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Health insurance or health care insurance is an attempt to create risk pooling, namely transferring personal risk to group risk so that risk sharing occurs. In health insurance, the costs are shared by the community through a pre-effort contribution system. The goal of health insurance is to improve health care services for participants and their families. Health insurance also aims to provide assistance to participants in financing their health care.

  Medical services are the object of forgiveness for treatment and care. So efforts to improve people's living standards in the health sector, is a comprehensive necessity including improving public health physically and non-physically. In this case, the patient is someone who receives medical treatment. The patient's right as a recipient of medical services is to obtain information on medical services to find out the results of the examination/diagnosis that has been carried out by the medical team and the right to know what action the patient must receive.  

Introduction : Hypertension is a non-communicable disease which is a serious health problem because its prevalence continues to increase. Hypertension often does not show signs and symptoms, so it is often called the silent killer of death and is one of the main triggers for diseases such as heart disease, stroke and kidney disease. Method: Research design is a strategy used in research to achieve the goals of the researcher. The research design of the Nursing Final Scientific Work is pre-experimental with the pretest-posttests one group design approach. Results: showed that before giving Progressive Muscle, the blood pressure of Client 1 was 160/100 mmHg, Client 2 was 150/100 mmHg, and Client 3 was 180/100 mmHg. And after being given juice for 3 consecutive days, the blood pressure of client 1 was 130/100 mmHg, Client 2 was 130/90 mmHg, and Client 3 was 140/100 mmHg. Conclusion: The overall evaluation results after nursing actions are carried out, namely observing that the patient's blood pressure decreases, the patient can feel pain independently, as well as health education for patients and their families. Families can care for patients suffering from hypertension                            

The need for water consumption is currently very high, almost all human activities require water, therefore the process and production of water is very important to maintain health, the electric motor is the main driving tool needed in the process of cleaning water, therefore the motor is able to move the machine to clean the place water filter or water filter at the Tirta Madani Regional Drinking Water Company in Serang City to maintain water quality. The method used is qualitative by using observation techniques, interviews and literature studies. The filter backwash system is one of the ways to care and maintain the quality of drinking water. Backwashing requires an electric motor, a centrifugal pump and an air blower as its propulsion device.    

Competency tests organized by universities in collaboration with professional organizations, health care training institutions become a requirement for vocational and professional education graduation. Based on the results of the 2019 competency test, 19.66% of competency test participants were declared competent which means it is still far from the expected target. This research aims to find out the effectiveness of web-based competency test models against increasing the confidence of midwifery students in the face of competency tests. The method used in this study is the Pre-Experimental One Group Pretest-Posttest. The study was conducted at Politeknik Kesehatan Kementerian Kesehatan Makassar and Universitas Megarezky.Sampling is done with the Purposive Sampling Technique which is as many as 45 samples. Data is analyzed using statistical analysis, namely byconducting a data normality test and then followed by the Wilcoxon Sign Rank Test. The effectiveness of using a web-based competency test model found that the average level of confidence of students before the intervention was 78% in the high confidence category and the average confidence of students after the intervention was 84% in the category of very high trust. Based on the analysis of pretest and posttest results there is an increase in student confidence before and after the intervention. Furthermore, the Wilcoxon Test has obtained a p-value of 0.00 < 0.05 which means there is asignificant difference between the pretest and posttest grades of students so that the web-based competency test model is effective in increasing theconfidence of students facing competency tests

Pharmaceutical preparations is a term that covers all forms of pharmaceutical preparations ranging from drugs, medicinal ingredients, traditional medicines to cosmetics. This term has been regulated in Government Regulation of the Republic of Indonesia Number 51 of 2009 concerning Pharmaceutical Work. Management of pharmaceutical preparations is a cycle of activities starting from the selection, scheduling needs, receiving, storage, distribution, destruction and withdrawal, control, which is necessary for pharmaceutical service activities. The method used in this study is a Systematic Literature Review (SLR) of ten national journals which were obtained using online database facilities via the Google Scholar, Refseek, and Sciencegate pages. Journals were selected based on publications published between 2018 and 2023. There were obstacles in the implementation of pharmaceutical preparations, including planning that was still conservative, from delays in drug procurement in demand and distribution, resulting in empty drug supplies. However, not all aspects are problematic. There are many other aspects of the mechanism of pharmaceutical preparation that are carefully programmed and procedurally appropriate. This matter needs to be done routinely and continuously, and with written commitments for pharmaceutical preparations in Indonesia in supporting SKN it can be categorized as quite good.

Adolescents should aware of leucorrhea symptoms. Continuous pathological vaginal discharge will disrupt the function of the female reproductive organs, especially in the ovarian tract, which can cause infertility. Women who lack knowledge and information about genital hygiene will also have an impact on their behavior in maintaining genital hygiene, because knowledge and good care behavior are determining factors in maintaining genital hygiene. This study aimed to determine and analyze the factors that influence leucorrhea in female students. This is quantitative and qualitative mixed methods research. The research was conducted at SMA Harapan Mekar Medan. The population was all class XII female students totaling 33 people. The sampling used was total sampling. Data analysis used univariate and bivariate analysis with chi-square test, and multivariate analysis with multiple logistic regression test at 95% confidence level (?=0.05). The results showed that the factors influencing leucorrhea in class XII female students at the School were knowledge (p=0.005), attitude (p=0.016), behavior (p=0.005), and source of information (p=0.006) and there was no effect of the adolescent care health program on leucorrhea (p=1.000).  The conclusion shows that knowledge of personal hygiene is the most dominant variable affecting leucorrhea in female students. It is suggested to the School to pay attention to facilities such as clean water sanitation and toilets and cooperate with the Health Center to organize health counseling and demonstrate how to take care of genital hygiene using a phantom of external reproductive organs so that students can directly practice genital hygiene actions

Hydration of the epidermis refers to the maintenance of the skin's natural moisture balance. This is accomplished by providing and sustaining an adequate level of moisture in the skin layer. Hydration of the skin is essential for sustaining healthy and beautiful skin, as well as preventing skin issues like dryness, redness, irritation, and premature aging. The Skin Hydration Counseling and Screening activities seek to prevent dry skin issues by educating the public on the significance of maintaining skin hydration. Through this activity, participants learned about the risk factors for dry skin, the significance of using the proper moisturizer, and how to keep the skin nourished. In addition, screenings are conducted to detect skin hydration issues early on and provide treatment recommendations. It is hoped that by increasing people's knowledge and understanding of skin hydration, they will adopt appropriate care practices and prevent dry skin from occurring. This activity contributes significantly to participants' improved skin health and quality of life.

Cholelithiasis or gallstones are pieces of solid material that form in the gallbladder. Gallstone disease or cholelithiasis is often found in various countries, including Indonesia. One of the collaborative actions to overcome the problem of cholelithiasis is cholecytectomy surgery. This case study aims to determine the application of perioperative care in patients with a diagnosis of cholelithiasis by laparotomy for cholecystectomy. The method in this study was a case study in cholelithiasis patients by providing intervention and care at the pre-operative, intra-operative and post-operative stages. The results of this case study indicate that the application of perioperative care by intervening reduces preoperative anxiety, controls bleeding and controls infection during surgery, prevents falls and reduces postoperative pain. It can be concluded that the application of perioperative care as an action performed by operating room nurses as well as surgeons and anesthesiologists in order to prepare patients for surgery with the aim of ensuring intraoperative patient safety. For health workers, both doctors and nurses, they always provide education related to a healthy lifestyle. Nurses monitor perioperative patients, educate patients and provide nursing care. In addition, it also informs the team about changes in patient status, and evaluates post-surgery.

Based on the Regulation of the Minister of Health of the Republic of Indonesia No. 72 of 2016, a hospital is an individual health service facility that provides inpatient and outpatient care, therefore quality services that must be fulfilled by hospitals. In order to maximize the service to the patient, the operational system must be made more efficient and efficient. The study uses a review literature study approach using several sources selected based on the inclusion and exclusion criteria that the researchers have established that an efficient operating system can provide optimal service to the patient. This will give a positive response to patient satisfaction.    

The emergency department is the front door in providing patient safety and health services. An emergency department certainly requires a fast and precise approach to patient safety. Fast and precise handling will increase patient satisfaction, patient satisfaction is a condition where the patient's needs, desires and expectations can be met through the products and services consumed. Therefore patient satisfaction is a measure of the quality of service felt by patients divided by the patient's needs, patient desires, and expectations of the patient himself. The purpose of writing this scientific article is to find out and review from a theoretical point of view various literatures. The method used is a theoretical study by analyzing and comparing existing theories. The result of this theoretical study is its function to review the factors that become patient satisfaction, so that it can assist the Hospital in making a better plan with a more logical, rational and systematic approach for each option that will be found by forming a plan. So that it can improve the image and trust of patients in choosing health care facilities. For the hospital it is very important and needs to be done optimally with these patient satisfaction factors to support the improvement of the hospital's status. So the agency in terms of tangible, reliable, assurance, and empathy to improve patient quality.

This study aims to evaluate the level of patient satisfaction with home care services in West Java. The research method used is qualitative study with survey and face-to-face techniques on 10 home care patients and 10 patient families in West Java. The results of the study showed that patients and patient families were very satisfied with the home care services because they provided comfort and fulfilled patient needs. In addition, healthcare workers who worked in the field of home care felt connected and useful in providing personal care focused on the patient. However, the study also identified several challenges in home care services, such as coordination between healthcare workers and families, as well as accessibility and quality of home care services. Therefore, support and cooperation from various parties, such as patient families, the community, and the government, are needed to improve the quality of home care services and ensure that patients receive the best care at home.

In the juvenile justice process, there is a principle that states that the best interests of the child must be seen as of paramount importance (obtaining the highest level of priority) in every decision relating to children so that the safety and health of children can be realized. A child who abuses narcotics can be categorized as a victimless crime because his act of abusing narcotics harms his own person, so the child can also be said to be a victim of his own crime. That way, children who abuse narcotics have the right to be able to get rehabilitation and make imprisonment a last resort in the judicial process in accordance with the mandate of the Law on the Juvenile Criminal Justice System. However, in the decision of Decision Number 19/Pid.Sus-Anak/2020/PN Sgm, the panel of judges did not consider the position of children as legal subjects by not including the Law on the Juvenile Criminal Justice System and the Law on Child Protection in their considerations, so that they continued to sanction imprisonment without rehabilitation for children who use drugs. Thus, the purpose of this research is to find out the basis for judges' considerations not to impose rehabilitation on children who abuse narcotics in Decision Number 19/Pid.Sus-Anak/2020/PN Sgm and to analyze the sentencing contained in Decision Number 19/Pid.Sus-Anak/2020/PN Sgm when reviewed based on the Law on the Juvenile Criminal Justice System and the Child Protection Law. This research was conducted using a normative juridical method with a case approach. Sources of data in this study used secondary and primary data collected with library research data collection techniques, which were then analyzed descriptively and analytically with a qualitative approach. The results of the study concluded that the judge's consideration of not imposing rehabilitation on children who abuse narcotics in Decision Number 19/Pid.Sus-Anak/2020/PN Sgm because the child's qualifications as narcotics abusers do not meet one of the qualifications contained in SEMA Number 4 of 2010, namely that the weight of methamphetamine found was still under 1 (one) gram. In addition, the judge was not careful in imposing a sentence of 3 (three) months in prison without rehabilitation for a child as a narcotics abuser for himself because this did not comply with the provisions of Article 54 of the Narcotics Law, Article 81 Paragraph (1) and Paragraph (5) of the Law on the Juvenile Criminal Justice System, as well as Article 67 of the Child Protection Act.

Facing the JKN era is not easy, especially for private hospitals. Private hospitals need strategy, understanding, understanding and mutual agreement throughout the internal hospital, both doctors, nursing staff, general staff and management. The strategy for promoting health services in hospitals and other health facilities is not much different from the marketing strategy in general. It aims to promote and introduce the Hospital and the services provided. The purpose of writing this scientific article is to find out and review from a theoretical point of view how the strategy is carried out by private hospitals in this JKN era. The method used is a theoretical study by analyzing and comparing existing theories. It then learns more about a subject in theory or research and helps readers understand it better and with implications. The results of this theoretical study are private hospital services by implementing strategies and principles for implementing the National Health Insurance Program (JKN) such as mutual cooperation, non-profit, openness, portability, membership, trust funds, and management. It can be concluded that the strategy for promoting health services in private hospitals is to implement them in accordance with established standards and laws. The health service quality strategy is also the main key to service promotion to increase patient satisfaction in receiving care. It is expected that hospital institutions will continue to provide excellent and comprehensive health services and meet the basic health needs of patients.

Strategic management has a very important role and needs to be implemented in improving the accreditation status of the hospital. The strategy that has been made must be implemented properly in order to ensure development and sustainability. This strategy must be applicable to all hospital parties in order to improve service quality and accreditation status. The purpose of writing this scientific article is to find out and review from a theoretical point of view various literatures. The method used is a theoretical study by analyzing and comparing existing theories. The results of this theoretical study are the function of strategic management in improving accreditation status by carrying out procedures so that it can assist hospitals in making better plans with a more logical, rational and systematic approach for each option that will be found by forming a plan. It can be concluded that in improving the quality of health, strategic management is also needed to improve services. With accreditation strategic management, the hospital becomes the object of focus or a process of assessing and determining the eligibility of the hospital according to service standards set by an independent accreditation agency. So that it can improve the image and trust of patients in choosing health care facilities. For hospitals strategic management is very important and needs to be done optimally to support the improvement of accreditation status. So agencies improve infrastructure facilities, adequate human resources and supporting facilities.

Background: The current Covid-19 pandemic greatly affects the condition of pregnant women, especially when they are about to face childbirth. Attention and support from the closest people, especially husbands, are very helpful in overcoming the anxiety experienced by pregnant women in facing childbirth in the Covid-19 era. Purpose: of this study was to determine the relationship between husband support and the attitude of third trimester pregnant women towards readiness to face childbirth during the Covid 19 pandemic at the Gerokgak I Primary Health Care. Method: used is quantitative analysis with a cross sectional approach using primary data with a data collection instrument in the form of a questionnaire distributed to 134 respondents where the sampling technique used is the Non Probability Sampling technique with the purposive sampling method conducted from September to November 2021. at the Grokgak I Primary Health Care. Results: showed p value <0.05, which means ha is accepted and h0 is rejected. Conclusion: obtained is that there is a relationship between husband's support and the attitude of pregnant women in the third trimester of readiness to face childbirth during the COVID-19 pandemic. Suggestions It is necessary to provide health information or health education to husbands of pregnant women about pregnancy support and readiness to face childbirth during the COVID-19 pandemic. and the role of midwives or other health workers to improve Communication, Information and Education (KIE) on how to deal with pregnancy and childbirth in pregnant women during the Covid-19 pandemic.

Parenting is a technique used by parents to educate, protect, and supervise their children in the family. Balanced parenting implementation is very important for the growth and development of children. This study used a descriptive method with a community health nursing approach including the assessment, intervention, implementation, and evaluation. The study on parenting patterns of parents was carried out on an elementary school children aggregate in the Meuraxa Public Health Center area, Banda Aceh using the windshield survey, questionnaires, and interviews with program administrators, parents, teachers, and elementary school students. The assessment was carried out based on Pender's theory (Health Promotion Model/HPM). The study results showed that 104 parents (43.15%) used authoritarian parenting, 137 (56.85%) used democratic parenting, and 0 (100%) used permissive parenting. It is advised that this study be put into practice to support healthy parenting practices through the use of community nursing care processes.

Early counseling and screening activities regarding skin hydration due to sun exposure are community service efforts aimed at increasing male students' understanding of the importance of maintaining skin hydration and protection against sun exposure. This activity is carried out through an educative and practical approach, by combining counseling, demonstrations, and early screening. The results of this activity showed an increase in male students' understanding of the importance of skin hydration and protection against sun exposure. They are becoming more aware of the need to take care of their skin regularly, use sunscreen, and keep their skin moisturised. Positive behavioral changes were seen in the boys' efforts to maintain healthy skin. Counseling and early screening activities regarding skin hydration due to sun exposure provide significant benefits in increasing understanding, changing behavior, and maintaining healthy skin for male students. This activity is an important effort in increasing awareness and protection of skin health among male students.  

Departing from the problem of disasters that often occur on river banks where when the rainfall is large enough, the river water discharge is also quite dangerous to the surrounding settlements. Therefore, we realized this greening program by planting tree seeds at a number of points around the riverbanks. With the goal of comprehensive river greening, an integrated, comprehensive, sustainable, and insightful plan is needed to think about the environment with the river as a management unit. This community service activity is carried out by the method of (1) community assistance in encouraging increased community participation (2) completion analysis problems and preparation of plans (3) Monitoring and evaluation of work program implementation activities.   The main target of this program is community groups and individuals who care highly about the environment with the aim of providing motivation for other communities. With the following stages of implementation: Consultation with the Village, Monitoring Planting Locations, Recruitment of seedlings at the Central Sulawesi Provincial Forestry Service, Planting on the banks of the hamlet 2 river, Planting on the banks of the hamlet 1 river, Planting in the yards of residents' houses, Planting at SD Negeri 2 Sindue   Tombusabora, Outreach on the dangers of throwing garbage into rivers and seas, Distributing plant seeds to residents. Greening is a means to overcome the environment so that the environment returns to health free from pollution.  

High maternal and infant mortality rates are a major health problem in Indonesia. The author contributes by providing comprehensive midwifery care for pregnancy, maternity, postpartum, newborns, and family planning to promote better health. The author has provided direct midwifery care and has real experience. An observational case study was conducted at the Pratama Kita Clinic, Kec. Berastagi from February to June 2016. to provide comprehensive care to Mrs. K, who is 36 years old, experienced pregnancy, childbirth, postpartum, newborn and caesarean section. Interviews, observations, examinations and documentation are used to collect data. Case study analysis is used to transform data into easy-to-understand information. After Mrs. K started pregnant in the third trimester, the author implemented and provided comprehensive midwifery care.