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Traditional health services are expected to be implemented in health care facilities. Puskesmas had a traditional health clinic that has been running since 2019, but there is no evaluation on that program. This study aims to identify the implementation that has been carried out, in order to find out which aspects still need improvement. The research method used is descriptive qualitative research. Researchers collect data by interview, observation and secondary data. The results of the study show that traditional health services at the puskesmas have been implemented fairly well. In 2022 there were 20 visitors with the majority of visitors aged 31-45 years (50%), female (90%), all coming from the Javanese and Muslim religions. Meanwhile, the average number of visits was 1 time (55%) and 5% of visitors made 4 repeat visits. The most frequently treated complaints were dizziness/headaches (35%) and other pain complaints (45%). Treatment in traditional health polyclinics is provided with oral medication as much as 40% and 60% without drug administration. The traditional treatment given is acupressure (65%), cupping (15%) and a combination of both as much as 20%. Officers who provide traditional health services at the Palm Health Center are nurses with acupressure training. The implementation that has been carried out still requires various improvements in order to increase the number of patient visits. Further research is needed to find the right implementation model so that traditional health services at puskesmas are widely utilized by the community.

Menopause causes significant psychological symptoms in women due to the occurrence of physical and physiological changes as a result of decreased and ceased estrogen hormone production. The preliminary study results in the Sonder Primary Health Care Center area show that a significant portion of premenopausal mothers aged 45-50 years do not comprehend and lack understanding on how to cope with menopause. Additionally, there are concerns among these mothers regarding sexual issues after entering menopause.To determine the effectiveness of health education in preparing premenopausal mothers to face menopause in the working area of Puskesmas Sonder.This study employed a pre-experimental design with a one-group pretest-posttest design. The population consisted of 15 premenopausal women in the working area of Puskesmas Sonder, selected using simple random sampling. Data analysis involved univariate and bivariate analysis using Wilcoxon.Before health education, the majority of premenopausal mothers were categorized as unprepared to face menopause (53.3%). After receiving health education, a significant number of respondents were categorized as prepared to face menopause (80.0%). The effectiveness of health education in preparing premenopausal mothers to face menopause in the working area of Puskesmas Sonder was statistically significant (0.025 < 0.05).

Parenting in the family is an action taken by parents in the family, so that children who get positive parenting can avoid growth and development disorders. This study aims to determine the relationship of parenting patterns to the growth and development of children aged 12-36 months. This research was conducted at Batua Raya Health Center and Tamalanrea Jaya Health Center. The total sample was 172 people with purposive sampling technique. This research is a quantitative study with a cross sectional approach method. The results of this study showed that parents who had positive parenting patterns had good nutrition 71 people, positive parenting patterns had poor nutrition 24 people, negative parenting patterns had good nutrition 40 people, negative parenting patterns had poor nutrition 37 people, positive parenting patterns had appropriate child development 71 people, positive parenting patterns had poor child development 24 people, negative parenting patterns had appropriate child development 41 people and negative parenting patterns had poor child development 36 people. The data analysis used is chi square and the p value for growth is 0.002 and the p value for development is 0.003. This shows that there is a relationship between parenting patterns and the growth of children aged 12-36 months.

The toddler period is a golden period that determines the rate of growth and development of toddlers both physically, mentally and emotionally. Assessment of nutritional status Assessment of nutritional status of toddlers using standard and measurable parameters can be used as a monitoring item for nutritional problems in toddlers. This study aims to describe the findings based on research data conducted in 2021 on 96 toddlers in the working area of the Ranomuut Public Health Center, Manado City, North Sulawesi Province. Primary anthropometric and age data were collected on toddlers 6-24 months and obtained data that 26% of toddlers have nutritional status in the poor category (<2SD) and 74% of them have nutritional status in the good category (? -2 SD to +2SD). Even though there is no urgency found in the results of this study, the conclusions of the research need to be published, and it is hoped that this can be used as a reference for future research.  

Bone Village is a fostered village of the TLM Study Program, Poltekkes, Kupang Ministry of Health, which is in the Nekamese sub-district, Kupang district. This village has an early childhood education center and a Elementary School (SD). On average, PAUD students will have their blood type checked when they are about to enter the next stage of school, namely elementary school, because blood type is one of the requirements for enrolling in elementary school, while those who do not continue their studies will not have the opportunity to have their blood group checked. SD Negri Bone students rarely have their blood group or rhesus checked, so it is deemed necessary to do a blood group examination for elementary school and PAUD children. The output of this activity is that elementary and early childhood students in Bone Village know about the importance of golda and know each other's golda. The results showed that the respondents were elementary school students (68.6%) while those in early childhood education (31.4%). The highest grade of elementary school children was found in grade B+ (24.2%) and grade O+ (24.2%). In the golda of PAUD children the most was in golda B+ (14.1%).

In human life, adolescence is a very important period. During this period, the initial process of maturation of the reproductive organs occurs. In this phase, adolescents will experience physical growth accompanied by mental, cognitive and psychological development. Lack of adequate nutrition during this period can cause disruption and obstacles in adolescent growth. One program that can be carried out to achieve and maintain normal nutritional status in adolescents is by implementing a balanced nutritional intake. This community service activity is carried out using nutrition education methods for teenagers. Through this service activity, it is hoped that there will be an increase in knowledge among teenagers regarding the importance of implementing a balanced nutritional intake for teenagers, which in turn is hoped that teenagers will be able to achieve and maintain normal nutritional status. This activity was attended by 23 teenagers in the working area of ​​the Somba Opu Health Center, Gowa Regency. The knowledge score results show that before being given counseling about balanced nutrition, the average knowledge score for teenagers was in the medium category, namely 60,8%. After following the counseling regarding balanced nutrition and carrying out a posttest, the results showed that the teenagers' knowledge scores increased to an average of 65,22% in the high category. This shows that there is an increase in knowledge among teenagers regarding balanced nutrition after attending this counseling.

This study aims to examine the effect of organizational culture and work environment on employee performance at the Dangung-Dangung Health Center, Fifty Cities District. This type of research is quantitative, where the research process emphasizes objective measurement of results using statistical analysis. The population in this study were all employees of 73 people. The sample collection technique used is the total sampling technique, where total sampling is the sampling technique when all members of the population are sampled, while the number of samples is 73 people obtained from all members of the staff. The type of data used in this research is quantitative and qualitative data. While the data sources are primary and secondary data sources. Data collection techniques using observation, questionnaires and literature study. By using test instrument test, (validity test and reliability test), analysis descriptive test, classical assumption test (normality test, multicollinearity test and heteroscedasticity test) then multiple linear regression and hypothesis testing with the help of the SPSS application. The results of the study show that organizational culture has a positive and significant effect on employee performance and the work environment has a positive and significant effect on employee performance.

Diabetes mellitus is a metabolic disorder characterized by hyperglycemia associated with abnormalities in carbohydrate, fat and protein metabolism. A prominent complaint in patients with Diabetes Mellitus is that patients always feel weak and tire easily. Pharmacological actions are usually given insulin therapy and non-pharmacological therapy is used as a drug companion. One of the non-pharmacological therapies to reduce weakness and fatigue due to increased blood glucose is to apply a low-sugar diet. Where nurses provide low-sugar food and drinks while patients are in the ER and provide knowledge to patients and families about managing food and drinks independently for patients to consume while at home. The purpose of this application is to reduce blood glucose levels in diabetes mellitus patients at the Biloro Pearawatan Health Center. Writing the final report of this case study using a descriptive method with a nursing process approach and based on Evidence Based Practice. The analysis of this case study was carried out in 1 patient with diabetes mellitus with the focus of implementing a low-sugar diet intervention. The results after a low-sugar diet were found to result in a decrease in blood glucose levels in patients on the first day of 351 mg/dl and after being intervened for 3 days it showed a decrease in glucose levels to 207 mg/dl. Low sugar diet interventions can be given to other diabetes mellitus patients to reduce blood glucose levels.    

Indonesia ranks ninth in the world with more than 15.5% of newborns experiencing LBW annually. The purpose of this study is to explain the role of MCH officers in early detection of LBW in pregnantwomen at the Poasia Health Center. This type of research is a qualitative study with a phenomenological approach. The informant determination technique was carried out by purposive sampling. Data collection used interviews and observations with research informants, namely 2 MCH officers and 2 pregnant women who had their pregnancies checked at the Poasia Health Center. pregnant at risk of LBW or not. As well as meeting ANC standards, however, the knowledge possessed by pregnant women who check their pregnancies at the Poasia Health Center is still lacking because pregnant women do not receive counseling related to LBW from KIA officers.

Background: Mother's milk (ASI) is rich in nutrients and is the key to baby's health. Breast milk is the best food that babies aged 0-6 months need for optimal growth and development, increasing body resistance, protecting against infection, forming a healthy digestive system and increasing intelligence. Objective: to determine the relationship between factors that influence the smooth flow of breastfeeding in breastfeeding mothers in the work area of ??the Kuta Baro Aceh Besar Community Health Center. Method: This research is quantitative with an analytical design using a cross-sectional study method. Data were collected using a questionnaire conducted from March 8 to April 4 2023. The population in this study were all breastfeeding mothers who had babies aged 0-6 months, totaling 139 people, using a sampling technique, namely proportional random sampling, of 58 people. Results: Data analysis using chi square with the results of the study shows that there is a relationship between family support and smooth breastfeeding with a value of p= 0.011, there is a relationship between breast care and smooth breastfeeding with a value of p= 0.012, there is a relationship between the frequency of breastfeeding and smooth breastfeeding with a value of p= 0.025 and There is no relationship between the use of contraceptives and the smoothness of breastfeeding with a p value = 0.372. Conclusion: This research is a factor that influences the smoothness of breast milk.  

The problem of medication adherence in individuals with hypertension remains a challenge, even in developing countries. The purpose of this study was to determine the effect of Emo demo education on adherence to taking medication in hypertensive patients enrolled in the Prolanis program at Puskesmas Sumbersari Lumajang. This study was conducted at Sumbersari Health Center in March 2023. This study used a quasi-experimental research design with a one group pre-post test design. The purposive sampling technique was chosen to select a sample of 50 respondents. This study used the MMAS-8-4 (Morisky Medication Adherence Scale) questionnaire as a measuring tool for medication adherence. Statistical tests using the Wilcoxon Signed Rank test. Before the emo-demo, most of the 22 (44%) respondents were at a low level of compliance. After emo-demo education, most of the respondents were in moderate compliance 33 (66%) and high compliance 14 (28%).  The results of bivariate analysis show that Emo demo education has a significant effect on drug compliance in hypertensive patients participating in Prolanis, with a p-value of 0.000 which is smaller than the predetermined level of significance of 0.05. The provision of Emo Demo in health education with a focus on the target group is expected to be facilitated by the puskesmas. Effective medication adherence among hypertensive patients can improve control of blood pressure and prevent complications of the disease.

Stunting is a condition of growth failure in infants that occurs during a critical period of the process of growth and development in the womb and during the initial period after the baby is born. It is not only affected the physical growth of the baby but also the brain. The purpose of this research was to determine the factors associated with the stunting prevalence among the children under five years old of age in Jetis 1 Primary Health Care Center, Bantul. The research method is quantitative, case control research design with retrospective approach. The data analysis methods were chi-square and logistic regression. The results of this research were some factors could be associated with stunting prevalence. The factors were the history of exclusive breastfeeding (p: 0.037 or: 0.253) and the nutritional status of the mother during pregnancy (p: 0.001 or: 5.634). Meanwhile, gender (p: 0.153), history of birth weight (p: 0.677) and mother's education (p: 0.127) were found to have no relationship with stunting prevalence. It is expected that the mothers of children under five years old can prepare for pregnancy in the future by calculating nutritional intake before and during pregnancy and provide exclusive breastfeeding for 6 months.

  Infectious diseases are still an important public health problem, especially in developing countries. One of the mainstay drugs to overcome this problem is antibiotics. Bacterial resistance to antibiotics continues to increase throughout the world, including Indonesia. The purpose of this study was to determine the average use of antibiotic eye drops for the period January to March 2021 at the Community Eye Health Center January to March 2021. The method in this research is a descriptive survey. The population in this study were all prescription data from January to March at the Community Eye Health Center. Results In January to March 2021 the average number of uses of the antibiotic Levofloxacin was 39.6. Polynel is 35. Bralifex is 34.

In Indonesia, there were 35,985 postpartum mothers who experienced ASI dams or (15.60%) postpartum mothers, and in 2015 postpartum mothers who experienced ASI dams were 77,231 or (37.12%). The increasing incidence of ASI dams is one of the health problems in Indonesia. Where this greatly affects the postpartum period, namely the failure to provide breast milk to infants and one of the failures to achieve coverage of exclusive breastfeeding. This study aims to determine the determinants that influence the occurrence of breast milk dams in postpartum mothers in Bulukumba Regency. This research is a quantitative descriptive study with a population of 30 postpartum mothers using total sampling. The results showed that the nipple length was the most influential factor among the five factors causing breast milk dams in the working area of ​​the Ujung Loe Health Center, Bulukumba Regency. This is based on a simple linear regression test obtained a p value of 0.04. Conclusion: From the results of the research conducted, it is known that all respondents who experienced breast milk retention were 19 mothers and 11 mothers who did not experience breast milk retention. After statistical tests were carried out using a simple linear regression test, it was found that there was a significant relationship between the causal factors, namely the nipples being too long and the occurrence of breast milk dams with a p value of 0.001.    

Cervical cancer is the most common health problem in women, where special attention is needed to prevent this health problem. One effort that can be done to recognize pre-cancerous lesions early is by conducting an Acetic Acid Visual Inspection (IVA) examination which can reduce the incidence of morbidity and maternal mortality caused by cervical cancer. This IVA examination is very easy and practical to be carried out either by midwives or professional health workers (doctors) who can be obtained at health facilities such as clinics, health centers and hospitals. This study aims to determine the effect of health education on maternal adherence to visual inspection of acetic acid at the Suli Health Center. This research method is analytic with design Quasi Experiment (experiments pseudo), with design one group pretest posttest . The population in this study were all women of childbearing age (WUS) who were in the work area of the Suli Health Center as many as 78 people and the sample in this study were all WUS who were in the work area of the Suli Health Center who had certain characteristics, namely women of childbearing age who had active sexual relations. with the number of samples in this study amounted to 30 people. Sampling was carried out using purposive sampling method. This research was processed using a computerized system with the help of the SPSS program. The data analysis method used was statistical test analysis with the Wilcoxon signed ranks test to determine the effect of health education on WUS compliance by conducting an IVA examination where if obtained The p value of this test or p 0.000 <0.05, can be interpreted as significant. Therefore, it is recognized that health education has an impact on WUS adherence to carrying out IVA examinations.  

Background: One of the non-pharmacological intervention techniques that can be used is the guided imagery relaxation technique. When doing Guided Imagery Relaxation it produces endorphins. Endohrpin is a neurohormone associated with pleasant sensations so it is expected to lower blood pressure. This study aims to determine the effect of Guided Imagery Relaxation on reducing blood pressure in hypertensive patients. Method: This type of research is Quasy Experiment with a one group pretest posttest design. The sampling technique used purposive sampling with the population that will be taken in this study is the community of the Cikalongkulon Cianjur Health Center in people with hypertension aged 45-70 years who do not experience complications and do not regularly take hypertension medication. The number of samples is 16 respondents. Statistical analysis using the Wilcoxon Signed Rank T-Test. Results: From the results of the Wilcoxon Signed Rank T-Test analysis, it shows that there is a significant effect between Guided Imagery Relaxation and a decrease in blood pressure in the Working Area of ​​the Cikalongkulon Health Center, Cianjur p-value 0.002 (<0.05). Conclusion: From this study it shows that there is an effect of guided imagery relaxation on reducing blood pressure in the Working Area of ​​the Cikalongkulon Health Center.

Aging is an inevitable and complex process. Cognitive impairment and depression are often seen as comorbid conditions and major mental health problems affecting the elderly. Both of these have become global issues and place a heavy burden on the health care system and society. This cross-sectional study aims to determine the relationship between depression and the incidence of cognitive impairment in the elderly group (³60 years) who meet the criteria by total sampling at the Sasana Tresna Werda RIA Development Center in January 2019. Depressive disorder was measured using the Geriatric Depression Scale (GDS). The Mini-Mental State Examination (MMSE) is used to measure and identify cognitive impairments. Statistical analysis using the Fisher Exact test. Of the 56 respondents, the average age was 78.13 years with 69.6% of the respondents being women. From all respondents, it was found that 10 respondents experienced depression and 23.2% of the elderly had cognitive disorders. The results of the Fisher Exact statistical test stated that there was a significant relationship between the incidence of depression and the onset of cognitive impairment in the elderly group at Sasana Tresna Werda RIA Development (p-value: 0.041). Clinically, the elderly with depressive disorders have a 2.875 times higher risk of experiencing cognitive impairment compared to the elderly without depression. Treating depression can reduce the number of cognitive impairments in the elderly.    

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.  

Childbirth is a series of events when a baby is released from the mother's womb, followed by the release of the placenta and fetal membranes from the mother's body (Fitriana and Nurwiyandani, 2018). Experimental research method with a design that is Control group pre test-Post test. The population in this study were all primigravid postpartum patients without complications during the first active phase in the working area of ​​the Halilulik Health Center, Naitimu Village, West Tasifeto District, East Nusa Tenggara, Using a purposive sampling technique, a sample of 16 people was obtained with a distribution of 8 people for the back rubbing massage treatment using the Power Massager (group 1) and 8 people for the back rubbing massage treatment using the hands (group 2). The results showed that the back rubbing massage treatment using a power massager obtained an average decrease in pain of 2.375, while the treatment of back rubbing massage using hands obtained an average decrease in pain of 1.250, obtained P count of 0.0013 P <0.05, So it can be concluded that back rubbing massage using a power massager is more effective than using hands in reducing pain in primigravida in parturient patients in the active phase 1. In conclusion, back rubbing massage using a power massager is more effective in reducing pain in primigravid patients in labor in the first active phase.

Background: Self-efficacy is the perception of the ability to consider and implement behavior patterns as self-regulation that is obtained through motivation and determining achievement of expectations. Good self-efficacy is needed not only for healthy people but also for sick people, especially people with chronic illnesses. Decreased self-efficacy can occur in people with chronic illnesses. We know that people with chronic diseases have long treatment programs, even for a lifetime, such as taking medication and sometimes this feels boring or boring. Consuming drugs or running a continuous treatment program can lead to boredom so that it is possible to want to stop taking medication. This is the background for wanting to know what actions can be taken to increase self-efficacy in people with chronic diseases. Self-efficacy increases if there is effort in dealing with existing obstacles. Interventions can be provided by health workers in increasing self-efficacy in people with chronic diseases. Objective: This study aims to describe the effect of Beapreasi therapy on self-efficacy in patients with chronic diseases at the Bergas Health Center, Semarang Regency. Methods: The research design used was descriptive and was carried out on 6 respondents, all of whom became the experimental group or all of whom became respondents. The method used to determine respondents is a purposive sampling technique. All respondents were assessed for self-efficacy using a self-efficacy scale questionnaire which was measured 2 times, namely before and after being given Beapreasi therapy. Results: The study showed that the mean value of the self-efficacy scale in the experimental group before the intervention was 81.79 and the value of the efficacy scale in the experimental group after the intervention was 89.36. this shows that there is an increase in the value on the self-efficacy scale and there is a difference in the mean value on the self-efficacy scale in the experimental group before giving the intervention with after giving the intervention with a p value of 0.00, p value <0.05 so that there is a significant/significant effect of giving reward therapy on improvement self-efficacy. Conclusion: Beapreasi therapeutic intervention can be used to maintain self-efficacy or increase self-efficacy in patients with chronic diseases, with the hope that patients will remain enthusiastic in carrying out their care and life. Beapreasi therapy can be used as a nurse's independent intervention in accompanying the care of patients with chronic diseases who require lifelong treatment and this is in an effort to increase self-efficacy in sufferers of chronic diseases.