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Preeclampsia is a complex illness that can cause health issues and even death for both the mother and the fetus. The three signs of preeclampsia include elevated blood pressure (up to 140/90 mmHg), proteinuria (high protein in the urine), and edema. Preeclampsia is linked to a number of characteristics, including as parity, age, education, occupation, history of hypertension, multiple pregnancies, history of diabetes mellitus, and kidney disease. The purpose of this study is to identify the variables linked to the prevalence of preeclampsia in Tidore Regional Hospital patients who are pregnant or giving birth. This study employs a case control methodology and a descriptive analytical approach. Up to 132 respondents, comprising 66 case groups and 66 control groups, were sampled by accidental sampling. Medical records of moms who had preeclampsia were used as secondary data. A p-value of 0.001 (Sig. <0.05) indicated a relationship between parity and the incidence of preeclampsia; a p-value of 0.001 (Sig. <0.05) indicated a relationship between employment and the incidence of preeclampsia; a p-value of 0.000 (Sig. <0.05) indicated a relationship between the incidence of preeclampsia and a history of diabetes mellitus and kidney disease. preeclampsia at Tidore Regional Hospital with a p-value of 0.042 (Sig. <0.05).

This research study examines the dynamics of organizational communication and public communication in the recruitment process in State-Owned Enterprises (SOEs), with a particular focus on the tension between transparency efforts and the ongoing practice of entrusting positions. Despite the government's introduction of the Joint Recruitment of SOEs (RBB) program, which aims to digitize and standardize the selection of employees, a discrepancy emerges between the program's stated objectives and the perceptions of both the government and the public. The prevalence of complaints pertaining to the absence of information transparency, the lack of feedback mechanisms regarding unsuccessful outcomes, and the emergence of the term "insider" within the digital domain are indicative of deficiencies in two-way communication and a decline in public trust in the BUMN recruitment process. The present research employs a descriptive qualitative approach, utilizing a case study method and thematic analysis. The data presented herein were obtained through meticulous documentation studies of official documents from the FHCI, the Ministry of SOEs, and online media, as well as netnographic observations of public interactions on social media such as Instagram and Twitter. The analysis focused on public narratives, institutional communication patterns, and their impact on institutional reputation and legitimacy. The findings indicate that organizational communication within the RBB process remains hierarchical, failing to align with the ideal of reciprocal communication. The absence of information disclosure and the lack of a designated public forum for clarification engender significant discord between the assertions of institutional entities and the actual experiences of participants. This research recommends the implementation of measures to enhance the effectiveness of the aforementioned processes.

Background: Stunting is a chronic nutritional disorderl in toddlers that is permanent and irreparable (irreversible) if it occurs during the First 1000 Days of Life (HPK). One significant risk factor is birth spacing that is too close, which affects the mother's nutritional status and the quality of fetal nutrient intake. Objective: This study aimed to analyze the relationship between birth spacing and the incidence of stunting among toddlers on Morotai Island. Methods: An analytical study with a cross-sectional design was conducted on 30 respondents selected through accidental sampling in the Community Health Center (Puskesmas) area of Morotai. Data were collected through questionnaires, MCH (Maternal and Child Health) books, and anthropometric measurements, then analyzed using Simple Logistic Regression test. Results: The majority of respondents had a birth spacing of 3-4 years (40%), but the prevalence of stunting remained quite high at 43.3%. The statistical test results showed a p-value = 0.005 (p < 0.05), proving a significant relationship between birth spacing and the incidence of stunting. Conclusion: There is a significant relationship between pregnancy/birth spacing and the incidence of stunting among toddlers on Morotai Island.

The government's efforts to reduce domestic violence (KDRT) in North Maluku Province have been carried out, among others, through the implementation of women’s empowerment programs. This study aims to examine whether the Gender Empowerment Index (IDG), Gross Regional Domestic Product (GRDP) percapita, women's involvement in home-based industries (IR), and the intensity of domestic violence socialization programs have a significant effect on domestic violence rates across districts/cities in North Maluku. This research utilizes panel data regression analysis with data spanning the years 2016–2024. The data were processed using Microsoft Excel and STATA14 software. The findings indicate that the increased participation of women in the economic and political sectors has not yet fully translated into a reduction in domestic violence, largely due to persistent social norms and patriarchal values within households. This suggests that economic factors alone are not sufficient to explain the prevalence of domestic violence. However, women's involvement in home-based industries was found to significantly improve their economic independence and bargaining power within the household. Furthermore, consistent government-led domestic violence awareness campaigns have proven effective in enhancing protection mechanisms for women at risk. In conclusion, the study finds that the Gender Empowerment Index (IDG) and GRDP per capita do not have a statistically significant impact on domestic violence rates. Conversely, women's participation in home-based industries and domestic violence socialization efforts are significantly associated with reductions in domestic violence in North Maluku Province.

Worm disease is included in the neglected diseases group, which is a chronic infection that often does not show clear symptoms and the impact is only felt in the long term. Worms included in the Soil Transmitted Helminths (STH) group can spread through the soil and include Ascaris lumbricoides, Trichuris trichiura, hookworms (Necator americanus and Ancylostoma duodenale), and Strongyloides stercoralis. This worm infection can cause malnutrition, impaired child growth, decreased cognitive abilities, iron deficiency anemia, and reduced learning performance. One indicator of worm infection is an increase in eosinophil levels, which are part of the body's immune system. This study aims to analyze the relationship between Ascaris lumbricoides infection and the number of eosinophils in stunted children in Noelbaki Village, Kupang Regency, East Nusa Tenggara. This study used an analytical observational design with a case-control study approach, involving stunted children as subjects. The results showed the prevalence of Ascaris lumbricoides eggs of 51.3%, and an increase in abnormal eosinophils of 87.5% in cases of infection. Statistical tests revealed a significant relationship between A. lumbricoides infection and eosinophil count (p = 0.000). However, this study did not consider the possibility of allergy as a factor in increasing eosinophils.

DM (Diabetes Militus) has become a health problem in the world because the prevalence of diabetes mellitus continues to increase. Data from the Batanghari Regency Health Office shows that the number of DM patients has increased quite significantly. At the Haji Abdoel Madjid Batoe Regional Hospital, Batang Hari Regency, the number of DM cases reached 351 and the problems encountered were regarding the quality of life, age, gender and duration of the patient's illness and family support. This study aims to determine the characteristics, family support and quality of life of diabetes mellitus patients at the Haji Abdoel Madjid Batoe Regional Hospital, Batang Hari Regency. This research is a quantitative study with a descriptive analytical design or approach. This research was conducted from June 26 to July 11, 2023 in the Inpatient Room and Polyclinic of the Haji Abdoel Madjid Batoe Regional Hospital, Batang Hari. The population in this study were DM patients in January-February 2023 totaling 121 people. The number of samples was 55 respondents. The sampling technique used the accidental sampling technique. Based on the results of the study, it is known that most respondents have a high quality of life (61.8%). It is expected that RSUD Haji Abdoel Madjid Batoe Batang Hari can provide education to DM patients with the aim of maintaining good quality of life for DM patients.

This study aims to analyze the influence of Fear of Missing Out (FoMo) and flash sales on impulsive buying behavior among Shopee users, specifically focusing on students at Universitas Jambi. The rapid development of digital technology and the rise of e-commerce have increased the prevalence of impulsive buying, particularly among younger generations who are highly influenced by social media and online promotions. This research uses a quantitative approach with a survey method involving 100 active students of Universitas Jambi who are Shopee users and have made purchases during flash sale events. The data were analyzed using multiple linear regression to examine the effect of FoMo and flash sales on impulsive buying behavior. The results indicate that both FoMo and flash sales have a positive and significant influence on impulsive buying, both partially and simultaneously. These findings suggest that marketing strategies based on urgency and the fear of missing out are effective in triggering impulsive consumer behavior among students. This research is expected to contribute to the development of more ethical marketing strategies and raise consumer awareness in managing shopping behavior.

Cervical cancer is a significant public health problem globally, including in Indonesia. This disease ranks fourth as the most common cancer in women in the world, with an estimated 604,000 new cases and 342,000 deaths in 2020. Analyzing the current condition of cervical cancer in Indonesia including prevalence, risk factors, impacts, prevention efforts, and treatment based on data to provide a comprehensive picture of the situation of cervical cancer in Indonesia. Cervical cancer is defined as a malignant tumor in the cervix that attacks the epithelial layer and has the potential to spread. Human Papilloma Virus (HPV) infection is the main cause of cervical cancer. In addition, several supporting risk factors include risky sexual behavior, long-term use of oral contraceptives, smoking habits, nutritional deficiencies (especially vitamins C, E, and folic acid), and poor personal hygiene. The Indonesian government has attempted to identify the disease early through the Visual Inspection of Acetic Acid (IVA) method used for early detection of cervical cancer in women aged 30 to 50 years. However, community participation in this program still needs to be improved sustainably. Treatment for cervical cancer can include surgery (eg cryosurgery, LEEP, hysterectomy), radiation, and chemotherapy. Cervical cancer remains a major health challenge in Indonesia. Improved education programs, participation in early detection of IVA, and strengthening of the health system as a whole are needed to effectively reduce morbidity and mortality caused by this disease.

Preeclampsia is a condition of hypertension occurring after 20 weeks of gestation, accompanied by organ dysfunction and proteinuria. Preeclampsia is classified into Early Onset Preeclampsia (EOPE), which occurs before 34 weeks of gestation, and Late Onset Preeclampsia (LOPE), which occurs after 34 weeks of gestation. EOPE carries a higher risk of maternal and fetal complications compared to LOPE. This research aims to analyze the complications in mothers and fetuses with EOPE and LOPE that were terminated at RSUD Raden Mattaher Jambi between 2020 and 2022. This descriptive research was conducted in the Medical Records Department of RSUD Raden Mattaher, Jambi, involving 82 patients who experienced both maternal and fetal complications with EOPE and LOPE that were terminated. Sampling was carried out using the total sampling technique based on inclusion and exclusion criteria. The results of this research showed that the prevalence of EOPE was 69.5%, while LOPE accounted for 30.5%. Maternal complications were more commonly found in EOPE cases, including eclampsia (42.1%), HELLP syndrome (36%), premature rupture of membranes (14%), placental abruption (14%), and maternal mortality (5.3%). Fetal complications in EOPE included Respiratory Distress Syndrome (RDS) (10.5%), prematurity (26.3%), low birth weight (29.8%), Intrauterine Growth Restriction (IUGR) (10.5%), and Intrauterine Fetal Death (IUFD) (1.8%). The perinatal mortality rate in EOPE was 7%, with asphyxia recorded in 12.3% of cases. EOPE is more frequently encountered than LOPE and is associated with more severe maternal and fetal complications. Early detection and management of EOPE are crucial to reducing complications and improving pregnancy outcomes.

Musculoskeletal Disorders (MSDs) encompassing conditions affecting muscles, bones, joints, ligaments, nerves, and tendons , are a prevalent occupational health issue, particularly in roles involving physical tasks like lifting, pushing, pulling, or carrying loads. This study aims to synthesize current scientific findings on the prevalence, contributing risk factors, and effective prevention strategies for MSDs in manual handling contexts. A systematic literature search was conducted using Google Scholar, focusing on peer-reviewed journal articles published between January 2020 and June 2025. The review identified a consistently high prevalence of MSDs, with the lower back, shoulders, neck, and upper extremities being the most commonly affected areas. Key risk factors are multifactorial, including physical/ergonomic aspects (e.g., awkward postures, heavy loads, repetitive motions, prolonged exposure, vibration) , individual factors (e.g., age, BMI, injury history) , psychosocial factors (e.g., high job demands, low job control, stress) , and organizational/manegerial factors (e.g., inadequate training, poor workstation design). The findings underscore the necessity of a holistic and integrated approach to manage MSDs.  

<p style="text-align: justify;"><em>This study aims to analyze the synergy between posyandu cadres and environmental sanitation in reducing stunting rates in Tanjung Mas Sub-District, Semarang City. Using a qualitative approach and data collected through observation, interviews, and documentation over the past two years (2023–2024), the research found that community-based interventions through active posyandu cadres, along with improved environmental sanitation, significantly impacted the decline in stunting prevalence in the area. This research adopts the public policy implementation theory of Sabatier & Mazmanian (2022) as well as the cross-sector collaboration theory, and Van Meter and Horns policy implementation theory. Findings indicate that the stunting rate in Tanjung Mas Sub-District decreased from 18.5% in 2022 to 11.2% by the end of 2024. The study recommends strengthening inter-agency coordination, providing ongoing training for posyandu cadres, and improving sanitation infrastructure.</em></p>

Street-level bureaucracy refers to the role of frontline bureaucrats who directly engage with the public in the implementation of public policies, including stunting management. In Sidoarjo Regency, stunting remains a critical public health issue with long-term implications for human capital development, despite the government’s continuous efforts to reduce its prevalence. Actors such as posyandu cadres, health center personnel, and officials from the District Health Office serve as the front line in detecting stunting cases, delivering nutritional counseling, monitoring child growth, and connecting communities with essential health services. However, the effectiveness of these roles is often constrained by limited resources, excessive workloads, lack of adequate training, and insufficient incentives that do not reflect the complexity of their responsibilities. Furthermore, policy implementation is frequently hindered by weak inter-sectoral coordination, low community engagement, and the gap between administrative guidelines and the realities faced in the field. The discretionary power held by these street-level bureaucrats becomes both a strength and a challenge—allowing for flexible adaptation to local needs while raising concerns about accountability and service consistency. Addressing stunting effectively at the local level requires strategic capacity-building for implementers through continuous training, fair compensation, and strengthened collaboration among governmental actors and other stakeholders. These efforts must be integrated, holistic, and sustainable in order to truly tackle the root causes of stunting and generate meaningful improvements in public health outcomes.

Chronic Energy Deficiency (CED) in pregnant women is a nutritional problem that has serious impacts on the health of both the mother and the fetus, such as increased risk of preterm birth, low birth weight, and labor complications. In Jambi City, CED cases have continued to rise year by year. This study aims to identify the determinants of CED among pregnant women in the working area of Putri Ayu Public Health Center, Jambi City. This study employed a quantitative approach with an analytical observational design using a cross-sectional method. The sample consisted of 82 pregnant women selected through purposive sampling. Data were collected using questionnaires and anthropometric measurements using MUAC. Data were analyzed using the Chi-Square test to examine the relationship between independent variables and the incidence of CED. The study found that the prevalence of Chronic Energy Deficiency (CED) among pregnant women was 28%. Statistical analysis revealed that infectious diseases (p=0.000), personal hygiene (p=0.009), environmental sanitation (p=0.037), education (p=0.004), occupation (p=0.000), and income (p=0.040) were significantly associated with CED in pregnant women. There is a significant relationship between infectious diseases, personal hygiene, environmental sanitation, education, occupation, and income with Chronic Energy Deficiency (CED) in pregnant women at Putri Ayu Public Health Center, Jambi City. It is expected that efforts to address chronic energy deficiency (CED) among pregnant women at Putri Ayu Public Health Center can be carried out through an integrated approach, including improvements in personal hygiene, environmental sanitation, prevention of infectious diseases, as well as enhancement of education, employment, and family income.

Stunting is a growth disorder in children characterized by height-for-age below the standard due to prolonged nutritional deficiency. This condition affects physical development, learning ability, and metabolic health, and it tends to be persistent. In Indonesia, the prevalence of stunting remains high. This study was conducted to identify the causes of stunting during the first 1,000 days of life. The method used was a literature review with a narrative review approach. The results show that risk factors for stunting include prenatal conditions such as low birth weight, maternal nutritional status during pregnancy, and maternal height. In addition, low maternal education, limited access to healthcare services, lack of exclusive breastfeeding, infections, and poor dietary patterns also contribute. Strategies proven effective according to the literature include early nutrition education, nutritional supplementation, and technology-based growth monitoring. The most consistently identified determinant is low birth weight (LBW).

Background: Premenstrual Syndrome (PMS) is a combination of physical, emotional, and behavioral symptoms that occur cyclically before menstruation and are commonly experienced by adolescent girls. Common symptoms include fatigue, abdominal pain, headaches, anxiety, and mood disturbances, which can affect sleep quality, concentration, and academic productivity. This article provides an in-depth examination of the definition, types, prevalence, causes, impacts, and management of PMS in adolescent girls. Based on epidemiological data, the prevalence of PMS is quite high, both globally and nationally, with incidence rates in Indonesia reaching 70–90% among women of reproductive age, and most cases beginning during adolescence. There are four main types of PMS: Type A (anxiety), Type H (hyperhidrosis), Type C (food cravings), and Type D (depression), each with specific characteristics and etiologies. Causes of PMS include hormonal imbalances of estrogen and progesterone, reduced serotonin levels, poor sleep quality, psychological stress, genetic factors, and unhealthy lifestyles. The impact of PMS on adolescents is complex, including decreased academic performance, social relationship disturbances, and reduced psychological well-being. Therefore, PMS management should be approached holistically through pharmacological (such as NSAIDs, antidepressants, and diuretics) and non-pharmacological (physical exercise, relaxation, lifestyle changes, and nutritional education) interventions. Environmental support and reproductive health education are crucial to help adolescents effectively manage PMS symptoms and improve their quality of life. This study is expected to serve as a foundation for promotive and preventive interventions in adolescent health care.

Tuberculosis (TB) is the ninth leading cause of death worldwide, surpassing HIV/AIDS. In 2016, TB-related deaths among HIV-negative individuals reached 1.3 million, while deaths among those with HIV-TB co-infection totaled 374,000. Indonesia ranks among the top five countries with the highest TB burden, accounting for approximately 5.8% of global TB cases. The TB prevalence rate in Indonesia in 2016 was 391 per 100,000 population, with nearly half of the cases occurring among women of reproductive age. It is estimated that 1–3% of pregnant women have TB, and some are also co-infected with HIV. The national target for TB elimination by 2030 is to reduce incidence to 65 per 10,000 population and mortality to 6 per 100,000 population. However, in Mimika District, the TB incidence remains high at 707 per 10,000 population, with a mortality rate of 27 per 100,000 population.This community service program aimed to improve knowledge regarding the prevention of pulmonary TB transmission from adults to toddlers living in the same household, in order to break the chain of transmission. The activity was conducted from July to September 2024 in Kamoro Jaya Subdistrict, under the jurisdiction of Wania Health Center, with 90 participants consisting of mothers with toddlers and community health volunteers (Posyandu cadres).Methods used included lectures, group discussions, and demonstrations. The educational material focused on the prevention of TB transmission in children. Participants completed a questionnaire before the activity. The results showed an increase in knowledge regarding the prevention of pulmonary TB in children.

The prevalence of hypertension in Indonesia has increased, in 2013 the prevalence of hypertension was 25.8% while in 2018 the prevalence of hypertension increased by 34.1%. In addition to pharmacological techniques, hypertension management can use non-pharmacological techniques, one of which is deep breathing relaxation techniques. The purpose of this study was to analyze the effect of deep breathing relaxation techniques on blood pressure in hypertension patients at the Industrial Health Center. This study used the Pre-Experiment one group pretest and posttest method. The sampling technique was random sampling with a sample size of 46 people who met the inclusion criteria. The instruments used were digital tension, SOP for deep breathing relaxation techniques, and observation sheets. Data analysis used the Wilcoxon statistical test. Blood pressure before the relaxation technique averaged systolic 157.83. Blood pressure after the relaxation technique averaged systolic 137.65. The results of the Wilcoxon blood pressure test in hypertension patients before and after deep breathing relaxation techniques (p = 0.000). There is an effect of deep breathing relaxation techniques on blood pressure in hypertension patients at the Industrial Health Center.  

Anemia remains one of the leading public health issues among adolescent girls in Indonesia, including in Pidie District. Insufficient iron intake and low awareness and knowledge of anemia are major contributors to its high prevalence. Health education is recognized as an effective strategy to improve adolescents’ understanding of anemia.Objective: This study aimed to assess the effect of health education on increasing knowledge about anemia among adolescent girls at MTsN VI Pidie, Pidie District.Methods: A quantitative approach with a quasi-experimental design (one-group pretest-posttest) was employed. A total of 30 first-grade female students from MTsN VI Pidie were selected through purposive sampling. The intervention involved the delivery of health education on anemia via an educational video. Knowledge levels were measured before and after the intervention using pretest and posttest questionnaires. Data were analyzed using the Wilcoxon signed-rank test and paired t-test.Results: The analysis showed a statistically significant improvement in the participants’ knowledge following the intervention. The average posttest scores were notably higher than the pretest scores, indicating a positive effect of the health education intervention (p < 0.05).Conclusion: Digital media-based health education is effective in enhancing knowledge about anemia among adolescent girls. This approach is recommended for broader implementation in adolescent health promotion programs, particularly in the prevention of anemia

Background: Smoking among adolescents in Pidie, Aceh, is a growing public health concern, marked by increasing prevalence and significant household expenditure despite known health risks. This behavior persists due to cultural and social influences and a lack of motivation to quit, with adolescents' perceptions of risk, though crucial, not fully understood. Method : This analytical cross-sectional survey of 303 male high school students in Pidie used Partial Least Squares (PLS) to examine the relationship between Health Belief Model (HBM) factors and smoking cessation efforts. Result : The findings revealed that perceived barriers (t-statistic = 4.284 > t-table = 1.96), perceived susceptibility (t-statistic = 2.050 > t-table = 1.96), and perceived benefits (t-statistic = 4.082 > t-table = 1.96) had a direct significant relationship with cessation attempts, while perceived severity did not. Conclution: This study concluded that perceived barriers actually motivate quitting, with negative experiences like health problems for themselves or family acting as triggers. Therefore, understanding both the benefits and barriers is key to increasing smoking cessation motivation among adolescent males.

Non-formulary drug utilization in Harapan Kita Children’s and Mother’s Hospital presents a substantial challenge in healthcare cost management, especially for patients enrolled in the BPJS health insurance program. Given its status as a national referral hospital, Harapan Kita Children’s and Mother’s Hospital encounters a high prevalence of complex maternal and child health cases requiring the use of medications beyond the scope of the national formulary. This research endeavor seeks to examine the patterns and consequences of non-formulary drug use within this context. This study adopted a quasi-experimental design, incorporating both quantitative and qualitative methods, to evaluate the impact of an sosialisation intervention and audit clinic on physician compliance with formulary drug use. A pre-test and post-test design was employed to measure changes in non-formulary drug utilization. Findings indicated a statistically significant decrease in non-formulary drug use from 18% to 13% post-intervention. The integration of a clinical pathway and tailored physician training was instrumental in achieving improved formulary adherence. Given these results, it is recommended to broaden training and surveillance programs, strengthen technological support through the implementation of formulary information systems, and undertake longitudinal research to assess the long-term sustainability of the intervention's effects..