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BPJS Health has incurred losses exceeding 200 billion rupiah over a two-year period due to the payment of contributions that were discontinued by participants who had utilized maternity services. Data show that 64.7% of mothers registered as BPJS Health participants only one month prior to childbirth, after which 43% either withdrew their membership or failed to continue paying contributions following delivery. The highest proportion of this behavior was observed among independent participants or non-wage recipients (PBPU). In Jambi Province, the highest level of contribution non-compliance occurs in Jambi City. In 2023, there were 77,489 participants with contribution arrears, resulting in financial losses amounting to 60.1 billion rupiah. Contribution non-compliance is influenced by various factors. This study aims to analyze the factors contributing to non-compliance among independent participants in paying BPJS Health contributions after utilizing childbirth services in Jambi City. The findings revealed that 33.3% of independent participants were non-compliant in paying BPJS Health contributions after using maternity services. Significant associations were found between contribution non-compliance and the number of family members (p = 0.001), level of knowledge (p = 0.000), illness perception (p = 0.001), clinical assessment (p = 0.000), and willingness to pay (WTP). Based on these findings, it is recommended that BPJS Health consider implementing a waiting period policy for participants intending to utilize maternity services. In addition, the Jambi City Government should strengthen promotive efforts to educate the public and raise awareness of the importance of health insurance in safeguarding household financial security.  

Syphilis is one of the reproductive health problems that remains a challenge in Indonesia, with a trend of increasing cases, while the level of adolescent knowledge about this disease is still low. Educational efforts are needed to improve adolescent understanding, one of which is through video media which is considered more interesting because it combines visual and audio elements. This study aims to evaluate the effectiveness of video as an educational medium in improving adolescent knowledge about syphilis at SMKS Al Hikmah 2 Sirampog, Brebes Regency. This type of research is a pre-experimental study with a one group pretest-posttest design. The study sample consisted of 47 students selected using a purposive sampling technique. The research instrument was a syphilis knowledge questionnaire administered before and after the educational video intervention. Data analysis used the Wilcoxon Signed Rank Test and N-Gain calculation. The study showed that Results Before the intervention, the level of knowledge of respondents was in the good category for 24 students (51.1%), sufficient for 11 students (25.5%), and poor for 12 students (23.4%). After being given the educational video intervention, there was a significant increase with all respondents (100%) being in the good category. The Wilcoxon Signed Rank Test showed a significant difference between pretest and posttest scores (p-value = 0.000). N-Gain analysis categorized the increase in knowledge as high. The study concluded that video media has proven effective as an educational tool in increasing adolescent knowledge about syphilis, making it a viable alternative learning medium in reproductive health programs.

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.

Hypertension is one of the major health problems in the elderly and increases the risk of cardiovascular disease. The low level of knowledge among the elderly about risk factors and prevention of hypertension is one of the challenges in controlling this disease. This study aims to determine the effectiveness of health education in increasing the knowledge of the elderly about hypertension at the Meohai Center in Kendari City. The study design used a pre-experimental approach with pre-test and post-test without a control group, involving 22 elderly individuals. The education was conducted through interactive lectures and visual educational media. The results showed an increase in the average knowledge score from 8.04 to 9.09 after the intervention, with a paired t-test yielding a p-value of 0.007, indicating a significant difference. These findings indicate that counseling is effective in increasing the knowledge of the elderly about hypertension. The implications of this study emphasize the importance of continuous education programs to support hypertension prevention efforts in the elderly

Diabetes mellitus (DM) is one of the global health challenges that continues to rise, including in Indonesia. However, the lack of education and counseling from pharmacists regarding the use of natural ingredients medicines has the potential to affect the effectiveness of treatment and the management of DM. This study aims to measure the level of knowledge, attitudes, and behaviour of DM patients, related to the use of natural ingredient drugs in DM management. This study uses a cross-sectional method design, starting with the collection of quantitative data. Sampling was conducted using purposive sampling technique over a period of four months. The research involved 101 DM patients from 15 pharmacies in Kendal Regency. The level of knowledge (44.6%), attitude (66.3%), and behaviour (39.6%) of patients in the moderate category. However, the limited knowledge of pharmacists remains a barrier to optimizing pharmaceutical services related to educating patients about natural ingredient medications.

Indonesia has extraordinary resources and potential in developing renewable energy sources (RES), but various obstacles must be overcome in implementing RES. The purpose of this study is to analyze the gap in the application of RES. This gap includes energy knowledge, community participation, battery waste management, service quality, regulation, and legal policy. This study uses a mixed-methods approach, by conducting a structured questionnaire in quantitative data collection, while qualitative data collection through special interviews, focused group discussions, and conducting policy regulation analysis. The results show that 62% of people do not understand RES, 28% are involved in project planning, and 74% are unaware of SOP (standard operating procedures) regarding battery waste recycling. The results of the correlation analysis reveal a positive relationship between the level of knowledge and interest in RES (R = 0.56). Also, the developed community-based participation model includes initial involvement, transparency of information, and local incentives. These findings further strengthen the compatibility of the innovation diffusion theory, planned behavior theory, SERVQUAL, and the theory of public interest. This study will make a practical contribution through evidence-based strategies in increasing resilience, especially for policymakers and energy service providers. The impact of the policy aspects includes the need for large reforms, education, public campaigns, and the realization of battery waste management systems. This study also provides an opportunity for further study by expanding the geographical scope and related industrial sectors.

Air pollution is an increasingly serious environmental issue in major cities, including Serang City. The decline in air quality due to motor vehicle emissions, industrial activities, waste incineration, and the reduction of green open spaces harms public health and the environment. Polluted air can cause respiratory problems, reduce the quality of life, and threaten urban ecosystems. This study aims to analyze the level of knowledge, perceptions, and behaviors of Serang City residents regarding air pollution, as well as assess their support for air pollution control policies. The methods used include a mixed-method approach through questionnaires, in-depth interviews, and participatory observation. The results of the study show that the community has a good understanding of the sources of air pollution, particularly vehicle and industrial emissions. They are also aware of the impact of pollution on health, especially for children and the elderly. However, the implementation of protective behaviors such as wearing masks is not yet consistent. Some positive behaviors have begun to develop, such as not burning trash and planting plants at home. Support for pollution control policies is also high. This study emphasizes the importance of continuous education, law enforcement, and collaboration between the government, society, and environmental communities in efforts to mitigate air pollution in Serang City.  

Body shaming represents a global issue shaped by social constructions and media portrayals of the human body. Individuals who experience body shaming often feel humiliated and intimidated, leading to low self-image and diminished gratitude for their bodies. This study aimed to examine the effect of body shaming education on adolescents’ knowledge levels at SMP Futuhiyah Mranggen. The research employed a quasi-experimental design with a one-group pretest–posttest approach. The population included all 41 male and female seventh-grade students, selected through total sampling. Researchers used a validated knowledge questionnaire delivered through a PowerPoint presentation as the data collection instrument. Data analysis applied the Wilcoxon test. The conclusion of this study is that there is an influence of body shaming education on the level of knowledge of adolescents at SMP Futuhiyah Mranggen with a p-value of 0.000 because it is less than 0.05. The suggestion that will be put forward is that it is hoped that all adolescents can increase their understanding of body shaming, to find out the level of knowledge about body shaming in adolescents who are given intervention, and awareness of the impact of body shaming and handling of body shaming in adolescents at SMP Futuhiyah Mranggen, adolescents who are given education related to body shaming and surrounding adolescents.

Despite global efforts, maternal mortality remains a critical public health challenge. A major contributing factor is the delay in recognizing and responding to obstetric emergencies. A pregnant woman's awareness of potential danger signs and her subsequent proactive attitude toward early detection are considered pivotal in facilitating timely and life-saving healthcare access. This study was undertaken to investigate the direct correlation between the level of knowledge pregnant women possess regarding pregnancy danger signs and their attitude toward the early identification of maternal emergencies.This research utilized an analytic survey design, a cross-sectional approach. The study sample was drawn using accidental sampling, comprising 110 pregnant women. Data were collected via structured questionnaires and analyzed statistically using the Spearman Rank correlation test. The descriptive analysis revealed a positive outcome regarding knowledge: the majority of participants (70) demonstrated a sufficient level of knowledge about pregnancy danger signs. However, this did not translate into a desired behavioral disposition, as a majority of participants (40) simultaneously displayed a poor attitude toward the early detection of maternal emergencies. The inferential statistical analysis confirmed this disconnect: the Spearman Rank test yielded a calculated ρ-value (pcount) of 0.068, which was less significant than the critical ρ-table value (ptable) of 0.364. Crucially, the significance level(p=0.72) exceeded the predetermined alpha (α=0.05).The study concludes that there is no significant relationship between a pregnant woman's knowledge of obstetric danger signs and her attitude toward seeking the early detection of maternal emergencies.

Family planning represents a community-based effort to promote awareness and participation through delaying the age of marriage, regulating births, strengthening family resilience, and improving family welfare to achieve small, joyful, and prosperous families (Suriana et al., 2021). The government targets Couples of Reproductive Age (CRA) to reduce population growth in Indonesia, as CRA consists of legally married couples who actively engage in sexual relations that may result in pregnancy. In addition to CRA, postpartum mothers also serve as a key target group in family planning programs. The “Four Too” components contribute to high-risk pregnancies that may lead to complications during pregnancy, childbirth, and the postpartum period, and maternal and infant mortality. These include being too young (under 20 years), too old (over 35 years), too many children (more than four), and too close birth spacing (less than two years) (Oktarina, 2022). This study employed a quantitative research design, specifically an analytical quantitative approach with a correlational design using the cross-sectional method. The sample consisted of 40 participants. The results show that 45% of respondents had a satisfactory level of knowledge about IUD contraception, 32.5% had a moderate level, and 22.5% had a low level of knowledge. In nursing practice, increasing knowledge about contraception—particularly IUD family planning—can enhance interest in its use. Moreover, the study recommends that husbands provide support for mothers in using IUD contraception.

The third trimester of pregnancy is a phase prone to anxiety due to physical and psychological changes and preparation for childbirth. Knowledge of pregnant women plays an important role in shaping mental readiness and reducing anxiety. This study aims to determine the relationship between knowledge levels and anxiety levels of pregnant women in the third trimester. The study used a quantitative correlational approach with 24 respondents selected through accidental sampling technique at Jatirogo Community Health Center, Central Kalimantan. Data were collected using a closed questionnaire and analyzed univariately and bivariately using the Chi-Square test. The results showed that 41.7 % of respondents had good knowledge and 66.7% did not experience anxiety. The Chi-Square test produced a significance value of p = 0.018, indicating a significant relationship between knowledge levels and anxiety of pregnant women. In conclusion, the higher the level of knowledge, the lower the anxiety experienced by pregnant women in the third trimester.

The knowledge and attitudes of food handlers are pivotal in fostering proper hygiene practices; however, not all individuals grasp and implement the requisite standards. The aim of this study is to examine the correlation between knowledge and attitudes regarding the behavior of food handlers in the context of hygiene and sanitation practices at Muhadi Setiabudi University. The study uses an observational methods. The research design used was cross-sectional in nature. A total of 59 food handlers were selected for the study, all of whom fulfilled the established criteria. The sampling method employed was purposive sampling. The findings indicate that 26 individuals, representing 44.1%, demonstrated a commendable level of knowledge, while 33 individuals, or 55.9%, exhibited a lack of knowledge. Furthermore, 54 individuals, accounting for 91.5%, displayed a positive attitude, in contrast to 5 individuals, or 8.5%, who showed a negative attitude. Additionally, 26 individuals, corresponding to 44.1%, engaged in commendable behavior, whereas 33 individuals, or 55.9%, were characterized by poor behavior. The Chi-square test revealed a relationship between knowledge and behavior, indicated by p > 0.05 (p = 0.809), and between attitude and behavior, evidenced by p < 0.05 (p = 0.848). No correlation exists between knowledge and attitudes regarding food handler behavior.

Maternal knowledge of newborn care plays an important role in maintaining neonatal health and preventing early complications. Parity is considered one of the factors that affect the mother's level of knowledge, as previous childbirth experiences can improve the understanding and skills of caring for the baby. However, primipara mothers often face challenges due to limited experience. This study aims to analyze the relationship between parity and newborn care knowledge in primipara mothers at the Tumpunglaung Health Center. The research method uses an analytical quantitative design with a cross-cutting approach. The study population was mothers who had just given birth at the Tumpunglaung Health Center, with a sample of 30 primipara mothers selected through purposive sampling. Data were collected using a structured questionnaire that included maternal characteristics and newborn care knowledge, including breastfeeding, hygiene, thermoregulation, and red flags. Data analysis was carried out by Chi-square test using SPSS at a significance level of p < 0.05. The results showed that most primitive mothers had moderate to low levels of knowledge, with a significant relationship between parity and newborn care knowledge. The conclusion of the study confirms the importance of strengthening education and counseling for primitive mothers to improve infant care practices and support neonatal health.

Anemia is a global health problem that frequently affects adolescent girls, particularly in developing countries such as Indonesia. Adolescent girls are at a higher risk of anemia due to menstrual blood loss and inadequate nutritional intake. This study aims to describe the level of knowledge about anemia among female students in Islamic boarding schools in Tarakan City. The research employed a quantitative approach with a descriptive method. The sample consisted of 124 adolescent girls selected using a total sampling technique. Data were collected using a questionnaire adapted from the Guidelines for Assessing Nutrition-related Knowledge, Attitudes, and Practices (FAO) and De et al., comprising 11 statement items. The results showed that 39.5% of respondents had good knowledge, 34.7% had moderate knowledge, and 25.8% had poor knowledge, with a mean score of 70.24, standard deviation of 19.10, minimum score of 18.18, and maximum score of 100.00. The study concludes that most adolescent girls in Islamic boarding schools in Tarakan City have good knowledge about anemia, although continuous nutrition education remains necessary.

Acne is a common health problem experienced by adolescents, a skin disease found particularly in teenagers. Acne begins to emerge during puberty, and the main factors causing it are a lack of facial hygiene, excessive sebum production, clogged pores, and Propionibacterium acnes bacterial infection. The purpose of this study was to determine the effect of education on Piper crocatum in treating acne. This was a quasi-experimental study using a one-group pretest-posttest design. The population consisted of all 55 eleventh-grade students at Futuhiyyah Mranggen High School. Total sampling was used as the sampling technique. Data collection was done using pre- and post-questionnaires to assess the level of knowledge about Piper crocatum. Data were analyzed using the Wilcoxon test. The results showed a p-value of 0.00 (<0.05), indicating that there was an effect of providing education about Piper crocatum in treating acne in adolescents. The Z-value was -6.681, which means that the education about Piper crocatum had a significant effect, leading to an improvement in facial condition before and after the education was provided. In conclusion, providing education had a significant effect on the knowledge of adolescents about Piper crocatum in treating acne. The recommendation is that educating adolescents can increase their knowledge, understanding, and awareness of Piper crocatum as a treatment for facial acne.

Adolescents represent an age group highly susceptible to health issues, particularly sexually transmitted infections (STIs), due to limited knowledge and restricted access to accurate information. This study aimed to examine the effectiveness of health education in improving adolescents’ knowledge about STIs at SMK Tamansiswa Boja Kendal. The study employed a quantitative pre-experimental method using a one-group pretest-posttest design. A total of 32 students were selected using accidental sampling. The intervention consisted of health education delivered through booklets and posters. Data were collected using a structured questionnaire and analyzed using the Wilcoxon test. Findings revealed a substantial increase in knowledge after the intervention. Prior to the education, 96.9% of respondents demonstrated low knowledge, and only 3.1% had sufficient understanding; after the intervention, 100% of participants achieved a high level of knowledge. The Wilcoxon test yielded a significance value of p = 0.000 (p < 0.05), indicating a statistically meaningful difference before and after the intervention. These results confirm that health education is effective in enhancing adolescent understanding of STIs. Similar programs are recommended to be implemented regularly in educational settings as part of reproductive health promotion and disease prevention efforts..

Anemia is a medical condition characterized by a lower-than-normal number of red blood cells or hemoglobin levels in the blood. This results in a reduced ability of the blood to carry oxygen throughout the body. Consequently, individuals with anemia may experience various symptoms such as fatigue, dizziness, and shortness of breath. The main causes of anemia are generally due to a lack of knowledge about this condition and deficiencies in nutrients such as iron.The purpose of this study is to determine the level of knowledge among ninth-grade female students regarding the prevention of anemia and their ability to prevent it. This study uses a descriptive research method, focusing on describing the level of knowledge of ninth-grade female students about the prevention of anemia.The study uses the Total Sampling method as the sampling technique, which means that all members of the population are included as respondents. Therefore, the number of respondents in this study is equal to the total population of female students, which are 54 individuals. Data collection is conducted using a closed-ended questionnaire consisting of 20 items covering indicators such as the definition of anemia, its etiology, signs and symptoms, treatment, and prevention.The results of the study show that knowledge regarding the definition of anemia is in the good category for 35 respondents (64.8%), knowledge about etiology is in the fair category for 35 respondents (64.8%), knowledge of signs and symptoms was in the fair category for 45 respondents (83.3%), knowledge about treatment is in the good category for 33 respondents (61.1%), and knowledge of prevention is in the fair category for 32 respondents (59.3%).It is hoped that by increasing the knowledge of ninth-grade female students about the prevention of anemia, schools and health workers can work together to carry out regular health education.

Early Warning Score (EWS) is a useful assessment system for monitoring and detecting patient conditions before they worsen, so that appropriate decision-making can be made, including referring patients and providing interventions as needed. The purpose of this study was to determine the Level of Knowledge of Early Warning Score (EWS) Nurses in the Internal Medicine Room of Santa Elisabeth Hospital Medan in 2025. The research method used was descriptive. A population of 94 people was taken professionally. The results of the study showed the Level of Knowledge of EWS Care in the Internal Medicine Room of Santa Elisabeth Hospital Medan in 2025 Based on the Definition of Respondents More Category Sufficient as many as 2 People (2.1%), Based on Indications for Use of EWS Number of Respondents More Category Less overall 3 People (3.2%), Category Sufficient as many as 48 people (51.1%), Based on Physical Parameters in EWS Respondents More Category Less than 4 People (4.3%), Category Sufficient as many as 23 people (24.5%), Based on EWS Assessment Number of Respondents More Category Less as many as 1 Person (1.1%), Category Sufficient as many as 70 people (74.5%), Based on the Role of Nurses in EWS Number of Respondents More Category Less as many as 7 People (7.4%), Category Sufficient as many as 49 (52.1%), Based on EWS Standardization Number of Respondents More Category Less overall 17 People (18.1%), Category Sufficient as many as 45 people (47.9%). Conclusion Level of Nurses' Knowledge of Early Warning Score (EWS) at Santa Elisabeth Hospital Medan in 2025 knowledgeable with 94 respondents showed that nurses with sufficient knowledge were 39 respondents (41.5%), and nurses with good knowledge were 39 respondents (58.5%). It is recommended that Santa Elisabeth Hospital Medan organize or conduct training workshops on the use of EWS.

The prevalence of stunting globally in 2021 reached 171 million to 314 million. In Indonesia, the results of the Indonesian Nutritional Status Survey (SSGI) showed that the stunting rate in 2019 was 27.7%, in 2021 it was 24.4%, and in 2022 it was 21.4%. Child stunting is a health concern in Indonesia. Causes of stunting in children include poor nutrition, low exclusive breastfeeding rates, low birth weight (LBW), and maternal factors in providing nutrition from pregnancy to 59 months of age. Research reports that stunting is influenced by parents' lack of knowledge about balanced nutrition. Knowledge plays a vital role in the life and development of individuals and society.Purpose This study aims to determine the relationship between maternal knowledge about balanced nutrition and the incidence of stunting in toddlers in the Jambu Village area, Mlonggo District, Jepara City. Method This research is a quantitative correlational study with a cross-sectional design. The population in this study were mothers with toddlers in the Jambu Village area, Mlonggo District. The sampling technique used total sampling to obtain a sample of 34 respondents. Measurement of the level of knowledge of nutritional balance by providing questions with multiple choices of true and false and for stunting using Microtois and Anthropometric Table. Data processing using SPSS with a computer using the Spearman Rho statistical test.The results of the study showed that the majority of respondents had good nutritional balance knowledge, amounting to 16 (47.1%), while 17 (50.0%) respondents did not experience stunting.There is a relationship between maternal knowledge about balanced nutrition and the incidence of stunting in toddlers in Jambu Village, Mlonggo District, Jepara Regency.

Community participation in the formation of Village Regulations (Perdes) is an important indicator in realizing transparent, democratic, and responsive village governance to the needs of residents. However, in Teluk Kapuas Village, the level of community participation in the process is still relatively low. This is evident from the minimal involvement of residents and village officials in understanding the mechanisms and urgency of Perdes preparation. Based on these conditions, Community Service (PKM) activities were carried out with the aim of increasing the knowledge, understanding, and awareness of the community and village officials regarding the importance of active involvement in Perdes formation. The problems raised in this activity include: (1) the level of knowledge and understanding of village officials regarding the procedures for Perdes formation; and (2) factors that hinder the community from participating optimally. The methods used were lectures and interactive discussions involving village officials and community representatives. The results of the activities showed that the understanding of village officials and the community was still limited, so that participation in Perdes formation was not optimal. Through this PKM activity, it is hoped that there will be an increase in the understanding, awareness, and involvement of the Teluk Kapuas Village community in the Perdes formulation process so that it can produce village regulations that are more participatory and meet the needs of residents.