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Acute Otitis Media (AOM) is a common middle ear infection in children, particularly in rural areas. This study aims to explore the clinical characteristics of AOM in children treated at rural health centers (puskesmas) and to examine the barriers to effective management. A descriptive qualitative method was employed through a literature review analyzing symptoms, stages, risk factors, and treatment approaches. The findings reveal that AOM in children often begins with an upper respiratory tract infection and presents with sudden ear pain, high fever, sleep disturbances, and ear discharge. Risk factors include young age, poor environmental conditions, and limited access to healthcare services. Management of AOM depends on its clinical stage and requires accurate diagnosis. However, in rural puskesmas, a lack of diagnostic tools and limited public awareness often leads to delayed treatment. Therefore, it is essential to provide health workers with basic ENT training, ensure the availability of diagnostic equipment, and educate parents to enable early detection and prevent complications that could affect a child’s development.

Acute Respiratory Tract Infection is an upper or lower respiratory tract disease that is usually contagious and can cause a wide spectrum of disease ranging from mild to severe and fatal infections, depending on the pathogen causing environmental factors and host factors. Transmission of acute respiratory infections is very dangerous, especially for babies and toddlers. It is necessary to reduce the incidence of transmission of acute respiratory infections as a form of prevention. Proper early recognition to detect symptoms of acute respiratory infections can be a way to prevent delays in treating the disease and prevent possible transmission. The method used is to provide counseling and training related to early detection of acute respiratory tract infections. After providing counseling to better understand the disease, one of the early detection methods chosen after recognizing the symptoms experienced is by counting the respiratory frequency. The results of implementing this community service include increasing knowledge to recognize and detect acute respiratory infections so that they can be treated immediately and appropriately.