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Diarrhea has the potential to cause an Extraordinary Event (KLB) and is currently a leading cause of mortality in Indonesia, especially in children. Antibiotics are necessary for diarrhea caused by bacteria, but irrational antibiotic prescribing can increase the risk of antibiotic resistance. This literature review was conducted to provide an overview of the level of rationality of antibiotic use in pediatric patients with diarrhea in several Indonesian health facilities. The literature review was conducted by reviewing articles obtained through a Google Scholar search using the keywords "rationality of antibiotic use," "diarrhea," "children," and "evaluation of antibiotic use." Articles were selected using inclusion and exclusion criteria, resulting in 10 suitable articles. The study results indicate that the evaluation methods for antibiotic use include the Gyssens criteria, World Health Organization criteria, Ministry of Health Decree Standards, the 2012 World Gastroenterology Organization Guidelines, and the Rational Drug Use Module. Commonly used evaluation parameters include appropriate indication, appropriate drug, appropriate dose, and appropriate patient. Most parameters have obtained rational results, but there are several studies that are not rational in the appropriate indication, appropriate drug, and appropriate dose categories. Variations in the results of rational antibiotic use at each health facility are influenced by patient characteristics, policies at the health care facility, and the level of compliance of health workers with therapy guidelines.

Diarrhea has the potential to cause an Extraordinary Event (KLB) and is currently a leading cause of mortality in Indonesia, especially in children. Antibiotics are necessary for diarrhea caused by bacteria, but irrational antibiotic prescribing can increase the risk of antibiotic resistance. This literature review was conducted to provide an overview of the level of rationality of antibiotic use in pediatric patients with diarrhea in several Indonesian health facilities. The literature review was conducted by reviewing articles obtained through a Google Scholar search using the keywords "rationality of antibiotic use," "diarrhea," "children," and "evaluation of antibiotic use." Articles were selected using inclusion and exclusion criteria, resulting in 10 suitable articles. The study results indicate that the evaluation methods for antibiotic use include the Gyssens criteria, World Health Organization criteria, Ministry of Health Decree Standards, the 2012 World Gastroenterology Organization Guidelines, and the Rational Drug Use Module. Commonly used evaluation parameters include appropriate indication, appropriate drug, appropriate dose, and appropriate patient. Most parameters have obtained rational results, but there are several studies that are not rational in the appropriate indication, appropriate drug, and appropriate dose categories. Variations in the results of rational antibiotic use at each health facility are influenced by patient characteristics, policies at the health care facility, and the level of compliance of health workers with therapy guidelines.

Diarrhea remains a leading cause of mortality among toddlers in Indonesia, with a prevalence reaching 4,9%. In addition to pharmacological management through LINTAS DIARE, non-pharmacological therapies such as baby massage are increasingly being implemented as supportive interventions that families can perform to accelerate recovery. This study aims to examine the effectiveness of baby massage as a complementary therapy in reducing the frequency and intensity of diarrhea in toddlers. The method used involved identifying relevant articles from Google Scholar and Semantic Scholar databases using appropriate keywords. Based on the 6 articles obtained, baby massage significantly (p = 0,000) reduces the frequency and intensity of diarrhea through vagus nerve stimulation, which optimizes intestinal peristalsis and nutrient absorption. Beyond improving defecation patterns, this therapy is proven to significantly increase infant weight, accelerate motor development through central nervous system stimulation, and enhance sleep quality and comfort.

Diarrhea is a significant health issue that leads to a lot of illness and death, ranking third in Indonesia. The causes of diarrhea include inadequate environmental cleanliness, contaminated water sources, and insufficient knowledge in the community. When the community lacks knowledge, it can result in unsuccessful treatment outcomes. This ponder pointed to analyze how mother strengthening and family prosperity information influence loose bowels treatment in Karanganyar Kubu Karangasem Town, Bali. This think about executed a Pre Exploratory Plan, especially utilizing a one gather pre-post test arrange. The subjects of this ponder were moms chosen based on foreordained consideration and avoidance rules, centering on strengthening and family wellbeing. Data to assess the advancement of knowledge was gathered using questionnaires during the pretest, posttest I, and posttest II phases. Members included moms who were portion of family welfare activities in Karanganyar Kubu Karangasem town in Bali. Speculation testing was carried out to compare the comes about from the pretest to posttest I p <0.001, pretest to posttest II p <0.001, and posttest I to posttest II p <0.001, illustrating a noteworthy improvement in information after experiencing instruction through the CBIA strategy.

Diarrhea is a significant health issue that leads to a lot of illness and death, ranking third in Indonesia. The causes of diarrhea include inadequate environmental cleanliness, contaminated water sources, and insufficient knowledge in the community. When the community lacks knowledge, it can result in unsuccessful treatment outcomes. This ponder pointed to analyze how mother strengthening and family prosperity information influence loose bowels treatment in Karanganyar Kubu Karangasem Town, Bali. This think about executed a Pre Exploratory Plan, especially utilizing a one gather pre-post test arrange. The subjects of this ponder were moms chosen based on foreordained consideration and avoidance rules, centering on strengthening and family wellbeing. Data to assess the advancement of knowledge was gathered using questionnaires during the pretest, posttest I, and posttest II phases. Members included moms who were portion of family welfare activities in Karanganyar Kubu Karangasem town in Bali. Speculation testing was carried out to compare the comes about from the pretest to posttest I p <0.001, pretest to posttest II p <0.001, and posttest I to posttest II p <0.001, illustrating a noteworthy improvement in information after experiencing instruction through the CBIA strategy.

Diarrhea is a common health problem among school-aged children. Factors influencing its occurrence include knowledge of healthy food and the habit of consuming snacks within the school environment. The objective of this research was to examine the relationship between knowledge of healthy food and snack consumption habits with diarrhea cases at SDN 81 Manado. This research employed a descriptive-analytic design with a cross-sectional approach. A total of 50 respondents were selected based on inclusion and exclusion criteria. Data collection was conducted using questionnaires addressing both variables. Statistical analysis was performed using the Chi-Square test with a significance level of ρ ≤ 0.05. The findings revealed that 35 respondents (75.0%) had poor knowledge of healthy food, and 32 respondents (64.0%) experienced diarrhea. Additionally, 42 respondents (84.0%) reported poor snack consumption habits, with 37 respondents (74.0%) experiencing diarrhea (29 males and 21 females). Chi-Square analysis produced a ρ-value of 0.001, which is lower than the alpha level (α = 0.05), indicating a significant relationship between knowledge of healthy food, snack consumption habits, and diarrhea cases. The study concludes that both knowledge of healthy food and snack consumption habits are significantly associated with diarrhea among school-aged children. Parental involvement is essential in educating children about healthy food choices as a preventive measure against diarrhea.

Diarrhea is a common health problem among school-aged children. Factors influencing its occurrence include knowledge of healthy food and the habit of consuming snacks within the school environment. The objective of this research was to examine the relationship between knowledge of healthy food and snack consumption habits with diarrhea cases at SDN 81 Manado. This research employed a descriptive-analytic design with a cross-sectional approach. A total of 50 respondents were selected based on inclusion and exclusion criteria. Data collection was conducted using questionnaires addressing both variables. Statistical analysis was performed using the Chi-Square test with a significance level of ρ ≤ 0.05. The findings revealed that 35 respondents (75.0%) had poor knowledge of healthy food, and 32 respondents (64.0%) experienced diarrhea. Additionally, 42 respondents (84.0%) reported poor snack consumption habits, with 37 respondents (74.0%) experiencing diarrhea (29 males and 21 females). Chi-Square analysis produced a ρ-value of 0.001, which is lower than the alpha level (α = 0.05), indicating a significant relationship between knowledge of healthy food, snack consumption habits, and diarrhea cases. The study concludes that both knowledge of healthy food and snack consumption habits are significantly associated with diarrhea among school-aged children. Parental involvement is essential in educating children about healthy food choices as a preventive measure against diarrhea.

School snacks are one of the food sources commonly consumed by elementary school children; however, they are at risk of microbiological contamination if not properly managed. One of the pathogenic bacteria that can contaminate food is Salmonella, which can cause diarrheal disease. This study aimed to analyze hygiene and sanitation factors of food handlers on Salmonella bacterial contamination in pentol snacks at elementary schools in Palang District, Tuban Regency. This study used an observational analytic design with a cross-sectional approach. The sample consisted of 20 pentol vendors and 20 pentol snack samples. Data were collected through observation using a hygiene and sanitation checklist and laboratory examination to detect the presence of Salmonella bacteria. Data analysis was initially planned using the Chi-square test; however, due to homogeneous results, the analysis was conducted descriptively. The results showed that most vendors had good hygiene and sanitation (85%) and sufficient (15%). Laboratory examination results showed that all pentol snack samples (100%) were negative for Salmonella bacteria. In conclusion, pentol snacks at elementary schools in Palang District were microbiologically safe from Salmonella contamination.

Introduction: Dengue fever is a viral infection transmitted through the bite of infected female Aedes aegypti mosquito, caused by four dengue virus serotypes (DEN-1 to DEN-4), with clinical manifestations ranging from asymptomatic to severe disease and may be accompanied by warning sign. Concurrent infections, such as acute diarrhea, may worsen outcomes, particularly in children. Case Report: A nine-month-old female presented with a five-day history of intermittent fever and watery diarrhea. Additional symptoms included vomiting, lethargy, and decreased appetite. Physical examination showed a moderately ill appearance and sunken eyes. Laboratory findings revealed positive dengue IgM, negative dengue IgG, thrombocytopenia (22,000/µL), and hematocrit of 37%. The patient was diagnosed with dengue fever with warning sign and acute diarrhea. Management included intravenous crystalloid fluids, antipyretics, antibiotics, H2 receptor antagonists, and zinc supplementation. Conclusion: Dengue with warning sign and concurrent acute diarrhea in children increases the risk of morbidity and mortality. Early and appropriate management is essential to prevent disease progression and improve clinical outcomes.

Diarrhea is a condition characterized by increased frequency of bowel movements (BAB) of ≥3 times/day with a more liquid consistency. Diarrhea can be caused by infectious or non-infectious agents. Diarrhea can occur acutely, lasting less than 2 weeks, or chronically, lasting more than 2 weeks. The prevalence of diarrhea in toddlers is 12.3% and in infants is 10.6%.3 Based on data from the Medan City Health Office, the incidence of diarrhea in 2023 is estimated to be 66,802 cases across all ages and 32,324 cases in toddlers, with almost half of diarrhea sufferers being children. The Medan City Health Office reported the incidence of diarrhea in toddlers was 2,894 cases and adults 14,112 cases, or approximately 20.5%. Parents are one of the closest people and act as caregivers for children, so they have a crucial role in controlling diarrhea in children, including early management and prevention. Good parental knowledge, attitudes, and behavior regarding the management and prevention of diarrhea can reduce diarrhea morbidity and mortality in children.

Entamoeba histolytica is an intestinal protozoan that can cause diarrhea through fecal–oral transmission due to the consumption of food or water contaminated with parasitic cysts. Based on data from the Badan Pusat Statistik in 2017–2019, Simpang Keramat District, particularly Paya Leupah Village, still had limited access to clean water and low ownership of permanent sanitary latrines, which may increase the risk of environmental contamination. This study aimed to analyze the characteristics of dug wells and the risk factors associated with Entamoeba histolytica contamination in community well water. An observational analytic study with a cross-sectional design was conducted on 50 dug wells selected using purposive sampling. Data were obtained through field observations and laboratory examinations of well water samples. The results showed that most wells had distances to septic tanks that did not meet health standards (58%) and inadequate well floor conditions (82%), while the majority of wells had depths that fulfilled the recommended standard (76%). All well water samples tested negative for Entamoeba histolytica cysts; therefore, the association between risk factors and contamination could not be determined.

The use of medicinal plants has been an important part of people's lives since the time of our ancestors. Before the advent of modern medicine, people used various types of plants to treat mild to severe illnesses, such as fever, cough, wounds, digestive disorders, and skin diseases. Inventory of medicinal plants plays a very important role in exploring the potential of existing natural resources, especially as an effort to support the development of traditional medicine. The purpose of this study is to identify the types of medicinal plants used by local communities in traditional medicine. The method used in this study is a descriptive method through direct surveys at the research location. The findings obtained in the field concluded that all types of plants mentioned in this study are very beneficial for the people of Duhiadaa District, because they can help in treating various types of diseases experienced by the community. The types of diseases that can be treated include hypertension, gout, stomach acid, cholesterol, kidney disease, diabetes, inflammation, cancer, wounds, diarrhea and digestive disorders.

Typhoid fever is an infectious disease caused by Salmonella typhi. Transmission can occur through air or food contaminated with the urine and feces of typhoid sufferers, such as air used for drinking, cooking, and washing food. Symptoms of typhoid fever include a prolonged high fever, defined as an elevated body temperature of >37.5°C. Other symptoms can include fatigue, nausea, abdominal pain, constipation or diarrhea, and headache. This study aimed to treat children with typhoid fever. The method used was a case study of a five-year-old child with typhoid fever who was hospitalized for four days. The results showed that the child had fever, obesity, and decreased appetite. The child's problem was hypothermia, while cooling interventions were used to manage hypothermia, and one of the cooling procedures performed was the application of aloe vera compresses. The evaluation results showed that the hyperthermia resolved after four days of hospitalization. Based on this study, it is hoped that patients and their families can independently apply aloe vera compresses to treat hypothermia in children.

Surveillance for diarrhea at the district level in Indonesia is still affected by the fragmented nature of the District Health Information System (DHIS) and Early Warning and Response System (EWARS), inconsistent reporting, patchy data interoperability, and the resulting public health delays. Although there are systems in place like the DHIS and EWARS, the persistent use of hybrid systems that combine manual and digital data entry, as well as the different skill levels of users, continues to produce issues of incompleteness, untimely reporting, and inaccurate data. The present study investigated the deficiencies in surveillance reporting of diarrhea cases, the surveillance data to determine the degree of integration and also investigated the health workers perceptions of the barriers to effective reporting. A mixed methods approach was adopted in this study where we investigated quantitatively the DHIS and routine diarrhea reports submitted for the entire year of 2023, and combined that with qualitative, in-depth interviews with the relevant surveillance officers, program managers, and district staff. The quantitative analysis indicated gaps in reporting about 55% in terms of completeness, and consistency of reporting and also significant differences were found between the manual register, DHIS, and EWARS whereby the integration of these systems was found to be low. The qualitative analysis pointed to the combination of disconnected workflows, limited cross-system interoperability, inadequate system training, excessive workloads, and weak organizational feedback, as the main barriers to effective reporting. The combination of these two datasets illustrates the fact that both system deficiencies and organizational factors are primary drivers of the reporting. Closing the gaps will require system level changes in the interoperability of reporting systems, simplified reporting workflows, training, reporting, and reporting feedback loops.

Background: Clean and Healthy Living Behavior in Indonesia includes household.. In Indonesia, the level of knowledge and handwashing behavior of is still relatively low, an indication can be seen from the high prevalence of diarrhea. Research Objective: to determine the Relationship of Information Sources to Knowledge and Behavior of Adolescents About Clean Living in Nunkurus Village, East Kupang District. Research Method: This type of research uses Quasi Experiment One Group PreTest-PostTest Non Control Group, namely research with one subject who is given treatment or intervention before and after treatment. The population in this study is the community in this case adolescents in Nunkurus Village, East Kupang District, totaling 45 people. Sampling uses a total sampling technique. There are 3 research instruments used in this study including: respondent characteristic questionnaire, PHBS knowledge and health promotion educational video about PHBS. Data analysis using univariate in percentage and bivariate using Willcoxon Test. Results: the results of the study revealed the level of knowledge of the community before health promotion regarding PHBS, of the 45 respondents studied as many as 2 respondents (4.4%) had insufficient knowledge, 14 respondents (31.1%) had sufficient knowledge, and 29 respondents (64.4%) had good knowledge. From the results of the study, it was known that the level of knowledge of the community after health promotion regarding PHBS, of the 45 respondents studied as many as 17 respondents (37.8%) had good knowledge, 20 respondents (44.4%) had sufficient knowledge, and 8 respondents (17.8%) had insufficient knowledge. This is demonstrated by the results of the Wilcoxon ρ test (Asymp. Sig. 2-tailed) = 0.000 <0.05, indicating a relationship.

According to the latest data from WHO (World Health Organization) in 2024, there were around 1.7 billion cases of diarrhea in children worldwide which resulted in 443,832 deaths in children under 5 years of age each year, and an additional 50,851 children aged 9 years, while the country with the most diarrhea in children in the United States was 350 million cases each year and 48 million of them were caused by bacteria in food. The purpose of this study was to determine the relationship between the role of parents and the initial handling of diarrhea in toddlers aged 1-5 years. This type of research is quantitative analytical with a cross-sectional study approach. The independent variable in the study is the role of parents, while the dependent variable is the initial handling of diarrhea in toddlers aged 1-5 years. The population in this study were all children suffering from diarrhea at the Gedang Village Health Center in 2024 as many as 283 people with a sample of 74 people. The sampling technique used was the Accidental Sampling technique. This study was conducted in the Working Area of ​​the Gedang Village Health Center, Sungai Penuh City, in January-June 2025. The results showed that most 47 (63.5%) respondents had poor parental roles, and most 42 (56.8%) respondents had poor initial handling of diarrhea in toddlers aged 1-5 years, with the results of the statistical test (Chi-Square) obtained a value of p = 0.005 (p <0.05). The conclusion of the study shows that there is a relationship between the role of parents and the initial handling of diarrhea in toddlers aged 1-5 years. The researcher's suggestion from the results of the study is that it can be applied in daily nursing practice, such as providing health education regarding the first handling of diarrhea, so that the role of parents will be even better.

Food safety is an important issue in the prevention of food-borne diseases because contaminated food can cause diseases such as diarrhea, typhoid fever, and food poisoning. Snack food vendors, as direct food handlers, have an important role in maintaining food hygiene and sanitation. Research Objective: To know the description of the sanitary hygiene behavior of snack food vendors in Jakabaring Sport City, Palembang City in 2025. Research Methods: This type of research is descriptive research. The population in this study is all snack food traders around the Jakabaring Sport City lake, Palembang City. The sample in this study was 36 people. The data collection tool is the questionnaire sheet. Data analysis was carriedout by univariate analysis. Research Results: The results of this study show that the characteristics of respondents based on gender are male (25.0%) and female (75.0%), young age < 47 years old (41.5%) and old age ≥ 47 years old (51.8%), the last education of elementary and junior high school is (52.8%) and high school-college (47.2%). Respondents' knowledge was not good (66.7%) and good (33.3%),respondents' attitudes were negative (36.1%) and positive (63.9%), respondents' actions were not good (55.6%) and good (44.4%). Conclusion: Although most traders have a positive attitude towards sanitation hygiene, the low knowledge and inappropriate actions indicate the need for regular education and supervision efforts to improve sanitation hygiene behavior among snack food traders.  

Posyandu (Integrated Health Post) is a community based health center that demonstrates community participation in health development. Posyandu provides a variety of integrated services, including family planning, maternal and child health (MCH), nutrition, immunization, and diarrhea management, all implemented simultaneously. Posyandu is also included in the Community-Based Health Efforts (UKBM) and is part of the Village Public Health Institution's activities. This study aims to analyze factors influencing mothers' visits to Posyandu by toddlers. The research method used was a literature review, examining ten relevant scientific articles. The article search was conducted through Google Scholar and Garuda databases, with the inclusion criteria being Indonesian-language articles published within the last five years (2021–2025). The study results indicate that factors influencing mothers' visits to Posyandu include knowledge, attitudes, education, employment, family support, the role of cadres, and access to health services. These findings emphasize the importance of strengthening the role of cadres and family support in increasing Posyandu visits.

Aceh Tamiang Regency is an area with a high risk of annual flooding. This emergency condition often triggers a surge in environment-related diseases such as skin diseases, respiratory infections, and diarrhea. The success of managing health crises heavily depends on pharmaceutical logistics management, especially the availability of essential medicines and ease of access for refugees at evacuation points. This study aims to analyze the extent of medicine availability at community health centers and health posts, as well as to evaluate the barriers to medicine accessibility for flood victims in Aceh Tamiang Regency. This study uses a qualitative/quantitative descriptive method (choose one) with a case study approach. Primary data were collected through in-depth interviews with pharmaceutical logistics officers and surveys of flood survivors. Secondary data were obtained from the drug stock reports of the Aceh Tamiang District Health Office. Analysis was conducted on variables such as drug types, stock amounts (Buffer Stock), and distribution channels during the emergency response period. The results of the study indicate that the availability of drugs in the initial disaster phase tends to be (state the prediction, e.g., sufficient/limited). However, accessibility is often hindered by damaged road infrastructure and uneven distribution to remote posts. There is an urgent need to strengthen the logistics early warning system so that the types of medicines available match the disease patterns that emerge after floods. Although medicine stocks are generally available in central pharmacy warehouses, geographical constraints and distribution coordination are the main factors hindering accessibility. It is recommended that local governments map out alternative distribution routes and provide disaster-specific buffer stock of medicines at the sub-district level.

Diarrhea and Tuberculosis (TB) remain significant public health problems in Indonesia, including Rembang Regency. This study aims to analyze the spatial distribution and temporal changes of Diarrhea and TB cases in Rembang Regency during 2023–2024 using a Geographic Information Sistem (GIS) approach. A descriptive-analytic method was applied using secondary data, including administrative boundary shapefiles, disease case data, and health facility data at the sub-district level. Spatial processing and analysis were conducted using QGIS to produce thematic maps and compare disease distribution patterns between years. The results indicate that Diarrhea and TB cases were unevenly distributed across sub-districts and formed distinct spatial patterns. Case changes between 2023 and 2024 varied spatially, reflecting dynamic disease trends. The integration of disease maps with health facility distribution shows that areas with high case numbers were not always supported by adequate health facilities. The implementation of GIS-based maps into a web platform enhances accessibility and supports spatial-based public health decision-making.