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Data from the 2020 LFSP (Long Form Population Census) recorded a maternal mortality ratio of 189 per 100,000 live births, while the infant mortality rate was recorded at 16.85 per 1,000 live births. The causes of maternal mortality were hemorrhage, preeclampsia/eclampsia, infection, prolonged labor, and miscarriage. Meanwhile, the majority of infant deaths were due to low birth weight, asphyxia, and infection at birth. Stunting remains a particular concern in Tegal City. Various measures have been taken, and the stunting rate has decreased to around 13.8% according to data from early 2025. This PKM is expected to increase public knowledge on caring for pregnant women, women in labor, postpartum women, and newborns, as well as preventing stunting in children, thereby reducing maternal and infant mortality rates. The methods used in this activity include health education and outreach with a promotive and preventive approach, targeting pregnant women and mothers with infants and toddlers. Community service was held on Wednesday, December 17, 2025, from 8:30 a.m. to 12:00 p.m. at the Boegenvil Health Center in Cabawan Village, Tegal City, with 53 participants. The results of this activity showed an increase in the level of knowledge of the participants, from 11 people with a good level of knowledge to 41 people after receiving counseling, with 3 participants still having a low level of knowledge.

This study aims to assess the quality of patient care at the Emergency Unit of Sentani City Community Health Center, Jayapura Regency, by examining the experiences and perceptions of patients, their families, and healthcare workers regarding the service. The study used a qualitative approach with a descriptive design. Informants were selected using purposive sampling involving ER patients, their families, and healthcare workers involved in the ER service process at Sentani Community Health Center. Data were collected through in-depth interviews, non-participatory observation, and documentation studies. The data obtained were analyzed qualitatively through the stages of data reduction, data presentation, and conclusion drawing. The research analysis refers to seven dimensions of service quality, namely direct evidence (tangibles), reliability, responsiveness, assurance, empathy, service accessibility, and service systems and flows. The results of the study showed that service quality at the Sentani Community Health Center ER was in the fairly good category, especially the dimensions of empathy, reliability, and responsiveness of healthcare workers. Healthcare workers were friendly, responsive, and provided fair services without discriminating against patient backgrounds. However, a number of obstacles are still found that affect the optimization of services, including limited facilities and infrastructure, the number of health workers that is not commensurate with the service load, patient waiting times in certain conditions, the operating hours of the Emergency Room that are not yet 24 hours, and the low understanding of some patients regarding the applicable service system and flow.

Adolescence has problems, one of which is reproductive health. Factors that influence reproductive health include socioeconomic and demographic factors, cultural and environmental factors, psychological factors, and biological factors. This study aims to determine the factors related to the reproductive health of adolescents at SMPN 3 Pantai Raja, the working area of the UPT Pantai Raja Health Center (respondent characteristics, parental characteristics, adolescent knowledge, family support). This type of research is descriptive with a cross- sectional approach. The population is all seventh grade students at SMPN 3 Pantai Raja, the working area of the UPT Pantai Raja Health Center, grade VII in October 2025 with a sample of 59 people using total sampling. Data analysis uses descriptive data analysis and statistic chi square, namely explaining data about each variable. The results of the study showed that all (100%) were in the 35-49 age group, the majority (57.6%) had secondary education, the majority (59.3%) were employed, the majority (71.1%) had sufficient support, all (100%) were aged 11-14 years, almost all (81.4%) were female, and the majority (57.6%) had sufficient knowledge. The conclusion of this research is that there is a relationship between knowledge and support from parents of class VII students with a p-value of 0.001 and factors related to adolescent reproductive health influence each other to influence reproductive health during adolescence. Therefore, it is hoped that community health centers will increase knowledge and understanding, especially in providing services to adolescents, to provide more information about adolescent reproductive health.

Breast milk (ASI) is the best source of nutrition for newborns because it contains complete, safe, and stable nutrients, thus supporting optimal growth and development of infants. However, some breastfeeding mothers still do not fully understand the sufficiency of breast milk and its benefits for babies. Therefore, health education efforts are needed to improve the knowledge and understanding of breastfeeding mothers regarding breastfeeding. Health education is an educational activity aimed at inviting and encouraging the community to be willing to take actions that can maintain and improve health. This health education activity on the sufficiency of breast milk for breastfeeding mothers was held on January 24, 2026, at the Sungai Durian Community Health Center (UPTD). The method used in this activity was the delivery of material through health counseling accompanied by a measurement of the level of knowledge using pretest and posttest questionnaires. After the presentation of the material, breastfeeding mothers were asked to complete a posttest questionnaire to assess their understanding of the material that had been provided. The measurement results showed a significant difference between the pretest and posttest scores, indicating an increase in knowledge of breastfeeding mothers after being provided with health education. Thus, it can be concluded that health education activities about breast milk sufficiency are effective in increasing the understanding of breastfeeding mothers regarding the importance of providing sufficient breast milk for babies.

Stunting is a phenomenon of growth impairment experienced by infants and young children under 5 years of age, particularly toddlers aged 0–59 months. Based on Global Prevalence Data, approximately 21.9% to 22% of toddlers worldwide experience stunting. Several factors that contribute to stunting include breastfeeding and complementary feeding (MP-ASI) practices. This study aims to explore the association between experiences of exclusive breastfeeding and complementary feeding (MP-ASI) and the incidence of stunting among children in the Kampa Community Health Center area. The method used in this study was a cross-sectional approach. The study was conducted during the period of January 8–13, 2024, at the Kampa Community Health Center, involving toddlers aged 6–59 months, with a population of 1,576 toddlers. The sample consisted of 68 mothers who had stunted toddlers, measured using a height-for-age (H/A) Z-score of less than -2 standard deviations (SD). The sampling technique applied was total sampling. Data collection was carried out using a microtoise and questionnaires. Data analysis was performed using the Chi-square method. The findings showed a significant relationship between a history of exclusive breastfeeding and the incidence of stunting with a P value of 0.00 < 0.05, as well as a significant relationship between exclusive complementary feeding (MP-ASI) and the incidence of stunting in toddlers with a P value of 0.04 < 0.05. It is recommended that health workers organize counseling classes on lactation and conduct demonstrations on how to prepare complementary foods (MP-ASI), focusing on the use of affordable local food ingredients that are rich in animal protein. In addition, continuous training for community health cadres needs to be carried out to improve early detection through accurate anthropometric measurements, so that toddlers at risk of stunting can be promptly managed.

Maternal Mortality Rate (MMR) remains a major global health issue that requires serious attention. Based on the Indonesian Health Survey (Survei Kesehatan Indonesia/SKI), Indonesia’s MMR in 2022 was recorded at 195 per 100,000 live births and decreased to 189 per 100,000 live births in 2023. Although this decline indicates some progress, the figure remains far from the Sustainable Development Goals (SDGs) target of fewer than 70 maternal deaths per 100,000 live births by 2030. Therefore, various promotive and preventive efforts are needed to reduce MMR, one of which is by improving pregnant women’s compliance in attending antenatal classes. This study aimed to examine the relationship between pregnant women’s knowledge and family support and their compliance in attending antenatal classes in the working area of Sinaboi Public Health Center. This research employed a quantitative analytic method with a cross-sectional design. The total number of respondents was 136 pregnant women. The results of the univariate analysis showed that 78 respondents (57.4%) had good knowledge, 74 respondents (54.9%) received family support, and 106 respondents (78.0%) were compliant in attending antenatal classes. The Chi-square test results indicated a significant relationship between pregnant women’s knowledge and compliance in attending antenatal classes (p-value = 0.03), as well as a significant relationship between family support and pregnant women’s compliance in attending antenatal classes (p-value = 0.02). This study is expected to serve as a reference for health workers and future researchers in enhancing education and family involvement to encourage active and regular participation of pregnant women in antenatal classes.

This study aims to analyze the optimization of the Yoona Squad Leader wellness community program in strengthening the brand awareness of Yoona Women. The increasing awareness of feminine hygiene and the growing concern regarding the safety of menstrual products serve as the foundation of this research, considering that more than half of Indonesian women report irritation and discomfort related to conventional sanitary pad use (Manoppo, 2022; Putinah et al., 2020). In addition, laboratory findings by the Indonesian Consumers Foundation (YLKI, 2015) revealed traces of chlorine and dioxin in many commercial sanitary pads, indicating potential reproductive health risks. The study employed a descriptive qualitative approach through observation, interviews, and active participation in the marketing division of PT Yoona Digital Indonesia during August–December 2025. The findings show that the Yoona Squad Leader program effectively strengthens all stages of the 5A Customer Path—Awareness, Appeal, Ask, Act, and Advocate—as conceptualized in Marketing 5.0: Technology for Humanity (Kotler, Kartajaya, & Setiawan, 2021). Community-based engagement drives emotional bonding, advocacy behavior, and value-based loyalty through empathy-driven communication. This program successfully empowers women to become advocates for menstrual health awareness while reinforcing brand credibility and consumer trust. The study highlights the strategic importance of community-based marketing as a sustainable approach to building human-centered loyalty and enhancing brand equity in the digital wellness industry.

Postpartum depression (PPD) is a common and serious mental health disorder for mothers after givingbirth, which is a public mental health problem because it not only has a direct impact on the baby, but also on the family. The most common symptoms of PPD are overwhelming sadness, feelings of hopelessness and helplessness, moodiness, an inability to experience joy with the baby, serve anxienty, loss of appetite, poor concentration and memory, sleep disturbances, prolonged fatigue, and suicidal ideation (American Psychological Association, 2013). The design used in this study was quantitative by measuring the prevalence of postpartum depression in postpartum mothers using the EPDS form. The research was conducted at Gandapura Community Health Center, this location wa used as the research site because it had not been exposed at all regarding the use of the EPDS form as part of the initial assessment of midwifery services. A population is all elements that meet certain criteria for inclusion in a study. The population in this study was all postpartum mothers who gave birth in the obstetrics ward. The sample criteria in this study are divided into two, namely inclusion criteria and exclusion criteria. Conclusion: Postpartum guidance provided to mothers influences the risk of postpartum depression. Postpartum women who receive assistance are less likely to experience postpartum depression, and mothe who do not receive assistance are depression.

Bacillus Calmette–Guérin (BCG) immunization is a mandatory basic immunization that must be administered to infants before two months of age as a preventive measure against tuberculosis. Timely administration of the BCG vaccine is crucial to ensure optimal protection and to maintain continuity of subsequent immunization schedules. Maternal knowledge is one of the factors influencing the timeliness of immunization. The achievement of BCG immunization at Muara Fajar Community Health Center in 2025 was 76.1%, still below the annual target of 90%. This study aimed to determine the relationship between maternal knowledge and the timely administration of BCG immunization among infants aged 0–2 months in the working area of Muara Fajar Public Health Center, Pekanbaru City. This study employed a quantitative method with a cross-sectional design. A total of 59 mothers with infants aged 0–6 months were selected using accidental sampling. Data were collected through questionnaires assessing maternal knowledge of BCG immunization and the timeliness of BCG vaccine administration. Data analysis was conducted using the Chi-square test with a significance level of p<0.05. The results showed that most mothers were aged 26–35 years (59.3%), had a senior high school education (52.2%), and were housewives (71.2%). Nearly half of the respondents had low knowledge levels (47.5%), while 54.2% of infants received BCG immunization on time. The Chi-square test revealed a significant association between maternal knowledge and timely BCG immunization (p=0.001). This study concludes that maternal knowledge plays a crucial role in ensuring timely BCG immunization in infants.  

Background: The Maternal and Child Health (MCH) Book plays an essential role in enhancing pregnant women's knowledge of pregnancy health and labor preparation. However, its utilization remains suboptimal, which may affect a mother's readiness for childbirth. Objective: This study aims to analyze the relationship between pregnant women's knowledge of the MCH Book and their birth preparedness at the Mamajang Health Center in Makassar in 2025. Method: This research employs a quantitative design using purposive sampling with 86 pregnant women as respondents. Data were collected using a knowledge questionnaire about the MCH Book and a birth preparedness questionnaire. Data analysis was conducted using the Chi-Square statistical test. Results: The majority of pregnant women demonstrated good knowledge of the MCH Book (75.6%) and were categorized as prepared for childbirth (70.9%). Statistical testing indicated a significant relationship between pregnant women's knowledge of the MCH Book and their birth preparedness (p = 0.001). Conclusion: There is a significant relationship between pregnant women's knowledge of the MCH Book and their birth preparedness at the Mamajang Health Center in Makassar. Health workers are expected to enhance education and optimization of MCH Book utilization to support birth preparedness.

Toddlers are a critical age group 0–59 months who require optimal nutritional intake to support physical and cognitive growth and development. The quality of toddler feeding patterns is influenced by family socioeconomic factors, including income, education, and parental occupation. This study aims to analyze the relationship between family socioeconomic status and toddler feeding patterns in the working area of the Saritani Community Health Center, Boalemo Regency. This study used an observational design with a cross-sectional approach and involved 40 respondents selected using purposive sampling. Data were collected through structured questionnaires, interviews, observations, and secondary data from the Community Health Center, then analyzed using the Chi-Square test with a significance level of p < 0.05 . Results: Most families have middle (45%) and low (40%) socioeconomic status. Good feeding patterns are received by 55% of toddlers, while 45% have inadequate feeding patterns. The analysis shows a significant relationship between family socioeconomic status and toddler feeding patterns (p = 0.043). Families with low incomes and limited maternal education tend to provide food with less than optimal variety and nutritional content. Conclusion: Family socioeconomic status has a significant influence on toddler feeding patterns in Saritani.

Gastritis is a common gastrointestinal disorder that is influenced by both behavioral and psychological factors, including dietary patterns and stress. This study aimed to examine the association between dietary patterns and stress levels among patients with gastritis at a primary healthcare center in West Halmahera Regency. A quantitative analytical study with a cross-sectional design was conducted in November 2025. A total of 60 gastritis patients were recruited using a total sampling technique. Data were collected using structured questionnaires to assess dietary patterns and stress levels. Statistical analysis was performed using SPSS version 26. Descriptive analysis was used to summarize respondents’ characteristics, while the Chi-square test or Fisher’s exact test was applied to analyze the association between variables. The results showed that most respondents had unhealthy dietary patterns and experienced high stress levels. Dietary pattern was significantly associated with stress level (p = 0.038), whereas demographic characteristics were not significantly related to stress level. Patients with unhealthy dietary patterns were more likely to experience high stress. In conclusion, dietary pattern is significantly associated with stress levels among gastritis patients. These findings highlight the importance of promoting healthy eating behaviors as part of stress management strategies in primary health care settings.

Background: Compliance with routine infant immunization is essential for the success of vaccination programs and the prevention of vaccine-preventable diseases. However, adherence to immunization schedules remains suboptimal due to limited parental knowledge, concerns about vaccine safety, and the limited effectiveness of conventional health education. Audio-visual media offer a promising solution by delivering information in a more engaging, clear, and consistent manner. Objective: This study aimed to evaluate the effectiveness of audio-visual educational media in improving adherence to basic immunization among infants in the service area of the Rum Balibunga Community Health Center. Methods: A quasi-experimental design with a one-group pretest-posttest approach was used. The sample included 40 mothers with infants aged 0-12 months selected through purposive sampling. Participants received an educational video on basic immunization. Adherence was assessed before and after the intervention based on completeness and timeliness according to the national schedule. Data were analyzed using univariate and bivariate methods, with the McNemar test for paired categorical data. Results: There was a significant improvement in immunization adherence after the intervention. Statistical analysis confirmed a meaningful difference before and after exposure, indicating the effectiveness of audio-visual media. Conclusion: Audio-visual education is an effective strategy to improve infant immunization adherence and can be widely applied in primary healthcare settings.

Pregnancy is a crucial period that requires intensive maternal health monitoring. Prenatal exercise is a non-medical intervention that is beneficial for improving physical fitness, reducing pregnancy complaints, and preparing mothers for childbirth. This study aims to determine whether there is a relationship between the knowledge and attitudes of pregnant women and the implementation of prenatal exercise at the Dolik Community Health Center. This study design was quantitative descriptive analytic with a cross-sectional approach. The sample consisted of 28 pregnant women selected using purposive sampling. Data were collected through a structured questionnaire regarding knowledge, attitudes, and implementation of prenatal exercise, then analyzed using the Chi-Square test. The results showed that the majority of pregnant women had good knowledge (60.7 %) and a positive attitude towards prenatal exercise (64.3%). Bivariate analysis showed a significant relationship between knowledge and implementation of prenatal exercise (p = 0.021) and between attitude and implementation of prenatal exercise (p = 0.034). Mothers with good knowledge and positive attitudes were more likely to regularly participate in prenatal exercise. This study shows a relationship between knowledge and attitudes and implementation of prenatal exercise, so increasing education and fostering positive attitudes are important strategies to encourage participation of pregnant women.

Interpregnancy interval is a modifiable risk factor that may influence pregnancy complications, which remain a significant issue for maternal health despite most women being of ideal reproductive age. This study aimed to analyze the relationship between interpregnancy interval and pregnancy complications at Marisa Health Center. An analytical observational quantitative design with a cross-sectional approach was used. The study population consisted of pregnant women who received antenatal care at the Marisa Community Health Center during the study period. A total of 20 respondents were selected using total sampling according to inclusion criteria. Data were collected through medical record reviews and observation sheets covering maternal characteristics, gestational age, and pregnancy complications. Data analysis was conducted using univariate and bivariate analysis, with Spearman's Rho correlation test. Results showed that most respondents had a pregnancy interval of 1–2 years, and the most common pregnancy complication was anemia. Spearman's Rho test revealed a p-value of 0.542 and a correlation coefficient of r = −0.145, indicating no statistically significant relationship between pregnancy interval and complications. The study concluded that interpregnancy interval was not a dominant factor related to pregnancy complications in the respondents. Preventing pregnancy complications requires a comprehensive approach, including improving antenatal care quality, early detection of risk factors, and continuous pregnancy planning counseling.

Background: The maternal mortality rate in Indonesia reaches 177 per 100,000 live births, with 75 percent of deaths occurring in the first week of the postpartum period. The partnership between midwives and village shamans is an adaptive strategy to optimize maternal health services, but its implementation still faces various systemic obstacles. Objective: To analyze factors related to the partnership of village midwives and shamans in caring for postpartum mothers in the BLUD area of the Tumpung Laung Health Center UPT. Methods: A quantitative study with a cross-sectional design involved 50 respondents using a total sampling technique. Data were collected through a structured questionnaire and analyzed using the Chi-square test with a significance level of p<0.05. Results: There was a significant relationship between age (p=0.032), work experience (p=0.048), education (p=0.000), knowledge (p=0.000), competence (p=0.000), quality of communication (p=0.000), frequency of interaction (p=0.000), policy support (p=0.000), and availability of facilities (p=0.000) with partnership effectiveness. Conclusions: Effective partnerships are influenced by a multiplicity of factors at the individual, interpersonal, and structural levels, requiring holistic interventions through capacity building, communication strengthening, and comprehensive policy support to accelerate maternal mortality reduction.

Exclusive breastfeeding for the first six months of life is an important effort to improve infant health and survival. Although the benefits of exclusive breastfeeding are widely known, its practice is still not optimal in various regions due to the influence of social and cultural factors. This study aims to analyze the relationship between socio-cultural factors and the practice of exclusive breastfeeding in breastfeeding mothers. The study used a descriptive analytical design with a cross-sectional approach. The sample consisted of 30 mothers with infants aged 6–12 months at the Kobe Community Health Center, selected using an accidental sampling technique. Data were collected through interviews using a structured questionnaire and analyzed univariately and bivariately using the Chi-square test and Fisher's Exact Test. The results showed that 56.7% of mothers successfully provided exclusive breastfeeding. Husband's support and family traditions had a significant relationship with the practice of exclusive breastfeeding, with p = 0.030 and p = 0.040, respectively. Mothers who received high husband's support and were in a supportive family environment had a greater chance of successfully providing exclusive breastfeeding. This study concluded that socio-cultural factors play an important role in determining the success of exclusive breastfeeding.

Background: Breastfeeding is a crucial practice that provides optimal nutrition and immunity for infants while supporting maternal health. However, inadequate knowledge and limited understanding about the importance of breastfeeding often lead to low motivation among pregnant women in preparing for breastfeeding. Providing structured education is expected improve pregnant women’s readiness and commitment to breastfeeding after childbirth. Objective: This study aimed to determine the effect of providing education about the importance of breastfeeding on the motivation of pregnant women in preparing to breastfeed at the Paguat Community Health Center UPTD. Methods: This study employed a pre-experimental design with one-group pretest–posttest approach. A total of 30 pregnant women were selected as the sample using purposive sampling techniques. Data on mothers’ motivation to prepare for breastfeeding were collected before and after the educational intervention using a structured motivation questionnaire. The data were analyzed using the Wilcoxon signed-rank test to assess differences in motivation levels before and after the intervention. Results: The results of the Wilcoxon signed-rank test showed a p-value of 0.000 (p < 0.05), indicating a statistically significant effect of breastfeeding education on the motivation of pregnant women in preparing breastfeed. The findings demonstrate that educational interventions significantly increased maternal motivation following the provision of education. Conclusion: Providing education about the importance of breastfeeding has a significant positive effect on the motivation of pregnant women in preparing to breastfeed. Therefore, breastfeeding education should be strengthened and routinely implemented during antenatal care services to improve maternal readiness and support successful breastfeeding practices.

Increasingly complex environmental problems, including pollution, ecosystem degradation, and climate change, demand greater awareness and active participation from all sectors of society, particularly students as agents of change. A clean and green campus environment is essential for supporting comfort, health, and the sustainability of academic activities. As centers of education and innovation, universities hold a strategic responsibility to cultivate environmental awareness through the implementation of the green campus concept. This study aims to examine the level of student awareness regarding campus cleanliness and greening based on findings from previous research. The method employed is a literature review, analyzing various relevant sources such as scientific journal articles, academic books, and policy documents related to sustainable campus management. The analysis was conducted using a descriptive qualitative approach to identify recurring patterns, prevailing trends, and key factors influencing students’ environmental awareness and behavior. The results indicate that student awareness levels generally fall within the fair to good category. Students with higher environmental awareness tend to participate more actively in maintaining cleanliness and supporting campus greening initiatives. However, the development of environmentally responsible behavior is strongly influenced by adequate facilities, supportive institutional policies, and a sustainability-oriented campus culture. Therefore, strengthening the role of higher education institutions through comprehensive environmental policies and structured sustainability programs is crucial to fostering clean, green, and sustainable campuses.

This research investigates the impact of Creative Problem Solving (CPS) within a group counseling framework to mitigate academic-related stress in students. Intense scholastic expectations often compromise a student’s psychological health and academic achievements, making this a critical area of intervention. Employing a quasi-experimental quantitative design, this study utilized a single-group pretest-posttest model. Participants exhibiting elevated stress markers were recruited via purposive sampling. The core intervention involved systematic group sessions centered on diagnostic problem-solving, divergent idea generation, and strategic decision-making. Pre- and post-intervention data were gathered through a standardized assessment scale and processed using parametric statistics. The data revealed a substantial decline in academic stress levels post-treatment. These results underscore the efficacy of CPS-based counseling in fostering cognitive flexibility. Ultimately, this approach provides a robust mechanism for students to develop resilient coping strategies against educational pressures.