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Afianto, Irvan; Asparian; Aswin, Budi; Rini, Willia Novita Eka

Jurnal Kesehatan Tropis Indonesia 2026 PT. LARPA JAYA PUBLISHER

Keselamatan dan Kesehatan Kerja (K3) pada sektor pertanian masih sering diabaikan, khususnya oleh Komunitas Adat Terpencil (KAT) Suku Anak Dalam (SAD) yang memiliki keterbatasan literasi dan akses informasi. Penelitian ini bertujuan untuk menganalisis pengaruh intervensi video edukasi Safety Farming terhadap peningkatan pengetahuan, sikap, dan praktik K3 pada petani Suku Anak Dalam di Desa Bukit Suban. Jenis penelitian ini adalah kuantitatif pre-experimental dengan desain One-Group Pretest-Posttest. Sampel penelitian berjumlah 45 responden petani laki-laki yang dipilih berdasarkan kriteria inklusi. Pengumpulan data menggunakan kuesioner wawancara terpimpin dan lembar observasi. Data dianalisis secara bivariat menggunakan uji non-parametrik Wilcoxon Signed-Rank Test (? = 0,05). Hasil penelitian menunjukkan adanya peningkatan yang sangat signifikan pada rata-rata skor pengetahuan responden dari 4,93 menjadi 8,82 (p=0,000). Rata-rata skor sikap mengalami peningkatan dari 37,78 menjadi 47,80 (p=0,000), serta rata-rata skor praktik meningkat tajam dari 5,02 menjadi 9,27 (p=0,000) pasca-intervensi.Video edukasi Safety Farming terbukti sangat efektif secara statistik sebagai media promosi kesehatan untuk meningkatkan pengetahuan kognitif, sikap kehati-hatian, dan praktik K3 secara nyata pada petani KAT Suku Anak Dalam yang memiliki tingkat literasi rendah.

Mehang, Travia Resa; Apryanto, Frengki; Alfianto, Ahmad Guntur

Jurnal Kesehatan Tropis Indonesia 2026 PT. LARPA JAYA PUBLISHER

  Latar Belakang : Pelaksanaan keselamatan pasien sering mengalami hambatan karena perawat belum sepenuhnya menerapkan perilaku caring secara optimal. Hubungan interpersonal yang kurang baik antara perawat dan pasien dapat menyebabkan munculnya kesalahpahaman selama proses perawatan. Tujuan penelitian secara umum adalah untuk mengetahui hubungan antara perilaku caring perawat terhadap keselamatan pasien di Puskesmas Batu . Metode : Penelitian ini menggunakan metode kuantitatif dengan desain analitik korelasional dan pendekatan cross-sectional. Populasi penelitian adalah seluruh perawat yang bekerja di Puskesmas Batu sebanyak 30 orang. Teknik pengambilan sampel menggunakan total sampling.Analisis data dilakukan secara univariat untuk menggambarkan karakteristik responden dan distribusi variabel penelitian, serta analisis bivariat menggunakan uji Spearman Rank dengan tingkat signifikansi 95% (? = 0,05) Hasil : Hasil uji statistik di atas menunjukkan bahwa nilai P (value) = 0.000(< 0.05) dan memiliki nilai r (korelasi) sebesar 1.000 dari total sampel penelitian (n) sebanyak 30 orang responden yang menunjukkan bahwa ada hubungan antara perilaku caring perawat dengan keselamatan pasien. Perilaku caring perawat dengan keselamatan pasien memiliki nilai korelasi sebesar 1.000 yang menunjukkan bahwa arah korelasi positif dengan kekuatan sangat kuat.. Kesimpulan sebagian besar perawat di Puskesmas Batu memiliki perilaku caring dan penerapan keselamatan pasien (patient safety) pada kategori cukup, meskipun sebagian lainnya telah berada pada kategori baik.

Ramadani, Rahma; Effendy, Devi Savitri; Nurfadillah, Siti

Jurnal Kesehatan Tropis Indonesia 2026 PT. LARPA JAYA PUBLISHER

Computer Vision Syndrome (CVS) merupakan sekumpulan gangguan pada mata dan penglihatan yang terjadi akibat penggunaan komputer atau perangkat digital dalam waktu yang lama. Pekerja yang menggunakan komputer sebagai sarana utama dalam bekerja memiliki risiko tinggi mengalami CVS. Penelitian ini bertujuan untuk mengetahui hubungan intensitas penggunaan komputer, durasi penggunaan komputer, dan waktu istirahat dengan kejadian Computer Vision Syndrome (CVS) pada pekerja kantoran Bank Sultra Tahun 2025. Penelitian ini merupakan penelitian kuantitatif dengan desain observasional analitik menggunakan pendekatan cross-sectional. Populasi penelitian adalah seluruh pekerja bidang Teknologi Informasi (IT) Bank Sultra yang menggunakan komputer sebagai alat utama dalam bekerja sebanyak 52 orang. Teknik pengambilan sampel menggunakan total sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis secara univariat serta bivariat menggunakan uji Fisher's Exact Test dengan tingkat kemaknaan ? = 0,05. Hasil penelitian menunjukkan bahwa sebanyak 44 responden (84,6%) mengalami Computer Vision Syndrome (CVS). Sebagian besar responden memiliki intensitas penggunaan komputer kategori rendah (63,5%), durasi penggunaan komputer kategori tinggi (67,3%), dan waktu istirahat kategori kurang baik (75,0%). Hasil analisis bivariat menunjukkan bahwa tidak terdapat hubungan antara intensitas penggunaan komputer dengan kejadian CVS (p=0,694) dan tidak terdapat hubungan antara durasi penggunaan komputer dengan kejadian CVS (p=0,248). Namun, terdapat hubungan yang signifikan antara waktu istirahat dengan kejadian CVS (p=0,002). Kesimpulan penelitian ini menunjukkan bahwa waktu istirahat berhubungan dengan kejadian Computer Vision Syndrome (CVS), sedangkan intensitas dan durasi penggunaan komputer tidak berhubungan dengan kejadian CVS pada pekerja bidang Teknologi Informasi (IT) Bank Sultra. Penerapan waktu istirahat yang cukup selama bekerja perlu dilakukan sebagai upaya pencegahan CVS.

Wahyuni, Ade Sri; Yasnani; Fithria

Jurnal Kesehatan Tropis Indonesia 2026 PT. LARPA JAYA PUBLISHER

Personal hygiene saat menstruasi adalah tindakan untuk memelihara kesehatan dan kebersihan pada organ kewanitaan saat menstruasi. Perawatan pada saat menstruasi diperlukan karena pada saat menstruasi pembuluh darah rahim sangat mudah terkena infeksi. Kebersihan harus selalu dijaga karena kuman mudah sekali masuk dan akan menyebabkan penyakit pada organ reproduksi. Menurut World Health Organization (WHO) mengatakan bahwa sekitar 90% perempuan di Indonesia mengalami keputihan, dan 60% kasus tersebut terjadi pada kelompok remaja. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan  personal hygiene selama menstruasi pada remaja putri di SMA Negeri 1 Kabangka Kabupaten Muna Sulawesi Tenggara Tahun 2026. Penelitian ini berjenis penelitian kuantitatif dengan jumlah sampel mencapai 102 siswi. Teknik pengambilan sampel dalam penelitian ini menggunakan total sampling yaitu jumlah sampel sama dengan populasi. Analisis datanya menggunakan analisis univariat dan bivariat untuk menggambarkan distribusi frekuensi dan menguji adanya hubungan antara variabel independen dan dependen. Hasil penelitian menunjukkan bahwa variabel sikap dan sumber informasi berhubungan dengan tindakan personal hygiene saat menstruasi dengan nilai p-value masing-masing sebesar 0,004 dan 0,000 (p < 0,05). Variabel pengetahuan, fasilitas sanitasi, dan petugas kesehatan tidak memiliki hubungan dengan tindakan  personal hygiene saat menstruasi dengan nilai p-value masing-masing sebesar 0,25, 0,746, dan 0,467 (p > 0,05). Kesimpulan dari penelitian ini berdasarkan uji statistik Chi Square menunjukkan adanya hubungan variabel sikap dan sumber informasi dengan tindakan personal hygiene saat menstruasi serta tidak adanya hubungan antara variabel pengetahuan, fasilitas sanitasi, dan petugas kesehatan dengan tindakan personal hygiene saat menstruasi.

Ramadhan, Aditya Galang; Hidayati , Fajrina; Perdana, Silvia Mawarti; Lesmana, Oka

Jurnal Kesehatan Tropis Indonesia 2026 PT. LARPA JAYA PUBLISHER

Tuberkulosis (TB) merupakan penyakit menular yang masih menjadi masalah kesehatan masyarakat di Indonesia. Kondisi fisik rumah yang tidak memenuhi syarat kesehatan dapat meningkatkan risiko terjadinya penularan tuberkulosis paru. Penelitian ini bertujuan untuk mengetahui hubungan kondisi fisik rumah dan Personal Hygiene dengan kejadian tuberkulosis paru di wilayah kerja Puskesmas Talang Bakung Kota Jambi Tahun 2026. Penelitian ini menggunakan desain case control dengan pendekatan retrospektif. Sampel penelitian berjumlah 46 responden yang terdiri dari 23 kasus dan 23 kontrol. Pengumpulan data dilakukan melalui observasi langsung, pengukuran menggunakan lux meter, thermohygrometer, meteran, serta wawancara menggunakan kuesioner. Analisis data dilakukan secara univariat, bivariat menggunakan uji Chi-Square, dan multivariat menggunakan regresi logistik ganda metode Backward LR. analisis bivariat menunjukkan bahwa terdapat hubungan antara pencahayaan rumah dengan kejadian tuberkulosis paru (p=0,039; OR=4,286; 95%CI=1,240–14,730) dan kelembaban rumah dengan kejadian tuberkulosis paru (p=0,018; OR=5,313; 95%CI=1,498–18,840). Sementara itu, luas ventilasi (p=0,429; OR=0,521), kepadatan hunian (p=0,343; OR=0,216), dan Personal Hygiene (p=0,167; OR=3,550) tidak berhubungan dengan kejadian tuberkulosis paru. Hasil analisis multivariat menunjukkan bahwa kelembaban rumah merupakan faktor yang paling dominan berhubungan dengan kejadian tuberkulosis paru (p=0,010; OR=5,312; 95%CI=1,498–18,840). penelitian ini adalah terdapat hubungan antara pencahayaan dan kelembaban rumah dengan kejadian tuberkulosis paru. Kelembaban rumah merupakan faktor dominan yang berhubungan dengan kejadian tuberkulosis paru di wilayah kerja Puskesmas Talang Bakung Kota Jambi Tahun 2026. Disarankan kepada masyarakat untuk meningkatkan kualitas lingkungan rumah, terutama menjaga kelembaban dan pencahayaan agar memenuhi standar kesehatan guna mencegah penularan tuberkulosis paru.

Arifqi, Hasmil; Lanita, usi; Kasyani; Sari, Puspita

Jurnal Kesehatan Tropis Indonesia 2026 PT. LARPA JAYA PUBLISHER

Program Makanan Bergizi Gratis (MBG) merupakan salah satu upaya pemerintah dalam meningkatkan status gizi anak sekolah dasar melalui penyediaan makanan sehat dan bergizi. Namun, keberhasilan program ini tidak hanya ditentukan oleh ketersediaan makanan, tetapi juga dipengaruhi oleh perilaku konsumsi siswa. Perilaku konsumsi makanan pada anak sekolah dipengaruhi oleh berbagai faktor, seperti pengetahuan gizi, pengaruh teman sebaya, peran guru, rasa makanan, dan kebiasaan makan di rumah. Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi perilaku konsumsi Makanan Bergizi Gratis (MBG) pada siswa Sekolah Dasar Negeri 66 Kota Jambi. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross sectional. Populasi penelitian adalah seluruh siswa kelas IV dan V SDN 66 Kota Jambi sebanyak 231 siswa. Sampel penelitian berjumlah 96 responden yang dipilih menggunakan teknik stratified random sampling. Data dikumpulkan melalui kuesioner yang telah diuji validitas dan reliabilitasnya. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa sebagian besar siswa memiliki pengetahuan gizi yang baik. Analisis bivariat menunjukkan bahwa tidak terdapat hubungan yang signifikan antara pengetahuan gizi (p=0,868) dan pengaruh teman sebaya (p=0,229) dengan perilaku konsumsi MBG. Namun, terdapat hubungan yang signifikan antara peran guru (p=0,005), rasa makanan (p=0,045), dan kebiasaan makan di rumah (p=0,005) dengan perilaku konsumsi MBG. Faktor yang paling memengaruhi perilaku konsumsi siswa adalah rasa makanan dan dukungan lingkungan sekitar

Fajri, Al’; Hidayati , Fajrina; Nasutio, Helmi Suryani; Lesmana, Oka

Jurnal Kesehatan Tropis Indonesia 2026 PT. LARPA JAYA PUBLISHER

Rendahnya Angka Bebas Jentik (ABJ) menunjukkan tingginya potensi penyebaran nyamuk dan risiko kejadian DBD. Berdasarkan observasi awal di wilayah kerja Puskesmas Aur Duri ditemukan adanya jentik nyamuk pada sebagian besar rumah yang diperiksa serta adanya kasus positif DBD di wilayah tersebut.Oleh karena itu, penelitian ini dilakukan untuk menganalisis faktor-faktor yang berhubungan dengan keberadaan jentik nyamuk Aedes aegypti di wilayah kerja Puskesmas Aur Duri Kota Jambi. Penelitian ini merupakan penelitian observasional analitik dengan desain cross sectional dan pendekatan kuantitatif.Populasi penelitian sebanyak 7.723 rumah tangga, dengan sampel 121 rumah tangga yang dipilih menggunakan teknik proportional random sampling. Pengumpulan data dilakukan melalui observasi langsung, pengukuran lingkungan, dan wawancara terstruktur menggunakan lembar observasi.. Analisis data dilakukan secara univariat dan bivariat menggunakan uji Chi-square dengan tingkat kepercayaan 95% (? = 0,05), serta besar hubungan dinilai menggunakan Prevalence Ratio (PR). hasil uji Chi-square menunjukkan bahwa hanya variabel warna TPA yang memiliki hubungan signifikan dengan keberadaan jentik nyamuk Aedes aegypti (p=0,00; PR=3,31; 95%CI=1,40–2,47), sedangkan variabel lain seperti letak TPA (p=0,80; PR=1,01), sumber air (p=0,70; PR=1,10), jumlah TPA (p=0,75; PR=1,10), suhu TPA (p=0,08; PR=1,45), kelembaban (p=0,99; PR=1,01), dan pH air (p=0,50; PR=0,76) tidak menunjukkan hubungan yang signifikan dengan keberadaan jentik nyamuk Aedes aegypti. Hasil analisis menunjukkan bahwa hanya warna TPA yang memiliki hubungan dengan keberadaan jentik nyamuk Aedes aegypti.

Naufal Faryreza Ryanta; Hana Faujiyyah Nur Afifah; Lisa Wahidatul Oktaviani; Tria Puji Lestari; Rina Mutya Suzliana +2 more

Medical Laboratory Journal 2026 LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Students of the Indonesian School of Jeddah (SIJ) are predominantly categorized as Third Culture Kids (TCK) who face sociocultural challenges and complex health determinants, including a high risk of dental caries and limited character monitoring outside the classroom. This transnational community service program aimed to evaluate the effectiveness of an integrated educational model using audio-visual media through the “Happy Teeth, Bright Smile” campaign and self-monitoring through the “My Adventure Journal” in improving oral health literacy and students’ character behavior. The study employed a Participatory Action Research (PAR) approach with mixed methods involving 155 elementary and junior high school students. Dental knowledge data were analyzed using the Wilcoxon Signed Ranks test, while journal compliance was calculated descriptively using the Grand Mean method and triangulated with content analysis of parental feedback. The results showed that elementary students’ compliance with daily character missions increased by 28.31%, particularly in the discipline dimension. Among junior high school students, multimedia intervention significantly improved clinical preventive knowledge (p < 0.001), with mean scores increasing from 77.00 to 90.20. Parental feedback indicated improvements in self-regulation, responsibility, and self-confidence. The study concludes that optimizing the Tripartite Partnership among university students, schools, and parents is effective in strengthening psychosocial resilience and students’ basic health independence in a transnational environment.

Wati, Ni Made Nopita; Dewi, Ni Luh Putu Thrisna Dewi

Bali Health Published Journal (BHPJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: The application of ethical principles is an essential foundation in nursing practice, as nurses frequently encounter complex clinical situations that require a careful balance between professional demands, patient safety, and patient rights. Objective: This study aims to explore nurses' experiences in applying ethical principles within clinical nursing practice. Methods: This study utilized a qualitative design with a phenomenological approach. Participants were selected via purposive sampling based on their work experience in direct patient care. Data were collected through in-depth interviews and analyzed using thematic analysis. Results: The findings revealed four main themes: 1) patient autonomy and decision-making in care; 2) the interaction of beneficence, safety, and religious values in care; 3) justice and patient prioritization in care; and 4) effective communication and patient confidentiality. Conclusion: The application of ethical principles is influenced by knowledge, clinical reasoning, moral sensitivity, and teamwork. Continuous reinforcement of ethical education and organizational support are highly required to enhance the quality of nursing care services.

Devi, Ni Putu Wiryastuti Sri Pratami; Rahyani, Ni Komang Yuni; Darmapatni, Made Widhi Gunapria

Bali Health Published Journal (BHPJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: Labor is a physiological process that is commonly accompanied by pain, causing discomfort, anxiety, and fear that may interfere with maternal well-being and labor progress. Effleurage massage is a complementary, non-pharmacological intervention used to reduce labor pain. Purpose: This study aimed to evaluate the effectiveness of effleurage massage in reducing pain intensity during the first stage of labor. Method: A literature review was conducted using articles retrieved from Google Scholar. An initial search identified 45 articles, and after screening based on publication year (2021–2026), relevance, and inclusion criteria, 10 research articles were included for analysis. Data were extracted and synthesized descriptively. Results: The findings consistently showed that effleurage massage reduced labor pain by promoting relaxation, decreasing muscle tension, improving blood circulation, and stimulating endorphin release through the gate control mechanism. Most studies also reported improved maternal comfort during labor. Conclusion: In conclusion, effleurage massage is an effective, safe, affordable, and easy-to-apply complementary therapy that can be integrated into midwifery care to reduce labor pain and enhance maternal comfort.  

Sumernawati, Ni Wayan Dewi; Suarniti, Ni Wayan; Darmapatni, Made Widhi Gunapria

Bali Health Published Journal (BHPJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: Breastfeeding is a valuable experience for both mother and infant, enhancing cognitive development, immunity, and emotional bonding. However, exclusive breastfeeding coverage remains suboptimal, partly due to inadequate breastfeeding technique skills among mothers. Objective: This study aims to analyze the differences in breastfeeding technique skills among pregnant women before and after a video-based educational intervention at the Gema Santi Nusa Penida Regional General Hospital, Klungkung Regency. Methods: This study utilized a pre-experimental design with a one-group pretest-posttest approach. The population consisted of 160 pregnant women visiting the Gema Santi Nusa Penida Regional General Hospital from March to April 2025. A sample of 32 pregnant women was determined using a comparative analysis sample size formula and selected via purposive sampling. Primary data were collected through observation using a validated and reliable breastfeeding technique skill checklist (calculated $r = 0.411 - 0.758 > 0.349$; Cronbach's alpha $= 0.757 > 0.6$). Results: The Shapiro-Wilk test indicated that the data were normally distributed, with values of 0.325 (pre-test) and 0.127 (post-test) $> 0.05$. The mean score for breastfeeding technique skills was 42.28 before the intervention and increased to 70.46 afterwards. The paired t-test demonstrated a significant difference in breastfeeding technique skills before and after the educational intervention ($p = 0.000 < 0.05$). Conclusion: Video media is highly effective in improving breastfeeding technique skills. Future initiatives should focus on developing more comprehensive video content to further enhance educational efficacy.

Apriani, Putu Yuli; Suarniti, Ni Wayan; Erawati, Ni Luh Putu Sri

Bali Health Published Journal (BHPJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: Cesarean section (CS) is a mode of delivery frequently used in women with high-risk pregnancies. Over the past two decades, the rate of CS has increased significantly worldwide. Although CS can be a life-saving intervention when performed based on appropriate medical indications, it may also result in adverse outcomes for both mothers and infants and increase the clinical and economic burden on healthcare systems. Limiting CS rates can be achieved through the control of modifiable risk factors. Purpose: This study aimed to describe the factors contributing to the occurrence of cesarean section. Method: This study employed a descriptive cross-sectional design and was conducted at Singasana Regional General Hospital, Tabanan Regency, from February to May 2025. The study sample consisted of 259 women who underwent cesarean delivery during the period 2020–2024. Data were collected through a review of medical records using a checklist instrument. Univariate analysis was performed to describe maternal characteristics and indications for cesarean section. Result: Most cesarean deliveries occurred in women aged 20–35 years (77.99%) and in multiparous women (48.65%). The most dominant maternal factor was a previous cesarean section (37.6%), while the most common fetal factor was fetal distress (42.7%). Conclusion: Maternal age of 20–35 years, multiparity, a history of previous cesarean section, and fetal distress were the dominant factors associated with cesarean delivery. These findings highlight the importance of early antenatal risk screening and optimal labor management to reduce unnecessary cesarean sections and improve maternal and neonatal safety.

Gustari, Pande Made Ayu Yunita; Suarniti, Ni Wayan; Darmapatni, Made Widhi Gunapria

Bali Health Published Journal (BHPJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

- Background: The rate of cesarean section (CS) deliveries continues to increase in Indonesia. Bali Province ranks first nationally, with a cesarean delivery rate of 53.2%. Cesarean section results in surgical wounds that cause pain in postpartum mothers. One non-pharmacological intervention to reduce pain is early mobilization through video media. Objective: This study aimed to determine the differences in pain intensity among post-cesarean mothers before and after receiving early mobilization through video media. Methods: This study employed a quantitative approach with a pre-experimental one-group pretest-posttest design. The study population consisted of post-cesarean mothers at Singasana Regional General Hospital. A total of 26 respondents who met the inclusion and exclusion criteria were recruited. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after the intervention. The intervention consisted of early mobilization delivered through a 3-minute and 23-second video, accompanied by healthcare personnel. Data were analyzed using the Wilcoxon test. Results: Most respondents were aged 20–35 years, multiparous, had completed senior high school, and were employed. The median pain intensity decreased from 5.00 before the intervention to 3.00 after the intervention. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant difference in pain intensity before and after the intervention. Conclusion: Early mobilization through video media was effective in reducing pain intensity among post-cesarean mothers. Video media can be utilized as an educational tool to support the implementation of early mobilization in healthcare settings..

Putri, Nurdiyanti; Farradika, Yoli

Bali Health Published Journal (BHPJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: South Tangerang City has experienced an increase in the prevalence of diarrhea in children under five years old over the past three years. In 2023, South Tangerang City prevalence of the incidence of diarrhea in under five years old 17,68%. Purpose: This study aims to determine the distribution of diarrhea incidence in children under five years old based on risk factors through a spatial analysis approach in South Tangerang City in 2023. Methods: This study employs a quantitative, descriptive approach with an ecological design. The study was conducted from November 1, 2024, to July 31, 2025. The population and sample of this study consist of all seven sub-districts in South Tangerang City in 2023, using a total sampling technique. The variables studied included diarrhea incidence in children under five years old, population density, safe sanitation access, supervised drinking water facilities according to standards, and vitamin A supplementation coverage. Secondary data was obtained from the Health Department and the Central Statistics Agency of South Tangerang City in 2023. Results: The study results showed that in 2023, Pamulang Subdistrict had the highest number of diarrhea incidences in children under five years old. The area is also known to have a very high population density, safe sanitation access that is still below the national target, the percentage of supervised drinking water facilities and vitamin A coverage that has reached the national target. Conclusion: Most subdistricts in South Tangerang City in 2023 have high and low rates of diarrhea in children under five years old, and safe sanitation access is still below the national target.

Nirmalasari, Komang Yunitia; Pratama, Agus Ari

Bali Health Published Journal (BHPJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: Chronic Kidney Disease (CKD) patients undergoing long-term hemodialysis often experience anxiety due to therapy dependency, changes in health conditions, and uncertainty regarding the disease. Unresolved anxiety can reduce quality of life, comfort, and patient adherence to treatment. Therefore, non-pharmacological interventions are needed that are safe, easy to implement, and aligned with the patient's spiritual values. Mantram Tri Sandya has the potential to provide relaxation and psychological calm, thus helping to reduce anxiety. However, scientific evidence regarding the effectiveness of this therapy in hemodialysis patients is still limited, making this research crucial.  Purpose: The aim of this research is to determine the effect of the Tri Sandya mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital. Methods: Pre-Experimental One Group Pre-Test & Post-Test research design with the Wilcoxon Signed Rank Test conducted at the Buleleng Regency Regional General Hospital. Data were collected using the HARS (Hamilton Anxiety Rating Scale) questionnaire sheet with Purposive Sampling technique with a sample size of 88 people. Results: The results obtained from this study were that there was a decrease in anxiety levels when given Mantra Tri Sandya therapy to CKD patients who were undergoing hemodialysis with a P value <0.001 (p<0.05). Conclusion: There is a significant effect of administering the Tri Sandy mantra on reducing anxiety levels in CKD patients who are undergoing hemodialysis at the Buleleng Regency Regional Hospital.

Yusniawati, Yustina Ni Putu; Putra, I Gde Agus Shuarsedana; Dari, Ni Putu Desy Ratna Wulan; Lewar, Emanuel Ileatan; Maharyawan, I Wayan Agus +3 more

Jurnal Pengabdian kepada Masyarakat Wahana Usada (WUJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: The elderly are a vulnerable group requiring special attention, particularly regarding degenerative diseases like hypertension. In Melinggih Village, there are around 250 elderly residents, but participation in village activities is very low (only 57 are active). The main issues include limited information on degenerative diseases, a lack of skills in preparing traditional medicine, and weak cadre capacity in designing productive activities. Based on these conditions, this community service program (PKM) was implemented to improve the quality of life, health, independence, and productivity of the elderly, supporting the Indonesia Emas 2045 Vision and SDGs targets. Method: The research team partnered with the elderly group. Implemented solutions included education on degenerative diseases, training in making celery-based herbal drinks using Balinese local wisdom to lower hypertension, cadre mentoring, and elderly gymnastics. The program concluded with a comprehensive evaluation of participants' knowledge and skills. Results: Active activities were structured to increase elderly productivity: 1) Elderly gymnastics, educational activities, and active mentoring were conducted with the PKM team, cadres, and elderly in Melinggih Village regarding hypertension, resulting in increased knowledge and skills in managing elderly hypertension. 2) The elderly learned to make herbal drinks from celery. 3) Health cadres appeared active and collaborated well with the PKM team. Conclusion: Education on degenerative diseases, specifically hypertension, went well, successfully increasing cadres' and the elderly's understanding of their conditions to optimize health awareness. Training on traditional medicine preparation, specifically making celery drinks to lower hypertension, also progressed successfully.

Fatmawati, Fatmawati; Junaedy , Junaedy; Sari, Dian Vita; Mursyidah, Nelly

Jurnal Pengabdian kepada Masyarakat Wahana Usada (WUJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background:The digital transformation in education requires teachers to possess adequate competencies in utilizing technology to support innovative, interactive, and student-centered learning. However, the integration of digital platforms into classroom practices remains limited due to teachers’ varying levels of digital competence and experience. This community service program aimed to improve teachers’ competencies in utilizing digital platforms to support innovative learning implementation at SMAN 8 Banda Aceh. Methods:The program employed a participatory approach consisting of needs assessment, workshops, hands-on practice, mentoring, evaluation, and reflection activities. A total of 40 teachers from various subject areas participated in the program. The training materials included the use of Canva for developing digital learning media, Quizizz for gamified assessments, Google Workspace for collaborative learning, and Artificial Intelligence (AI) technologies to assist in instructional material development and creative learning activities. Program evaluation was conducted through participant observation, assessment of digital learning products, satisfaction questionnaires, and reflective discussions. Results: The results showed that participants successfully produced 18 interactive presentations using Canva, 10 digital modules, 8 Quizizz-based quizzes, and 4 evaluation instruments using Google Forms. Furthermore, teachers demonstrated improved competencies in designing digital learning media, developing technology-based assessments, integrating digital platforms into instructional practices, and utilizing AI as a learning support tool. The high level of participation and enthusiasm among participants indicated the effectiveness of the program in strengthening teachers’ digital literacy and technological competencies. Conclusion: In conclusion, the community service program successfully enhanced teachers’ competencies in utilizing digital platforms to support innovative learning in schools.

Sari, Dian Vita; Fatmawati, Fatmawati; Junaedy, Junaedy; Damayanti, Siti; Apriani, Fitri

Jurnal Pengabdian kepada Masyarakat Wahana Usada (WUJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background: Stunting remains one of the public health problems that requires early prevention through health education and growth monitoring in children under five years old. Lack of parental knowledge regarding balanced nutrition, child feeding practices, hygiene, and routine physical examination can increase the risk of growth disorders in toddlers. Purpose: Physical examination in toddlers is important to identify early signs of growth and developmental problems, including body weight, height or length, nutritional status, and general physical condition. Method: This community service activity was conducted face-to-face using health education, discussion, and direct physical examination methods. The stages of activity included preparation, delivery of educational materials about stunting, physical examination of toddlers, recording the results, and providing simple counseling to parents. Results: The activity showed that mothers were enthusiastic in participating in counseling and toddler physical examination. Before the education was given, several mothers still had limited understanding about the causes, impacts, and prevention of stunting. After the activity, mothers began to understand the importance of balanced nutrition, routine weighing, height measurement, immunization, hygiene, and regular visits to posyandu or health facilities. Conclusion: Education about stunting and physical examination of toddlers can increase parental awareness regarding early prevention of growth disorders. This activity is useful in encouraging families to monitor toddler growth regularly and implement healthy childcare practices.

Nasution, Asmar Nauli; Fitriani, Fitriani; Awaliyah , Bintang Putri; Nainggolan , Tasya Amelia; Silaban, Maria Rejeki +4 more

Jurnal Pengabdian kepada Masyarakat Wahana Usada (WUJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background:Landslides are a disaster that often occurs in hilly areas with high rainfall. The community's lack of knowledge about mitigation increases the risk of losses and casualties. This community service activity aims to improve the knowledge and preparedness of cadres and the community of Pargarutan Dolok Village in facing landslides through mentoring and counseling activities. The activity was carried out on May 25, 2026 in Pargarutan Dolok Village, East Angkola District, South Tapanuli Regency, targeting village cadres and the local community. Methods:The methods used included delivering material, interactive discussions, questions and answers, and distributing leaflets regarding the causes, signs, impacts, and mitigation steps for landslides. Evaluation was carried out through observations of participant participation and their ability to understand the material provided. The activity went well and received active participation from all participants. Results:The results of the observations showed an increase in participants' understanding of the causes, early signs, impacts, and actions that need to be taken before, during, and after a landslide occurs. The enthusiasm of the participants during the discussion also showed an increase in public awareness of the importance of disaster mitigation and preparedness. Conclusion: These findings indicate that landslide preparedness training is effective in increasing the knowledge, awareness, and preparedness of cadres and the community regarding landslide risks. This activity is expected to be the first step in strengthening community capacity and supporting the creation of disaster-resilient villages through ongoing disaster education.

Panjaitan, Dirga Azhar; Siregar, Zekwin; Syaputra, M. Rizky; Zalindri, Diani; Khalijah, Siti +2 more

Jurnal Pengabdian kepada Masyarakat Wahana Usada (WUJ) 2026 Sekolah Tinggi Ilmu Kesehatan KESDAM IX/Udayana

Background:Flooding is one of the most common environmental problems in residential areas and is closely related to poor community awareness of waste management. Improper waste disposal can clog drainage systems, increase the risk of flooding, and lead to various environmental health problems. Objective: This community service activity aimed to improve community knowledge and awareness regarding waste management and environmental health as an effort to prevent flooding in Panompuan Jae Village. Methods: The activity was conducted on May 22, 2026, at the Panompuan Jae Village Prayer House involving 15 women from a local religious study group. The educational methods included lectures, discussions, and interactive question-and-answer sessions. The materials covered waste classification, household waste management, environmental health, and the relationship between environmental cleanliness and flooding. Results: The activity improved participants’ understanding of proper waste management. Participants were able to distinguish between organic and inorganic waste and understood appropriate waste handling practices. They actively participated in the discussion and showed an initial commitment to disposing of waste properly and maintaining environmental cleanliness. Conclusion: The community education program successfully improved public knowledge and awareness regarding waste management and environmental health, supporting flood prevention efforts in Panompuan Jae Village.