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Balanced Nutrition Education and Strengthening Mothers' Participation in Posyandu Activities to Improve Toddler Nutritional Status Toddler nutrition continues to be a key focus in public health initiatives. Mothers' diet and active use of health services, particularly integrated health posts (Posyandu), are two factors that influence the nutritional status of toddlers. To help improve children's nutritional status, this community service project aims to strengthen mothers' involvement in Posyandu activities and raise their awareness of balanced nutrition. Thirty mothers of toddlers were targeted for this project, which was implemented in the Campalagian Community Health Center (Puskesmas) working area. Mothers were encouraged to actively participate in Posyandu activities through mentoring and education on balanced nutrition through counseling and interactive conversations. Mothers' attendance at Posyandu activities was monitored, and knowledge gains were measured using pre- and post-tests. The study found that mothers' average knowledge scores increased from 60 to 82, and mothers' attendance at Posyandu activities increased from 65% to 85%. This project demonstrates that balanced nutrition education and strengthening mothers' participation in Posyandu activities are effective in increasing mothers' knowledge and involvement, potentially supporting efforts to improve and prevent nutritional problems in toddlers on a sustainable basis.

Posyandu (Integrated Health Post) is a community based health center that demonstrates community participation in health development. Posyandu provides a variety of integrated services, including family planning, maternal and child health (MCH), nutrition, immunization, and diarrhea management, all implemented simultaneously. Posyandu is also included in the Community-Based Health Efforts (UKBM) and is part of the Village Public Health Institution's activities. This study aims to analyze factors influencing mothers' visits to Posyandu by toddlers. The research method used was a literature review, examining ten relevant scientific articles. The article search was conducted through Google Scholar and Garuda databases, with the inclusion criteria being Indonesian-language articles published within the last five years (2021–2025). The study results indicate that factors influencing mothers' visits to Posyandu include knowledge, attitudes, education, employment, family support, the role of cadres, and access to health services. These findings emphasize the importance of strengthening the role of cadres and family support in increasing Posyandu visits.

This study describes the implementation of Field Work Lectures (KKL) in Muara Wahau Village, focusing on religious education, youth character building, and community economic and social empowerment. KKL students were directly involved in teaching at the TPQ (Islamic Religious Education Center), tutoring for elementary and kindergarten students, leadership development in junior and senior high schools, mentoring MSMEs, community service activities, group exercise, and family health data collection. Data were obtained through observation, interviews, and documentation, then analyzed thematically. The results showed that the KKL successfully improved the youth's Quran reading skills, understanding of religious values, discipline, leadership, and social awareness. Furthermore, economic and social empowerment through MSME mentoring and community activities strengthened community independence and synergy. Obstacles such as high rainfall and the absence of the village head were successfully overcome through intensive coordination and adjustments to the activity schedule. The KKL proved effective as a practical learning tool for students while also having a positive impact on the community.

Aceh Tamiang Regency is an area with a high risk of annual flooding. This emergency condition often triggers a surge in environment-related diseases such as skin diseases, respiratory infections, and diarrhea. The success of managing health crises heavily depends on pharmaceutical logistics management, especially the availability of essential medicines and ease of access for refugees at evacuation points. This study aims to analyze the extent of medicine availability at community health centers and health posts, as well as to evaluate the barriers to medicine accessibility for flood victims in Aceh Tamiang Regency. This study uses a qualitative/quantitative descriptive method (choose one) with a case study approach. Primary data were collected through in-depth interviews with pharmaceutical logistics officers and surveys of flood survivors. Secondary data were obtained from the drug stock reports of the Aceh Tamiang District Health Office. Analysis was conducted on variables such as drug types, stock amounts (Buffer Stock), and distribution channels during the emergency response period. The results of the study indicate that the availability of drugs in the initial disaster phase tends to be (state the prediction, e.g., sufficient/limited). However, accessibility is often hindered by damaged road infrastructure and uneven distribution to remote posts. There is an urgent need to strengthen the logistics early warning system so that the types of medicines available match the disease patterns that emerge after floods. Although medicine stocks are generally available in central pharmacy warehouses, geographical constraints and distribution coordination are the main factors hindering accessibility. It is recommended that local governments map out alternative distribution routes and provide disaster-specific buffer stock of medicines at the sub-district level.

Early Childhood Education (ECE) plays a crucial role in providing safe, comfortable, and child-friendly educational services for young children. However, as the second environment after the family, the potential for violence against children may still occur in ECE institutions if they are not managed optimally. Therefore, efforts to prevent violence against young children need to be implemented comprehensively through a holistic approach that integrates education, caregiving, and early prevention strategies. This study aims to analyze how ECE institutions, such as kindergartens and daycare centers, can function as the first line of defense in detecting, preventing, and addressing various forms of violence, including physical, emotional, and sexual abuse, among children aged 0–6 years. The research method employed is a literature review and policy analysis related to child protection and the implementation of Early Childhood Education. The findings indicate that capacity building through teacher training, the implementation of child protection–sensitive curricula, and strengthened collaboration among schools, families, and communities have proven effective in reducing the risk of violence by up to 40%, based on case studies in Indonesia. The conclusion emphasizes the importance of strengthening regulations, ensuring continuous supervision, and investing in human resource development to reinforce the role of ECE as a key agent in violence prevention and in creating a safe, healthy, and supportive environment for optimal early childhood development.

Socio-economic challenges faced by tuberculosis (TB) survivors in Indonesia remain substantial, particularly stigma that restricts employment opportunities and hinders social reintegration. This community service program aimed to strengthen the economic capacity of TB survivors through a community-based empowerment approach and health information dissemination via social media. The program involved a TB survivor community in the partner area of the Lampung Sehat Initiative. A participatory method was applied through entrepreneurship training, digital content production assistance, and the distribution of health education materials using Instagram, TikTok, and YouTube. The results indicate that social media was effective not only as a platform for health education but also as a promotional tool for participants’ micro-business products. In addition to improving public literacy regarding TB, social media contributed to stigma reduction by delivering positive narratives and reinforcing the collective identity of the survivor community. The program also encouraged behavioral change, supported the emergence of local leadership, and expanded participants’ social and economic networks. These findings suggest that integrating social media into community-based empowerment initiatives can serve as a social transformation strategy that enhances the sustainability of economic development and social support for TB survivors.

Malaria remains a major public health problem in Papua, Indonesia, with a high incidence rate and significant hematological complications. One of the main impacts of malaria infection is anemia caused by a decrease in hemoglobin levels. This study aimed to analyze the relationship between hemoglobin levels and malaria parasite species among patients at Sentani Health Center, Jayapura Regency. This was an analytical study with a cross-sectional approach. A total of 50 malaria-positive patients confirmed by microscopic examination were included as samples. Data collected included gender, parasite species, nutritional status, hemoglobin level, and parasite count, analyzed using the Chi-Square test with a 95% confidence level (α=0.05). The results showed that most respondents were male (54%) and predominantly infected by Plasmodium falciparum (66%). The majority had normal nutritional status (40%), and the distribution between normal and abnormal hemoglobin levels was equal (50% each). Statistical analysis revealed a significant association between body mass index and hemoglobin level (p=0.03), but no significant relationship between parasite species and hemoglobin level (p=0.145). These findings indicate that nutritional status plays a more dominant role in determining hemoglobin levels than parasite species variation. In conclusion, anemia among malaria patients in endemic regions is influenced not only by the infecting Plasmodium species but also by individual nutritional factors. Integrated interventions focusing on nutritional improvement and malaria control are essential to reduce anemia risk in endemic areas such as Papua. Malaria remains a major public health problem in Papua, Indonesia, with a high incidence rate and significant hematological complications. One of the main impacts of malaria infection is anemia caused by a decrease in hemoglobin levels. This study aimed to analyze the relationship between hemoglobin levels and malaria parasite species among patients at Sentani Health Center, Jayapura Regency. This was an analytical study with a cross-sectional approach. A total of 50 malaria-positive patients confirmed by microscopic examination were included as samples. Data collected included gender, parasite species, nutritional status, hemoglobin level, and parasite count, analyzed using the Chi-Square test with a 95% confidence level (α=0.05). The results showed that most respondents were male (54%) and predominantly infected by Plasmodium falciparum (66%). The majority had normal nutritional status (40%), and the distribution between normal and abnormal hemoglobin levels was equal (50% each). Statistical analysis revealed a significant association between body mass index and hemoglobin level (p=0.03), but no significant relationship between parasite species and hemoglobin level (p=0.145). These findings indicate that nutritional status plays a more dominant role in determining hemoglobin levels than parasite species variation. In conclusion, anemia among malaria patients in endemic regions is influenced not only by the infecting Plasmodium species but also by individual nutritional factors. Integrated interventions focusing on nutritional improvement and malaria control are essential to reduce anemia risk in endemic areas such as Papua.

A high-risk pregnancy is a pregnancy that can affect both the pregnancy, delivery, newborn, and postpartum period. There are several high-risk pregnancies, including pregnant women who are <145cm tall, have low birth weight, are too young, and give birth too closely spaced, or what is known as the 4T. Prevention is carried out by conducting comprehensive supervision, this is a way to reduce MMR and IMR. The Central Java government has developed the One Student One Client (OSOC) program, it is hoped that the implementation of this program can reduce MMR in Central Java. MMR according to WHO in 2023 reached 189/100,000 live births, MMR based on ASEAN reached 235/100,000 live births, MMR according to the Indonesian Ministry of Health reached 205/100,000 live births, MMR in Central Java in 2023 has reached 485/100,000 live births, MMR in Brebes in 2023 54/100,000 live births and at the Bantarkawung Community Health Center MMR in 2023 amounted to 2 cases of maternal death. In this study, researchers used Varney and SOAP to document midwifery care comprehensively, with direct qualitative descriptive approach methods such as observation, interviews, and documentation.

Stunting remains a major chronic nutritional problem in Indonesia, including Aceh, and has serious impacts on children’s physical growth and cognitive development. Prevention efforts require appropriate, practical, and sustainable nutritional interventions, including the use of local foods such as pumpkin, which is rich in beta-carotene, vitamin A, carbohydrates, and fiber, and can be combined with animal and plant protein sources. This study aimed to evaluate the effectiveness of an instant pumpkin-based porridge in improving the weight and height of children aged 6–24 months who are at risk of stunting in the Gunung Meriah Health Center area. The study used a quasi-experimental design with a nonequivalent control group involving 41 children divided into intervention and control groups. The intervention group received the instant porridge for 21 days. Data analyzed using paired t-tests and independent t-tests showed significant improvements in the intervention group’s weight and height (p<0.05). The pumpkin-based instant porridge proved effective as a local food–based nutritional intervention and has the potential to be integrated into supplementary feeding programs and regional nutrition policies with broader coverage and longer duration..

The body may experience insulin resistance or an insufficient production of the hormone, blood sugar levels rise continuously, leading to a chronic metabolic condition called Type 2 Diabetes Mellitus. Among non-pharmacological approaches proven effective in managing hyperglycemia, physical exercise particularly the Prolanis workout program has shown notable benefits. This study assesses how joining the Prolanis Exercise Program influences blood glucose reduction in Type 2 Diabetes patients at Kuta Baro Health Center, Aceh Besar. This research utilized a quasi-experimental method applying a one-group pretest–posttest framework. Participants, numbering 25 individuals, were selected through an accidental sampling process.. Throughout a four-week implementation of the Prolanis Exercise Program, measurements of blood glucose levels were taken both prior to and subsequent to the program. The findings revealed a notable decline in mean blood sugar levels, decreasing from 158.84 mg/dL before the intervention to 121.92 mg/dL afterward. Based on the Paired Samples t-Test (p < 0.05), the Prolanis Exercise intervention was found to have a significant effect in lowering blood glucose levels. This finding demonstrates that regular participation in Prolanis Exercise serves as an effective non-pharmacological approach for controlling Type 2 Diabetes Mellitus. Community Health Centers are advised to consistently continue developing and facilitating routine Prolanis Exercise activities, in addition to providing ongoing education on healthy lifestyles to patients. Patients are expected to actively engage in this program as part of their diabetes self-management.

The production of breast milk is essential for promoting optimal growth and developmental outcomes in infants throughout the first six months of life. Nevertheless, several studies have indicated that some breastfeeding mothers face challenges in producing adequate milk, often influenced by nutritional status, psychological conditions, and environmental support. The katuk plant (Sauropus androgynus), a well-known local herb, has long been recognized for its potential as a natural galactagogue that can stimulate breast milk production. The innovation of processing katuk leaf extract into biscuits offers a more practical, convenient, and potentially acceptable alternative for daily consumption among the community. The present study aimed to examine the impact of katuk leaf biscuits on breast milk production among breastfeeding mothers within the jurisdiction of Kuta Baro Health Center, Aceh Besar District. A pre-experimental design utilizing a one-group pretest–posttest method was implemented, involving 20 breastfeeding mothers who fulfilled the established inclusion criteria. Data collection was carried out through the administration of questionnaires and by measuring breast milk volume using a calibrated measuring cup.The study findings indicated that before the intervention, most participants had relatively low breast milk production, averaging 69.1 ml. After a seven-day intervention, the mean breast milk volume showed a significant increase to 246.5 ml, with a p-value of 0.000 (p < 0.05), the findings indicate that katuk leaf biscuits exert a significant influence on increasing breast milk production. Overall, this study underscores the potential of locally sourced, herbal-based food innovations as an effective and sustainable approach to enhancing breast milk production and supporting the success of exclusive breastfeeding programs.

Elderly exercise is a sporting activity that can help improve heart health, maintain stable blood pressure and blood sugar levels, and prevent various degenerative diseases in the elderly. Abnormal blood sugar levels can cause metabolic disorders that lead to various serious health problems. This study aims to determine the impact of elderly exercise on improving the health and independence of older adults in carrying out daily activities. This study used an evaluative method with a cross-sectional approach at the Nibong Community Health Center, North Aceh, involving 38 elderly people (14 men and 24 women) as a sample. The results showed that after participating in regular exercise, the number of elderly people with high blood sugar levels decreased to 31.6%, while the number of elderly people with normal blood sugar levels increased to 86.6%. Statistical tests showed a significant difference between blood sugar levels before and after exercise (p < 0.05). From these results, it can be concluded that elderly exercise is effective in lowering blood sugar levels, increasing insulin sensitivity, improving fitness and balance, and motivating elderly people to maintain their health. It is recommended that the Nibong Community Health Center regularly hold structured elderly exercise programs and provide educational counseling on the importance of a healthy lifestyle and controlling sugar intake. The results of this study can serve as a reference for health institutions and further research

Catfish farming is one of the fisheries areas with great potential in Indonesia. However, the problem of feed efficiency, use of probiotics, and air temperature control are still the main obstacles that affect the health and growth of fish. This study aims to design and implement an automatic system that can regulate the provision of feed and probiotics and control and control air temperature directly using the ESP32 microcontroller. This system has several important components, such as the ESP32 microcontroller as a control center, servo motors for feed and probiotic distribution, and DS18B20 temperature sensors to monitor air temperature. All components can be controlled and viewed through an IoT-based application with a Wi-Fi connection or applications such as Telegram. This trial aims to determine whether this system can provide feed and probiotics according to the specified time, and maintain air temperature in the optimal range (28°C–40°C) for catfish growth. In this way, the system is expected to increase efficiency in catfish farming automatically, reduce the need for human labor, and minimize errors in pond management.

Puberty in girls is a developmental stage where sexual maturation occurs as a manifestation of reproductive ability, marked by the first menstruation (menarche), a form of primary sexual maturity in girls. The purpose of this study was to determine whether there is a relationship between nutritional status and maternal menarche history with early menarche in elementary school students in grades 4-6 at SDN 01 Nagrak Gunung Putri Bogor in September 2025. This research was a quantitative, observational analytical study using a cross-sectional approach. It was conducted at SDN 01 Nagrak Gunung Putri Bogor from August to September 2025 with a sample of 49 respondents. Univariate and bivariate data analysis used the Chi-Square Test. The results showed a relationship between nutritional status and early menarche (p-value = 0.001 and OR = 3.7) and maternal menarche history with early menarche (p-value = 0.000 and OR = 7.3). The study concluded that there is a relationship between maternal nutritional status and menarche history with early menarche. It is recommended that SDN 01 Nagrak Gunung Putri Bogor collaborate with the nearest community health center and the Health College to conduct outreach activities on reproductive health.

Breakups often trigger psychological conflict ranging from stress, anxiety, depression, to risky behavior that have an impact on individual well-being and the social environment. This study explores the role of law in preventing, responding to, and recovering such psychological impacts through an interdisciplinary approach. The methodology used is a normative-juridical study combined with a literature review of clinical psychology and mental health policy. The findings show that the legal framework can function on three levels: (1) preventive, through the guarantee of the right to mental health, digital literacy, and platform governance to prevent post-breakup online harassment; (2) protective, through victim protection mechanisms against psychological violence, stalking, doxing, and the dissemination of non-consensual intimate content; and (3) curative, with a referral scheme for counseling services, the provision of legal aid, data confidentiality guarantees, and restorative justice instruments centered on victim recovery. However, there are implementation gaps, including the lack of standardization of psychological assessments in the legal process, limited access to services at the grassroots level, and coordination between institutions that are not optimal. This article recommends the integration of mental health protocols in the law enforcement process, evidentiary guidelines for psychological violence, as well as cross-sectoral collaboration with psychological service providers and digital platforms. The main contribution of this study is the mapping of a comprehensive legal intervention framework for post-breakup psychological conflicts.

Breastfeeding failures frequently result in issues. Lack of information about proper breastfeeding technique is one of the issues that frequently arises in nursing women, leading to uncomfortable nipples when the infant does not suck the nipple down to the areola. According to the 2022 Indonesian Demographic Health Survey, 79.3 individuals had painful nipples. The purpose of this study is to ascertain how well breastfeeding practices work in relation to the prevalence of painful nipples among nursing moms at the South Bulango Community Health Center in 2025. This kind of study employs a cross-sectional, quantitative research approach. 47 nursing women who were chosen by accidental sampling served as the study's population and sample. There is a correlation between breastfeeding practices and the incidence of sore nipples at the South Bulango Health Center in 2025, according to the results of statistical testing using the chi-square test. The p value (0.000) is not greater than α (0.05), so H0 is rejected and Ha is accepted. It is intended that the community, especially postpartum moms, would gain more understanding of the connection between breastfeeding methods and the prevalence of painful nipples in nursing moms.

Sleep disturbances are a common problem during pregnancy, often resulting from physiological changes, hormonal fluctuations, and psychological stressors. Poor sleep quality in pregnant women can lead to fatigue, mood disorders, and adverse maternal and fetal outcomes. Mindfulness-based interventions, which emphasize present-moment awareness and non-judgmental acceptance, have been suggested as an effective strategy to improve sleep quality and reduce stress. This study aimed to analyze the effect of mindfulness on sleep quality among pregnant women in the Puskesmas Tosa catchment area. A quasi-experimental design with a pretest-posttest control group was employed. A total of 30 pregnant women in their second and third trimesters participated and were divided equally into intervention and control groups. The intervention group received weekly mindfulness sessions for four weeks, including guided breathing, body scan, and focused attention meditation, while the control group received routine antenatal care. Sleep quality was assessed before and after the intervention using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive statistics and paired and independent t-tests, with a significance level set at p<0.05. Results indicated that the intervention group experienced a significant improvement in sleep quality, with mean PSQI scores decreasing from 9.80 ± 2.10 to 5.60 ± 1.90 (p<0.001). In contrast, the control group showed no significant change (pretest 9.53 ± 2.30; posttest 9.27 ± 2.25; p=0.395). These findings demonstrate that mindfulness effectively reduces sleep disturbances among pregnant women by addressing both psychological and physiological contributors to insomnia. In conclusion, integrating mindfulness practices into routine antenatal care is a practical, low-risk, and non-pharmacological approach to enhancing maternal sleep quality, reducing stress, and promoting overall well-being during pregnancy. This study provides evidence to support the inclusion of complementary mind-body interventions in primary health care services.

This community service project aimed to strengthen the capacity of Posyandu cadres in performing early detection of child growth and development (SDIDTK) through a community-based intervention at Babadan Health Center, Indramayu. Limited knowledge, lack of assessment tools, and minimal continuous assistance were identified as key problems among cadres. The intervention involved training, mentoring, simulation practice, and monitoring–evaluation using participatory and human-centered approaches. Thirty cadres participated in the program. The results showed an improvement in cadres’ understanding of SDIDTK concepts, increased ability to conduct stimulation and screening using KPSP, and enhanced readiness to educate parents during Posyandu activities. This community-based approach successfully strengthened cadres’ competency and supported optimal child development monitoring in the community. The program is recommended to be continued through periodic mentoring and integration with local health programs.

This article examines the effectiveness of fermented kombucha drinks in enhancing the immunity of menopausal women through an evidence-based nutrition approach. Additionally, the study highlights how community-based kombucha production and consumption programs can be part of non-military health diplomacy, supporting community resilience, especially for vulnerable groups like menopausal women who experience immune function decline due to hormonal changes. Using the Systematic Literature Review (SLR) method, the study analyzes 30 relevant articles published between 2018–2025 from reputable sources such as Scopus, PubMed, and others. The findings show that (1) kombucha improves immunity through cytokine modulation and increased antioxidant activity, (2) kombucha normalizes gut microbiota, contributing to the immune health of menopausal women, (3) fermentation variations and microbial composition affect kombucha's effectiveness, and (4) community-based kombucha production programs have potential in enhancing health literacy and local economic empowerment. This study provides a basis for local governments, health centers, and communities to integrate kombucha as a preventive health intervention, while also strengthening community resilience through nutrition education and functional food entrepreneurship. The article also offers a new conceptual model, “Kombucha Intervention – Immunity – Health Diplomacy,” that connects biological evidence, community health, and non-military resilience integratively.

The quality of complementary feeding (MP-ASI) for infants aged 6–23 months is a key factor in supporting growth and preventing early nutritional problems. However, MP-ASI practices that do not comply with recommendations are still common, especially in areas with limited access to nutrition information and education. One of the promotive-preventive efforts developed in primary health care is the implementation of toddler classes. This study aims to analyze the effectiveness of toddler classes in improving the nutritional quality of infants receiving MP-ASI in the working area of the Popayato Timur Community Health Center. This study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 33 infants aged 6–23 months selected using a total sampling technique. Data were collected through infant anthropometric measurements to assess nutritional status based on indicators of weight for age (BW/A) and weight for length/height (BW/H), as well as assessing the quality of MP-ASI using quality scores before and after the intervention. Data analysis was carried out descriptively and inferentially using paired statistical tests. The results showed an increase in the quality of complementary feeding (MP-ASI) after the implementation of toddler classes, accompanied by improvements in infant nutritional status based on indicators of weight for age and weight for height, with a statistically significant difference between conditions before and after the intervention. In conclusion, toddler classes are effective in improving the quality of complementary feeding and infant nutritional status, thus potentially being an applicable educational strategy in efforts to improve infant nutrition in primary health care.