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Background: The global maternal mortality rate (MMR) in 2022 is 91.46 per 100,000 live births with the cause of death being bleeding while the indirect causes of maternal mortality are during pregnancy wheere many pregnant women experience nutritional problems such as Chornic Energi Deficiency ( CHD) and Nutritional Anemia at 8.43% (WHO, 2022). The maternal mortality rate in ASEAN is 235 per 100,000 live births with the majority of causes of death being bleeding (ASEAN Secretariat, 2022). Until now, the maternal mortality rate in Indonesia alone in 2020 was 91.45/100,000 live births. In 2021, maternal mortality will increase to 305/100,000 live births. Meanwhile, in 2022, the maternal mortality rate will decrease by 230/100,000 live births. Within a period of 3 years, the causes of maternal death included Covid 19, bleeding, hypertension in pregnancy, and heart disease (Ministry of Health of the Republic of Indonesia, 2022). The maternal mortality rate in Central Java in 2020 was 84.6/100,000 live births, in 2021 it will be 199/100,000 live births. In 2022 there will be a decrease to 98.6/100,000 live births, hypertension in pregnancy and bleeding are still the cases of death in that year (Central Health Office, 2022). Brebes Regency shows that the maternal mortality rate in 2020 was 62 cases. In 2021 there were 105 cases and in 2022 there was a decrease to 50 cases with the causes of death being bleeding, hypertension, infection and heart disorders (Brebes District Health Office, 2021) Objective: Reduce maternal and infant morbidity and mortality rates in Brebes Regency, especially the Bumiayu Community Health Center area Conclusion: After providing comprehensive midwifery care to Mrs. S aged 32 years with Chronic Energy Deficiency (KEK) at BPM Mrs. The R working area of the Bumiayu Community Health Center from the third trimester of pregnancy, childbirth, newborns, postpartum and family planning is in good condition.

This paper discusses efforts to prevent plague disease in Indonesia through port fumigation. Using a descriptive qualitative method, the research revealed pest vectors on the MT. STRAITS DIGNITY ship and fumigation implementation challenges. It concluded that fumigation is the most effective method for pest control, with recommendations for ship crews to maintain cleanliness and Port Health Offices to conduct routine sanitation checks to minimize disease spread risks.

The role of the Operational Department in Handling the MT. Mumbai ship at PT. Pelayaran Multi Jaya Samudera Belawan begins when the ship arrives at the port. The shipper sends the documents required in the loading process when the ship arrives, the ship's agency also makes a request for inspection to related agencies such as the Port Health Office, Immigration, Customs and Excise and Belawan Harbor Master The methods used in writing this paper are field research and library research.  

In a study conducted at MIN 25 Aceh Besar, it was found that dental caries problems often occur in class IV students, with a significant influence from the lack of adequate knowledge, attitudes, and actions related to oral health. This cross-sectional analytic design study involved all fourth grade students as samples, totaling 72 people. Data were collected on May 2 and analyzed using univariate and bivariate methods with the chi square test. The results showed that most of the respondents had dental caries, where 39 out of 72 students (54.2%) suffered from the condition. The majority of respondents' knowledge about oral health was in the poor category, where 28 out of 72 students (38.9%) showed a low level of knowledge. This also applies to respondents' attitudes and actions, where 42 students (58.3%) have attitudes that are less supportive of good dental health and 46 students (63.9%) show ineffective actions in maintaining their oral health. Based on these data, there is a significant relationship between behavior (knowledge, attitude, and action) and the incidence of dental caries among these students, with the ρ value for knowledge being 0.003, attitude being 0.006, and action being 0.001. This shows that effective education and counseling on oral health is needed. As a recommendation, it is advisable for schools to collaborate with the local Health Office and Puskesmas to hold regular oral health counseling programs. In addition, establishing a healthy canteen at school can be another preventive measure so that students can choose healthier snacks that support good oral health.

PT. Pelayaran Cahaya Papua Dumai Branch is one of the companies operating as a Shipping Agency (ship agency) which provides domestic and international services. PT. Pelayaran Cahaya Papua also provides ship services such as ship needs (reflagging, fresh water, bunker), and also provides services for processing ship certificates that are entering their expiry date. The discussion presented in this paper is the Ship Sanitation Control Exemption Certificate (SSCEC) Certificate Extension Procedure at the Class I Port Health Office (KKP) by PT. Dumai branch of the Papua Light Cruise. In the Ship Sanitation Control Exemption Certificate (SSCEC) Certificate Extension Procedure, the company deals directly with relevant agencies, both government and private (companies). By having a good relationship with the shipowner (ship owner) who has been given the authority to make a Letter of Appointment (LOA) agreement to agent their ships, the Company can more freely convey information regarding ship certificates because information regarding ship certificates has a very important role in managing the arrival and departure of ships. To obtain data, the author used 2 (two) types of observation methods in collecting data, namely direct observation of field study and library study. Thus the author can conclude that the procedure for extending the Ship Sanitation Control Exemption Certificate (SSCEC) at the Class I Port Health Office (KKP) has been running smoothly.

GIS is a database system that has special features to process information related to the same space with operating system devices. GIS is also capable of integrating data, organizing information, and analyzing data that can ultimately produce outputs to support decision-making related to geographic issues. In this study, researchers plan to apply GIS to function as a digital map, which can certainly represent a particular area, and can be utilized through the availability of information by Google map as a wayfinding. In this study, it can be concluded that the benefits of GIS for mapping health centers to provide information about the location of health centers to the Health Office of Southwest Sumba Regency.

The prevalence of insomnia in Indonesia is still high compared to other countries, especially in adolescents. The prevalence is about 67% including low insomnia at 55, 8% and moderate insomnia at 23, 3%. The impact of insomnia on adolescents such as body weakness, lethargy, lack of concentration, and enthusiasm until it becomes a serious problem such as sleep disorders, heart attack, cancer, obesity, and other various lethal diseases. This study aimed to determine the correlation between smartphone addiction and stress levels on the incidence of insomnia in adolescents at SMA Negeri 8 Banda Aceh. The research method used was an analytical design with a cross-sectional approach. The population was 537 teenagers and the sample was 84, chosen using the Proportional Random Sampling technique and Univariate and bivariate analysis using the Chi-Square test. The data were gathered using the Perceived Stress Scale (PSS) questionnaire, Smartphone Addiction Scale Short Version (SAS-SV), and Biological Psychiatry Study Group Jakarta Insomnia Rating Scale (KSPBJ-IRS). The result showed that of 84 respondents, most of them did not experience insomnia 41 respondents (48,8%), did not experience smartphone addiction 43 respondents (51,2%), and experienced low stress 48 respondents (57,1%). So there was a relationship between smartphone addiction (p=0,002) and stress level (p=0,007) toward insomnia in adolescents. In conclusion, there was a correlation between smartphone addiction and stress levels toward the incidence of insomnia in adolescents. This research suggests that research institutes concerned with health education conduct cross-sector collaboration regarding smartphone usage, such as the Health Office and Public Health Centres.

The subcutaneous contraceptive device (AKBK) is an effective and efficient hormonal contraceptive device in the form of a rod that is implanted under the skin, namely the upper arm and the protection period can reach five years. The aim of the research is to study the relationship between side effects and the incidence of dropouts in the use of subcutaneous contraceptives. The research method is a quantitative analytical survey with a cross sectional approach. The population in this study were all family planning acceptors who visited PMB Erna Wati, Lawe Sumur District, Southeast Aceh Regency, both those who used AKBK and those who dropped out, namely 45 acceptors. Chi square data analysis technique. The conclusion of this research is that there is a relationship between side effects and the incidence of dropouts in the use of under-the-skin contraceptives (AKBK). There is a relationship between side effects and the incidence of drop-outs in the use of under-the-skin contraceptives (AKBK) in 2024. It is hoped that this will serve as input for Health Officers to improve the implementation of providing education to mothers regarding use. AKBK

The aims of this research are To find out the leadership style of women in the Surakarta City Health Office,To find out the role of women leaders based on leadership style in public office, To find out the challenges of women leaders in public office. This research uses a qualitative research method with a case study approach. The source of this research is the actions and habits of the Head of the Surakarta City Health Service, which were obtained through observations of the work environment of the Surakarta Health Service, in-depth interviews with various related sources, and documentation from biographies and social media. The validity test used to test the validity of this research uses triangulation of methods and data sources. The results of this research are as follows. First, the Head of the Surakarta Health Service has various elements of leadership style, including feminine, masculine, transformational, and transactional leadership styles. This can be seen from his actions and policies in leading the agency. These results explain that there is no relationship between gender and the choice of leadership style. Second, the Head of the Surakarta Health Service has a big role in motivation and is also a good role model for the agency, so the Surakarta Health Service becomes the best agency in the Surakarta City government. Third, as a woman, the Head of the Surakarta City Health Service does not experience problems or obstacles caused by gender differences. These results show no differences in the challenges faced by men or women.

UMKM in Jarin Village, Pamekasan Regency face various challenges in developing their businesses. One of the challenges faced is the suboptimal protection and development of their businesses, many of which do not yet have a NIB or even a PIRT. The investigative approach employed is a type of empirical legal inquiry utilizing a field study methodology (Field Research). Data gathering for this investigation involved various techniques such as interviews, observations, and literature reviews. The study's location is situated in Jarin Village, within the Pademawu District of Pamekasan Regency. The data analysis technique applied in this research is descriptive-qualitative. Findings from the study during the MBKM KKNT indicated that the UMKM present in Jarin Village, Pademawu District, Pamekasan Regency are limited in number, only a handful. Among these is an UMKM focused on the Krupuk Opak and Jagung Goreng venture, which maintains a marketing scope that remains at the regional tier. Furthermore, business operators have yet to secure a PIRT certificate, despite the fact that legally, those in the food or snack industry are mandated to acquire PIRT in accordance with the Food and Drug Supervisory Agency Regulation Number 4 of 2024 related to Guidelines for Issuing Certificates of Commitment Fulfillment for Home-Processed Food Production, therefore KKNT participants provide assistance to the Pamekasan Regency Health Office for the issuance of PIRT. It is proven that after obtaining a P-IRT permit, the product marketing network has increased and sales have increased and the legality of the business is strong.  

The purpose of writing this paper is to find out the Procedure for Issuing a Certificate of Practice (COP) at the Belawan Port Health Office by PT. Semesta Sejahtera Lestari Belawan. The author collected data using two research methods, namely the field method (Field Research) and the library method (Library Research). The results of this research are the Procedure for Issuing a Certificate of Practice (COP) at the Belawan Port Health Office by PT. Semesta Sejahtera Lestari Belawan starts from submitting an application via the SINKARKES application (sinakarkes.kemkes.go.id). Then the agent logs in using the company account that has been registered in the SINKARKES application, after logging in the agent makes a request for the PNBP Certificate of Practice (COP) / Port Health Quarantine Certificate (PHQC) billing issuance service, then the company agent fills in the data and uploads ship documents such as: MDH (Maritime Health Declaration), SSCC/SSCEC, Medical Certificate/Drug Certificate (P3K), crew list, voyage memo, and last port clearance. After all data has been filled in completely and correctly, the agent can send the request by clicking create billing, the SINKARKES application will issue PNBP billing which must be permitted by PT. Semesta Sejahtera Lestari Belawan to carry out ship inspections together with the Port Health Quarantine.

Background: The Ministry of Health reported that in 2022 there were approximately 143,000 cases of dengue fever in Indonesia. According to data from the Jambi Provincial Health Profile in 2022, there were 1,381 cases of DHF, which caused 9 deaths, based on data from the Jambi City Health Office, the highest number of DHF cases in Jambi City in 2022 was 36 cases at the Paal V Health Center. The Paal V Health Center has made efforts to eradicate DHF, but cases still appear high, this is influenced by several factors such as knowledge and attitudes. The purpose of this study was to determine the effectiveness of posters and videos on dengue prevention on the knowledge and attitudes of the community in the working area of Puskesmas Paal V, Jambi City. Methods: Quantitative research design with an experimental approach. Total samples of 30 poster media and 30 video media were selected using accidental sampling technique. The variables in this study are poster media, videos, knowledge and attitudes. Data collection using questionnaires and data processing in the form of bivariate and univariate analysis. The test used in this study is the Wilcoxon test if the data is not normally distributed and the paired t-test if the data is normally distributed. Results: There is an effect of posters and videos on knowledge with a p-value of poster media (p-value=0.001) and video media (p-value=0.001). There is an effect of poster and video media on attitude with a p-value of poster media (p-value=0.049) and video media (p-value=0.041). Conclusion: Based on the results of the research that has been done, video media is more effective than poster media on knowledge and attitudes about the prevention of dengue hemorrhagic fever (DHF). Therefore, in order to use video media as a medium in conducting counseling about dengue hemorrhagic fever (DHF).

The process of issuing the Port Health Quarantine Clearance (PHQC) document for vessel health at the Class I Quarantine Health Office by PT. TarunaCipta Kencana Dumai Branch ensures that every ship entering a port is in a healthy condition, free from diseases and pests. The issuance of the vessel health document is handled by the Quarantine Health Office. Before docking at Dumai port, PT. TarunaCipta Kencana acts as an agency representing the ship owner/principal in handling all matters related to the vessel’s interests. The company can also appoint other sub-agents to serve other vessels. PT. TarunaCipta Kencana Dumai Branch collaborates with various related agencies at Dumai port, providing services for the ship and crew (ABK) before, during, and after docking. The issuance of the vessel health quarantine document begins with a submission by the agent to the Quarantine Health Office (BKK), followed by an inspection by health officers, and finally issuing the Certificate of Free Pratique (COP) and PHQC. The data collection methods used were Field Research and Library Research, ensuring that the process of issuing PHQC documents adheres to established procedures.

Good logistics management of medicines is one of the factors so that medicines can be managed well. The pharmacy unit of the Kolaka District Health Service has problems with inadequate storage or storage of medicines and delays in the arrival of medicines. The aim of this research is to determine the Analysis of Drug Logistics Management at the Kolaka District Health Service. The research uses qualitative methods through in-depth interviews, observations and observation guides. The results of the research show that at the drug planning stage using the consumption method, drug procurement using an e-catalog system, drug storage is still not good because the warehouse is not large enough for drug storage. Suggestions for the Kolaka District Health Service.

 Mojolaban is one of the sub-districts in Sukoharjo Regency, Central Java, which has 15 villages. The district has Mojolaban main health center, Jatimalang auxiliary health center and Kustati Clinic. Low back pain (LBP) is a disease that is widely suffered in Sukoharjo Regency, according to the Sukoharjo Regency Health Office, LBP sufferers amounted to 3,670 people from 2018-2022. LBP is one of the health problems that is often not taken seriously by the community, especially the elderly. Even though if left unchecked it can interfere with daily life and reduce quality of life. The purpose of this counseling is to prevent, promote health related to LBP with the target participants of the Matahari Elderly Posyandu located in Ds. Wirun Mojolaban. The measurement used in this activity is a pre-test and post-test questionnaire to measure the understanding of the elderly. The results of the questionnaire showed a good improvement with an average pre test and post test increase of 50%. For this reason, posyandu cadres always follow-up so that the elderly can do this exercise not only during counseling but also at home.

Pregnancy with breech presentation is where the fetus lies longitudinally in the uterus while the head is at the fundus uteri and in the buttocks position below the uterine cavity (Putri and Ningrum, 2019). Cases of breech presentation both mother and fetus experience a large increase in risk and for labor with breech location have high mortality and morbidity (Putra 2015). The maternal mortality rate (MMR) according to WHO 2021 is 32.9/100,000 KH. ASEAN 2021 MMR is 235/100,000. Indonesian Ministry of Health 2021 AKI 7,389 people, Central Java Health Office 2023 AKI as much as 485. Data from the Brebes Health Office 2022 as many as 50 cases while from the kaliwadas puskesmas area in 2022 there was 1 case of death. Researchers implement comprehensive midwifery care using Varney and SOAP documentation. This study uses descriptive qualitative methods through direct approaches, interviews, observation and documentation. The main informant is Mrs.H while for additional informants there are village midwives, puskesmas midwives, husbands and Mrs.H's family. Based on the results of research obtained from the care of pregnancy, childbirth, postpartum, LBW and family planning, problems were found in the form of pregnancy with breech presentation and cesarean delivery for indications of failed induction.

This research took the location, namely the Denpasar City Health Service. Within the company there are 5 fields available to support integrated health service programs for the community, with a total human resource population of 61 emoployee. The health development program has been implemented with reference running into half decade Strategic Planning which is outlined in the annual performance plan. The health development was carried out in the form of 18 existing health development programs. The pre-survey results showed the influence of employee performance variables using seven questions. 14 samples said they did not agree to the seventh question, 5 respondents answered by choosing the word "disagree" to the sixth question. , namely "work equipment and facilities are adequate and support me in my work", there is a research gap that took place in I News Jakarta stating the results show that communication variables have no effect on employee performance. The aim of this research was to find out how organizational communication influences employee performance, find out the effect of communication on job satisfaction, find out the effect of job satisfaction on employee performance, and find out the role of job satisfaction in mediating organizational communication on employee performance. The research methods used include the interview process and questionnaires. This research measurement used saturated sampling a sample sized are 61 employee was used. The research results found that the organizational communication variable had a significantly positive effect on employee performance, organizational communication had a significantly positive effect on job satisfaction, organizational communication had a significantly positive effect on job satisfaction and the influence of job satisfaction significantly positively mediated organizational communication affect performance employee.

AEFI or Post-Immunization Adverse Event is a medical condition that is assumed to be related to immunization. Reactions that arise due to AEFI include high fever, abscesses/festering, seizures. The 2018 Lampung Provincial Health Office report noted that 32.6% experienced AEFI with the largest number being those experiencing high fever, namely 29.5%, festering 8.3%, seizures 0.97%, and others 0.57%. Reducing or controlling and controlling fever in children can be done in various ways, including pharmacologically and physically (non-pharmacologically), namely by using heat energy through conduction and evaporation methods. the effect of onion compress on reducing the baby's body temperature during fever after DPT immunization at PMB Yunita Vero Miza Lampung in 2024. Type of analytical survey research with a Post test Only Control Design approach. The research results showed a decrease in baby's body temperature after DPT immunization in the intervention group and control group after being given shallot compress with an average difference of 1.060. The results of the paired t-test obtained a p value = value 0.000 (p <0.05). there is an effect of onion compress on reducing the baby's body temperature during fever after DPT immunization at PMB Yunita Vero Miza Lampung

This study analyzes the Function of the Health Office in the implementation of health in Sikka Regency. The research method used is the Normative Judiciary method, using primary data and secondary data. Indonesia is one of the developing countries that has faced several fundamental strategic changes and challenges. The goal of the Indonesian nation is contained in the preamble to the 1945 Constitution which is held through national development, including health development. In supporting the implementation of health development, it requires support from a strong National Health System. Therefore,  the Regency/City Health Office as the executor of affairs and services in the health sector also has the function of conducting supervision in their respective areas.The formulation of the problem in this study is: (1) How is the Regulation of the Function of the Health Office in the implementation of the health system in Sikka Regency? (2) What are the inhibiting factors of the Health Office in handling the implementation of the health system in Sikka Regency? From the results of the research, the author concludes that  the function of the Health Office in the implementation of the health system in Sikka Regency is in accordance with the Regional Regulation of East Nusa Tenggara Province number 2 of 2018 concerning the implementation of Regional Health, Regional Regulation of Sikka Regency number 3 of 2021 concerning the Regional Health System, and Sikka Regent Regulation number 29 of 2016 concerning the position, organizational structure,  duties and functions as well as work procedures of the Health Office. The obstacles or obstacles of the Health Office in the implementation of the Health System in Sikka Regency are seen from several factors, namely: limited human resources, budget and funding, infrastructure and health facilities, accessibility and transportation, and lack of public awareness and participation.

Introduction: Haemoglobin levels are low (< 12 gr/dl) in adolescent women cause less blood (Anemia) causes to reduced focussing their study. JuFe programme is an innovation programme held by public health office of Cianjur through giving Fe tablets to adolescent women in Cianjur with consume Fe tablets every friday simultaneously in high schools. Objective: To determine the relationship between knowledge, attitude and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Method: This research used cross sectional study research design. The sampling technique is non random sampling are 35 peoples. The research instrument used a questionnaire, Results: This study found a relationship between knowledge (p=0,000), attitude (p=0,000), and compliance (p=0,000) with haemoglobin levels. Conclusion: there are the relationship between knowledge, attitude, and compliance in JuFe programme with haemoglobin levels in adolescent women in the school partnership of Puskesmas Gekbrong Cianjur 2024. Suggestion: It is the best health workers and teachers to increase education to adolescent women about low haemoglobin (Anemia) and implementing JuFe Programme routinely.