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BPJS Health has incurred losses exceeding 200 billion rupiah over a two-year period due to the payment of contributions that were discontinued by participants who had utilized maternity services. Data show that 64.7% of mothers registered as BPJS Health participants only one month prior to childbirth, after which 43% either withdrew their membership or failed to continue paying contributions following delivery. The highest proportion of this behavior was observed among independent participants or non-wage recipients (PBPU). In Jambi Province, the highest level of contribution non-compliance occurs in Jambi City. In 2023, there were 77,489 participants with contribution arrears, resulting in financial losses amounting to 60.1 billion rupiah. Contribution non-compliance is influenced by various factors. This study aims to analyze the factors contributing to non-compliance among independent participants in paying BPJS Health contributions after utilizing childbirth services in Jambi City. The findings revealed that 33.3% of independent participants were non-compliant in paying BPJS Health contributions after using maternity services. Significant associations were found between contribution non-compliance and the number of family members (p = 0.001), level of knowledge (p = 0.000), illness perception (p = 0.001), clinical assessment (p = 0.000), and willingness to pay (WTP). Based on these findings, it is recommended that BPJS Health consider implementing a waiting period policy for participants intending to utilize maternity services. In addition, the Jambi City Government should strengthen promotive efforts to educate the public and raise awareness of the importance of health insurance in safeguarding household financial security.  

Syphilis is one of the reproductive health problems that remains a challenge in Indonesia, with a trend of increasing cases, while the level of adolescent knowledge about this disease is still low. Educational efforts are needed to improve adolescent understanding, one of which is through video media which is considered more interesting because it combines visual and audio elements. This study aims to evaluate the effectiveness of video as an educational medium in improving adolescent knowledge about syphilis at SMKS Al Hikmah 2 Sirampog, Brebes Regency. This type of research is a pre-experimental study with a one group pretest-posttest design. The study sample consisted of 47 students selected using a purposive sampling technique. The research instrument was a syphilis knowledge questionnaire administered before and after the educational video intervention. Data analysis used the Wilcoxon Signed Rank Test and N-Gain calculation. The study showed that Results Before the intervention, the level of knowledge of respondents was in the good category for 24 students (51.1%), sufficient for 11 students (25.5%), and poor for 12 students (23.4%). After being given the educational video intervention, there was a significant increase with all respondents (100%) being in the good category. The Wilcoxon Signed Rank Test showed a significant difference between pretest and posttest scores (p-value = 0.000). N-Gain analysis categorized the increase in knowledge as high. The study concluded that video media has proven effective as an educational tool in increasing adolescent knowledge about syphilis, making it a viable alternative learning medium in reproductive health programs.

This study aims to analyze hematocrit values ​​using a micro method with capillary blood samples in pregnant women with anemia at the Sidodadi Kisaran Barat Community Health Center. This study is a descriptive study with a cross-sectional approach involving 15 pregnant women as respondents. Data collection was carried out through hematocrit laboratory examinations and data collection of respondent characteristics. The results showed that 60% of respondents had hematocrit levels below normal values, while 40% of respondents had hematocrit levels within normal limits. Low hematocrit levels in pregnant women are influenced by several factors, including age, education level, employment status, and level of knowledge about anemia during pregnancy. This condition has the potential to increase the risk of pregnancy complications if not optimally managed. Therefore, it is recommended that health workers continue to increase educational efforts regarding anemia prevention, the importance of regular pregnancy check-ups, and encourage pregnant women to maintain a balanced nutritional consumption pattern and adequate iron intake to support maternal and fetal health.

Despite global efforts, maternal mortality remains a critical public health challenge. A major contributing factor is the delay in recognizing and responding to obstetric emergencies. A pregnant woman's awareness of potential danger signs and her subsequent proactive attitude toward early detection are considered pivotal in facilitating timely and life-saving healthcare access. This study was undertaken to investigate the direct correlation between the level of knowledge pregnant women possess regarding pregnancy danger signs and their attitude toward the early identification of maternal emergencies.This research utilized an analytic survey design, a cross-sectional approach. The study sample was drawn using accidental sampling, comprising 110 pregnant women. Data were collected via structured questionnaires and analyzed statistically using the Spearman Rank correlation test. The descriptive analysis revealed a positive outcome regarding knowledge: the majority of participants (70) demonstrated a sufficient level of knowledge about pregnancy danger signs. However, this did not translate into a desired behavioral disposition, as a majority of participants (40) simultaneously displayed a poor attitude toward the early detection of maternal emergencies. The inferential statistical analysis confirmed this disconnect: the Spearman Rank test yielded a calculated ρ-value (pcount) of 0.068, which was less significant than the critical ρ-table value (ptable) of 0.364. Crucially, the significance level(p=0.72) exceeded the predetermined alpha (α=0.05).The study concludes that there is no significant relationship between a pregnant woman's knowledge of obstetric danger signs and her attitude toward seeking the early detection of maternal emergencies.

Family planning represents a community-based effort to promote awareness and participation through delaying the age of marriage, regulating births, strengthening family resilience, and improving family welfare to achieve small, joyful, and prosperous families (Suriana et al., 2021). The government targets Couples of Reproductive Age (CRA) to reduce population growth in Indonesia, as CRA consists of legally married couples who actively engage in sexual relations that may result in pregnancy. In addition to CRA, postpartum mothers also serve as a key target group in family planning programs. The “Four Too” components contribute to high-risk pregnancies that may lead to complications during pregnancy, childbirth, and the postpartum period, and maternal and infant mortality. These include being too young (under 20 years), too old (over 35 years), too many children (more than four), and too close birth spacing (less than two years) (Oktarina, 2022). This study employed a quantitative research design, specifically an analytical quantitative approach with a correlational design using the cross-sectional method. The sample consisted of 40 participants. The results show that 45% of respondents had a satisfactory level of knowledge about IUD contraception, 32.5% had a moderate level, and 22.5% had a low level of knowledge. In nursing practice, increasing knowledge about contraception—particularly IUD family planning—can enhance interest in its use. Moreover, the study recommends that husbands provide support for mothers in using IUD contraception.

Hypertension is one of the most common non-communicable diseases, posing serious health risks such as heart disease, stroke, and kidney failure. The increasing prevalence of hypertension is mainly due to limited public knowledge about the risks associated with the condition and the importance of consistent, long-term medication adherence to prevent complications. This study aims to examine the relationship between the level of knowledge about hypertension and medication adherence among hypertensive patients. A quantitative research method with a descriptive correlational design was employed. Purposive sampling was used to select respondents, and the data were analyzed using the Chi-Square test. The results showed that the majority of respondents were female (53%), aged between 46 and 64 years (74%), had an elementary school education level (42%), worked as housewives (51%), and had been diagnosed with hypertension for an average of 7 to 10 years (46%). Statistical analysis revealed a p-value of 0.000 (α < 0.05), indicating a significant relationship between the patients’ knowledge level and their adherence to antihypertensive medication. This finding emphasizes the need for continuous health education and counseling to enhance patients’ understanding of hypertension and its management. Effective communication and support strategies are essential in improving medication adherence, which is crucial for preventing hypertension-related complications and improving the quality of life for patients. These results provide valuable insights for healthcare providers to develop targeted interventions.

The high mortality and morbidity rates of infants in Indonesia remain a serious public health problem. One of the main causes of this condition is the emergence of infectious diseases that can actually be prevented through basic immunization. Diseases such as diphtheria, pertussis, tetanus, tuberculosis, poliomyelitis, measles, and hepatitis B are types of diseases that can be prevented by immunization, yet many children still have not received complete immunizations. This study was conducted to determine the relationship between maternal knowledge levels and the completeness of basic immunization status of children aged 12–24 months in RW 13 Kp. Sapan, Sumbersari Village. This study used a quantitative approach with a cross-sectional design and was conducted in August 2024. A total of 39 mothers with children aged 12–24 months became the study respondents through a total sampling technique. Data collection was carried out using a questionnaire, and the data obtained were analyzed using the Chi-square test. The results showed that the majority of mothers had a sufficient level of knowledge, namely 21 mothers (53.8%). In addition, the majority of toddlers, 28 children (71.85%), had received complete basic immunizations. The results of statistical analysis showed a significant relationship between maternal knowledge and the completeness of children's basic immunizations with a p value of 0.006 (p < 0.05). This indicates that the higher the mother's knowledge regarding the importance of immunization, the greater the likelihood of the child receiving complete basic immunizations. Therefore, it is important for mothers to continue to increase their knowledge about immunizations through various sources of information such as books, counseling, or consultations with health workers, so that efforts to prevent infectious diseases in children can be optimally achieved.

Stunting is a serious health issue in developing countries that has long-term effects on children's growth, and it is important for parents to know about early detection of stunting so they can prevent it. The purpose of this research is to describe parents' general knowledge about early detection of stunting. This study uses a quantitative research type with a descriptive method and survey design. This study involves parents with toddlers, with a sample size of 293. The sampling technique used was consecutive sampling. Data were collected through a questionnaire that measures parents' knowledge about stunting and how stunting can be detected early. Data analysis was conducted using descriptive statistics to describe the characteristics of the respondents and their level of knowledge. The research results show that out of 293 respondents, the educational characteristics indicate that 58.4% are at the high school level. In terms of employment, 65.5% of respondents are housewives. Meanwhile, the analysis of the respondents' age characteristics shows that the median age is 32 years. In addition, the data regarding the respondents' knowledge shows that 82.3% have a high level of knowledge. As for the questionnaire, the question that was most frequently unanswered was question number 20, which discusses reading graphs on maternal and child health (MCH). There are efforts to improve mothers' knowledge about early detection of stunting because the research results still show that there are respondents with moderate knowledge.

Mental disorders are changes in a person's mental function that can cause suffering and hinder the fulfillment of their role in society. This study aims to analyze the relationship between the level of knowledge of family members about mental disorders and the stigma they have towards the condition in the Caringin Health Center work area.Objective: The general objective of this study is to determine the relationship between family members' knowledge about mental disorders and the stigma of family members in the Caringin Health Center work area. Method: This study used a correlational method with a sample size of 44 people selected through cluster random sampling techniques. Results: The results showed that the majority of respondents had a sufficient level of knowledge, namely 20 people (45.5%). Meanwhile, good and low levels of knowledge were found in the same number, each 12 people (27.3%). In terms of stigma, most respondents showed a moderate level of stigma, namely 27 people (61.4%), while respondents with a low level of stigma numbered 8 people (18.2%). Statistical tests using Spearman Correlation produced a P-Value = 0.014, which is smaller than 0.05.