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Stunting remains a chronic nutritional issue affecting human resource quality in Indonesia, particularly children under five years old. High prevalence of stunting impacts long-term cognitive development, physical growth, and productivity of the young generation (Ministry of Health, 2023). This community service aims to optimize the role of public administration in disseminating policies and programs to reduce stunting through education, training, and direct community assistance. Activities were carried out through coordination with government officials, community health cadres, and local leaders, using local communication media to raise awareness about nutrition. The results indicate an increase in community knowledge on stunting, balanced nutrition practices, and active involvement of both officials and residents in stunting reduction programs. Optimizing public administration through capacity building, cross-sector coordination, and information technology utilization supports program targets. This service recommends strategies for sustainable, participatory, and data-driven program implementation. Enhancing community concern for orphans is an essential aspect of inclusive and sustainable social development. This community service activity aims to implement strategies of empathetic communication and social management to improve the quality of social interactions and community attention toward orphans. The method applied was a participatory and qualitative descriptive approach, involving both the community and orphans in all stages of the activity, from planning, implementation, to evaluation. The results indicate a significant improvement in social interaction quality between the community and orphans. The children exhibited positive emotional responses, such as comfort, acceptance, and appreciation, while the community demonstrated increased participation, collective responsibility, and structured social management skills. The integration of empathetic communication and social management produced dual impacts: enhanced emotional well-being of orphans and strengthened social empathy within the community. These findings suggest that this strategy can serve as a sustainable model for social care activities and can be replicated in other communities. Therefore, the application of empathetic communication and social management has the potential to support inclusive social development, foster community solidarity, and improve the welfare of vulnerable groups sustainably.

Background: Pharmacoecomics has been defined as the description and analysis of the costs of drug therapy to health care systems and society. Pharmacoeconomics research identifies, measure, and compares the costs and consequences of pharmaceutical product and service. Within this framework, research and methods related to cost-minimization, cost-effectiveness, quality-of-life and other humanistic assessments are include. In-essence, pharmacoeconomics analysis uses tools for examining the impact of alternative drug therapies and other medical interventions Based on this background, the author is interested to explain about the role of Pharmacoecomics on health service in pharmacist students at Bintang Persada School, Denpasar. Purpose: The purpose of this activity is as a form of implementation of Tri Dharma Stikes Bali Wisnu Dharma Denpasar. Methods: Participants who took part in this activity were 83 students using the pretest and posttest methods. Results: The results obtained were an increase in the pretest score (before being given education) which was 62.11% to 83.22% in the posttest result (after being given education). Conclusion: There is a significant relationship between posttest scores, which increases after education is held, so pharmacoeconomics education needs to be given and pharmaceutical products utilization in health service followed by cost utillity evaluation and cost effectiveness as well as impact evaluation of quality adjusted life years of patients.

Patient-focused services or commonly called Patient Centered Care (PCC) have become the main focus in providing health care today. The PCC concept was first introduced by Picker in 1988 through the Picker Institute Europe in England. Regional General Hospital (RSUD) Dr. M Haulussy Ambon is a hospital that has been accredited and is required to be able to implement PCC in its services. Purpose this study was to determine the ability of nurses to apply PCC at RSUD dr. M. Haulussy Ambon. The research design used is descriptive quantitative using observational. The population in this study were nurses at RSUD Dr. M Haulussy Ambon as many as 302 nurses. The number of samples is 113 respondents. data collection techniques using a questionnaire. Results: Most of the nurses' ability to apply PCC showed good results but there were still a number of PCC dimensions that had sufficient results. The PCC dimensions that get good results are respecting patient choices and assessments, physical comfort, information and education, service coordination, and involving family and friends. It can be concluded that most nurses are capable of implementing PCC.

A healthy and well-maintained environment is a shared responsibility. However, problems often occur in the environment because many people do not care. Especially in the upstream part of the river which is always used as a place for laying the results of river backfill every year. Another problem is the narrow area due to the dense population of the area. Narrow land occurs everywhere, not familiar with urban areas or semi-urban villages. In carrying out community service activities, the service team uses the following activity methods: 1. Observation 2. Project planning 3. Evaluation and sharing. In connection with the problem of narrow land, the actions of the branch management and the community around Aisiyah Sukodono Kindergarten affected the success of reforestation carried out by the KKN team. All forms of involvement, efforts, and roles starting from design, implementation and maintenance are real actions in making the surrounding environment more productive. In establishing self-reliance, it is necessary to cooperate with the branch management and the local village government to develop a productive yard culture on limited land. It is hoped that this reforestation can be done by planting plants and plants that support the basic ingredients of the surrounding community.

Petai (Parkia speciosa Hassk) is a horticultural plant as a vegetable that is beneficial for health. Petai can help treat digestion to help neutralize stomach acid. Petai has a fairly high nutritional content, namely vitamin A, vitamin C, calcium, and iron so it is necessary to make efforts to cultivate petai plants as a business opportunity. Petai trees grow and develop in Kenayan village, namely on vacant village treasury land, cliff land and yard. This service aims to increase the knowledge of farmers in the cultivation of petai. Service activities are carried out using a participatory method. The service activities were carried out 4 times, namely counseling on petai cultivation related to the provision of plant materials, care, harvesting and post-harvest, socialization about the propagation of petai plants by grafting, handing over assistance of a number of grafted petai seeds in the hope of fruiting more quickly and assistance in socialization about petai cultivation. Public knowledge about petai cultivation and how to propagate petai by grafting has increased. Grafting is one way to improve the quality of plants by attaching a piece of tree bark with buds from the scion to a slice of the bark of another tree from the rootstock so that it grows together to form a new plant. Planting petai in the yard of the house is an alternative as an herbal treatment to improve health and increase family income.

Background: Pregnancy is something that naturally happens to productive women. During pregnancy, changes occur in the mother, both physical and psychological. In general, the physical changes during pregnancy are, no menstruation, enlargement of the breasts, changes in the shape of the uterus, changes in the working system of the body's organs, enlargement of the stomach, weight gain, weakening of the relaxation of the muscles of the digestive tract, sensitivity to the senses, and the feet and hands begin to enlarge. The psychological changes in mothers in the first trimester are estimated to be 80%, resulting in feelings of disappointment, rejection, anxiety and sadness. In the second trimester, the mother's psychological life appears calmer and begins to adapt, and in the third trimester, changes in the mother's psychology seem more complex and increase again compared to the previous trimester, and this is none other than because the condition of the pregnancy is getting bigger. Psychological impacts on pregnant women include being sensitive, tending to be lazy, asking for more attention, easily jealous, and anxiety. Pregnant women will be more open to themselves and like to share their experiences with other people. Pregnant women will reflect on all their dreams, dreams, fantasies about objects, events or abstract concepts, such as death, life, success and happiness during pregnancy.Objective: Knowing how the knowledge of pregnant women about psychological changes in the first trimester is related to the attitude of pregnant women in facing pregnancy at the Medan Amplas Community Health Center, Medan City in 2022. Method There is a relationship between the knowledge of pregnant women about psychological changes in the first trimester and the attitude of pregnant women in facing pregnancy at the Medan Amplas Community Health Center, Medan City in 2022. Advice is given for research and for research sites and for educational institutions regarding perennial wound care.

Background: Many factors influence the completeness of basic immunization, such as parents, geographical location, vaccines, and health workers who provide immunization services. Even though the immunization program has been implemented well, there are still some immunization coverage that have not been achieved. Parents are the most important factor in scoring a child's complete immunization. Parents' participation in a health program is influenced by various factors and one of them is knowledge and attitudes towards the health program itself. Giving vaccines to children is the right way to anticipate the possibility of children being infected with diseases that are threatening at any time. Immunization functions to build a child's immunity against infectious diseases and dangerous diseases that can cause bodily defects. even death. Immunization given to children is the most effective way to protect children from tuberculosis (TB), diphtheria, pertussis (cocoon cough), tetanus (toothbrush). poliomyletis, measles, rubella and hepatitis B (Mai-imbi, 2021). During this time, parents had hepatitis B, meningitis, pneumonia and polio. VPD is a disease that is hoped to be eradicated or suppressed by implementing an immunization program Objective: Knowing the relationship between maternal attitudes and family support with the completeness of follow-up immunizations for young children at the Medan Amplas Community Health Center, Medan Amplas District in 2022. Method chi square test p value < 0.05 means H0 is rejected and Ha is accepted, the statistical test results show a significant relationship. Results: There is a relationship between the mother's attitude of family support and the completeness of advanced immunization for children in 2022. Suggestions are provided for research and for research sites and for educational institutions regarding perennial wound care.

Postpartum blues or often called baby blues or maternity blues is a mild psychological disorder that occurs temporarily, namely 2 days to 2 weeks after giving birth, which is characterized by anxiety, easy panic, fatigue, often blaming yourself and feeling unable to take care of the baby. This research aims to determine the relationship between husband's support, family support and adjustment to the new role as a mother with the incidence of postpartum blues in the working area of ​​the Sigompul Community Health Center, Lintong Nihuta District, Humbang Hsundutan Regency in 2023. Quantitative research with a cross-sectional design, was conducted in the working area of ​​the Community Health Center Sigompul Kec. Lintong Nihuta Kab. Humbang Hasundutan from January to May 2023. The respondents for this research were 80 people. Sampling was carried out using proportional sampling technique. The research instrument used was a questionnaire. Univariate and bivariate analysis used chi square (p<0.05).

Kangaroo Mother Care (KMC) or Kangaroo Method Care (FMC) is a treatment for premature and low birth weight (LBW) infants with direct skin-to-skin contact, where the mother uses her body temperature to warm the baby. This method of care has also been shown to facilitate breastfeeding, increasing the length and duration of breastfeeding. The goal after the activity is that mothers who have babies and toddlers are exposed to material about Kangaroo Mother Care. IEC community service activities have been carried out in the form of counselling, providing information and education about the benefits of KMC and how to do KMC. This activity is expected not to end in community service activities, but with the leaflet media it can be used as a policy for related villages to develop in the form of applications as a course method for cadres in the health sector so that child health in the area can utilise the application in the implementation of courses for cadres, especially in the health sector.

Pregnant women really dream of a healthy pregnancy. To be able to have a healthy pregnancy, pregnant women can do pregnancy exercises. An old method that is still used in pregnancy services today is pregnancy exercise, where pregnancy exercise is also a method of relaxation and exercise for pregnant women which is a permanent program in antenatal care, aimed at making pregnant women mentally and physically ready to face the birthing process. In fact, even though there are pregnancy exercises for pregnant women, there are still many who don't know about pregnancy exercises. Based on a preliminary survey of 10 pregnant women with gestational age entering the 2nd and 3rd trimesters who came to the Posyandu regularly in RW 02 Sambiroto Village, there were 4 pregnant women who said that while participating in activities at the Posyandu they only received material regarding pregnancy information. This community service activity is an effort to increase the knowledge, skills and understanding of posyandu cadres and pregnant women about the methods and benefits of pregnancy exercise during the second and third trimesters of pregnancy in RW 02, Sambiroto Village, Tembalang District, Semarang City. The specific target of this PKM is to teach cadres and pregnant women how to do safe pregnancy exercises for the 2nd and 3rd trimester of pregnancy. This PKM program activity is carried out using counseling and training methods at the RW 02 hall, Sambiroto Village with implementation methods a) Pre-field survey, b ) Preparation of training tools and materials, c) Preparation of training methods, d) Training of Posyandu cadres and pregnant women, e) Mentoring, f) Evaluation, g) Making reports and publications. Based on the results of socialization and training, significant results were obtained, namely that posyandu cadres were able to guide pregnancy exercise correctly and pregnant women understood the benefits of pregnancy exercise.

Dental and oral health education for children is very important to prevent cases of milk tooth persistence. The role of mothers is crucial in ensuring that children receive good dental care. This program aims to increase mothers' knowledge and awareness of children's tooth growth and prevention of persistence cases at the Mangasa Health Center. The methods used include education, interactive discussions, and distribution of educational leaflets. The results of the activities showed a significant increase in mothers' knowledge and awareness of the importance of children's dental care. With this program, it is hoped that cases of milk tooth persistence in children can be minimized.

Protracted labor is correlated with an increase in maternal and fetal motility, an increase in abnormalities in the physiology of labor, and an escalation in the rate of caesarean section delivery. In women with prolonged labor, there is an increased risk of death due to atonic uterus, birth canal lacerations, infection, fatigue, and shock, however in infants, prolonged labor is not associated with an increase in infant mortality, decreased APGAR score, trauma, and infection. With adequate physical and psychological preparation, the impact of prolonged labor can be reduced. The (PRE) is a bodywork involving waist and hip rotations. This research employs Systeematic Literature Reviews (SLR), a synthesis of systematic, clear, and comprehensive literature studies, by identifying, analyzing, and evaluating existing data using explicit research methods and incorporating critical review procedures into the selection study. The data consists of 6 national journals and 1 international publication indexed by Shiinta Indonesia and Scopus with Q2standard Results in 7 journals utilizing observation sheets and parttographs for data collection instruments. In one of the seven journals reviewed, the Pellvic Rocking Exercise technique was applied at TM 3 gestational age, between 34 and 35 weeks. When the laboring mother enters the first stage of the active phase, another publication employs the Pelvic Rocking Exercise technique. Conclusion: Pelvic Roccking Exercise is effective in shortening the active phase till the full opening of the cervix in primiparous moms. Pelvic rocking using a birth ball helps the baby to rotate into the optimal position and shortens the first stage of labor, therefore reducing labor pain and providing comfort to the mother. It is anticipated that health care workers will become facilitators for expectant mothers and provide physical support for the profession.

Along with the time that continues to turn where previously children who were still toddlers were taken care of by their parents until they moved to the village and got a job and were busy to have a partner and offspring and their own lives, on the other hand the parents who used to raise them have now entered old age which should be the child's obligation to take care of parents at that time. The dilemma that occurs between the obligation to care for wives and children and work with caring for parents when they enter old age or old age. Responding to the phenomenon that occurs related to the child's obligation to choose parents when entering old age. So the service team from the Faculty of Law, Goronalo State University conducted counseling in a number of villages which basically had a number of problems related to this, including Kaaruyaan Village, Paguyaman District, Boalemo Regency, Gorontalo Province. The problems raised in this service include the background of children taking care of their own elderly parents at home and children who entrust elderly parents in nursing homes. Legal review of the responsibilities of children who entrust their parents in nursing homes. This research method uses qualitative methods and discussions in counseling, where the research was carried out in the Kaaruyaan Village area. The subjects of counseling are children who care for and children who entrust elderly parents (Elderly) in Nursing Homes. Observation, interviews and documentation. Extension results. The background of children choosing to entrust elderly parents in the orphanage is triggered by a number of things including work, obstacles in communication between family and parents, incompatibility between the wife / husband and parents in the house. While the background of children chooses to take care of their own parents at home, facilitate communication with parents, control physical health, guarantee the needs and needs of parents daily to apply forms of love and affection to parents.

Character education in elementary schools requires special attention to apply it in the lives of students in order to form a strong noble character foundation attitude, environmental problems often occur in Indonesia and the lack of environmental awareness by fourth grade students at SD Negeri Siasem 04, thus students can carry out any of the following: one character value, namely caring for the environment in daily life, in developing efforts to improve the surrounding environment. This study aims to describe the implementation of character education caring for the social and non-social environment, and various kinds of obstacles that exist in SD Negeri Siasem 04. Using qualitative research types. The primary data of the study were students, while the secondary data were the principal and teachers, as well as other supporting documents. The data collection techniques in this study used observation, interviews and documentation. The data obtained were analyzed by data reduction techniques, data display and drawing conclusions or verification. Test the validity of the data using triangulation techniques and sources. The results showed that 1) The implementation of environmental care character education in SD Negeri Siasem 04 was carried out through, a) Environmentally friendly school policies, b) Implementation of an environment-based curriculum, c) Participatory-based environmental activities, d) Management of environmentally friendly supporting facilities, 2) Obstacles in implementing environmental care character education at SD Negeri Siasem 04, namely, a) Not including Adiwiyata schools. Lack of awareness of students and lack of understanding of students about the vision, mission and goals of the school, b) The curriculum is not independent and students lack understanding of the environment c) Lack of awareness of school residents to protect the environment. d) Students lack awareness to buy healthy food and damaged supporting facilities.

According to the World Health Organization (WHO) in 2015, 585,000 women died during pregnancy or childbirth. Because 99% of maternal deaths due to labor or birth problems occur in developing countries. The risk of maternal death in developing countries is the highest with 450 maternal deaths per 100 thousand live births when compared with the risk of maternal death in 9 developed countries and 51 developing countries. The incidence of hyperemesis gravidarum in Indonesia is starting from 1-3% of all pregnancies (Maruroh and Ikke, 2016). About 50% - 90% of all pregnancies are accompanied by nausea and vomiting. According to a study of more than 360 pregnant women, only 2% experience morning sickness whereas, 80% of persistent complaints throughout the day peak at around 9 weeks of gestation. Nausea and vomiting are common disorders in early pregnancy and are complained by 50-70% of pregnant women within the first 16 weeks. Approximately 60% of pregnant women in the first trimester experience nausea and 44% experience vomiting. In this nausea and vomiting, dehydration can occur if the nausea and vomiting are severe. The general objective of this study was to provide midwifery care for first trimester pregnant women with Grade I Hyperemesis Gravidarum using a midwifery management approach with 7 Varney. This type of research the writer uses in the case study is descriptive research. This case study the author takes the subject Mrs. H with Hyperemesis Gravudarum Grade I at the Hj. Hema Wati, Bambel District, Aceh Tenggara District.

The MDG`s national target is to reduce the maternal mortality rate by three quarters from the maternal mortality rate in 1990 of 405 per 100,000 live births to 102 per 100,000 live births in 2015. World Health Organization (WHO) Maternal Mortality Rate (MMR) in the world that is, 289,000 people, and estimates that 800 women die each day due to complications of pregnancy and childbirth. Approximately 99% of all maternal deaths occur in developing countries, about 80% of maternal deaths are the result of increased complications during pregnancy, childbirth and after delivery. The Health Profile of North Sumatra Province in 2016 states that the coverage of deliveries assisted by health workers shows an increasing trend, namely from 86.73% in 2010 to 90.05% in 2016, even the achievement in 2016 was the highest achievement in terms of delivery assistance by health worker in 7 years Effleurage technique is a massage technique using the palms of the hands in a circular motion pattern on the lower part of the waist. Massase effleurage technique can reduce labor pain during the first stage of the active phase if it is done correctly, which is done every time there is a contraction and done for about 20 minutes. The general objective of this study was to provide midwifery care for the first stage of labor to Mrs. A with the Effleurage Massage Relaxation Technique at the Pratama Marko clinic using Helen Varney's 7 steps midwifery management. In making this report the authors use descriptive methods with a case study model. The results showed that the respondent Ny. A 28 years old during the first stage of labor with massage relaxation technique at effleurage at the Pratama Clinic, Jl. Floodgate IV kec. Medan Johor.    

Children's dental health is an important aspect that needs special attention from parents, especially mothers, as the primary caregivers. Tooth growth in children aged 7-12 years is a crucial period where permanent teeth begin to replace milk teeth. However, mothers' ignorance or lack of knowledge about this process can lead to cases of persistence, which is when milk teeth remain in the oral cavity even though permanent teeth have begun to grow. This condition can cause various dental and oral health problems in children. This Community Service Program aims to increase mothers' knowledge about tooth growth and the importance of preventing cases of persistence in children in Rappocini District, Makassar City. The methods used include socialization and health education, accompanied by the distribution of educational materials and interactive discussions. The expected results of this activity are increased understanding of mothers regarding the stages of children's tooth growth, early signs of persistence, and preventive measures that can be taken at home. Thus, it is hoped that the number of cases of persistence in this area can be reduced, and children's dental health can be better maintained.

This community service aims to improve patient knowledge after spinal anesthesia through structured counseling activities. Spinal anesthesia often causes anxiety and is dangerous for patients, especially related to side effects and the recovery process. Lack of understanding can lead to non-compliance with medical injuries, which has the potential to prolong the recovery period and increase risk complications. Therefore, counseling is carried out by providing direct education to patients and families using educational media such as leaflets and interactive discussions. This approach not only helps improve patient understanding of spinal anesthesia procedures but also plays a role in reducing anxiety and increasing compliance with postoperative care. The results of the activity showed a significant increase in the level of patient knowledge, which has an impact on a better recovery experience. Thus, this counseling program contributes to improving the quality of health services and patient satisfaction at PKU Muhammadiyah Surakarta Hospital, as well as being a model of educational intervention that can be applied in various other health facilities.

Background: The National Disaster Management Agency noted that in the period of 2020 there have been 2,925 natural disasters. Aceh is a province that is prone to disasters such as being prone to flash floods, landslides, and earthquakes. This series of natural phenomena has made the people of Aceh familiar with various disasters. One of the ways to prevent the number of victims in a disaster is to have volunteers around the community, namely health cadres. Health cadres are trained as monitors, reminders and advocates to promote health so that it is possible for cadres to have the ability to perform basic life support in the event of an emergency. Purpose: to increase the knowledge and skills of health cadres about BHD training in the community during an emergency. Methods: BHD training activities are carried out for cadres who have not received training. Socialization to cadres about BHD through lectures, questions and answers, and demonstrations using Phantom BHD. The activity was carried out in 3 sessions with the details of the activities. They were pretest activity in the form of filling out questionnaires by the participants, providing material on BHD that must be accepted by cadres, and posttest on the knowledge and understanding of cadres about material that has been given. Results: The results obtained were an increase in the knowledge of cadres from a low level of knowledge of 5.7% to a high level of 68.6%. This shows that there is a change in the level of knowledge and understanding of cadres about basic life support. Conclusion: After this community service, the ability of cadres to carry out basic life support increases so that it is expected to increase life expectancy in the community in the event of an emergency

Independent Upbringing of Family Medicinal Plants (Asmantoga) is a plant cultivated by the surrounding community and cadres of Bojonegoro sources of corn which has medicinal properties and can be used for health. Besides that, Asmantoga plants are natural medicines and do not contain chemicals. Under these circumstances, the servants made an innovation in the Asmantoga Park to turn the medicinal plant area of the Sumberagung village family from Bojonegoro into an Asmantoga Educational Park. And also conduct independent care as an effort to change the paradigm of curative medicine, to become promotive and preventive, which is beneficial for efficiency and effectiveness for the surrounding community and Sumberagung cadres.This service aims to find out the development of family medicinal plants in the village of Sumberagung, Dander Bojonegoro sub-district, to find out how to increase community knowledge about the benefits of self-care for family medicinal plants in Sumberagung Village, Dander Bojonegoro District.The community service partners here are Village Officials, and Asmantoga Cadres of Sumberagung Village, Dander Bojonegoro District.The methodology used in community service in Sumberagung village is the ABCD (Asset Based Community Development) method.The results of the Asmantoga land use activities have made the residents a little more concerned with the Asmantoga land use. Pengabdi also held a health seminar with the theme "keep your health with family medicinal plants" with Sumberagung village health workers in order to introduce to the community how important it is to preserve family medicinal plants.