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The high volume of fishery waste often poses an environmental burden if not managed appropriately. Conversely, the circular economy concept offers sustainable solutions aligned with Maqasid Shariah principles in environmental preservation (Hifz al-Alam). This study aims to educate and implement the processing of fish waste into high-quality animal feed that meets halal standards (halalan thayyiban). This research employs a qualitative approach using the Asset-Based Community Development (ABCD) method. The stages include socializing the concept of Sharia circular economy, technical training on waste processing, and nutritional content testing of the feed. The findings indicate an 80% increase in community understanding regarding the economic value of waste. Technically, the fish waste processing successfully produced an alternative animal feed with high protein content, free from najis (impurity) through a purification process according to Islamic jurisprudence (fiqh). This education proves that the integration of circular economy and Sharia principles not only reduces environmental impact but also creates sustainable economic added value for local communities.

The high volume of fishery waste often poses an environmental burden if not managed appropriately. Conversely, the circular economy concept offers sustainable solutions aligned with Maqasid Shariah principles in environmental preservation (Hifz al-Alam). This study aims to educate and implement the processing of fish waste into high-quality animal feed that meets halal standards (halalan thayyiban). This research employs a qualitative approach using the Asset-Based Community Development (ABCD) method. The stages include socializing the concept of Sharia circular economy, technical training on waste processing, and nutritional content testing of the feed. The findings indicate an 80% increase in community understanding regarding the economic value of waste. Technically, the fish waste processing successfully produced an alternative animal feed with high protein content, free from najis (impurity) through a purification process according to Islamic jurisprudence (fiqh). This education proves that the integration of circular economy and Sharia principles not only reduces environmental impact but also creates sustainable economic added value for local communities.

Reproductive health is an aspect of health that still requires serious attention, particularly for women of reproductive age. Polycystic Ovary Syndrome (PCOS) is a hormonal disorder with a prevalence of 3.4% among women worldwide, yet it often goes undetected due to a lack of awareness. This community service activity aims to increase the knowledge of women of reproductive age regarding menstruation, PCOS, and the importance of early detection through an educational webinar titled “Hormone Talk: Exploring Menstruation, PCOS, and the Importance of Early Detection.” The event was held online via the Zoom Meeting platform on December 13, 2025, and was attended by over 100 participants, the majority of whom were female students. The evaluation method utilized pre-tests and post-tests analyzed using a Dependent T-test. The results showed a significant increase in the average knowledge score from 64.78 (pre-test) to 79.67 (post-test), with a difference of 14.89 points and a p-value of 0.000. This demonstrates that reproductive health educational webinars are effective in enhancing participants’ knowledge. It is hoped that this activity can serve as a model for sustainable digital-based health promotion interventions in efforts to improve reproductive health literacy among Indonesian women.

Antibiotic resistance is a global health problem that requires international efforts to prevent the ineffectiveness of existing antibiotics and support the development of new antimicrobial agents. The increasing use of antibiotics in the community must be accompanied by proper understanding regarding rational antibiotic use to minimize the risk of resistance. This community service activity aimed to provide education on rational antibiotic use and the dangers of antibiotic resistance to undergraduate nutrition students at STIKes Adila, Bandar Lampung. The activity was conducted through educational sessions using flyers, presentation slides, and interactive discussions to encourage active participation and improve understanding of the topic. Evaluation was carried out using pre-test and post-test assessments to measure changes in participants’ knowledge levels. Descriptive analysis showed an improvement in participants’ knowledge, with the high knowledge category increasing from 0% during the pre-test to 85% in the post-test, while the low knowledge category decreased from 35.5% to 0% after the intervention. These findings indicate that educational interventions can effectively enhance awareness and understanding of rational antibiotic use and the prevention of antibiotic resistance. Therefore, continuous educational programs are important to promote responsible antibiotic use and support public health efforts in combating antibiotic resistance.

Antibiotic resistance is a global health problem that requires international efforts to prevent the ineffectiveness of existing antibiotics and support the development of new antimicrobial agents. The increasing use of antibiotics in the community must be accompanied by proper understanding regarding rational antibiotic use to minimize the risk of resistance. This community service activity aimed to provide education on rational antibiotic use and the dangers of antibiotic resistance to undergraduate nutrition students at STIKes Adila, Bandar Lampung. The activity was conducted through educational sessions using flyers, presentation slides, and interactive discussions to encourage active participation and improve understanding of the topic. Evaluation was carried out using pre-test and post-test assessments to measure changes in participants’ knowledge levels. Descriptive analysis showed an improvement in participants’ knowledge, with the high knowledge category increasing from 0% during the pre-test to 85% in the post-test, while the low knowledge category decreased from 35.5% to 0% after the intervention. These findings indicate that educational interventions can effectively enhance awareness and understanding of rational antibiotic use and the prevention of antibiotic resistance. Therefore, continuous educational programs are important to promote responsible antibiotic use and support public health efforts in combating antibiotic resistance.

Adolescents are considered a vulnerable group to nutritional problems because they experience rapid physical growth accompanied by lifestyle changes and unhealthy eating habits. The increasing prevalence of overweight and obesity among teenagers has become a major public health concern that requires serious attention. This study was conducted to examine the relationship between peer influence, the frequency of eating out, and fast-food consumption habits with the incidence of overweight among students at SMAN 1 Surabaya. The research applied a quantitative approach using an analytical observational design with a cross-sectional method. A total of 81 students participated in the study and were selected through proportional random sampling. Data were collected using questionnaires, SQ-FFQ forms, and anthropometric measurements, then analyzed using the Chi-Square statistical test. The findings revealed significant associations between peer influence, eating out frequency, and fast-food consumption habits with the occurrence of overweight among adolescents. Students who more frequently consumed meals outside the home and regularly ate fast food showed a greater tendency to experience overweight and obesity. These results indicate that social environments and modern dietary patterns contribute to the increasing prevalence of overweight among adolescents. Therefore, nutrition education and healthy lifestyle promotion should be strengthened through the involvement of schools, families, and peer groups.

The implementation of Clean and Healthy Living Behavior (PHBS) begins at an early age, particularly among school children, who learn extensively from their surrounding environment through the School Health Program (UKS). Although the family is the primary unit in shaping PHBS habits, parents’ busy schedules often lead children to interact more with teachers and peers at school. This study aims to determine the effectiveness of the UKS program on students’ PHBS at SD Lambaro Angan, Darussalam District, Aceh Besar Regency in 2024. This research employed a cross-sectional design with a population of 321 students and a sample of 76 respondents. Data collection was conducted on March 4, 2024. The results indicate that the UKS program has a significant effect on students’ PHBS, including habits such as washing hands with running water and soap, purchasing healthy snacks at the school canteen, disposing of waste properly, participating in physical exercise, not smoking at school, eliminating mosquito larvae, and using school sanitation facilities (p < 0.05). However, no significant effect was found on activities such as weighing body weight and measuring height. In conclusion, the UKS program is effective in improving students’ PHBS. These findings are expected to provide input for schools to optimize the implementation of UKS and enhance PHBS promotion so that students can apply clean and healthy living behaviors in their daily lives.

The effectiveness of hypertension prevention in communities depends critically on individuals’ knowledge of risk factors and their attitudes toward healthy behaviors. This study examines the relationship between mothers’ knowledge and attitudes toward hypertension prevention behavior in South Polongbangkeng District, Takalar Regency, 2026. An observational analytic quantitative design with a cross-sectional approach was employed. A total of 200 mothers were selected as respondents. Data were collected using structured questionnaires assessing knowledge, attitude, and hypertension prevention behavior, then analyzed using chi-square test at a significance level of α = 0.05. Results showed that the majority of respondents had good knowledge (89.0%), good attitudes (91.0%), and good hypertension prevention behavior (77.0%). Statistical tests revealed a significant association between mothers’ knowledge and hypertension prevention behavior (p = 0.000) and between mothers’ attitudes and hypertension prevention behavior (p = 0.000). It is concluded that mothers’ knowledge and attitudes are significantly associated with hypertension prevention behavior. Health workers are recommended to strengthen health education and promotion programs targeting mothers to support hypertension prevention in the community.

Sexual behavior among adolescents is a reproductive health issue that can lead to various consequences, such as unplanned pregnancy, sexually transmitted infections, and the risk of dropping out of school. Technological developments and easy access to digital media also influence how adolescents obtain information and shape their attitudes and behaviors. Therefore, innovative, engaging educational media that align with the characteristics of younger generations are needed; one example is the use of animated videos. This community service activity aims to increase students' knowledge about sexual behavior through animated videos. The activity was held on May 6, 2024, at SMA Negeri 5 Surakarta, with 51 students in attendance. The methods used included interactive lectures, screenings of 3-minute 4-second animated videos, discussion sessions, and evaluations through pre- and post-tests. The evaluation results showed an increase in students' knowledge with an average score of 2.84 points. Thus, animated videos have proven effective in increasing adolescents' knowledge about sexual behavior and have the potential to be an engaging and educational health promotion medium.

Sexual behavior among adolescents is a reproductive health issue that can lead to various consequences, such as unplanned pregnancy, sexually transmitted infections, and the risk of dropping out of school. Technological developments and easy access to digital media also influence how adolescents obtain information and shape their attitudes and behaviors. Therefore, innovative, engaging educational media that align with the characteristics of younger generations are needed; one example is the use of animated videos. This community service activity aims to increase students' knowledge about sexual behavior through animated videos. The activity was held on May 6, 2024, at SMA Negeri 5 Surakarta, with 51 students in attendance. The methods used included interactive lectures, screenings of 3-minute 4-second animated videos, discussion sessions, and evaluations through pre- and post-tests. The evaluation results showed an increase in students' knowledge with an average score of 2.84 points. Thus, animated videos have proven effective in increasing adolescents' knowledge about sexual behavior and have the potential to be an engaging and educational health promotion medium.

The PPA Symphony recorded 7,842 cases of violence against children by mid-2024, indicating the need for preventive efforts through early sexual education. Sexual education for children aims to improve their understanding of body awareness, body privacy, and self-protection from inappropriate behaviors. This community service activity aimed to increase students’ understanding of sexual education through interactive PowerPoint media. The activity was conducted at SD Negeri Gebang Surakarta on April 25, 2025, involving 63 students from grades 3, 4, and 5. The method used was an interactive lecture supported by PowerPoint media, storytelling, and mini games. Evaluation was conducted using pre-test and post-test questionnaires to measure students’ knowledge. The results showed an increase in the average knowledge score from 9.827 in the pre-test to 10.210 in the post-test. These findings indicate that interactive PowerPoint media is effective in improving students’ understanding of basic sexual education, particularly regarding body parts, body privacy, safe and unsafe zones, and strategies for refusing uncomfortable behaviors. Therefore, interactive learning media can serve as an effective educational strategy to strengthen early sexual education among elementary school students.

Helminth infections caused by Soil Transmitted Helminths (STH) and Taenia sp. remain a major public health concern in tropical regions, including Indonesia, particularly among elementary school children. This study aimed to identify the presence of eggs and larvae of intestinal nematodes and cestodes in fecal samples collected from elementary school children in Bekoso Village, East Kalimantan. The research employed a descriptive survey method with a cross-sectional approach, and laboratory examinations were conducted using the Kato-Katz technique. A total of 16 fecal samples were examined to detect Ascaris lumbricoides, hookworm, and Taenia sp. eggs. The results showed that 12.5% of samples were positive for hookworm eggs, 12.5% for Taenia sp. eggs, and 6.25% for Ascaris lumbricoides eggs. These findings indicate that poor personal hygiene and inadequate environmental sanitation contribute to an increased risk of intestinal helminth transmission. The study highlights the importance of preventive efforts through the promotion of clean and healthy living behaviors, consistent use of footwear, handwashing with soap, and community participation in mass deworming programs to reduce the prevalence of intestinal helminth infections among elementary school children.

Hand washing is a major pillar in clean and healthy living behaviors (PHBS). However, there are still children who do not understand the correct handwashing technique so that germ cleaning is not optimal. This community service activity aims to improve students' knowledge and motor skills in practicing the six steps of hand washing according to World Health Organization (WHO) standards. The method used in this activity is interactive counseling combined with live demonstrations. The stages of the activity include providing material through audiovisual media (video/poster), direct demonstrations by instructors, and independent practice by all participants. In addition, a question and answer session was held to ensure student understanding and corrective feedback on inappropriate movements. Evaluation instruments in the form of observation sheets were used to assess the accuracy of the sequence, duration, and coverage of the hand area when washing. The result of this activity was the success of all participants in practicing the six-step sequence of handwashing correctly independently. The involvement of teachers and school health workers also strengthens the sustainability of this practice through regular monitoring. Through this education, it is hoped that early awareness will arise which has become a routine habit to reduce the risk of disease transmission in the school and home environment and support the creation of a culture of clean living from an early age.

Adolescent reproductive health is an important aspect that requires special attention, especially regarding the problem of dysmenorrhea or menstrual pain. Dysmenorrhea is often considered normal, even though it can reduce the quality of life and disrupt the learning activities of young women. One factor that influences dysmenorrhea is nutritional status and diet. This community service activity aims to increase the knowledge of young women about preventing dysmenorrhea through health promotion using posters with an anti-inflammatory diet approach based on "Healing Through Nutrition". The activity was carried out at the UPT SMA 9 Bulukumba on May 6, 2025, targeting 20 young women. The activity method included the planning, preparation, implementation, and evaluation stages, with a pre-test and post-test to assess the level of knowledge of participants. The results showed a significant increase in adolescent knowledge about preventing dysmenorrhea. Before the activity, 50% of respondents had poor knowledge, 40% had sufficient knowledge, and only 10% had good knowledge. After the intervention, 80% of respondents had good knowledge and 20% had sufficient knowledge, with no category of poor. These results indicate that poster media is effective in increasing adolescents' knowledge about dysmenorrhea and the importance of an anti-inflammatory diet as a non-pharmacological effort to prevent it.

The Outpatient Unit is an important service unit that contributes to the hospital's revenue. However, at Adam Talib Cikunir Hospital, the number of patient visits has not yet reached the target, thus it is necessary to formulate a strategy to enhance competitiveness. This research aims to develop a strategic plan for the Outpatient Unit to improve service quality and increase its contribution to the hospital's revenue. The research uses a qualitative descriptive approach. Analysis is conducted through Internal Factor Evaluation (IFE), External Factor Evaluation (EFE), SWOT analysis, and Quantitative Strategic Planning Matrix (QSPM). The IFE score of 2.44 and the EFE score of 2.41 place RS DAT Cikunir in Quadrant V of the IE Matrix, which means RS DAT Cikunir is in a Hold and Maintain position. The SWOT analysis generates several alternative strategies, and the QSPM prioritizes three strategies: enhancing specialized services (score 5,84), expanding services and digital promotion (score 5,66), and optimizing cooperation with BPJS and private insurance (score 5,38). The research concludes that improving specialized services, expanding services and digital promotions, as well as optimizing cooperation between BPJS and private insurance are the right strategies to enhance service quality, attract more patients, and strengthen the competitiveness of RS Dokter Adam Talib Cikunir amid competition in the healthcare sector.  

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

Stunting is a major public health problem that reflects chronic malnutrition and adversely affects children’s physical growth, cognitive development, and future productivity. The first 1,000 days of life represent a critical window during which stunting develops and determines long-term health outcomes. This study aims to review evidence on the determinants of childhood stunting and the effectiveness of prevention interventions within public health policy frameworks in Indonesia.A literature review was conducted using peer-reviewed articles, policy documents, and national reports published in the last decade. The literature was analyzed to identify key risk factors, intervention strategies, and policy impacts on stunting reduc-tion.The findings show that stunting is primarily driven by inadequate dietary intake, low socioeconomic status, limited caregiver nutrition knowledge, and poor access to health and sanitation services. National data indicate a decline in stunting prevalence in Indonesia from 24.4% in 2021 to 21.6% in 2022. Evidence consistently highlights that integrated interventions targeting the first 1,000 days of life, including maternal nutrition improvement, breastfeeding promotion, appropriate complementary feeding, and multisectoral collaboration, are effective in reducing stunting.In conclusion, reducing childhood stunting requires sustained, integrated, and policy-based interventions that prioritize early-life nutrition to improve human capital and support long-term national development.

Clean and Healthy Living Behavior (PHBS) is a promotive and preventive effort aimed at improving the level of public health. The Baduy indigenous community in Leuwi Damar, Kanekes Village, Lebak Regency, Banten Province has local wisdom and traditional lifestyles that influence daily health practices. However, limited access to information and health services is a challenge in implementing PHBS optimally. This article aims to describe the implementation of PHBS education in the Baduy Leuwi Damar community and its impact on community knowledge and attitudes. The method used is a descriptive approach with educational activities through counseling, discussion and simple demonstrations adapted to local culture. Educational material includes personal hygiene, clean water management, environmental sanitation, and healthy living behavior in daily life. The results of the activity showed an increase in public understanding regarding the importance of personal and environmental hygiene, as well as the emergence of a positive attitude towards implementing PHBS without eliminating the traditional values adhered to. PHBS education carried out using a simple cultural and communication approach is considered effective in increasing the health awareness of the Baduy community. Therefore, health education programs based on local wisdom need to continue to be developed as a strategy to improve the health of indigenous communities. .(Riset Kesehatan Dasar,2019).

Empowering Posyandu cadresis one of the important strategies in improving the effectiveness of community-based health promotion,especially in the digital era. However, the limited skills of cadres in utilizing digital visual media are still anobstacle in creating interesting and communicative health information. This community service activity aims to improve the knowledge and skills of Posyandu cadres in Pondok Petir Village, Depok City, through seminars and training on the use of the Canva application as a medium for developing health promotion. The activity was conducted offline through lectures, discussions, and hands-on practice with intensive guidance. There were 25 participants, consisting of cadres and members of the local PKK. The results of the activity showed that most participants were able to understand and apply Canva's features to create health promotion media such as Posyandu schedule posters, immunization materials, and nutrition education. The enthusiasm of the participants during the practice sessions and their ability to produce informative and attractive visual designs demonstrated the success of this activity. Thus, Canva training has proven effective as a means of empowering Posyandu cadres in improving the quality of health communication and supporting the optimization of Posyandu services.

Premarital sexual behavior in adolescents is a public health issue influenced by various individual, social, and environmental factors. Changes in social norms, technological advancements, and limited reproductive health knowledge make adolescents a group vulnerable to risky sexual behavior. This study aims to examine the factors influencing premarital sexual behavior among adolescents based on the Health Belief Model (HBM) approach. The method used is a Systematic Literature Review (SLR), review national and international scientific articles published between 2013 and 2025. Data sources were abtained from Google Scholar and ScienceDirect, with inclusion criteria including articles in Indonesia and English, open access, full text, and relevant to HBM components. The study result indicate that factors such as perceived barriers, self-efficacy, and the quality of information play an important role in shaping adolescent sexual behavior. Low knowledge and limited perception oh the negative impacts of premarital sex increase the risk of engaging in risky sexual behavior. In addition, health promotion interventions based on the Health Belief Model (HBM) have been proven effective in improving knowledge, attitudes, and preventive behaviors regarding premarital sex among adolescents. Therefore, the HBM approach is recommended as a basis for developing comprehensive and sustainable adolescent reproductive health education and promotion programs.