Patient safety is one of the main components in determining the quality of hospital services. Every hospital is required to minimize incidents that may harm patients. Among various patient safety incidents, falls in children rank second after medication errors, making them a serious issue that requires attention. This study aims to evaluate the relationship between nurses’ motivation and compliance in conducting fall risk assessments with the incidence of falls among pediatric patients in the inpatient ward of QIM Hospital Batang. This study employed a descriptive quantitative design with a correlational approach. A total of 44 nurses who met the inclusion criteria were recruited as respondents. Research instruments included a motivation questionnaire, an observation sheet on compliance, and records of patient fall incidents. Data were analyzed using the Spearman Rank test to measure the strength of the relationship between variables. The findings showed that most respondents (84.1%) had a high level of motivation, and all nurses (100%) demonstrated full compliance in performing fall risk assessments according to standard operating procedures. During the study period, no cases of pediatric falls were reported in the inpatient ward, indicating the effectiveness of fall risk assessment implementation. Statistical analysis produced a p-value of 0.011, indicating a significant relationship between motivation and nurses’ compliance. These findings emphasize that work motivation plays an important role in maintaining nurses’ consistency in adhering to safety procedures. Motivation can be enhanced through managerial support, continuous training, and the establishment of a strong patient safety culture, thereby reducing the risk of falls and improving the overall quality of healthcare services.
Posyandu plays a crucial role in improving community health, particularly in monitoring the growth and development of children during the golden age. However, limitations in the knowledge and skills of Posyandu cadres are still frequently found, especially regarding anthropometric measurement of toddlers. This study aims to examine the effect of the flipped classroom educational method on the knowledge improvement of Posyandu cadres in anthropometric measurement of toddlers in Bumiharjo Village. This research employed a quasi-experimental design with a pretest-posttest control group. A total of 38 respondents were recruited and divided into two groups: the intervention group, which received education using the flipped classroom method, and the control group, which did not receive the same treatment. Data analysis was conducted using the Wilcoxon Signed Rank Test, Mann Whitney U Test, and ANCOVA to control for baseline differences. The results showed a significant improvement in knowledge in the intervention group after treatment (p=0.000), with the proportion of respondents in the “good” knowledge category increasing from 5.3% to 36.8%. In the control group, improvement was observed but limited (p=0.003), with no respondents reaching the “good” category. The Mann Whitney test indicated significant differences in posttest scores between the groups (p=0.000). Furthermore, ANCOVA analysis confirmed that after controlling for pretest scores, posttest scores remained significantly different (F=6.771; p=0.013). In conclusion, the flipped classroom method effectively improves the knowledge of Posyandu cadres regarding toddler anthropometric measurement. This strategy can serve as an innovative and sustainable alternative for cadre training, ultimately enhancing Posyandu service quality in addressing nutritional and health issues among toddlers.
Fever in children, if not properly managed, can lead to several negative effects such as excessive fluid loss through evaporation, dehydration, seizures, decreased consciousness, and even death if left untreated. Non-pharmacological interventions to reduce fever include water tepid sponge therapy and cool patch therapy. This study used a quasi-experimental design with a pretest and posttest three-group approach. Respondents were divided into three groups: water tepid sponge, cool patch, and control. Data were analyzed using the Wilcoxon test and the Mann-Whitney test. The Wilcoxon test showed a significance value of 0.000 in the Water Tepid Sponge group, 0.000 in the Cool Patch group, and 0.002 in the control group. The Mann-Whitney test showed no significant difference between the pre-test body temperature of the Water Tepid Sponge group and the control group (p = 0.063 > 0.05), while a significant difference was found in the post-test (p = 0.000 < 0.05). For the Cool Patch group, there was no significant difference in the pre-test compared to the control (p = 0.672), but a significant difference was found in the post-test (p = 0.001). The Mann-Whitney test comparing the pre-test and post-test temperature differences between the Water Tepid Sponge and Cool Patch groups showed a significance value of 0.000. The mean rank for temperature reduction in the Water Tepid Sponge group was 35,27, while in the Cool Patch group it was 17,73. Both Water Tepid Sponge and Cool Patch therapies have an effect on reducing fever in pediatric patients in the Parkit Ward of QIM Hospital Batang. Water Tepid Sponge therapy is more effective than Cool Patch therapy in reducing fever.
Hospitalization in preschool children often causes anxiety due to several factors, such as unfamiliar environments, uncomfortable medical procedures, and separation from parents. This condition can negatively affect the child’s psychological state, which may influence both the healing process and adaptation during hospital care. Therefore, it is important to understand the description of anxiety experienced by children during hospitalization so that health workers can provide appropriate interventions. This study aimed to describe the anxiety caused by hospitalization among preschool children admitted to the Parkit Ward of Qolbu Insan Mulia (QIM) Hospital Batang. The study employed a descriptive quantitative design with a purposive sampling technique. A total of 65 preschool children aged 3–6 years who met the inclusion criteria were recruited as samples. The instrument used was the Spence Children’s Anxiety Scale (SCAS) Preschool Parent Report, which was completed by parents to assess the children’s level of anxiety. Data analysis was carried out using frequency distribution to present both the respondents’ characteristics and the level of anxiety. The results showed that most respondents were 5 years old (36.9%) and predominantly male (61.5%). A majority of the respondents had never been hospitalized before (63.1%), making hospitalization a first-time experience that could trigger anxiety. The highest proportion of anxiety levels was in the mild category (38.4%), followed by moderate anxiety (30.7%). Only a small proportion of children experienced severe anxiety. In conclusion, preschool children undergoing hospitalization in the Parkit Ward of QIM Hospital Batang mostly experienced mild to moderate anxiety. These findings provide an important overview for nursing staff in designing interventions to reduce children’s anxiety. Suggested approaches include play therapy, effective communication, and active parental involvement in the care process. With such strategies, it is expected that children’s anxiety can be reduced, making hospitalization a more adaptive experience that supports the recovery process.
Stunting is a chronic nutritional problem that impacts the physical growth and cognitive development of children, one of the causes is inappropriate parenting patterns such as exclusive breastfeeding, diet, and lack of nutritional fulfillment so that children are at risk of malnutrition. In Jember Regency itself, the high rate of stunting is a serious challenge for the government and the community that needs to be addressed. The selection of Gunungmalang Village as the location of community service is based on the high rate of stunting and early marriage as one of the causes of stunting. This community service activity began with training for Family Support Team (TPK) and Posyandu cadres, outreach to pregnant women, parents of infants/toddlers regarding the prevention and treatment of stunting, and a cooking demonstration of vegetable nuggets as an output of the activity by utilizing food ingredients that are easily available in the Gunungmalang community as an initial step to fulfill the nutrition of toddlers. This study uses a descriptive qualitative approach as a method from a case study of scientific paper research that describes factually and in detail related to the activities of the CINTA (Prevent Stunting and Increase Nutrition) work program. The objective of this scientific study is to implement a community service program through collaborative Community Service Programs (KKN) to prevent and address stunting in Gunungmalang Village. Data collection techniques used triangulation (observation, interviews, and documentation). This study demonstrates that the implementation of the community service program has a positive impact on increasing community awareness and changing behavior regarding stunting
This study examines the political reconstruction of fair juvenile criminal law in the diversion mechanism at the investigation stage in Indonesia. The background of the research departs from the gap between the empirical conditions (das sein) and the ideal conditions (das sollen) mandated by the Law on the Juvenile Criminal Justice System UU SPPA and the principle of the best interest of the child in the Convention on the Rights of the Child. The research method used is normative legal research with legislative, case, and comparative approaches. The results of the study show that the implementation of diversion faces obstacles in substance, structure, and legal culture: procedural uncertainty, limited capacity of apparatus, lack of supporting facilities, and weak coordination across institutions. This research offers a reconstruction of legal politics in these three domains at once substance, structure, and culture so that diversion truly becomes an instrument of restorative justice that restores, not punishes. The scientific contribution of this article lies in the formulation of a multi-layered policy model, the elaboration of performance indicators for the implementation of diversion at the investigation stage, as well as a matrix of operational recommendations for stakeholders at the police, prosecutor's office, court, and child social service institutions.
This study aims to explore the ways in which Islamic Religious Education (PAI) influences the moral growth of Tamanayu 01 Elementary School pupils. Given the difficulties presented by the digital age and shifting societal norms, moral development has become an essential part of basic education. This study combined a case study methodology with a qualitative technique. Observation, in-depth interviews, and documentation with the administrator, parents, instructors, and children were used to collect the data. The findings demonstrated that Tamanayu 01 Elementary School's implementation of PAI was done in a comprehensive way by incorporating Islamic values into the curriculum, holding regular religious events like congregational prayer and sermons, and encouraging teacher cooperation to create a religious school culture. In addition to cognitive dimensions, learning also addressed pupils' emotive and psychomotor aspects. Significant supporting factors included the commitment of the principal and teachers, family and community support, and the availability of infrastructure. However, the process of moral formation also faced obstacles such as limited time for PAI learning, the negative influence of social media, the diversity of student backgrounds, and limited resources. According to the study's findings, PAI plays a strategic role in forming students' personalities through an all-encompassing, contextual, and cooperative approach. It is anticipated that other elementary schools will use these findings as a guide when creating character education programmes based on Islamic principles.
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Malnutrition is a condition in which the body does not receive enough essential nutrients, such as protein, vitamins, calories, and minerals, which causes various health problems, especially wasting and stunting, making it a serious concern in children. According to the Basic Health Research, the prevalence of malnourished children in Indonesia remained stable at 17.8% between 2016 and 2017 but decreased to 13.8% in 2018. This case study focuses on a 23-month-old girl from Kuala Keureuto Village, who was observed for three weeks through home visits in 2025. The diagnosis of malnutrition was made in accordance with national guidelines outlined in the Indonesian Minister of Health Regulation No. 2 of 2020, regarding child anthropometric standards. Anthropometric measurements showed that the child's height was 78.3 cm and her weight was 8.8 kg. Based on these measurements, her nutritional status was assessed as follows: A height/age Z-score between -2 and -3 SD indicates stunting, a weight/age Z-score between -2 and -3 SD indicates underweight, while a weight/age Z-score below -2 SD and a BMI/age Z-score below -2 SD are considered well-nourished. After confirming the diagnosis, the patient received nutrition education, supplemental feeding, appetite-stimulating supplements, and growth monitoring. In addition, analyses were conducted to identify factors influencing her condition, concluding that the malnutrition observed in this 23-month-old patient was influenced by parenting behavior, parental knowledge, medical history, incomplete immunizations, and environmental factors.
Anomalous positioning is an abnormal position of the fetal vertex (with the small fontanelle as a marker) relative to the maternal pelvis. Oblique malposition is a cause of maternal mortality rate (MMR) of 3-10%. Obesity in pregnancy is a condition characterized by an imbalance between body weight and height. According to WHO data, the prevalence of obesity in 2021 was 340 million, with data in Central Java province reaching 6.62%. In Brebes Regency, the figure was 20.51% (2019). In the Bumiayu Community Health Center, data on obesity in pregnant women reached 63 in 2022. This study aims to provide comprehensive midwifery care for pregnant women, childbirth, postpartum, newborns, and family planning for Mrs. N, 23, with malposition and obesity. This study used a qualitative descriptive method with a comprehensive case study approach. Based on the comprehensive midwifery care provided to Mrs. N, 23, with malposition and obesity, the pregnancy outcome was found to be grade I. Her gestational age was not commensurate with her gestational age. Delivery was performed by vaginal delivery. No problems were found during newborn care up to 28 days. No problems were found during the postpartum period. Mrs. N chose intrauterine contraception (IUD) during pregnancy, but her husband did not allow it due to religious reasons. Appropriate midwifery care during pregnancy, childbirth, newborn care, postpartum care, and family planning is crucial for the health of both mother and baby. This allows early detection of risk factors, preventing potential complications, and reducing maternal and infant mortality.
This community service program aims to foster environmental awareness in students by training them to grow vegetables using egg shell waste. The activity was carried out at TPQ Sabilil Mustaqim, Metro City, as a response to the low ecological awareness among children and the underutilization of household organic waste. The method used includes initial observation, education based on Islamic values, and hands-on practice of planting vegetables using egg shells as media. The results show an improvement in students' understanding of the importance of environmental conservation, a positive attitude change such as avoiding littering, and the formation of a “Santri Planting Corner” as a sustainable ecological learning space. Additionally, this program successfully integrates Islamic values with environmental literacy through a simple yet effective practical approach. This approach not only builds ecological awareness in children from an early age but also offers a model that can be replicated in other religious educational institutions. The training has proven effective in connecting character education, environmental conservation, and community empowerment based on TPQ, contributing to the creation of a generation that is both environmentally conscious and morally upright.
The waste problem in Tamanan village is an issue that needs serious attention because of its impact on environmental pollution and public health. One of the main challenges is the low awareness of residents, especially elementary school children, in terms of good and correct waste management. A lot of waste is thrown carelessly without sorting, which results in a decrease in the quality of cleanliness and health of the village environment. This community service program aims to improve students' understanding and skills in waste management through a Participatory Action Research (PAR) approach for 40 days. This program involves students of MI Nurur Rahman and SDN Tamanan 1 as the main subjects. The activities carried out include socialization about the importance of waste management, the delivery of material on types of waste, as well as the practice of sorting organic, inorganic, and B3 waste. In addition, the installation of educational media in the school environment and evaluation monitoring were also carried out. The results of the evaluation showed that 73% of students were able to answer the quiz questions correctly ≥70%, which indicates their good understanding of waste management. Some students also began to implement the habit of separating waste at home and inviting families to participate. Support from village officials and the existence of educational media are expected to strengthen the sustainability of this program. Participatory approaches have proven to be effective in raising environmental awareness and can be implemented sustainably through collaboration between schools, communities, and village governments.
A workshop addressing the hazards of gadget usage in early infancy was conducted as community service at Posyandu ILP Kelinci, Keradenan Village, Banyuwangi Regency, East Java. This initiative aimed to enhance parents' awareness and understanding of the significance of gadget usage while equipping them with practical skills to assist their children in utilizing gadgets securely and constructively. The utilization of devices in early childhood can pose risks if not well monitored and restricted. This workshop activity must be undertaken to inform parents about the potential effects of devices on children. This program aims to educate parents and children about the advantages and dangers of gadget usage, along with strategies for prudent management. This workshop activity employs a hybrid approach, integrating lecture and question-and-answer techniques. Activity evaluation occurs both throughout the process and upon completion, concentrating on factors such as the attainment of objectives and the arrangement of activities. The method and results were evaluated through documentation. The assessment of the components of activity organization was conducted by observation. The success metrics for the execution of the workshop on the Dangers of Using Gadgets in Early Childhood employ two methodologies: (1) evaluation during the activity process, and (2) post-evaluation of workshop activities.
Immune Thrombocytopenic Purpura (ITP) is a bleeding disorder characterized by a low platelet count (<100,000/µL) caused by decreased platelet production or opsonization by antibodies, leading to platelet destruction by the reticuloendothelial system. ITP is one of the most common etiologies of bleeding disorders, especially in children. The prevalence of ITP in children is estimated to be around 1.9 to 6.4 cases per 100,000 children annually, while in adults, the prevalence is lower, at about 3.3 cases per 100,000 people per year. In the United States, the incidence of ITP is reported to be around 1.6 per 10,000 people annually. Clinical manifestations of ITP include petechiae, purpura, and/or ecchymosis, which are usually found on the upper and lower extremities. Mucocutaneous bleeding symptoms such as epistaxis and gum bleeding are also common in patients. These symptoms can vary depending on the severity of thrombocytopenia and individual responses to the condition. Diagnosis of ITP is made through a thorough medical history, physical examination, and rapid supportive tests to confirm the diagnosis and differentiate ITP from other conditions with similar symptoms. Proper and timely management is crucial to prevent further complications, including more severe bleeding or organ damage. With effective management, the quality of life of patients can be improved, and the risks associated with ITP can be minimized. Therefore, early detection and optimal management are key in addressing ITP, particularly in children who are more vulnerable to this bleeding disorder.
This community service research aimed to empower elementary school children’s creativity through fun, educational, and environmentally friendly activities. Conducted at Bimbel Arsal in Tolokan Village, the project focused on ecoprinting training on tote bags using local natural resources. The activity followed a three-stage implementation process: preparation, execution, and reflection. The preparation stage included coordination with tutoring teachers and the gathering of tools and materials. During the execution stage, children were introduced to ecoprinting and practiced the pounding technique with guidance from the KKN team. The reflection stage involved discussions, a question-and-answer session, and product evaluation. The results showed that the children successfully learned ecoprinting techniques, understood the environmental benefits, and expressed their creativity through unique and beautiful ecoprint designs on tote bags. Although challenges arose—such as difficulties selecting natural materials with strong color yields and technical issues during the beating process—the activity proceeded smoothly, thanks to the children’s enthusiasm, support from the tutoring center, and careful planning. Ultimately, the project proved effective in enhancing the children’s creativity, self-confidence, and environmental awareness. This activity not only empowered children but also contributed to promoting sustainable practices and fostering environmental consciousness among young learners. The success of the program highlights the importance of creative, hands-on learning activities in promoting both personal development and environmental responsibility.
Psychological violence against children remains a critical issue that is often overlooked because it does not leave visible physical injuries, yet its long-term consequences can significantly hinder children’s emotional, social, and academic development. Addressing this problem requires not only legal and institutional measures but also preventive efforts at the family and community levels. The Community Service Program (KKN) entitled “Safe Home Supporting Child Development” in Desa Nusawungu was designed as a community-based educational initiative to raise parents’ awareness of the importance of creating an emotionally safe home environment. The program was implemented through the Focus Group Discussion (FGD) method, which integrated structured material presentations, individual reflections using digital forms, and interactive group discussions. This combination allowed participants to gain knowledge, critically reflect on their own parenting practices, and share experiences with peers. The results revealed a notable increase in parents’ awareness of the detrimental effects of psychological violence on children’s well-being, their readiness to adopt positive parenting strategies, and their ability to identify challenges commonly faced in daily child-rearing practices. Moreover, participants expressed enthusiasm for sustaining similar activities in the future, highlighting the importance of continuous learning and the establishment of a parent learning community. The program demonstrated that simple, low-cost, and locally adapted interventions can effectively enhance parenting literacy, reduce the risk of psychological violence, and strengthen the developmental foundation of children during their golden age. These findings suggest that empowering parents through participatory education can serve as a replicable model for other communities facing similar challenges, thus contributing to the broader goal of ensuring children’s rights to grow in a safe and nurturing environment.
The low level of understanding among elementary school students regarding common diseases and their prevention can increase the risk of both communicable and non-communicable diseases from an early age. Therefore, effective health education efforts are essential to instill healthy habits in children. This community service activity aimed to improve the knowledge of elementary school students in the working area of Labuhan Sumbawa Public Health Center about common diseases and preventive measures through an interactive educational approach. The methods used included health counseling with visual media, engaging educational games, and small group discussions to encourage active participation. The activity was conducted in June 2025, involving 30 students from two elementary schools selected purposively. The educational content focused on dengue fever, diarrhea, influenza, helminthiasis, and acute respiratory infections (ARI), along with prevention strategies such as maintaining personal hygiene, consuming nutritious food, and the importance of immunization. Evaluation was carried out through pre-test and post-test assessments to measure the improvement in students’ understanding. The results showed a significant increase in students’ knowledge of the delivered material. Additionally, students demonstrated high enthusiasm and active involvement during the sessions, particularly in the educational games. These findings indicate that an interactive educational approach is effective in enhancing students’ understanding of disease prevention. This program is expected to serve as a model for sustainable health education in other elementary schools to prevent diseases from an early age and support the implementation of clean and healthy living behaviors within the school environment
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.
The development of information technology that is booming in Indonesia makes a lot of people interested in using gadgets, especially among school-age children. The existence of positive and negative impacts caused by the use of gadgets becomes a warning to always be vigilant in using gadgets. The study was motivated by a desire to find out whether gadget exposure in elementary school students has a relationship with diet, whether gadget exposure in elementary school students has a relationship with memory, and whether gadget exposure in elementary school students has a relationship with their physical activity. By using a quantitative correlation approach that seeks to ascertain the degree of relationship between variables. Random sample selection with the number of samples used as many as 62 fifth graders from SDN Kludan were selected to participate in this study. The data were collected using smartphone addiction index-short version (SAS-SV), semiquantitative food frequency questionnaire (SQ-FFQ), Digit span test, and Physical activity questionnaire for older children (PAQ-C). The results of the study explain that there is a significant relationship between exposure to gadgets with diet evidenced by the significant value of 0.000<0.05, and there is no significant relationship between exposure to gadgets with memory and physical activity with significant values of 0.124>0.05 and 0.157>0.05.
This research examines the legal safeguards for children born outside of marriage in Indonesia after the release of Constitutional Court Decision (MK) No. 46/PUU-VIII/2010, which represented a pivotal shift in national family legislation. Up until now, children born outside of marriage have frequently encountered bias and unfair treatment, both socially and legally. The Constitutional Court (MK) Decision No. 46/PUU-VIII/2010 marks an important advancement in enhancing the civil status of children born outside of marriage, establishing connections not just with their mother and her relatives, but also with their biological father if scientifically validated, for instance, via DNA testing. In this research, the author will examine how judges define legal protection for children born outside of marriage in light of Constitutional Court Decision No. 46/PUU-VIII/2010 and how this decision is executed in legal practices and everyday life, especially concerning the acknowledgment of rights for children born outside of marriage and the obligations of their biological fathers.This study uses a normative research method with a legislative approach and a case approach. Data was collected through library research covering primary, secondary, and tertiary legal materials, namely by collecting legal materials through studies of books, journals, legal research results, as well as various official institutional documents such as regulations and other literature relevant to the issues being studied. The research findings indicate that legal protection for children born out of wedlock needs to be further strengthened through legal reform, public education, and legal recognition and validation mechanisms, so that the basic rights of children can be optimally fulfilled in accordance with human rights principles and applicable laws and regulations.