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This article aims to examine the concept of humanist leadership that is lived and carried out by Catholic Religious Teachers in the learning and coaching of students. The approach used in this study is qualitative with a literature study method, which is sourced from Catholic Church documents, the Bible, and scientific literature related to educational leadership and humanism. The results of the study show that the humanist leadership of Catholic Religious Teachers is rooted in the example of Jesus Christ as a Teacher and Shepherd who prioritizes love, respect for human dignity, dialogue, and service. This leadership is manifested through empathy, justice, moral exemplarity, and the ability to build relationships that foster trust and responsibility of students. Thus, Catholic Religious Teachers who live humanist leadership are able to create an educational climate that is inclusive, liberating, and oriented towards the development of human personal integrity. This article is expected to be a theoretical and practical contribution to the development of the leadership competencies of Catholic Religious Teachers in the world of education.

Hope is one of the theological virtues strongly emphasized by Pope Francis, especially in the context of a world marked by suffering, crisis, and uncertainty. This article aims to present the Christian theological understanding of hope according to Pope Francis and to explore its relevance for the Church as it prepares for the Jubilee Year 2025. This study employs a documentary and textual theological analysis of Pope Francis’ catecheses, Sacred Scripture, official Church teachings, and the Jubilee documents. The findings show that Christian hope is rooted in the experience of God who accompanies, liberates, and consoles His people, and is grounded in the Paschal Mystery and the resurrection of Christ. Pope Francis deepens this vision through the figures of Sacred Scripture and through existential dynamics such as learning to hope, resisting despair, and remaining vigilant. Hope is both personal and ecclesial, as the Church is called to be a missionary of hope for the world. These insights highlight the importance of ongoing formation in the faith and concrete works of mercy as expressions of hope, especially as the Church enters the Jubilee Year 2025 as Pilgrims of Hope.

Nausea and vomiting are common symptoms experienced during early pregnancy, especially in the first trimester, and can adversely affect maternal comfort, nutritional intake, and overall well-being. In primary health care settings, these symptoms are often managed with pharmacological treatments; however, such approaches may raise concerns regarding safety, potential side effects, and accessibility for pregnant women. Therefore, there is increasing interest in non-pharmacological interventions that are safer and more practical. One alternative method is lemon aromatherapy (Citrus limon), which is believed to reduce nausea and vomiting by stimulating the olfactory system and promoting a relaxing effect. This study aimed to assess the effectiveness of lemon aromatherapy in decreasing the frequency of nausea and vomiting among first-trimester pregnant women diagnosed with emesis gravidarum at the Rum Balibunga Community Health Center. The research applied a pre-experimental design using a one-group pretest–posttest approach. A total of 30 pregnant women in their first trimester were selected through purposive sampling. The intervention involved inhalation of lemon aromatherapy over a specified duration. Data on the frequency of nausea and vomiting were collected before and after the intervention using a structured observation instrument. The data were analyzed using both descriptive and inferential statistics, with the Wilcoxon signed-rank test employed to determine differences between pre- and post-intervention results. The findings revealed a significant reduction in nausea and vomiting frequency after the intervention. Overall, lemon aromatherapy proved to be an effective, safe, and practical non-pharmacological option to support antenatal care services.

Background: Early Breastfeeding Initiation (IMD) is the practice of allowing newborns to breastfeed within the first hour after birth. This practice is not only beneficial for establishing mother-infant bonding but also plays a crucial role in stimulating uterine contractions through the release of oxytocin, which can accelerate uterine involution in postpartum mothers. Uterine involution is an important physiological process that prevents postpartum hemorrhage and supports maternal recovery. Despite the known benefits, not all mothers practice IMD immediately after delivery, which may affect the process of uterine involution. Objective: This study aimed to analyze the relationship between Early Breastfeeding Initiation (IMD) and the incidence of uterine involution in postpartum mothers at the Benao Community Health Center Work Area. Methods: A quantitative, observational study with a cross-sectional design was conducted involving 30 postpartum mothers selected through purposive sampling. Data were collected on IMD practices and uterine involution assessments. The Wilcoxon signed-rank test was used to analyze the relationship between IMD and uterine involution. Results: The study found a significant relationship between IMD and uterine involution (p = 0.000). Mothers who practiced IMD within the first hour postpartum showed a faster and more effective uterine involution process compared to those who did not. Conclusion: Early Breastfeeding Initiation (IMD) is significantly associated with the incidence and speed of uterine involution in postpartum mothers. Promoting IMD immediately after birth is essential for supporting maternal recovery and preventing postpartum complications

Sleep disorders are a common complaint among pregnant women, especially in the third trimester, and have the potential to negatively impact maternal well-being and pregnancy outcomes. Physiological, hormonal, and psychological changes during pregnancy increase the risk of decreased sleep quality, while pharmacological therapy options are limited due to safety considerations. Therefore, safe and easy-to-apply non-pharmacological interventions are needed. This study aimed to analyze the effectiveness of lavender aromatherapy in overcoming sleep disorders in third trimester pregnant women at the Bongo Nol Community Health Center. The study used a quasi-experimental design with a one-group pretest–posttest approach. The sample consisted of 30 third trimester pregnant women selected purposively. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI) before and after the administration of lavender aromatherapy through inhalation for seven consecutive days. Data analysis was performed using the Wilcoxon signed-rank test. The results showed a significant decrease in PSQI scores after the intervention, indicating an improvement in sleep quality among the respondents. Lavender aromatherapy proved to be effective as a non-pharmacological intervention in reducing sleep disturbances in pregnant women in their third trimester. In conclusion, lavender aromatherapy can be considered a safe, simple, and applicable complementary therapy to improve the sleep quality of pregnant women in primary health care.

The maternal mortality rate in Indonesia remains high, reaching 305 per 100,000 live births in 2021, with one contributing factor being the lack of maternal knowledge regarding pregnancy danger signs. Prenatal classes are considered a strategic intervention to improve pregnant women’s understanding of critical warning signs such as bleeding, severe abdominal pain, and infection symptoms. This study aims to analyze the influence of pregnancy classes on pregnant women’s knowledge of danger signs. The research employed a quantitative design with a cross-sectional approach involving 30 pregnant women selected through purposive sampling at several community health centers. Data were collected using validated and reliable questionnaires, with measurements conducted before (pre-test) and after (post-test) participants attended at least three prenatal classes. Data analysis used descriptive statistics and the Wilcoxon Signed Rank Test with SPSS. The results showed that most respondents were aged 20–35 years (63.3%), had a high school education (36.7%), were housewives (60.0%), and multigravida (56.7%). Before the intervention, 50% had poor knowledge and only 20% had good knowledge. After attending prenatal classes, 63.3% achieved good knowledge, while only 10% remained in the poor category. The Wilcoxon test showed a significant difference (p = 0.000). Thus, prenatal classes effectively improve knowledge and support early detection of complications, potentially reducing maternal and infant mortality rates.

Anxiety during pregnancy, particularly near the time of delivery, is a common issue that may adversely affect both maternal and fetal health. Elevated anxiety levels are associated with increased pain perception, prolonged labor, and a higher likelihood of complications. Non-pharmacological approaches, such as aromatherapy, are increasingly utilized due to their safety, simplicity, and effectiveness. Lavender aromatherapy is especially recognized for its calming effects and its ability to enhance emotional well-being. Previous research has indicated that lavender scent exposure can reduce both physiological and psychological indicators of anxiety, including among pregnant women. However, evidence from Indonesian primary healthcare settings remains limited. This study aimed to evaluate the effectiveness of lavender aromatherapy in reducing anxiety levels among pregnant women approaching childbirth. An analytical observational design with a pretest-posttest approach was applied to 30 participants selected through purposive sampling. Anxiety levels were assessed using a validated questionnaire before and after inhalation of lavender aromatherapy administered under standardized conditions. Data were analyzed using the Wilcoxon signed-rank test.The findings revealed a significant reduction in anxiety levels after the intervention (p < 0.05), with all participants experiencing improvement and no adverse effects reported. In conclusion, lavender aromatherapy is an effective complementary intervention to reduce anxiety and support maternal readiness for labor.

Background: Sectio Caesarea (SC) surgery causes an incision wound in the abdomen, requiring a complex tissue healing process. Nutrition is a primary systemic factor supporting cell regeneration and new tissue formation through the intake of protein, vitamins, and minerals. However, many postpartum mothers still practice dietary restrictions due to misconceptions about the wound healing process. Objective: To determine the relationship between nutritional fulfillment and wound healing duration in post-SC patients at Prof. Dr. R.D. Kandou General Hospital, Manado. Methods:This quantitative research used an observational analytic design with a cross-sectional approach. The sample consisted of 20 postpartum mothers after SC, selected using purposive sampling technique. Research instruments included a questionnaire and an observation sheet. Data were analyzed using Fisher's Exact Test (α=0.05). Results: The majority of respondents (55%) had good nutritional fulfillment, and 60% of respondents experienced rapid wound healing. Statistical test results showed a p-value = 0.005 (p < 0.05), indicating a significant relationship between nutritional fulfillment and wound healing duration. Respondents with good nutrition had a rapid wound healing percentage of 90.9%, while respondents with poor nutrition had a slow wound healing percentage of 77.8%. Conclusion: Adequate nutritional fulfillment plays a crucial role in accelerating the wound healing process after Sectio Caesarea surgery.

Long-acting contraceptive methods (LACMs/MKJP) are effective family planning options for controlling fertility and improving maternal health. However, the utilization of LACMs among women of reproductive age remains relatively low, which may be influenced by their level of knowledge. This study aimed to examine the relationship between women’s knowledge levels and the utilization of long-acting contraceptive methods in the working area of UPT Puskesmas Basarang. A quantitative study with a cross-sectional design was conducted involving 58 women of reproductive age selected using purposive sampling. Data were collected using a structured questionnaire to assess knowledge levels and contraceptive use, and analyzed using the Kendall’s tau-b correlation test. The results showed that more than half of respondents had good knowledge of LACMs, yet only 39.7% reported using these methods. Bivariate analysis revealed a statistically significant relationship between knowledge level and LACM utilization (p = 0.012). The study concludes that knowledge is significantly associated with the use of long-acting contraceptive methods, although other factors may also influence decision-making. Strengthening education and counseling interventions is essential to improve informed contraceptive choices and increase the utilization of long-acting contraceptive methods.

Menstrual cycle disturbances are common side effects of injectable hormonal contraception and may affect contraceptive satisfaction and continuation. This study aimed to analyze the relationship between the duration of injectable contraceptive use and menstrual cycle disturbances among injectable contraceptive acceptors. A quantitative analytic study with a cross-sectional design was conducted at TPMB Maya from September to October 2025. A total of 67 injectable contraceptive users were included using a total sampling technique. The independent variable was the duration of injectable contraceptive use, categorized as less than one year and more than one year, while the dependent variable was menstrual cycle disturbance. Data were collected using a structured questionnaire and analyzed through univariate analysis and Kendall’s tau-b correlation test. The results showed that most respondents were aged 20–35 years (86.6%), had a senior high school education (55.2%), and were multiparous (77.6%). Most respondents had used injectable contraception for more than one year (82.1%), and 74.6% experienced menstrual cycle disturbances. Bivariate analysis revealed a statistically significant relationship between the duration of injectable contraceptive use and menstrual cycle disturbances (τ = −0.264; p = 0.032). The study concludes that longer use of injectable contraception is associated with a higher occurrence of menstrual cycle disturbances, emphasizing the importance of duration-based counseling in family planning services.

Breast milk production during the postpartum period is a crucial factor in successful breastfeeding and achieving exclusive breastfeeding. However, during the early postpartum period, many postpartum mothers experience difficulties in breast milk production, influenced by physical and psychological conditions. One non-pharmacological intervention that can be used to help facilitate breast milk production is oxytocin massage, which aims to stimulate the release of the hormone oxytocin and increase the let-down reflex. This study aims to analyze the effect of oxytocin massage on breast milk production in postpartum mothers at the Marisa Community Health Center. This study used a quantitative pre-experimental design with a one-group pretest–posttest approach. The study sample consisted of 30 postpartum mothers selected using purposive sampling according to the inclusion criteria. Breast milk production was measured before and after the oxytocin massage intervention using a structured observation sheet with units of milliliters (ml). Data analysis was performed using univariate and bivariate methods. Normality was tested using the Shapiro–Wilk test, while differences were tested using the Wilcoxon signed-rank test. The results showed that the average milk output before oxytocin massage was 18.00 ± 5.95 ml, and increased to 51.83 ± 10.94 ml after the intervention. The Wilcoxon test showed a p-value of 0.000 (p < 0.05), indicating a significant effect of oxytocin massage on increasing breast milk output. It was concluded that oxytocin massage is effective as a non-pharmacological intervention to increase breast milk production in postpartum mothers and can be integrated into postpartum care in primary health care services.

The active phase of labor is a crucial stage that determines the progress and success of the delivery process. Prolonged labor during this phase can increase the risk of maternal complications and reduce the comfort of the laboring mother. Various non-pharmacological interventions have been developed to support the physiological progress of labor, including acupressure at the SP6 point and oxytocin massage. This study aims to analyze the differences in the effects of SP6 acupressure and oxytocin massage on the duration of the active phase of labor at the Galala Health Center in the Tidore Islands. This study used a quasi-experimental design with a comparative approach in two intervention groups. The sample consisted of 40 mothers in the first stage of active labor who met the inclusion criteria, with 20 respondents in the SP6 acupressure group and 20 respondents in the oxytocin massage group. The duration of the first stage of labor was calculated from 4 cm cervical dilation to complete 10 cm dilation and recorded using a partograph. Data were analyzed univariately to describe the distribution of labor duration and bivariately using the Mann–Whitney U test to assess the difference between the two groups. The results showed that the median duration of the first stage of labor in the SP6 acupressure group was shorter than in the oxytocin massage group. The Mann–Whitney test showed a statistically significant difference between the two intervention groups (p < 0.05). The conclusion of this study indicates that SP6 acupressure is more effective than oxytocin massage in shortening the duration of the first stage of active labor. These findings support the use of SP6 acupressure as a safe and effective nonpharmacological intervention in intrapartum midwifery care in primary health care facilities.

Discomfort during pregnancy is a common experience resulting from physical, physiological, and psychological changes, yet it is often not well understood by pregnant women. Limited knowledge about normal bodily changes and pregnancy-related discomfort can reduce maternal comfort and increase anxiety. Counseling serves as an important educational strategy to improve pregnant women’s understanding, particularly within antenatal care services at primary health care facilities. This study aimed to examine the effect of counseling on pregnancy discomfort in improving mothers’ knowledge about changes during pregnancy. A quasi-experimental design with a one-group pretest–posttest approach was employed. The sample consisted of 50 pregnant women selected using a total sampling technique. Mothers’ knowledge levels were assessed before and after the counseling intervention using a structured questionnaire. Data analysis included univariate analysis to describe the distribution of knowledge levels and bivariate analysis using the Wilcoxon Signed Rank Test to evaluate differences before and after the intervention. The findings demonstrated a notable increase in knowledge following counseling, indicated by a shift from predominantly poor and moderate knowledge levels in the pretest to good knowledge in the posttest. Statistical analysis revealed a significant difference between pretest and posttest results (p < 0.05). In conclusion, counseling significantly improves pregnant women’s knowledge regarding pregnancy-related changes and discomfort.

Early mobilization is an important component of postpartum midwifery care to prevent complications, accelerate physical recovery, and improve maternal comfort after delivery. However, not all mothers are able to perform early mobilization optimally due to fatigue, pain, and decreased energy after delivery. Sukari date palm juice (Extractum Phoenix dactylifera) is known to contain simple carbohydrates, minerals, and bioactive compounds that have the potential to increase energy and accelerate maternal recovery. This study aims to analyze the effect of consuming Sukari date palm juice on accelerating early mobilization of postpartum mothers from day 1 to day 3 in the working area of ​​the Sikui Community Health Center (UPT). The study used a quasi-experimental design with a pretest–posttest control group approach. The study sample consisted of 30 postpartum mothers divided into an intervention group (n=15) and a control group (n=15). Early mobilization ability was assessed based on the time the mother was able to sit, stand, and walk. The results showed that postpartum mothers in the intervention group experienced a significant acceleration in early mobilization compared to the control group, particularly in walking ability, with a time difference of up to 8–12 hours faster. The results of the Mann–Whitney statistical test showed a significant effect of date palm juice consumption on the acceleration of early mobilization (p < 0.001). Thus, Sukari date palm juice has been proven to be effective in accelerating early mobilization and can be recommended as a supporting nutritional intervention in postpartum midwifery care.

Preterm birth remains a significant public health concern due to its contribution to neonatal morbidity and mortality worldwide. Among the various risk factors, maternal infections—particularly sexually transmitted infections (STIs)—have been identified as preventable yet critical determinants of premature delivery. This study aimed to examine the relationship between STIs and preterm birth among mothers receiving care at Tomalou Primary Health Care Center. A cross-sectional analytical design was employed, involving 30 postpartum mothers whose medical records and antenatal care data were available. Data on STI status and birth outcomes were collected from health center records and laboratory results, while maternal demographic and obstetric characteristics were also documented. Results indicated that 40% of participants were diagnosed with STIs during pregnancy, and 33.3% experienced preterm birth. Chi-square analysis revealed a significant association between maternal STI status and preterm delivery (p = 0.003). Logistic regression demonstrated that mothers with STIs were sixteen times more likely to deliver prematurely compared to uninfected mothers (OR = 16.0; 95% CI: 2.45–104.3; p = 0.002). These findings suggest that STIs represent a substantial risk factor for preterm birth, even among mothers with adequate antenatal care attendance. Early detection, timely treatment, and comprehensive reproductive health education are recommended to reduce infection-related adverse outcomes. Strengthening STI screening and management within primary healthcare settings is essential to improve maternal and neonatal health outcomes. This study provides evidence for the importance of integrating infection prevention strategies into routine antenatal care to mitigate the risk of premature delivery.

This study aims to analyze the role of human resource management (HRM) in improving performance and retention among healthcare professionals in health service facilities. Using a systematic literature review approach based on the PRISMA method, this study reviewed 25 international and national journal articles published between 2015 and 2025. The findings indicate that strategic HRM practices—such as competency-based recruitment, continuous professional development, fair compensation, and transformational leadership—positively influence both performance and retention of healthcare workers. Additionally, factors like organizational culture, work-life balance, and psychological well-being play a mediating role in enhancing job satisfaction and organizational commitment. The results highlight that HRM practices are not merely administrative functions but strategic elements that determine healthcare organizations’ sustainability and competitiveness. The study contributes to the development of theoretical frameworks in strategic HRM and provides practical recommendations for healthcare managers to design more adaptive, fair, and human-centered HR policies.

Public health administration plays a strategic role in strengthening primary health care governance amid increasingly complex health system challenges. This study aimed to synthesize recent evidence on the development, challenges, and implications of public health administration during the period 2020–2025. A literature review with a systematic approach was conducted by analyzing peer-reviewed articles retrieved from major scientific databases and selected through a PRISMA 2020 flow process. The findings indicate that effective public health administration—characterized by strong governance, adaptive leadership, and the integration of digital health information systems—contributes to improved performance of primary health care services in terms of service quality, efficiency, and sustainability. However, the review also reveals persistent gaps, particularly the limited empirical evidence examining causal relationships between administrative capacity and health service performance, as well as challenges related to human resource readiness and data governance in digital transformation. These findings highlight the need to strengthen administrative capacity, leadership competencies, and integrated information systems to support resilient primary health care. The study provides theoretical and practical implications for policymakers, health managers, and researchers in advancing public health administration toward more effective and sustainable health systems.

Malang Regency is known as a strategic location with considerable potential as a tourism destination in Indonesia. According to data released by the Central Bureau of Statistics, Malang Regency has recorded 267 tourist destinations spread across 33 districts. This study uses data from one water tourism destination, referred to as Tourism Site X, which focuses on the management and development of recreational areas, including swimming pools, bathing facilities, water attractions, artificial lakes, as well as the management of recreational parks and family facilities such as playgrounds, seating areas, and recreational and educational facilities. Tourism Site X is located in Pakis District, Malang Regency. The reuse of treated wastewater as a non-potable water source for irrigating green open spaces represents a crucial strategic approach to conserving water resources, particularly in water tourism areas such as Tourism Site X, which require substantial water supplies. In practice, the wastewater generated in Tourism Site X mainly originates from domestic sources, including activities such as cleaning swimming pool areas and animal enclosures, toilet usage, and food court operations. This study aims to assess whether the quality of treated wastewater from the wastewater treatment process at Tourism Site X complies with the required standards for green open space irrigation, in accordance with the Regulation of the Minister of Environment/Environmental Control Agency of the Republic of Indonesia Number 11 of 2025 concerning Wastewater Quality Standards and Wastewater Treatment Technologies for Domestic Wastewater, as well as to identify parameters that need to be reduced or eliminated.

This study analyzes the conditions of extreme overcapacity in an installed exhaust ventilation system (Qinstalled = 18.00 /minute) that serves four acid cabinet units, specifically for the storage of volatile Hazardous and Toxic Materials (B3) such as toluene and methanol in tightly sealed containers. Although high capacity ensures safety, this practice causes significant energy inefficiency and unnecessary negative pressure problems in the room. Based on engineering analysis using a conservative Air Change Rate (ACR) standard of   for liquid storage of 1.38 /minute. By applying the industry standard safety factor (FoS) of 1.5, the ideal flow rate (Qideal) that must be allocated is 2.07 . The optimization analysis concludes that the currently installed system is theoretically capable of safely and efficiently serving 8 units of volatile storage acid cabinets, with the addition of 4 new cabinets to maximize efficiency and reduce energy waste. This utilizes 92% of the total capacity while maintaining a safety factor above 1.5.

Increased production in the lubricant industry has become a significant issue because it generates production waste in the form of packaging, plastic, and paper waste as a direct consequence of manufacturing activities. Proper and systematic waste management is essential to reduce environmental impacts, comply with regulations, and support responsible and sustainable business practices. Lubricant production waste can damage the ecosystem and surrounding environment if not managed properly, so continuous innovation is needed to minimize environmental risks and reduce potential economic losses for the company. This study aims to analyze and implement effective waste management strategies using a combination of qualitative and quantitative approaches, including in-depth interviews with relevant stakeholders and analysis of secondary data obtained from company records. The waste management process begins with several waste reduction programs applied during the production stage to limit waste generation. Furthermore, the waste storage facility (TPS) available on the company’s premises, covering an area of 59 m², is capable of accommodating approximately 60% of the total waste that must be processed internally before further treatment or disposal.