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Medical emergency services demand swift and precise action; however, medical personnel are often hindered by the risk of criminalization resulting from unintended outcomes. Although Law Number 17 of 2023 concerning Health mandates the provision of assistance, the regulation has not yet provided explicit criminal protection for good-faith rescuers, thereby triggering the practice of defensive medicine. This study aims to examine the implementation of the Good Samaritan Law (GSL) concept as an alternative legal protection for health workers. The research methods employed are juridical-normative and juridical-empirical, utilizing statutory, comparative, and case approaches. The findings indicate that current regulations, including Article 531 of the Criminal Code (KUHP) and Law No. 17/2023, have limitations as they emphasize the obligation to assist rather than the protection of the rescuer. In comparison, the international GSL concept offers a standard of "limited immunity," which explicitly protects rescuers from civil and criminal liability, provided the actions are performed without gross negligence. The impact of implementing GSL in Indonesia is projected to provide stronger legal certainty than existing regulations, reduce the psychological burden on medical personnel in emergency situations, and encourage social solidarity without the fear of unnecessary lawsuits. The study concludes that the adoption of GSL is an urgent legal reconstruction to ensure the professional protection of health workers in Indonesia.

This study aims to analyze hematocrit values ​​using a micro method with capillary blood samples in pregnant women with anemia at the Sidodadi Kisaran Barat Community Health Center. This study is a descriptive study with a cross-sectional approach involving 15 pregnant women as respondents. Data collection was carried out through hematocrit laboratory examinations and data collection of respondent characteristics. The results showed that 60% of respondents had hematocrit levels below normal values, while 40% of respondents had hematocrit levels within normal limits. Low hematocrit levels in pregnant women are influenced by several factors, including age, education level, employment status, and level of knowledge about anemia during pregnancy. This condition has the potential to increase the risk of pregnancy complications if not optimally managed. Therefore, it is recommended that health workers continue to increase educational efforts regarding anemia prevention, the importance of regular pregnancy check-ups, and encourage pregnant women to maintain a balanced nutritional consumption pattern and adequate iron intake to support maternal and fetal health.

This study discusses the role of the Kupang City Council in carrying out its supervisory function on gender-responsive maternal and child health policies, with a case study focus on Oebobo District. The background of this study stems from the high maternal and child mortality rates and the suboptimal implementation of Kupang City Regulation No. 7 of 2013. This study uses a qualitative approach with interview, observation, and documentation techniques, and involves informants from DPRD members, health workers, posyandu cadres, and community leaders. The results show that the DPRD, particularly through Commission IV, has carried out its supervisory function through regulatory support, budget allocation, program evaluation, and field visits. Some of the programs supervised include Free Nutritious Meals (MBG), strengthening Posyandu, and basic health services at Puskesmas. However, the effectiveness of supervision still faces various obstacles, including the lack of female representation in the DPRD, strong patriarchal culture, lack of socialization of local regulations, weak cross-sector coordination, and low community participation. The conclusion of this study confirms that the success of gender-responsive maternal and child health policies is greatly influenced by the capacity of the DPRD in oversight, political and budgetary support, and community involvement.

This study aims to analyze the influence of Innovative Work Behaviour, Upskilling, and Work Ethic on the Health Workers Performance with Intention to Stay as an intervening variable at RSUD Sumberrejo. The background of this research stems from challenges in improving service quality, high workload, and the need to strengthen competency and retention among health workers. The study employs a quantitative approach using a survey method through the distribution of questionnaires, with data analyzed using Partial Least Squares–Structural Equation Modeling (PLS-SEM) through SmartPLS version 4.0. The population consists of 216 employees, and the sampling technique used is non-probability sampling, resulting in 140 respondents. The findings reveal that Innovative Work Behaviour, Work Ethic, and Intention to Stay have a significant positive effect on the performance of health workers. In addition, Innovative Work Behaviour and Work Ethic significantly influence Intention to Stay. However, Upskilling shows a positive but non-significant effect on both Intention to Stay and Performance, indicating that skill enhancement requires managerial support and motivation to contribute effectively to employee performance. Intention to Stay serves as a mediating variable in several relationships among the constructs. Strengthening innovative behaviour, work ethic, and competency development, accompanied by appropriate retention strategies, is essential for improving the performance of health workers in regional hospitals. Future studies are recommended to develop the research model by incorporating additional variables that may have stronger effects on Intention to Stay and Performance.

This study examines the implementation of digital health services via the Mobile JKN application at the Payung Sekaki Community Health Center in Pekanbaru City and explores factors affecting service effectiveness, especially complaints about long waiting times. Using a descriptive qualitative approach based on the Mobile Health Acceptance Model by Handayani et al. (2021), the study focuses on five constructs: ease of use, system availability, system responsiveness, health workers’ digital skills, and user trust. The results show that Mobile JKN has significantly simplified administrative processes, accelerated registration, and improved service efficiency at the health center. Effectiveness is supported by factors such as the application’s general ease of use, faster queue data processing, and adequate digital skills among staff. Users also show a high level of trust, though queue time estimation still needs improvement. Despite these benefits, complaints about long waits persist due to patients who register online but still queue manually and misunderstandings between Mobile JKN and e-Puskesmas queue numbers. Late patient arrivals also contribute to delays. Overall, Mobile JKN proves effective in enhancing digital health services, but further optimization is needed through better socialization of service procedures, accurate queue information, and improved system integration to maximize the advantages of digitalization.

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.

Gross motor development is an important aspect of an infant’s growth. Infants aged 6–12 months are in a golden period where physical stimulation plays a vital role in supporting coordination, balance, and muscle strength. Hydrotherapy provides an experience of free movement in water with light resistance, which can strengthen muscles and improve body control. This study aimed to determine the effect of hydrotherapy on the gross motor development of infants aged 6–12 months at Posyandu Dahlia, Palembang City. This research used a quasi-experimental design with a pretest–posttest control group involving 30 infants (15 intervention and 15 control). The intervention was conducted twice a week for four weeks in water with temperatures of 36–37°C. The Denver II instrument was used for assessment. Data were analyzed using paired t-tests and independent t-tests with a significance level of 0.05The average gross motor development score increased significantly in the intervention group from 45.2 to 60.4 (p = 0.001), while the control group showed no significant change (p = 0.094). Hydrotherapy has a significant effect on improving the gross motor development of infants aged 6–12 months. Health workers are encouraged to use this therapy as an alternative stimulation for early childhood development in community health centers.

This study presents a comprehensive analysis of reconstruction strategies for mental health services in post-conflict regions of the Middle East, based on a meta-synthesis of 87 policies and intervention programs issued between 2010 and 2023. The findings indicate that 73.4 percent of initiatives did not meet their intended targets due to infrastructural limitations, resulting in a service dropout rate of 62.8 percent. The implementation of the Stepped Care Model shows a 47.2 percent improvement in service access (p = 0.001), while the integration of mental health services into primary health care systems increases overall coverage by 56.3 percent (p = 0.001). Task shifting to community health workers enhances efficiency by 38.9 percent (p = 0.01) with a cost-effectiveness ratio of 1 to 2.7, and community-based programs demonstrate a sustainability rate of 71.2 percent compared to 43.5 percent in conventional approaches. These findings build upon the work of Hamamra et al. (2025) and Werner et al. (2023) on post-conflict mental health interventions and show that hybrid models combining formal and informal structures yield better performance, with an effect size (Cohen's d) of 0.82. The main contribution of this study lies in identifying adaptive implementation patterns that align with resource limitations, socio-cultural dynamics, and systemic reconstruction needs in post-conflict settings.

Malaria remains a significant health issue in the coastal areas of Yapen Islands Regency, particularly among children who are at high risk of morbidity and mortality. To address this, a community empowerment and mentoring activity was conducted in Kampung Turu, the service area of Serui Kota Health Center, with the aim of increasing knowledge and practices related to malaria prevention through a community-based education approach. The program involved 60 respondents and was carried out in three stages: preparation, implementation, and monitoring and evaluation. The interventions included malaria education, demonstrations on the use of insecticide-treated bed nets, environmental management, and training community health workers as education agents. Pre–post test evaluations showed an improvement in community knowledge and awareness regarding malaria prevention in children. The community empowerment approach was proven effective in promoting positive behavioral changes and enhancing the capacity of parents and health workers to carry out sustainable malaria prevention efforts. This program is expected to serve as a model for public health interventions in coastal areas aimed at reducing the risk of malaria in children.  

Digital transformation in the health sector requires hospitals to improve service effectiveness through the use of Hospital Management Information Systems (HMIS). Berkah Pandeglang Regional General Hospital, as a regional hospital, still faces challenges in utilizing HMIS, such as limitations in infrastructure and user competence. This study aims to analyze the effect of SIMRS implementation and evaluation on the effectiveness of healthcare services. The research method uses a quantitative approach with a descriptive-verificative design. The research population consists of 278 healthcare workers, and 74 respondents were selected using proportionate stratified random sampling. Data were collected through closed questionnaires and analyzed using multiple linear regression to test the influence of variables. The results of the analysis show that the implementation and evaluation of SIMRS have a positive and significant effect on the effectiveness of health worker services. The most dominant components in implementation are the availability of hardware and human resource competence, while in evaluation, the most decisive aspects are the perception of usefulness and ease of use of the system. The conclusion of this study confirms that the success of SIMRS depends on the synergy between optimal implementation and systematic evaluation. Improvements in technological facilities, user training, and periodic monitoring are recommended to strengthen the effectiveness of health worker services at Berkah Pandeglang Regional General Hospital.

Malnutrition among early childhood remains a critical issue that hinders Indonesia’s efforts to realize its Golden Generation. This study aims to describe the current condition of child malnutrition, its impacts, contributing factors, and strategies for prevention involving families, communities, health workers, early childhood education institutions, and the government. This paper uses a literature review method by examining scientific sources related to nutrition, early childhood development, and governmental policies. The findings indicate that severe malnutrition significantly affects children’s physical, cognitive, socio-emotional development, and long-term health. Contributing factors include low nutritional literacy, inadequate parenting practices, poor sanitation, recurrent infections, economic limitations, and suboptimal implementation of nutrition programs. Effective prevention requires an integrated, multisectoral approach involving nutrition education, growth monitoring, improved access to nutritious food, and strengthened interventions during the First 1000 Days of Life. Sustainable collaboration across sectors is essential to reduce malnutrition rates and support the development of a healthy and competitive future generation.

The quality of service at community health centers is still often complained about by the public. Several studies show that the quality of health services at community health centers is closely related to the availability of quality health workers. The aim of the research is to determine various health human resource problems that arise in community health centers which can affect the quality of community health center services, and efforts to overcome various problems related to Human Resources management so that the quality of services at community health centers can be improved. The approach used is a descriptive analysis method. Data obtained from various literature is processed and analyzed qualitatively according to the problems and objectives that have been set. The results obtained show that there are Human Resource problems at the community health center which affect the quality of service, namely the lack of integration of the planning system and procedures for the distribution of health workers; lack of capacity of Human Resources planning units at all levels in the distribution of health workers; lack of good communication so that there are differences in understanding, information and knowledge about the distribution of health workers between planning units and health service providers; lack of support from regional government, planning that is not integrated at various levels of administration in regional government as well as lack of implementation and budgeting of training for health workers at community health centers

Although often overlooked by society, mental health is a crucial component of overall health. One of the biggest barriers to managing mental health is the societal stigma associated with People with Mental Disorders (ODGJ). High stigma can lead to negative perceptions that hinder the healing process of those suffering from mental illness. The purpose of this study was to determine how societal perceptions of individuals with mental illness in Cot Rumpun Village, Aceh Besar Regency, relate to societal stigma. This study used a cross-sectional methodology and a descriptive analysis design. Seventy respondents were selected for the study sample using a direct random selection method. The Community Attitudes Against Mentally Ill (CAMI) questionnaire measured public sentiment, and the Perception of Discrimination and Devaluation (PDD) questionnaire measured stigma. Chi-square tests were used in univariate and bivariate data analysis. The majority of respondents expressed positive attitudes toward those with mental health problems (60.0%), while low stigma toward those with mental disorders (54.3%). The results of the Chi-Square test indicate a significant relationship between community stigma and community attitudes towards people with mental disorders (ODGJ) with a value of ρ = 0.000 (ρ <0.05). Health workers are expected to conduct routine counseling and psychoeducation to the community about mental health, including how to deal with, support people with mental disorders appropriately, reducing stigma in the community environment. Local governments and community leaders are also expected to play an active role in creating an inclusive, supportive, discrimination-free social environment for people with mental disorders (ODGJ).

Type 2 Diabetes Mellitus is a chronic disease that not only causes physical disorders, but also has an impact on the patient's psychological condition, especially increased stress levels. Unmanaged stress can worsen medical conditions, decrease adherence to treatment, and negatively impact the patient's quality of life. Social support is known to have an important role as a protective factor in helping patients cope with psychological burden. This study aimed to analyze the relationship between social support and stress levels in patients with Type 2 Diabetes Mellitus. The research design used was descriptive correlation with a cross-sectional approach, involving [number of respondents] patients selected with the [mention sampling technique]. The research instrument used a validated social support questionnaire and stress scale. The data were analyzed by the Pearson/Spearman correlation test according to the data distribution. The results showed that there was a significant relationship between social support and stress levels in patients with Type 2 Diabetes Mellitus (p < 0.05), with a negative correlation direction, which means that the higher the social support received by the patient, the lower the level of stress experienced. These findings confirm the importance of the role of family, health workers, and the social environment in supporting patients to manage stress and improve quality of life. This study recommends the need for social support-based interventions in diabetes management programs in health services.

Postpartum anxiety is a psychological problem that often occurs after childbirth and can have a direct impact on decreased breast milk production. Non-pharmacological efforts that can help overcome this are Spiritual Emotional Freedom Technique (SEFT) therapy and Endorphin, Oxytocin, and Suggestive Massage Stimulation (SPEOS). This community service activity aims to improve comfort, calmness, and increase breast milk production through the application of a combination of SEFT and SPEOS therapy to postpartum mothers in the Sambau Community Health Center, Batam City. The activity method is carried out through education, demonstrations, and direct practice with postpartum mothers given to 48 postpartum mothers. The results of the activity showed an increase in mothers' knowledge about SEFT and SPEOS relaxation techniques, about managing anxiety, and how to increase breast milk production as obtained from the results of qualitative evaluations through interviews and group discussions. This activity received a positive response from participants and local health workers, and is recommended for routine implementation in community midwifery services.

The Baayun Counseling Socialization Program at the Health Center is designed to improve the understanding and skills of health workers in implementing a more humane and local culture-based counseling approach. Baayun counseling is a therapeutic communication method that integrates cultural values in the interaction between health workers and patients, so that services become more personalized, empathetic, and meaningful. This program is carried out through several stages, namely needs analysis, socialization, and effectiveness evaluation. The main target is health workers in primary services who interact directly with patients. The expected results of this program include improving the competence of health workers in understanding and implementing Baayun Counseling, as well as increasing patient satisfaction and compliance with health services. Program evaluations show that this approach is able to create positive changes in communication patterns, strengthen the relationship between health workers and patients, and improve the overall quality of counseling services. By adopting Baayun Counseling, Puskesmas can strengthen the cultural dimension in health services, making them more relevant and responsive to the needs of local communities. The program also has the potential to be replicated in other culturally rich regions as part of a community-based health service quality improvement strategy.

Hypertension is a major factor contributing to high mortality rates and is often identified as the silent killer. Various non-pharmacological interventions have been developed to help lower blood pressure, such as the use of acupressure, herbal remedies, relaxation breathing exercises, meditation, aromatherapy, and reflexology on the soles of the feet. The focus of this study is to examine the effects of reflexology on the soles of the feet on blood pressure dynamics in individuals with hypertension in Gue Gajah Village, Darul Imarah District. The methodology applied was quantitative research with a quasi-experimental design, and the data collection pattern was a single group with pre- and post-treatment measurements (one group pretest-posttest). From a total of 328 hypertensive patients in the area, 15 research participants were purposively selected as samples. The study process took place from May 2 to 28, 2025. The results of the analysis using a paired t-test showed a significant change in blood pressure between before and after the foot reflexology treatment, both in systolic pressure (p-value = 0.000; p < 0.05) and diastolic pressure (p-value = 0.000; p < 0.05). Based on these findings, it can be stated that foot reflexology massage therapy has an effect on lowering blood pressure in hypertensive patients. These findings are expected to serve as a reference for health workers to expand the use of non-pharmacological interventions in the management of hypertension and open opportunities for further research with larger sample sizes and designs.

Background: Sectio caesarea is performed to ensure the safety of the mother and baby. Before the operation, health workers, especially nurses, need to provide education to the mother about informed consent and the operation procedure to reduce the mother's anxiety and concerns about the safety of her baby. Objective: To determine the effect of providing informed consent education on surgical preparation with anxiety levels in patients with Pre-Operational Caesarean Section. Method: This study is an analytical survey study using the cross-sectional method. The study was conducted at RSIA Murni Teguh Rosiva Medan. The population was 30 people and all of them were used as samples, sampling was done using purposive sampling. The analysis was performed univariately in the frequency distribution table and bivariately using the Kendall's tau-b test. Results: This study showed that the majority of pre-operative caesarean section patients stated that the provision of informed consent education in preparation for surgery was in the good category (60.0%). The majority of pre-operative caesarean section patients felt mild anxiety (50.0%). The provision of informed consent education in preparation for surgery had a significant effect on the level of anxiety of pre-operative caesarean section patients at RSIA Murni Teguh Rosiva Medan, p-value = 0.005 <0.05. Conclusion: The anxiety of pre-operative caesarean section patients was influenced by the provision of informed consent education in preparation for surgery by nurses. Suggestion: It is recommended that nurses provide informed consent education regarding preparation for caesarean section surgery to improve the knowledge and readiness of mothers to overcome anxiety that can affect caesarean section procedures.

Sexually transmitted infections (STIs) are infections that are transmitted mainly through sexual intercourse. Indonesia's 2020 health profile reported that STIs such as HIV are increasing every year. The prevalence of STIs in Indonesia in indonesia was 11,133 cases. The prevalence of syphilis was 3,868 cases, gonorrhea 2,486 cases, and HIV/AIDS 9,327 cases. The purpose of this study was to determine the knowledge of adolescents about sexually transmitted infections (STIs) at Senior High School 1 Mandirancan Class XI MIPA. This study used descriptive research design. With a population of 216 students and a sample of 68 respondents taken by random sampling. The research was conducted at Senior High School 1 Mandiracan in April-June 2024. By using research instruments in the form of questionnaires, this study used primary and secondary data, the analysis in this study used univariate analysis with frequency distribution. The results of this study obtained the results of adolescent knowledge about STIs as many as 50 students (73.5%) were well informed and 28 students (26.5%) were moderately knowledgeable. Adolescents knowledge about sexually transmitted infections at Senior High School 1 Mandirancan Class XI MIPA has good knowledge category. It is expected that the school will collaborate with health workers to conduct socialization about STIs and conduct counseling to students about STIs.

The development of wearable technology, especially smartwatches, opens up great opportunities in preventive health monitoring, especially in rural areas such as Sembung Village, Wringinanom, Gresik, where access to health services is limited. However, this technology is still alien to the local community. Preliminary surveys show that the majority of citizens, including health cadres, have never used or even seen a smartwatch in person, and view it as a luxury and irrelevant item. In fact, the potential of smartwatches as “digital health assistants” is huge from tracking heart rate, blood oxygen levels (SpO₂), stress levels, to physical activity reminders that are essential for early detection of health disorders. This service activity aims to improve digital literacy and adoption of smartwatch technology through a participatory educational approach and direct assistance. Implementation methods include: (1) coordination with the village government and health workers, (2) Interactive socialization using local languages, (3) step-by-step practical training, (4) simulation of application in the field, and (5) pre-test and post-test evaluation of 27 participants (25 health cadres, 1 midwife, 1 nurse). The results showed significant improvements: function understanding from the original value of 1.8 increased to 4.2, consumption interest from the original value of 2.1 increased to 4.0, benefit perception from the original value of 1.9 increased to 4.3, self confidence from the original value of 1.5 increased to 3.8, and digital literacy awareness from the original value of 2.0 increased to 4.1. The hands-on approach proved effective in changing participants ' mindset from skeptical to enthusiastic, proving that the digital divide is not due to incompetence, but the lack of access to contextual education. The implication is that smartwatch has the potential to become a strategic tool for village health cadres in early detection and real-time data-based health education, provided that it is supported by sustainable mentoring.