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Rexi Ilham A; Minto Basuki

Ocean Engineering : Jurnal Ilmu Teknik dan Teknologi Maritim 2023 Fakultas Teknik Universitas Maritim AMNI Semarang

This study aims to identify, analyze and mitigate the risks of work accidents at PT Dewa Ruci Agung. Occupational Health and Safety (K3) is very important to be implemented by every company. Prevention of work accidents can be done by knowing the existing risks, one of which is through the Hazard Identification, Risk Assessment and Determining Control (HIRADC) method. The data collection method used in this study uses primary and secondary data. From the results of the study it was found that there were 15 potential hazard risks including the Lifting Process of moving blocks/goods using a crane, the Cutting Process lifting material and placing it on the cutting machine, preparing the cutting machine, the Grinding Process lifting material and placing it in the grinding area, preparing grinding tools, Fitting Process and Working at Height plate installation process, Main Engine (ME) Overhaul Process, New metal seat removal process (ME) using manual tools, Removal process (ME) with Chain block, Cylinder liner (ME) removal process with chain block, Process Welding, Sandblasting and Painting Process, Zinc Anode Process, B3 Waste Disposal Process. Based on the results of the risk analysis, risk identification is then carried out using the HIRADC method which is most likely to reduce the level of risk severity. The risk identification proposed by the researcher is that it is recommended that every worker carrying out the task wear PPE in accordance with the provisions given by the company and the person in charge of the company's K3. So that unwanted events do not occur. Always check tools and Personal Protective Equipment (PPE) regarding their eligibility for worker safety.

Jetendra P. Sihombing

Jurnal Rumpun Ilmu Kesehatan 2023 Pusat Riset dan Inovasi Nasional

. Phlebitis is the area of skin around an intravascular catheter that is swollen, red, hot and painful. The aim of this research is to find out how nurses prevent phlebitis in patients. For this research, the design used is descriptive. The population consisted of all inpatients who were placed on an IV by a nurse in the emergency room and then admitted to the hospital. Data was collected using probability sampling techniques using the Slovin formula for 69 samples, using checklists and observation sheets, and analyzed using frequency distribution. The results of research conducted on 69 nurses in the Thamrin Medan inpatient room showed that there was an increase in the actions of respondents before the training was carried out. The majority had "bad" actions, namely 39 people (65.5%), 30 people (43.5%) had "good" actions. %). After the phlebitis prevention training was carried out, the results showed that those with "bad" actions decreased to 24 people (34.8%) and those with "good" actions increased to 45 people (65.2%). The results of the study showed that nurses' actions in preventing phlebitis averaged a score of 8, a minimum score of 4 and a maximum score of 10. This happened because the majority of nurses had taken action to prevent nosocomial infections well, so it was seen that there was a change in nurses' behavior before and after after training in phlebitis prevention at Bunda Thamrin Hospital, Medan.    

Syamsu Rijal; Fernando Nathaniel; Dean Ascha Wijaya; Joshua Kurniawan

Jurnal Inovasi Riset Ilmu Kesehatan 2023 Pusat Riset dan Inovasi Nasional

Background: Preclampsia is a one of complication in pregnancy characterised by systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg and proteinuria (≥300mg/24hours in urine; protein/creatinine ≥0.3; dipstick protein +1; and/or with additional symptoms. Eclampsia is a severe form of preeclampsia where the mother experiences seizures and/or coma.  There are various risk factors for preeclampsia and eclampsia, one of which is the mother's body mass index (BMI). Excessive maternal weight before pregnancy, as well as excessive weight gain during pregnancy are at risk for preeclampsia. Methods: This study used medical records from the Ciawi General Hospital in 2020, and cross-sectional observational study was carried out. Pregnant women with eclampsia and preeclampsia were the study's population. This study used total sampling as its sampling method, and body mass index measurements were made using information from medical records. The Kruskall Wallis alternative test was utilized in place of the One Way Anova as the hypothesis test in this investigation. In this investigation, a 5% level of significance is expected. Results: This study involved 190 respondents who met the inclusion criteria. The statistical test results showed no significant difference in mean body mass index between the eclampsia, severe preeclampsia, and mild preeclampsia groups (P-value: 0.688). This difference is expected due to the small number of samples and/or the high variability of the samples. Conclusion: Based on the results of the study, there was no significant association between body mass index and mild, severe, and eclampsia. Further research should be conducted and developed for prevention and lifestyle intervention in preeclampsia.    

Kurniati Akhfar; Erniawati Erniawati; Bau Kanang; Husnul Khatimah; Jusni Jusni

Journal of Educational Innovation and Public Health 2023 Pusat Riset dan Inovasi Nasional

Indonesia is still facing major challenges in the field of nutrition. Lack of nutritional intake is a type of nutritional problem that can cause disturbances in the growth and development of children, so efforts are needed to be made to overcome them. Specific nutrition interventions have been shown to reduce nutritional problems through supplementation and fortification interventions, supporting exclusive breastfeeding, counseling about children's diets, and providing additional food. This study aims to identify specific interventions that have been carried out in addressing under-five nutritional problems using qualitative methods using non-probability sampling techniques. Data was collected through in-depth interviews. The results showed specific nutrition interventions, namely toddler interventions (monitoring toddlers at posyandu, immunization, vitamin A, and PMT). Maternal intervention (pregnancy women's classes, PMT for pregnant women, nutrition and health seminars) and youth interventions (blood-boosting tablets/TTD program).      

Dewi Sartika; Iskandar Iskandar

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2023 International Forum of Researchers and Lecturers

Efforts to prevent drug abuse will be able to live with the encouragement of parents. The Center on Addiction and Substance Abuse (CASA) suggests that key families to prevent drug addiction, and the social environment, provide ethical, moral and counseling, teaching and training according to adolescent self-development. The purpose of research to determine the influence of family and social relationships against drug abuse prevention in Kuta Baro Aceh Besar. Correlative research design with cross-sectional approach. The number of samples is 68 respondents. The result of univariate research shows that as many as 54,4% respondent with family is not harmonic, 52,9% respondent with negative social environment, 51,5% respondent with negative drug abuse prevention. Bivariate results show that there is a family relationship with the action of prevention of drug abuse in Cot Yang District of Aceh Besar Regency with P value = 0,031 and there is social environment relation with the action of prevention of drug abuse in Gampong Cot Yang Sub-district of Aceh Besar Regency with p value = 0.035. It is suggested that the Geuchik Gampong can work together with religious leaders and youth of the village to provide information for adolescents about the dangers of abuse.

Ajeng Normala; Fernando Nathaniel; Dean Ascha Wijaya; William Gilbert Satyanegara

Journal of Educational Innovation and Public Health 2023 Pusat Riset dan Inovasi Nasional

Measurement of haemoglobin (Hb) is a standard examination in pregnant women at the first prenatal visit that is used to evaluate physical status and anemia. One of the health conditions that often occurs and is important to note in reducing maternal and perinatal morbidity and mortality is anemia in pregnancy, which can increase the risk of infection, preeclampsia, postpartum hemorrhage, low birth weight babies, preterm birth, to death for both mother and child. fetus. This cross-sectional study aims to determine the difference in mean haemoglobin levels with the incidence of mild preeclampsia, severe preeclampsia and eclampsia which were selected according to the criteria by total sampling using medical record data in the period January 2020 - December 2020. The variables in this study consisted of the basic characteristics of the respondents (age mother and parity status), gestational age (weeks), and medical condition of the mother divided into three groups (mild, severe preeclampsia, and eclampsia). Statistical analysis using the Kruskall Wallis test. This study included 190 respondents with an average maternal age of 32 years and an average haemoglobin level of 10.86 with medical conditions dominated by severe preeclampsia (85.3%). The results of the study found that there was no significant difference in mean hemoglobin levels between the three groups of pregnant women (p-value: 0.235). To improve the quality of life of the mother and fetus, it is recommended that primary health services should be strengthened, prevention, early diagnosis and treatment of anemia in pregnancy should be prioritized.    

Julinar Julinar; Isfanda Isfanda; Rayhatul Jinani

Jurnal Mahasiswa Ilmu Kesehatan 2023 STIKes Ibnu Sina Ajibarang

Factors Associated with Completeness of Basic Immunization for Infants at Ulee Kareng Health Center. Basic immunization is a program carried out to protect a person's body from diseases that can be prevented by immunization (PD3I) caused by viruses or bacteria, including tuberculosis, polio, diphtheria, pertussis, tetanus, hepatitis B, flu, measles and rubella. Based on data from the Directorate General of Disease Prevention and Management, the Indonesian Ministry of Health in 2018, ranks of Aceh Province are the lowest in basic immunization coverage, which is 70%. This study aims to determine the factors associated with completeness of immunization in infants with quantitative analytical methods with a cross sectional design approach (Cut Latitude). The study was conducted in March-July 2021 and obtained as many as 62 samples with the sampling method by accidental sampling. The results of this study indicate that there is a relationship between mother's knowledge and completeness of infant basic immunization with a p-value of 0.000, there is a relationship between mother's education and completeness of infant basic immunization with p-value of 0.000001, there is a relationship between mother's employment status and completeness of infant basic immunization p-value 0.003, and there is a relationship between family support and completeness of basic infant immunization with a p-value of 0.000. The distance to the place of immunization service does not have a relationship with the completeness of infant immunization with a p-value of 0.054. The efforts of the puskesmas in achieving immunization completeness were scored well by conducting an assessment of planning, implementation and assessment activities using a questionnaire containing 5 questions on planning, 5 questions on implementation and 5 questions on assessment. Based on the results of this study, it can be concluded that the level of knowledge, education, employment status, and family support has a relationship with the status of completeness of infant immunization. The distance to the place of immunization service does not have a relationship with the infant's immunization status. The researcher's suggestion is to do research with a larger sample and add various other variables that have a relationship with the infant's immunization status.  

Alfika Safitri; Nur Ayu Fazri; Aulia Shafa Shalsabila; Mesi Maesaroh; Pujianti Listiani +8 more

DIAGNOSA: Jurnal Ilmu Kesehatan dan Keperawatan 2023 International Forum of Researchers and Lecturers

Community nursing or community health nursing is the practice of maintaining and improving public health using knowledge from nursing, social sciences and public health sciences. Another definition of community nursing is a form of professional service based on nursing knowledge and tips aimed primarily at high-risk groups to improve community health status by emphasizing efforts to improve health, disease prevention and not neglecting curative and rehabilitative (Kholifah & Widagdo, 2016). In RW 04 Kelurahan Periuk Jaya, which is a village with densely populated residential houses with houses attached to one another, the average building in Pabuaran village has new buildings but is not well maintained and settlements are dominated by old buildings. own property, in terms of the environment the area of ​​the house has a yard, there are several cattle pens around the settlement. The characteristics of the area and health problems that arise in RW 04 Periuk Jaya Village are information about prevention and diet for Hypertension, Gout Arthritis and ISPA. To carry out this task requires a person nurses who are competent in providing community nursing care, to get optimal results requires experience in addition to knowledge. One way to gain experience is through community nursing practice in Periuk Jaya Village RW 04 Periuk District, Tangerang City

Sri Wahyuni; Triana Widiastuti

Journal of Educational Innovation and Public Health 2023 Pusat Riset dan Inovasi Nasional

Background : Pregnancy is a physiological process that through by women. Its process begins with conception to the birth process. Prevention of emergency conditions during pregnancy is detected by early detection through pregnancy checks four times by observe the development and growth of the fetus and monitor the mother’s health. During pregnancy, the mother will experience hemodilution or blood dilution so that she is at risk from anemia. Method : This research was an analytic survey with a cross sectional approach. There were 30 pregnant women in third trimester at PMB Dewiady Medical, Margorejo District, Pati Regency were selected using a purposive sampling technique. The research data consists of primary and secondary data. Data analysis between variables used the Chi Square formula. Results : As many as 20 pregnant women (66.7%) adhered to taking Fe tablets, the rest did not comply as many as 10 pregnant women (33.3%). Pregnant women without anemia reached 20 pregnant women (66.7%), while 10 pregnant women (33.3%) had mild anemia. The results of the Chi Square test obtained a value of p(<0.001) <0.05 with a calculated X2 value = 30.000 which indicates a relationship between compliance of pregnant women in consuming Fe tablets and Hb levels in pregnant women. The more obedient pregnant women are in consuming Fe tablets, the more normal the Hb levels of these pregnant women will be. Conclusion : There is a relationship between adherence in consuming Fe tablets to Hb levels of third trimester pregnant women at PMB DewiAdy Medical, Pati District, Pati Regency.

Ashfa Diniyya Assabela

Jurnal Mahasiswa Ilmu Kesehatan 2023 STIKes Ibnu Sina Ajibarang

HIV screening services are the main entry point for services aimed at prevention, treatment, support and treatment. The use of HIV screening services by key populations, including transgender women, is important so that HIV status is monitored. Many transgender women work as commercial sex workers, so the spread of HIV is a cause for concern, so the use of HIV screening is important. The causes of the underutilization of HIV screening services need to be investigated. This study aims to examine the relationship between transgender perceptions of HIV screening services in the health center laboratory. The method used in this research is cross sectional with interview method. 80 transgender women in PERWAKOS were interviewed fulfilling the inclusion and exclusion criteria. The data were analyzed using the bivariate test to determine the relationship, the multivariate test to determine the simultaneous relationship, and the binary multiple regressions test on the IBM SPSS Statistics 23.0 for Mac software. Result: The sample size was 80 and it became 73. As many as (78%) 57 chose no stigma, (79.5%) 58 chose fast waiting time, (84.9%) 62 chose the distance from home to a close laboratory, (60.3 %) 44 perceived complete, (53.4%) 39 chose less professional. There is a relationship between the perception of transgender women on stigma by the laboratory staff (p = 0.000), the distance from the house to the laboratory (p = 0.000) and HIV screening services in the health center laboratory. In conclusion, there is a relationship between transgender perceptions of stigma by laboratory assistants, the distance from the house to the laboratory and the use of its services.

Lamhot Asnir Lumban Tobing

Jurnal Pengabdian Kepada Masyarakat Sisthana 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

The main goal of community education about stroke is to disaminate information in order to increase awareness of stroke including signs and symptoms, risk factors, appropriate emergency response, and effective prevention strategies. Extension activities provide an in-depth understanding of the dangers of dangerous blows and the importance of preventive measures through counseling media and seminars. This activity also seeks to provide assistance in recognizing early symptoms, treatment and management as early as possible, and education about a healthy lifestyle to reduce the risk of stroke. Thus, counseling about stroke is very important in reducing the incidence of stroke, early treatment, prevention and post-stroke rehabilitation to provide a better quality of life.

Urip Pratama; Fauziah Fauziah; Rahmayana Rahmayana

Jurnal Ventilator: Jurnal riset ilmu kesehatan dan Keperawatan 2023 Stikes Kesdam IV/Diponegoro Semarang, Indonesia

The problem of drug misuse among teenagers considered a national issue and becomes the concern quite hard to deal with. Teenagers are at risk for drug usage as this period is a phase of transition between childhood and adulthood known as a searching or self-identity period. This study aims to know the underlying factors to prevent drug use among teenagers at MAN 6 Kuta Baro, Aceh Besar. This research method used analytical design with a cross sectional approach with population of 118 adolescents and total sample of 54 teenagers. The proportional random sampling was used for data collection technique. This research was conducted on March 10, 2023 with univariate and bivariate analysis using the chi square test. The findings indicated that out of 54 respondents, 29 people (53.7%) made fewer attempts to prevent drug use, 32 people (59.3%) had less awareness of the dangers of using drugs, 35 people (64.8%) had negative atititude towards drugs, and less involvement from peers as many as 34 people (63%). These findings indicates that there is a relation between knowledge (p=0.003), attitudes (p=0.007), and the role of peers (p=0.017) with drug prevention attempts. In conclusion, the prevention of drug use is affected by knowledge, attitude, information, and the involvement of peers. It expects the research area to provide health counseling regarding drugs and collaborate with cross-sectoral organizations - The Health Offices and Public Health Centers.

Oktafirani Al Sas; Fiki Setiawan; Usdiyanto Usdiyanto; Supriyatin Supriyatin; Ikhwani Ikhwani +1 more

ARDHI : Jurnal Pengabdian Dalam Negri 2023 Asosiasi Riset Pendidikan Agama dan Filsafat Indonesia

Anemia is one of the conditions in which the body lacks enough red blood cells or hemoglobin to meet its physiological needs depending on the person's age, gender, age, pregnancy stage and breastfeeding stage because at the breastfeeding stage, the mother is susceptible to experiencing anemia due to iron depletion during breastfeeding and the occurrence of postpartum blood loss. Beetroot (Beta Vulgaris) is a fruit that contains quite high iron and has many nutrients. Beetroot can be used as an alternative to anemia treatment and can also be used as a prevention of anemia. The purpose of this community service activity is to give beets to breastfeeding mothers, namely to increase the knowledge of breastfeeding mothers about the benefits of beets in preventing and treating anemia. The method used in this activity is counseling by means of socialization first then followed by observation using questionnaires and blood sampling for hemoglobin examination. This activity took place at the Posyandu Sukasari Kaler Village, Majalengka Regency on April 14 – 21, 2023. Based on the results of community service activities, we can know that consuming beets for 7 days can prevent anemia and increase hemoglobin levels in breastfeeding mothers.

Abdul Aziz

GARUDA : Jurnal Pendidikan Kewarganegaraan dan Filsafat 2023 International Forum of Researchers and Lecturers

Corruption is a form of dishonesty or criminal act committed by a person or an organization entrusted with a position of power, to obtain illicit profits or abuse of power for one's personal gain. Corruption can involve a wide range of activities including bribery, influence peddling and embezzlement and may also involve practices that are legal in many countries. Political corruption occurs when officials or other government employees act in an official capacity for personal gain. Corruption is most common in kleptocracy, oligarchy, drug-state, and mafia state. Corruption and crime are endemic sociological events that occur with regular frequency in almost all countries on a global scale in varying degrees and proportions. The latest data shows that corruption is on the rise. Each country allocates domestic resources for the control and regulation of corruption and crime prevention. The strategies undertaken in order to fight corruption are often summarized in the term anti-corruption. In addition, global initiatives such as the United Nations Sustainable Development Goals also have targets that are expected to substantially reduce corruption in all its forms.

Anugrah BT; Malik Bambangan

Sinar Kasih: Jurnal Pendidikan Agama dan Filsafat 2023 Sekolah Tinggi Teologi Injili Arastamar (SETIA) Ngabang

This research discusses the role of Christian religious education teachers and parents in preventing the negative impact of technological developments on children. The impact of technological developments is very significant both internally and externally. This is a reality that every human being needs to face.  Therefore there needs to be a strategy in dealing with these technological developments. The purpose of this study is to explain the role of Christian religious teachers and parents in preventing the negative impacts of technological developments on children. The method used is descriptive qualitative method which focuses on collecting data through books, articles and relevant sources. As a result of this study, it was found that the role of Christian religious teachers and parents in preventing the negative impacts of technological developments on children is Christian religious education teachers providing education about technological developments for children at school, together with parents providing supervision of children's activities and relationships, providing activities positive for children both at school and outside of school, giving confidence to children through giving assignments. As a conclusion from this research, it is very necessary for Christian religion teachers and parents to provide education about the negative impacts of these technological developments. This prevention effort is a form of anticipation from teachers and parents so that their students are not negatively affected by these technological developments.

Faozi, Safik; Megawati, Wenny; Listyarini, Dyah

DINAMIKA HUKUM 2023 Universitas Stikubank

Non-penal efforts are one of the efforts to tackle crime, including corruption crimes. The purpose of this study is to explain the KPK's non-penal efforts to tackle corruption. The method used is literature study with primary and secondary law materials. The result is that KPK's non-penal efforts are prevention efforts that complement efforts to eradicate corruption. The form of using the mass media to form public opinion about the consequences of corruption and criminal sanctions. In addition, it also encourages the formation of national mental health in state and government institutions, community organizations, political parties, the involvement of community organizations and universities in tackling corruption crimes.   Keywords: Non-penal efforts, KPK, Corruption.

Donatila Mano S; Nimas Berlian Betta Chantika; Yohanes Firmansyah; Halim Santoso

Jurnal Pelayanan dan Pengabdian Masyarakat Indonesia (JPPMI) 2023 Sekolah Tinggi Ilmu Administrasi Yappi Makassar

Urinary tract infection (UTI) in women occurs when bacteria or other microorganisms infect parts of the urinary tract, such as the urethra, bladder, ureters, or kidneys. UTIs are more common in women due to the shorter anatomy of the female urethra and closer to the anal area, which allows bacteria to enter the urinary tract more easily. Community education and detection of urinary tract infections in female workers are important activities to increase awareness, prevention and early detection of this condition. Extension activities provide appropriate knowledge about the causes, symptoms, and steps to prevent UTIs. In addition, early detection through urine examination helps in finding UTI cases early and taking appropriate treatment measures. This activity brings long-term benefits, such as reducing work absenteeism and increasing productivity. By raising awareness and providing good understanding, women workers can take effective prevention measures. Community education and detection of UTIs in female workers is important for improving their health and quality of life, as well as reducing the burden that UTIs place on individuals and society as a whole.

Adilah Rahman; Adisty Maharani; Anzira Sania Desivha; Reza Dio Wijatmika; Herli Antoni

JURNAL HUKUM, POLITIK DAN ILMU SOSIAL 2023 Pusat Riset dan Inovasi Nasional

This research examines more deeply the analysis of legal certainty for victims of Doni Salmanan's fraud in trading through an application called QUOTEX. In relation to the decision of the Bale Bandung District Court number 576/Pid.Sus/2022/PN BlB, in which the Panel of Judges gave a verdict of imprisonment and confiscation of assets owned by the defendant generated through trading by utilizing his victims for profit and the assets were confiscated by the state. However, in the verdict there was no decision at all to provide compensation to the victim of Doni Salmanan's fraud, in this case the element of legal justice for the victim was not fulfilled by this decision. However, the aspect of legal certainty for the victim is very strong so that the defendant gets a death sentence and a fine for his actions. The legal certainty in question is a guarantee that the law is carried out properly in processing the rights and obligations of the defendant for his crime. Material law as an element of legal certainty has been carried out and linked to various laws and regulations relating to the case. Law No. 8/1999 on Consumer Protection for the losses suffered by the victim as a consumer, Law No. 19/2016 on the Amendment to Law No. 11/2008 on Electronic Information and Transactions because the case involved electronic networking devices, and Law No. 8/2010 on the Prevention and Eradication of the Crime of Money Laundering because in the prosecution the defendant was deemed to have disguised his wealth generated through criminal acts.

Muhammad Fikry Ardiansyah; Ackmal Rafli; Sarah Wulanfiani; Laraswati Ramadhani; Syarif Maulana

Jurnal Pengabdian Kepada Masyarakat 2023 Sekolah Tinggi Pastoral Kateketik Santo Fransiskus Assisi

Our Community Service Program is about "Creating a Literacy Corner for Developing Potential Early Childhood (PAUD) and Education on Environmental Hygiene and How to Wash Hands Correctly." they do not constantly look at gadgets or cellphones and it is hoped that reading interest in Indonesia can increase again because our reading interest is in the 60th place out of 61 countries about reading interest, which means only 0.0001% or only 1 person who is interested to read therefore the literacy corner program itself can be a breakthrough for young people so that interest in reading does not disappear but instead develops in the future, Then as for our second program where we focus on the cleanliness of the surrounding environment through; Not littering, Cleanliness in terms of dressing, And how to wash hands properly and correctly. Because there are still many people who are not aware or still take it lightly about cleanliness in the surrounding environment, therefore we care about it as well as a form of prevention from disease outbreaks that continue to haunt us all this time.

Pande Ayu Naya Kasih Permatananda; Luh Gde Evayanti; I Gede Suranaya Pandit

Jurnal Pelayanan Hubungan Masyarakat 2023 International Forum of Researchers and Lecturers

Suwung Garbage Landfill is the largest landfill in Bali with a land area of 32.48 hectares. Scavengers are a profession that is prone to skin diseases. Previous observational studies concluded that most of scavengers at the landfill had complaints of skin disease which might be caused by the scavengers’ low knowledge of personal hygiene. This community service was carried out in January-February 2023, starting with interview and dialogue with the Suwung Landfill manager, transfer the science and technology, and evaluate the activities. The activities carried out included: counselling on skin diseases and their prevention, socialization of personal protective equipment (PPE), demonstration and exercise 7 steps of hand washing, and providing personal hygiene and PPE assistance. The entire series of activities was attended by 20 scavengers with active participation. The results of posttest using 10 multiple choice questions showed that all participants were able to score more than 70. Through this community service, it is hoped that scavengers will be able to increase their awareness regarding of skin disease and be able to take appropriate precautions