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This study aims to explore the communication styles and experiences of healthcare workers in enhancing public service communication skills at Petir Community Health Center (Puskesmas Petir) in Tangerang City. Effective communication is a crucial factor in the quality of healthcare services for patients; however, various challenges such as time constraints, differences in patients’ backgrounds, and work pressure often hinder optimal interactions. This research employs a qualitative approach with a case study method, involving in-depth interviews, participatory observations, and document analysis to uncover the experiences, perceptions, and practices of healthcare workers in communicating with patients and the community. The findings indicate that communication skills are improved through internal training, peer mentoring, and the adaptation of communication strategies to match patient characteristics. Additionally, personal motivation, managerial support, and a conducive work environment play significant roles in the successful implementation of communication strategies. The results of this study provide an in-depth understanding of public service communication practices within the community health center context and serve as a basis for recommendations in developing training programs and policies to enhance the quality of interactions between healthcare workers and the community.

Successful breastfeeding is a crucial factor in ensuring maternal and infant health, yet many postpartum mothers experience obstacles in optimally breastfeeding. One factor that plays a significant role in successful breastfeeding is family support and involvement. Families, particularly husbands and immediate family members, play a strategic role in providing the emotional, informational, and instrumental support mothers need during the postpartum period. This study aims to analyze the relationship between family roles and successful breastfeeding in postpartum mothers at TPMB Bdn. Neneng Banjarmasin. This study employed an observational analytical design with a cross-sectional approach. The sample consisted of 35 postpartum mothers with infants aged 0–6 months selected using purposive sampling. Data were collected using a structured questionnaire to measure family roles and successful breastfeeding, including aspects of early breastfeeding initiation, breastfeeding frequency, maternal comfort, and sustainability of breastfeeding practices. Data were analyzed univariately and bivariately using the Chi-square test with a significance level of p < 0.05. The results showed that most respondents received good family support and that the majority of postpartum mothers experienced successful breastfeeding. Bivariate analysis showed a significant relationship between family roles and breastfeeding success. In conclusion, family roles are significantly associated with breastfeeding success in postpartum mothers. This finding underscores the importance of a family-centered midwifery care approach in supporting breastfeeding success in community midwifery practice.

Background: Stunting remains a major public health concern in Indonesia, affecting children’s growth, development, and long-term health outcomes (Sari, 2020). Early childhood stunting can lead to cognitive delays, poor school performance, reduced productivity in adulthood, and increased risk of chronic diseases (Hapsari & Wulandari, 2019). Understanding the interaction of demographic, socioeconomic, and health-related factors is essential to reduce stunting prevalence and improve child health outcomes (Yuliani, 2019). Objective: This study aimed to analyze the factors influencing the incidence of stunting among children attending the Sagerat Public Health Center in Bitung City. Methods: A quantitative, observational study with a cross-sectional design was conducted. Thirty children were selected using purposive sampling based on inclusion criteria such as age under five years and available anthropometric data. The Wilcoxon signed-rank test was applied to examine the relationship between these factors and stunting incidence, with a significance level set at p < 0.05. Results: The analysis showed that 30 children (100%) in the study were at risk of stunting based on height-for-age measurements, with 20 children (90%) confirmed as stunted and 10 children (10%) having normal height. These results suggest that maternal education, socioeconomic status, nutrition, and access to healthcare are strongly associated with stunting in this population. Conclusion: Factors such as maternal education, socioeconomic status, dietary intake, and access to healthcare significantly influence the incidence of stunting among children at the Sagerat Public Health Center. Comprehensive community-based programs are recommended to reduce stunting prevalence and improve long-term health outcomes for children.

Anxiety is a common psychological response experienced by contraceptive users, particularly among implant acceptors. Feelings of anxiety may arise due to hormonal changes, fear of side effects, and unpleasant experiences during contraceptive insertion. Aromatherapy using lavender essential oil has been shown to produce a calming effect through the activation of the limbic system and regulation of neurotransmitters, making it a potential method for reducing anxiety. This study aimed to determine the effect of lavender essential oil therapy on reducing anxiety among contraceptive implant acceptors at Tiley Health Center. A quasi-experimental design with a pretest-posttest control group approach was employed. A total of 30 respondents were randomly divided into treatment and control groups. The treatment group received inhalation of lavender essential oil for 10 minutes daily over three consecutive days, while the control group received no intervention. Anxiety levels were measured using the Hamilton Anxiety Rating Scale (HARS). The results indicated a significant reduction in anxiety scores in the treatment group before and after the intervention (p < 0.001), while the control group showed no meaningful difference (p > 0.05). These findings demonstrate that lavender essential oil aromatherapy is effective in reducing anxiety among implant contraceptive acceptors. This non-pharmacological therapy can be recommended as an easy, affordable, and safe complementary intervention in midwifery care services.

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.

Dysmenorrhea, which is common in adolescent girls, is a painful menstrual cycle that frequently interferes with daily activities, both in the classroom and in social situations. Dysmenorrhea is a common condition that needs particular care as a reproductive health concern, notably among young people. Both pharmacological and non-pharmacological approaches can be used to treat dysmenorrhea. The use of warm water compresses is a simple, inexpensive, and effective non-pharmacological approach. By increasing blood vessel dilatation, enhancing blood circulation, lowering muscular tension, and lowering pain perceptions, warm water compresses aid in alleviating dysmenorrhea symptoms. The objective of this study is to assess the impact of warm compresses on the severity of dysmenorrhea pain scales in teenage girls at the Buntalo Community Health Center. The design of this trial was pre-experimental, using a one-group pretest-posttest technique. Using a purposive sampling method, a sample of 20 respondents was chosen. The Wilcoxon test was used to conduct the data analysis. According to the data, there was a statistically significant reduction in pain intensity, with a Z value of -4.065 and a p-value of 0.000 (p < 0.05). The average pain scale decreased from 2.95 to 1.80. Based on these findings, it is reasonable to conclude that warm water compresses are helpful in alleviating dysmenorrhea pain in young women. One of the suggestions for non-pharmacological treatments to help alleviate dysmenorrhea symptoms in adolescents is anticipated to be the outcome of this research.

The quality of complementary feeding (MP-ASI) for infants aged 6–23 months is a key factor in supporting growth and preventing early nutritional problems. However, MP-ASI practices that do not comply with recommendations are still common, especially in areas with limited access to nutrition information and education. One of the promotive-preventive efforts developed in primary health care is the implementation of toddler classes. This study aims to analyze the effectiveness of toddler classes in improving the nutritional quality of infants receiving MP-ASI in the working area of the Popayato Timur Community Health Center. This study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 33 infants aged 6–23 months selected using a total sampling technique. Data were collected through infant anthropometric measurements to assess nutritional status based on indicators of weight for age (BW/A) and weight for length/height (BW/H), as well as assessing the quality of MP-ASI using quality scores before and after the intervention. Data analysis was carried out descriptively and inferentially using paired statistical tests. The results showed an increase in the quality of complementary feeding (MP-ASI) after the implementation of toddler classes, accompanied by improvements in infant nutritional status based on indicators of weight for age and weight for height, with a statistically significant difference between conditions before and after the intervention. In conclusion, toddler classes are effective in improving the quality of complementary feeding and infant nutritional status, thus potentially being an applicable educational strategy in efforts to improve infant nutrition in primary health care.

Labor pain is a significant challenge faced by in-partum mothers, with a prevalence of 70% in Indonesia, and 40% of women reporting severe pain (Central Statistics Agency, 2022). Conventional pharmacological methods often do not provide optimal results and can cause side effects. As a non-pharmacological alternative, oxytocin massage has shown promise in reducing labor pain intensity by stimulating the endogenous production of oxytocin, a natural analgesic hormone. This study aimed to assess the effect of oxytocin massage on labor pain intensity in in-partum mothers at Manado Medical Center Hospital. A pre-experimental design with a one-group pre-test post-test approach was used. The sample consisted of 30 in-partum mothers who met the inclusion criteria. Pain intensity was measured using the Numeric Rating Scale (NRS) before and after a 30-minute oxytocin massage administered by trained health workers. Data were analyzed using a paired t-test. The results showed a significant reduction in pain intensity from an average of 7.23 (SD=1.08) before the massage to 4.63 (SD=1.11) afterward, with a decrease of 2.6 points. The proportion of mothers experiencing severe pain decreased from 50% to 20%, while mild pain increased from 16.7% to 46.7%. The paired t-test revealed a highly significant difference with t=10.274 (df=29), p=0.000 (p<0.05). In conclusion, oxytocin massage is an effective non-pharmacological intervention that can significantly reduce labor pain and improve the birth experience. It can be incorporated into standard maternity nursing protocols to enhance maternal care.

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.

This article examines the effectiveness of fermented kombucha drinks in enhancing the immunity of menopausal women through an evidence-based nutrition approach. Additionally, the study highlights how community-based kombucha production and consumption programs can be part of non-military health diplomacy, supporting community resilience, especially for vulnerable groups like menopausal women who experience immune function decline due to hormonal changes. Using the Systematic Literature Review (SLR) method, the study analyzes 30 relevant articles published between 2018–2025 from reputable sources such as Scopus, PubMed, and others. The findings show that (1) kombucha improves immunity through cytokine modulation and increased antioxidant activity, (2) kombucha normalizes gut microbiota, contributing to the immune health of menopausal women, (3) fermentation variations and microbial composition affect kombucha's effectiveness, and (4) community-based kombucha production programs have potential in enhancing health literacy and local economic empowerment. This study provides a basis for local governments, health centers, and communities to integrate kombucha as a preventive health intervention, while also strengthening community resilience through nutrition education and functional food entrepreneurship. The article also offers a new conceptual model, “Kombucha Intervention – Immunity – Health Diplomacy,” that connects biological evidence, community health, and non-military resilience integratively.

This community service project aimed to strengthen the capacity of Posyandu cadres in performing early detection of child growth and development (SDIDTK) through a community-based intervention at Babadan Health Center, Indramayu. Limited knowledge, lack of assessment tools, and minimal continuous assistance were identified as key problems among cadres. The intervention involved training, mentoring, simulation practice, and monitoring–evaluation using participatory and human-centered approaches. Thirty cadres participated in the program. The results showed an improvement in cadres’ understanding of SDIDTK concepts, increased ability to conduct stimulation and screening using KPSP, and enhanced readiness to educate parents during Posyandu activities. This community-based approach successfully strengthened cadres’ competency and supported optimal child development monitoring in the community. The program is recommended to be continued through periodic mentoring and integration with local health programs.

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 disturbances are a common problem during pregnancy, often resulting from physiological changes, hormonal fluctuations, and psychological stressors. Poor sleep quality in pregnant women can lead to fatigue, mood disorders, and adverse maternal and fetal outcomes. Mindfulness-based interventions, which emphasize present-moment awareness and non-judgmental acceptance, have been suggested as an effective strategy to improve sleep quality and reduce stress. This study aimed to analyze the effect of mindfulness on sleep quality among pregnant women in the Puskesmas Tosa catchment area. A quasi-experimental design with a pretest-posttest control group was employed. A total of 30 pregnant women in their second and third trimesters participated and were divided equally into intervention and control groups. The intervention group received weekly mindfulness sessions for four weeks, including guided breathing, body scan, and focused attention meditation, while the control group received routine antenatal care. Sleep quality was assessed before and after the intervention using the Pittsburgh Sleep Quality Index (PSQI). Data were analyzed using descriptive statistics and paired and independent t-tests, with a significance level set at p<0.05. Results indicated that the intervention group experienced a significant improvement in sleep quality, with mean PSQI scores decreasing from 9.80 ± 2.10 to 5.60 ± 1.90 (p<0.001). In contrast, the control group showed no significant change (pretest 9.53 ± 2.30; posttest 9.27 ± 2.25; p=0.395). These findings demonstrate that mindfulness effectively reduces sleep disturbances among pregnant women by addressing both psychological and physiological contributors to insomnia. In conclusion, integrating mindfulness practices into routine antenatal care is a practical, low-risk, and non-pharmacological approach to enhancing maternal sleep quality, reducing stress, and promoting overall well-being during pregnancy. This study provides evidence to support the inclusion of complementary mind-body interventions in primary health care services.

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.

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.

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.

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.

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.

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.