garugur Public Health Center, Padang Lawas Regency (p = 0.001). There is a relationship between maternal education and the nutritional status of children under five at the Padang Garugur Health Center, Padang Lawas Regency (p = 0.005). From the results of the study, it can be concluded that knowledge, , education of mothers are related to the nutritional status of children under five. It is recommended that all mothers continue to seek information about children's health, especially the procedure for providing nutritious food to toddlers."

The most common health problem suffered by the elderly is hypertension. In Indonesia, hypertension is in first place with the most problems experienced by the elderly, followed by arthritis, diabetes mellitus, heart disease and stroke. One non-pharmacological treatment that can be done is consuming Ambon bananas twice a day for 7 days. Objective: This research is to determine the effect of Ambon bananas on reducing blood pressure in elderly people with hypertension in the Tebing Tanjung Balai Karimun health center working area. This research design uses a Group Experimental with a Quasy Experiment design using a One Group Pretest and Posttest Design. The respondents in this study were 30 respondents divided into 15 intervention groups and 15 control groups. The sampling technique used was purposive sampling. Results: statistical paired sample t test showed p value = 0.000 (< 0.05) so Ho was rejected. This shows that there is an influence of consumption of Ambon bananas on reducing blood pressure in the intervention group. Conclusion: with this research, consumption of Ambon bananas can be used as a non-pharmacological therapy to lower blood pressure. Suggestion: Respondents should always apply non-pharmacological walking exercises to control blood pressure.

Satisfying excellent service will definitely have an impact on achieving a standard value of satisfaction for patients or service recipients. Patient satisfaction is the best assessment of the description of the diversity of service quality received by patients. This research was conducted with the aim of knowing the relationship between service quality and patient satisfaction at the general polyclinic at the Mamburungan Health Center, Tarakan City, by applying the RATER concept, namely responsiveness, assurance, tangible, empathy, and reliability. This research is descriptive quantitative using the Cross Sectional Study method conducted on 165 respondents, using a questionnaire, with the result that the quality of service is good, and patient satisfaction at the Mamburungan Health Center is satisfied. The results of the data analysis test Rho Spearman's P value (Sig. (2-tailed) 0.00 and α 0.05 which proves that there is a significant relationship between service quality and patient satisfaction in the general polyclinic at the Mamburungan Health Center, Tarakan City. It is hoped that the Mamburungan Public Health Center can further improve quality services by creating separate examination rooms so that patient privacy can be better maintained, not combining multiple services so that patient privacy and comfort can be increased, and building cleanliness, service rooms, tidiness, and the appearance of officers so that they can be further improved so that maximum patient satisfaction can be achieved.  

According to the Nort Sumatera Provincial Health Service, exclusive breastfeeding is given to babies 0-6 months were 20,394 with a percentage of 67%. This is experienced a decrease in 2018 in the percentage of exclusive breastfeeding in the province Nort Sumatera as much as 76%. This research aims to determine the relationship knowledge and attitudes of breastfeeding mothers towards exclusive breastfeeding in working area of ​​the Sultan Daulat Health Care Center, Sublussalam City in 2023.This research uses a population cross-sectional research method in this study were all mothers who had children aged 6-24 months which is in the Working Area of ​​the Sultan Daulat Health Center, Sublussalam City totaling 274 people. The sample in this study was 56 respondents with purposive sampling technique. This research instrument uses questionnaire. Analyze data using univariate, bivariate, multivariate.The conclusion from this research is that there is a relationship between mother's knowledge towards exclusive breastfeeding there is a relationship between age and exclusive breastfeeding. There is the most dominant factor in exclusive breastfeeding is age. It is hoped that health services should provide in-depth information increase exclusive breastfeeding.

According to the Nort Sumatera Provincial Health Service, exclusive breastfeeding is given to babies 0-6 months were 20,394 with a percentage of 67%. This is experienced a decrease in 2018 in the percentage of exclusive breastfeeding in the province Nort Sumatera as much as 76%. This research aims to determine the relationship knowledge and attitudes of breastfeeding mothers towards exclusive breastfeeding in working area of ​​the Sultan Daulat Health Care Center, Sublussalam City in 2023.This research uses a population cross-sectional research method in this study were all mothers who had children aged 6-24 months which is in the Working Area of ​​the Sultan Daulat Health Center, Sublussalam City totaling 274 people. The sample in this study was 56 respondents with purposive sampling technique. This research instrument uses questionnaire. Analyze data using univariate, bivariate, multivariate.The conclusion from this research is that there is a relationship between mother's knowledge towards exclusive breastfeeding there is a relationship between age and exclusive breastfeeding. There is the most dominant factor in exclusive breastfeeding is age. It is hoped that health services should provide in-depth information increase exclusive breastfeeding.

Health services in Indonesia are one of the many components of the health system that have direct contact with the community. The quality of health services is so important because it makes it easier for people to carry out health checks. Patient satisfaction can also be obtained from the quality of health services received from the health center. The quality of services provided to service recipients can affect their satisfaction with the health services provided by service providers. This study aimed to determine the relationship between each dimension of the quality of health services and patient satisfaction at the Sail Health Center in Pekanbaru City. This research is included in quantitative research with an analytic survey and cross-sectional study approach. The number of samples in this study was 95 outpatients at the Sail Health Center in Pekanbaru City. According to the statistical results of the Fisher's Exact test, there is a relationship between the quality of health services and outpatient satisfaction at the Sail Health Center, Pekanbaru City. Suggestions that can be given are the allocation of health workers by duties and responsibilities, such as the number of health workers by duties and responsibilities and the need for Puskesmas Sail to conduct regular patient satisfaction surveys to evaluate the quality of services at Puskesmas Sail.

Pregnancy is a special condition for a woman as a prospective mother, because during pregnancy there will be physical changes that affect her life. During pregnancy there will be many changes, both physical, social and mental changes. Pregnant women must have adequate nutrition, because the nutrition obtained will be used for themselves and their fetuses. For pregnant women, basically all nutrients require additional, but what is often lacking is protein energy and some minerals such as iron. This study aims to determine the Factors That Influence Pregnant Women in Carrying Out Breast Care at the Aramo Health Center UPTD in 2023. This type of research is an analytical survey study with a cross-sectional method approach. The population is pregnant women with a total of 52 people in April-May 2023. The number of samples used was 52 people obtained using the Total sampling technique. The data analysis technique uses chi square. the results obtained in this study were from 42 respondents, there was a Relationship between Education and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.032 <0.05. there was a Relationship between Age and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.024 <0.05. there was a Relationship between Parity and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.021 <0.05. there was a Relationship between Knowledge and Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.021 <0.05. there was a Relationship between Attitudes towards Breast Care at the Aramo Health Center UPTD in 2023 showing that the p value = 0.021 <0.05. It is recommended for Health Workers to increase counseling related to Breast Care.

Kosambi Maternal and Children Center is a basic and specialized medical services with specialization in maternal and Child Services that seeks to maintain consumer loyalty by improving the quality of services and seeks to maintain consumer satisfaction in maternal and Child Health Services. This study aims to analyze the effect of service quality variables on customer satisfaction variables and their implications on customer loyalty Kosambi Maternal and Children Center. Data processing in this study using the method of Partial Least Square (PLS) with the help of SmartPLS. This study uses a quantitative approach. The method used is a survey method through questionnaires that are distributed digitally through google forms. The samples used in this study were 92 respondents taken from Kosambi Maternal and Children Center patients at random. The results of this study showed that the effect of customer satisfaction has a significant effect on customer loyalty with a T-statistic value of 7.426 ≥ 1,96 or p values of 0.000 ≤ 0,05. The quality of Service has a significant effect on customer satisfaction with T-statistic value of  5.435 ≥ 1,96 or p values of 0.000 ≤ 0,05. Service quality significantly affects customer loyalty with t-statistic value of 2.993 ≥ 1,96 p values of 0.003 ≤ 0,05.