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The incidence of hypertension at the Tadoy Community Health Center reached 29.4%, with 78 cases reported among pregnant women in 2023, half of which were pregnancy-induced hypertension (HDK). Hypertension during pregnancy poses short-term risks to both mother and fetus. In addition to pharmacological treatment, non-pharmacological therapies such as warm water foot soaking and Ambon banana consumption are considered beneficial. This study aimed to examine the effects of these two interventions on reducing blood pressure in pregnant women with hypertension. This research employed a qualitative method with a case study approach involving two pregnant women diagnosed with hypertension. The results showed that warm water foot soaking significantly reduced blood pressure from 150/90 mmHg at the first visit to 130/85 mmHg at the second visit, and further to 120/75 mmHg. Similarly, Ambon banana consumption reduced blood pressure from 150/90 mmHg to 140/90 mmHg, and eventually to 120/80 mmHg. Although both interventions were effective, warm water therapy demonstrated greater effectiveness in lowering blood pressure compared to banana consumption. These findings suggest that simple, non-pharmacological interventions can help manage hypertension in pregnancy. It is recommended that pregnant women apply warm water foot soaking independently to help control blood pressure and reduce pregnancy-related risks.

Adolescents affected by parental divorce face increased risks of mental health challenges, often exacerbated by custody disputes, post-separation abuse, and institutional inadequacies. This study aims to evaluate the effectiveness of trauma-informed, family-based interventions and custody-related policy reforms that promote adolescent mental health, with a focus on the integration of the Islamic principle of maslahah as an ethical framework. A systematic review was conducted using three databases (ScienceDirect, PubMed, Scopus) covering publications from 2000 to 2024. Inclusion criteria focused on empirical studies addressing interventions, custody policies, and mental health outcomes in adolescents aged 10–21. Findings reveal that Treatment Foster Care Oregon (TFCO) reduces behavioral issues and improves emotional regulation; Multisystemic Therapy and Wraparound Services prevent custody relinquishment and support family cohesion. Legislative reforms like the Family First Prevention Services Act have shown promise in redirecting funding toward prevention, yet face significant implementation disparities. Reports of healthcare obstruction and court-induced trauma remain critical threats to adolescent well-being. The review also found that custody loss, particularly among adolescent parents, correlates with increased substance use and long-term psychosocial instability. The integration of maslahah into legal and mental health frameworks provides a culturally grounded approach to trauma-informed reform. These findings emphasize the need for cross-sectoral collaboration, standardized trauma protocols, and culturally responsive service models. This study advances a holistic understanding of adolescent welfare in custody contexts and identifies pathways for ethical and sustainable reform.

Malaria remains a major public health challenge in eastern Indonesia, particularly in the remote highland areas Papua, where access to health services is very limited. In early 2008, a suspected malaria outbreak with several deaths was reported in Agisiga District, a remote highland area in Papua. This study aimed to investigate the epidemiological characteristics, diagnostic results, and mortality patterns of the malaria outbreak as a basis for formulating future control strategies. The outbreak investigation was conducted using a cross-sectional design in Agisiga District from January to March 2008. Capillary blood samples were examined using Rapid Diagnostic Tests (RDTs) and thin blood smear microscopy. Malaria-related deaths were traced through verbal autopsy methods and interviews with families and community leaders. Descriptive analysis was performed to describe the demographic, clinical, and parasitological characteristics the cases. A total of 92 suspected malaria cases were identified, with the highest proportion coming from Tomosiga Village (52.2%), followed by Bigasiga Village (40.2%) and Agisiga Village (7.6%). Women accounted for 58.7% of all cases, and the most affected age group was 15–35 years (34.8%). Microscopic examination confirmed malaria infection in 55.0% of samples examined, with Plasmodium vivax predominating (45.0%), while the RDT positivity rate was much lower. The malaria outbreak in Agisiga District was characterized by high mortality, delayed diagnosis, and significant gaps in diagnostic capacity, particularly in remote villages. Strengthening the surveillance system, increasing diagnostic capacity, and improving access to timely treatment are crucial steps prevent similar outbreaks and reduce malaria mortality in the Papuan highlands.

This community service research was conducted to examine the implementation of branding development through a Car Free Day event as a strategy to enhance communication and visual identity at Telaga Harmony Residence. The background of this study is the need for effective community branding to strengthen public awareness, social engagement, and residential image in a growing housing area. The objective of this activity was to apply integrated communication and visual strategies that support brand identity through participatory public events. The method employed was a participatory and collaborative approach involving residents, organizers, and local stakeholders, supported by promotional media, visual design elements, and social interaction activities. The findings indicate that the Car Free Day event successfully increased community participation, strengthened visual recognition of the residential brand, and improved public perception of Telaga Harmony Residence as a healthy and environmentally friendly housing area. The implications of this study suggest that community-based events combined with consistent branding and visual communication strategies can effectively enhance residential identity and social cohesion, and may serve as a reference for similar community development programs in the future.

Hypertension is a non-communicable disease that remains a major public health problem in Indonesia, including in Aceh Besar District. The success of hypertension control is strongly influenced by patients’ self-management abilities. Self-management can be affected by psychological factors such as self-efficacy, social factors such as family support, and sociodemographic factors. This study aimed to determine the relationship between self-efficacy, family support, education, and occupation with self-management among hypertensive patients in the working area of the Ingin Jaya Community Health Center, Aceh Besar District. This study employed a quantitative research design with a cross-sectional approach. The study population consisted of hypertensive patients aged 15–59 years who visited or participated in the Posbindu program at the Ingin Jaya Health Center. A total of 90 respondents were selected using accidental sampling technique. Data were analyzed using univariate and bivariate analyses with the Chi-Square test at a significance level of p < 0.05. The results showed that most respondents had good self-management (54.4%). Bivariate analysis indicated a significant relationship between self-efficacy (p = 0.030) and family support (p = 0.000) with self-management, while education (p = 0.406) and occupation (p = 0.201) showed no significant relationship. This study concludes that self-efficacy and family support play an important role in hypertension self-management, whereas education and occupation are not significantly associated. The findings are expected to contribute to the development of nursing and public health science and serve as a basis for strengthening family-based health education and improving patients’ self-efficacy in optimizing independent hypertension management.

Hypertension is a non-communicable disease that remains a major public health problem in Indonesia, including in Aceh Besar District. The success of hypertension control is strongly influenced by patients’ self-management abilities. Self-management can be affected by psychological factors such as self-efficacy, social factors such as family support, and sociodemographic factors. This study aimed to determine the relationship between self-efficacy, family support, education, and occupation with self-management among hypertensive patients in the working area of the Ingin Jaya Community Health Center, Aceh Besar District. This study employed a quantitative research design with a cross-sectional approach. The study population consisted of hypertensive patients aged 15–59 years who visited or participated in the Posbindu program at the Ingin Jaya Health Center. A total of 90 respondents were selected using accidental sampling technique. Data were analyzed using univariate and bivariate analyses with the Chi-Square test at a significance level of p < 0.05. The results showed that most respondents had good self-management (54.4%). Bivariate analysis indicated a significant relationship between self-efficacy (p = 0.030) and family support (p = 0.000) with self-management, while education (p = 0.406) and occupation (p = 0.201) showed no significant relationship. This study concludes that self-efficacy and family support play an important role in hypertension self-management, whereas education and occupation are not significantly associated. The findings are expected to contribute to the development of nursing and public health science and serve as a basis for strengthening family-based health education and improving patients’ self-efficacy in optimizing independent hypertension management.

Healthcare organizations are increasingly required to preserve the sustainability of their institutional values by ensuring high-quality services, operational efficiency, and rigorous adherence to risk governance frameworks. RSUD dr. Chasbullah Abdulmadjid Bekasi City continues to face considerable challenges in this regard, particularly due to the limited internalization of core organizational values, disparities in the cultivation of an adaptive culture, and inconsistent employee compliance with established risk management procedures. These issues highlight the necessity for a leadership paradigm grounded in service, empathy, and empowerment.This study investigates the extent to which servant leadership influences the creation and protection of corporate values, while examining the mediating roles of strong adaptive culture and employee compliance doing the implementation of risk management. Employing a quantitative explanatory survey design, the research collected responses from 153 hospital employees, and data were analyzed through Structural Equation Modeling (SEM) to evaluate both direct and mediated causal pathways among variables.The findings reveal that servant leadership significantly strengthens creation and protection of corporate values, not only through direct influence but also by enhancing cultural adaptability and reinforcing compliant behavior in risk-related practices. Leaders who embody service-oriented principles are shown to cultivate work environments that foster mutual trust, organizational learning, and value-based decision-making.This study contributes meaningful empirical evidence to the discourse on leadership, organizational culture, and compliance within public hospital settings. Institutional strategies should prioritize continuous leadership development and comprehensive risk governance training to secure long-term performance excellence and reputational resilience.

Malaria remains a significant public health problem in several endemic areas in Indonesia. Understanding temporal and epidemiological changes at the local level is crucial for effective malaria control and elimination. This study aims to analyze changes in malaria epidemiological patterns based on routine surveillance data at the Yaro Community Health Center, Indonesia, during the period 2023–2025. This is a retrospective, longitudinal descriptive study using routine malaria surveillance data. Variables analyzed include temporal trends, Plasmodium species distribution, demographic characteristics, spatial distribution, and case-finding strategies. Data were analyzed descriptively using frequencies and proportions. A total of 9,677 malaria examinations were recorded, with 546 confirmed cases. Malaria cases showed a significant increase in 2025. Plasmodium vivax was the most dominant species, with a steadily increasing proportion of mixed infections. Adults aged 15–64 years and men were the most affected groups. Spatial analysis showed regional heterogeneity with persistent hotspots at the village level. Passive case detection remains the primary method, while active surveillance is increasingly contributing to case identification. Malaria epidemiology in the Yaro region exhibits dynamic temporal, demographic, and spatial patterns. Strengthening integrated surveillance and targeted interventions is essential to address persistent transmission and support malaria elimination efforts.

Gender-based domestic violence (KDRT) remains a critical issue in Indonesia, particularly in urban areas like North Jakarta. This study examines the governance of services for KDRT victims from a gender perspective in 2025, employing a qualitative case study approach. Data were gathered through in-depth interviews with 20 victims and service providers at community health centers (Puskesmas), the Women's Empowerment and Child Protection Agency (DP3A), and NGOs. Findings reveal fragmented governance, characterized by weak inter-agency coordination, low accessibility for low-income victims, and insufficient integration of gender perspectives in handling procedures. Key barriers include bureaucratic hurdles and inadequate training for staff on toxic masculinity issues. The study recommends an integrated governance model based on gender-responsive governance, including a one-stop digital platform and enhanced multi-stakeholder collaboration. Policy implications support the achievement of SDGs 5 and 16 at the local level. This study also highlights the importance of increasing public awareness and education regarding gender-based domestic violence to create a safer and more inclusive environment for victims.

The phenomenon of phubbing and extreme digital content consumption has become a new challenge in public health, especially for Generation Z, who spend up to 10 hours a day on the internet. This study aims to analyze how phubbing behavior and dependency on endurance streaming distort the quality of face-to-face social interaction and its implications for mental health determinants. The research method employed is a literature review with a critical-narrative approach. Data were collected through systematic searching of reputable scientific databases (such as Google Scholar, SINTA, and GARUDA) focusing on publications from 2021 to 2026. The analysis was conducted by synthesizing literature findings integrated with preliminary field observations to validate the phenomenon's relevance in the local context. The results reveal that snubbing others in favor of gadgets is a mechanism to escape the reciprocal emotional burden of real-life communication. Digital spaces are perceived as safer because they offer intimacy without risk, yet they systematically trigger a chronic erosion of social attention and executive dysfunction. From a public health perspective, this condition threatens social capital and community resilience. This study concludes the importance of sociopsychological interventions to restore human connection to prevent chronic emotional isolation in the future.

Digital transformation in public health services requires cadres to possess adequate digital literacy and technology adaptation skills. This study aims to analyze the influence of digital literacy and technology adaptation on the effectiveness of cadre performance, with digital competence as an intervening variable in Pekalongan Regency. The study population was health cadres in Pekalongan Regency, with a sample of 90 respondents selected using a technique that was part of the total population of 285 respondents. Sampling used simple random sampling. Data collection was carried out using a questionnaire that had been tested for validity and reliability. Data analysis used [analytical methods, for example: Structural Equation Modeling (SEM) or Path Analysis] to examine direct and indirect relationships between variables. The research results are expected to provide an overview of: (1) the influence of digital literacy on the effectiveness of cadre performance, (2) the influence of technology adaptation on the effectiveness of cadre performance, (3) the influence of digital literacy on digital competence, (4) the influence of technology adaptation on digital competence, (5) the influence of digital competence on the effectiveness of cadre performance, and (6) the role of digital competence as an intervening variable in the relationship between digital literacy and technology adaptation on the effectiveness of cadre performance. The findings of this research are expected to serve as a basis for developing training programs and increasing the capacity of health cadres in the digital era, particularly in Pekalongan Regency.

Childhood tuberculosis remains a significant public health challenge, particularly in developing countries where malnutrition and limited diagnostic resources increase disease severity and mortality. Children are at high risk of rapid progression from latent infection to active disease due to immature immune systems. We report a case of a 1-year-old girl presenting with cough, fever, shortness of breath, and poor growth. Chest radiograph showed consolidation and infiltrates in the right paracardial area consistent with pulmonary tuberculosis. The patient was treated with first-line anti-tuberculosis drugs, including rifampicin and pyrazinamide, along with nutritional support, resulting in significant clinical improvement and discharge on day eight. This case emphasizes the importance of early recognition and management of tuberculosis in young children with risk factors such as malnutrition and incomplete immunization. Preventive strategies such as BCG vaccination, contact screening, family education, and access to tuberculosis preventive therapy are essential to reduce morbidity and mortality in childhood TB.

Hypertension is a non-communicable disease with a high prevalence and is a major risk factor for serious complications such as stroke and heart disease. Low public awareness and limited capacity of health workers to provide education and early detection pose challenges in hypertension prevention efforts at the community level. The program “Capacity Building for Health Workers as an Effort to Prevent and Control Hypertension in Mandiangin Timur Village” was implemented by Field Learning Experience (PBL) Group 20 students in August 2025 in Mandiangin Timur Village, Karang Intan District, Banjar Regency. The intervention was carried out through interactive lectures, discussions, and the use of educational media in the form of posters, leaflets, and videos. The targets of the activity consisted of 17 cadres and 30 villagers. Knowledge evaluation using pre-tests and post-tests showed an increase in the average score of cadres from 95.28 to 96.46, while the community increased from 76 to 92.33. Blood pressure checks also showed that most participants were in stage 1–2 hypertension, emphasizing the need for ongoing education. This program proved effective in increasing the capacity of cadres and community knowledge about risk factors, prevention, and management of hypertension. In addition, this activity strengthened the role of cadres as agents of change in ongoing efforts to control hypertension at the village level.

The rapid spread of hoaxes and disinformation in the digital era poses serious challenges to social cohesion, societal stability, and the internalization of moral values, particularly within Muslim communities. The circulation of unverified information has the potential to trigger conflict, polarization, and a decline in public trust. This study aims to explore digital literacy as an ethical and religious instrument in actualizing the Islamic principle of amar ma’ruf nahi munkar in the contemporary digital sphere. Employing a qualitative library research approach, the study examines classical Islamic sources, including the Qur’an and Hadith, alongside contemporary literature on digital communication ethics and digital citizenship. The findings indicate that digital literacy from an Islamic perspective extends beyond technical competence in accessing and disseminating information; it represents a form of moral responsibility (amanah) grounded in honesty (ash-shidq), prudence, and accountability. Practices such as information verification (tabayyun), clarification, and corrective engagement in online spaces are concrete expressions of amar ma’ruf nahi munkar. Strengthening ethically grounded digital literacy is therefore essential for fostering a healthy, just, and civilized digital public sphere.  

The rapid spread of hoaxes and disinformation in the digital era poses serious challenges to social cohesion, societal stability, and the internalization of moral values, particularly within Muslim communities. The circulation of unverified information has the potential to trigger conflict, polarization, and a decline in public trust. This study aims to explore digital literacy as an ethical and religious instrument in actualizing the Islamic principle of amar ma’ruf nahi munkar in the contemporary digital sphere. Employing a qualitative library research approach, the study examines classical Islamic sources, including the Qur’an and Hadith, alongside contemporary literature on digital communication ethics and digital citizenship. The findings indicate that digital literacy from an Islamic perspective extends beyond technical competence in accessing and disseminating information; it represents a form of moral responsibility (amanah) grounded in honesty (ash-shidq), prudence, and accountability. Practices such as information verification (tabayyun), clarification, and corrective engagement in online spaces are concrete expressions of amar ma’ruf nahi munkar. Strengthening ethically grounded digital literacy is therefore essential for fostering a healthy, just, and civilized digital public sphere.  

This study aims to analyze the relationship between public policy paradoxes, healthcare service quality, access to and continuity of postnatal care, and maternal mortality in Pekalongan Regency. A mixed-methods approach with a sequential explanatory design was employed, involving 30 respondents for quantitative analysis using Spearman correlation tests and 5 key informants for in-depth interviews. The results indicate that policy paradoxes are strongly correlated with service quality and with access and continuity of care. Service quality also shows a robust correlation with access and continuity. All variables are significantly associated with maternal mortality, with access and continuity of care demonstrating the strongest correlation. Qualitative findings reveal implementation gaps in Ministry of Health Regulation No. 21 of 2021, where postnatal visits are often conducted only 2–3 times instead of the mandated four visits, with 10 out of 13 maternal deaths occurring during the postnatal period. The persistence of maternal mortality is attributed to inconsistent implementation of standard operating procedures, high workload, and socio-cultural factors. The study highlights the need to strengthen supervision, enhance human resource capacity, and promote cross-sectoral collaboration to optimize postnatal care services.

Pneumonia remains a leading cause of morbidity and mortality worldwide, particularly in resource-limited settings and among elderly populations, where timely diagnosis and continuous monitoring are often constrained by limited clinical infrastructure. This study presents an edge–cloud–integrated framework for early pneumonia risk monitoring, leveraging multimodal wearable sensors and deep learning to support continuous short-duration monitoring. The proposed system is designed to operate in near real time under simulated deployment conditions, continuously acquiring and analyzing physiological signals (respiratory rate, heart rate, SpO₂, and body temperature) alongside event-driven acoustic biomarkers (cough sounds) within a distributed architecture. A lightweight edge module performs local signal preprocessing and anomaly triage, selectively transmitting salient information to a cloud-based multimodal deep learning model for refined risk estimation and interpretability analysis. The framework was evaluated using a multi-source dataset comprising public repositories (MIMIC-III and Coswara) and a clinically supervised wearable study conducted in two Nigerian hospitals, resulting in 718  hours of quality-controlled multimodal monitoring data. In a pooled multi-source evaluation, the system achieved an AUC of 0.95, while in a clinically realistic local-only evaluation, the AUC was 0.86, reflecting a consistent but preliminary diagnostic signal. These results highlight the importance of local data adaptation for real-world applicability and suggest that multimodal AI can provide meaningful early risk indicators under resource constraints. Beyond predictive performance, this work demonstrates the feasibility of integrating multimodal learning, edge–cloud computation, and explainable analytics into a deployment-aware, privacy-preserving monitoring framework for low-resource healthcare environments.

Anemia remains a significant public health problem commonly experienced by women of reproductive age (WRA) due to inadequate iron intake, blood loss during menstruation, and limited knowledge of healthy dietary patterns and balanced nutrition. This condition may lead to decreased productivity, reduced immune function, and an increased risk of complications in future pregnancies. This community service activity aimed to improve the knowledge of women of reproductive age regarding anemia prevention through balanced nutrition education at PMB Imelda Tae Sekadau in 2026. The method used in this activity was health education through lectures, discussions, and question-and-answer sessions. The activity was conducted through several stages, including opening, material delivery, evaluation, and closing sessions. A total of 11 women of reproductive age participated actively in the counseling session. The evaluation results indicated that more than 85% of participants were able to answer the questions provided after the material presentation, suggesting an improvement in understanding of anemia, its signs and symptoms, impacts, and the importance of implementing balanced nutrition in daily life as an effort to prevent anemia. Therefore, this counseling activity was considered effective in enhancing the knowledge of women of reproductive age regarding anemia prevention through balanced nutrition education.

Food Additives (BTP) in current consumer products increase the risk of non-communicable diseases such as diabetes, kidney failure, and cancer, particularly in children. Housewives play a central role in managing family consumption to minimize these risks. This community service activity aims to enhance the knowledge and awareness of 'Aisyiyah women in Buluspesantren, Kebumen Regency, regarding food safety and BTP regulations. The implementation method included preparing materials based on BPOM regulations, interactive education, product discussions, and simulations on reading nutrition labels. The results showed high enthusiasm from participants who are now more critical in distinguishing between natural and synthetic additives. Participants reported a significant improvement in their ability to identify food ingredients and additives in everyday products. The final evaluation recorded a 22.2-point increase in participant understanding. By establishing the habit of reading food labels, it is expected that the risk of non-communicable diseases within the family environment can be reduced, thus improving public health literacy and dietary choices within the community.

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