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Abstract:

Pesatnya kemajuan teknologi digital telah mempercepat adopsi *Internet of Things* (IoT) dalam berbagai aspek kehidupan sehari-hari. IoT memungkinkan perangkat fisik untuk berkomunikasi dan bertukar data melalui konektivitas internet, sehingga proses menjadi lebih otomatis, efisien, dan responsif. Studi ini bertujuan untuk menganalisis pemanfaatan IoT dalam meningkatkan efisiensi kehidupan sehari-hari melalui pendekatan tinjauan pustaka. Metode penelitian yang digunakan adalah *Systematic Literature Review* (SLR), yang mengkaji dan menyintesis temuan dari berbagai studi terdahulu mengenai penerapan IoT di berbagai sektor, seperti rumah pintar (*smart home*), layanan kesehatan, transportasi, pertanian, dan pemantauan lingkungan. Hasil analisis menunjukkan bahwa IoT berkontribusi signifikan terhadap peningkatan efisiensi operasional, penghematan energi, perbaikan proses pengambilan keputusan, serta peningkatan kenyamanan pengguna. Terlepas dari berbagai manfaat tersebut, masih terdapat sejumlah tantangan, termasuk keamanan data, masalah privasi, interoperabilitas antarperangkat, biaya implementasi, dan ketergantungan pada infrastruktur internet yang stabil. Temuan studi ini menunjukkan bahwa IoT telah menjadi salah satu teknologi kunci yang mendukung transformasi digital dan peningkatan kualitas hidup. Pengembangan di masa mendatang diharapkan berfokus pada penguatan aspek keamanan, perluasan standar interoperabilitas, dan integrasi kecerdasan buatan (*artificial intelligence*) guna memaksimalkan efektivitas penerapan IoT dalam aktivitas sehari-hari.  

Background: Low birth weight (LBW) remains a major public health concern worldwide due to its significant contribution to neonatal morbidity and mortality, as well as its long-term adverse health consequences. Pregnancy intention has been identified as a potential determinant of adverse birth outcomes; however, evidence regarding its association with LBW remains inconsistent. This study aimed to examine the association between pregnancy intention and low birth weight in Indonesia using data from the 2012 Indonesian Demographic and Health Survey (IDHS). A cross-sectional study was conducted using secondary data from the 2012 IDHS. The study included 8,922 married women aged 15–49 years who had a singleton live birth within five years preceding the survey. Pregnancy intention was categorized as intended, mistimed, and unwanted. Multivariable logistic regression analysis was performed to assess the association between pregnancy intention and LBW after controlling for potential confounding variables. The prevalence of LBW was 6.2%. After adjustment for maternal age and antenatal care (ANC) visits, no significant association was found between mistimed pregnancy and LBW (AOR = 1.055; 95% CI: 0.765–1.454). An interaction effect was identified between unwanted pregnancy and pregnancy complications. Women with unwanted pregnancies accompanied by pregnancy complications had a higher risk of delivering LBW infants compared with women whose pregnancies were intended and without complications. Nevertheless, pregnancy intention was not significantly associated with LBW overall after adjustment for confounding factors. Maternal age outside the optimal reproductive age range (<20 years or >35 years) and inadequate ANC utilization were significantly associated with an increased risk of LBW. Pregnancy intention was not independently associated with low birth weight among Indonesian women after controlling for maternal and healthcare-related factors. Maternal age and antenatal care utilization were more consistent determinants of LBW. Strengthening maternal health services, particularly adequate antenatal care and early detection of pregnancy complications, may contribute to reducing the burden of low birth weight in Indonesia.

The Society 5.0 era demands increased student health literacy as an essential competency. However, previous research has tended to focus only on the health education aspect and has not comprehensively examined the integration of technology-based health education management. Therefore, this study aims to analyze the effectiveness of technology-based health education management innovations and identify key factors influencing their successful implementation. This study used a mixed methods approach with a sequential explanatory design. Quantitative data were collected through a survey of 200 students, while qualitative data were obtained through in-depth interviews with 10 teachers and the principal. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data were analyzed using a thematic approach to strengthen the interpretation of the results. The results indicate that technology-based health education management innovations have a significant impact on improving student health literacy. Furthermore, it was found that successful implementation is influenced by five main factors: school institutional support, availability of technological infrastructure, teacher training, student motivation, and parental involvement. The novelty of this research lies in the integration of managerial and technological approaches in health education, tested through a mixed methods approach. These findings confirm that successful health literacy improvement is determined not only by the use of technology, but also by organizational readiness and multi-stakeholder collaboration. The implications of this research provide theoretical contributions to the development of technology-based health education management models and practical recommendations for educational institutions facing the challenges of Society 5.0.

The Free Health Check-up (CKG) is a government program designed to strengthen promotive and preventive health efforts through the early detection of risk factors, pre-disease conditions, and diseases across the community according to the life-cycle approach. As a relatively new initiative, the implementation of the CKG program in primary healthcare settings still requires further evaluation to assess implementation readiness, digital support systems, and community participation. This literature review aimed to examine the implementation of the Free Health Check-up Program in primary healthcare services. Relevant literature was retrieved from the Google Scholar database using the keyword "implementation of the free health check-up program" and was limited to open-access, full-text articles published between 2025 and 2026. The search identified eight eligible articles, which were extracted and analyzed in this review. The synthesis revealed three major themes in the implementation of the CKG program: (1) primary healthcare service readiness, (2) digitalization and reporting systems, and (3) community participation and communication strategies. Primary healthcare readiness includes the availability of human resources, infrastructure, medical equipment, consumable medical supplies, funding, service workflows, and cross-sectoral coordination. Digitalization through the SATUSEHATplatform and integrated reporting systems has the potential to improve service efficiency; however, challenges remain regarding digital literacy, internet connectivity, and the technical capacity of healthcare personnel. Community participation is influenced by knowledge, attitudes, the roles of community health volunteers, teachers, healthcare workers, and communication strategies tailored to the characteristics of the target population. The successful implementation of the CKG program requires strengthening primary healthcare systems, optimizing digital health platforms, and adopting community-based communication strategies to ensure the program is more effective, inclusive, and sustainable.

Needle Stick Injury (NSI) is a serious occupational hazard among healthcare workers due to the risk of transmitting bloodborne pathogens. A preliminary study at Puskesmas X found that 60% of healthcare workers had experienced NSI. This study aimed to analyze the relationship between work standards, skills, and training with the incidence of NSI among healthcare workers (nurses and midwives) at Puskesmas X, East Bolaang Mongondow Regency. An analytical observational study with a cross-sectional design was conducted. A total sampling technique was used, resulting in 37 respondents. Data were collected using a structured questionnaire and analyzed using statistical tests. The results showed majority of respondents were aged 26–34 years (67.6%), female (81.1%), and had experienced NSI (73.0%). Statistical analysis showed a significant association between work standards (p = 0.018), skills (p < 0.001), and training (p = 0.014) with NSI incidence. Poor work standards, inadequate clinical skills, and limited participation in training were strongly associated with higher rates of NSI. Community health centers are recommended to implement regular occupational safety training programs to improve the technical skills of healthcare workers.

Needle Stick Injury (NSI) is a serious occupational hazard among healthcare workers due to the risk of transmitting bloodborne pathogens. A preliminary study at Puskesmas X found that 60% of healthcare workers had experienced NSI. This study aimed to analyze the relationship between work standards, skills, and training with the incidence of NSI among healthcare workers (nurses and midwives) at Puskesmas X, East Bolaang Mongondow Regency. An analytical observational study with a cross-sectional design was conducted. A total sampling technique was used, resulting in 37 respondents. Data were collected using a structured questionnaire and analyzed using statistical tests. The results showed majority of respondents were aged 26–34 years (67.6%), female (81.1%), and had experienced NSI (73.0%). Statistical analysis showed a significant association between work standards (p = 0.018), skills (p < 0.001), and training (p = 0.014) with NSI incidence. Poor work standards, inadequate clinical skills, and limited participation in training were strongly associated with higher rates of NSI. Community health centers are recommended to implement regular occupational safety training programs to improve the technical skills of healthcare workers.

Background: Non-communicable diseases (NCDs) are a leading cause of morbidity and mortality worldwide and pose a significant public health challenge in Indonesia. Indonesian Army (TNI AD) personnel are at risk of developing NCDs due to operational stress, smoking habits, unhealthy dietary patterns, sleep disturbances, and insufficient physical activity outside working hours. Health education is an effective health promotion strategy to improve awareness and encourage healthy lifestyle behaviors for NCD prevention. This community service program aimed to improve the knowledge of Indonesian Army personnel regarding the prevention of non-communicable diseases through health education. Methods: The program was conducted at the 18/YKR Combat Engineer Battalion, Gianyar, Bali, in August 2024 and involved 40 Indonesian Army personnel. The intervention consisted of preparation, health education delivered through lectures and interactive discussions, and evaluation using pre-test and post-test questionnaires to assess participants' knowledge before and after the educational session. Results: Before the intervention, 29 participants (72.5%) had fair knowledge and 11 (27.5%) had good knowledge regarding NCD prevention. Following the health education session, the number of participants with good knowledge increased to 14 (35.0%), while those with fair knowledge decreased to 26 (65.0%). Most participants also demonstrated improved post-test scores, indicating enhanced understanding of NCD risk factors and preventive measures. Conclusion: Health education effectively improved participants' knowledge regarding NCD prevention. Regular and sustainable educational programs in military settings are recommended to strengthen awareness, promote healthy lifestyle practices, and support the prevention of non-communicable diseases among Indonesian Army personnel.

Tindak pidana pembunuhan merupakan salah satu bentuk kejahatan terhadap nyawa yang memiliki dampak serius terhadap perlindungan hak asasi manusia serta ketertiban sosial. Permasalahan menjadi lebih kompleks ketika pelaku pembunuhan merupakan penderita gangguan psikis karena kondisi kejiwaannya berpotensi memengaruhi kemampuan untuk memahami dan mengendalikan perbuatannya, sehingga menimbulkan persoalan mengenai pertanggungjawaban pidana. Penelitian ini bertujuan menganalisis bentuk pertanggungjawaban pidana terhadap pelaku pembunuhan yang mengalami gangguan psikis serta mengkaji faktor-faktor kriminologis yang memengaruhi terjadinya tindak pidana tersebut beserta upaya penanggulangannya. Penelitian menggunakan pendekatan yuridis normatif, yuridis empiris, dan kriminologis dengan spesifikasi penelitian deskriptif. Data diperoleh melalui studi kepustakaan, wawancara dengan penyidik Satreskrim Polres Mesuji, serta analisis terhadap kasus pembunuhan yang terjadi di wilayah hukum Polres Mesuji pada tahun 2025. Hasil penelitian menunjukkan bahwa gangguan psikis berupa skizofrenia merupakan faktor internal yang berpengaruh terhadap penurunan kemampuan kognitif, pengendalian emosi, serta kesadaran pelaku ketika melakukan tindak pidana. Namun demikian, penentuan pertanggungjawaban pidana tidak dapat didasarkan semata-mata pada adanya diagnosis gangguan jiwa, melainkan harus dibuktikan melalui pemeriksaan psikiatri forensik untuk menilai kemampuan bertanggung jawab sebagaimana diatur dalam hukum pidana. Upaya penanggulangan dilakukan melalui pendekatan penal berupa penegakan hukum yang memperhatikan kondisi kejiwaan pelaku dan pendekatan non-penal melalui deteksi dini, pengobatan, rehabilitasi kesehatan jiwa, serta peningkatan peran keluarga dan masyarakat. Penelitian ini menegaskan bahwa keseimbangan antara perlindungan masyarakat, keadilan bagi pelaku, dan kepastian hukum harus menjadi dasar dalam menentukan pertanggungjawaban pidana terhadap pelaku pembunuhan yang mengalami gangguan psikis.

Personal hygiene saat menstruasi adalah tindakan untuk memelihara kesehatan dan kebersihan pada organ kewanitaan saat menstruasi. Perawatan pada saat menstruasi diperlukan karena pada saat menstruasi pembuluh darah rahim sangat mudah terkena infeksi. Kebersihan harus selalu dijaga karena kuman mudah sekali masuk dan akan menyebabkan penyakit pada organ reproduksi. Menurut World Health Organization (WHO) mengatakan bahwa sekitar 90% perempuan di Indonesia mengalami keputihan, dan 60% kasus tersebut terjadi pada kelompok remaja. Penelitian ini bertujuan untuk mengetahui faktor yang berhubungan dengan  personal hygiene selama menstruasi pada remaja putri di SMA Negeri 1 Kabangka Kabupaten Muna Sulawesi Tenggara Tahun 2026. Penelitian ini berjenis penelitian kuantitatif dengan jumlah sampel mencapai 102 siswi. Teknik pengambilan sampel dalam penelitian ini menggunakan total sampling yaitu jumlah sampel sama dengan populasi. Analisis datanya menggunakan analisis univariat dan bivariat untuk menggambarkan distribusi frekuensi dan menguji adanya hubungan antara variabel independen dan dependen. Hasil penelitian menunjukkan bahwa variabel sikap dan sumber informasi berhubungan dengan tindakan personal hygiene saat menstruasi dengan nilai p-value masing-masing sebesar 0,004 dan 0,000 (p < 0,05). Variabel pengetahuan, fasilitas sanitasi, dan petugas kesehatan tidak memiliki hubungan dengan tindakan  personal hygiene saat menstruasi dengan nilai p-value masing-masing sebesar 0,25, 0,746, dan 0,467 (p > 0,05). Kesimpulan dari penelitian ini berdasarkan uji statistik Chi Square menunjukkan adanya hubungan variabel sikap dan sumber informasi dengan tindakan personal hygiene saat menstruasi serta tidak adanya hubungan antara variabel pengetahuan, fasilitas sanitasi, dan petugas kesehatan dengan tindakan personal hygiene saat menstruasi.

Early marriage remains a significant issue in Indonesia, particularly among adolescents, and has serious implications for reproductive health. This community service activity aimed to increase students' knowledge about the impact of early marriage on reproductive health. The activity was conducted at Etislandia Senior High School Medan with 43 participating students. The method used was counseling through lectures, discussions, and question-and-answer sessions, accompanied by pre-test and post-test evaluations. The results showed a significant increase in students' knowledge, with the average pre-test score of 54.2 rising to 85.6 in the post-test. Students showed high enthusiasm during the session and were able to identify various risks of early marriage, including reproductive tract infections, cervical cancer risk, and maternal mortality. This activity has implications for the importance of reproductive health education as a preventive effort against early marriage

Perilaku merokok pada remaja dipengaruhi oleh berbagai faktor, terutama rendahnya pengetahuan dan sikap terhadap bahaya merokok,prevalensi merokok pada remaja di Indonesia maupun Sulawesi Tenggara masih menunjukkan peningkatan dan berpotensi menimbulkan berbagai dampak negatif terhadap kesehatan, perkembangan, serta perilaku remaja. mengetahui Pengaruh Edukasi Kesehatan Melalui Media Poster Terhadap Pengetahuan Dan Perilaku Remaja Tentang Bahaya Merokok Di SMP Negeri 2 Parigi.  Penelitian ini menggunakan pendekatan kuantitatif dengan desain pre-eksperimental, untuk menilai pengaruh edukasi kesehatan melalui media poster terhadap pengetahuan dan perilaku merokok remaja menggunakan kuesioner sebelum dan sesudah intervensi, dengan analisis data meliputi uji normalitas Kolmogorov-Smirnov serta uji Paired Sample t-Test atau Wilcoxon pada tingkat signifikansi ? = 0,05.  hasil uji Wilcoxon Signed-Rank Test menunjukkan bahwa diperoleh sig (2-tailed) 0,000 < 0,05 sehingga dapat disimpulkan bahwa terdapat perbedaan yang signifikan antara skor pre test dan post test perilaku merokok sebelum dan sesudah diberikan edukasi kesehatan melalui media poster. Berdasarkan hasil penelitian yang telah dilakukan di SMP Negeri 2 Parigi, dapat disimpulkan bahwa edukasi kesehatan melalui media poster efektif dalam meningkatkan pengetahuan siswa tentang bahaya merokok serta mendorong perubahan perilaku merokok ke arah yang lebih positif.

Tebet Eco Park is one of the green open spaces (GOS) in South Jakarta that plays an important role in supporting environmental health and urban public health. This study aims to analyze the environmental health conditions at Tebet Eco Park through direct observation of environmental cleanliness, air quality, water quality, waste management, sanitation facilities, and visitor comfort. The research employed a descriptive method using field observations and a literature review approach. The findings indicate that the overall environmental health condition of Tebet Eco Park is relatively good. The presence of diverse vegetation contributes to improving air quality and creating a cool and comfortable environment. Supporting facilities such as sports areas, playgrounds, pet-friendly zones, and drinking water refill stations also contribute to the physical and social well-being of the community. However, several issues were still identified, including poor water quality in the park’s ponds and improper waste disposal by some visitors. Therefore, more effective environmental management and increased public awareness are needed to ensure that the ecological and social functions of Tebet Eco Park can be sustained in the long term.

Background:Flooding is one of the most common environmental problems in residential areas and is closely related to poor community awareness of waste management. Improper waste disposal can clog drainage systems, increase the risk of flooding, and lead to various environmental health problems. Objective: This community service activity aimed to improve community knowledge and awareness regarding waste management and environmental health as an effort to prevent flooding in Panompuan Jae Village. Methods: The activity was conducted on May 22, 2026, at the Panompuan Jae Village Prayer House involving 15 women from a local religious study group. The educational methods included lectures, discussions, and interactive question-and-answer sessions. The materials covered waste classification, household waste management, environmental health, and the relationship between environmental cleanliness and flooding. Results: The activity improved participants’ understanding of proper waste management. Participants were able to distinguish between organic and inorganic waste and understood appropriate waste handling practices. They actively participated in the discussion and showed an initial commitment to disposing of waste properly and maintaining environmental cleanliness. Conclusion: The community education program successfully improved public knowledge and awareness regarding waste management and environmental health, supporting flood prevention efforts in Panompuan Jae Village.

Stunting masih menjadi salah satu permasalahan kesehatan masyarakat di Indonesia. Rendahnya pengetahuan ibu mengenai pencegahan stunting merupakan salah satu faktor yang berkontribusi terhadap tingginya angka kejadian stunting. Penggunaan media flipbook sebagai media promosi kesehatan diharapkan mampu meningkatkan pengetahuan ibu secara efektif. Mengetahui pengaruh promosi kesehatan menggunakan media flipbook terhadap pengetahuan pencegahan stunting pada ibu balita di Puskesmas Kragan II. Penelitian ini menggunakan desain pra-eksperimental dengan pendekatan one group pretest-posttest design. Populasi penelitian berjumlah 1.126 ibu balita yang terdaftar di wilayah kerja Puskesmas Kragan II dan diperoleh sampel sebanyak 295 responden menggunakan teknik cluster random sampling. Pengumpulan data dilakukan menggunakan kuesioner sebelum dan sesudah pemberian promosi kesehatan menggunakan media flipbook. Analisis data menggunakan uji Wilcoxon Signed Rank Test dengan tingkat signifikansi 0,05. Sebelum intervensi, sebagian besar responden memiliki tingkat pengetahuan kategori kurang sebanyak 182 responden (61,7%). Setelah diberikan promosi kesehatan menggunakan media flipbook, mayoritas responden memiliki tingkat pengetahuan kategori baik sebanyak 257 responden (87,1%). Hasil uji Wilcoxon menunjukkan nilai p = 0,000 (p < 0,05), yang berarti terdapat pengaruh signifikan promosi kesehatan menggunakan media flipbook terhadap pengetahuan pencegahan stunting pada ibu balita. Promosi kesehatan menggunakan media flipbook terbukti efektif dalam meningkatkan pengetahuan ibu balita mengenai pencegahan stunting di wilayah kerja Puskesmas Kragan II.

Malaria masih menjadi salah satu masalah kesehatan masyarakat yang berdampak terhadap angka kesakitan, kematian, dan produktivitas masyarakat. Perilaku pencegahan menjadi faktor penting dalam menurunkan risiko penularan malaria. Penelitian ini bertujuan untuk menganalisis hubungan perilaku pencegahan terhadap risiko kejadian malaria pada masyarakat di Kabupaten Asahan. Penelitian menggunakan desain analitik observasional dengan pendekatan cross-sectional. Sampel berjumlah 50 responden yang dipilih menggunakan teknik consecutive sampling. Data dikumpulkan melalui kuesioner terstruktur yang mencakup penggunaan kelambu, penggunaan anti nyamuk, penggunaan pakaian pelindung, kebiasaan keluar rumah pada malam hari, kebersihan lingkungan, dan perilaku pencarian pengobatan. Analisis dilakukan secara univariat dan bivariat menggunakan uji Chi-Square dengan tingkat kepercayaan 95%. Hasil menunjukkan bahwa sebagian besar responden memiliki perilaku pencegahan yang baik (62,0%) dan risiko kejadian malaria yang rendah (66,0%). Uji Chi-Square menunjukkan adanya hubungan yang signifikan antara perilaku pencegahan dengan risiko kejadian malaria (p=0,003). Responden dengan perilaku pencegahan kurang memiliki peluang 6,88 kali lebih besar mengalami risiko malaria tinggi (OR=6,88; 95% CI=1,84–25,68). Disimpulkan bahwa perilaku pencegahan berhubungan signifikan dengan risiko kejadian malaria di Kabupaten Asahan.

Tuberkulosis (TB) merupakan penyakit menular yang masih menjadi masalah kesehatan global dan terus meningkat setiap tahunnya. Penyakit ini tersebar luas dan menjadi salah satu penyebab utama kematian akibat infeksi. Pemberian Terapi Pencegahan Tuberkulosis (TPT) merupakan salah satu strategi penting dalam upaya penanggulangan TB, khususnya pada kelompok berisiko seperti kontak serumah pasien TB, pelaksanaan program TPT di Kota Kendari masih belum optimal dan tergolong rendah dan Puskesmas Poasia merupakan puskesmas dengan jumlah kasus TB tertinggi dalam tiga tahun terakhir. Penelitian ini bertujuan untuk mengetahui gambaran penerimaan Terapi Pencegahan Tuberkulosis pada kontak serumah pasien TB dengan pendekatan teori Health Belief Model (HBM) di wilayah kerja Puskesmas Poasia Kota Kendari tahun 2025. Jenis penelitian adalah deskriptif kuantitatif yang dilaksanakan pada Maret 2026. Jumlah sampel sebanyak 80 responden yang dipilih menggunakan teknik simple random sampling. Analisis data yang digunakan adalah analisis univariat untuk menggambarkan distribusi frekuensi dan persentase setiap variabel. Hasil penelitian menunjukkan bahwa sebagian besar responden tidak menerima TPT yaitu sebanyak 71 responden (88,8%), sedangkan yang menerima hanya 9 responden (11,2%). Mayoritas responden memiliki persepsi kerentanan dan keseriusan yang rendah, persepsi hambatan yang tinggi, serta efikasi diri yang rendah, sedangkan persepsi manfaat menunjukkan hasil yang cukup berimbang. Hal ini menunjukkan bahwa faktor-faktor dalam Health Belief Model berperan dalam memengaruhi penerimaan TPT. Diperlukan peningkatan edukasi dan dukungan tenaga kesehatan untuk meningkatkan kesadaran serta penerimaan TPT.

Kepuasan pasien merupakan indikator penting mutu pelayanan kesehatan, termasuk pelayanan radiologi yang berperan dalam menunjang diagnosis dan keputusan klinis. Penelitian ini bertujuan menggambarkan kepuasan pasien terhadap pelayanan Instalasi Radiologi Rumah Sakit Muhammadiyah Mardhatillah Randudongkal. Penelitian kuantitatif deskriptif ini menggunakan data sekunder survei kepuasan pasien Bulan Januari – Maret 2026. Sampel penelitian adalah 202 responden yang menerima pelayanan radiologi. Data dianalisis menggunakan distribusi frekuensi, persentase, rerata skor dan indeks kepuasan terkonversi. Hasil penelitian menunjukkan rerata kepuasan keseluruhan sebesar 3,53 dari skala 4,00 atau indeks 88,17. Nilai tertinggi terdapat pada perilaku petugas yang ramah, sopan, salam, senyum, dan empati (rerata 3,65; indeks 91,21), diikuti kompetensi tenaga kesehatan (rerata 3,57; indeks 89,23). Nilai terendah terdapat pada kewajaran biaya pelayanan (rerata 3,41; indeks 85,27), namun tetap berada pada persepsi positif. Pelayanan radiologi dipersepsikan baik oleh pasien, terutama pada aspek interpersonal dan kompetensi profesional. Perbaikan berkelanjutan perlu difokuskan pada budaya pelayanan Islami, waktu tunggu, penanganan keluhan, dan komunikasi biaya.

Sistem rujukan pelayanan kesehatan yang terintegrasi dan responsif sangat krusial dalam mendukung keberhasilan Universal Health Coverage (UHC). Namun, dalam praktiknya masih sering ditemukan berbagai kendala seperti lamanya waktu tunggu, ketidakjelasan informasi, serta permasalahan administratif yang menghambat efektivitas pelayanan pasien BPJS. Penelitian ini bertujuan untuk menganalisis dan membuktikan secara empiris pengaruh akses informasi, kualitas pelayanan, dan peran tenaga kesehatan baik secara parsial maupun simultan terhadap efektivitas sistem penerimaan rujukan pasien BPJS di Rumah Sakit Bhayangkara Tingkat III Kendari. Jenis penelitian yang digunakan adalah kuantitatif dengan rancangan observasional analitik melalui pendekatan cross-sectional. Populasi dalam penelitian ini mencakup seluruh pasien rujukan BPJS dengan jumlah sampel sebanyak 240 responden yang ditentukan menggunakan rumus Slovin. Data primer dikumpulkan melalui kuesioner dan dianalisis menggunakan uji asumsi klasik serta analisis regresi linear berganda berbantuan perangkat lunak SPSS. Hasil analisis bivariat menunjukkan nilai p-value sebesar 0,00 (p < 0,05) pada ketiga variabel bebas, yang mengonfirmasi adanya hubungan yang sangat signifikan secara statistik dengan efektivitas sistem penerimaan rujukan. Selanjutnya, hasil uji F membuktikan bahwa akses informasi (F = 380,762$), kualitas pelayanan (F = 394,506$), dan peran tenaga kesehatan (F = 394,506$) secara bersama-sama (simultan) memiliki pengaruh yang sangat kuat dan signifikan terhadap efektivitas sistem penerimaan rujukan pasien BPJS dengan tingkat signifikansi 0,000. Kesimpulan penelitian ini menunjukkan bahwa akses informasi, kualitas pelayanan, dan peran tenaga kesehatan merupakan faktor determinan utama yang secara nyata memengaruhi keberhasilan dan kinerja efektivitas sistem rujukan di rumah sakit tersebut. Rumah sakit disarankan untuk terus mengoptimalkan integrasi teknologi informasi, meningkatkan daya tanggap petugas, serta memperkuat fungsi koordinasi tenaga kesehatan guna menekan kesalahan administrasi dan mempersingkat waktu tunggu pasien.

Background: Stunting remains one of the public health problems that requires early prevention through health education and growth monitoring in children under five years old. Lack of parental knowledge regarding balanced nutrition, child feeding practices, hygiene, and routine physical examination can increase the risk of growth disorders in toddlers. Purpose: Physical examination in toddlers is important to identify early signs of growth and developmental problems, including body weight, height or length, nutritional status, and general physical condition. Method: This community service activity was conducted face-to-face using health education, discussion, and direct physical examination methods. The stages of activity included preparation, delivery of educational materials about stunting, physical examination of toddlers, recording the results, and providing simple counseling to parents. Results: The activity showed that mothers were enthusiastic in participating in counseling and toddler physical examination. Before the education was given, several mothers still had limited understanding about the causes, impacts, and prevention of stunting. After the activity, mothers began to understand the importance of balanced nutrition, routine weighing, height measurement, immunization, hygiene, and regular visits to posyandu or health facilities. Conclusion: Education about stunting and physical examination of toddlers can increase parental awareness regarding early prevention of growth disorders. This activity is useful in encouraging families to monitor toddler growth regularly and implement healthy childcare practices.