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Stunting remains a chronic nutrition problem that requires strengthening community-based interventions, particularly through optimizing the role of posyandu cadres. This article aims to describe nutrition education and child growth monitoring for cadres as a strategy to prevent stunting at Posyandu Delima. The method employed was a participatory community empowerment approach based on health education. The activities were conducted through several stages, including needs assessment, development and delivery of nutrition education, hands-on practice in child growth monitoring, cadre mentoring, and evaluation with reflective feedback. The results showed an improvement in cadres’ knowledge and skills in interpreting growth indicators, identifying early risks of nutritional problems, and delivering structured nutrition education to caregivers of under-five children. Strengthening cadre capacity contributed to better quality of child growth monitoring and reinforced the role of posyandu as a community-based primary health service. In conclusion, integrated nutrition education and child growth monitoring are effective in supporting stunting prevention efforts and are aligned with national policies on strengthening maternal and child health services.

Stunting remains a chronic nutrition problem that requires strengthening community-based interventions, particularly through optimizing the role of posyandu cadres. This article aims to describe nutrition education and child growth monitoring for cadres as a strategy to prevent stunting at Posyandu Delima. The method employed was a participatory community empowerment approach based on health education. The activities were conducted through several stages, including needs assessment, development and delivery of nutrition education, hands-on practice in child growth monitoring, cadre mentoring, and evaluation with reflective feedback. The results showed an improvement in cadres’ knowledge and skills in interpreting growth indicators, identifying early risks of nutritional problems, and delivering structured nutrition education to caregivers of under-five children. Strengthening cadre capacity contributed to better quality of child growth monitoring and reinforced the role of posyandu as a community-based primary health service. In conclusion, integrated nutrition education and child growth monitoring are effective in supporting stunting prevention efforts and are aligned with national policies on strengthening maternal and child health services.

Sleep disturbances are a common complaint among perimenopausal women due to hormonal, psychological, and physiological changes, which impact their health and quality of life. Safe and easy-to-apply non-pharmacological approaches, such as lemongrass aromatherapy (Cymbopogon citratus), have the potential to be a supportive alternative in overcoming sleep disturbances during this phase. However, empirical evidence regarding the effect of lemongrass aromatherapy on the sleep quality of perimenopausal women is still limited, especially in the context of primary health care in Indonesia. This study aims to analyze the effect of lemongrass aromatherapy on the sleep quality of perimenopausal women. This study used a quantitative approach with a one-group pretest–posttest pre-experimental design. The sample consisted of 30 perimenopausal women selected using total sampling technique in the working area of Pustu Paring Lahung UPT Tumpung Laung. The intervention in the form of lemongrass aromatherapy through inhalation was carried out regularly before bedtime. Sleep quality was measured before and after the intervention using a standardized questionnaire. Data analysis was performed descriptively and bivariately using Fisher's Exact Test. Descriptively, there was an improvement in sleep quality after the administration of lemongrass aromatherapy, marked by a decrease in the proportion of poor sleep quality and an increase in good sleep quality. However, the statistical test results showed that the relationship between sleep quality before and after treatment was not statistically significant (p = 0.515). Lemongrass aromatherapy showed a tendency toward clinically significant improvement in sleep quality, but this was not statistically significant. Further research with a stronger design and longer intervention duration is needed to confirm the effectiveness of lemongrass aromatherapy on the sleep quality of perimenopausal women.

The postpartum period is a critical transitional phase during which women are vulnerable to psychological disturbances, particularly postpartum depression. Psychological distress may undermine maternal confidence, including the perceived ability to breastfeed effectively. This study aimed to examine the relationship between breastfeeding self-efficacy and postpartum depression among postpartum mothers. A quantitative cross-sectional design was employed involving 45 respondents selected through total sampling. Depressive symptoms were assessed using the Edinburgh Postnatal Depression Scale (EPDS), while breastfeeding self-efficacy was measured using the Breastfeeding Self-Efficacy Scale-Short Form (BSE-SF). Data were analyzed using Spearman’s Rank correlation test with a significance level of 0.05. The results demonstrated a statistically significant and strong negative correlation between breastfeeding self-efficacy and postpartum depression (r = –0.616; p < 0.05). Mothers with higher depressive symptoms tended to report lower levels of breastfeeding self-efficacy. These findings highlight the importance of integrating mental health screening and breastfeeding support into postpartum care to strengthen maternal confidence and improve breastfeeding outcomes.  

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

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

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

Musculoskeletal injuries are common health problems encountered in sports activities and daily life. Primary Health Care Facilities (PHCF) such as community health centers play an important role in the initial management of musculoskeletal injuries before referral to higher-level health facilities. This study aimed to describe the management of musculoskeletal injuries at the PHCF of UPTD Mangulewa Health Center. The methods used were field observation, structured interviews with health professionals, and simulation of musculoskeletal injury management. The results showed that UPTD Mangulewa Health Center has adequate facilities, equipment, and health personnel for managing musculoskeletal injuries at the primary care level. The management procedures were carried out systematically through anamnesis, physical examination, initial treatment based on RICE principles and immobilization, pharmacological therapy, and an integrated referral system. Fracture management simulations indicated that students gained practical understanding of immobilization techniques and early injury management. In conclusion, the management of musculoskeletal injuries at the PHCF of Mangulewa Health Center is in accordance with primary health care service standards and supports the prevention of injury complications.

Electrolytes are essential minerals that play a critical role in various physiological processes within the body, including the maintenance of fluid balance, proper neuromuscular function, and the transmission of nerve impulses. They are vital for the stability of the heart and other crucial organs. When electrolyte levels become imbalanced, as seen in conditions such as hyponatremia (low sodium), hypernatremia (high sodium), hypokalemia (low potassium), hyperkalemia (high potassium), and hypocalcemia (low calcium), serious health issues can arise. These imbalances can result from factors like malnutrition, excessive losses through the kidneys or gastrointestinal tract, hormonal disorders, and certain systemic diseases. Understanding the underlying pathophysiological mechanisms and clinical manifestations of these disturbances is essential for effective diagnosis and treatment. Healthcare providers must identify the root causes of electrolyte imbalances while assessing their severity to implement appropriate management strategies. This often involves gradually correcting electrolyte levels to mitigate the risk of life-threatening complications such as arrhythmias, cerebral edema, and neurological impairment. By fostering a comprehensive understanding of electrolyte imbalances, healthcare professionals can improve diagnostic accuracy and therapeutic effectiveness, ultimately leading to better patient outcomes. This knowledge is crucial in minimizing morbidity and mortality associated with these disruptive conditions, ensuring that individuals receive prompt and effective care to restore balance and maintain overall health.

Background: Regular antenatal care is essential to ensure maternal and fetal health during pregnancy and to prevent complications. The level of maternal education plays an important role in shaping health knowledge, attitudes, and behaviors related to pregnancy care. Mothers with higher education levels tend to have better awareness and understanding of the importance of routine pregnancy check-ups. However, irregular antenatal visits are still found in several regions, including the working area of the Gandasuli Community Health Center, South Bacan District, South Halmahera Regency, North Maluku Province.Objective: This study aimed to analyze the relationship between mother’s education level and the regularity of pregnancy check-ups at the Gandasuli Community Health Center, South Bacan District, South Halmahera Regency, North Maluku Province.Methods: This study employed a quantitative analytical design with a cross-sectional approach. The sample consisted of 30 pregnant women selected using a total sampling technique. Data were collected using structured questionnaires and maternal health records to assess education level and the regularity of antenatal care visits. Data analysis was performed using the Wilcoxon test.Results: The results of the Wilcoxon test showed a significant relationship between mother’s education level and the regularity of pregnancy check-ups, with a p-value of 0.000 (p < 0.05). Conclusion: There is a significant relationship between mother’s education level and the regularity of pregnancy check-ups at the Gandasuli Community Health Center. Improving maternal education and strengthening health education programs are essential to increase compliance with routine antenatal care visits and improve maternal and fetal health outcomes.  

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

Breast cancer is a chronic disease that affects not only physical health but also psychological, social, and spiritual aspects of patients’ lives. Spiritual well-being is an important internal resource that helps patients cope with illness, maintain hope, and find meaning in life during long-term treatment. This study aimed to describe the level of spiritual well-being among breast cancer patients undergoing treatment. This research employed a quantitative descriptive design with a cross-sectional approach. A total of 142 breast cancer patients were selected using purposive sampling at the Oncology Center of RSUD dr. Zainoel Abidin Banda Aceh. Data were collected using the Spiritual Well-Being Scale (SWBS), which measures religious and existential well-being, and were analyzed descriptively. The results showed that the majority of respondents had a high level of spiritual well-being (66.2%), while 23.9% were categorized as moderate and 9.9% as low. These findings indicate that breast cancer patients generally have strong spiritual resources, particularly in maintaining their relationship with God and finding meaning and purpose in life despite living with a chronic illness. This study highlights the importance of integrating spiritual assessment and spiritual care into holistic nursing practice, especially in palliative and supportive care settings.

Background: Comprehensive midwifery care is essential for early detection of complications and reducing maternal and infant mortality rates. In Sleman Regency, despite high access to health services, continuous monitoring remains crucial for ensuring maternal and fetal safety. Objective: To provide comprehensive midwifery care for Mrs. M at Klinik Pratama Shaqi, Sleman, from the third trimester of pregnancy through the postpartum and neonatal periods. Methods: This is a descriptive qualitative study using a case study approach based on Varney's seven-step midwifery management and SOAP documentation. Findings: During pregnancy (37 weeks 6 days), the mother experienced physiological complaints of back pain and shortness of breath, managed through posture education and pregnancy exercises. Labor proceeded normally and spontaneously on October 6, 2024, utilizing "gentle birth" practices such as endorphin massage to reduce pain. A second-degree perineal tear occurred and was treated according to procedure. The baby was born healthy, weighing 3100 grams, with successful Early Initiation of Breastfeeding (EIB). During the postpartum and neonatal periods, uterine involution was normal, breast milk production was adequate, and the infant's growth met standards with no danger signs. Implications: Continuous assistance improves the mother's physical and psychological readiness and ensures a healthy neonatal transition.

Stunting is a major public health problem that reflects chronic malnutrition and adversely affects children’s physical growth, cognitive development, and future productivity. The first 1,000 days of life represent a critical window during which stunting develops and determines long-term health outcomes. This study aims to review evidence on the determinants of childhood stunting and the effectiveness of prevention interventions within public health policy frameworks in Indonesia.A literature review was conducted using peer-reviewed articles, policy documents, and national reports published in the last decade. The literature was analyzed to identify key risk factors, intervention strategies, and policy impacts on stunting reduc-tion.The findings show that stunting is primarily driven by inadequate dietary intake, low socioeconomic status, limited caregiver nutrition knowledge, and poor access to health and sanitation services. National data indicate a decline in stunting prevalence in Indonesia from 24.4% in 2021 to 21.6% in 2022. Evidence consistently highlights that integrated interventions targeting the first 1,000 days of life, including maternal nutrition improvement, breastfeeding promotion, appropriate complementary feeding, and multisectoral collaboration, are effective in reducing stunting.In conclusion, reducing childhood stunting requires sustained, integrated, and policy-based interventions that prioritize early-life nutrition to improve human capital and support long-term national development.

Used cooking oil is a household waste that is often disposed of carelessly, potentially polluting the environment and endangering health. In Battu Winagun Village, the availability of used cooking oil from household activities and the abundant potential of lemongrass plants have not been optimally utilized. This community service activity aims to increase the community's knowledge and skills in processing used cooking oil and lemongrass plants into environmentally friendly products with economic value, namely natural aromatherapy candles. The implementation method includes socialization of the negative impacts of used cooking oil on the environment, training in the process of filtering and processing used cooking oil, extracting lemongrass aroma, and assistance in making and packaging aromatherapy candles. The results of the activity showed that the Battu Winagun Village community was able to understand the importance of managing used cooking oil waste and utilizing lemongrass plants as a natural additive. This activity has an impact on reducing environmental pollution and opening up creative business opportunities based on the village's local potential. Thus, the use of used cooking oil and lemongrass plants can be a sustainable solution in waste management while improving the economy of the Battu Winagun Village community.

Injuries represent a common health issue associated with physical activity in both recreational and competitive sports settings. Appropriate initial management is essential to prevent complications and to facilitate optimal recovery. This study aims to describe the management of minor sports injuries at the Surisina Primary Health Center based on observational findings Sports and structured interviews with healthcare professionals. The study employed direct observation and structured interviews involving physicians and nurses at Surisina Primary Health Center on November 24, 2025. The findings indicate that sports injury management at the primary healthcare level involves a systematic initial assessment, comprehensive physical examination, and the implementation of simple immobilization techniques tailored to the type and severity of injury. Common injuries treated include sprains, muscle cramps, contusions, lacerations, ankle injuries, and minor fractures. Despite limitations in the availability of immobilization equipment, healthcare services were delivered effectively, supported by adequate patient education on injury care, warning signs, and activity recommendations during recovery. This study demonstrates the critical role of primary health centers in providing initial sports injury management and serving as practical learning sites for students in physical education and health programs.  

RS at Kemayoran continues to experience low conversion of antenatal care (ANC) patients to delivery services, with a conversion rate of 6.9% in 2024. The maternity ward Bed Occupancy Rate (BOR) also remains below national standards. Preliminary assessments indicate dissatisfaction with the hospital’s healthscape, low mimetic desire reflected in limited recommendations, and suboptimal perceived value. This study examines the effects of healthscape and mimetic desire on childbirth location decisions, with perceived value tested as a mediating variable.Methods: A quantitative cross-sectional study was conducted using Structural Equation Modeling (SEM). Data were collected from 210 ANC patients at RSUD Kemayoran through structured questionnaires. Variables included healthscape, mimetic desire, perceived value, and delivery location decision. All instruments met validity and reliability criteria.Results: Healthscape and mimetic desire significantly influenced the decision to choose RSUD Kemayoran for childbirth. Healthscape did not significantly affect perceived value, whereas mimetic desire showed a significant effect. Perceived value had a significant direct effect on delivery decisions but did not mediate the relationships between healthscape or mimetic desire and delivery choice. Healthscape emerged as the most influential determinant.Conclusion: Physical healthcare environments play a critical role in childbirth location decisions. Improving healthscape quality and strengthening professional and social recommendations may enhance ANC-to-delivery conversion rates in public hospitals.

Health issues are complex and require new ideas for their resolution. Public health focuses on disease prevention, health promotion, and physical, mental, and social therapy. Maternal and Child Health (MCH) and women’s health throughout their life cycle are crucial public health issues as they have a significant impact on the quality of human resources in a generation. In Pukdale Village, East Kupang District, Kupang Regency, problems such as the lack of knowledge among pregnant women about Chronic Energy Deficiency (CED), pregnancy anemia, Exclusive Breastfeeding (EBF), balanced nutrition, and weaning have been identified. To address these issues, a Community Midwifery Care program based on community service was carried out, which included counseling, training, demonstrations, and simulations. The results of this activity showed a positive response and active participation from the community in Pukdale Village in the programs implemented by the students. There was a significant improvement in the knowledge of pregnant women about CED, pregnancy anemia, EBF, as well as the knowledge of mothers of infants about balanced nutrition and weaning. This is expected to improve the overall health status of the community in the village.

Infant nutritional status is an important indicator of child health that is influenced by various factors, including maternal characteristics. Maternal education is often considered to play a role in determining infant care and feeding practices. This study aims to analyze the relationship between the mother's education level and infant nutritional status. The study uses a quantitative approach with a cross-sectional analytical observational design. The study sample consisted of 30 mothers and infants aged 0–12 months selected using purposive sampling. Maternal education level was categorized as elementary, secondary, and higher education, while infant nutritional status was determined based on anthropometric indicators according to WHO standards and the position of the Health Card (KMS). Data analysis was performed bivariately using Spearman's rho correlation test with a significance level of p < 0.05. The results of the study indicate that there is no significant relationship between the mother's level of education and the nutritional status of the infant (p = 0.575; r = −0.098). The correlation coefficient value indicates a very weak and statistically insignificant relationship. The conclusion of this study indicates that the mother's education level is not a factor directly related to the nutritional status of infants. The nutritional status of infants is likely to be more influenced by other more proximal factors, such as feeding practices, the quality and quantity of food intake, the child's health condition, and the family's environmental and socioeconomic factors.

Umbilical cord infection remains one of the major causes of morbidity and mortality among newborns, particularly in areas where knowledge and health practices are still limited. Padellegan Village is one of the regions where some mothers continue to practice traditional cord care methods, such as using herbal mixtures or non-sterile materials, which increases the risk of omphalitis. Initial situation analysis indicates that 40–60% of postpartum mothers are not yet familiar with the principles of clean and dry cord care (dry cord care), and access to accurate health information is still limited. Based on this condition, education on umbilical cord care is essential to improve mothers’ and health cadres’ understanding and skills in preventing neonatal infections. This community service activity focuses on providing evidence-based education regarding safe cord care techniques, infection risk factors, and danger signs that need to be recognized. Padellegan Village was selected due to the high need for maternal–neonatal health education and the low level of community knowledge related to cord care. This activity is expected to bring positive changes, such as improved maternal behavior in performing proper cord care, reduced use of unhygienic traditional methods, and strengthened roles of health cadres in monitoring neonatal health. Enhancing appropriate cord care practices can reduce the risk of infection in newborns, thereby contributing to improving the overall health status of the community in Padellegan Village.