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This study aims to examine the effect of employee competence, behavioral control, and trust on employee performance at the Bojonegoro District Health Office with Organizational Citizenship Behavior (OCB) as an intervening variable. The background of this study is related to the importance of employee performance in achieving public service organizational goals, particularly in the health sector. This study uses an explanatory quantitative method with a Partial Least Squares Structural Equation Modeling (PLS-SEM) approach. The research sample consisted of 100 employees at the Bojonegoro District Health Office. The results of the analysis show that the influence of employee competence on employee performance is not significant, but employee competence has a significant influence on OCB. Behavioral control has a significant effect on employee performance, but its effect on OCB is not significant. Trust has a significant effect on OCB, but its direct effect on employee performance does not. OCB is proven to have a significant effect on employee performance. Therefore, OCB plays an important role as a mediator in improving employee performance. This study provides a theoretical contribution by clarifying the relationship between variables in the context of public service-based government organizations. In practical terms, the results of this study are expected to form the basis for recommendations to improve the quality of human resources and develop managerial strategies at the Bojonegoro District Health Office in order to support the effectiveness and efficiency of public services.

Human resource development is the process of preparing individuals to take on higher or different responsibilities within an organization, including enhancing intellectual abilities to support efficient task performance. This study aims to determine the extent to which human resource development contributes to improved employee performance at the East Lombok Regency Health Office. The qualitative, descriptive approach involved eight informants, consisting of officials familiar with the implementation of human resource development and staff who had participated in the program. The results indicate that education and training conducted by the East Lombok Regency Health Office have supported improved employee performance, as evidenced by more structured task implementation, public health monitoring surveys, and a decrease in maternal and infant mortality rates. However, in terms of human resource management, there are still shortcomings, with an average of 28 health workers per health facility, both civil servants and non-civil servants, reflecting an imbalance in workforce needs. Furthermore, the implementation of human resource development is supported by leadership commitment, inter-agency collaboration, and budget support from the provincial and central governments. However, it is hampered by limited qualified personnel, frequent policy changes, and the impact of natural disasters.

This study aims to analyze the spatial patterns of ambulance transport demand in Semarang City based on patients’ origin subdistricts, origin villages, and destination healthcare facilities. The analysis employed the K-Means Clustering algorithm as a data mining method to group areas according to similarities in the volume of ambulance requests. The dataset consisted of ambulance transport service records from January 2024 to September 2025, obtained from the Semarang City Health Office. The analytical procedures included data cleaning, normalization, determination of the optimal number of clusters using the Elbow Method, and cluster formation using K-Means. The results show two main clusters for subdistricts and destination healthcare facilities. High-demand subdistricts were generally densely populated areas such as Banyumanik and Pedurungan, with an average of 1,256 requests, while RSUP Dr. Kariadi emerged as the dominant referral facility with 3,893 requests. Meanwhile, village-level origins formed three clusters, with average demands of 549 (high), 190 (medium), and 36 (low). These findings are expected to support strategic planning for equitable ambulance fleet distribution and improved efficiency of patient transportation services in Semarang City.

Background : The Maternal Mortality Rate (MMR) worldwide reaches 183,000 per 100,000 live births (WHO, 2024). In Indonesia, there were 4,305 reported cases (Ministry of Health RI, 2024), while Central Java Province recorded 315 cases (Central Java Health Office, 2024). In Brebes Regency, there were 54 maternal deaths in 2024 (Brebes Health Office, 2024), and in the Bumiayu Public Health Center area, 2 maternal deaths were recorded (Bumiayu PHC Data, 2024). Objective : To analyze, implement, and provide comprehensive midwifery care for Mrs. A, 25 years old, with anemia in the Bumiayu Public Health Center area in 2025, using the Varney midwifery management approach and the SOAP method. Research Methods : This study used a qualitative descriptive design in the form of a case study. Results : Midwifery care during pregnancy for Mrs.A with anemia was carried out bassed on the mother’s needs. During labor, newborn care, postpartum period, and family planning services, no complications were found. Conclusion: The comprehensive midwifery care provided to Mrs. A with anemia was carried out in accordance with the Standard Operating Procedures (SOP), with both the mother and baby in good condition.

PT. Batam Mitra Suplindo is a company engaged in ship agency services. The ship agency service process at PT. Batam Mitra Suplindo starts from the initial arrival of the ship, loading and unloading activities, until the ship departs to the next destination port. Ship to Ship (STS) transfer is a method of transferring cargo between ships that requires careful coordination and supervision, especially in handling Liquified Natural Gas (LNG) cargo, which is volatile and high-risk. As one of the ship agency companies in the Batam waters area, PT. Batam Mitra Suplindo plays an important role in supporting the smooth process of Ship to Ship (STS) Liquified Natural Gas (LNG). This paper aims to comprehensively examine the Ship to Ship (STS) Liquified Natural Gas (LNG) handling process carried out by PT. Batam Mitra Suplindo, covering the planning stage, coordination with related institutions, technical implementation, and post-transfer evaluation. The research method used is field research, observation, and library research. The research results show that the success of Ship to Ship (STS) Liquified Natural Gas (LNG) highly depends on compliance with standard operating procedures (SOP), readiness of licensing documents, and synergy with the Port Health Office, Harbour Master, and ship operators.

The high rate of stunting in 2025 in the Labaksiu sub-district prompted the government to involve the Office of Religious Affairs (KUA) in stunting prevention efforts. This is based on the view that the process of forming a family is closely related to childbearing, so the KUA was revitalized to include stunting issues in marriage guidance materials. This study aims to examine the communication strategies used in the marriage guidance program to prevent stunting in the Labaksiu sub-district. The method used is qualitative descriptive, with data collected through in-depth interviews with six informants, consisting of three guidance facilitators, one health officer, and two program participants. The study's findings indicate that the communication strategy in the marriage guidance program for stunting prevention refers to Lasswell's theory, emphasizing the role of a competent communicator, namely a certified facilitator. The material presented covers topics on reproductive health and the development of outstanding generations, delivered in an educational and persuasive manner. The media used include modules and direct delivery by facilitators. The target of the program is prospective couples who have registered at the KUA. The impact of this program is an increase in the knowledge of prospective brides and grooms regarding the importance of preparing for a healthy family.

(MMR) refers to the number of deaths of women that occur during the pregnancy period or within 42 days after delivery. According to WHO in (2022) MMR is an indicator that states the number of maternal deaths for 303,000 per 100.000 live births, According to the Brebes health office (2022) MMR 177.94/ 100.000 live birth, IMR 197 cases. According to data obtained from the Sirampog Health Center daring 2022, the maternal mortality rate was recorded at one case, and eleven infant dealths. The study aims to provide comprehensive midwifery care to patients with a history of cesarean section, using a qualitative descriptive case study approach. Based on integrate midwifery care carried out on patients who had a history of cesarean section, the results were obtained, namely Mrs. Saya’s pregnancy with an indication of CPD as well as high blood pressure and ureine protein approaching positive one. Delivery was carried out by secarean section as an effort to prevent complications in the mother anda baby. During the neonatal care period up to 28 days of age, no abdormalities or problems were found. During the postpartum period up to 42 days, on problem or complications were found. Mrs. I  chose to use an IUD as a contraceptive.

Procedures for Issuing Port Health Quarantine Clearance (PHQC) and Ship Health Book for the MT. Venus Ship at Kuala Tanjung Port by PT. Seroja Jaya Agensi. Every ship entering the port must be in good health, free from disease outbreaks and pests. Issuance of ship health documents is the responsibility of the Health Quarantine Agency (BKK). PT. Seroja Jaya Agensi, as the agency company, acts on behalf of the ship owner in processing ship health documents at Kuala Tanjung Port. This study aims to determine the procedures for issuing Port Health Quarantine Clearance (PHQC) and Ship Health Book for the MT. Venus Ship. The procedure begins with the ship agent submitting an application to the BKK, followed by a sanitation inspection by health officers, issuance of a Certificate of Free Practice (CoP), and recording or issuing the ship health book. These documents are the primary requirements for the ship's clearance process. The research methods used were field research and library research. The results showed that the document issuance procedure involved close coordination between the ship's agent and relevant agencies, and required careful attention to the completeness and validity of the ship's documents.

Non-Communicable Diseases (NCDs) are major health problems that are influenced by genetic, physiological, environmental, and behavioral factors of individuals. One of the most common NCDs is Diabetes Mellitus (DM). Based on data from the Semarang City Health Office in 2023, there are 5,991 cases of DM that not only affect the elderly, but also adolescents, adults, and pre-elderly groups. This condition shows that type 2 DM is a serious challenge that affects the quality of life of sufferers. This study aims to analyze the relationship between family support and quality of life of type 2 DM patients at the Mangkang Semarang Health Center. The research method used is quantitative with a correlative descriptive design. A sample of 120 respondents was obtained through accidental sampling techniques, while data was collected by standardized questionnaires. The results showed that the average age of the respondents was 54 years old with the majority being female (55.2%) and having an elementary school education level (53.3%). The average family support score was 81.38, while the average quality of life of patients reached 86.15. This study concluded that patients with type 2 diabetes generally received good family support and had a positive quality of life. Furthermore, there is a positive relationship between family support and quality of life, where the greater the support provided, the more optimal the quality of life of type 2 DM patients.

Tuberculosis (TB) is a contagious disease, caused by Mycobacterium tuberculosis, primarily affecting the lungs, but also capable of involving other organs. According to data from the Indonesian Ministry of Health, pediatric TB cases increased by 20.9% in 2021. Similarly, at the Aceh Provincial Health Office reported an 87.3% rise in TB cases in the same year, with North Aceh being one of the regions with the highest prevalence. This study aims to describe the nutritional status of children diagnosed with TB at Cut Meutia Hospital. A descriptive research design was employed, using medical record data of pediatric TB patients. The sampling of technique used was total sampling, comprising 53 children. The findings showed that among the 53 pediatric pulmonary TB cases, most were male (28 children or 52.8%). The most affected age group was school-aged children (29 children or 54.7%). Regarding nutritional status, the majority had good nutrition (32 children or 60.4%). Pulmonary TB was the most prevalent form of TB, found in 41 children (77.4%). When analyzed by age and gender, pulmonary TB was the predominant type across all groups. In conclusion, pulmonary TB was the most common form of TB, predominantly affecting school-aged boys with good nutritional status.

Based on data from the South Nias District Health Office, the number of hypertension cases at Bawomataluo Public Health Center increased steadily from 2022 to 2024. This condition posed a high risk of leading to severe complications such as heart disease, stroke, kidney failure, and damage to other organs. This study aimed to examine the factors influencing compliance with blood pressure control among hypertensive patients within the working area of Bawomataluo Public Health Center in the year 2025. This research employed a quantitative method using an analytic survey design with a cross-sectional approach. The population consisted of 185 individuals who had been diagnosed with hypertension over the past six months (from July to December 2024). A purposive sampling technique was used to select 127 participants. Data analysis included univariate, bivariate, and multivariate analyses. Using logistic regression with the forward method, the results showed that knowledge had a significance value of 0.002 with an Exp(B) of 5.680; family support had a significance value of 0.000 with an Exp(B) of 6.740; motivation had a significance value of 0.000 with an Exp(B) of 6.947; and self-confidence had a significance value of 0.001 with an Exp(B) of 5.706. Among these, motivation was identified as the most dominant factor due to having the highest odds ratio (Exp(B)). The findings indicated that knowledge, family support, motivation, and self-confidence significantly affected compliance with blood pressure control among hypertensive patients at Bawomataluo Public Health Center. Motivation emerged as the most influential factor. It was recommended that the health center actively provide support and encouragement to patients suffering from hypertension.

The development of information technology has brought significant changes to the medical device procurement process, particularly within government institutions such as the Health Office. The procurement of appropriate, efficient, and objective medical devices is crucial to supporting optimal medical services, yet the decision-making process is often constrained by limited budgets and the complexity of multiple assessment criteria. This study aims to design and implement a decision support system (DSS) based on the TOPSIS (Technique for Order Preference by Similarity to Ideal Solution) method to provide recommendations for medical device procurement at the Binjai Health Office. The DSS evaluates six main criteria: price, quality, durability, ease of maintenance, medical necessity, and safety level, using procurement data from the 2022–2024 period. The TOPSIS method is applied to calculate the relative closeness of each alternative to the ideal solution, enabling decision-makers to rank medical device options objectively and systematically. The findings show that the DSS successfully prioritizes procurement alternatives, helping stakeholders allocate budgets more effectively and transparently. In addition, the system minimizes subjective bias by integrating quantitative analysis with clearly defined criteria. The system is implemented in a web-based environment with MySQL as the database, ensuring accessibility and scalability for future use. Overall, this research demonstrates that integrating TOPSIS into a decision support system can enhance the efficiency, accuracy, and accountability of medical device procurement in public health agencies. The study is expected to contribute to improving budget management and strengthening the quality of health services through better resource allocation.

Central Java Province targets a 16% reduction in stunting by 2023, with the prevalence having been reduced from 31.2% in 2018(Riskesdas, 2018) to 20.8% in 2022 (SSGI). The causes of stunting in Central Java include a lack of knowledge about balanced nutrition, proper parenting, and lack of access to proper drinking water and sanitation. This study aims to determine the implementation of the Central Java Provincial Health Office strategy in reducing stunting rates. The study used a qualitative design with descriptive methods and in-depth interviews, involving samples from the Health Office, TP-PKK, and Head of Puskesmas through snowball sampling techniques. The results showed that implementation at the Puskesmas level has not been optimal, with low community participation. Semarang City has many stunting reduction programs, in contrast to Brebes Regency. The overall provincial target has been achieved, but operational funding constraints hinder optimal program implementation.

Stunting is one of the growth disorders that occur in childhood under two years. Stunting events can be influenced by two factors, namely direct factors and indirect factors. Based on data from the Tual City Health Office, the number of stunting cases in Tual City was recorded in 2021 as many as 308 cases and 74 cases in North Dullah District. The purpose of this study is to find out the picture of risk factors for stunting events in children aged 9-24 months in the puskesmas work area in North Dullah District of Tual City for the period 2021. This research is quantitative research, a type of observational descriptive research with a cross sectional design. The sample in this study was children aged 9 months to 24 months who experienced stunting and domiciled in North Dullah District for the 2021 period as many as 71 children and then given questionnaires to be filled out.  The data obtained is presented in the form of a table accompanied by explanations and arranged and grouped according to the purpose of the research. The results showed that in the North Dullah Health Center of Tual City, as many as 71 children aged 9-24 years experienced stunting, as many as 47 stunting children (66.2%) aged 9-24 months did not experience BBLR (not at risk), the sex of stunting children aged 9-24 months who were most found was male, namely as many as 47 children (66.2%), most children did not get exclusively breast milk, namely as many as 45 children (63.4%) and most children were immunized as many as 41.  children (57.7%). The most maternal education level is high school as many as 32 people (45.1%) and many parents' incomes are in the low category of 68 cases (95.8%).  

The high consumer interest in food makes culinary businesses play a crucial role in meeting consumer purchasing interest in culinary. This is a crucial concern and task for all parties, both the government and food producers, to maintain the safety of the food they produce. Both in terms of nutrition, hygiene, safety, halal certification, and so on must be a serious concern for producers. One of the government's programs to ensure food products are safe for public consumption is by issuing distribution permits in the form of PIRT (home industry food) permits and Halal Certification, which are official guarantees from the government, so that food products can be distributed and are safe for consumption by all consumers. PIRT is issued through a supervisory body, namely the Health Office located in a Regency. Along with this, various opportunities to improve marketing performance arise through the marketplace platform. This community service approach uses an empowerment approach to the benefits of PIRT, Halal Certification and digital marketing through the marketplace platform to increase consumer trust in products and marketing performance. Through this service, the product value increases, by obtaining PIRT permits and Halal Certification, and the STIE Gentiaras student product has a wider marketing reach through the marketplace platform.

Breech presentation is a condition in which the fetus is in an elongated position with the head at the uterine fundus and the buttocks in the lower part of the uterine cavity. This condition can increase the risk of labor complications, especially if accompanied by serotinus (post-term pregnancy). Based on data from the Indonesian Ministry of Health (2021), the maternal mortality rate caused by breech presentation and serotinus in Indonesia was recorded at 1,309 cases. In Central Java, the incidence of breech presentation reached 11.5% (Central Java Health Office, 2021). This study aims to determine the implementation of comprehensive midwifery care for Mrs. D, aged 24 years, with breech presentation and serotinus at Mrs. S's PMB in the Kaliwadas Community Health Center area in 2023. The research method used a qualitative descriptive design with a case study approach. Data collection was carried out through interviews, observations, physical examinations, documentation studies, and medical record searches. The results of midwifery care showed that during pregnancy, Mrs. D had a good quality of life. Mrs. D underwent three antenatal care (ANC) visits, during which signs of pregnancy complications suggestive of serotinus were detected. Delivery was performed via cesarean section due to serotinus and breech presentation. During the neonatal period, three visits were conducted, with the baby's examination results within normal limits. During the postpartum period, four visits were conducted, during which the mother's condition was generally good, but at the third postpartum visit, problems with breastfeeding were discovered. Mrs. D was also known not to be using postpartum contraception. The results of this study emphasize the importance of early detection and appropriate management of breech presentation and serotinus pregnancies to prevent complications that endanger the mother and baby. Comprehensive midwifery care covering pregnancy, labor, postpartum, and newborn care is an integral effort to ensure the safety of mothers and babies.  

Health problems are a major problem in developing countries, including Indonesia. The Community Health Center (Puskesmas) is a first-level health service facility that organizes and coordinates promotive, preventive, curative, rehabilitative, and/or palliative health services in its working area. The purpose of this study is to understand the function of Puskesmas management in assessing the performance of Puskesmas in the working area of ​​the Mantup Puskesmas. The type of research used is qualitative descriptive research, the location of the study is the Mantup Puskesmas, Mantup District, Lamongan Regency, the informants in this study were the head of the Puskesmas, the person in charge of cluster 1, the person in charge of cluster 2, the person in charge of cluster 3, the person in charge of cluster 4 and the person in charge of cross-cluster Puskesmas Mantup. Data collection was carried out through in-depth interviews, observation and document searches, data analysis techniques using data reduction, data presentation, drawing conclusions. The results of the research for planning at the Mantup Puskesmas have been implemented well. Organizational efforts have been suboptimal, as some sub-health centers only have midwives as regional supervisors. Implementation is suboptimal due to limited staffing at sub-health centers. Supervision at Mantup Health Center has been functioning well and is being implemented regularly, but performance data is not yet available.Timely input into the existing application, considering the large number of applications that must be completed by service officers and program implementers at the Mantup Community Health Center. Suggestions included establishing a regional development team at the Assistant Community Health Center to optimize village activities, advising the Health Office on integrating health service applications at the Community Health Center, and innovations to improve Community Health Center performance.  

One of the health issues in Talaga Tomoagu village, Bolangitang Barat district, North Bolaang Mongondow regency, is stunting or slow growth in children of the same age, which remains high. Based on data from the Talaga Tomoagu village Health Office, the prevalence of stunting in 2022 was 1.82%, in 2023 it increased to 5.08%, and in 2024 it further increased to 6.67%. Cases of stunting in children and toddlers are a common issue that needs to be addressed in Indonesia due to the lack of balanced nutritional intake. The aim of this program is to provide innovative healthy nutrition menus with children's food preparations (nuggets) made from moringa leaves to prevent stunting. The method used in this program is to provide direct educational counseling and demonstrations on making moringa leaf-based complementary food nuggets. The results of this innovative program show that education on healthy nutrition menus affects mothers' knowledge about stunting and its prevention efforts. After being provided with education and training on making food based on moringa leaves, the results significantly influenced the mothers' knowledge about balanced nutrition as a prevention of stunting issues in the village of Talaga Tomoagu.

Iron deficiency anemia (ADB) is anemia that arises due to reduced iron supply for erythropoiesis, due to empty iron stores (depleted iron stores) which ultimately results in reduced hemoglobin formation. This study aims to determine the effect of giving blood supplement tablets on HB levels in female students suffering from anemia at SMAN 1 Tambakboyo, Tuban Regency. The research design used a pre-experiment using a one group pre test post test approach, with a total sampling technique on a population of 34 female students suffering from anemia in class X and analyzed using the Wilcoxon test. The instruments in this research were Standard Operating Procedures (SOP), hemoglobin level observation sheets and Easy Touch GCU brand hemoglobin measuring equipment. The results of the study showed that the average HB level before 10.17 g/dl and after 15.46 g/dl given blood supplement tablets was normal. The results of the Wilcoxon test obtained a significant value of p=0.000 (p<0.05), which means that there was a significant difference in the HB levels of class X female students before and after being given blood supplement tablets. Health workers, especially in school health offices, should provide blood supplement tablets at the right time so that female students can take the blood supplement tablets regularly and finish them.

This paper discusses the quarantine clearance out handling process through the SSM Single Submission System for the issuance of the Port Health Quarantine Certificate PHQC on the MT Jupiter Star ship managed by PT Semesta Sejahtera Lestari, Lampung Branch. Quarantine clearance out is an important stage in ensuring that ships departing from the port meet all health requirements and are free from the threat of diseases that can be transmitted to other areas. This process begins with the submission of an application by the ship's agent through the SSM System, which is designed to facilitate interaction between various related agencies, including the KKP Port Health Office, Customs, Immigration, and Ksop. After the application is submitted, quarantine officers will conduct a health inspection of the ship, including an examination of the crew and other health documentation. The results of this inspection are then recorded in the system and, if all requirements are met, a PHQC will be issued. This paper also identifies the challenges faced in the process, such as data integration between agencies that is sometimes less than optimal, and the importance of improving coordination between related parties to ensure a smooth clearance out process. Ultimately, the implementation of the SSM system is expected to increase efficiency and transparency in the process of issuing port health certificates, which in turn supports the smooth running of international shipping and trade activities. In writing this paper, the author used field research and library research methods.