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Posyandu for the elderly is a form of public health service that aims to improve the health and quality of life of the elderly. However, the utilization rate of Posyandu for the elderly is often not optimal. One of the influencing factors is family support. Family support is a form of assistance provided directly by the family to the elderly, including informational, emotional, instrumental, and appreciation. This study aims to determine the relationship between family support for the elderly and the utilization of Posyandu for the elderly. The design or method of this study uses an analytical survey design with a cross-sectional study method approach. The population in this study were elderly people who live in the Lembang Community Health Center Working Area with a sample of 80 respondents based on predetermined inclusion criteria. Data collection using questionnaires and observations. Univariate analysis is presented using a frequency distribution table while Bivariate analysis uses a chi-square test. The final result obtained a P value = 0.000 with a significant value of α = 0.005 through the Chi-square test. Since the P value <α, it is statistically concluded that there is a relationship between family support for the elderly and utilization of the Posyandu for the elderly in the Lembang Community Health Center work area. It is recommended that health workers be more active in providing education and motivation to elderly families regarding the importance of support in utilizing Posyandu for the elderly. Furthermore, health workers need to increase the socialization of Posyandu activities, conduct home visits for less active elderly people, and establish good communication with families so that they play a greater role in supporting elderly participation in Posyandu for the elderly.

Background: Tuberculosis is an infectious disease that can attack all levels of society. The main step in treating pulmonary TB is to obediently take medication. Anti-pulmonary TB medication requires quite a long time so there needs to be support from the family to support patient compliance in undergoing the treatment process.  Method: This type of research is correlation analysis with a cross sectional research design. This research was conducted at the Sei Suka Health Center in September - October 2023. The population in this study were all pulmonary tuberculosis patients at the Sei Suka Health Center, Batu Bara Regency, North Sumatra. The sampling technique in this research was total sampling so that a sample of 53 people was obtained. Analysis using the chi-square test. Results: Compliance with taking medication for pulmonary TB patients has a significant relationship with instrumental support, information support, appreciation and emotional support with a significant value of p=0.010 so p<0.05. Conclusion: that there is a relationship between instrumental support, information support, appreciation and emotional support with medication adherence in pulmonary TB patients in the Sei Suka Community Health Center Working Area.

The function of Fe tablets is to act as one of the components in forming myoglobin (a protein that carries oxygen to muscles), collagen (a protein found in bones). In pregnant women, iron plays an important role in fetal growth. This study aims to determine the relationship between husband's knowledge and support and compliance with pregnant women consuming Fe tablets at the Kampung Mesjid Community Health Center, Kec. Kualuh Hilir in 2023. This type of research is an analytical survey with a cross-sectional research design. The population is all pregnant women at the Kampung Mesjid Community Health Center, Kec. Kualuh Hilir in 2023 as many as 40 people. The number of samples used was 40 people obtained using total sampling techniques. The data analysis technique uses chi square. The results obtained in this study were that 24 respondents (84.4%) had good knowledge of compliantly consuming Fe tablets and 24 respondents (60%) had good husband support for compliantly consuming Fe tablets among pregnant women. Based on the chi square test results, there is a relationship between knowledge and compliance with pregnant women consuming Fe tablets with a P value = 0.002 < 0.05, there is a relationship between husband's support and compliance with pregnant women consuming Fe tablets with a P value = 0.008 < 0.05. The conclusion is that there is a relationship between husband's knowledge and support and pregnant women's compliance with consuming Fe tablets. It is recommended that pregnant women increase their compliance in consuming Fe tablets during their pregnancy to maintain the health of themselves and their womb.    

Anemia is one of the problems in adolescents in Indonesia. Anemia is more common in female adolescents than male adolescents. The purpose of this community service activity is to determine the level of adolescent knowledge about anemia and the importance of preventing anemia. The methods in community service activities include providing pretests and posttests, health education about anemia, the importance of preventing anemia. Community service activities use media in the form of leaflets, powerpoint presentations and videos. Knowledge measurement with questionnaires. This activity was carried out at Mts Al-Muhajirin Ambon class IX with 45 students. The results of the activity showed an increase in knowledge based on the results of the posttest, namely 73.4% of students had good knowledge about anemia. In conclusion, health education for adolescents through leaflets, powerpoint presentations and videos can increase knowledge for adolescents at Mts Al-Muhajirin Ambon. This activity needs to be improved by coordinating with the school and local health center to carry out continuous follow-up activities. The need for the formation of peer groups or health information corners at schools in increasing efforts to prevent anemia in adolescents.

Dengue, or what people often call dengue fever, is a viral infectious disease that is transmitted through mosquitoes. The incidence of dengue has increased significantly worldwide in recent decades. Dengue has become a public health problem in the world, not only in Indonesia. In early 2020, WHO listed dengue as a global health threat among 10 other diseases. By the end of 2022 the number of dengue cases in Indonesia will reach 143,000 cases, dengue cases occur equally in women (49%) and men (51%). Most dengue cases occur in the 15-44 year age group (39%). This pattern is different from deaths due to dengue, which are more dominant in women (55%) and in the younger age group, namely 5-14 years (45%). Cases of Dengue Hemorrhagic Fever (DHF) in 2021 have doubled compared to the same period in 2020, which was only 41 cases. DHF cases in the city of Ambon have experienced a significant increase, as of June 2021 there were 81 cases of dengue fever recorded with 2 patients dying. The highest number of dengue fever cases was in Sirimau sub-district with 43 cases, followed by Nusaniwe with 18 cases, Baguala with 11 cases, South Leitimur with 6 cases, and Teluk Ambon sub-district with 3 cases. Based on data from the Tulehu Community Health Center, Salahutu District, Central Maluku Regency. There were 11 cases of dengue fever from 2022 to September 2023. Among them, there was 1 case of dengue fever in RT 002 Al-Muhajirin Hamlet, Tulehu Village, Salahutu District, Central Maluku Regency. The type of research used in this research is descriptive research to calculate the percentage of houses positive for Aedes aegypti and calculate the density of larvae in water reservoirs inside and outside people's houses in RT 002 Al-Muhajirin Hamlet, Tulehu Village, Salahutu District, Central Maluku Regency. The results of the research that has been carried out show that RT 002 Al-Muhajirin Hamlet, Tulehu Village, Salahutu District, Central Maluku Regency, the HI index has a Density Figure (DF) of 8 so it is in the high density category, while the CI Index has a Density Figure (DF) of 9 so it is in the high density category.

The Covid-19 pandemic makes it difficult for breastfeeding mothers, particularly working mothers, to provide breast milk for their children. Objective: This study aims to determine the factors that influence exclusive lactation among working mothers during the Covid-19 pandemic. Method: This research employed a cross-sectional analytic design. This study's sample consisted of 60 working mothers with infants aged 6 to 12 months who met the inclusion criteria and were selected using a method of purposive sampling. Using a questionnaire, information was gathered between January and April of 2023. The data were then subjected to univariate, bivariate (chi-square), and multivariate (logistic regression) analyses. Result: During the Covid-19 pandemic, the variables education level (p 0.031), knowledge level (0.004), work duration (p 0.010), breastfeeding facilities at work (p 0.001), family support (p 0.040), and health worker support (p 0.012) were significantly related to exclusive breastfeeding among working mothers in Puskesmas (Primary Health Center) Trowulan work area. Age, social culture, and husband's support do not correlate with exclusive breastfeeding (p>0.05). Conclusion: After controlling for other variables, the most influential factors in providing exclusive lactation to working mothers during the Covid-19 pandemic are support from health workers, breastfeeding facilities, and work duration.

The number of stunted toddlers in the city of Palembang in 2021 will be 992 and 555 stunted toddlers in 2022. In 2023 the number of stunted toddlers will be 437 stunted toddlers. Meanwhile, the number of stunting cases at the 1 Ulu Community Health Center at the end of 2023 was 30 toddlers and in February 2024 the number of stunting toddlers was 30 toddlers (Palembang City Health Office Data, 2023). The data analysis used in this research is univariate analysis to get a picture of the distribution. and proportions of all variables studied, and bivariate analysis to determine the relationship between the independent variable and the dependent variable was carried out using the Chi Square statistical test. Multivariate analysis is used to determine the most dominant determinant factors. From the results of the Chi-Square test, it was found that the variables IMD, Exclusive Breastfeeding, LBW, Diarrhea were related to the incidence of Stunting in children under five and from the results of the multivariate analysis the variables that were significantly related to Stunting were the factors IMD, Exclusive Breastfeeding and Recurrent Diarrhea. The results of the analysis obtained (OR) from the exclusive breastfeeding variable is 6.821, meaning that children under five who do not receive exclusive breast milk have a 6.821 times risk of experiencing stunting compared to toddlers who receive exclusive breast milk. children under five, the results of the analysis obtained (OR) from the exclusive breastfeeding variable is 6.821, meaning that children under five who do not receive exclusive breast milk are 6.821 times more likely to experience stunting compared to toddlers who receive exclusive breast milk. Providing education to the community about nutrition for toddlers in the first 1000 days for preventing stunting.

One of the efforts made to reduce MMR is the Antenatal Care (ANC) examination program which is mandatory for pregnant women. Antenatal care (ANC) is a planned program in the form of observation, education and medical treatment for pregnant women, to achieve a safe and satisfactory pregnancy process and preparation for childbirth. The aim of this research is to determine the factors that influence the behavior of pregnant women in the use of Antenatal Care (K4) services in the Pancur Batu Community Health Center Work Area in 2023. This research uses a descriptive analytical design using quantitative methods with a cross sectional research design approach. The number of samples in this study was 62 respondents. The conclusion of this study is that there is a relationship between maternal knowledge of integrated antenatal care, p = 0.010 (p < a or 0.010 < 0.05). There is a relationship between the Role of the Family in Integrated Antenatal Care, p= 0.001 (p < a or 0.001 < 0.05). It is recommended that pregnant women pay more attention to their pregnancy, namely by making regular integrated antenatal care visits so that the mother's pregnancy can be monitored by health workers.

The postpartum period is the period after the birth of the placenta and lasts until the uterus regains its pre-pregnancy size known as the postpartum period. The postpartum period is the time after the placenta is born until the reproductive organs recover. That lasted for about six weeks. The aim of this research is to apply physiological post partum midwifery care to Mrs "R" on the 14th day at the Takalala Community Health Center. The care provided uses Varney's 7 Step Midwifery Care Management and forms of documentation via SOAP. The case study conducted on Mrs "R" explained that there were no difficulties when implementing Varney's 7 Step Midwifery Care Management approach. So, it makes it easier for caregivers to solve problems related to this. The form of midwifery care provided to Ny'R" includes taking anamnesis on the mother, carrying out a physical examination, and providing counseling to the mother and family, in this case to Ny"R: regarding the effective care of ruptured perineal suture wounds. This case study uses a descriptive observational method with a Continuity of Care approach. The subject is Mrs "R" post partum mother on day 14. How to collect anamnestic data, observation, examination and documentation. Next, compare the data obtained with existing theory.

Birthball or birth ball can be used by mothers in the first stage of labor which is useful for helping the progress of labor. The advantages of using a birthball are that it can increase blood flow to the uterus, placenta and baby, and can increase the pelvic outlet, provide comfort for the knees and ankles, provide counter-pressure on the perineum and thighs, work with gravity that pushes the baby down so that it accelerates the process of opening and lowering the baby's head and the labor process can take place physiologically. This study aims to determine the Effect of Birthball Therapy on the Progress of Labor in the First Stage of Labor in Mothers in Bangun Rejo Health Center, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province. The research design used is the Quasy Experiment Method (Experiment). By using the Two Group Design design, in this study the population was all mothers in labor as many as 20 people using the Mann-Whitney Test. The results of the study using the Man Whitney test to see the comparison between the intervention group and the control group obtained a sig value of 0.029 or <0.05 with a z table value of 2.189. So H0 is rejected and Ha is accepted, which means that there is an effect of birthball on the progress of the first stage in mothers who are given birthball therapy and those who are not given birthball therapy at Pustu Bangun Rejo, Tanjung Morawa District, Deli Serdang Regency, North Sumatra Province. It is hoped that the research site will become a forum and facilitator for mothers in labor in facing a comfortable and enjoyable labor process in going through a shorter first stage.

ABSTRACT Background: Indonesia is one of the top five countries with the highest number of elderly people in the world. The Central Bureau of Statistics in 2017 stated that in a period of five years, the percentage of the number of elderly people in Indonesia had doubled, namely to 8.97% (23.4 million). The government has anticipated an increase in the number of elderly groups by holding an Integrated Service Post (Posyandu) for the elderly which is fostered by the Community Health Center (Puskesmas) spread across various regions in Indonesia. The purpose of this study was to describe the level of family knowledge about the elderly posyandu in Petak Village, Gianyar. Methods: This study uses descriptive research methods. The population in this study were families who have elderly people, and the sample in this study amounted to 83 people. The sampling technique used in this study was purposive sampling. The instrument used by the researcher was a questionnaire consisting of 20 questions. After the data from the questionnaire were collected, the data was coded first, after that it was processed / processed in IBM SPSS Statistics version 24. The inclusion criteria of this study were the head of the family / family member who lives in the Petak Village based on ID card, is willing to be a respondent, has the elderly aged 60-74 years, and the exclusion criteria were uncooperative families and did not allow data collection (illness). Results: The results of the study of 83 respondents, namely the level of family knowledge about the elderly posyandu mostly in the good category. Knowledge in the good category is 83 respondents (100%), the moderate category is 0 respondents (0%), and the poor category is 0 respondents (0%). Based on the characteristics obtained, most of the respondents were aged 36-45 years (45.8%), male gender (50.6%), last education was primary school (36.1%), and worked as farmers (57.8%). Conclusion: The level of family knowledge about elderly posyandu in Petak Village, Gianyar is mostly in the good category, as many as 83 respondents (100%).

Nausea and vomiting or emesis gravidarum are symptoms that commonly occur in pregnant women in the firs trimester and are physiological, caused by hormonal changes in pregnant women. The purpose of this study was to determine the effectiveness of giving red ginger water to reduce the frequency of emesis gravidarum in first trimester pregnant women. One Group Pre-Post Test Design research design. The research was conducted in Februari - July 2024 in the working area of the Jabon Public Health Center Jombang. The sample was 60 respondents selected with purposive sampling technique. The instrument used to measure emesis gravidarum is The Rhodes Index Nausea, Vomiting and Retching. Bivariate analysis using the Mann-Whitney test. The average difference in the frequency of emesis gravidarum before and after the intervention of red ginger extract was 3.01 and cardamom water was 2.91. The results of the Mann-Whitney test in which the intervention pretest and posttest intervention pairs of giving red ginger were a p value of 0.000 <0.05. Giving red ginger  intervention is effective in reducing the nausea of emesis gravidarum significantly in reducing the frequency of emesis gravidarum.

. According to WHO (2019) TB mortality rate (AKI) in the world namely 303,000 people. Maternal   Mortality Rate (MMR) in ASEAN (2020), namely amounting to 235/100,000 live births. Based on data from the Ministry of Health Figures Maternal mortality (MMR) in Indonesia in 2020 was 4,627 deaths. Data Health Department (2021) MMR 62 cases. Data from Kaliwadas Community Health Center (2022) MMR 0 case. The aim of this research was to reduce maternal and infant morbidity and mortality rates in Brebes district, especially the Kaliwadas Community Health Center area. This research method is qualitative research, namely a research method carried out by exploring, describing and explaining and predicting a phenomenon that occurs on the basis of it in the field. The results of this research are after carrying out comprehensive midwifery care in Mrs. S is 42 years old with risk factors: age, anemia and CED at the Community Health Center Kaliwadas from the third trimester of pregnancy, childbirth, newborns, postpartum and family planning using Varney and midwifery approaches SOAP found gaps between theory and practice.        

Community Health Centers (Puskesmas) are the main place for the public to get basic health services. In certain conditions, the Health Center will receive visits from patients who arrive with the same number of origins at the same time. This has an impact on health services experiencing a decline and not maximizing the health of health workers in checking patients' health. So, comprehensive services are not obtained, and there are even patients who queue for too long. In order to minimize this occurrence, simulations are carried out to predict the number of possible visits that will occur in the future. The method used in this study is Monte Carlo. This research is intended so that the information provided by the Health Center related to the prediction of the number of patient visits that are likely to occur in the next year or in the future can be done validly and accurately. The data used is data on the number of patient visits in 2021, 2022, and 2023. As a result of this study, a prediction of the number of patient visits was obtained so that the Health Center could implement the next action that was useful for improving the quality of services needed    

Cervical cancer is very dangerous because it can result in death, so it needs serious attention. One of the efforts to prevent cervical cancer in women of fertile age (WUS) is by conducting a visual inspection of acetic acid (IVA) test. This study aims to determine the factors that influence the low number of IVA examinations at the Margorejo Pati Community Health Center. Cervical cancer is the fourth highest cancer in women with an estimated 570,000 new cases in 2018 which represents 6.6% of all female cancers. The high mortality rate from cervical cancer globally can be reduced through prevention, early diagnosis, effective screening and treatment programs. As of 2016, VIA coverage in Indonesia was 4.34%, which is still far from the national target of 10% at the end of 2015. In Indonesia, cervical cancer is still the cancer with the second largest number of sufferers after breast cancer. The incidence of new cases of cervical cancer according to GLOBOCAN data, 2018 for women in Indonesia is around 32,469 cases (17.2%) with a death rate of 18,279 (8.8%). The Global Burden of Cancer Study (Globocan) from the World Health Organization (WHO) noted that the total cancer cases in Indonesia in 2020 reached 396,914 cases and the total deaths were 234,511 cases. According to the Indonesian Cancer Foundation (YKI), one of the causes of the high number of cancer cases in Indonesia is environmental conditions that continue to produce carcinogens, such as cigarettes, processed meat, etc. Other causes that also influence include the habit of staying up late, lack of exercise, and eating too much. As a form of cancer prevention and control in Indonesia, especially breast cancer and cervical cancer, the Ministry of Health has made several efforts such as early detection of breast cancer and cervical cancer in women aged 30-50 years using the Visual Inspection method with Acetic Acid (IVA).      

The phenomenon of globalization has transformed the world's landscape, connecting nations, and inspiring the concept of Special Economic Zones (SEZs). The utilization of Foreign National Health Workers (FHNWs) has become a strategy to address the shortage of medical personnel and enhance healthcare services, particularly in remote regions. However, the implementation of this policy also faces several ethical, cultural, and linguistic challenges. The ethical aspect takes center stage in the utilization of FHNWs. Patient rights, professionalism, and cross-cultural collaboration are crucial focal points in healthcare service practices. Despite its benefits, the utilization of FHNWs encounters communication hurdles, especially when the employed language is unfamiliar. Additionally, the integration of local cultural values becomes a pivotal aspect in delivering sensitive and patient-centered care. This paper analyzes policy documents related to the utilization of Foreign National Health Workers (FHNWs) in Indonesia through normative and predictive approaches. The objective is to comprehend the concepts and regulatory implementations concerning the ethics of FHNW utilization within the context of Indonesian healthcare services. The phenomena of globalization and efforts to expedite economic growth through Special Economic Zones (SEZs) have influenced these policies. The analysis involves various policy documents relevant to FHNW utilization. In facing the ethical dilemmas arising in the practice of healthcare services by foreign medical personnel, it is imperative for them to adapt to the local culture without compromising the principles of medical ethics. Moreover, competition within the job market and cultural disparities between foreign and local medical personnel also present challenges that need to be addressed. In dealing with competition, a holistic approach involving the government, relevant institutions, and professional training for local medical personnel is required. Overall, the utilization of FHNWs holds potential benefits in addressing medical workforce shortages and enhancing healthcare access. However, this utilization must be carried out with ethical responsibility, respecting patient rights, and considering cultural and professional aspects. With a prudent approach, the utilization of FHNWs can contribute to improving the quality of healthcare services and the well-being of local medical personnel, in line with ethical principles and national interests.    

The incidence of HIV transmission and AIDS infection in adolescents is increasing and is still one of the world's centers of attention in terms of health issues. Education is a process of providing health education about HIV-AIDS prevention in order to increase the knowledge and attitudes of adolescents. The aim of this educational program is to increase knowledge and attitudes towards HIV/AIDS prevention. Education is carried out at Madrasah Aliyah Negeri 4 Bantul Yogyakarta. The target of this education is teenagers, who in fact are class XI students at MAN 4 Bantul, totaling 73 people. The design of this activity is to carry out one measurement up front (pre test) before the treatment and after that another measurement is carried out (post test). In this activity, the non-parametric Wilcoxon test is used because the results of the data are not normally distributed. The results show that there is a significant increase in knowledge regarding HIV/AIDS prevention where the p value is 0.004 < 0.05, and there is no significant increase in attitudes towards HIV/AIDS prevention where the p value is 0.138 > 0.05.

The mother is the leader figure in a family who is responsible for managing the family's healthy food needs. Knowledge regarding hygienic food among PKK mothers in Papahan Village, Tasikmadu is still limited, because many of them come from underprivileged families and have less educational background, so basic knowledge from the family is not optimal (less attention is paid to it). This community service activity aims to provide understanding to PKK women about healthy and hygienic food, provide counseling to PKK women about the characteristics of healthy and hygienic food and provide awareness to the public not to buy food carelessly. The outreach method is carried out using the lecture method and explanations regarding healthy and hygienic food and contamination or bacterial contamination in siomai sauce from traveling sellers using posters and power points. The result of this community service activity is that PKK women understand about healthy and hygienic food as well as food that is contaminated or contaminated with bacteria, especially in the example of ten foods sold at the Solo Snack Center (Galabo). The conclusion of this community service activity is that PKK mothers can find out the benefits of healthy and hygienic food for the body and PKK mothers are aware to be more careful in buying food outside so that family health, especially school children, is more secure and mothers PKK mothers understand how to choose healthy and hygienic food for their families.  

Childbirth, also known as giving birth is a normal process prior pregnancy completion in women in their fertile period. Anxiety constitutes as a psychological disorder that affects childbirth process. This study aims to know the factors affecting the third trimester pregnant women’s anxiety level preceding the childbirth at Kuta Baro Public Health Center. This research designed under quantitative with analytical design, using cross sectional study method. The data collected through a questionnaire and conducted from March 6 to July 11, 2023. Population in this study was all third trimester pregnant women in Kuta Baro Public Health Center. The sample was 62 pregnant women chosen by using total sampling technique. Chi Square Test used to analyze the data. The results shows that pregnant women age with p-value 0,033, knowledge with p-value 0,088, education with p-value 0,054, and family support with p-value 0,003. In conclusion, age and family support have a significant correlation, while knowledge and education have no significant correlation to the anxiety level of third trimester pregnant women’s. This study suggests that the health officers add more programs and activities to socialize and educate the family by producing more detailed flyers and counseling on pregnancy disorders prior childbirth. Thus, the family support and their presence during the pregnancy to the childbirth process is also strongly recommended to reduce the anxiety level on pregnant women during their pregnancy.

Anemia is one of the nutritional problems in adolescents that can be prevented from an early age. Education on the role of nutrition in preventing iron deficiency anemia in young women is one of the efforts that can be made to provide accurate information regarding this problem. So that teenagers are more concerned about their health, especially what they consume and other habits that can increase the risk of anemia. This community service activity was carried out at Markaz Tahfiz Alquran Alfityan School Banda Aceh. This community service activity aims to provide education to female students about anemia and the role of nutrition in preventing iron deficiency anemia. Based on community service activities at Markaz Tahfiz Alquran Alfityan School Aceh, it was concluded that as many as 31 female students took part in activities providing education on the role of nutrition in preventing iron deficiency anemia in young women. Based on verbal and written observations and evaluations, female students were able to receive and understand the material well, there was an increase in knowledge of 2.4 points. Based on the results obtained from this activity, it is recommended that adolescent health promotion be carried out more intensively in education centers.