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The PESIAR Program (Petakan, Sisir, Advokasi, dan Registrasi Map, Screen, Advocate, and Register) is an operational instrument of BPJS Kesehatan designed to accelerate the achievement of Universal Health Coverage (UHC) by increasing National Health Insurance (JKN) membership at the local level. However, the effectiveness of this program’s implementation is strongly determined by the institutional capacity and configuration that support it. This article aims to reposition institutional determination not only as a factor influencing program effectiveness, but as a model of administrative governance in achieving UHC. The study uses a mixed methods approach with a sequential explanatory design. Quantitative data were obtained through a survey of PESIAR Agents in Semarang City, while qualitative data were collected through open-ended questionnaires and interviews. The results show a strong, positive relationship between institutional determination and the effectiveness of the PESIAR Program. Qualitative findings further clarify that issues of program effectiveness largely originate from institutional capacity, the quality of cross-sector coordination, and the role of PESIAR Agents as field implementers. This study concludes that institutional determination deserves to be positioned as an administrative governance model for the PESIAR Program in promoting the achievement of UHC at the local level.

Family health is a fundamental component of public health development, as the family represents the smallest social unit shaping individual health behaviors. This study aimed to analyze the family health conditions of the community in Pulau Jambu Village, Kampar District, based on demographic, behavioral, socioeconomic, and environmental factors. A descriptive quantitative approach was employed with a total sample of 153 respondents selected using random sampling, ensuring equal probability for each population member to be included.The results indicated that most respondents were in the productive age group of 19–60 years (68.8%), with farming as the dominant occupation (47.1%). The majority relied on borehole wells as their water source (61.4%); however, 47.1% had septic tank distances ≤10 meters, posing potential risks of water contamination. Regular physical activity was reported by 60.8% of respondents, yet the prevalence of smoking was very high (78.4%). Most respondents had a junior high school education (45.1%), influencing health literacy levels, although 58.2% demonstrated good knowledge of clean and healthy living behavior (PHBS). Health service utilization was relatively high (86.3%), though some residents still practiced traditional treatment.In conclusion, family health conditions are influenced by a combination of behavioral, environmental sanitation, and socioeconomic factors. Strengthening family-based health interventions through PHBS education, smoking control, and environmental sanitation improvement is essential to enhance sustainable community health status.

The increasing use of facial cosmetics among adolescents and young adults is not always accompanied by adequate cosmetic literacy, potentially leading to skin health problems. Many consumers choose products based on trends without understanding their skin type, ingredients, and safety aspects, which can lead to skin barrier damage, irritation, and long-term dermatological disorders. This study aims to analyze the influence of cosmetic choices on facial skin health through a literature review. The method used was a qualitative literature study with a purposive sampling technique of scientific articles published between 2015 and 2025 that were relevant to the behavior of adolescents and young adults and the impact of cosmetic ingredients on the skin. Data were analyzed using content analysis to identify the relationship between knowledge, attitudes, and cosmetic choices. The results show that cosmetic knowledge tends to be high, but is not always followed by appropriate selection behavior, with varying correlation strengths. These findings confirm that cosmetic literacy contributes to the tendency to choose more appropriate products, but is not the sole determining factor. Therefore, education is needed that emphasizes cognitive aspects while fostering critical attitudes in choosing cosmetics safely and responsibly.

Remaja sebagai generasi penerus bangsa memiliki peran penting dalam melanjutkan pembangunan Negara, oleh karena itu dapat dikatakan bahwa remaja merupakan aset atau modal utama sumber daya manusia bagi pembangunan bangsa di masa depan. Oleh karena itu, kesehatan remaja perlu dijaga agar dapat menjadi generasi penerus bangsa yang sehat, produktif dan berkualitas. Metode penelitian ini menggunakan metode Participatory Action Research (PAR). Metode PAR menggunakan beberapa teknik, antara lain; pertama, observasi, focus group discussion (FGD), Sharing Knowladge, wawancara mendalam, pelatihan dan dokumentasi. Berdasarkan hasil penelitian, ditemukan bahwa pertama, kegiatan bakti sosial yang dilakukan oleh Himpunan Mahasiswa Kebidanan (HIMADAN) tahun 2026 di Panti Asuhan Ma'had Tahfidz Al Anwar, Desa Tegalandong, Kecamatan Lebaksiu, Kabupaten Tegal, berhasil memberikan edukasi kesehatan reproduksi, Perilaku Hidup Bersih dan Sehat (PHBS), dan gizi kepada 63 peserta anak dan remaja. Kedua, diskusi menekankan bahwa kesehatan reproduksi, PHBS, dan gizi merupakan aspek krusial bagi remaja, terutama dalam mencegah masalah seperti anemia, stunting, dan penyakit menular. Ketiga, secara keseluruhan, kegiatan ini berhasil menjadi pemicu bagi remaja untuk menerapkan pola hidup sehat, meskipun diperlukan evaluasi lebih lanjut dan penguatan bahan gizi untuk dampak yang maksimal.

Occupational Health and Safety (OHS) is an important element in creating a safe, healthy, and sustainable work environment. PT. X as a logistics and port operations company has potential occupational hazards originating from physical, chemical, and biological factors that need to be managed optimally. This study aims to evaluate the implementation of OHS at PT. X based on the results of measurements of physical, chemical, and biological factors of the work environment and their compliance with the provisions of the Minister of Manpower Regulation No. 5 of 2018. This study uses a descriptive method with an evaluative approach to work environment monitoring data in 2025 in the generator and office areas. The parameters analyzed include noise, lighting, hot work climate (ISBB), inhalable and respirable dust exposure, and microbiological air quality in the form of total bacteria and fungi. The results show that most parameters meet the specified standards, with the exception of the generator area which exceeds the noise limit and the hot work climate which exceeds the Action Level (AL). The implementation of OHS at PT. X has been running quite well, indicated by most of the work environment parameters that meet the standards. However, strengthening risk controls, particularly regarding noise and hot working conditions in operational areas, is still necessary. This evaluation is expected to serve as a basis for continuous improvement in the implementation of Occupational Health and Safety (OHS) to protect workers from potential occupational hazards and support the productivity and sustainability of company operations.

Social media has become integral to the daily lives of Generation Z (Gen Z) in Indonesia, with intensive daily usage contributing to significant mental health concerns. This narrative review synthesizes evidence from the literature published between 2021 and 2026 to examine the primary mechanisms social comparison and fear of missing out (FOMO) underlying the negative effects of social media on mental health, including anxiety, depression, low self-esteem, sleep disturbances, and social isolation. Drawing from 15 key open-access articles (including 7 Indonesia-specific studies and 8 global comparisons), social comparison through curated content on platforms such as Instagram and Facebook was consistently associated with diminished self-satisfaction and heightened dissatisfaction. FOMO, particularly amplified by fast-scrolling algorithms on TikTok, promoted compulsive behaviors such as doomscrolling and exacerbated emotional distress. Digital wellness strategies, including digital detox, mindful usage, and media literacy, showed promising potential for mitigation, although long-term effectiveness remains limited in the Indonesian context. Notable research gaps include the scarcity of longitudinal studies, culturally tailored interventions, and data from rural or non-urban populations. This review recommends integrating digital literacy education into school curricula and developing community-based mental health programs to address risks in the 2025–2026 digital era. The findings offer insights for prevention and intervention strategies targeting Gen Z mental health in Indonesia.

This study focuses on an in-depth analysis of how digital marketing strategies influence the decisions of residents of Mencirim Village, East Binjai District in purchasing health products. The scope of digital marketing studied includes social media platforms, the effectiveness of online advertising, the depth of marketing content, and the role of electronic reviews or electronic word of mouth (e-WOM). Using a quantitative approach with a survey method, this study involved 100 respondents selected through a purposive sampling technique. The main criteria for respondents were residents aged at least 17 years who had actively transacted health products digitally in the last three months. Data were collected through a 5-point Likert scale questionnaire and processed using multiple linear regression analysis with the help of IBM SPSS Statistics 26. The research findings revealed that partially, social media (β = 0.312), online advertising (β = 0.287), marketing content (β = 0.241), and e-WOM (β = 0.198) had a positive and significant influence on consumer purchasing decisions (p < 0.05). Collectively, the integration of these four variables explains 68.4% (R² = 0.684) of the dynamics of local purchasing decisions.

Teenage pregnancy remains a reproductive health issue in Indonesia, including in Batam City. According to data from the Batam City Health Office in 2024, there were 18 cases of teenage pregnancy (0.06%) with the Lubuk Baja Health Center being one of the highest areas. Pregnant teenagers are at high risk of complications such as anemia, malnutrition, and low birth weight (LBW), which contribute to high rates of maternal and infant morbidity. This study used a descriptive method with a case study approach on Ny. S, an 18-year-old teenager with a pregnancy in the Lubuk Baja Health Center area of Batam City in 2025. Data collection was conducted through interviews, observations, physical examinations, and SOAP documentation following the 7-step Varney obstetric management. The findings revealed that Ny. S experienced mild complaints such as nausea, reduced appetite, and anxiety about her pregnancy. After three visits, the mother's complaints decreased, appetite improved, anxiety decreased, and nutritional status was within normal limits. Comprehensive midwifery care with a biopsychosocial approach was proven effective in improving both the physical and mental health of pregnant teenagers and preventing pregnancy complications.

Background: Cervical cancer remains a major health problem among women dueto low awareness of early detection. The Visual Inspection with Acetic Acid (IVA) test is a simple and effective screening method. Health education is needed to improve understanding and encourage early detection behavior. Therefore, this study aimed to determine the effect of health education about cervical cancer on IVA detection behavior among women of reproductive age in Bilutan Rejosari Village. Method: This study employed a Quasi-Experimental design with a Pretest–Posttest Group Design. The study population consisted of 150 women of reproductive age (15–49 years). Samples were selected using purposive sampling, resulting in a total of 66 respondents. Result: a significant difference between IVA detection behavior scores before and after the intervention (p-value = 0.000). A p-value < 0.05 indicates that the health education provided regarding cervical cancer significantly improved IVA detection behavior among women of reproductive age in Bilutan Rejosari Village. Conclusion: Health education has a significant effect on improving early detection behavior of cervical cancer through the IVA examination.

Lifestyle changes, such as smoking habits, low physical activity, and suboptimal sleep patterns, have the potential to affect various health indicators. However, empirical evidence showing a direct link between lifestyle factors and objective health indicators still shows varying results. This study aims to analyze the relationship between lifestyle factors and health indicators in adult respondents, in an effort to provide an empirical picture of behavioral factors related to health conditions. This study used a quantitative approach with a cross-sectional observational analytic design. Data were obtained from 94 respondents who had complete lifestyle data and health examination results. Lifestyle factors analyzed included smoking habits, exercise frequency, and sleep duration, while health indicators included body mass index (BMI), systolic and diastolic blood pressure, blood sugar levels, cholesterol, uric acid, and pulse rate. Data analysis was performed using descriptive statistics, the Shapiro–Wilk normality test, and the Spearman correlation test according to the characteristics of the data distribution. The results showed that smoking habits were significantly associated with diastolic blood pressure (p < 0.05), exercise frequency was significantly associated with BMI and systolic blood pressure (p < 0.05), and sleep duration was significantly associated with uric acid levels (p < 0.05). Meanwhile, the relationship between lifestyle factors and other health indicators did not show statistical significance. These findings indicate that the influence of lifestyle on health is specific to certain indicators and is not evenly distributed across all health parameters. This study concludes that identifying lifestyle factors relevant to certain health indicators is important as a basis for formulating more targeted health promotion strategies.

The digital transformation of health services through the Mobile JKN application was introduced by BPJS Kesehatan to provide easier access for the public in obtaining information, managing membership administration, and receiving health services more quickly and efficiently. This study aims to measure the readiness level of patients at Abdul Manap Regional Hospital, Jambi City, in adopting the Mobile JKN application using the HOT-Fit method, which covers three main components: Human, Organization, and Technology. Data were collected from 360 respondents through questionnaires and analyzed using Partial Least Square Structural Equation Modeling (PLS-SEM). The results indicate that technology factors—including system quality, information quality, and service quality— along with organizational support have a significant effect on system use and user satisfaction, which in turn positively influence the net benefits. The outer loading values of all indicators exceeded 0.7, with Composite Reliability above 0.8 and AVE above 0.6, confirming that the research instruments are valid and reliable. Overall, patients at Abdul Manap Hospital are categorized as ready to adopt Mobile JKN, although improvements in digital literacy and stronger organizational support are still required to optimize its utilization.

This community service activity aims to improve students' digital legal literacy and awareness of mental health from the perspectives of criminal law, civil law, and health law at SMP Al-Ikram Medan. The background of this program is the increasing use of digital media among students which raises legal risks such as cyberbullying, online fraud, privacy violations, and their impacts on students’ mental health. The method used includes legal education, interactive counseling, group discussions, and evaluation through pre-test and post-test. The results show an increase in students’ understanding of digital legal risks, students’ rights and obligations in cyberspace, and awareness of mental health protection. This program contributes to strengthening preventive legal culture and early mental health protection among students.

Pengunaan peralatan elektromedik merupakan faktor krusial dalam pemantauan kesehatan bayi dan anak terutama pada akurasi hasil yang di peroleh. Sesuai dari data yang didapat bahwa mitra telah memiliki sarana medis dasar yang memadai, namun diperlukan standarisasi manajemen pemeliharaan untuk menjaga fungsionalitas alat dalam jangka panjang. Kegiatan pengabdian masyarakat ini bertujuan untuk memperkuat kapasitas teknis para pengasuh dalam pengoperasian dan perawatan peralatan medis secara mandiri. Metode yang digunakan meliputi pemetaan kondisi alat (inventarisasi), sosialisasi prosedur teknis, serta simulasi praktik pemeliharaan preventif. Hasil kegiatan menunjukkan adanya peningkatan pemahaman praktis pengasuh mengenai aspek teknis alat, seperti perawatan mandiri, perawatan sensor oximeter, dan manajemen penyimpanan perangkat elektronik. Sebagai bentuk keberlanjutan program, telah disusun "Buku Saku SOP Perawatan Peralatan Medis" yang berfungsi sebagai panduan operasional harian bagi staf pengasuh. Luaran dari pengabdian ini memberikan dampak positif bagi mitra berupa tersedianya panduan sistem perawatan yang lebih terorganisir. Simpulan dari kegiatan ini menunjukkan bahwa integrasi antara edukasi teknis dan penyediaan panduan tertulis mampu mengoptimalkan masa pakai alat medis serta menjamin validitas hasil pemeriksaan kesehatan anak. Sinergi ini diharapkan dapat menjadi model bagi lembaga sosial dalam mewujudkan layanan kesehatan mandiri yang berkualitas

This study is motivated by the increasing complexity of financing coordination between the National Health Insurance (BPJS Kesehatan) and supplementary health insurance providers under the Coordination of Benefits (KAPJ) scheme, which creates potential claim disputes and administrative risks for hospitals. Although Minister of Health Decree No. HK.01.07/MENKES/1117/2025 regulates payment allocation and membership verification mechanisms, it does not explicitly recognize pre-admission confirmation as a preventive legal protection instrument. This research aims to analyze the normative position of pre-admission confirmation within the KAPJ framework, conceptualize it as a preventive legal protection mechanism, and formulate a proportional implementation model. The study employs a normative juridical method using statutory and conceptual approaches through literature review of relevant regulations and scholarly works. The findings indicate that pre-admission confirmation possesses implicit normative legitimacy through membership verification obligations and system integration requirements, and functions as a risk allocation mechanism that clarifies payment responsibilities prior to service delivery. Its implementation enhances legal certainty, reduces fraud potential, and minimizes claim disputes, provided that access to emergency medical services remains guaranteed.

Digital

Stunting merupakan kondisi pada balita yang ditandai dengan tinggi badan menurut usia berada di bawah standar. Kondisi ini terjadi akibat asupan zat gizi yang tidak adekuat dalam jangka waktu panjang. Salah satu tanaman yang berpotensi digunakan dalam upaya pencegahan stunting adalah daun kelor. Daun kelor dapat dimanfaatkan sebagai bahan pangan untuk membantu mengatasi kekurangan gizi pada anak-anak sekaligus meningkatkan daya tahan tubuh. Kegiatan ini dilaksanakan dalam bentuk sosialisasi dan demonstrasi pembuatan puding daun kelor di balai desa kopek dengan 15 peserta. Hasil dari kegiatan ini adalah meningkatkan pengetahuan dan memanfaatkan daun kelor sebagai bahan pangan yang bernilai gizi. Kegiatan sosialisasi dan demonstrasi pembuatan puding daun kelor diharapkan dapat memberikan kontribusi yang signifikan terhadap peningkatan derajat kesehatan dan pemenuhan gizi seimbang masyarakat Desa Kopek.

Exercise is a planned physical activity that not only contributes to physical fitness but also plays a significant role in maintaining and improving mental health. This study aims to explore the relationship between physical exercise and mental well-being among adolescents and university students with diverse backgrounds of physical activity. The research employs a qualitative approach using in-depth interviews with five informants, consisting of university students who engage in recreational exercise, recreational runners, middle- and long-distance runners, and a sprinter. Data collection was conducted in several public sports spaces in the city of Bandung, focusing on participants’ subjective experiences related to their psychological conditions before and after engaging in exercise. The findings indicate that all participants perceive exercise as an effective means of emotional regulation. Physical activity is consistently associated with improved mood, reduced stress, enhanced sleep quality, stable energy levels, and increased academic concentration and focus. In addition, exercise contributes to the development of self-confidence, self-efficacy, and self-control through structured routines. The social aspects of exercise, such as support from peers, communities, and coaches, were shown to strengthen the sustainability of physical activity while also providing essential emotional support for mental health. However, among competitive athletes, performance-related pressure was identified as a factor that may negatively affect psychological well-being, although this effect can be moderated by adequate social support. Overall, the findings of this study emphasize that exercise functions as an adaptive coping mechanism operating through biological, psychological, and social pathways, and highlight the importance of consistency and balance in physical activity to achieve optimal mental health benefits.  

Mental health is a very important element in supporting students' academic success. As a group at a vulnerable age, students often face academic, social, and psychological pressures that can affect their mental health and academic performance. This study aims to examine the impact of mental health on the academic performance of students at the Faculty of Economics, Pasim National University. The method used in this study is a quantitative approach with data collection through questionnaires. The research subjects consisted of 123 students in their first semester, where the sample included 94 respondents selected using the Slovin formula. The data were analyzed using SPSS software, including validity, reliability, and normality tests, simple linear regression, coefficient of determination, and ANOVA. The findings of this study indicate that all measurement tools used are valid and reliable. Normality testing shows that the data have a normal distribution. The regression analysis results showed a significant positive effect of mental health on students' academic performance. An R-squared value of 0.410 indicates that mental health contributes 41% to the variation in students' academic results, while the remaining 59% is influenced by other factors. The results of the ANOVA also showed a significance level of 0.000 (<0,05). confirming the suitability of the regression model. Therefore, it can be concluded that mental health plays a significant role in improving student academic achievement. This research is expected to provide educational institutions with a basis for designing mental health support policies and programs to improve student academic quality.

Adolescents are a vulnerable group facing nutritional problems, therefore nutritional needs are crucial. Unhealthy lifestyle changes, such as excessive cigarette consumption, can lead to nutritional status problems. This study aims to analyze the relationship between mental health and cigarette consumption with the nutritional status of male adolescents at SMK Negeri 3 Palu. This study was quantitative, using a cross-sectional approach with a population of adolescents at SMK Negeri 3 Palu aged 16-18 years. This study was conducted in December 2024. The sample size was 103 individuals, using a stratified random sampling technique. Based on the results of the Spearman rank test, it shows that the adolescents who experience the most mental health problems are at a mild level with a nutritional status of 42.6% (p = 0.724) > value ∝ 0.05 and the adolescents who have the most heavy cigarette consumption with a nutritional status of 48.8% (p = 0.221) > value ∝ 0.05, which means there is no relationship between mental health and nutritional status and there is no relationship between cigarette consumption and the nutritional status of male adolescents at SMK Negeri 3 Palu.

The "Desa Sehat Berdaya: Digital-Based Health and Local Economy Innovation" program was implemented in Bulawan 2 Village to address low awareness of preventive health, Clean and Healthy Living Behaviors (PHBS), and limited social education for children and adolescents on bullying, early marriage, and drug abuse (NAPZA). The goal was to improve public health through promotive-preventive interventions, enhance health cadre capacity for sustainable village programs, and increase understanding of healthy behaviors and social risks among youth. A participatory-collaborative approach was used, involving community organization, multi-party coordination, program presentation, intervention implementation, evaluation, and follow-up with health cadres, alongside simple digital media utilization. Results showed increased community participation in posyandu, healthy exercises, and free health checkups, as well as improved cadre capacity through MP-ASI training. For youth, PHBS socialization, anti-bullying, early marriage education, and NAPZA awareness enhanced understanding of healthy behaviors and social issues. Collaboration with Karang Taruna strengthened youth participation and social cohesion.