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Hypertension is a primary risk factor for cardiovascular diseases, including stroke, coronary artery disease, atrial fibrillation, and peripheral vascular disease. Often referred to as "The Silent Killer," its onset is frequently asymptomatic, making early detection challenging. Effective interventions, both pharmacological and non-pharmacological, are necessary to manage hypertension and reduce complications. Long-term treatment requires adherence to prescribed medications, with self-care management playing a vital role in minimizing hypertension's adverse effects. Self-efficacy, or an individual's belief in their abilities, is crucial for improving medication adherence and self-care activities. This study aimed to examine the correlation between self-efficacy and self-care management in relation to medication adherence among hypertension patients at RSUD Mandau District. A non-experimental, quantitative, analytic correlation study with a cross-sectional design was conducted, involving 38 hypertension patients. Self-efficacy was measured using the MASES-R (Medication Adherence Self-Efficacy Scale-Revision), medication adherence was assessed with the MMAS-8 (8-item Morisky Medication Adherence Scale), and self-care management was evaluated using the HBP-SCP (Hypertension Self-Care Profile). The findings revealed a significant correlation between self-efficacy and medication adherence (p=0.000, r=0.594). Additionally, self-care management was significantly correlated with medication adherence (p=0.027, r=0.360). In conclusion, self-efficacy and self-care management both significantly correlate with medication adherence in hypertension patients at RSUD Mandau District.

This research is motivated by the importance of business licensing in the trade of goods and services sector as an instrument of legality, supervision, and legal protection; however, its implementation still faces gaps between normative regulations and practices in the field. The purpose of this study is to analyze the level of business actors’ compliance with licensing obligations, identify obstacles in the implementation of risk-based licensing policies, and evaluate their impact on compliance. The method used is library research with a normative juridical approach, through an examination of primary legal materials in the form of laws and related regulations, as well as secondary and tertiary legal materials from scientific literature. The results show that the effectiveness of risk-based licensing policies has not been optimally achieved due to low legal literacy, limited digital understanding, and the perception that licenses are merely a formality, causing many business actors to neglect administrative obligations. This condition illustrates the existence of a gap between regulatory objectives and implementation practices. These findings emphasize the need for procedural simplification, intensified socialization, and strengthened technical assistance so that licensing policies become more responsive to the needs of business actors, while simultaneously encouraging compliance and enhancing national economic competitiveness.

Hypertension is a common health problem in the elderly that is often unrealized, so it requires effective education to improve blood pressure management. This study aims to determine the effect of DASH diet education on knowledge and compliance with blood pressure control in hypertensive elderly at the Surabaya Elderly Posyandu. A quasi-experimental method with a pretest-posttest design and a control group involved 40 elderly hypertensive respondents who were divided into intervention and control groups. The intervention group received DASH diet education through counseling, leaflets, and 1x/week discussions for 4 weeks. Results showed a significant improvement in p=0.000 knowledge and p=0.000 blood pressure control adherence in the intervention group, while the control group showed no significant change. Systolic and diastolic blood pressure in the intervention group also decreased significantly (158.2/94.3 to 139.7/84.5 mmHg), with 55% of respondents achieving normal blood pressure, compared to 10% in the control group. Conclusion: DASH diet education is effective in improving knowledge, compliance, and controlling blood pressure in hypertensive elderly. Similar educational programs are recommended to be implemented continuously in primary health services for more optimal hypertension management.

This study aims to review the legal aspects and impacts of the vehicle tax amnesty policy on increasing Regional Original Income or PAD due to late payment of vehicle tax, which has become one of the strategies adopted by local governments to optimize tax revenues and maintain the validity of vehicle data. This study uses normative juridical as its approach to review laws and regulations and uses relevant literature studies. The results of the study reveal that normatively, this policy has a strong legal basis and has been empirically proven to be able to increase tax revenues in the short term. However, there is a potential for a long-term decline if the policy is not accompanied by adequate supervision and education. Therefore, harmonious, transparent implementation and increased socialization are needed to avoid taxpayer misunderstandings. This study contributes to the understanding of the importance of balance between fiscal incentives and the powerlessness of regional tax governance.

This study evaluates the implementation of Behavior Based Safety (BBS) in improving occupational safety compliance at PT Wichindo Pratama, a heavy equipment manufacturing company with high work risks. The topic was chosen due to frequent violations of safety procedures, such as the improper use of Personal Protective Equipment (PPE) and neglect of Standard Operating Procedures (SOP), which increase the risk of accidents. A qualitative method was used through direct observation, in-depth interviews with 12 shift workers, and field assessments of safety facilities. The findings show that although the company has an Occupational Health and Safety (OHS) management system, non-compliance still occurs. Issues include incomplete PPE usage, disorganized work tools, and unsafe rest habits. Observations revealed potential hazards such as physical (noise), chemical (oil exposure), ergonomic (awkward postures), mechanical (machine use without full PPE), biological, and psychological risks (stress from shift work). BBS is seen as a strategy to connect existing OHS policies with safe work behavior by focusing on mindset and daily habits. The implementation of BBS is expected to reduce accidents and support the creation of a safer, more sustainable workplace.

Anemia in pregnant women is one of the contributing factors to stunting in toddlers. The consumption of iron (Fe) tablets by pregnant women requires supervision from family members to support the success of the stunting reduction program in Bangli Regency. Iron tablet intervention in pregnant women has been proven to reduce the risk of complications, lower the incidence of low birth weight in infants, and decrease maternal mortality during childbirth. This study used a cross-sectional survey design, involving 48 pregnant women. Data collection was conducted using total sampling during the period from January 2024 to January 2025 at Kintamani IV Public Health Center. Bivariate data analysis was carried out using the chi-square test. The results of the study showed that 68% of pregnant women experienced mild anemia. Most pregnancies were in the third trimester (39%), and 43% of the participants were in their first pregnancy. The majority of the pregnant women had good knowledge levels. There was a significant relationship between pregnant women’s knowledge and their adherence to consuming iron tablets, with a p-value of 0.019. The odds ratio (OR = 5.014) indicated that pregnant women with good knowledge were five times more likely to adhere to iron tablet consumption compared to those with limited knowledge. Support and monitoring of the nutritional status of pregnant women are essential to reduce the incidence of low birth weight and stunting among toddlers in Selulung Village, Kintamani District.  

This study investigates the relationship between Antenatal Care (ANC) education and pregnant women's adherence to routine visits at Sei Lekop Public Health Center, Batam City. A quantitative, cross-sectional design was used, involving 96 pregnant women selected through purposive sampling. Data were gathered using a questionnaire assessing ANC education and visit adherence. The results showed that 50% of participants demonstrated high adherence to ANC visits, while the other 50% had low adherence. Additionally, 51% had a good understanding of ANC. Statistical analysis using the Chi-Square test revealed a significant relationship between ANC education and adherence levels (p = 0.000). The Odds Ratio (OR) of 5.343 indicates that women with good ANC education are 5.3 times more likely to attend routine visits. The study concludes that effective ANC education significantly improves adherence to antenatal care. It is recommended that healthcare providers enhance the quality of ANC education by adopting more interactive and personalized approaches and leveraging technology to reach a broader audience of pregnant women.

Taxes are responsible for providing services and development to the community because the country’s main income comes from taxes. However, the low level of taxpayer compliance is a significant challenge. This study aims to examine how the implementation of e-tax improves taxpayer compliance in Indonesia. The researcher used a descriptive qualitative approach method by analyzing various previous journal studies. The results of the study indicate that among the  many benefit provided by e-tax, there are still obstacles in the implementation of e-tax among the taxpayer. Public awareness which is still minimal is the main challenge in implementing taxes electronically. Limitations and gaps in infrastructures that affect internet connections in their implementation make it difficult to access the DJP Online Portal. Technological developments also increase vulnerability to security, the government is required to guarantee the security of taxpayer financial data. The influence of tax implementation that affects taxpayer compliance with E-Filling. Tax payment not only covers building but also law enforcement in the field  of motor vehicle taxation. Currently the E-Samsat system has begun to be implemented which provides convenience in the tax payment process. To optimize this e-tax system, there are several strategies in the form of developing and improving the e-Filling system, providing comprehensive tax services. With a structured approach, e-tax has great potential to support digital tax reform and can improve administrative efficiency and also strengthen the country’s fiscal foundation as a whole.

Background: In 2021, there were 38 deaths for every 1000 live births in the world's under-five population. Predisposing factors, enabling resources, need, and health service usage are the three primary elements that make up Andersen's theory and have an impact on health care utilisation. Goal: To ascertain how patient trust and service quality relate to Sekanak Raya Village's whole basic immunisation program. Method: This study is quantitative in nature and uses a cross-sectional, analytical observational methodology. The mothers who had children in Sekanak Raya Village made up the study's population. Tools for gathering data include questionnaires and observation sheets. In data analysis, the chi-square test was employed. Result: The findings indicate that 15 out of 100 underdog moms believe in complete basic immunisation status, whereas 18 out of 100 underdog mothers believe that the quality of service is good with complete basic immunisation status. For patient confidence, the chi square statistical test yielded a p-value of 0.022 < 0.05, whereas for service quality, the p-value was 0.004 < 0.05. In Sekanak Raya Village, UPTD Working Area, Puskesmas, Rear Padang, Batam City, total basic immunisation quality and patient trust are significantly correlated in 2024.

The World Health Organization (WHO) in 2023 estimates that currently the global prevalence of hypertension is 43% of the total world population. Meanwhile, the hypertension report at the Pelawan Health Center in 2021 was 301 cases, in 2022 there were 324 cases, in 2023 there were 397 cases. The purpose of the study was to analyze the factors that influence medication compliance in elderly people with hypertension in the Pelawan Sarolangun Health Center Working Area. The research design used Analytical Survey method with Cross Sectional approach. The population in this study were all elderly hypertensive patients in the Pelawan Sarolangun Health Center Working Area, namely 73 patients who were all made into research samples with total population techniques. Data analysis using univariate analysis, bivariate with chi-square test. The results showed that there was an effect of motivation p = 0.006, family support p = 0.004 and health worker support p = 0.031. The conclusion of this study is that there is an influence of motivation, family support, health worker support. The dominant factor, namely family support, influences compliance with taking medication in elderly people with hypertension in the Pelawan Sarolangun Health Center Working Area. It is suggested that the Pelawan Sarolangun Community Health Center is expected to be taken into consideration and input for the health center to be active in field counseling activities and use social media as a promotional medium to increase the acceleration of healing of hypertension in the elderly, so as to improve health status in the elderly.

Morbus Hansen, or leprosy, is a chronic infectious disease caused by the bacterium Mycobacterium leprae. There are two types of leprosy, namely MB (Multi Bacillary) and PB (Pauci Bacillary). According to the WHO, the level of disability due to leprosy is divided into three levels: Level 0, Level 1, and Level 3. This study is an analytic observational study using a cross-sectional research design, involving 45 respondents selected through total sampling technique. Data collection was carried out by filling out a questionnaire consisting of questions regarding leprosy medication compliance. Data analysis used the chi-square test and prevalence rate. The results showed no association between medication compliance (p=0.092, PR=2.0) and the incidence of leprosy disability at the Batumarmar Health Center, Pamekasan Regency. The conclusion of this study indicates that although theoretically adherence to medication can lead to disability in leprosy patients, the results of this study show something different. The difference between the results of this study and the theory may be due to other factors affecting disability. The suggestion is that the health center is expected to improve the monitoring system to evaluate patient compliance with treatment. Support from medical personnel and families is also needed to encourage patients to be more consistent in undergoing therapy.

Background: The frequency of hypertension continues to increase in line with the low compliance of hypertension sufferers in carrying out their treatment, one of which is a hypertension diet. Family support plays a crucial role in increasing self-confidence, motivation, and life satisfaction of hypertension sufferers. Family involvement in health education programs helps patients with their needs met, understanding when to seek medical help, and support for treatment compliance, which can prevent recurrence and serious complications due to hypertension. In addition, compliance with a hypertension diet is very important to keep blood pressure stable. A good understanding of the benefits of diet and the role of family and health workers in providing support can increase diet compliance. Conversely, low understanding can reduce awareness of the importance of diet, potentially causing ongoing complications. Therefore, hypertension management strategies must involve family support and education about the right diet to achieve optimal health outcomes. This study was conducted to analyze the Relationship Between Family Support and Diet Compliance in the Elderly in Controlling Hypertension at the Kedungmundu Health Center. Methods: This study uses a quantitative method with a correlational approach. Data were collected through demographic questionnaires, family support, and hypertension diet compliance, with a study sample consisting of 90 people using random sampling techniques. Somers' D test was chosen as the statistical analysis method for this research data. Results: Based on the study, it was found that some respondents received quite good family support, with a total of 57 people (63.3%) and were quite compliant with dietary compliance as many as 57 people (63.3%). The results of the Somers' D test showed that the significance value of p = 0.000 <α (0.05), so H0 was rejected. Conclusion: Based on the data analysis, the conclusion obtained is that there is a relationship between family support and dietary compliance in the elderly in controlling hypertension at the Kedungmundu Health Center, Semarang City.

Background: Hypertension has a high prevalence of 43.11%, which is even higher among the elderly in Indonesia. The treatment of hypertension requires long-term therapy, making medication adherence crucial for controlling blood pressure and preventing complications. Sample: The sample in this study consisted of 76 pregnant women in Tangkil Tengah and Rengas villages. After screening according to inclusion and exclusion criteria, 62 pregnant women were selected as respondents. Method: This study employed a correlational analytical method using a quantitative approach. The sampling technique used was non-probability sampling. The research instrument was a questionnaire that included the variables to be studied. The analysis used was univariate analysis with frequency distribution and percentages, and bivariate analysis using the Statistical Program for Social Science (SPSS). Results: The knowledge of elderly individuals with hypertension about hypertension was categorized as high (9%), moderate (35%), and low (57%), while adherence to antihypertensive medication was categorized as high (24%), moderate (7%), and low (70%). The correlation analysis in this study, using the Chi-square test, showed a significant relationship between the level of knowledge and the level of adherence to antihypertensive medication among the elderly, with a p-value of 0.00. Conclusion: There is a significant relationship between the level of knowledge and the level of adherence to antihypertensive medication among the elderly at RSU Bhakti Asih Ciledug.

Nutritional intake of pregnant women affects fetal growth. Good nutritional status in pregnant women can prevent low birth weight (LBW) and stunting (short). This study aims to determine the factors associated with the compliance of pregnant women in consuming Fe tablets at the Kabanjahe Health Center, Kabanjahe District, Karo Regency, North Sumatra Province in 2024. This type of research is a study with a cross-sectional design. In cross-sectional research, the cause or risk and effect variables or cases that occur in the research object are measured or collected simultaneously (at the same time). The population is all pregnant women at the Kabanjahe Health Center, Kabanjahe District, Karo Regency, as many as 36 people. The number of samples used was 36 people obtained using the Total sampling technique. The data analysis technique used chi-square analysis. The results obtained in this study were from 36 respondents, there was a relationship between knowledge and compliance of pregnant women in consuming Fe tablets at the Kabanjahe Health Center, Kabanjahe District, Karo Regency, North Sumatra Province in 2024, with a p-value of 0.001 (p-value <0.05), Pregnant Women TM III, there was a relationship between husband and family support for compliance of pregnant women in consuming Fe tablets at the Kabanjahe Health Center, Kabanjahe District, Karo Regency, North Sumatra Province in 2024, with a p-value of 0.000 (p-value <0.05), there was a relationship between ANC visits and compliance of pregnant women in consuming Fe tablets at the Kabanjahe Health Center, Kabanjahe District, Karo Regency, North Sumatra Province in 2024, with a p-value of 0.002 (p-value <0.05), there was a relationship between motivation and compliance of pregnant women in consuming Fe tablets at the Kabanjahe Health Center, Kabanjahe District, Karo Regency, North Sumatra Province North Sumatra in 2024, with a p-value of 0.021 (p-value < 0.05).

The purpose of this study is to determine how individual taxpayer compliance in Bukir Village, Pasuruan City, is impacted by the degree of tax literacy and awareness. This study employs a quantitative methodology, causality design, and basic random sampling procedures with 22 participants. Questionnaires were used to gather data, and multiple linear regression was used for analysis. The study's findings suggest that taxpayer knowledge significantly influences tax compliance, while tax literacy has no discernible effect. According to this research, raising tax awareness rather than just tax literacy has a greater impact on promoting compliance. This study has significant ramifications for how the government can develop plans to increase tax compliance through initiatives for inclusiveness and tax knowledge.